
Anesthesiologist retired AdvocatePhysician this is it ...the real deal … #CarpeDiem
Joined April 2012
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Reading @melindagates “Our call is to lift women up - and when we come together, we are the lift .” @WomenInMedicine @WomenSurgeons @womenMDinanesth @WomenInThoracic @500WIM @arghavan_salles @RanaAwdish @DrCorriel @SashaShillcutt @AmyOxentenkoMD @JulieSilverMD @DrKatrin_Rabiei
Basia Jenkins,MD retweeted
Replying to @KobeissiLetter
The ACA (Obamacare) was a sweetheart deal between big medical and the politicians. There have been steady 10-40% increases to our business healthcare costs since 2010. This last year UHC wanted 40% increase. We kicked it back to our broker and said try again. @BarackObama screwed everyone.
Basia Jenkins,MD retweeted
Replying to @KobeissiLetter
Corporate consolidation, not physician pay, drives premium spikes: As of Jan 2026, only 18% of U.S. physicians remain independent (down sharply from ~60% in private practice in 2012 and 48% in 2018); 82% are now employed by hospitals (59.7%) or corporate entities including insurers (22.3%), with 253,000 more physicians and 85,000 practices acquired since 2018 alone (PAI/Avalere data).
• Facility-fee arbitrage jacks up costs 2-4x for the same care: Once hospitals/insurers buy practices, imaging centers, and surgery sites, the identical service shifts to hospital outpatient billing with added facility fees—often 100-300%+ higher than freestanding/ASC rates (e.g., Medicare HOPD pays ~2x ASCs; commercial gaps average $3,000+ per procedure per multiple studies); this site-of-service differential, not surgeon fees, has fueled decades of premium growth.
• 20-year trend matches private practice collapse: Family premiums have risen +387% since 1999 (far above CPI), accelerating with consolidation that began intensifying in the 2000s–2010s; research (Yale/NBER, RAND) shows hospital practice acquisitions raise prices 3-15%+ via reduced competition and recapture, with no quality gains and often declines—insurers profit billions while blaming independent doctors using arbitration for complex cases.
Basia Jenkins,MD retweeted
Replying to @KobeissiLetter
Employers typically pay around 75% of this cost. The numbers are absolutely true, but the big issue is the overlords of the CPI calc (BLS) say premiums (that they actually DO NOT TRACK) have gone down since 2020. That's (and home insurance) is why the CPI never matches reality.
Basia Jenkins,MD retweeted
Replying to @KobeissiLetter
Employer/employee split?? I am self employed and pay the entire yearly $46,000 BCBS premium for family of 4 in its entirety. Something's gotta give before the torches and pitchforks come out to slay this insurance industry frankenstein.
Thank you Susan & Michael Dell $6.2 B philanthropic gift to US children .
25 Million kids who have Capital ; not socialism , not communism .
Basia Jenkins,MD retweeted
For any hospital that says they lose money on Medicare/caid patients, I would LOVE to see the bill of materials and direct overhead attributed to the procedures you lose money on
How much you pay for that hip implant, the anesthesia, disposables, the doctors/nurses etc, for the period of time they are working on that hip replacement. The same for any operations or procedures
It's crazy that I can't find that information ANYWHERE
Please show me how you lose money on Direct Costs at Medicare or Medicaid rates , then we can discuss the value of all the consultants , paintings , beautiful buildings , etc contribute to your inability to make money on the Medies
I even bought and went through hospital cost accounting text books and found no real numbers 😂
"Remove the link (from HSAs) to insurance. Increase the caps considerably, or remove them altogether." —@mcuban
"Pay doctors directly in free market conditions and you will get the best price." —Karim Wahib
"When people understand their options, when they see models like direct primary care or community-driven prevention they start to reclaim control over both cost and care. That's the part the entrenched interests fear most." —@DrHirschfield
Basia Jenkins,MD retweeted
In 2021, the head of the UN World Food Programme said $6 billion from Elon Musk could solve world hunger.
Elon replied: publish the plan, right here, publicly, and I'll sell Tesla stock on the spot.
The plan came out. And when you read it, it wasn't a plan to solve hunger. It was one year of food for 42 million people. A twelve-month subscription. And the year after? Start over.
A few months later, Elon summed up his view: if you care about the reality of goodness rather than the perception of it, philanthropy is extremely difficult.
"Reality of goodness over perception of goodness."
That line stuck with me for weeks. Does philanthropy actually work?
