Dr. Karl, InfinityMD🇺🇸💜💚💛

The DOJ just announced the National Health Care Fraud Takedown – 455 defendants charged, including 90 doctors and licensed medical professionals, in connection with over $6.5 billion in alleged fraud.   Thank you to @TheJusticeDept and the @WHFraudTF for this historic effort to protect American taxpayers and patients.

We’re essentially paying our entire lives into a single payer healthcare system ie socialized healthcare for seniors Medicare = fixed safety net professional fee schedule, not market based pricing. Price controls create shortages which is one macro reason Medicare pts have difficulty finding physicians

Here's the vision : let the doctors and the patients transact directly. Example- physician owned specialty hospital specializing in orthopedics w top tier surgeons offering care bundles and published outcomes. Total hip replacement: $19,500 cash price - including implant, 30 days of therapy services and unlimited telehealth followups. Finance in-house for up to 60 months at prime plus 2% (screw Klarna - do it yourselves) if doing a cash price. Let the patients control the money Lift the cap on tax deductible contributions to HSAs to $7500 per individual and up to $20,000 per family of four, annually. Zero capital gains w account max limits of $75,000 for individuals and $250,000 for families of four. Encourage self directed HSA accounts, including for Medicaid/Medicare (we already spend $8000 per capita on Medicaid recipients - provide some guardrails for where funds can be spent to mitigate the EBT debacle.) Watch the RCM and coding industries collapse because you're not spending 15 cents of every dollar trying to follow the money trail. Watch EPIC and the other EHR companies become less relevant because they are nothing more than glorified medical charge capture companies. Watch the middlemen of healthcare financiers suddenly devalued to the point they may actually have to start delivering some actual value to the system; instead of leveraging ever nebulous arbitrage opportunities. Watch pricing become crystalline. Watch the D-tier B school graduates, who increasingly land in healthcare admin, having to give up the 5 series BMW and settle for driving the same Camrys and Civics that dot the physician parking lots nowadays. Watch the practice of medicine become relevant again, because physicians get to connect their value props directly to their patients. (Not the stem cell clinics. Avoid those.) Get out of our damn way and let us build something better.