Developers budget $1,000/day in AI tokens. Doctors still get measured by how many patients they see. The RVU system is broken and everyone knows it. New episode: Are Tokens the New RVU?
Which one do you want to go with, or want me to remix elements?
https://open.substack.com/pub/danmccoymd/p/are-tokens-the-new-rvu-the-research?r=11z0su&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true
The one AI company that said no to mass surveillance just lost a $200M Pentagon contract for it.
I wrote about why that matters for your medical records — not the Pentagon's.
HIPAA was written before AI could re-identify 800,000 "anonymous" patients from their clinical notes alone.
The deep dive:
Just published: “The Healthcare Industry’s Dirty Secret: Uncertainty is the Strategy.” Why aren’t hospital prices transparent? Because uncertainty = profit. Until real prices are knowable, patients are marks in a rigged game. It’s time for true #Healthcare #Price #Transparency
https://www.linkedin.com/pulse/healthcare-industrys-dirty-secret-uncertainty-dan-mccoy-md-t1nmc
12/12 There's no excuse for taking $37.4 billion in taxpayer benefits while paying executives millions and destroying patients' financial lives.
What's your experience with hospital "charity care"?
Full investigation:
https://blog.rockettools.io/p/1ad2c8f1-920a-447e-9e67-6b6d55c391fa/
How nonprofit hospitals use tax-exempt status to profit off patients while hiding behind community benefit theater You walk into the emergency room, chest tight, scared something's wrong with your heart. Same white coats. Same compassionate nurses. Same reassuring words about getting you the best care. Then three months later, you
11/12 Federal action is coming. The Consumer Financial Protection Bureau is exploring stripping medical debts from credit reporting.
But hospitals are lobbying hard to stall these protections, just like they've blocked state-level reforms.
10/12 The industry's defense? "We follow all legal requirements."
Translation: We count marketing as charity, deploy lobbyists to block reform, and target the most vulnerable with collection tactics while taking billions in taxpayer subsidies.
9/12 During COVID-19, the hypocrisy became impossible to ignore.
Hospitals reported record financial surpluses in 2021-2022 while charity care spending fell as a percentage of revenue. Pandemic profits soared while patient assistance disappeared.
8/12 While Texas law protects wages from garnishment, hospitals can still freeze bank accounts and seize other assets through court orders.
Most patients facing lawsuits never show up to court because they can't afford legal representation.
7/12 Geographic patterns reveal systematic targeting.
Research shows hospitals focus aggressive collection practices on areas with high Black, Latino, and immigrant populations while providing better charity care in affluent areas.
