Interventional Radiology | Oncology | Innovation | Healthcare economics

Joined February 2022
Eric Schoen, MD retweeted
It's Q4 now, and Radiology Partners will be further "sharing the efficiency gains" from its new AI drafting product. When tech brings the possibility of increased productivity, the logical thing for an employer is to take as much as the market allows. benwhite.com/radiology/numbe…
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Eric Schoen, MD retweeted
Ways and Means Committee Chairman @RepJasonSmith lectures hospital CEOs: “the prices you charge are borderline extortion.” Hospital costs have soared 300% in two decades. Time to end hospital billing and insurance reimbursement scams in Medicare/Medicaid.
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Eric Schoen, MD retweeted
Doctors, watch this video series by @DutchRojas to earn your practical MHA and MBA. Learn the things they don’t teach u in med school, but every hosp system,PE/VC knows and uses to leverage u. This is the Wizard of Oz for doctors. Dutch is pulling the curtain back for u to see.
The best time to build a fortress balance sheet was the day you walked out of residency. The second best time is today. 7-part series. Starts now.
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Eric Schoen, MD retweeted
The best time to build a fortress balance sheet was the day you walked out of residency. The second best time is today. 7-part series. Starts now.
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Eric Schoen, MD retweeted
The loan forgiveness is the grift. The capsure for some, but employment for most is their play from the get-go. The new partners that we brought in gave zero shits about their loan debt. They wanted autonomy and freedom, and a chance to become more than an undervalued W-2. When you front load your career with monetary promises, often the back end of your career is less desirable. “That” system we see now was devised, calculated & launched through the ACA. To those that think this “unAffordable” Care Act is and was a failure are sadly mistaken. It’s come to fruition for the creators. Those who have profited( hospitals/ insurers/ politicians) sit at the table. Doctors / patients remain on the menu. Recently, I have seen many here that have cut their employment ties and have gone Private. I love it. We all need more of this to actually fight back.
Replying to @FixnBones
True-but the ability to get massive loan forgiveness is a hard benefit for new grads to pass up. I get it. Some likely don’t even get private offers. It’s as much a systems as individual issue.
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Eric Schoen, MD retweeted
I build AI for a living. I believe in what we're building. But this kind of rhetoric makes my work harder and more dangerous. @sama, comparing human development to model training is tone-deaf, strategically reckless. People are losing jobs. They're getting angry. They're seeing AI as an enemy instead of a solution. Some are planning to destroy data centers and the people who build this stuff. That anger and backlash might not be reaching your floor but it reaches the engineers and builders doing the actual work. The CEO of the most visible AI company should not frame humans as inefficient compute units, should not be anti-human. Your role as a leader is to show how AI solves real problems for humanity. Not to reduce human life to an energy accounting problem from a comfortable position. If someone working in AI gets hurt because the public narrative turned hostile, leaders like you who chose dehumanizing framings bear responsibility for that too. I'm a techno-optimist. I believe AI enhances human capability. I work with this new form of intelligence every day. I genuinely respect what it is. It is real, significant, unlike anything that has existed before. But I also believe in human excellence. We have to accept that it's two fundamentally different forms of intelligence working together. IMHO the real techno-optimist position isn't "AI is cheaper than humans." It's "we now have two forms of intelligence on this planet, and the combination is more powerful than either alone." You're the leader of OpenAI, and whether you chose it or not, you represent everyone building in AI right now. Every word you say shapes how the world sees this technology and the people behind it. Please act like it.
🚨 SAM ALTMAN: “People talk about how much energy it takes to train an AI model … But it also takes a lot of energy to train a human. It takes like 20 years of life and all of the food you eat during that time before you get smart.”
