Is it time to DOGE pain?

[drusso]

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Members don't see this ad.

Should we DOGE pain medicine as a specialty?

 

[callmeanesthesia]

wtf does that even mean?

I mean, I guess we could randomly cancel payments for services that were already performed, put 20 year olds in charge of telling professionals with decades of experience what they can or can’t do, privatize public goods and services, and demand more and more onerous documentation of what work is being done. It seems to be working out about as well for the federal government as it has in Medicine.

 

[Agast]

wtf does that even mean?

Ketamine infusions for all

 

[drusso]

wtf does that even mean?

I mean, I guess we could randomly cancel payments for services that were already performed, put 20 year olds in charge of telling professionals with decades of experience what they can or can’t do, privatize public goods and services, and demand more and more onerous documentation of what work is being done. It seems to be working out about as well for the federal government as it has in Medicine.

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’ - KFF Health News

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud...

kffhealthnews.org

Drug, Device Makers Paid Docs $12 Billion in a Decade

Industry payments appeared to have been little changed by public reporting in the Open Payments database.

www.medscape.com

Major Physician Reimbursement Gap for Independent Versus Hospital Docs | TechTarget

A new study suggests that higher Medicare physician reimbursement for hospital-employed versus independent doctors is pushing more hospital-physician integration.

www.techtarget.com

Healthcare Reform Creates Provider Monopolies | The Lund Report

www.thelundreport.org

Top consulting firm hid opioid conflicts of interest from the FDA, says Congressional report

McKinsey & Company, the world’s largest management consulting firm, worked for the US Food and Drug Administration (FDA) while failing to disclose that it was also advising opioid makers, a congressional investigation has found.1 McKinsey’s work included advising Purdue Pharma, the company often...

www.bmj.com

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?

An original research article about undisclosed COIs

www.pallimed.org

PROP President Discloses Conflicts of Interest — Pain News Network

By Pat Anson, PNN Editor The president of Physicians for Responsible Opioid Prescribing (PROP) – an influential anti-opioid activist group – has worked as a paid consultant for the national law firm of Motley Rice, which stands to make billions of dollars in contingency fees from opioid litigation.

www.painnewsnetwork.org

 

[hyperalgesia]

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’ - KFF Health News

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud...

kffhealthnews.org

Drug, Device Makers Paid Docs $12 Billion in a Decade

Industry payments appeared to have been little changed by public reporting in the Open Payments database.

www.medscape.com

Major Physician Reimbursement Gap for Independent Versus Hospital Docs | TechTarget

A new study suggests that higher Medicare physician reimbursement for hospital-employed versus independent doctors is pushing more hospital-physician integration.

www.techtarget.com

Healthcare Reform Creates Provider Monopolies | The Lund Report

www.thelundreport.org

Top consulting firm hid opioid conflicts of interest from the FDA, says Congressional report

McKinsey & Company, the world’s largest management consulting firm, worked for the US Food and Drug Administration (FDA) while failing to disclose that it was also advising opioid makers, a congressional investigation has found.1 McKinsey’s work included advising Purdue Pharma, the company often...

www.bmj.com

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?

An original research article about undisclosed COIs

www.pallimed.org

PROP President Discloses Conflicts of Interest — Pain News Network

By Pat Anson, PNN Editor The president of Physicians for Responsible Opioid Prescribing (PROP) – an influential anti-opioid activist group – has worked as a paid consultant for the national law firm of Motley Rice, which stands to make billions of dollars in contingency fees from opioid litigation.

www.painnewsnetwork.org

It's too big of a job for DOGE - too many variables, too high maintenance.

The starting point for DOGE should be asking the same question they asked of education in America: Is there an absolute requirement that your healthcare MUST to be managed by the federal government vs by your state government?

If the answer is "no", like it obviously is to American education, then the first and only step for DOGE is to abolish all federal health programs and shift this responsibility to state governments.

That's the unpopular but correct answer. They could always disburse federal grants if they're concerned some states can't financially pull their own weight.

 

[bubaghanush]

DOGE isn't finding fraud, it's gutting a whole bunch of programs and employees.

DOGEing pain would be to stop or slash funding to Medicare, Medicaid, and the VA. Don't think most here would enjoy the effect on their bottom line.

 

[Ducttape]

It's too big of a job for DOGE - too many variables, too high maintenance.

The starting point for DOGE should be asking the same question they asked of education in America: Is there an absolute requirement that your healthcare MUST to be managed by the federal government vs by your state government?

If the answer is "no", like it obviously is to American education, then the first and only step for DOGE is to abolish all federal health programs and shift this responsibility to state governments.

That's the unpopular but correct answer. They could always disburse federal grants if they're concerned some states can't financially pull their own weight.

Nope. Certain states particularly red ones have abrogated interest in healthcare.

I would argue that education should be a federal responsibility as the current system of state education has lead to some states with very poor results with no standardized knowledge base that we see in other countries.

 

[clubdeac]

We’ve been getting Doge’d my entire career.

 

[drusso]

We’ve been getting Doge’d my entire career.

 

[Agast]

Did the CEO give themselves a $3 million bonus for lowering costs $250 million

 

[JoeLores]

I can easily send an email with 5 things I did today….this hour even. And none of those things are watching porn, setting up LGBTQRS training, or “working” from home.

 

[JoeLores]

DOGE isn't finding fraud, it's gutting a whole bunch of programs and employees.

DOGEing pain would be to stop or slash funding to Medicare, Medicaid, and the VA. Don't think most here would enjoy the effect on their bottom line.

How do you know what they’re finding? And they don’t gut anything. They make recommendations.

 

[DrSpine]

The entire system must be blown up, bulldozed, and rebuilt from the ashes. Doge everything in sight with a sledgehammer.