# ![@anish_koka Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::725172428339568640.png) @anish_koka Anish Koka, MD

Anish Koka, MD posts on X about health, insurance, rfk, money the most. They currently have [------] followers and [---] posts still getting attention that total [------] engagements in the last [--] hours.

### Engagements: [------] [#](/creator/twitter::725172428339568640/interactions)
![Engagements Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::725172428339568640/c:line/m:interactions.svg)

- [--] Week [-------] +314%
- [--] Month [---------] +906%
- [--] Months [---------] +133%
- [--] Year [---------] +65%

### Mentions: [--] [#](/creator/twitter::725172428339568640/posts_active)
![Mentions Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::725172428339568640/c:line/m:posts_active.svg)

- [--] Month [--] +9.60%
- [--] Months [---] +201%
- [--] Year [---] +35%

### Followers: [------] [#](/creator/twitter::725172428339568640/followers)
![Followers Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::725172428339568640/c:line/m:followers.svg)

- [--] Week [------] +0.24%
- [--] Month [------] +0.36%
- [--] Months [------] +6.10%
- [--] Year [------] +12%

### CreatorRank: [-------] [#](/creator/twitter::725172428339568640/influencer_rank)
![CreatorRank Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::725172428339568640/c:line/m:influencer_rank.svg)

### Social Influence

**Social category influence**
[finance](/list/finance)  15.94% [countries](/list/countries)  5.07% [stocks](/list/stocks)  2.9% [technology brands](/list/technology-brands)  2.17% [celebrities](/list/celebrities)  1.45% [social networks](/list/social-networks)  0.72%

**Social topic influence**
[health](/topic/health) #3140, [insurance](/topic/insurance) 4.35%, [rfk](/topic/rfk) 4.35%, [money](/topic/money) 2.9%, [nih](/topic/nih) #216, [public](/topic/public) #3114, [china](/topic/china) 2.17%, [the world](/topic/the-world) 2.17%, [the most](/topic/the-most) 2.17%, [have the](/topic/have-the) #741

**Top accounts mentioned or mentioned by**
[@cardiobrief](/creator/undefined) [@anishkoka](/creator/undefined) [@drsloungepod](/creator/undefined) [@ethanjweiss](/creator/undefined) [@roguerad](/creator/undefined) [@benryanwriter](/creator/undefined) [@mrwbond](/creator/undefined) [@drjbhattacharya](/creator/undefined) [@neoavatara](/creator/undefined) [@andrewfoy82](/creator/undefined) [@bilhartzmd](/creator/undefined) [@drdigiorgio](/creator/undefined) [@matthewherper](/creator/undefined) [@kevinnbass](/creator/undefined) [@michelaccad](/creator/undefined) [@x0_1_7ex](/creator/undefined) [@docborelli](/creator/undefined) [@drdanchoi](/creator/undefined) [@dutchrojas](/creator/undefined) [@grok](/creator/undefined)

**Top assets mentioned**
[CVS Health Corp (CVS)](/topic/cvs) [Alphabet Inc Class A (GOOGL)](/topic/$googl)
### Top Social Posts
Top posts by engagements in the last [--] hours

"Realistically the OBBB with its attention to Medicaid fraud and its restriction on provider taxes is the only politically feasible soft landing. This is a mistake. @AOC and Congress could fix the myriad of rules that have legislated the monopolies into existence but they prefer to grandstand for optics. Healthcare is ridiculously expensive because of legislation that makes the entry barriers for competitors to enter This is a mistake. @AOC and Congress could fix the myriad of rules that have legislated the monopolies into existence but they prefer to grandstand for optics. Healthcare is"  
[X Link](https://x.com/anish_koka/status/2014863592886014379)  2026-01-24T00:51Z 28.3K followers, [---] engagements


"HIV denialists wrongly believe HIV doesn't cause AIDS. In fact HIV left untreated causes AIDS in 95.5% of people in about [--] to [--] years. (About [--] in [---] people rather miraculously are able to control the virus with their own immune systems.) AIDS is fatal. Combination antiretroviral treatment approved in [----] transforms HIV into a manageable condition and extends the lifespan to near normal. It also prevents transmission. One of the miracles of the modern age. Peter Deusberg has died. The biologist is centrally responsible for the HIV denialist movement which has killed many people and which"  
[X Link](https://x.com/anish_koka/status/2016541886761120017)  2026-01-28T16:00Z 28.3K followers, [----] engagements


"Happening this week - United Health one of the nation's largest insurance companies saw a steep drop in its stock price on news that Medicare is going to send them a lot less money to prop up the popular and very profitable Medicare Advantage program"  
[X Link](https://x.com/anish_koka/status/2017056047286911390)  2026-01-30T02:03Z 28.4K followers, [----] engagements


"http://x.com/i/article/2018763126171115520 http://x.com/i/article/2018763126171115520"  
[X Link](https://x.com/anish_koka/status/2019240428977942929)  2026-02-05T02:43Z 28.4K followers, 17.6K engagements


"Since @benryanwriter s report lots of news on this front - plastic surgery and the AMA have both released statements that seem to counter their prior positions. Should be a great conversation. Excited to discuss this case with @benryanwriter on @DRsLoungePod this Thursday live at [--] pm EST . Also streaming live on @YouTube : https://t.co/d83y3cqIHy Excited to discuss this case with @benryanwriter on @DRsLoungePod this Thursday live at [--] pm EST . Also streaming live on @YouTube : https://t.co/d83y3cqIHy"  
[X Link](https://x.com/anish_koka/status/2019483605781643574)  2026-02-05T18:49Z 28.4K followers, [---] engagements


"The American Empire is being destroyed by healthcare. While were busy figuring out how many useless procedures we can do in our aging seniors China produces 3x the amount of electricity the U.S. does and refines 2x the amount of oil as the rest of the world"  
[X Link](https://x.com/anish_koka/status/2020128516587536733)  2026-02-07T13:32Z 28.4K followers, 27.8K engagements


"If you think healthcare AI needs a billing code you are very much part of the problem. @DocBorelli @anish_koka @DrDiGiorgio AI will not reduce that amount of money being vacuumed up the medical industry. Please address that. @DocBorelli @anish_koka @DrDiGiorgio AI will not reduce that amount of money being vacuumed up the medical industry. Please address that"  
[X Link](https://x.com/anish_koka/status/2020169384614891664)  2026-02-07T16:14Z 28.4K followers, [----] engagements


"The problem is not that Americans dont want to take care of their neighbors. Americans are the most generous people on earth and spend $1.5 trillion / year on Social Security $1 trillion on Medicare and $1 trillion on Medicaid. The problem is that we farmed out taking care of our neighbors and loved ones to the government. Corporations and non-profits were only too happy to help. What transpired was a wealth transfer to bureaucrats and middlemen that has bankrupted the country. @anish_koka Too bad the thought of societal collectivism makes your skin crawl and yell out Marxism So we cant have"  
[X Link](https://x.com/anish_koka/status/2020205827232092186)  2026-02-07T18:39Z 28.4K followers, 26.1K engagements


"On the last @DRsLoungePod with journalist @benryanwriter on the case he covered: The [--] year old plaintiff sued her plastic surgeon for performing a bilateral mastectomy at the recommendation of her psychologist. The plaintiff's expert was a leading transgender surgeon:"  
[X Link](https://x.com/anish_koka/status/2020216387382153267)  2026-02-07T19:21Z 28.4K followers, [----] engagements


"@boltyboy Specifically didnt say citizens for a reason and not telling anyone what they can and cant say just asking a question. Why root for the downfall of the country that is giving you a place to work and live"  
[X Link](https://x.com/anish_koka/status/2020544729868304778)  2026-02-08T17:06Z 28.4K followers, [--] engagements


"The distinct honor "I have the distinct honor to say that we lost white population"- former NY Rep. Charles Barron (D) Listen to the crowd's reaction https://t.co/tibfkVQC9h "I have the distinct honor to say that we lost white population"- former NY Rep. Charles Barron (D) Listen to the crowd's reaction https://t.co/tibfkVQC9h"  
[X Link](https://x.com/anish_koka/status/2021306559498793211)  2026-02-10T19:33Z 28.4K followers, [---] engagements


"Do not get taken in by this - Mark may be well meaning but this makes no sense : government is powerless to rewrite rules that give insurance companies and non-profits ridiculous advantages to consolidate and drive up prices but government has the power to break them up. @HammondOnHealth Since you are a rugby player and a Hoosier The gov created this problem by letting the big insurance companies acquire anyone and everyone. They have gotten so big they are writing the rules. They have far more say over how healthcare works in this country than anyone or @HammondOnHealth Since you are a rugby"  
[X Link](https://x.com/anish_koka/status/2021538620763783328)  2026-02-11T10:55Z 28.4K followers, [----] engagements