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Eric Schoen, MD retweeted
𝐓𝐡𝐢𝐬 𝐦𝐢𝐠𝐡𝐭 𝐛𝐞 𝐭𝐡𝐞 𝐦𝐨𝐬𝐭 𝐢𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐚𝐧𝐧𝐨𝐮𝐧𝐜𝐞𝐦𝐞𝐧𝐭 𝐢𝐧 𝟓𝟎 𝐲𝐞𝐚𝐫𝐬. 𝐀𝐧𝐝 𝐭𝐡𝐞 𝐚𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐝𝐨𝐞𝐬𝐧’𝐭 𝐞𝐯𝐞𝐧 𝐮𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝 𝐰𝐡𝐲. Every hospital in America is being forced to publish prices. Most people hear that and think: “Cool. Patients can shop now.” That’s not the real story. Here’s the Dutch insight… Healthcare is crossing a line it has never crossed before: It’s becoming computable. That matters far more to entrepreneurs and data scientists than to patients. Because once prices exist, a chain reaction starts: • Markets form • Benchmarks emerge • Arbitrage appears • Bundles can be built • Risk can be priced • Forward contracts become possible (yes, my SurgeryFutures) This is how every modern industry was rebuilt. Not with speeches. With data. This is what incumbents are actually afraid of. They never feared patients. They fear: • Models • Comparisons • Graphs • Rankings • Dashboards that ask: “Why is this 20x more expensive?” Opacity protected margins. Data destroys them. The Dutch Line: Price transparency isn’t a “patient-first” policy. It’s an infrastructure shift. And when infrastructure changes, power follows. Healthcare just crossed that line… Let’s go 🔥🔥🔥
.@SecKennedy: “Every hospital in the country is now going to have to publish their prices…If you go to a restaurant and look at the menu, the prices are there. Health care is the only place where you can’t see your prices.”
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Eric Schoen, MD retweeted
Science doesn’t ask you to “trust experts.” It asks you to trust evidence that survives challenge. The scientific establishment isn’t a priesthood — it’s a process: hypothesis → data → replication → correction. Tyranny is demanding belief without evidence. Science does the opposite: it earns authority by being willing to be wrong. What authoritarians and grifters hate isn’t “experts.” It’s consensus, because consensus means their pet theory lost. Saying “don’t trust experts” while selectively trusting fringe doctors, anecdotes, and YouTube personalities isn’t skepticism — it’s epistemic shopping. Democracy depends on informed citizens. Science supplies the information by testing reality. When evidence changes, science changes. When facts don’t cooperate, demagogues change the definition of science. Data beats dogma. Every time.
.@SecKennedy: “There’s a big difference between established science and the scientific establishment. We all know that trusting the experts is not a feature of science; it’s not a feature of democracy — it’s a feature of tyranny.”
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Eric Schoen, MD retweeted
In support of the people of Venezuela 🇻🇪
Starlink is providing free broadband service to the people of Venezuela through February 3, ensuring continued connectivity.
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Eric Schoen, MD retweeted
The only thing RFK Jr has restored is measles
YEAR ONE MAHA 🇺🇸
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Liars defending liars. The grift will never end as long as people can make money from it. But the lasting effects of medical mistrust will span decades, and the blood is on the hands of people like this. Detailed grok analysis of the literature below: xitter.cf/i/grok/share/i9933SYqn…
Replying to @jakescottMD
Jake - the MMR is given at 12-15 months. You should know that. The Denmark studies cover the MMR, cumulative aluminum exposure (by age 2 only) and none of the vaccines specifically given at or prior to 6 months of age. Also, these studies are both fatally flawed at best and the aluminum study within the supplement showed a statistically significant relationship between the highest cumulative dose of aluminum and (you guessed it) autism. I suggest you contact me to get further help in interpreting these studies as recognizing the absence of studies specifically for the other 15 vaccines on the CDC schedule.
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Eric Schoen, MD retweeted
If you are a physician, this is probably the most important post you’ll read today If you are a medical student, this is probably the most important post you will read today. This is how bad actors conspired to steal your profession and your futures from you. Don’t let them.
For the first time in 15 years, physician-owned hospitals are in a congressional package. The hospital lobby has spent $906 million to stop this moment. Today I tell you what that money bought. 🧵....
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Eric Schoen, MD retweeted
For the first time in 15 years, physician-owned hospitals are in a congressional package. The hospital lobby has spent $906 million to stop this moment. Today I tell you what that money bought. 🧵....
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RFK Jr, is not, and has never been, “science based.” He ignores the science he doesn’t like, and promotes the science he does. He uses science as a tool to promote his agenda, not discover truth. He’s a grifter and a charlatan.