Gates-style philanthropy is first and foremost institutional capture. Foundations funding NGOs, funding governments, funding programs, producing reports, producing photos. Everyone's happy, and the aid machine keeps itself alive. Sixty years and hundreds of billions later, much of Africa is still dependent on aid. Zambian economist Dambisa Moyo laid it out in Dead Aid: aid breeds dependency, feeds corruption, and short-circuits the only mechanism that has ever lifted a country out of poverty.
So what actually works?
It's been tested. In Kenya, Berkeley researchers working with GiveDirectly randomly selected villages and gave every poor household about $1,000 in cash. No program. No training. No conditions. Just cash.
The result: people bought metal roofs, livestock, started small businesses. Barely any inflation. And every dollar injected generated around $2.50 of economic activity locally, including for neighbors who received nothing.
Why? Because you didn't give them charity. You gave them capital. You primed the pump.
And that's where everything hinges: ownership. Hernando de Soto showed that the world's poor hold trillions of dollars in assets, but without recognized property titles, it's dead capital. You can't borrow against it, pass it on, or grow it. Where property rights are respected, the system starts running. Where they aren't, no amount of aid will ever be enough.
Now reread Elon's post.
"Next year, I will give one of my SpaceX shares to every kid in America. This will be the first of many."
That's not a meal. That's not a handout. That's a property title. A piece of the company building the infrastructure of a multiplanetary civilization, owned directly by millions of kids.
A kid who gets a handout depends on the state. A kid who owns a share of SpaceX owns a piece of the future. He learns what an asset is, he has a stake in the economy working, and one day he'll vote as an owner, not as a client of the state.
Gates buys perception. Musk distributes ownership.
The reality of goodness versus its perception. And it's absolutely brilliant.
Basia Jenkins,MD retweeted
Replying to @brivael
Here's an easy to understand infographic for women, children, and Democrats.
🤖 Made with AI
Basia Jenkins,MD retweeted
Replying to @brivael
Le socialisme n'échoue jamais faute de bonnes intentions
Il échoue parce que personne ne dépense l'argent des autres aussi bien que le sien
Demande au Venezuela, premières réserves de pétrole du monde et rayons vides
Basia Jenkins,MD retweeted
Right now in the US, part of the Democratic Party has decided to play the "socialist" card. Days before the midterms, DSA candidates are winning primaries and the word isn't taboo anymore.
So today I'm going to show you why socialism never works. Not with ideology. With mechanics.
Let's start with a dumb question. How much should a loaf of bread cost?
You don't know. Neither do I. Nobody does. And that's exactly the point.
The price of a loaf of bread is the instant synthesis of millions of pieces of information that no single person holds: the wheat harvest in Kansas, the price of gas for the oven, the baker's wages, the shop's rent, a drought in Argentina, a war on the Black Sea, whether people feel like bread this morning or a bagel.
In 1920, Ludwig von Mises published a paper that should have ended the debate. His argument: without private ownership of the means of production, those means are never exchanged. No exchange, no prices. No prices, no economic calculation. The planner can't know whether a steel mill is worth more than a dam or a hospital. He's flying blind. He can't even tell that he's wrong.
In 1945, Friedrich Hayek drove the point home in "The Use of Knowledge in Society." Useful knowledge is scattered across millions of minds. The baker knows things about his neighborhood that no ministry ever will. Prices are a telecommunications system: when tin becomes scarce somewhere in the world, its price rises, and millions of users economize on it without even knowing why. No committee, no ministry, no plan can replicate that. The market isn't an ideology. It's a distributed information processor.
Then Milton Friedman picked up a simple pencil. The wood comes from Washington State, the graphite from South America, the rubber from Malaysia. Thousands of people who don't know each other, don't speak the same language, maybe even hate each other, cooperate to make something none of them could make alone. Nobody gave them orders. Prices were enough.
Now run the experiment in reverse. Set the price yourself.
Cap rents below market: landlords stop maintaining, stop building, housing disappears. Swedish economist Assar Lindbeck, a man of the left, said rent control is the most efficient technique known for destroying a city, short of bombing it.
Cap the price of flour: shelves empty, lines form, the black market takes over. Venezuela, 2016. The country with the largest oil reserves on earth, and people standing in line for hours to eat. Nearly 8 million Venezuelans eventually fled.
Socialism smashes the thermometer and then acts surprised that the fever keeps rising.
And this is where it gets serious.
Because when the plan fails, and it always fails, the planner has two options. Admit the plan is wrong. Or blame the people. Saboteurs, speculators, kulaks, enemies of the people.
