Doctor David
doctordavid.bsky.social
Doctor David
@doctordavid.bsky.social
Psychology Professor, soccer fan, public health advocate. No crypto accounts please. Opinions solely my own and do not necessarily reflect the views of my employers.
Reposted by Doctor David
How much does Elon Musk make in an hour you ask?

Elon Musk earns approximately $23 million per hour, based on his 2024 asset growth.
-via Yahoo Finance / EBC Financial Group

Republicans say you can't get a healthcare subsidy because
they need the tax breaks more.
November 26, 2025 at 8:19 AM
Reposted by Doctor David
This is *exactly* why you can't free market things like safety devices
November 25, 2025 at 9:20 PM
Reposted by Doctor David
When you add a private tier, you don’t magically create extra surgeons or nurses.

You just give existing clinicians a more lucrative place to spend their limited time and energy.
November 23, 2025 at 5:25 PM
Reposted by Doctor David
So what happens in practice?

Doctors naturally prioritize higher-paying private cases with more flexible scheduling.

Public cases get bumped to the end of the day, the end of the week… then the end of the month.
November 23, 2025 at 5:25 PM
Reposted by Doctor David
We’ve seen this in the data. In places that allow surgeons to work both public and private lists, wait times in mixed clinics have often been longer than in fully public ones.

Same pool of staff. Different incentives. Slower public care.
November 23, 2025 at 5:25 PM
Reposted by Doctor David
Another claim: “Docs will just do private cases evenings and weekends.”

In a system already facing burnout, short-staffed shifts, and vacant nursing positions, banking on everyone happily adding a second job is… optimistic.

They'll pick one. And it won't be public.
November 23, 2025 at 5:25 PM
Reposted by Doctor David
So what does two-tier care actually “solve”?

Not the bottleneck. Not wait times overall.

It mostly changes who waits and who can buy their way to the front – while public queues risk getting slower, not faster.
November 23, 2025 at 5:25 PM