Newsweek asked RFK Jr. "why don’t you stop promoting conspiracy theories?" RFK Jr’s reply: "My father told me when I was a little boy that people in authority lie and the job in a democracy is to remain skeptical. I've been science based since I was a kid. Show me the evidence and I'll believe you, but I'm not going to take the word of official narratives." "The way you do research is not by asking authoritative figures what they think. Trusting experts is not a feature of science, and it's not a feature of democracy. It's a feature of religion and totalitarianism."
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Eric Schoen, MD retweeted
Alex, the US taxpayer rarely pays doctors directly. They typically send money to states (Medicaid) Hospitals and Providers(traditional Medicare), to insurance carriers (MA and ACA), and indirectly through tax savings for individuals and employers ) You are right that we overpay. We spend far too much on healthcare. We overspend because we send the most money to the carriers and give them every good reason, to scale as big as possible , to contract at inflated prices, to invent fees and to delay and deny care when they can. Then there are the PBMs etc etc Break up the big carriers by vertical , make intercompany transfers at Medicare rates or best price until then , remove formularies from their PBMs, make extra cash purchase count against the deductible , make non profit hospitals and providers publish every general ledger entry , stop 340b abuse, I can go on for days on how we can reduce the cost of healthcare. As far as over treating , there are lots of reasons. Lots of paperwork, lots of lawsuits, lots of economic incentives to generate more revenues. But of all I just mentioned, the people that benefit the least financially, are the actual caregivers. Doctors and nurses get shit on regularly. They should be able to open their own practice and survive financially. They shouldn’t be at the mercy of insurance companies. They should get the same Medicare rates that hospitals get for the same work. The best part of this is that you can help. Where do you get your insurance and who is your PBM Alex ? How many companies have you educated to walk away from the biggest insurance carriers and their PBMs ?
"Underpay" I know you are not this ignorant, @mcuban. The US OVERPAYS at every level in healthcare, which is a key reason we overtreat, which is a key reason our outcomes stink. We do NOT need to spend more money on medicine in the US, we would be better off spending less.
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The fact that AI companies consistently tout achievements like these just reassures me that my job will be safe for a very very long time. The technology is not useful if you’re shooting for the wrong target. AI focused on specific clinical tasks will be the ones who will win out
OpenEvidence says its AI model scored 100% on USMLE
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Eric Schoen, MD retweeted
Then stop punishments by independent physicians that don’t answer to Washington lobbyist and MBAs. The Same Room, Different Rules! Same surgeon, same patient, and same procedure. Medicare pays $15,000 to a hospital outpatient department owned by a non-profit health system. Medicare pays $5,000 to an independent ambulatory surgery center owned by non health system physicians. The difference? Nothing but the sign on the door. That’s not “healthcare economics.” That’s pricing theater. And when are you, @CMSGov , @DrOzCMS and @GOPDoctors going to fix this? It takes one day!
Medical decisions should be made based on one thing: the wellbeing of the person—never on a financial bonus or a government mandate. Doctors deserve the freedom to use their training, follow the science, and speak the truth without fear of punishment.
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Eric Schoen, MD retweeted
Don’t scapegoat doctors. They don’t deserve it. They sacrificed their entire lives to help people. While others were partying in college, they were memorizing the Krebs Cycle. While others were traveling in their 20’s, they were doing gross anatomy, staying up until 2am to study, and pulling all-nighters in residency. I don’t know a single one who’s gone into it for the money. There are easier ways to make money. The ones I know want to heal people, and they are prevented from doing so at every turn—the MBA administrator with no medical background telling them how they need to treat people, spending 45 minutes on the phone and getting transferred three times to get a denied claim paid. Being paid less every year because of new insurance payout structures. Everyone knows you need to sleep, exercise, and eat better. The doctor didn’t make people fat. Would they love to spend 30 minutes on lifestyle? Yes. But instead, they have 10 minutes to make sure someone’s leg doesn’t get amputated from mismanaged T2D, fix a blood pressure problem, hear a patient lecture the doctor about statin pharma conspiracy theories while their total cholesterol is over 400. It’s remarkable to me that as a group, they are still so composed. And it further emphasizes their desire to heal, because if it were just money, I can’t imagine them not striking. We all live in so much comfort these days knowing that if anything happens, an ambulance and a doctor will be there to bail us out any time of day or night. Criticize the system all you want. But don’t bite the hand that’s holding the scalpel.