He always picks the second one.
Hayek saw it in 1944 in The Road to Serfdom, in a chapter with a chilling title: Why the Worst Get on Top. A central plan requires central power. Central power attracts those who crave power. And when reality resists the plan, reality has to be broken. Which means people have to be broken.
Stalin. He collectivizes the land. Output collapses. He blames the peasants and seizes the harvests. The Holodomor, 1932-1933: millions starved to death in Ukraine, the breadbasket of Europe. Add the Gulag, the purges, the deportations.
Mao. The Great Leap Forward, 1958-1962. Backyard furnaces producing useless steel, insane grain quotas, local officials inflating numbers to avoid punishment, and the state requisitioning food based on those fake numbers. The result: the worst famine in human history. Estimates range from 30 to 45 million dead.
Pol Pot. The Khmer Rouge abolish money, markets, property, and empty the cities. The dream of total planning, carried all the way. In four years, roughly one in four Cambodians dies.
Hitler. He sent communists to the camps, but his party called itself National Socialist and the economy answered to the plan and the party. Companies stayed private on paper, but the state decided what to produce, at what price, and for whom. Hayek dedicated The Road to Serfdom "to the socialists of all parties" precisely because he saw the same root: the idea that the state must steer society toward a collective goal, and the individual must step aside.
Different eras. Different continents. Different cultures. Same mechanism. Same ending.
This isn't a bug. It's a feature of the system. Remove prices and you remove information. Remove information and you remove the ability to correct. And when you can no longer correct through prices, you correct through force.
So let me say it plainly. Socialism always starts nice. A rent freeze. Public grocery stores. Make "the rich" pay. Nobody promises the Gulag on day one.
But if America truly goes down this road, the rest of the story is already written. The plan will fail. There will need to be culprits. There will need to be power to punish them. And a socialist government holding the American state apparatus, its surveillance capabilities, its technology, its military, wouldn't be a regional tragedy. It could be the greatest tragedy in history.
The 20th century paid for this lesson with tens of millions of lives. We don't get to forget it in one generation.
Prices aren't the enemy of the people. Prices are the voice of the people.
Basia Jenkins,MD retweeted
This letter says it all. ❤️🤍💙
A single mom received $250 for her son’s future. She now wants to add $100 of her own every month. 👍
A small start can change everything. 🇺🇸
Basia Jenkins,MD retweeted
Elon Musk was asked what advice he would give to his younger self. The audience expected something about business, persistence, or risk. His answer was personal in a way that the audience wasn't prepared for.
He paused for several seconds. Then he said he would tell his younger self to "not be so serious all the time." The room went quiet. It was not the answer anyone expected from a man who appears to take everything seriously. It was a confession delivered as advice. The seriousness he would warn against is the seriousness he still carries.
He elaborated: as a young man, he was so focused on building, on surviving, on proving something to a world that had bullied him and a father who had ignored him, that he forgot to enjoy any of it. The money came. The companies came. The recognition came. And at no point during the ascent did he stop to experience the joy that the ascent was supposed to produce. By the time he could afford to enjoy his life, the pattern of not enjoying it was so deeply installed that enjoyment felt like theft from the mission.
The advice is heartbreaking because it's advice he cannot take. Knowing what he should have done differently and being able to do it differently are separate capacities. He knows he should be less serious. He knows he should enjoy more. The knowledge doesn't produce the behavior. The machine doesn't have a mode for enjoyment. It has a mode for building and a mode for sleeping. The absence of a third mode is the thing he would warn his younger self about, knowing the warning would change nothing.
Every piece of advice Elon gives about business is actionable. Start companies. Take risks. Build hardware. This advice, the personal one, is the opposite: it is the one insight from his life that he cannot implement despite knowing it is correct. The builder who can implement anything cannot implement joy.
The richest man alive would tell his younger self to lighten up. The younger self wouldn't listen. The older self knows this. The advice was not for the younger version. It was for the audience. He was saying: do what I couldn't. Learn from the thing I can identify but cannot fix.
Basia Jenkins,MD retweeted
The most powerful kind of compound interest isn’t financial. It’s generosity. ❤️🤍💙
Sidney wrote, “When I am a parent, I will always remember what you’ve done for me.”
And Sidney’s beautiful closing wish:
“I hope you have a super terrific, fantastic, amazing life.” ❤️
Basia Jenkins,MD retweeted
If you live in one of the gray states, your governor has blocked scholarships from the new Trump federal scholarship program from being given to kids in your state.