"Before its given we dont know. Find out something post. Effectiveness varied by age. VE was highest among children ages [--] to [--] years at 57.2% followed by adults ages [--] to [--] years at 45.1%. Among adults [--] years and older VE was lower peaking at 27.7%. How was VE defined can you point me to hospitalization or mortality data in subsets Tx"  
[X Link](https://x.com/anish_koka/status/2021730278675206410)  2026-02-11T23:37Z 28.4K followers, [---] engagements


"I dont disagree about the challenges of a yearly flu vaccine but it is very much within the realm of possibility that we have changed acceptable outcomes to make it possible to have a yearly flu vaccine. Not dissimilar from lowering the bar to get into med school to have the desired mix. Also in like [----] pts we have one death caused by the mRNA vaccine . https://twitter.com/i/web/status/2021752267892793797 https://twitter.com/i/web/status/2021752267892793797"  
[X Link](https://x.com/anish_koka/status/2021752267892793797)  2026-02-12T01:04Z 28.4K followers, [---] engagements


"Teaser for next @DRsLoungePod dropping soon - the great @DrJBhattacharya discusses what went so drastically wrong with academia during COVID and what his vision is for the NIH academic monoculture the replication crisis and much more"  
[X Link](https://x.com/anish_koka/status/2022404356335956176)  2026-02-13T20:15Z 28.4K followers, [----] engagements


"The best timeline on this Moderna approval controversy comes from Pharma by Sharma. From the outset in April [----] the vaccine team at the FDA defines Modernas trial design as acceptable but recommends they use high-dose. Moderna opts to go the standard-dose route that was deemed acceptable. Prasad gets involved on this project after the study has already started (July 2025) and raises concerns. By August FDA staff tell Moderna that the lack of a high-dose group in the control arm is going to be a significant issue (assuming that they got verbal guidance from Prasad on this here and are trying"  
[X Link](https://x.com/anish_koka/status/2022466281719366107)  2026-02-14T00:21Z 28.4K followers, [----] engagements


"Sigh. Its pretty clear your personal distaste for physicians practices overrides everything else. Its enough for me that Dr. Bowden believed the courts had granted her the right to treat this patient in the hospital. The patients family basically wanted someone to give him ivermectin since they believed that to be potentially life saving. I/you/others dont have to agree about this. We simply have to agree its abhorrent that the result of sending a nurse to the hospital with ivermectin launches a [--] year hundreds of thousands of dollar campaign to destroy Dr. Bowden professionally. If they"  
[X Link](https://x.com/anish_koka/status/2022671377162023335)  2026-02-14T13:56Z 28.4K followers, [--] engagements


"Benjamin Ryan was the only journalist in the courtroom for every day of the first detransition lawsuit to reach a jury verdict. In January [----] a White Plains jury awarded $2 million to Fox Varian who received a double mastectomy at age [--] after being diagnosed with gender dysphoria. Years later she detransitioned and sued her psychologist and plastic surgeon. What happened in that courtroom tells a bigger story about how American medicine got here why Europe is walking it back and what happens when "affirmation" becomes the only acceptable path. Ben breaks down the testimony the expert"  
[X Link](https://x.com/anish_koka/status/2020289672581169346)  2026-02-08T00:12Z 28.4K followers, [----] engagements


"Really bad idea. The government has no business deciding which private business es to break up. Just go after the myriad of regulations that leads to consolidation and keeps entry barriers for competition high. Great job @HawleyMO & @SenWarren LOVE THIS. Anyone in Congress that doesnt support this doesnt want lower cost healthcare for Americans. This is a no brainer. Lets hope @POTUS puts his weight behind this Great job @HawleyMO & @SenWarren LOVE THIS. Anyone in Congress that doesnt support this doesnt want lower cost healthcare for Americans. This is a no brainer. Lets hope @POTUS puts his"  
[X Link](https://x.com/anish_koka/status/2021332927305613650)  2026-02-10T21:18Z 28.4K followers, 65.2K engagements


"Congrats. "We cant tell people how to live and how to change and how to eat and exercise unless you know the area know the grocery stores. the genuineness of our practice. It allows people to say This is somebody who understands where we live and how we live and can help us "We cant tell people how to live and how to change and how to eat and exercise unless you know the area know the grocery stores. the genuineness of our practice. It allows people to say This is somebody who understands where we live and how we live and can help us"  
[X Link](https://x.com/anish_koka/status/2021974055168131316)  2026-02-12T15:45Z 28.4K followers, [---] engagements


"Good thread @j_g_allen childish labels- anti-vax crusader- perhaps educate yourself you need it on Vinay Prasad's breathtaking. CREDENTIALS @grok how many papers has vinay prasad published and what are his qualifications @j_g_allen childish labels- anti-vax crusader- perhaps educate yourself you need it on Vinay Prasad's breathtaking. CREDENTIALS @grok how many papers has vinay prasad published and what are his qualifications"  
[X Link](https://x.com/anish_koka/status/2022000966179127496)  2026-02-12T17:32Z 28.4K followers, [----] engagements


"Agree 100%. Very troubled by the precedent this case set. A health system tried to destroy a physician who responded to a patients plea for help. Not only should the case end but Houston Methodist should face severe penalties from the State to send a clear message. Thank you @KenPaxtonTX for your support. This is a win for me but more important a win for patients. No one should have to sue to get a second opinion hospitals should not have the power to defy court orders and doctors should not be targeted for trying to help their Thank you @KenPaxtonTX for your support. This is a win for me but"  
[X Link](https://x.com/anish_koka/status/2022021843998454026)  2026-02-12T18:55Z 28.4K followers, 28.9K engagements


"Youre assuming these are related decisions. I doubt VPs decision has anything to do with what RFK has said. And youre making statements about effectiveness that dont comport clinically. If Moderna flu is so amazing - they shldnt have a problem comparing this to high dose or placebo. Again $500million from NIH for a universal flu vaccine goes against this idea they are against a good vaccine. A one and done is also much easier to test than something that you have to update for every season right https://twitter.com/i/web/status/2022397563035619802"  
[X Link](https://x.com/anish_koka/status/2022397563035619802)  2026-02-13T19:48Z 28.4K followers, [---] engagements


"In this engaging conversation NIH Director Dr. Jay Bhattacharya discusses the unique perspective his training gave him that influenced his approach to public health particularly during the COVID-19 pandemic. He reflects on the Great Barrington Declaration the importance of dissent in science and the need for reform within the NIH to foster innovation and address the replication crisis in research. Dr. Bhattacharya emphasizes the necessity of a culture shift in science advocating for transparency and rigorous inquiry into public health issues. Chapters: 00:00 Introduction to Dr. Jay"  
[X Link](https://x.com/anish_koka/status/2022413179389915606)  2026-02-13T20:50Z 28.4K followers, [----] engagements


"The Moderna flu vaccine was targeted for adults [--]. Comparator : Standard of care : Fluarix. Fluarix vaccine efficacy for 50-64: In subjects aged [--] through [--] years vaccine efficacy was 13.8% (95% CI: [------] 66.3) number of influenza cases: FLUARIX (n = 14/1501) and placebo (n = 8/739)"  
[X Link](https://x.com/anish_koka/status/2022475624686997624)  2026-02-14T00:58Z 28.4K followers, [----] engagements


"Logic. Not mental gymnastics. Approved flu vaccines may all be clinically useless and have variable effectiveness. Either compare to placebo or the most effective vaccine out there. Showing substantial equivalence to a bad comparator (fluarix efficacy was 13% CI crossed 0) is absolutely no bueno. Hope I am not the only one who sees the absurd mental gymnastics required to believe: 1) Approved flu vaccines are useless AND 2) Moderna should have used a higher dose comparator arm in their trial Hope I am not the only one who sees the absurd mental gymnastics required to believe: 1) Approved flu"  
[X Link](https://x.com/anish_koka/status/2022491820769321273)  2026-02-14T02:03Z 28.4K followers, [----] engagements


"I find your focus on her and others bizarre and emotional. They were giving privileges to cardiologist researchers from San Francisco to make vanity trips to ICUs in New York to manage patients in ICU. WHO do you think had higher mortality - a failed attempt at giving ivermectin or that cardiologist managing a vented covid pneumonia patient https://twitter.com/i/web/status/2022674154210660857 https://twitter.com/i/web/status/2022674154210660857"  
[X Link](https://x.com/anish_koka/status/2022674154210660857)  2026-02-14T14:07Z 28.4K followers, [--] engagements


