Nick Sawyer, MD, MBA, FACEP
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nicksawyermd.com
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
archive.is
December 14, 2024 at 3:54 PM
This is exactly my point. Please, please read the article published in The Atlantic linked in my bio.
December 14, 2024 at 3:54 PM
None of this explains or excuses the profession of entirely looking the other way while licensed and board certified doctors say things like COVID vaccines cause AIDS.

That’s the context here.
December 14, 2024 at 3:41 PM
None of this explains or excuses the profession of entirely looking the other way while licensed and board certified doctors say things like COVID vaccines cause AIDS.
December 14, 2024 at 3:39 PM
Absolutely it does. That’s the argument in support of the employment model and I get it.
December 14, 2024 at 3:36 PM
Sure. But I refuse to accept this as mere Trumpian politics. Doctors took an oath. People rely on us. The rapid decline in the professional practice of medicine should alarm everyone.
Medical Science Under Dictatorship
A Stark Warning Against the Perils of Politicizing Medicine and the Erosion of Ethics
open.substack.com
December 14, 2024 at 3:35 PM
as well as financially supported the Republican Party in 2020 and 2024 when doctors were demonized for supporting public health pandemic policies, were accused of being part of the “deep state” and called murders based on the “partial birth” abortion lie.
December 14, 2024 at 3:32 PM
Yes I understand this perspective and agree it is undoubtedly part of the problem.

But I’m looking to explain the problem of why the medical profession failed to stop licensed and board certified doctors from spreading unchecked medical disinformation /
December 14, 2024 at 3:30 PM
Go for it.
December 14, 2024 at 3:21 PM
The decades-long abuse of autonomy has led to the need for outside regulators to address the fee-for-service issue, which has only been marginally successful at best.

But now it’s arguably even worse as older physicians sold all autonomy to corps and PE whose only goal is to maximize profit.
December 14, 2024 at 3:20 PM
Yes that’s exactly right.
December 14, 2024 at 3:12 PM
The Baby Boomer physicians retired.
December 14, 2024 at 3:02 PM
This is a difficult topic to explain using 260 characters. I’ll write a blog post about it and post it at some point. When I do, you’ll understand why this all seems so cryptic. It’s because of retaliation I’ve already faced for bring it up.
December 14, 2024 at 3:01 PM
U.S. doctors have traditionally demanded professional autonomy, ostensibly to safeguard patients from external financial influences. However, employed physicians can face termination for deviating from the corporate agenda.

This represents a major betrayal of the profession and patients.
December 14, 2024 at 2:57 PM
The numerator represents the percentage of physicians employed by corporations or private equity in the United States, while the denominator encompasses all physicians in the U.S., including self-employed physicians and those employed by corporations or private equity.
December 14, 2024 at 2:55 PM
This is the reality we face. It’s another failure of leadership, which, in my opinion, is particularly disheartening for those of us who chose medicine because we held the belief that a medical license entailed an extraordinary ethical responsibility.

In actuality, there are no standards at all.
December 14, 2024 at 2:45 PM
Take a look at the alt text description of the graph.

This is a major takeaway explaining why leading doctor organizations refused to oppose doctors spreading disinformation and actively funded the Republican Party in 2020 and 2024. Doctors don’t run their practices anymore. PE and corporations do.
December 14, 2024 at 2:39 PM
Instead of bringing younger physicians into existing practices, the current generation of physician leadership sold their practices to private equity and corporations upon retirement.

Physician autonomy was supposed to protect patients from financial influence, but it was never really about that.
December 14, 2024 at 2:32 PM
Merica’
December 13, 2024 at 4:44 PM
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.
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
We’ve seen it all before. There’s nothing new here. Fascism is very effective.
December 13, 2024 at 4:00 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.
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
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 3:39 PM