This is hard to believe, but just in case it’s true…. Hedge VOTE
Just a reminder: the riots and arson of the summer of 2020 were merely the pre-season for Democrat activists.
They were just warming up--working out the kinks and getting their game planning straight.
The summers before the 2028 election will be the regular season with their first team starting.
For these midterms, you really need to vote like your life depends on it, because for many of us it actually does.
Andrew retweeted
Today is a great day to vote early in person for @KenPaxtonTX in Texas.
Andrew retweeted
Before lecturing me about my fair share of property taxes, explain the hospital’s exemption.
Slowly. I’m just the idiot paying for the street.
Andrew retweeted
Early voting is open in Texas and South Carolina.
Let’s freaking go!!!!
Texas U.S. Attorney Aaron Reitz just told anyone planning to play games with federal election law that he’ll hunt them down and prosecute them.
Love that for them. Only citizens vote. Make sure you’re one of them! Get in and get out!
Vote red!!!
Exactly the same here except I’m 67 and struggled with the same thing! It’s a blessing and a curse being super healthy and nobody believing how you do it. 😂 the human condition.🤦♂️ a self unifying and integrating all your life experiences I believe is the best way to transition to the next state of (being/not being). Unable to provide evidence based medicine reference for this. 😂 🤪
Being 45 is such a strange experience.
One minute, you want to make more money, get ridiculously fit, reinvent your entire life, and become the healthiest version of yourself.
The next minute, you want to disappear into the mountains for three weeks, turn your phone off, avoid everyone, and remember what peace feels like.
You want adventure, but you also want your own bed.
You want to be productive, but you also want to cancel every plan you’ve made.
You want to build wealth, travel the world, and accomplish big things, but you also consider 8:30 p.m. a perfectly reasonable bedtime.
And honestly? A mug of hot chocolate, a cozy blanket, and absolutely nobody asking you for anything sounds like the ultimate luxury.
Is this what getting older feels like, or have I just reached the age where peace and quiet are the real definition of success? 😂
Yes, but be specific. Give some examples. Independent physicians need to create a consortium that offers catastrophic insurance and everything else is an immediate or planned transaction. D Rojas had a great idea on Open MRI slots being published for last minute deep discount scans. We’ve got the pieces let’s start putting them together.
Healthcare has spent decades confusing size with scale, transactions with value, and consolidation with progress.
But the next great opportunity isn’t building bigger healthcare enterprises. It’s making smaller ones economically powerful. In consultant-speak, we need to “right-size.”
Physicians don’t need to surrender their independence to achieve scale. They need to collaborate, standardize what can be commoditized, aggregate purchasing power, and syndicate their collective capacity.
✨In other words, create liquidity without surrendering autonomy.✨
The most valuable thing physicians have to sell isn’t necessarily a practice, a building, or even a procedure. It’s their future capacity to produce meaningful outcomes. And that’s an entirely different economic proposition.
The winners in the upcoming healthcare economy won’t necessarily be those who own the most assets. They’ll be those who organize to deliver the most value. Remember Buffet - price is what you pay, value is what you get.
Ownership is not the same as control. Scale is not the same as size. And value is not the same as price. Once you understand those distinctions, the possibilities become rather extraordinary.
The healthcare renaissance is here!
Andrew retweeted
The hospital bought the practice.
Same physician.
Same room.
Larger bill.
Apparently the acquisition improved the building’s bedside manner.
Andrew retweeted
Dear physician,
Medicine is an important part of your identity.
That does not mean that medicine is your entire identity.
You are more than a physician.
You have a family. You have friends.
You have interests outside medicine.
Don’t sacrifice your identity for a system that consistently undermines it.
Andrew retweeted
AARP is an arm of the Democrat Party. They are running hard on saving Social Security with ads on all networks.
Meanwhile...the Democrats gave illegal aliens our Social Security
Andrew retweeted
OMG! Flags of the Islamic regime occupying Iran are flooding the streets of Berlin!
Islamist networks are highly interconnected. France, Belgium, and Italy are already witnessing riots—and now the symbols of AYATOLLAH JIHADISTS and HAMAS are marching through Germany’s capital.
As reporter @ISefati describes, since the beginning of the war against the mullahs, these Islamist networks have been coordinating more closely than ever.
Hopefully it’s finally clear that this jihadist invasion is not confined to Iran or the Middle East. The networks are operating in the heart of Europe and beyond.
I believe this is a negative hallucination, not seeing what is directly in front of you. AI/SI has this problem too. Maybe solving one would help solve the other.@elonmusk
I wonder how expensive healthcare would be without all these companies negotiating the price down.
Employers pay for insurance, brokerage, consulting, networks, and administration.
Somewhere underneath all that help, a physician still has to see a patient.
Every intermediary can explain why its particular contribution is essential.
I’d enjoy getting them all in one room and asking for the price before everyone helped.
