@nicksawyermd.bsky.social
ER doc. Former executive director, No License for Disinformation (NLFD) 501c3. Advocate for State Medical Board reform and basic ethics in medicine. NLFD story in The Atlantic: https://archive.is/eOnxi NLFD on ABC News: https://youtu.be/WYdPweRNFuA
Maybe I imagined this, but I swear I heard that after The Late Show ends Colbert might reboot The Colbert Report so Jon Stewart can sign the satirical-news baton back to him.
If that's not happening it probably should.
I just saw Nuremberg and it reminded me that we used to be a nation of ardent Nazi killers. Let’s make America great again.
You can’t make this shit up.
🎁 www.nytimes.com/2024/12/13/u...
This is exactly my point. Please, please read the article published in The Atlantic linked in my bio.
None of this explains or excuses the profession of entirely looking the other way while licensed and board certified doctors say things like COVID vaccines cause AIDS.
That’s the context here.
None of this explains or excuses the profession of entirely looking the other way while licensed and board certified doctors say things like COVID vaccines cause AIDS.
Absolutely it does. That’s the argument in support of the employment model and I get it.
Sure. But I refuse to accept this as mere Trumpian politics. Doctors took an oath. People rely on us. The rapid decline in the professional practice of medicine should alarm everyone.
as well as financially supported the Republican Party in 2020 and 2024 when doctors were demonized for supporting public health pandemic policies, were accused of being part of the “deep state” and called murders based on the “partial birth” abortion lie.
Yes I understand this perspective and agree it is undoubtedly part of the problem.
But I’m looking to explain the problem of why the medical profession failed to stop licensed and board certified doctors from spreading unchecked medical disinformation /
Go for it.
The decades-long abuse of autonomy has led to the need for outside regulators to address the fee-for-service issue, which has only been marginally successful at best.
But now it’s arguably even worse as older physicians sold all autonomy to corps and PE whose only goal is to maximize profit.
Yes that’s exactly right.
The Baby Boomer physicians retired.
This is a difficult topic to explain using 260 characters. I’ll write a blog post about it and post it at some point. When I do, you’ll understand why this all seems so cryptic. It’s because of retaliation I’ve already faced for bring it up.
U.S. doctors have traditionally demanded professional autonomy, ostensibly to safeguard patients from external financial influences. However, employed physicians can face termination for deviating from the corporate agenda.
This represents a major betrayal of the profession and patients.
The numerator represents the percentage of physicians employed by corporations or private equity in the United States, while the denominator encompasses all physicians in the U.S., including self-employed physicians and those employed by corporations or private equity.
This is the reality we face. It’s another failure of leadership, which, in my opinion, is particularly disheartening for those of us who chose medicine because we held the belief that a medical license entailed an extraordinary ethical responsibility.
In actuality, there are no standards at all.
Take a look at the alt text description of the graph.
This is a major takeaway explaining why leading doctor organizations refused to oppose doctors spreading disinformation and actively funded the Republican Party in 2020 and 2024. Doctors don’t run their practices anymore. PE and corporations do.
Instead of bringing younger physicians into existing practices, the current generation of physician leadership sold their practices to private equity and corporations upon retirement.
Physician autonomy was supposed to protect patients from financial influence, but it was never really about that.
Merica’
Voters who supported Trump don’t understand —and won’t for years— that they voted against their economic self-interest.
David Welch’s “Politics and Propaganda in the Third Reich” explains how the Nazi’s did the same. I wrote about it here.
We’ve seen it all before. There’s nothing new here. Fascism is very effective.
Voters who supported Trump don’t understand —and won’t for years— that they voted against their economic self-interest.
David Welch’s “Politics and Propaganda in the Third Reich” explains how the Nazi’s did the same. I wrote about it here.
That's their playbook. It's disgusting, self-serving, and harmful to us all.
This devastating news is worse because they’ll simultaneously propagandize the country, blaming Democrats and the “Deep State” for the nation’s problems. They’ll exact vengeance using non-existent events, rewritten history and problems of their own making as justification. We’ve seen this before.
The purpose of UNITED is outlined in the red box on the first page of the attached syllabus.
I wanted medical students to interview patients seen in our emergency department about the challenges they face in the U.S. healthcare system.
5/
Here’s the context for this article.
With committed colleagues, in 2016, I developed and led a medical school course for second-year medical students at UC Davis School of Medicine in Sacramento, CA.
I called it UNITED.
UNITED stands for Understanding Needs in the Emergency Department. 4/
I was honored to have my article printed prominently —the first article in the WestJEM 10th-anniversary issue. If you read it, I think you’ll understand why. 3/