"Why did public health abandon their principles during COVID Specifically the WHO amplified China's mindset because they believed China's severe lockdown response had worked. @DrJBhattacharya : "that never made any sense""  
[X Link](https://x.com/anish_koka/status/2022707192462193073)  2026-02-14T16:19Z 28.4K followers, [---] engagements


"Watch the whole episode (spotify/youtube/applepod) : on The Doctor's Lounge (@DRsLoungePod ) Focused protection was "utterly obvious" - and why the Great Barrington Declaration required the sterling credentials of Sunetra Gupta Jay Bhattacharya and Martin Kulldorff to challenge the authoritarians locking down the world. https://twitter.com/i/web/status/2022717479823217147 https://twitter.com/i/web/status/2022717479823217147"  
[X Link](https://x.com/anish_koka/status/2022717479823217147)  2026-02-14T17:00Z 28.4K followers, [---] engagements


"I get it now. Any regulatory action that does not protect the profits of american ( or norwegian in this case) pharmaceutical companies threatens innovation. Compounded Wegovy is more than a scam it threatens innovation. @US_FDA must prevent mass compounding of approved drugs to protect patients and investment in innovative drugs writes @steveusdin1 in @BioCentury https://t.co/kkODXDN9PJ Compounded Wegovy is more than a scam it threatens innovation. @US_FDA must prevent mass compounding of approved drugs to protect patients and investment in innovative drugs writes @steveusdin1 in @BioCentury"  
[X Link](https://x.com/anish_koka/status/2022094443973947697)  2026-02-12T23:44Z 28.4K followers, [----] engagements


"So you endorse health systems coming after privileges for public statements by non-employees they find disagreeable or paint them in a bad light Just make a public statement saying Dr. Bowden is wrong. Your defense of the hospital is bizarre. This culture is why youre anonymous Hundreds of thousands of dollars of lawyers fees Going after her license. Hours and hours spent away from practice to combat this Again Theres a reason youre anonymous. So youll never have to deal with the mob coming for you. If it wasnt that big a deal (and you barely say anything controversial ) so why stay anon"  
[X Link](https://x.com/anish_koka/status/2022688101504590118)  2026-02-14T15:03Z 28.4K followers, [--] engagements


"I want the fda leadership to do the right thing - so I want califf to have overruled the sarepta Exon skipping therapy that clearly didnt work and I want them to not quash a warning on a real signal of vaccine related myocarditis. Look there are clearly ppl in the fda that hate Vinay I think the journalists job is to objectively evaluate each topic on the merits. When it comes to Vinay your reporting assumes his stance is incorrect. Why"  
[X Link](https://x.com/anish_koka/status/2021722887405687088)  2026-02-11T23:07Z 28.4K followers, [----] engagements


"Oops apologies to Denmark. Anyone get the sense that many view access to the pristine American market a god given right What about access to the Chinese market - is that a right Please @anish_koka don't embarrass yourself. you ain't getting a government position. Compounded GLP-1s are a violation of the IP of companies and a risk to public health. The compounded pill can't even get absorbed. Novo Nordisk is Danish not Norwegian https://t.co/5ys2hIoIXk Please @anish_koka don't embarrass yourself. you ain't getting a government position. Compounded GLP-1s are a violation of the IP of companies"  
[X Link](https://x.com/anish_koka/status/2022263395198603558)  2026-02-13T10:55Z 28.4K followers, [----] engagements


"Really trying to memory hole the attempt to personally and professionally destroy anyone that didnt go along with the mob. (I was barely a target) @DrJBhattacharya was attacked in the most vile fashion - Stanford colleagues tried to derail his Covid research and some fed reporters fake stories about conflict of interest to malign / discredit him. @ScottAtlas_IT was censured for having an opposing opinion by Stanford because he made the case against the Fauci / Birx position on Covid and lockdowns @PierreKory a critical care physician was stripped of his board certification and was essentially"  
[X Link](https://x.com/anish_koka/status/2022360522935447864)  2026-02-13T17:21Z 28.4K followers, [----] engagements


"Ok. So this is a much better conversation than Vinay Prasad bad but the fundamental problem that @matthewherper thread and tabarrok dont address is the very real possibility we are dealing with a therapeutic that has no measurable impact on hard clinical events like hospitalization and mortality. The [--] options when this is a possibility (too few hospitalizations to count ) for a novel product if youre doing a good job as a regulator is to compare to placebo or compare to whats believed to be most effective against flu (high dose vaccine). If you just want to print money and give it to Moderna"  
[X Link](https://x.com/anish_koka/status/2022367107359392012)  2026-02-13T17:47Z 28.4K followers, [----] engagements


"CT Surgeon fired from his hospital after he had recovered from COVID because he refused the COVID vaccine. There should be repercussions for everyone involved. @anish_koka @DrJBhattacharya The physicians you mentioned and more who were fired for bucking the Covid orthodoxy were taken away from their patients and their livelihoods. We had a physician shortage before Covid and now it is worse. In my community a gifted and respected CT surgeon was terminated. I @anish_koka @DrJBhattacharya The physicians you mentioned and more who were fired for bucking the Covid orthodoxy were taken away from"  
[X Link](https://x.com/anish_koka/status/2022657557584842854)  2026-02-14T13:01Z 28.4K followers, 12.5K engagements


"I think the biotech/pharma have changed the world for the better but I also strongly believe that when you have a culture that is focused on return on investment industry will naturally follow the easiest path. Our job is to make sure they are focused on solving the very big problems that continue to face humanity not on metoo therapies or therapies that are immonogenically slightly better than standard-of-care that is poor. I really like this quote from a recent @adamfeuersteins piece: "Prasad changed jobs but his conservative regulatory doctrine remains the same particularly for cell and"  
[X Link](https://x.com/anish_koka/status/2022705702414758309)  2026-02-14T16:13Z 28.4K followers, [----] engagements


"" The COVID response was a symptom of replacing the culture of questioning in science and medicine with a culture of authority It didn't matter what was actually true. what mattered was whether you were aligned with authority. " - Jay Bhattacharya NIH Director"  
[X Link](https://x.com/anish_koka/status/2022724267373212018)  2026-02-14T17:27Z 28.4K followers, [---] engagements


"That's hardly support for pharma -- united is an insurance company but I would suspect a pretty minor player compared to his substack/youtube accounts. His major funder -- arnold ventures is actually fairly anti mainstream pharma and how it works. That is in line with Vinay's publications from very early on that suggest the pharma-industrial complex has disproportionate influence on the medical system"  
[X Link](https://x.com/anish_koka/status/1954630394856263720)  2025-08-10T19:46Z 26.8K followers, [---] engagements


"@Jikkyleaks @Fynnderella1 @kevinnbass @nedryun @DrMakaryFDA @RobertKennedyJr @SciGuardians No Im just asking what your contention is"  
[X Link](https://x.com/anish_koka/status/1954651373934633441)  2025-08-10T21:09Z 26.8K followers, [---] engagements


"@Jikkyleaks @Fynnderella1 @kevinnbass @nedryun @DrMakaryFDA @RobertKennedyJr @SciGuardians Getting something published without acknowledging vaccines were life saving was probably not possible then . and still may not be. And again I dont think its ridiculous to believe the initial series were helpful for those still covid naive early 2021"  
[X Link](https://x.com/anish_koka/status/1954660589365825876)  2025-08-10T21:46Z 26.8K followers, [---] engagements


"@neoavatara Not true Pradheep. Guarantee you mindray (Chinese co.) will not pass on the entirety of this tariff to me lest they want to give up sig. market share to ge / Phillips"  
[X Link](https://x.com/anish_koka/status/1954662385387807157)  2025-08-10T21:53Z 26.8K followers, [---] engagements


"Lower doses do lower the rates of myocarditis he was giving a middle road for those attached to giving everyone something but probably no teen ever needed this unless they were naive and very immunocompromised perhaps Interestingly solid organ transplant community didnt really register much of a blip even in [----]. so who knows"  
[X Link](https://x.com/anish_koka/status/1954672041522766259)  2025-08-10T22:31Z 26.8K followers, [---] engagements


"Again if you want to cancel Prasad for not being anti- vaccine enough . is it ok to cancel people on the other end of this spectrum If I think ivermectin did not work (as an example) should I campaign to not allow ivermectin prescribers to not hold public office We shld be against forcing ppl to do anything and the lesson from covid is tolerating a wider variety of therapeutic or no therapy options . Freedom of choice is what its about right"  
[X Link](https://x.com/anish_koka/status/1954672957910913348)  2025-08-10T22:35Z 26.8K followers, [---] engagements