Then invite an independent physician to quote the actual care.
An employer buying a defined service directly from a physician practice gets to ask some wonderfully ordinary questions:
What does it cost?
What’s included?
When can my employee get an appointment?
These questions become surprisingly difficult once enough experts get involved.
I build businesses that help physicians and employers.
I’m quite comfortable applying the same test to mine: after you pay us, are you better off?
Perhaps we could afford the care if we stopped paying for help that cannot answer that question.
Andrew retweeted
I wonder how expensive healthcare would be without all these companies negotiating the price down.
Employers pay for insurance, brokerage, consulting, networks, and administration.
Somewhere underneath all that help, a physician still has to see a patient.
Every intermediary can explain why its particular contribution is essential.
I’d enjoy getting them all in one room and asking for the price before everyone helped.
Then invite an independent physician to quote the actual care.
An employer buying a defined service directly from a physician practice gets to ask some wonderfully ordinary questions:
What does it cost?
What’s included?
When can my employee get an appointment?
These questions become surprisingly difficult once enough experts get involved.
I build businesses that help physicians and employers.
I’m quite comfortable applying the same test to mine: after you pay us, are you better off?
Perhaps we could afford the care if we stopped paying for help that cannot answer that question.
Andrew retweeted
I wonder how many hospital mergers we need before healthcare becomes affordable.
Rush and Endeavor want to put 12 more hospitals under one system.
Perhaps the final merger comes with a coupon….
Andrew retweeted
Are we fighting the wrong war heading into the 2026 midterms? 🇺🇸
Mike exposes why the polls always miss the bigger picture—and what Trump, George Washington, and Alexander Hamilton reveal about leadership, political warfare, and the American System.
Screw the issues. Fight for the soul.
Andrew retweeted
Kaylub Giamanco is a HERO!! In the middle of his lunch break, he heard gunfire outside the elementary school his two daughters attend, saw the shooter enter, and chose to follow him inside rather than drive away.
An ordinary carpenter and father with a concealed carry permit pursued the gunman into the building and stopped the attack before police arrived.
Oregon Governor Tina Kotek specifically praised the intervention for preventing further loss of life. In a situation measured in seconds, he ran toward danger to protect the children inside, including his own, even as reports note he carries the weight of those he could not save.
That is the definition of courage under fire. 🇺🇸
Andrew retweeted
I have said and will always say this.
Put three armed combat Veterans guarding every single school in America.
Schools are soft targets. We are still tactically and technically proficient.
Do the math.
About 281,000 unemployed Veterans
x 50k a year salary
X 99,073 public schools = 2.8 unemployed Veterans per school.
$14.9B dollars a year for 3 Veterans for 99,073 public schools.
We send more of this money overseas every year, so money isn’t an option.
Note: This is just rough math that could be adjusted. But you get the idea.
Andrew retweeted
I love IDR.
Apparently, an insurance company having to defend what it pays a physician is a national affordability crisis.
Meanwhile, a hospital can buy that physician’s practice and collect more for the same care.
Washington built a financial reward for changing the name on the door.
Start there.
Start with the tax-exempt hospital corporations buying their competitors while taxpayers subsidize the enterprise.
Start with Section 6001, which restricts physician-owned hospital entry and expansion.
Congress actually wrote a law protecting incumbent hospitals from physicians who want to compete with them.
Then everybody sits around wondering why healthcare costs so much.
I build healthcare businesses.
When you subsidize the incumbent, restrict its competition, and pay it more for owning the building, you have engineered an expensive market.
@HHS and @CMSGov: enforce price transparency.
Stop paying a premium for hospital ownership. Congress: repeal Section 6001.
Let physicians build. Let employers buy directly from them.
And keep a process that lets physicians challenge an insurer’s payment without handing the patient a surprise bill.
I’m tired of a healthcare affordability debate that keeps arriving at the independent physician’s paycheck while the subsidized hospital buys another ZIP code.
The No Surprises Act's arbitration system is a disaster. It is distorting negotiations between providers and insurers and is significantly pushing up premiums for American families.
@HammondOnHealth and I explain in the @washingtonpost today.
washingtonpost.com/opinions/… 1/8
Andrew retweeted
I have something that I need to get off my chest.
I have never tried to hide the fact that I'm a huge Ron DeSantis fan, and for some reason, I often get a lot of hate for this.
I live in Florida, and under DeSantis' leadership, the past eight years have been incredible.
Every state in the nation wishes they had a Governor like DeSantis.
Also, in the last two years of Trump's first term and the first two years of Trump's second term, I think you would be hard pressed to find another Governor who cooperated with Trump's administration more than DeSantis.
And another thing, during the Biden(s)/autopen debacle, DeSantis battled the democrats tooth and nail for 4 years.
I mean give me a break, in my opinion I think the guy deserves a lot of credit for his many accomplishments.
My two cents.