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Eric Schoen, MD retweeted
.@EPotterMD is a breast cancer surgeon who exposed @UHC’s United Healthcare’s aggressive and abusive insurance practices. UHC is now under criminal investigation by the DOJ for Medicare fraud. UHC is ruthless in going after its critics as covered in today’s front page @nytimes article nytimes.com/2025/07/12/busin…. Unfortunately Dr. Potter has also suffered financially as a result of being a UHC whistleblower, and finds herself in a tough place as UHC will not provide coverage for patients at her surgery center. Let’s help her stay solvent by supporting her @gofundme campaign: gofund.me/876c3f33 Whistleblowers serve a critical public purpose. It is important for them to be protected from harm.
I promised to come back to @X after I investigated the facts concerning @EPotterMD's video post about @UHC and its health insurance subsidiary, UnitedHealthcare. To review, I made an @X post in response to Dr. Potter's videos and X posts about an overzealous representative of United Healthcare ("UNH") that had apparently interrupted her while in the operating room, and denied coverage for her patient's treatment. In response to her January 7th video about the experience, Clare Locke, defamation counsel to UNH, sent a six-page demand letter to Dr. Potter, which begins: "We are writing to demand you correct your knowingly false, misleading, and defamatory social media posts regarding UnitedHealthcare." In the second paragraph of the letter, UNH demands that: "You must promptly correct the record by removing your videos, posting a public apology to UnitedHealthcare, and condemning the threats of violence aimed at our client result from your posts." The six-page demand letter can be found here: ackman-public.s3.us-east-1.a… Before I get into the details, I want to emphasize that regardless of the facts of this situation that there is no justification whatsoever for violence and/or threats of violence against company officers or their legal or other representatives. This is particularly poignant in this case as we all know that the CEO of UnitedHealthcare was murdered in cold blood on the streets of New York, a horrendous tragedy for all involved, and for society at large. I understand the emotions of those who have felt harmed or been harmed by a failure of their insurer to pay for healthcare that was needed. I get it, but violence is not the solution to solving this problem. Getting back to my post about United Healthcare, I said that if I still shorted stocks, I would short UNH because based on Dr. Potter's experience I believed that UNH's "profitability is massively overstated due to its denial of medically necessary procedures." I also encouraged the @SECGov to do a thorough investigation of the company. UNH responded to my post by releasing a public statement that said: "Health insurance has long been subject to significant regulatory oversight and earnings caps. Any claims that health insurers, which typically have low- to mid-single digit margins, can somehow over-earn are grossly uninformed about the structure and strong regulatory oversight of the sector." UNH also stated that it had contacted the SEC because of its concerns with my post. Contemporaneously, a partner at Clare Locke contacted our firm, and said that Dr. Potter's claims were false, and that I should therefore take down my post. I took down the post, not wanting to have an inaccurate post on X. We have used the Clare Locke firm and respect their work, so I took their request seriously. My CLO was also contacted by the general counsel of UNH who told her that the underlying facts in Dr. Potter's posts and videos were false, and that UNH employees were under considerable stress due to the murder of their CEO -- which is understandable to say the least, and for which I greatly empathize. The UNH GC also asked to speak with me directly. When my CLO reported the call to me, I said that before I would agree to speak with the UNH GC, I would like him to provide a detailed explanation of what Dr. Potter had said that was wrong in her videos. Our CLO then contacted the UNH general counsel who said that he would send this information to her, and he took her email address. After days went by and we did not receive anything from UNH, our CLO again reached out to the UNH GC. He explained that he understood that we now had a copy of the Clare Locke demand letter, and that the letter provided all of the information we needed in order to understand what Dr. Potter had gotten wrong. Since my post, I have had the opportunity to speak with Dr. Potter and her counsel numerous times. Dr. Potter and her lawyer have sent me supporting documentation of the statements she made in her video, which I have reviewed carefully and about which I have had the opportunity to ask any questions that I have had. I have also reviewed the defamation claims that UNH made in the letter from Clare Locke. Based on all of the above, I believe that Dr. Potter told the truth in her initial video and in her statements and advocacy since that date. I also believe that UNH's threatening defamation letter to Dr. Potter and its public statements about my post and SEC complaint are simply brazen attempts to silence UNH's critics. Bear in mind that I have extensive experience with companies that attempt to silence and bully their critics. Herbalife and MBIA, in particular, were expert in shutting down criticism and regulatory interest through their