"Universal basic income is going to work out just great. Ex-wife of San Francisco firefighter slams the City's costly overtime practices and how employees are taking advantage of them. https://t.co/jwQcNc5NOG Ex-wife of San Francisco firefighter slams the City's costly overtime practices and how employees are taking advantage of them. https://t.co/jwQcNc5NOG"  
[X Link](https://x.com/anish_koka/status/1954863427668652314)  2025-08-11T11:12Z 26.9K followers, [----] engagements


"No words. #freedc I returned from the wedding of our daughter to find the city where I have lived for the last [--] years in the midst of a military takeover. The military policing Americans. This is a danger for everyone in our country. Now is the moment to turn out in protest. https://t.co/z2AYK5QxB4 #freedc I returned from the wedding of our daughter to find the city where I have lived for the last [--] years in the midst of a military takeover. The military policing Americans. This is a danger for everyone in our country. Now is the moment to turn out in protest. https://t.co/z2AYK5QxB4"  
[X Link](https://x.com/anish_koka/status/1955006887998767431)  2025-08-11T20:42Z 26.8K followers, [----] engagements


"Easy to see in hindsight that my support for Obamacare was based on feelings and misplaced trust in our elites. I had no real world perspective and no relevant datapoints to have an informed opinion. Even worse I dismissed all contrary data points as ideological. 🤦♂ @drdanchoi @grok @BarackObama To protect against any revisionist history I recorded my immediate impact from ACA years ago. https://t.co/asGL28db3G And @BarackObama was definitely wrong. For paying patients and providers. Others won. @drdanchoi @grok @BarackObama To protect against any revisionist history I recorded my immediate"  
[X Link](https://x.com/anish_koka/status/1956788609752670214)  2025-08-16T18:42Z 26.8K followers, 13K engagements


"Reminder that the current system sees US medical students graduating with $300000 of debt with no guarantee of residency. 2/3 US citizens do not get into medical school and every year 6% of graduating med students dont match. HB [--] just passed in NC allows foreign trained docs to obtain a license and practice without completing a US Residency and no requirement to have passed USMLE. Doesnt seem safe to me. Training is very different in other countries and I think this puts patients at risk. Certainly HB [--] just passed in NC allows foreign trained docs to obtain a license and practice without"  
[X Link](https://x.com/anish_koka/status/1956850333134827960)  2025-08-16T22:47Z 26.8K followers, 36.9K engagements


"@Indian_Bronson National unity to do what Most Americans were united that something bad happened. But for most it was a sometimes bad things happen event. Even a worse a not insignificant portion of US citizens concluded the US deserved it because Israel"  
[X Link](https://x.com/anish_koka/status/1957123271196819646)  2025-08-17T16:52Z 26.8K followers, [---] engagements


"The pharmaceutical industry is financially motivated but has significant obstacles in its path that requires combination of science / lobbying / capturing key opinion leaders. Pathway for $2/pill ivermectin - your med. cabinet : someone you agree on social issues pumping it"  
[X Link](https://x.com/anish_koka/status/1957184250609893426)  2025-08-17T20:54Z 26.9K followers, [---] engagements


"The @GOP is just as beholden to health systems that employ lots of people in their districts as @TheDemocrats Look at these Republicans smiling like village idiots as our far left governor signed their bill to sell out American doctors and patients to China and Pakistan. Every republican in North Carolina needs to raise up and organize a primary against each legislator you see https://t.co/BgmLGsduKr Look at these Republicans smiling like village idiots as our far left governor signed their bill to sell out American doctors and patients to China and Pakistan. Every republican in North"  
[X Link](https://x.com/anish_koka/status/1957227306306752523)  2025-08-17T23:45Z 26.8K followers, [----] engagements


"Why North Carolinas House Bill [--] is a Dangerous Misstep for Patient Safety and Rural Healthcare https://anishkokamd.substack.com/p/why-north-carolinas-house-bill-67 https://anishkokamd.substack.com/p/why-north-carolinas-house-bill-67"  
[X Link](https://x.com/anish_koka/status/1957449256979059089)  2025-08-18T14:27Z 27.1K followers, [----] engagements


"Why North Carolinas House Bill [--] is a Dangerous Misstep for Patient Safety and Rural Healthcare Link in reply"  
[X Link](https://x.com/anish_koka/status/1957452226152042988)  2025-08-18T14:39Z 26.8K followers, [----] engagements


"Opens a gateway to fraud . We can barely police what goes on here North Carolina is going to be able to police what goes on in Lahore"  
[X Link](https://x.com/anish_koka/status/1957462569792188814)  2025-08-18T15:20Z 26.8K followers, [----] engagements


"Fixing shortages here by facilitating easier entry for non-U.S. physicians simply allows a very distorted market to keep limping along"  
[X Link](https://x.com/anish_koka/status/1957462584036057362)  2025-08-18T15:20Z 26.8K followers, [---] engagements


"Incentivizing long-term commitment to underserved areas could easily occur through some combination of loan forgiveness tax breaks and most importantly regulatory relief for rural practices (google Direct Primary Care) rather than relying on transient cheap foreign labor"  
[X Link](https://x.com/anish_koka/status/1957462591048978451)  2025-08-18T15:20Z 26.8K followers, [---] engagements


"There are certainly stipulations in the bill that theoretically would only bring well trained international medical graduates here. But I have significant concerns the NC medical board . or any other board . will be able to police this effectively. One of the major concerns that I'm seeing on this site appears to be about whether a United States test is required. Some say its not. That's not the case. The law provides that at least two United States tests are required. If you look at Section 2(a) of the bill newly One of the major concerns that I'm seeing on this site appears to be about"  
[X Link](https://x.com/anish_koka/status/1958199104892256656)  2025-08-20T16:07Z 26.8K followers, [---] engagements


"Completely wrong. If you increased residencies without increasing medical school numbers youd have an even more acute physician labor shortage. Shortages driven (among many things) by med student demographics admin burden to run practices now creation of the hospitalist @anish_koka Root cause of physician shortages is the lack of residency programs because the AMA wants to keep physician supply low and demand high. Answer to this is simply make more residency programs. @anish_koka Root cause of physician shortages is the lack of residency programs because the AMA wants to keep physician"  
[X Link](https://x.com/anish_koka/status/1958481547494937059)  2025-08-21T10:49Z 26.8K followers, 16.2K engagements


"Since this aired Prasad is back. Remarkably- the media was basically pindrop silent on the story of industry planting a story with a right wing influencer to get a regulator fired. The full story as it happened only on The Doctors Lounge. This weeks episode of The Doctors Lounge takes aim at the FDA pharma and the politics that enable them. We start with the Sarepta gene therapy controversy a $3.2M miracle cure with failed trials and dead patients and explore what Vinay Prasads resignation from CBER says https://t.co/UQiIC7SSvA This weeks episode of The Doctors Lounge takes aim at the FDA"  
[X Link](https://x.com/anish_koka/status/1958494193942143463)  2025-08-21T11:39Z 26.9K followers, 10.5K engagements


"Finally got to meet a pandemic heroine of mine : the brilliant @KrugAlli Added bonus : meeting her ice hockey stud son"  
[X Link](https://x.com/anish_koka/status/1959371126829728078)  2025-08-23T21:44Z 26.9K followers, [----] engagements


"Key figure from paper that isnt displayed in promotional tweet: almost half of the recipients of a left atrial appendage occluder are dead [--] years after implant. (H/t @drjohnm) Reimbursement : Physician : $800 Facility : $20000-$30000 Device co. : $12000 Long term #stroke outcomes in Medicare patients after LAAO are low and similar to randomized trial data. #AHAJournals @jfreeMD https://t.co/PdBmzCL59O https://t.co/QlOfoX8WkI Long term #stroke outcomes in Medicare patients after LAAO are low and similar to randomized trial data. #AHAJournals @jfreeMD https://t.co/PdBmzCL59O"  
[X Link](https://x.com/anish_koka/status/1959587463422194105)  2025-08-24T12:03Z 26.9K followers, 33.4K engagements


"Really cannot have meaningful medical reform without medical tort reform. @TheAKSdog @anish_koka As a hospitalist.a friend of mine was sued.76 yr old unsteady gait.came with a fall.was on eliquis. Stopped it on discharge. He explicitly told me.I had that whole risk vs benefit discussion . Pt has a stroke months later.dude got sued. So.there's that @TheAKSdog @anish_koka As a hospitalist.a friend of mine was sued.76 yr old unsteady gait.came with a fall.was on eliquis. Stopped it on discharge. He explicitly told me.I had that whole risk vs benefit discussion . Pt has a stroke months later.dude"  
[X Link](https://x.com/anish_koka/status/1960112771934130201)  2025-08-25T22:51Z 26.9K followers, 13.1K engagements


