The house of medicine is crumbling down. I have been a physician now for 35 years, and I spent 10 years prior to that training to become a surgeon. However, the house of medicine is in crisis. Since the pandemic, medicine, a truly objective science, has become political. It has become a field of activism, not advocacy: believe the science, and then don't trust the science. The record of preauthorizations now facing physicians and surgeons leads to poor patient care, burnout, early retirement, and massive administrative costs. Insurance companies are raking in record profits for their CEOs and shareholders by denying patients critical medicine or procedures and then not paying the doctors or hospitals, the ones who actually deliver the care. The cost of medications is skyrocketing. One primary reason is something called PBMs, pharmacy benefit managers, that most people don't know anything about. These things are extortion artists driven by insurance companies to steal money from pharmaceutical companies and, most importantly, patients. Madam Speaker, a pet peeve of mine is every other commercial seen on television is direct-to-consumer advertising. We are only one of two countries in the world, New Zealand being the other one, that allows this. I have never once in my 35 years in medicine prescribed a medicine that was because somebody advertised it on television.…
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