We are very proud to have published Mastering Pediatric Spinal Deformity with @SpringerNature This is a two-year effort with @rajiviyermd, @mgv16 and @LLenkeMD We are grateful to have more than 75 leading experts as chapter authors, all of whom are actively driving a specific part of the field forward. This 428-page volume delivers practical, actionable information on exactly how they are performing these procedures and thinking about pediatric pathology. When Raj and I were fellows arriving at Columbia, this is precisely the kind of practical reference we were searching for. It is our sincere hope that surgeons at every level of training, in communities around the world, can take the expertise shared in these pages and bring it directly into their own practice.

Appreciate the ability to contribute in an interview/quote for this incredibly impactful article by @SavannahTF . BCBS controls the insurance market in Alabama. This challenges core free market principles. If @BCBSAL doesn’t cover a certain procedure it’s extremely unlikely to occur. Coverage does not always equate with access. Great read. Nidus for change. @KatieBrittforAL @CoachForGov @neurosurgery

This pretty much sums up everything

Excellent work serving @GreaterMobileAL by @jaithakurMD Proud to be part of the department that can offer this type of care to the community @UofSouthAlabama

My latest in @Forbes It’s neurosurgery awareness month and it’s important to highlight all the people who make neurosurgery possible. This is inside and outside the operating room. Thanks to @KatieOrrico for sharing. Tremendous work by the @AANSNeuro focusing this month on the precision neurosurgery requires.

My latest with @aier Are unions for physicians a good thing? Why is it happening? California’s 10,000 University of California attending physicians are organizing what could become the largest employed-physician union in the country. It is the predictable endpoint of a multi-decade policy architecture that systematically converted independent professionals into hospital employees. Medicare’s site-of-service differential, lagging physician fee schedules under budget neutrality, exploding regulatory and prior-authorization burdens, and the Affordable Care Act’s freeze on physician-owned hospitals all pushed practices into system employment. Once physicians lose residual ownership and clinical autonomy, industrial-style collective bargaining becomes the next logical (and second-best) response. The risk is real: unions optimized for the median member compress skill and productivity differentials that matter most in complex procedural fields. High-skill specialists face flatter compensation structures, reduced operational flexibility, and weaker incentives to remain in high-volume academic settings. Unionization addresses symptoms. It does not restore the residual rights, ownership stakes, or professional autonomy that made medicine a profession rather than a trade. thedailyeconomy.org/article/…

Thanks @jeffreymullinmd and @EladLevyMD . My latest in @Forbes goes after the idea of what surgeries are safe for an ASC? Historically neurosurgery has been cautious to enter into the arena but at @UB_Neurosurgery complex cranial and spine cases are being performed safely in the outpatient setting. What does this mean for patients? What does this mean for surgeons? More importantly, how can this help inject some market-based competition into the delivery of neurosurgery?

Neo-feudalism? Not just for your high school history course. Welcome to healthcare in 2026. Physicians have been forced by regulatory crony capitalism to abandoned private property and become serfs to the feudal lords that are the expanding nonprofit healthcare systems. At best they will be granted a fiefdom. A title, a domain, but not ownership. And it’s a title that can quickly be taken away. Modern healthcare has degraded to a medieval relic. There are real changes that can fix this. My latest in @aier @AANSNeuro @CNS_Update @spineadvocacy @spinesection @councilsns @neurosurgery

Appreciate the support of @councilsns. Excited to showcase what our reserves members can bring to the fight.