re: RFK Jr., HHS to Link Autism to Tylenol Use in Pregnancy and Folate Deficiencies

I’m not going to give those details here, but this is the way my practice has been for long before I got here. It’s the way a large majority of private practices, at least in my specialty, operate bc the legal hassle isn’t worth it. It’s better to spend that energy trying to negotiate better insurance contracts, which we do essentially every 3 years.

If we could all just balance bill all Willy nilly, you’d see a lot more pure physician owner private practice, as opposed to the major rise of PE and hospital system buy outs.

quote:

---

Specialists are less likely to balance bill and less likely to serve the Medicaid population (someone mentioned greed earlier and they were over the target kind of).

---

It’s less about specialists, it’s more about private practice. With the way reimbursements are going, insurance like Medicaid just won’t keep the lights on. Many of those with large enough practices often choose to stop accepting Medicare as well. It allows you to do less work for the same, if not more, money. Who wouldn’t do that

My specialist colleagues at academic centers or big hospital systems often get paid by the RVU (or similar structure) that is irrespective of patient’s insurance status. It’s bc they (meaning the center) can “eat” those occasional losses in a way a 20 doc private practice can’t. If you want to call this greed, then be my guest.

Better yet, those non-profits and academic centers actually want Medicaid patients for 340b status.

Correct. They accept them not out of the goodness of their hearts, but bc they are financially incentivized to do so. That financial incentive doesn’t exist in the private world.

quote:

---

women consult with their doctors before using it, as with all medicines.

---

The true catch all in modern medicine finger pointing. We don’t know if this is bad for you, but if you think it is consult your doctor who gets paid by big pharma to recommend the latest and greatest most expensive medication at times.

quote:

---

So you're saying he should have kept this guy? Because he is "the science" and checks all your other boxes.

---

This is the “logical” thought process of the feeble minded. Bc this one guy who was bad at his job was “well qualified on paper” the solution is, obviously, to hire the opposite…someone who is not qualified at all “on paper.”

Did the thought of getting another person who is also “well qualified on paper” but otherwise very different in his approach ever cross your mind?

quote:

---

This is the “logical” thought process of the feeble minded. Bc this one guy who was bad at his job was “well qualified on paper” the solution is, obviously, to hire the opposite…someone who is not qualified at all “on paper.”

Did the thought of getting another person who is also “well qualified on paper” but otherwise very different in his approach ever cross your mind?

---

:Like who? Who out there in the mainstream checks all the aforementioned boxes, is well respected, and has at least some independent thought?

Because from what I've seen from the medical industry in the last 5 years is a bunch of automatons who simply parrot the accepted narrative. And to top it off, how many of them are actually physically fit?