"@itodd888 Nothings perfect but a superior signing off on procedures you do works reasonably well"  
[X Link](https://x.com/anish_koka/status/1960139761164640443)  2025-08-26T00:38Z 26.9K followers, [--] engagements


"@itodd888 I read the report of the tragic Washington DC helicopter - American Airlines collision while visiting DC. Your thoughts My [----] foot take is that theres a bit of a safety delusion when it comes to airlines"  
[X Link](https://x.com/anish_koka/status/1960140901423948202)  2025-08-26T00:43Z 26.9K followers, [--] engagements


"@EvitorialPage @FStevenChalmers @vijayiyer312 Apologies didnt realize it was a thread making a case for something other than someone shooting up a Catholic school. You dont have to refollow. Just clarifying"  
[X Link](https://x.com/anish_koka/status/1960839476269473987)  2025-08-27T22:58Z 26.9K followers, [--] engagements


"@neoavatara @SecKennedy @SenBillCassidy @BernieSanders @RandPaul The new individual still needs to go through the confirmation process Protocol to dismiss Someone is to ask Congress"  
[X Link](https://x.com/anish_koka/status/1961152856414716408)  2025-08-28T19:44Z 26.9K followers, [--] engagements


"@neoavatara @SecKennedy @SenBillCassidy @BernieSanders @RandPaul Ok seems like semantics would you be upset about RFK being fired because monares suggested that to Trump Everyone serves at the pleasure of the President the fact monares decided to be cute about it and didnt leave when asked to resign says what"  
[X Link](https://x.com/anish_koka/status/1961174922698658208)  2025-08-28T21:11Z 26.9K followers, [---] engagements


"@matthewherper @_daniel_payne If you believe that these positions were based on feelings not science and grievously harmed society RFKs actions seem pretty sensible. The real question is if Monarez said one thing to become CDC head but ehen push came to shove was too embedded to chart a diff. Path"  
[X Link](https://x.com/anish_koka/status/1961387349805248767)  2025-08-29T11:15Z 26.9K followers, [---] engagements


"Matt my point is that a CDC that gets things wrong so badly is not to be trusted. your reporting doesnt clarify what exactly she was asked to do that was illegal or anti-science. Does she not agree that the covid booster shld now only have authorization for high risk Why doesnt she go on record with one of your excellent journalists to clarify Without that we are left to presume RFK bad Monarez good"  
[X Link](https://x.com/anish_koka/status/1961443231427608637)  2025-08-29T14:58Z 26.9K followers, [---] engagements


"😳 A detailed secret trade-association memo plotting the removal of US Secretary of Health and Human Services Robert F. Kennedy Jr. has leaked. It reads like a coup attempt against regulatory reformand they are spending millions to make sure Kennedy is out of office by September. A detailed secret trade-association memo plotting the removal of US Secretary of Health and Human Services Robert F. Kennedy Jr. has leaked. It reads like a coup attempt against regulatory reformand they are spending millions to make sure Kennedy is out of office by September"  
[X Link](https://x.com/anish_koka/status/1961844681492279796)  2025-08-30T17:33Z 26.9K followers, [---] engagements


"The April [--] memo explicitly recommends targeting Makary and Trump Insiders vs RFK Jr. signaling an intention to bypass public debate in favor of internal triangulation. Beginning to see that if regulators value their job they better do what industry says. @anish_koka Reading through the breathless language biotech people think RFK is an idiot who threatens their industry and have a PR strategy The horror. @anish_koka Reading through the breathless language biotech people think RFK is an idiot who threatens their industry and have a PR strategy The horror"  
[X Link](https://x.com/anish_koka/status/1961848276015022117)  2025-08-30T17:47Z 26.9K followers, [----] engagements


"Why are the Histories of all Nations more ancient than the Christian ra lost Who destroyed the Alexandrian Library I believe that Christian Priests Jewish Rabbies Grecian Sages and Roman Emperors had as great a hand in it as Turks and Mahomitans. Democrats Rebells and Jacobins when they possessed a momentary Power have shewn a disposition both to destroy and to forge Records as vandalical as Priests and Despots. Such has been and such is the World We live in. John Adams in correspondence to Thomas Jefferson July [--] 1813"  
[X Link](https://x.com/anish_koka/status/1961965840942694454)  2025-08-31T01:34Z 26.9K followers, [----] engagements


"Matt some of us have viewed the FDA approval and the CDC recommendations to be well outside what the data supports for a long time. @KrugAlli and I presented to some DOD staff in [----] our recommendations to not mandate the COVID vaccine to the military. We were told nothing doing because DOD had to follow CDC recs. That members of the ACIP a few months ago express interest in pulling back on Covid vaccine recommendations is nice but Im fairly skeptical that would be happening if Harris-Biden had won. So its hardly a strawman - and broadly if you believe the CDC / ACIP / FDA ecosystem has been"  
[X Link](https://x.com/anish_koka/status/1962259682531393622)  2025-08-31T21:02Z 26.9K followers, [---] engagements


"Its tragic to see what residency program has become -- residency program is about being as efficient as you can be using the electronic medical record. Sad. @DrDiGiorgio on @DRsLoungePod"  
[X Link](https://x.com/anish_koka/status/1962471748735271224)  2025-09-01T11:05Z 27K followers, 28.1K engagements


"Episode [--] @DRsLoungePod on @X Actual practicing physicians and the ubersmart @DutchRojas discuss: physician shortages the problems with over-regulating healthcare and concrete ideas to make things better"  
[X Link](https://x.com/anish_koka/status/1962497645634596873)  2025-09-01T12:47Z 26.9K followers, [----] engagements


"Yeah Ive seen enough Should end the CDC - they spectacularly failed their biggest test causing more harm than good. Fold the small parts of the CDC that are actually useful into NIAID. The arrogance and self-importance of these @CDCgov bureaucrats is beyond belief. The reality is that the US would have been better off with no CDC at all during the pandemic. Their performance was a Chernobyl-level catastrophe. Their incompetence delayed the start of widespread https://t.co/Juzfbs7nmL The arrogance and self-importance of these @CDCgov bureaucrats is beyond belief. The reality is that the US"  
[X Link](https://x.com/anish_koka/status/1962532507712151781)  2025-09-01T15:06Z 26.9K followers, 12.6K engagements


"Two good heuristics when it comes to health policy [--]. Ignore anything published in JAMA or NEJM (works 80% of the time) [--]. Ignore the intersection of Dept. of Economics Harvard Kennedy School of Govt. and the Chan School of Public health (works 99.99% of the time)"  
[X Link](https://x.com/anish_koka/status/1962593868643184895)  2025-09-01T19:10Z 26.9K followers, 13.8K engagements


"Aspirin is still used for prevention in those judged higher risk. A 75+ gentleman with coronary calcium wld qualify. Aspirin could also explain superficial bruising. The unnamed medical sources here are either dumb or have no shame. 9/31 There are two general takeaways I heard from multiple specialists: -Daily Aspirin is not recommended for "prevention" any more an aspirin regime is treating something -Ezetimibe is a second line medication not used for regular LDL treatment. 9/31 There are two general takeaways I heard from multiple specialists: -Daily Aspirin is not recommended for"  
[X Link](https://x.com/anish_koka/status/1962668127499530616)  2025-09-02T00:05Z 26.9K followers, [----] engagements


"Absolutely nuts how prominent publications cover the health of the current and past president. Trump has venous insufficiency -- a benign condition the majority of 75+ year olds have. Bruising related to aspirin hardly should "renew attention to his health and his heart""  
[X Link](https://x.com/anish_koka/status/1962680331112230920)  2025-09-02T00:53Z 26.9K followers, [----] engagements


"Prasad has been more productive and directionally accurate in his brief time on the job than his predecessor was in his entire tenure. You can be a closet Satan worshipper and the WSJ wont care but if you commute to work and force zombie drug companies to actually prove their therapies work the Wsj will write about the tension over your weekly commute https://www.wsj.com/politics/policy/maha-kennedy-vaccines-hhs-cdc-f5c0a6a8 https://www.wsj.com/politics/policy/maha-kennedy-vaccines-hhs-cdc-f5c0a6a8"  
[X Link](https://x.com/anish_koka/status/1962841121907736634)  2025-09-02T11:32Z 26.9K followers, 12.6K engagements