aggressive approach to public relations and the media, by threatening and bringing litigation, by asking regulators to investigate market participants who questioned their accounting and business methods, by using their political influence, and by other more unseemly methods. I believe that you can learn a lot about a company by how it responds to its critics. UNH's response here parallels how Herbalife attacked its critics through its public statements, threatened litigation, SEC complaint, and other activities. Let's first examine all of Dr. Potter's statements in her January 7th video that triggered UNH's response here: "It's 2025 and insurance keeps getting worse." This is a statement of opinion by Dr. Potter and free speech permits it. She continued: "I just did two bilateral DIEPs and two bilateral tissue expanders for patients and I've never had this happen before." I believe Dr. Potter is telling the truth, which explains why she was inspired to do a video in the first place, and which I explain further below. She continued: "But during the second DIEP I got a phone call um into the operating room, saying that United Healthcare wanted me to call them about one of the patients who was having surgery today, who's actually asleep having surgery. And um you know said I had to call right now." Dr. Potter is referring to a representative from UNH who called the hospital operating room front desk and asked to speak to Dr. Potter. When the nurse on duty explained that Dr. Potter was unavailable because she was in the OR, the UNH representative explained that he had to speak Dr. Potter right away. This caused the nurse on duty to escalate the message to the head nurse on duty who delivered a sticky note message into the operating room to Dr. Potter. The note said the first name of the UNH representative, included a phone number and the words 'United Healthcare Pt. JL for Dr. Potter.' While UNH denies that its representative insisted on speaking to Dr. Potter right away, the facts on the ground suggest otherwise: First, the UNH representative called the operating room front desk at the hospital, rather than Dr. Potter's office and/or staff or billing department. Second, the nurse on duty believed it was sufficiently urgent that she gave the message to the head nurse on duty. The head nurse in turn also thought it sufficiently urgent that she delivered the message into the operating room. All of the above actions are consistent with Dr. Potter's statements in her video. According to Dr. Potter, the head nurse said that in her 15 years of experience she never had an insurance company seek to speak with a surgeon in the operating room so she assumed it had to be urgent. Dr. Potter continues in the video: “…so I scrubbed out of my case and I called UnitedHealthcare, and the gentleman said he needed some information about her, wanted to know her diagnosis, and whether um whether uh her inpatient stay should be justified. And I was like do you understand that she’s asleep right now and she has breast cancer?” [Dr. Potter of course did not leave the patient alone during the two-minute call. There was another surgeon, nurse, etc. in the operating room.] I believe what Dr. Potter is saying is true. But before we go further, why did Dr. Potter 'scrub out of her case' and call UNH? The answer is that Dr. Potter is an advocate for her breast cancer patients, not just for their health, but also for their financial well being. As we all know, many families have been financially wiped out by their healthcare bills that are not covered by insurance. It's bad enough to have breast cancer and have a double mastectomy, but imagine then being wiped out financially after the surgery. [For context, challenges to insurance coverage for modern breast reconstruction have been increasing. In 2021, CMS (Medicare) announced a coding change that threatened access to modern breast reconstruction techniques. United Healthcare was the first to adopt the change in April 2022. Recognizing the danger to patients and the practice of breast reconstruction through insurance, Dr. Potter started a national effort to reverse the change. She used her own savings to fund this effort. The change was reversed by CMS in August of 2023. I have a lot of respect for activists generally and for Dr. Potter's work on behalf of patients.] Receiving a note to call an insurer mid surgery was a first for Dr. Potter, and she stepped out to call UNH because she was afraid for her patient that UNH was going to deny coverage. She had to believe the call was urgent, otherwise there is no credible reason for her to have scrubbed out and called back the UNH representative on her cell phone. When you read the transcript of Dr. Potter's video remarks or even better when you watch the video, you can hear the emotion and exasperation in her voice, which is of someone frustrated with big insurers and very concerned about her patients. I have also found Dr. Potter to be extremely credible in all of my communications with her. Dr. Potter continues: “And um the gentleman said actually I don’t that’s a different department that would know that information. And I was like well um she does need to stay overnight tonight and um you have all the information with you because I got approval for this surgery, and I need to go back and be with my patient now.” Again, here I believe Dr. Potter when I examine all of the facts and documents that were made available by both parties. UNH was apparently calling to create a record