Devin Zarkowsky
@DevinZarkowsky
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California Vascular Health Specialists #aorta #AortaEd #AAA #aneurysm #aorticdissection #carotid #CLTI #CLI #PAD #spinalaccess No disclosures.
CA
Joined October 2019
"Vertically integrated healthcare corporations are USING PHYSICIANS AND PATIENTS as pawns in their for-profit game. Yet somehow stark laws and anti-kickback statutes only apply to physicians?" -@PedsMamaDoc ( one of my fave peds)
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Only 827 physicians in the entire United States hold an equity stake in a hospital. Out of ~1.1 million physicians, that’s 0.07%. There are only 238 physician-owned hospitals in the entire country (out of 6,093 total hospitals). Now… let’s talk about the endlessly recycled
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@BrentAWilliams2 Pournelle's Iron Rule of Bureaucracy is nicely stated here: "Pournelle's Iron Law of Bureaucracy posits that in any bureaucratic organization, there will be two types of people: those dedicated to the organization's goals and those dedicated to maintaining the bureaucracy itself.
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Also, really frustrating that a paper supported by NIH grants is behind a paywall.
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A 4,400 ptnt CAS vs TCAR ACAS trial will never get done. This is probably the last word on asymptomatic carotid disease… ever. Moreover, why spend the time and money to prove another 1% reduction?
#VEITH2025: Are more trials needed, asks fellow CREST-2 PI Thomas Brott in a follow up presentation.
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#VEITH2025: Are more trials needed, asks fellow CREST-2 PI Thomas Brott in a follow up presentation.
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Wow. A totally unexpected result. Likely the end of CEA for ACAS.
Presented at #SVIN25: CREST-2: In high-grade asymptomatic carotid stenosis, addition of stenting to medical therapy led to a lower risk of stroke over a 4-year period. Endarterectomy did not lead to a significant benefit. Full results: https://t.co/ZHLCV9ukNU Editorial:
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For those that are concerned about the rising cost of health insurance… Remember we sped 1.35 trillion dollars to administer healthcare in the US…. By comparison, physician salaries are 350 billion….. prescription drug 450 billion So maybe we should tackle health care
In 2023, the U.S. spent approximately $1.35 trillion on healthcare administration. That’s more than we spent on: •Physician salaries (~$350B) •Nursing salaries (~$335B) •Retail prescription drugs (~$450B) •Imaging, lab tests, EHRs, and outpatient procedures combined •Even
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WHITE HOUSE SAYS IT’S CUTTING HEALTHCARE COSTS Board-certified orthopedic surgeon @drdanchoi explains why the Affordable Care Act is making care less affordable: "The ACA gave tremendous market advantages and power to health insurers, and also to hospital systems... It has been
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@JahangirAsgha10 We should put together a thread of common misconceptions about money in Healthcare. 1. Doctors don't get a tax write-off for charity care or unpaid bills 2. Medicare hasn't increased payment rates to doctors since 1992 3. Seeing a hospital-employed doctor costs twice as much
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"Social Determinants Of Health: Recent CMMI pilot programs require physicians to collect data on housing, food, transportation, and other social determinants of health and then determine an appropriate intervention. Along with the checkbox, codes have arisen that reward
Over the past several decades, an appealing idea rapidly gained popularity: The government could advance a health care system that rewarded the quality of care rather than the volume of care. Medicare began leveraging its economic might to require physicians and hospitals to
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Medicare takes money from your paycheck your entire life and in return you get Part A, which covers some of the cost if you’re hospitalized. You’re still on the hook for some out of pocket expenses. If you want to see a doctor, you better have part B, for which you need to
Medicare for All would guarantee healthcare for everyone with: - $0 premiums - $0 deductibles - $0 copays ... and cover dental, vision, hearing, long term care, mental health, and more Health insurance is not healthcare. Demand universal healthcare with Medicare for All.
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If you thought “You can keep your doctor” applied to the ACA, you are so 2010. Now it’s the Medicare Advantage lie. Before you sign up for Medicare Advantage in the next month , call your doctor and anyone you get care from and ask them to confirm they are in your Medicare
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Adjusting for inflation , doctors have taken a 50% pay cut since 1992
Since 1992, hospital administrator pay has tripled while doctor pay from Medicare has increased only 3%.
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@TommyApples80 I would want less policy. That’s the problem. How many parties are between you and your physician? I believe regulations to protect the consumer are proper and beneficial, but what we have today is regulatory capture of an entire market and therefore the economics are
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Well, you’re wrong. Although, I know where you’re getting this idea, it’s just wholly misinformed. You’re referring to a rule in the Affordable Care Act (ACA) and it is known as the Medical Loss Ratio (MLR) requirement. The ACA mandates that insurers spend at least: 80% of
@HeathVeuleman UHC may deny 33% of claims yet pays out 85% of all premiums collected on claims. If they denied zero claims, they would still pay out 85%. That's required by law. They'd simply raise premiums.
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I’m really sick of hearing this - the government is not subsidizing people. They’re subsidizing insurance companies. The American people are paying thousands upon thousands of dollars for a product that is - for all intents and purposes - useless. United Healthcare, whose
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@HCLibertyLab @kleib323 @GeBaiDC Not sure how old you are…but the HMO (and later PPO after people revolted over HMO need a referral from your primary for everything) Revolution really took hold in early 90’s. Before that we (pretty much everyone) had 80/20 coinsurance. Doctors either took a given brand of
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In med school, I learned that Huntington's disease was one of the most devastating inherited conditions. It caused progressive neurological decline, starting around age 30. There was no treatment. Now, Huntington's has been treated for first time. This is why we fund science.
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