"Healthcare news round up [--]. Mutiny at the CDC [--]. The FDA no longer thinks COVID is an emergency [--]. The AMA may get more political [--]. Harvard economists don't like bills that may mean less money going to large corporate middlemen [--]. Trump's health "scares" are covered a bit differently than Biden's Link in reply"  
[X Link](https://x.com/anish_koka/status/1962897610122948659)  2025-09-02T15:17Z 26.9K followers, [----] engagements


"https://open.substack.com/pub/anishkokamd/p/healthcare-news-round-up-trumps-healthr=6chj5&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true https://open.substack.com/pub/anishkokamd/p/healthcare-news-round-up-trumps-healthr=6chj5&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true"  
[X Link](https://x.com/anish_koka/status/1962897612324970953)  2025-09-02T15:17Z 26.9K followers, [---] engagements


"Former President Biden could trip up Air Force Ones stairs mumble through speeches like hes auditioning for a nap-time podcast and get a free pass as spry grandpa Joe from outlets and doctors who swore up and down he was a blend of Muhamad Ali and Gore Vidal at their peak. Meanwhile Trump gets a bruise on his hand and its like CSI: Mar-a-LagoTwitter docs diagnose heart failure syphilis or alien possession before lunch. Another embarrassing self-own for the media and physicians buying into this non-sense"  
[X Link](https://x.com/anish_koka/status/1962900233488072776)  2025-09-02T15:27Z 26.9K followers, [----] engagements


"August 2021: @NEJM the Bible of medicine the world over. Myocarditis after COVID-19 mRNA vaccination. A [--] year old died of myocarditis [--] days after presentation. Cardiac death is a rare complication of the mRNA COVID19 vaccine - young men are most susceptible"  
[X Link](https://x.com/anish_koka/status/1963697982022557729)  2025-09-04T20:17Z 27K followers, [----] engagements


"Infuriating listening to these absolute clowns in Congress bemoaning closing hospitals and paucity of obgyn care. You have created a climate over the last [--] decades and more that was designed to take out your local doctor. And unless we stay on that absurd track that makes your campaign donors lots of money but makes health care worse everything Will get worse"  
[X Link](https://x.com/anish_koka/status/1963725362040320077)  2025-09-04T22:06Z 26.9K followers, [----] engagements


"Yes but remember RFK is the one responsible for decreasing OB access. Todays hearing was a clown show for anyone with the faintest bit of knowledge. @anish_koka Medicaid in Arkansas pays the OB physician just under $1300.00 for global obstetric care. Thats first visit all prenatal visits any hospital admissions delivery post partum care. [--] weeks. This hasnt changed since [----]. @anish_koka Medicaid in Arkansas pays the OB physician just under $1300.00 for global obstetric care. Thats first visit all prenatal visits any hospital admissions delivery post partum care. [--] weeks. This hasnt"  
[X Link](https://x.com/anish_koka/status/1963769345735098766)  2025-09-05T01:01Z 26.9K followers, [----] engagements


"Harvard judges Asian-Americans as a group as having poor personalities which lowers their overall score. But no Harvard definitely isnt racist. "Despite consistently higher MCAT scores Asian Americans face systematic disadvantages in medical school admissions often losing out to candidates from other racial groups with lower scores." https://t.co/TxNoHTUFuZ "Despite consistently higher MCAT scores Asian Americans face systematic disadvantages in medical school admissions often losing out to candidates from other racial groups with lower scores." https://t.co/TxNoHTUFuZ"  
[X Link](https://x.com/anish_koka/status/1964346789613449468)  2025-09-06T15:15Z 27K followers, 22.4K engagements


"RFK: We need new people at the CDC"  
[X Link](https://x.com/anish_koka/status/1964715031599477082)  2025-09-07T15:39Z 27K followers, [---] engagements


"Anyone who self identifies as having a high risk condition on the CVS website appears to be able to schedule a COVID19 vaccination. But perhaps better question we should be asking: Should anyone be able to get a COVID short if they want one in [----] and beyond"  
[X Link](https://x.com/anish_koka/status/1964853865557459447)  2025-09-08T00:50Z 27K followers, [----] engagements


"COVID19 vaccine approval was based on data from the OG moderna/pfizer trials May of [----] CDC head Walensky: " if you are vaccinated you generally don't get asymptomatic infection and generally cannot transmit to other people." This was incorrect"  
[X Link](https://x.com/anish_koka/status/1964879026360815977)  2025-09-08T02:30Z 27K followers, [----] engagements


"A study that was cited as proof of the benefit of racial concordance in medicine by a sitting Supreme Court Justice in her opinion has been repeatedly debunked. This will no doubt get vastly less attention than the original analysis but it refutes the original analysis which suggested physician-patient race concordance mattered for newborn mortality I am glad to see that this is not a meaningful effect https://t.co/zc1bpGwvB8 This will no doubt get vastly less attention than the original analysis but it refutes the original analysis which suggested physician-patient race concordance mattered"  
[X Link](https://x.com/anish_koka/status/1969182112122130702)  2025-09-19T23:29Z 26.9K followers, [----] engagements


"This essay by @neerajadeshp is provocative the AI therapist may not be that good for you but is it really that much worse than the human therapist 😬"  
[X Link](https://x.com/anish_koka/status/1969184737693487278)  2025-09-19T23:40Z 26.9K followers, [----] engagements


"Van Jones : he was not for censorship he was not for violence he was for dialogue even with me"  
[X Link](https://x.com/anish_koka/status/1969473194516938941)  2025-09-20T18:46Z 27K followers, [---] engagements


"A randomized double blind study using leucovorin finds a reduction in autism symptoms. The FDA has recommended far more toxic therapeutics with far lower quality evidence in the past. No hyperventilating for FDA approval of a non working gene therapy that missed its [--] endpoints and then went on to kill children who WERENT even included in the original trial that failed 🤦♂ https://pubmed.ncbi.nlm.nih.gov/39243316/ https://pubmed.ncbi.nlm.nih.gov/39243316/"  
[X Link](https://x.com/anish_koka/status/1970278176853995623)  2025-09-23T00:04Z 27K followers, 21.7K engagements


"Agree. We should also run clinical trials to see if the Covid booster is safe for pregnant women. Biden COVID Czar Ashish Jha says HHS should run clinical trials to confirm if Tylenol is safe Does giving pregnant women a drug with a potential risk of causing autism sound ethical https://t.co/U6hIjYts5t Biden COVID Czar Ashish Jha says HHS should run clinical trials to confirm if Tylenol is safe Does giving pregnant women a drug with a potential risk of causing autism sound ethical https://t.co/U6hIjYts5t"  
[X Link](https://x.com/anish_koka/status/1970663670175666224)  2025-09-24T01:36Z 27K followers, [----] engagements


"It is really strange. I have had [--] patients 65+ who have contacted the office upset because they were told they now need a prescription. After talking to the patient about risks / benefits the patient still wanted to get the Covid booster so I went online to CVS and scheduled the patient for a Covid vaccine appointment in front of him. (No prescription sent I scheduled as if I was the patient) He received the vaccine [--] min later at the CVS without an issue. Cc @matthewherper We've heard from some older Floridians who believe the Florida Dept of Health is preventing them from accessing"  
[X Link](https://x.com/anish_koka/status/1970894043275042977)  2025-09-24T16:52Z 27K followers, [----] engagements


"There are a small group of folks that were uninsurable and needed help. Obamacare did help them and thats good. But the architects of Obamacare used that small group as hostages to negotiate a massive transfer of wealth from the working middle class / tax payers to insurance companies. Way smarter to just directly help only those in need and let the market take care of medical care for the rest (cheap catastrophic insurance plans for major medical problems and cash pay for everything else) This would have been better for the majority of patients and better for doctors. But it would have been"  
[X Link](https://x.com/anish_koka/status/1972033613974601826)  2025-09-27T20:20Z 27K followers, 24.7K engagements


"99% of hypertension can be managed without insurance. Glp1 prices would drop like a stone if we moved it out of the current prescription drug insurance racket. @anish_koka I like the sound of this in theory but so many Americans have chronic health issues now. Its a real mess. @anish_koka I like the sound of this in theory but so many Americans have chronic health issues now. Its a real mess"  
[X Link](https://x.com/anish_koka/status/1972061968006795761)  2025-09-27T22:13Z 27.1K followers, [----] engagements


