Nick Sawyer, MD, MBA, FACEP
@nicksawyermd.com
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
NLFD story in The Atlantic: https://archive.is/eOnxi
NLFD on ABC News: https://youtu.be/WYdPweRNFuA
Pinned
Opinion | State medical boards should punish doctors who spread false information about covid and vaccines
Thus far, regulatory bodies have failed in this duty.
wapo.st
On September 21, 2021 we launched our 501c3 w this WaPo Editorial.
Our goal: bring public pressure on State Medical Boards responsible for delegitimizing licensed doctors spreading COVID disinformation.
They refused. These doctors then legitimized RFK Jr. That’s how we got here.
wapo.st/4fuRNOJ
Our goal: bring public pressure on State Medical Boards responsible for delegitimizing licensed doctors spreading COVID disinformation.
They refused. These doctors then legitimized RFK Jr. That’s how we got here.
wapo.st/4fuRNOJ
December 15, 2024 at 5:07 AM
Reposted by Nick Sawyer, MD, MBA, FACEP
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.
David Welch’s “Politics and Propaganda in the Third Reich” explains how the Nazi’s did the same. I wrote about it here.
Propaganda’s Power: Nazi Germany and the Trump MAGA Movement
Reinforcing Beliefs, Silencing Dissent, and Justifying Retaliation
open.substack.com
December 13, 2024 at 3:53 PM
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.
David Welch’s “Politics and Propaganda in the Third Reich” explains how the Nazi’s did the same. I wrote about it here.
Reposted by Nick Sawyer, MD, MBA, FACEP
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.
December 13, 2024 at 3:40 PM
That's their playbook. It's disgusting, self-serving, and harmful to us all.
I published this editorial November 2017.
Title: In the U.S. “Healthcare” Is Now Strictly a Business Term 1/
Title: In the U.S. “Healthcare” Is Now Strictly a Business Term 1/
In the U.S. “Healthcare” Is Now Strictly a Business Term
pmc.ncbi.nlm.nih.gov
December 12, 2024 at 11:31 PM
I published this editorial November 2017.
Title: In the U.S. “Healthcare” Is Now Strictly a Business Term 1/
Title: In the U.S. “Healthcare” Is Now Strictly a Business Term 1/
Reposted by Nick Sawyer, MD, MBA, FACEP
Reposted by Nick Sawyer, MD, MBA, FACEP
It’s so frustrating! Honestly, I try to find any other way than to deal with the insurance company. Often times, it’s @costplusdrugs.com if they have it.
These companies bank on us not having the time to do this. This creates more physician burnout than anything else I think
These companies bank on us not having the time to do this. This creates more physician burnout than anything else I think
December 11, 2024 at 1:15 PM
It’s so frustrating! Honestly, I try to find any other way than to deal with the insurance company. Often times, it’s @costplusdrugs.com if they have it.
These companies bank on us not having the time to do this. This creates more physician burnout than anything else I think
These companies bank on us not having the time to do this. This creates more physician burnout than anything else I think
Reposted by Nick Sawyer, MD, MBA, FACEP
Want a specific example of the death by a thousand cuts that is #PriorAuthorization?
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
December 11, 2024 at 11:40 AM
Want a specific example of the death by a thousand cuts that is #PriorAuthorization?
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Good read by @walkerbragman.bsky.social.
Nobody likes their health insurance company.
Health insurers have a fiduciary responsibility to their shareholders, not policyholders, aka Americans.
That's antithetical to any healthcare system.
Nobody likes their health insurance company.
Health insurers have a fiduciary responsibility to their shareholders, not policyholders, aka Americans.
That's antithetical to any healthcare system.
Murder in the First World
The murder of a healthcare executive has many…cheering?
sunshine.optout.news
December 11, 2024 at 2:17 PM
Good read by @walkerbragman.bsky.social.
Nobody likes their health insurance company.
Health insurers have a fiduciary responsibility to their shareholders, not policyholders, aka Americans.
That's antithetical to any healthcare system.
Nobody likes their health insurance company.
Health insurers have a fiduciary responsibility to their shareholders, not policyholders, aka Americans.
That's antithetical to any healthcare system.