And I would recommend upgrading to a better governor.
Basia Jenkins,MD retweeted
This is what they took from us.
🇫🇷 Je suis en larmes… voici les rares photos de la mairie de Limoges, vue de l’intérieur. 143 ans d’histoire et de beauté, ravagés en une nuit. Elle avait survécu à deux guerres mondiales.
Inaugurée le 14 juillet 1883 grâce au legs d’Alfred Fournier, pensée par l’architecte Charles-Alfred Leclerc (Grand Prix de Rome), elle était le château de la République des Limougeauds : style néo-Renaissance inspiré de l’ancien Hôtel de Ville de Paris, escalier d’honneur aux marbres roses, toiles marouflées d’Henri-Paul Motte sur le palier (l’union du Limousin à la France et l’atelier de Léonard Limosin), plafond du Salon Bleu, salle des mariages peinte avec son « Ubi Fides Ubi Amor »…
Tout cela, les ors, les boiseries, les allégories de l’orfèvrerie et de l’émaillerie, le campanile de 43 mètres, parti en fumée.
La partie historique est quasi entièrement détruite à l’intérieur. La toiture s’est effondrée, le beffroi est tombé.
Il ne reste qu’une coquille vide là où des générations se sont mariées, ont fait enregistrer leurs enfants, ont siégé pour décider de l’avenir de la ville.
Un monument historique depuis 1975, symbole de la maison commune, brûlé volontairement en quelques heures.
Les Limougeauds sont sous le choc, en colère et en deuil.
La République tient encore, disent certains, mais le cœur patrimonial de la ville a été arraché. On parle déjà de reconstruction, mais rien ne remplacera ces décors, ces souvenirs, cette lumière particulière qui filtrait dans ces salles.
Basia Jenkins,MD retweeted
🇫🇷 Je suis en larmes… voici les rares photos de la mairie de Limoges, vue de l’intérieur. 143 ans d’histoire et de beauté, ravagés en une nuit. Elle avait survécu à deux guerres mondiales.
Inaugurée le 14 juillet 1883 grâce au legs d’Alfred Fournier, pensée par l’architecte Charles-Alfred Leclerc (Grand Prix de Rome), elle était le château de la République des Limougeauds : style néo-Renaissance inspiré de l’ancien Hôtel de Ville de Paris, escalier d’honneur aux marbres roses, toiles marouflées d’Henri-Paul Motte sur le palier (l’union du Limousin à la France et l’atelier de Léonard Limosin), plafond du Salon Bleu, salle des mariages peinte avec son « Ubi Fides Ubi Amor »…
Tout cela, les ors, les boiseries, les allégories de l’orfèvrerie et de l’émaillerie, le campanile de 43 mètres, parti en fumée.
La partie historique est quasi entièrement détruite à l’intérieur. La toiture s’est effondrée, le beffroi est tombé.
Il ne reste qu’une coquille vide là où des générations se sont mariées, ont fait enregistrer leurs enfants, ont siégé pour décider de l’avenir de la ville.
Un monument historique depuis 1975, symbole de la maison commune, brûlé volontairement en quelques heures.
Les Limougeauds sont sous le choc, en colère et en deuil.
La République tient encore, disent certains, mais le cœur patrimonial de la ville a été arraché. On parle déjà de reconstruction, mais rien ne remplacera ces décors, ces souvenirs, cette lumière particulière qui filtrait dans ces salles.
Basia Jenkins,MD retweeted
🚨 🚨🚨 I think we're living through a civilizational turning point. And most people haven't realized it yet. 🚨🚨🚨
We keep hearing that the globalist project is collapsing. It isn't. It's alive and well in the European Union, where Brussels keeps marching on as if nothing happened. And in the United States, it didn't die. It mutated.
If you want to see what that mutation looks like, read what DataRepublican just published. According to the audio and the thousands of documents she scraped, a network of former USAID and State Department officials, organized under a group called Renew to Thrive, is working on what they call "the day after tomorrow": what a rewritten American government should look like.
And they're not alone. She reports that this group sits inside a much larger, extremely discreet umbrella, the United Democracy Alliance, which coordinates the major "resistance" NGOs: when protests get deployed, on what timeline, how to respond. Operationalized, according to her, by an organization of 1,600 former military, intelligence and diplomatic officials.
The most chilling part: they've reportedly drafted a list of "red lines" past which the elected federal government should be declared illegitimate. The one they discuss most is invoking the Insurrection Act. And the mechanism doesn't even require governors to sign anything. They just have to refuse federal troops in their state and let the network do the rest.
