“Getting accepted by these journals requires enormous intelligence, training, and effort.  Unless you believe in the Labor Theory of Value, however, the cost of creating top publications implies nothing about the value of creating top publications.” betonit.ai/p/call-it-sour…

Some socialism is wrong for the same reason that a totally planned economy is wrong. Some confidence in the evidence is wrong for the same reason that certainty is wrong. Some rules are wrong for kids for the same reason that total control of them is wrong. Some genetic

Audiobook is available! (Read by the author.) Logan Conjecture Institute amazon.com/Sovereign-Chil…

One questions the wisdom of spending $2,500, the typical charge for whole-body screening, to receive generic wellness advice that can be dispensed at no charge by an elementary Google search using key words “healthy living.”

When someone can’t argue the merits, they attack the messenger. Posting my salary isn’t a rebuttal. It’s a tantrum. By that logic, Barack Obama, Ezekiel Emanuel, Atul Gawande, and every think tank exec with a seven-figure W2 should be disqualified from healthcare policy

Dear UnitedHealthcare, please stay in your lane! You are an insurance provider, not a doctor. My patients and I can decide which colon cancer screening test to perform without your uncalled for interference in medical decision-making! Texas Society for Gastroenterology and Endoscopy ACG American Gastroenterological Association (AGA)

Some younger employed physicians don’t fully grasp the root issue: Physician compensation and reimbursement is the problem. As Medicare/Medicaid rates drop, independent docs get crushed—forced to close, sell, or consolidate. Your salary feels stable—but it’s subsidized by your

Everyone talks about physician compensation. Almost no one talks about overhead. We debate how much CMS pays. Why procedural specialties are paid more. How physicians are reimbursed. But that misses the real driver of dysfunction: The single most expensive, least addressed

Primary care docs love to point out how overpaid specialists are. They blame the RUC. The procedural codes. The valuations. And they’re right. Centralized price-setting creates distortions. But here’s the truth: we’re not overpaid. You’ve been lied to. You’re underpaid. I want

I propose banning school and giving kids smartphones. Thesis: I: School is way, way worse than typically acknowledged, evidenced by pervasive nightmares among adults about failing exams and retaking classes. II: "Screens" (smartphones, social media, etc) reveal just how bad

We have all seen the cost of healthcare in America has increase dramatically over the last 15 years. We’ve also seen health insurance companies become some of the most profitable companies in the United States. I’ve been taking a closer look at healthcare and I’m sharing what

The practicing physicians have already seen how MASH is just markedly improves if not resolves as pts approach 15-20% TBW loss. What will continue to compel one to spend 10x more?

ABIM made over 100 million dollars in 2024! That's a new record for them. Think about it, they take over 100 million dollars from hard working physicians every year only to make our life worse.

Monopolies do this. Be sure to thank AMA (who created American Board of Internal Medicine (ABIM) and ABMS ) and their ACGME partners 👇 * cha ching *

I should really stop posting about ABIM MOC. They got me good this morning. Sadly I will pay as I rather not lose my employment. ⁦Westby Fisher, MD⁩

Rent’s too damn high reincarnation

Dear Rebecca V. Proud American 🇺🇸 I was born in the wrong body: I identify as 6-1 with a 0.7 waist-to-hip ratio, full head of thick hair, 20/20 vision, VO2-max of 84-85 ml/kg/min, grip-strength hang-time 3 minutes, tennis serve >100mph, 160 IQ, photographic memory & play piano by ear. OK?

In healthcare, only one group has a fiduciary duty to patients: physicians, nurses, and frontline providers. Not the hospital. Not the insurance company. Not the government. Not your employer. Yet somehow, those are the entities that control access, payment, and policy. This

National Board of Physicians and Surgeons It’s great to see this scam exposed. For too long, maintenance of certification has been an unnecessary & costly process that does nothing to improve patient care. It’s just another administrative burden placed on physicians, in this case by their own specialty organization.

Senate Republicans The first sentence answers the question asked by the second.