Reposted by Nick Sawyer, MD, MBA, FACEP
Do we really want a liar and conspiracy theorist as our next head of HHS? Great 30-minute video. Please repost far and wide.
RFK, Jr. has spent the last 20 years speaking out against vaccines.
But he claims he's not anti-vax.
Is he right?
Watch THE TRUTH ABOUT RFK JR.
But he claims he's not anti-vax.
Is he right?
Watch THE TRUTH ABOUT RFK JR.
THE TRUTH ABOUT RFK JR.
YouTube video by The Real Truther
youtu.be
December 7, 2024 at 11:22 PM
Do we really want a liar and conspiracy theorist as our next head of HHS? Great 30-minute video. Please repost far and wide.
Reposted by Nick Sawyer, MD, MBA, FACEP
seems like they are not aware of, or think $2 trillion in budget cuts — historically known as economic “shock therapy” — will not affect their social security and Medicare (and maybe Medicaid) benefits? Elon told them it’s going to lead to some “hardship.”
December 2, 2024 at 3:05 PM
seems like they are not aware of, or think $2 trillion in budget cuts — historically known as economic “shock therapy” — will not affect their social security and Medicare (and maybe Medicaid) benefits? Elon told them it’s going to lead to some “hardship.”
“Let it burn. That’s what people wanted.”
This common explanation is untrue and requires us to step back and see the bigger picture. You can’t fight what you don’t understand.
I’ll use an example to prove my point. Watch this short video then come back to this 🧵.
x.com/HeartlandSig...
1/
This common explanation is untrue and requires us to step back and see the bigger picture. You can’t fight what you don’t understand.
I’ll use an example to prove my point. Watch this short video then come back to this 🧵.
x.com/HeartlandSig...
1/
December 7, 2024 at 5:36 PM
“Let it burn. That’s what people wanted.”
This common explanation is untrue and requires us to step back and see the bigger picture. You can’t fight what you don’t understand.
I’ll use an example to prove my point. Watch this short video then come back to this 🧵.
x.com/HeartlandSig...
1/
This common explanation is untrue and requires us to step back and see the bigger picture. You can’t fight what you don’t understand.
I’ll use an example to prove my point. Watch this short video then come back to this 🧵.
x.com/HeartlandSig...
1/
Reposted by Nick Sawyer, MD, MBA, FACEP
There is time to be silent & there is time to speak up. Sucking up to dictators will quickly turn the practice of medicine into Nazi-type medicine. Do academics recommend we stay silent, follow the orders & experiment on people just like German Medical Association did?
Medical Science Under Dictatorship
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
Medical Science Under Dictatorship
A Stark Warning Against the Perils of Politicizing Medicine and the Erosion of Ethics
open.substack.com
December 7, 2024 at 2:00 PM
There is time to be silent & there is time to speak up. Sucking up to dictators will quickly turn the practice of medicine into Nazi-type medicine. Do academics recommend we stay silent, follow the orders & experiment on people just like German Medical Association did?
The other night in the emergency department, I saw a woman in her 30s who came in complaining of ongoing coughing. She explained that she had been diagnosed with pertussis (whooping cough) back in August and now wanted help managing her symptoms.
The Erosion of Empathy in the ER
Reflections on Preventable Illness in a Broken System
open.substack.com
December 7, 2024 at 6:21 AM
The other night in the emergency department, I saw a woman in her 30s who came in complaining of ongoing coughing. She explained that she had been diagnosed with pertussis (whooping cough) back in August and now wanted help managing her symptoms.
Trump’s return to the White House w Republican control of Congress may end Affordable Care Act’s Medicaid expansion.
Nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion if federal funding decreases.
Nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion if federal funding decreases.
9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding - KFF Health News
About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed...
kffhealthnews.org
December 5, 2024 at 5:40 PM
Trump’s return to the White House w Republican control of Congress may end Affordable Care Act’s Medicaid expansion.
Nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion if federal funding decreases.
Nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion if federal funding decreases.
