Brant Mittler
@BrantMDJD
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Physician, Attorney, Journalist
San Antonio, TX
Joined March 2015
š @NatureMedicine How does ChatGPT Health do for appropriately triaging a person as to whether to go to the emergency room or stay home? https://t.co/xghYHwC5zB Not very well. Under-triaged 52% of case vignettes that are considered gold-standard emergencies, like diabetic
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Data from Wayback Time Machine are important but hard to introduce in evidence in court. For example many organizations only have their most current guidelines online. Hard to access prior postings and guidance. Wayback Time Machine can show those.
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The growth of the administrative class over the past 30 years has been a disaster for education & health care. These administrators mostly just contribute to overhead costs, causing their industries to become more costly and less efficient. So why did this happen? In both
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Medicare is not one program. It has multiple parts and each one is financed differently. Part A, hospital care, is funded primarily by payroll taxes. Part B, doctors and outpatient care, is funded roughly 25% by premiums and about 75% by general taxpayer revenue. Part D
āBut we paid in.ā No, you didnāt. And thatās the problem. Medicare gives seniors benefits that far exceed what they paid for in payroll taxes. Payroll taxes only cover hospital visits, not doctorsā visits or drugs. The rest comes from federal borrowing, adding $9.5 trillion
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Be Dr Elisabeth Potter > Princeton molecular bio > crush Emory med school > match into the most competitive plastics residency at UT Southwestern > fellowship at MD Anderson learning to rebuild breasts with a womanās own tissue > graduate top of the game, DIEP flap
If I want healthcare to be different, I have to practice differently. Today at Redbud we did multiple cases in an environment built around patients, not profit margins. We had time. We had focus. We had the right team in the right setting. One patient came to us after receiving
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I heard from an administrative colleague about a meeting that made his jaw drop. He was summoned to an āemergency summitā to discuss his health systemās decline in heart failure admissions. The cardiology department had been focused on reducing heart failure admissions and
forbes.com
Hospitals and health systems have been operating with a broken business model for decades. Itās time for a moral reckoning on the subject.
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Comprehensive immigration reform legislation is needed now and would also provide for the nursing home aides and home health care aides who are needed for good patient care.
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āSouth Texas will never be red againā: Home builders warn GOP over Trumpās immigration raids https://t.co/8eSGNKR1bE via @politico Homebuilders are politically powerful in Texas. They are mostly conservative. Sen. Cornyn is from San Antonio. He understands this. We need
politico.com
Construction executives have held multiple meetings over the last month with the White House and Congress to discuss immigration busts on job sites.
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Universities are still policing AI like it's a plagiarism problem. Meanwhile, the gap is widening. The researchers who figure out AI isn't for writing papers, know it's for accelerating research, filling knowledge gaps, handling the grunt work that blocks breakthrough thinking.
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Highest protein foods in the world
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BREAKING: The U.S. Olympic curling team enrages MAGA by tearing into ICE on the world stage and taking a brave stand for the embattled people of Minnesota: "There's no shades of gray" and "We love our country." This is what real Americans sounds like... "I'd like to say I'm
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Physician consolidation isnāt some isolated trend or voluntary lifestyle shift. The data shows itās the downstream consequence of consolidation that happened first among insurers, then among hospitals. Insurers consolidated first AMAās Competition in Health Insurance reports
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Reviewing the entire ACP article on "Physicians are not providers" leads me to ask: "Where has the ACP been the past 40 years while HMOs, big corporations, private equity and every huckster has taken over American Medicine?" (getting rich over MOC and paying off their top leaders
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This is insane. Major Nonprofit Health Systems admit: ā¢They own the hospitals, clinics, urgent caresābasically the entire map of your town ā¢They employ your doctors, nurses, and specialists (who are expected to hit RVU targets like sales reps) ā¢They run their own insurance
This is insane. Major Health Insurance Companies admit: - They own the health insurance companies - They own our doctors & clinics - They own our pharmacies - They own the PBMs who set pharmacy prices - Their obligation is increasing shareholder value They admit ALL of this
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See also government promoting and paying for Medicare and Medicaid HMOs. Managed care/ insurance company clerks deny necessary care and interfere with the doctor patient relationship to enhance shareholder profits.
instagram.com
203 likes, 13 comments - arghavansallesmd on January 14, 2026: "Iām embarrassed to say how long this took to film and edit, but Iāll just say it was a long time and I hope folks watch. The issue...
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