that it had discussed the case with Dr. Potter and to make the case that her patient should not have an inpatient overnight stay in the hospital. I am not an expert in the insurance law here, but this is my understanding. Dr. Potter required the patient to stay overnight because her patient had a lung infection on the morning of the surgery, i.e., histoplasmosis that required a strong anti-viral medication. [Dr. Potter's patient has permitted Dr. Potter to share her medical information.] When the infection was considered along with the surgery, Dr. Potter believed an inpatient overnight stay was required because of concerns she had with potential interactions between the antiviral and post-surgical medications, as well as the stress to the patient from the surgery. That was her judgment as the patient's surgeon, and that is why she placed an order for the overnight stay with UNH before she did the surgery. [If I get any of these details wrong, I am sure Dr. Potter will correct the record.] In the demand letter, UNH accuses Dr. Potter of making an error in ordering an inpatient stay. Dr. Potter disputes this vociferously and as simply gaslighting by UNH. Why was UNH trying to speak to Dr. Potter so urgently? The difference between a one-day, in-patient stay, and the patient being released the same day from surgery was a bill to the insurer of more than $100,000, in this patient's case $110,356, coverage that was denied by UNH. [As a side note, the amount of this inpatient overnight stay is absurd and speaks to the fundamental problems with the system. The $100k plus charge is typically if not always dramatically negotiated down by the insurer, but when the insurer does not pay, the individual can get stuck with the face amount of the bill and without the negotiating leverage of a large insurer. These absurd large invoice amounts remind me of what it is like buying a prescription when you don't have your insurance card and CVS tells you the $25 drug will cost $3,000. This system is broken and fundamentally corrupt, and hopefully @RobertKennedyJr and the @realDonaldTrump and @DOGE will do something about it.] Under Texas law (the surgery took place in Austin, Texas) according to the Clare Locke letter, an insurer apparently has one day to discuss the plan of treatment with the physician before issuing a denial. Therefore, apparently, if UNH didn't reach the doctor before the end of the day, it would not have had as credible an argument to deny coverage. UNH did deny coverage in writing later that same day of the surgery, before the patient even left the hospital. The above explains why I believe UNH's representative was urgently trying to reach Dr. Potter. Dr. Potter finishes the video by saying: “But um yeah, it’s out of control. Insurance is out of control. Uh I have no other words.” The above is a statement of opinion, and based on Dr. Potter's experience here it is entirely accurate. Now, let's examine UNH's statement in response to my initial post, which among other things, said that: “I would not be surprised to find that the company’s profitability is massively overstated due to its denial of medically necessary procedures and patient care.” UNH's statement: "Health insurance has long been subject to significant regulatory oversight and earnings caps. Any claims that health insurers, which typically have low- to mid-single digit margins, can somehow over-earn are grossly uninformed about the structure and strong regulatory oversight of the sector." The statement begins by saying that health insurance is subject to 'strong regulatory oversight' and 'earnings caps.' This statement is meant to give the reader the impression that I must be wrong because regulators are watching the insurers closely, and that earnings are somehow 'capped.' UNH states that I must be 'grossly uninformed' for how can UNH's earnings be overstated if health insurers have low- to mid-single digit margins? While the above statements from UNH are true, they are highly misleading. First, the fact that UNH is subject to strong regulatory oversight does not mean that the company is properly adjudicating claims. As we all know, regulators often fail to do their jobs. In fact, I have personal experience with regulators failing to do their jobs (See MBIA and Herbalife) because regulators can be intimidated by powerful companies and the big law firms that represent them. That is why regulators often shy from going after big targets, and it is only after the problem companies collapse that the regulators step in and punish the people responsible. I can't think of an example where a regulator found fraud at a large company before it collapsed. It is usually the short sellers who find fraud, and the regulators who come in afterwards to clean up the mess. MBIA collapsed six years after we brought our concerns to the company's insurance regulator and the SEC. Herbalife stock collapsed years after the FTC failed to shut the company down. The facts about MBIA and Herbalife were manifestly true when we shared them with the regulators, but still the regulators did not do their jobs. Second, the fact that insurers have low- to mid-single margins is not evidence that they are properly adjudicating claims. Rather, the fact that UNH has low profit margins gives it a huge incentive to minimize the claims that it pays. When a company has low margins, it by definition has high operating leverage. This means that small changes in revenues up or down have a huge impact on bottom line