Senator Mike Lee said he was speechless. Elon replied with one word: "Troubling."
Understand this: for these people, it isn't politics anymore. It's survival. They lost power at the ballot box, so they're building the machinery to contest the very legitimacy of the people who won. Their influence, their networks, their money, their impunity, everything they've built over decades depends on getting back in. So they're going all in.
And this fight is happening at the most decisive moment in human history: the arrival of superintelligence.
Whoever controls the state when AI surpasses humans won't just win an election. They'll win the century.
I only see two scenarios.
Scenario one: the Democrats take back power. Remember what Elon said in 2024: "If he loses, I'm f*cked. How long do you think my prison sentence is going to be?" Everyone laughed. Read those documents again and tell me he was joking. If a movement that pre-writes the criteria for declaring an elected government illegitimate comes back to power, there's a very strong chance Elon gets persecuted. Him, X, and everyone who dared to speak up.
And the world that follows is 1984 with GPUs. A hyper-class owning all the means of production: AI, robots, data, energy. The rest of humanity locked into a form of techno-feudal slavery, on a drip, surveilled, docile. Communism always promised equality and delivered a nomenklatura. With AI, the nomenklatura won't even need the people anymore.
Scenario two: Elon wins with the Republicans. And this deathly project gets dismantled. Not reformed, not slowed down. Dismantled. Every network, every unelected structure, brought into the light. And we finally do what history never had the courage to do: the Nuremberg of communism. The great moral and historical trial of an ideology that killed tens of millions of people and is still trying to sneak back in through the back door.
There is no third way. No lukewarm scenario. The coming decade will decide.
Pick your side while you still have the right to.
🚨🚨THE DEMOCRACY FILES, PART 2: WHEN AND HOW TO DECLARE THE FEDERAL GOVERNMENT ILLEGITIMATE 🚨
Some questioned whether a group of 200 ex-USAID officials could actually pull off their ambitions to rewrite the Constitution.
Here, they describe exactly how it works. They aren't working alone.
The videos all come from Renew to Thrive (R2T) group and associates. Danielle Reiff and Paul Zeitz play key roles within R2T.
R2T sits inside a much, much larger umbrella called United Democracy Alliance (UDA), which is an extremely hush-hush control plane of leaders from major "blocking" NGOs such as 50501 and Indivisible fulfilling various functions. UDA decides when protests get deployed, timelines, how to respond, all that.
R2T's role within UDA is concerned with "the day after tomorrow" - in other words, their function is to conceive what a rewritten American government will look like after the rest of UDA fulfills its purpose. As will be shown, Erica Chenoworth is credited with conceiving UDA in the first place under the Horizons "Big Tent" initiative.
Note here that National Security Leaders for America (NSL4A) is credited for operationalizing UDA. NSL4A is a group of 1,600 ex-military, intelligence, and diplomatic officials. They are led by Rear Admiral Michael E. Smith (Ret). NSL4A also played a key role in the "illegal orders" messaging which targeted Pete Hegseth. Zeitz is also a member of NSL4A.
It must be emphasized that the choice of a military-oriented organization to coordinate NGOs across domestic protests is an interesting one all in itself - especially in an umbrella conceived by a regime change expert like Chenoworth.
You will have a hard time finding any mentions of UDA in the public. They are extremely hush-hush and selective who they talk to.
Mike Smith himself makes a personal appearance in other calls, coordinating Insurrection Act exercises and roleplaying with R2G as one of the participants.
As the audio transcript shows, they have outlined a sequence of "redlines" in which case the federal government should be declared illegitimate. Invoking the Insurrection Act against "peaceful" protesters is one of the most discussed redlines. I will post the illegitimate criteria below, but basically, almost any effective pushback against NGOs is a measure of illegitimacy according to them.
Important to understand:
The audio shows they shopped this idea around governors, but the reality is that governors do not have to explicitly sign on to the pact to play their role in the coup. All they have to do is refuse troops in their state and let UDA / R2G do the work of dissolving the federal government.
Basia Jenkins,MD retweeted
If you’re born and raised in Dubai and spend your whole life there, you’ll never get citizenship, let alone political rights. If you commit a crime, you’ll either be executed or deported and banned for life. The same is true for most Arab countries.
Meanwhile in the West, foreigners who enjoy the same rights as the natives will still burn down the countries that took them in, because they know there will be no consequences.