Reposted by Nick Sawyer, MD, MBA, FACEP
Medical Science Under Dictatorship
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
Medical Science Under Dictatorship
A Stark Warning Against the Perils of Politicizing Medicine and the Erosion of Ethics
open.substack.com
October 22, 2024 at 8:05 AM
Medical Science Under Dictatorship
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947.
restoringourheritage.com/articles/nej...
Reposted by Nick Sawyer, MD, MBA, FACEP
Our system fails patients regularly.
I believe it’s due to corporations and private equity firms buying the majority of physician groups, especially recently.
Their policies strip physicians of our autonomy, violate the AMA Code of Medical Ethics and Corporate Practice of Medicine state laws.
I believe it’s due to corporations and private equity firms buying the majority of physician groups, especially recently.
Their policies strip physicians of our autonomy, violate the AMA Code of Medical Ethics and Corporate Practice of Medicine state laws.
November 3, 2024 at 9:50 AM
Our system fails patients regularly.
I believe it’s due to corporations and private equity firms buying the majority of physician groups, especially recently.
Their policies strip physicians of our autonomy, violate the AMA Code of Medical Ethics and Corporate Practice of Medicine state laws.
I believe it’s due to corporations and private equity firms buying the majority of physician groups, especially recently.
Their policies strip physicians of our autonomy, violate the AMA Code of Medical Ethics and Corporate Practice of Medicine state laws.
“…according to the message sent by Catherine Su, a radiation oncologist married to Jay Bhattacharya, the Stanford professor of medicine leading the study.
the study came under fire… it was based on a heavily flawed data analysis that ignored questions about the antibody test’s false positive rate”
the study came under fire… it was based on a heavily flawed data analysis that ignored questions about the antibody test’s false positive rate”
December 2, 2024 at 9:03 PM
“…according to the message sent by Catherine Su, a radiation oncologist married to Jay Bhattacharya, the Stanford professor of medicine leading the study.
the study came under fire… it was based on a heavily flawed data analysis that ignored questions about the antibody test’s false positive rate”
the study came under fire… it was based on a heavily flawed data analysis that ignored questions about the antibody test’s false positive rate”
Reposted by Nick Sawyer, MD, MBA, FACEP
Outside of the US our scientific colleagues see things a lot more clearly. It’s time to get our heads out
of the sand. End/ www.bmj.com/content/387/...
of the sand. End/ www.bmj.com/content/387/...
Evidence abandoned: Trump’s cabinet and the fallout for science
Trump’s presumptive cabinet raises fears for population health given its anti-science bias. Christina Pagel and colleagues argue that the UK scientific establishment should practice solidarity and res...
www.bmj.com
December 2, 2024 at 4:07 PM
Outside of the US our scientific colleagues see things a lot more clearly. It’s time to get our heads out
of the sand. End/ www.bmj.com/content/387/...
of the sand. End/ www.bmj.com/content/387/...
Reposted by Nick Sawyer, MD, MBA, FACEP
RFK Jr. was a key figure in protests over California vaccine laws. He could set U.S. health policy in the Trump administration. cal.news/3Va2DSd
📝 Ana B. Ibarra
📝 Ana B. Ibarra
RFK Jr. was on the losing side of California vaccine fights. Now, Trump wants him in his cabinet
Robert F. Kennedy Jr. was a key figure in protests over California vaccine laws. He could set U.S. health policy in the Trump administration.
cal.news
November 25, 2024 at 11:59 PM
RFK Jr. was a key figure in protests over California vaccine laws. He could set U.S. health policy in the Trump administration. cal.news/3Va2DSd
📝 Ana B. Ibarra
📝 Ana B. Ibarra
The Third Reich Politics and Propaganda by David Welch
December 2, 2024 at 5:15 AM
The Third Reich Politics and Propaganda by David Welch
My tweets from 2017 are currently being ported from Twitter to BlueSky. This is a great way to uncover buried gold from years past.
Too bad nothing’s changed.
No wait, it’s changed.
It’s worse now.
Too bad nothing’s changed.
No wait, it’s changed.
It’s worse now.
If you really want want to know what's wrong w/ American #healthcare - follow the money. http://www.marketwatch.com/story/aetna-obamacare-and-health-insurers-10-dirty-secrets-2016-08-19
marketwatch.com
www.marketwatch.com
December 1, 2024 at 7:14 AM
My tweets from 2017 are currently being ported from Twitter to BlueSky. This is a great way to uncover buried gold from years past.
