Emergency Medicine & EMS MD 👨🏼‍⚕️🚒🚑🏥 Oregon 🇺🇸. Tweets are personal opinions and not medical advice. Typos gratis. #BLM 🏳️‍🌈

Oregon, USA
Joined January 2017
OR Emergency Doc retweeted
Nobody teaches you how much of medicine is uncertainty. You spend years memorizing the right answers. Then you become an attending and realize your job is making good decisions with incomplete information.
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OR Emergency Doc retweeted
Hey @DrOz, When you started practicing medicine in 1993, the RVU reimbursement rate was $31.60. @CMSgov is proposing that in 2027, it is $33.40. Adjusted for inflation (+132%), that’s a 54% cut… No wonder you quit practicing medicine. The financials don’t make sense. Can you tell @CMSGov…oh, wait a minute… 🤔🤨😒
We're proposing one of the biggest Medicare updates in years—strengthening primary care, expanding accountable care, and modernizing physician payments. The goal is simple: help clinicians spend less time on paperwork, more time with patients, and deliver better outcomes.
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OR Emergency Doc retweeted
Medicine may be the only field where pay has decreased, while work has increased, over the last 20+ years
Hey @DrOz, When you started practicing medicine in 1993, the RVU reimbursement rate was $31.60. @CMSgov is proposing that in 2027, it is $33.40. Adjusted for inflation (+132%), that’s a 54% cut… No wonder you quit practicing medicine. The financials don’t make sense. Can you tell @CMSGov…oh, wait a minute… 🤔🤨😒
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OR Emergency Doc retweeted
Reporter: Do you think Republicans can square their support for ending birthright citizenship with the USMNT whose top scorer is a birthright citizen? Norman: Those are two separate issues—sports and policy. PabloReports: Do you think the World Cup coach is taking an American job? He’s from Argentina. Norman: That’s a separate issue. It doesn’t matter where he’s from. PabloReports: What if he was a doctor? Or a construction worker? Norman: That’s two separate issues. PabloReports: What makes sports different? Norman: With sports, you gauge on wins and losses. A construction worker is not a specialized field like sports is.
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OR Emergency Doc retweeted
🚨 REPORT: 82% of physicians are now employed by hospitals or corporate entities. Nearly two-thirds of practices are no longer physician-owned. This outcome should not surprise anyone. For more than a decade, Medicare payment cuts, mounting administrative burden, growing insurer oligopolies, and policies that disadvantage independent practices have made this outcome entirely predictable. If lawmakers want more competition, lower costs, and better access to care, preserving independent practice must be part of the conversation. No single reform will reverse decades of consolidation. But policymakers can start by fixing Medicare, fixing prior authorization, expanding physician-owned hospitals, and strengthening antitrust enforcement. Dive into the full study 👉 physiciansadvocacyinstitute.… @AANSNeuro @CNS_Update @spinesection @AANSCNStrauma @painsection @councilsns @physicianhosp
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OR Emergency Doc retweeted
One of the most important things to understand about the moment we are living in
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OR Emergency Doc retweeted
13.1% of credit card balances in the US are now 90+ days delinquent, the highest since 2011. 10.3% of student loan balances are now 90+ days delinquent, the highest since 2020. 5.6% of auto loan balances are now 90+ days delinquent, the highest level on record.
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OR Emergency Doc retweeted
United Health Group (UHG) recently reported their Q1 2026 results, exceeding earnings expectations with $111.7 billion in revenue—a 2% year-over-year increase. They attribute their positive performance to “improved medical cost management.” Just so we are all clear - medical cost management is code for prior authorization, downcoding, care denials, etc. They take pride in denying care because it looks good on their earnings report.
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OR Emergency Doc retweeted
💬 Viewpoint: Mandatory annual training modules consume millions of physician‑hours each year, yet their largely passive formats may offer limited educational value while contributing to administrative burden and clinician burnout. ja.ma/4vvyvBm
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OR Emergency Doc retweeted
Remember, RFK Jr canceled $500 million in federal funding for mRNA vaccine research and development because RFK Jr is a stupid asshole.
Long term follow up of a phase 1 trial of an mRNA tumor vaccine shows that 7/8 patients with pancreatic cancer, who mounted an immune response to the vaccine, are still alive 6 years later. This is breathtaking data and shows the promise of mRNA vaccines. nbcnews.com/health/cancer/pa…
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Replying to @WhiteHouse
All those years of accusing Black Lives Matter of being paid actors to go and hire some
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OR Emergency Doc retweeted
President Trump is ready to use the "full economic might of the United States" to strengthen Hungary's economy, while actively gutting Americans’ access to health care, education, child care, and so much more.
Trump: “My Administration stands ready to use the full Economic Might of the United States to strengthen Hungary’s Economy, as we have done for our Great Allies in the past, if Prime Minister Viktor Orbán and the Hungarian People ever need it. We are excited to invest in the future Prosperity that will be generated by Orbán’s continued Leadership! President DONALD J. TRUMP”
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OR Emergency Doc retweeted
Medicare reimbursement rates for physicians have dropped 29% in real dollars since 2001. Hospital facility fees? Up 60% over the same period. The money didn't disappear. It just stopped going to doctors.
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OR Emergency Doc retweeted
It turns out that when people that were at the top of the class, and were required to endure extreme self-sacrifice for 15+ years, and start their first real job at age 35, that they do in fact want to be able to live in the nice neighborhood along with the corporate types.
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OR Emergency Doc retweeted
if you're The Onion writers do you just give up at this point
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OR Emergency Doc retweeted
Gay kids read thousands of books about straight characters, yet they still grow up gay. But y'all are worried if your son, Billy, reads just one book where a penguin has two dads, he is going to wake up the next day and ask Brad to prom.
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OR Emergency Doc retweeted
Replying to @SenatorWarnock
High language like this used to work 60 years ago. We need to dumb it down now. Trump wants bombs and war more than your healthcare and childcare.
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OR Emergency Doc retweeted
hmm
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OR Emergency Doc retweeted
Preliminary results put into visuals. This is not a critique of how much NPs or PAs make, they work very hard. Here's a crazy stat: PGY1 resident physicians will get paid anywhere from 28-37% of a nurse practitioner. Is this a justified rite of passage?
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Said within a day of each other. We live in the stupidest of times.
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