"When will there be enough women on the Supreme Court Ruth Bader Ginsburg: When there are nine .@Nature is hilarious. Does this look like gender equality increasing https://t.co/huU2GgQLbe .@Nature is hilarious. Does this look like gender equality increasing https://t.co/huU2GgQLbe"  
[X Link](https://x.com/anish_koka/status/1972063193796432155)  2025-09-27T22:17Z 27K followers, [----] engagements


"Tax payers should not be funding this. The problems in this country cannot be fixed unless this is fixed. You cannot fix the institutions unless you fix this. All problems are caused by this and by the thing that caused this. If you can fix this we have a chance. If you cannot we do not have a chance. https://t.co/mp6dhEy86q The problems in this country cannot be fixed unless this is fixed. You cannot fix the institutions unless you fix this. All problems are caused by this and by the thing that caused this. If you can fix this we have a chance. If you cannot we do not have a chance."  
[X Link](https://x.com/anish_koka/status/1972271542089486527)  2025-09-28T12:05Z 27K followers, 14.5K engagements


"The great @benryanwriter made some time for @DRsLoungePod to break down what the CDC should have done in response to the Monkey Pox outbreak and what the CDC actually did"  
[X Link](https://x.com/anish_koka/status/1972987290239803626)  2025-09-30T11:30Z 27K followers, [----] engagements


"The CDC lead with a slogan : "anyone can get monkey pox" That was wrong. @benryanwriter on @DRsLoungePod"  
[X Link](https://x.com/anish_koka/status/1973003645525336375)  2025-09-30T12:35Z 27K followers, [--] engagements


"Charlie in public comments : The Civil Rights Act though let's be clear created a beast and that beast has now turned into an anti-white weapon. He was not arguing against people of color he was arguing against the weaponization of the Civil Rights Act to subvert basic rights of citizens. Take Title IX an extension of the Civil Rights Act signed into law by Richard Nixon in [----] which bans discrimination based on gender. Thanks to a Dear Colleague letter sent to universities during the Obama administration the standard for investigations on matters of sexual assault was changed on college"  
[X Link](https://x.com/anish_koka/status/1973128330133250434)  2025-09-30T20:50Z 27K followers, [---] engagements


"This unleashed a war on young boys and male faculty at college campuses. It was essentially a culling a purge. You were judged a rapist and banned from polite society with little recourse from Kangaroo courts in colleges staffed by title IX investigators with no legal training to even know how to run an investigation. (Want to cross examine the accuser Also discouraged)"  
[X Link](https://x.com/anish_koka/status/1973128332746064035)  2025-09-30T20:50Z 27K followers, [---] engagements


"It was the Obama administrations interpretation of Title IX that lead to the war on men on college campuses (this 🧵 doesnt touch on the effect of title IX on male sports which is also significant ) So yes there is much to discuss about the powers vested in the federal government by the [----] Civil Rights Act that brings us to this very strange place. I dont expect John Q Public to know this but Obama should understand what Charlies saying. Former President Barack Obama starts listing out the things he disagreed with Charlie Kirk on before pointing blame at the Trump White House for political"  
[X Link](https://x.com/anish_koka/status/1973128355173073270)  2025-09-30T20:50Z 27K followers, [---] engagements


"Given the political climate would be helpful if politicians could make some attempt to understand their opponents arguments. I make the case that its a bad idea to paint everyone you disagree with as an orc. https://anishkokamd.substack.com/p/charlie-kirk-and-the-orcificationutm_campaign=reaction&utm_medium=email&utm_source=substack&utm_content=post https://anishkokamd.substack.com/p/charlie-kirk-and-the-orcificationutm_campaign=reaction&utm_medium=email&utm_source=substack&utm_content=post"  
[X Link](https://x.com/anish_koka/status/1973128357769359375)  2025-09-30T20:50Z 27K followers, [---] engagements


"You want to get PE out of healthcare Reverse the POH ban support site neutral payment reform 340B revoke tax exemption for misbehaving hospital systems and give directed payments to independent doctors instead of your NGO buddies. The point youre missing is that there are policies which have crippled independent physician practice and enabled PE to get a foothold. Both parties are to blame but you democrats forced in a ban on physician ownership into the ACA. You had a HHS secretary under Biden who The point youre missing is that there are policies which have crippled independent physician"  
[X Link](https://x.com/anish_koka/status/1973804292328075631)  2025-10-02T17:36Z 27.1K followers, 10.2K engagements


"Recall that the affordable care act was supposed to address spiraling health care costs. It actually made the problem worse. Every system they came up with to attempt to contain cost . didnt work The most successful health systems do the most procedures. @brian_blase Without subsidization you end up with large numbers of Americans unable to afford or access health care. This is also far from the only reason a labor-intensive industry ends up with high costs. But it is a reason many countries regulate prices. @brian_blase Without subsidization you end up with large numbers of Americans unable"  
[X Link](https://x.com/anish_koka/status/1974136550062694760)  2025-10-03T15:36Z 27K followers, [----] engagements


"It really is quite incredible - every single innovation supposed to improve medical care delivery - whether it be the EMR ACOs meaningful use etc. - are just massive business opportunities that are little more than wealth extraction schemes from doctors and patients. Fantastic revelation for AI in healthcare. 👏 The study shows that using an AI medical scribea tool that automatically listens during patient visits and writes the clinical notesdramatically reduced burnout among doctors in just [--] days. A [--] day multi site rollout of an https://t.co/V0xgvMFavm Fantastic revelation for AI in"  
[X Link](https://x.com/anish_koka/status/1974859760232227094)  2025-10-05T15:30Z 27.1K followers, 31.6K engagements


"For illegal immigrants using emergency services 90% is reimbursed by the federal government. Someone inform @mcuban Speaker Johnson is correct here. It gets a bit wonky though. Prior to HR1 hospitals would get reimbursed for emergency care for illegal immigrants through Medicaid. State medicaid programs have a portion of their spending reimbursed by the federal government. This is called Speaker Johnson is correct here. It gets a bit wonky though. Prior to HR1 hospitals would get reimbursed for emergency care for illegal immigrants through Medicaid. State medicaid programs have a portion of"  
[X Link](https://x.com/anish_koka/status/1975245962525192631)  2025-10-06T17:05Z 27.1K followers, 20.7K engagements


"Disagree. Healthcare can be cheaper better and faster. Just stop subsidizing it. @BKRBusinessMin Lots of magical thinkers on this app who seem to know with the utmost confidence what the solution is and refuse to face reality. https://t.co/kwu1EngA30 @BKRBusinessMin Lots of magical thinkers on this app who seem to know with the utmost confidence what the solution is and refuse to face reality. https://t.co/kwu1EngA30"  
[X Link](https://x.com/anish_koka/status/1975377602547523986)  2025-10-07T01:48Z 27.1K followers, 14.3K engagements


"There have been many plans. The BCRA failed by one John McCain vote to replace the ACA. Not perfect - but it was a plan that attempted to address the high cost of the ACA plans. Continually increasing the portion of taxpayer income we take and give to healthcare entities is not a plan either. Pervasive idea that there will be some beautiful plan that satisfies everyone is nonsensical. Even if I was King I would not be able to wave a wand and get rid of all waste in healthcare because the economy would crater and I would be disposed of much like Marie Antoinette was. The pragmatic question the"  
[X Link](https://x.com/anish_koka/status/1975907252339876010)  2025-10-08T12:52Z 27.1K followers, [----] engagements


"Things are much better now. We wiped out all the low cost providers so now you pay $400 a month for a $6000 deductible and if you cant pony up $6000 for an ER visit at the nonprofit hospital where an np sees you for [--] minutes medical debt / collections you go. Amazing. @DecodingFoxNews @realdocspeaks Everyone of us remember the time before the ACA. Not only limits for preexisting bankruptcy for medical debt was 72%. No one including hospitals wants to go backward. Try telling the truth or remove doc from your account. @DecodingFoxNews @realdocspeaks Everyone of us remember the time before"  
[X Link](https://x.com/anish_koka/status/1976241519255310521)  2025-10-09T11:01Z 27.1K followers, 12K engagements


"There are apparently so many illegal immigrants in need of emergency medical care health systems will go bankrupt without tax payer dole outs to cover the cost of their care and the government is shut down in part over how to fund this And yet. no op-eds in the major medical journals who normally love inserting themselves into every conflict around the globe about US policies that promoted a flood of daily illegal immigration. A lot of people still dont believe that mass illegal immigration was actively promoted by the Biden administration even though it was utterly obvious A lot of people"  
[X Link](https://x.com/anish_koka/status/1977396909460345139)  2025-10-12T15:32Z 27.1K followers, 16.1K engagements


