Dr. Gripesalot
@pgipe
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Private Practice IM doc, UofK alumi, wanna be foodie, college sports, pilot, not as angry as I sound in tweets
KY
Joined June 2009
I hope this is the last we have to hear about this guy.
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They deserve better
Barkley and Vitale being on this game together is very cool to me. Two of my lifetime favorites
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This offense isn’t getting fixed this year. I’m gonna need a winter hobby.
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But what if they do pull ups?
Do you think your tax dollars should fund a dance festival? I sure don’t, but Democrats do. They’re demanding a $375k earmark for Jacob’s Pillow Dance Festival in the latest appropriations package. That’s not fiscal responsibility, it’s a total waste of YOUR MONEY.
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These people won’t touch the nearly $2T we spend on paperwork and administrators in healthcare (20% GDP)-think they are going to meaningfully balance a budget? I’m not holding my breath-can guarantee if they do @CMSGov puts docs on the chopping block.
It’s insane that the federal government spends $2T more than it takes in every year — why should we operate differently than every American family & business has to?! Proud to join @SenJonHusted on a constitutional amendment to require a balanced budget. https://t.co/Tdm1msQs6k
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Can confirm
This hits home, especially now at the end of the year, as I'm spending hefty chunks of my time combing through charts for our ACO and MA plans to make sure their data is accurate so that our "quality" payments for next year are maximized. I'm more focused on data than care
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“If this is upsetting we can follow it up with a wellness module”-random Chief Something Worthless Officer
@SpineNeuro I’m a 40-year-old surgeon 10 years into my career being asked to take a course on how to hand wash. Wish I was lying.
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Finally saw an ‘expert’ on the morning news @NewsNation mention hospitals driving up costs. First mention I’ve seen on mainstream media during the whole debate! I’d tag them but apparently I’m blocked. 😬
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As a patient, I want my physician unburdened by the trivial anxieties of this world. I don’t want them thinking about their mortgage when they walk into my exam room. I don’t want my neurosurgeon annoyed and distracted because the EHR demanded 37 meaningless clicks before they
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This is horrible. The only solution I can think of is to do pull-ups in an airport.
The measles outbreak in South Carolina is “accelerating” with no end in sight following Thanksgiving and other large gatherings, state health officials say.
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Wow, maybe the problem isn't that physicians are bad at managing a business but that they are bad at lobbying Congress!
When independent practices fail, it's not because of the market. It's because they: — Pay full taxes — Buy drugs at full price — Receive lower reimbursement — Can't access tax-free financing — Can't open new hospitals The game is rigged.
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Nothing on physician autonomy. Nothing on free markets and competition. Nothing on physician-led enterprises. Nothing on physician reimbursement. Nothing on the real drivers of cost - hospitals and health systems.
Democrats want to send $26B to insurance companies to subsidize silver plans with $6,000 deductibles. Most families DON’T HAVE $6,000 on hand before insurance even helps. A deductible that high is the same as having no insurance at all.
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‘Show me the incentive and I will show you the outcome’
What happens when metrics become the outcome? Medicine is drowning in metrics. The pitch was simple: measure performance, tie it to payment, and quality will rise while costs fall. In reality, once a metric becomes the target, the metric becomes the outcome and the patient
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In Alabama, Bradford Health Services, owned by a New York PE firm, used CON to kill Sereno Ridge. 16-bed addiction treatment center. Never opened. Bradford has done it again and again. Veterans' programs. Nonprofits. Private equity weaponizing government regulation to
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Watching UConn/FL game is a sad reminder of how little offense we’re actually running this year.
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1/ A claim on Jubilee was made that we “already know what stops cancer dead in its tracks: VO₂ max.” It’s appealing, intuitive, and partly grounded in truth. But the evidence tells a more nuanced story, one that respects both the power and limits of exercise physiology.
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Dress up! Do pull ups! How about you just get me to my destination quickly and safely and quit with the stupid performative bullshit?
Having pull-up bars in airports means you can stay fit while traveling. You can challenge yourself, or better yet, challenge your friends & family during a layover. The downside is your daughter might beat you! That happened today as me, my daughter, Paloma, @SecKennedy &
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