Too bad nothing’s changed.
No wait, it’s changed.
It’s worse now.
Too bad nothing’s changed.
No wait, it’s changed.
It’s worse now.
Reposted by Nick Sawyer, MD, MBA, FACEP
People think emergency doctors can successfully intubate their unvaccinated, let’s say, 4 year-old, with vaccine preventable Hib induced epiglottis/critical airway.
They’re wrong.
That’s on the parent, not the doctor. Vaccinate your kids or face the consequences of harming your own child.
They’re wrong.
That’s on the parent, not the doctor. Vaccinate your kids or face the consequences of harming your own child.
![Haemophilus influenzae type b (Hib)
infection
Naturally acquired disease caused by H. influenzae seems to occur in humans only. In healthy children under the age of 5, H. influenzae type b was responsible for more than 80% of aggressive infections, before the introduction of the [Hib] vaccine. 501 In infants and young children, H. influenzae type b (Hib) causes bacteremia, pneumonia, epiglottitis and acute bacterial meningitis. (511 On occasion, it causes cellulitis, osteomyelitis, and infectious arthritis. It is one cause of neonatal infection. 152]](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:q2sswtkiavbbfcj4wnjldxez/bafkreieqwmm3kllfgpvtqsb3ob2h2mvmiftcjmibvjdjtpaqbvd2aejvh4@jpeg)
November 30, 2024 at 3:37 PM
People think emergency doctors can successfully intubate their unvaccinated, let’s say, 4 year-old, with vaccine preventable Hib induced epiglottis/critical airway.
They’re wrong.
That’s on the parent, not the doctor. Vaccinate your kids or face the consequences of harming your own child.
They’re wrong.
That’s on the parent, not the doctor. Vaccinate your kids or face the consequences of harming your own child.
Have the American Medical Association and the American College of Emergency Physicians devised plans to safeguard doctors from parents who opt not to vaccinate their children?
What are the psychological consequences for doctors when children die preventably under their care? What about legal?
What are the psychological consequences for doctors when children die preventably under their care? What about legal?
November 30, 2024 at 3:43 PM
Have the American Medical Association and the American College of Emergency Physicians devised plans to safeguard doctors from parents who opt not to vaccinate their children?
What are the psychological consequences for doctors when children die preventably under their care? What about legal?
What are the psychological consequences for doctors when children die preventably under their care? What about legal?
“You, Elon, appear to believe you can act with impunity and are attempting to silence your critics. I’m not intimidated,” he added.
Alexander Vindman is a true American hero. 🇺🇸
Alexander Vindman is a true American hero. 🇺🇸
I have covered both Musk and Alex a lot, and only one of them is a useful idiot for Putin and also a heinous person. The other is a patriot who did his job with distinction and is a very good man. Guess which is which: thehill.com/policy/techn...
Musk accuses Trump whistleblower Vindman of ‘treason,’ says ‘he will pay’
Elon Musk on Wednesday suggested retired Army Lt. Col Alexander Vindman “committed treason” and “will pay” after the former Trump impeachment witness accused the tech billio…
thehill.com
November 29, 2024 at 8:10 AM
“You, Elon, appear to believe you can act with impunity and are attempting to silence your critics. I’m not intimidated,” he added.
Alexander Vindman is a true American hero. 🇺🇸
Alexander Vindman is a true American hero. 🇺🇸
Reposted by Nick Sawyer, MD, MBA, FACEP
Thinking about this, it’s hard to believe that it’s been almost three years since I wrote this post on how far right the antivax movement has become. www.respectfulinsolence.com/2022/01/28/w...
Why is there now such an affinity between antivaxxers and fascism?
Increasingly, the antivaccine movement has become allied with fascism, including openly fascist groups marching in their rallies. Why?
www.respectfulinsolence.com
November 28, 2024 at 6:03 PM
Thinking about this, it’s hard to believe that it’s been almost three years since I wrote this post on how far right the antivax movement has become. www.respectfulinsolence.com/2022/01/28/w...