"@ethanjweiss @RogueRad @cardiobrief in healthcare road to hell paved by meaningful use macra ACO's"  
[X Link](https://x.com/anish_koka/status/748595953863630848)  2016-06-30T19:15Z 26.9K followers, [--] engagements


"@ethanjweiss @RogueRad @cardiobrief bar for nuc weapons getting pretty low.nawaz sharif (Pak) and narendr modi (India) don't scare you"  
[X Link](https://x.com/anish_koka/status/748611311110606848)  2016-06-30T20:16Z 26.9K followers, [--] engagements


"@cardiobrief @ethanjweiss @RogueRad [--] of us being fooled :). Next to rand Paul I'd argue he was the most averse to being the worlds police"  
[X Link](https://x.com/anish_koka/status/748622509688377348)  2016-06-30T21:01Z 26.9K followers, [--] engagements


"@cardiobrief @ethanjweiss @RogueRad larger point about how long we r to provide military buffer alone against growing China threat valid"  
[X Link](https://x.com/anish_koka/status/748624532802506752)  2016-06-30T21:09Z 26.9K followers, [--] engagements


"Struggle to understand how this data has helped better the practice of medicine @AndrewFoy82 @BilhartzMD https://x.com/cardiobrief/status/768573812107468800 Dollars For Heart Docs: 2015Edition https://t.co/UrQFGyqyhQ https://x.com/cardiobrief/status/768573812107468800 Dollars For Heart Docs: 2015Edition https://t.co/UrQFGyqyhQ"  
[X Link](https://x.com/anish_koka/status/768583879716442112)  2016-08-24T23:00Z 26.9K followers, [--] engagements


"@cardiobrief @AndrewFoy82 @BilhartzMD that's the thing - what do I do with that info"  
[X Link](https://x.com/anish_koka/status/768584537785917440)  2016-08-24T23:03Z 26.9K followers, [--] engagements


"@cardiobrief @AndrewFoy82 @BilhartzMD what shld budoff do Quid pro quo Is he a bad doc What is he saying"  
[X Link](https://x.com/anish_koka/status/768584893089611776)  2016-08-24T23:04Z 26.9K followers, [--] engagements


"@cardiobrief @AndrewFoy82 @BilhartzMD not opposed to data - but you're essentially implying badness I guess"  
[X Link](https://x.com/anish_koka/status/768585429377552384)  2016-08-24T23:07Z 26.9K followers, [--] engagements


"Funny meaning to write about this - still may - not terribly new.Gary Taubes in Science '01 https://x.com/cardiobrief/status/775678848591499265 http://tinyurl.com/gru5d2e How Sweet: Sugar Industry Made Fat theVillain https://t.co/fJfWNT14HD https://x.com/cardiobrief/status/775678848591499265 http://tinyurl.com/gru5d2e How Sweet: Sugar Industry Made Fat theVillain https://t.co/fJfWNT14HD"  
[X Link](https://x.com/anish_koka/status/775713951518756864)  2016-09-13T15:13Z 26.9K followers, [--] engagements


"@cardiobrief @ethanjweiss we have iron clad evidence about exercise"  
[X Link](https://x.com/anish_koka/status/780440452906553344)  2016-09-26T16:14Z 26.9K followers, [--] engagements


"@cardiobrief Shld goal of all events be to offend no one what a grey world we live in"  
[X Link](https://x.com/anish_koka/status/792901052530057216)  2016-10-31T01:28Z 26.9K followers, [--] engagements


"@cardiobrief dunno Larry I wasn't there I take it you think this was not woman friendly Ergo inappropriate"  
[X Link](https://x.com/anish_koka/status/792903804052176897)  2016-10-31T01:39Z 26.9K followers, [--] engagements


"@JohnTuckerPhD @cardiobrief @ethanjweiss NNT for Secondary prevention for MI with asa like [--] (ISIS-2)"  
[X Link](https://x.com/anish_koka/status/804911378402316288)  2016-12-03T04:53Z 26.9K followers, [--] engagements


"@cardiobrief @Jeddacath simple Larry- who do u believe can get a stent for stable cad"  
[X Link](https://x.com/anish_koka/status/846079157423542272)  2017-03-26T19:19Z 26.9K followers, [--] engagements


"@ethanjweiss @RogueRad This IS the problem- stupid prices that insurance pays. Will never solve this if this is what we keep paying into"  
[X Link](https://x.com/anish_koka/status/856517837929762820)  2017-04-24T14:39Z 26.6K followers, [--] engagements


"Follow thread - it's clear some know what's best for the patient - joke here is that PM c/s is to 'discuss options'. @michelaccad https://x.com/cardiobrief/status/914523121507594245 so isnt that the role of the hospice/PM clinician to raise this issue https://t.co/GTGxFcPiae https://x.com/cardiobrief/status/914523121507594245 so isnt that the role of the hospice/PM clinician to raise this issue https://t.co/GTGxFcPiae"  
[X Link](https://x.com/anish_koka/status/914544597929521153)  2017-10-01T17:36Z 26.9K followers, [--] engagements


"@cardiobrief @michelaccad @jedicath Prognosis is an uncertain business and you assume nefarious incentives other than pt interest predominate"  
[X Link](https://x.com/anish_koka/status/914553299881390082)  2017-10-01T18:11Z 26.9K followers, [--] engagements


"Im betting @cardiobrief wont be pushing this as much as he would changing Med school curricula https://x.com/anish_koka/status/925010712606502912 Id suggest Med mal jurors understand risk/benefit stats before being impaneled. #wishfulthinking #juryofyourpeers https://t.co/QpCkYpDfKy https://x.com/anish_koka/status/925010712606502912 Id suggest Med mal jurors understand risk/benefit stats before being impaneled. #wishfulthinking #juryofyourpeers https://t.co/QpCkYpDfKy"  
[X Link](https://x.com/anish_koka/status/925010886586232832)  2017-10-30T14:45Z 26.9K followers, [--] engagements


"How about we ask a mental health professional about that: @DrLaurieG https://x.com/haroldpollack/status/927794310367666177 Probably irrelevant to this caseBut expanding Medicaid would be the obvious first step if one wanted to address untreated mental illness in Texas. https://t.co/yecVeJ33c5 https://x.com/haroldpollack/status/927794310367666177 Probably irrelevant to this caseBut expanding Medicaid would be the obvious first step if one wanted to address untreated mental illness in Texas. https://t.co/yecVeJ33c5"  
[X Link](https://x.com/anish_koka/status/927851515594903557)  2017-11-07T10:53Z 27K followers, [--] engagements


"This thread on taxation Shld raise the BP of @awgaffney @cardiobrief @ethanjweiss into range that will need treatment :) https://x.com/nntaleb/status/932593782071222273 Fake narrative to justify expropriation: 1% of taxpayers pay half of taxes for SAME services. You want them to pay 110% 200% https://t.co/YYOsZp3mLo https://x.com/nntaleb/status/932593782071222273 Fake narrative to justify expropriation: 1% of taxpayers pay half of taxes for SAME services. You want them to pay 110% 200% https://t.co/YYOsZp3mLo"  
[X Link](https://x.com/anish_koka/status/932640536195985408)  2017-11-20T16:03Z 26.9K followers, [--] engagements


"@cardiobrief @RogueRad @elonmusk @LisaRosenbaum17 @NEJM You're being funny"  
[X Link](https://x.com/anish_koka/status/943892146897244160)  2017-12-21T17:13Z 26.9K followers, [--] engagements


"Important to recognize folks like @JeanneLenzer1 @KLomangino @cardiobrief as activists with a strong position in this debate - a departure from the traditional role of journalists http://www.cardiobrief.org/2017/12/21/nuance-and-the-healthcare-apocalypse/ http://www.cardiobrief.org/2017/12/21/nuance-and-the-healthcare-apocalypse/"  
[X Link](https://x.com/anish_koka/status/944273435760517121)  2017-12-22T18:28Z 26.9K followers, [--] engagements


"I have not done a detailed background search of the cartooonist to make sure hes not a nazi etc. But I thought this was pretty funny. Let me guess -@cardiobrief wont find humor in this 😬"  
[X Link](https://x.com/anish_koka/status/944576033688375297)  2017-12-23T14:30Z 26.9K followers, [--] engagements


"@cardiobrief @ProfDFrancis @michelaccad @DrAsifQasim @DavidLBrownMD @boback @XiangkeH @willsuh76 @yuripridemd @VinayPrasadMD Its entirely possible its the users most comfortable using the device that attract $$ from the company. Correlation isnt causation"  
[X Link](https://x.com/anish_koka/status/985324987925127168)  2018-04-15T01:12Z 26.9K followers, [--] engagements

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