Husband and father. Fellow and clinical instructor @URMC. #RaiderNation. Wellness and Urology research. Politics. Typo aficionado.
Penfield, NY
Joined January 2016
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Tom Osinski • MD retweeted
The most important thing we can all do right now is refer to it as Super Intelligence
Tom Osinski • MD retweeted
Breaking - All flights nationwide have beengrounded - the #FAA is facing a computer outage.
Yet another major blow to incompetent Transportation Sect Mayor Pete and people who get important jobs with no experience to check some identity politics boxes.
Tom Osinski • MD retweeted
Our health insurance premiums will increase by 27.5% next year, to $19,607/yr. (before going to the doctor).
The out-of-pocket maximum is increasing by 20%.
Same Plan ID.
Sustainable for a year? Maybe.
Sustainable for multiple years? Nope.
Tom Osinski • MD retweeted
At mid-range cost estimates, funding Medicare for All takes about a 32% payroll tax. That's more than today's premiums for:
Young single, $50K: $16,000 vs $9,325
Family, $100K: $32,000 vs $26,993
Family, $300K: $96,000 vs $26,993
And there's no opt-out.
You should realize that the Medicare for all bill is different than existing Medicare and would eliminate those premiums and deductibles. And that the rise in taxes will cost less than what most people will save on their premiums.
share.google/xHtkJzV0mZDvh2…
Tom Osinski • MD retweeted
More evidence of harm from the 2012 USPSTF D recommendation for prostate cancer screening. Prostate cancer screening should be a B recommendation. #PSAscreening #menshealth ncbi.nlm.nih.gov/m/pubmed/31…
Tom Osinski • MD retweeted
Agree. There are harms and benefits, but, treatment saves some lives and reduces long term adt. Should be a B USPTF recommendation.
Tom Osinski • MD retweeted
Just let me know which one I should restart
We’re opening all available pathways to restore service, as our actions taken thus far have not provided the anticipated relief. We found a core process on affected servers is becoming overwhelmed, causing capacity loss. To validate a potential recovery, we're isolating a portion of infrastructure, restarting affected components, and reintroducing traffic to confirm the services remain stable before applying the change more broadly. More info under EX1550543 and MO1550821 in the Microsoft 365 admin center, as well as status.cloud.microsoft if the admin center is not available to you.
Tom Osinski • MD retweeted
Today the American Cancer Society made important changes to their prostate cancer screening guidelines: Men 50 to 69 should get a PSA test every two years; Black men and men with a family history of prostate cancer should get one every year starting at 45; and starting at age 70, men should talk to their doctors about what's right to them.
I know firsthand the toll of this disease, and I know that catching it early saves lives.
So talk to your doctor, get screened, and let’s keep working to end cancer as we know it.
As rates of advanced prostate cancer continue to rise, the American Cancer Society is recommending that most men ages 50 to 69 get screened every other year. nbcnews.com/health/cancer/ne…
Tom Osinski • MD retweeted
So why is healthcare so expensive? Part of it is the bloat/burden/regulation that now exists just to have the privilege of taking care of patients as a practice…
Yes, healthcare administrator roles are up 156%, but so is the admin/bloat…
+598% more billing rules. +97% more healthcare federal regulations…
Prior Auth, MIPS, denial appeals, no surprise act / IDR, “quality” metrics, EHR/IT requirements…the list goes on and so does the cost of complying.
Tom Osinski • MD retweeted
Insurance @AnthemBCBS denied EpiPen for my 13 month old after allergist visit and testing with documented egg allergy. Tell me again why I should spend 24-36K a year to get nothing? Why not go with non-traditional model? It’s all a gamble irregardless of the regulations.
Tom Osinski • MD retweeted
Lol
Silicon Valley’s tech right is starting to rethink its alliance with Trump after the Republican midterm wipeout.
In an interview with POLITICO, Palantir CEO Alex Karp, whose company has become a major contractor for the Trump administration, repeatedly described himself as a progressive and said Democrats had done enough to win back his support for 2028.
Karp, who previously called the Democratic Party “totally irresponsible,” said he has been a Democrat his entire life and argued that Palantir’s products are “essentially progressive.”
He also said he could support a Democrat in 2028, as long as the candidate isn’t affiliated with the Democratic Socialists of America.
Tom Osinski • MD retweeted
Fernando Mendoza will take over as Raiders starting QB. (via @AdamSchefter, @RapSheet)
Tom Osinski • MD retweeted
New NEJM trial of 1,880 people over 70:
Those who stopped their statins
12.7% had a heart attack, stroke or died
Compared to 9.2% who kept taking them
nejm.org/doi/full/10.1056/NE…
Tom Osinski • MD retweeted
If you think doctors are the problem when it comes to healthcare costs…check this:
Physician reimbursement ($/RVU) is DOWN 12%
Meanwhile…
Health insurance premiums are UP 146%
Inflation is UP 65%
Medical school debt is UP 72%
Healthcare administrator roles are UP 156%
The math is not mathing🤨
It's annual paycut season for doctors, brought to us by @CMSGov…
And, drumroll…it's a cut. Again.
-2.31% for most of the house of medicine in 2027 on the RVU conversion factor (to $32.63/RVU).
Adjusted for inflation, that's:
A one-year 4.7% decrease,
A 10-year cut of 32.6%,
A 20-year cut of 46%.
Yikes.
Thanks, @RobertKennedyJr.
😬😬😬