profits. Public company management teams are compensated based on meeting and exceeding profit targets which drive earnings-per-share growth and long-term stock price increases. If management can drive revenues up slightly in a low margin business, profits can explode upwards because of operating leverage. So the fact that an insurer has low margins does not in any way prove or support the fact that its earnings are not overstated, but it clearly creates an incentive to minimize claims paid by an insurer. When you step back and look at this situation, it gives you better perspective on what likely transpired. A surgeon posted a video about her frustration with a healthcare insurer. When she posted it, she did not know it would go viral. When it did go viral, the company responded by having its defamation counsel send a threatening letter accusing the doctor of making "knowingly false, misleading, and defamatory" social media posts, and demanded that she take down the posts, retract her claims, and post a public apology. [UNH did so in my view for two principal reasons: (1) because it wants to minimize negative press and the risk of regulatory inquiries into its business, and (2) it wants to minimize negative press to reduce the risk to its executives in light of recent events, an important and legitimate concern.] In response to a threatening letter from UNH's defamation counsel, the doctor, rather than taking down her posts, makes more posts, and then sits down for an upcoming interview on a major TV show. Why would she double down and expose herself to more legal and career risk unless what she said was true? When a market observer, in this case me, reposts the doctor's video and criticizes the company, the company responds by issuing misleading statements to the public, and contacts the SEC, our principal regulator, in an attempt to intimidate me even though I have publicly stated that we have no investment in UNH long, short or otherwise. When you look at the above facts and watch Dr. Potter's videos, I strongly believe that a jury of Dr. Potter's peers would conclude that she is telling the truth. What is her incentive to make "knowingly false, misleading and defamatory" statements about UNH? She has none. In fact, she has the opposite. She is a breast cancer surgeon with a small, not particularly profitable practice, going up against a publicly trading insurance holding company with a $482 billion market cap, the 16th most valuable U.S. company. She has no incentive to lie and double down and go on network television unless she is telling the truth. Dr. Potter put herself at significant personal and financial risk by going public about her experience with UNH because of her passion for protecting her patients and her frustration with our healthcare system and its insurers. There is no other credible explanation for her video and other social media posts. Now what about UNH? I suspect that the employees and other representatives of UNH that help manage its insurer's claim expenses are given large financial incentives to keep claims payments as low as possible. That would explain the tenacity with which the UNH representative operated when he called the operating room front desk, and the urgency with which he expressed a desire to speak to Dr. Potter. That, in my view, is the only credible explanation for why the front desk nurse gave the message to the head nurse who brought the message into the operating room, and explains what has transpired here. Occam's razor. And according to Dr. Potter, all of the nurses and other witnesses involved have offered to testify on her behalf. With respect to my thoughts on shorting UNH from my first post, I don't recommend shorting stocks, but I wouldn't recommend anyone invest in UNH, certainly at this valuation. Since my post, I have heard many other bad stories about the company's approach to paying claims so I don't think Dr. Potter's experience here is a one off. Based on all of the above, in my opinion, there is likely something systematically wrong with this company. Compare UNH with the other top 20 U.S. companies by market cap. When you do so and you consider each of these companies contributions to humanity, does it cause you to question a bit why UNH is so valuable compared to the others? Yet, another reason, I would argue, why one might question the company's reported profitability and valuation. And UNH's earnings don't appear to in any way be 'capped.' Certainly, the company's shareholders and analysts are not valuing the stock assuming 'capped earnings' for otherwise you could not justify a half of a trillion dollar market cap. With respect to Dr. Potter, I think she is a hero. I have offered to pay her legal expenses, but her lawyer was already handling her case pro bono, such was his confidence in her case and her character. If she needs funding to bring her own defamation case, she knows where to find me. UNH owes Dr. Potter a public apology for defaming her and accusing of her lying. And if I were on the UNH board, I would launch an immediate investigation of the company's approach to paying claims, the incentives it gives the employees and agents who work on its behalf, and the approach it takes in attacking the critics who challenge it. I am sure that Dr. Potter is not the first person to receive a threatening letter from UNH. I look forward to hearing from others on X about their experiences with the company good and bad. In summary, the whole thing smells very bad to me. And yes, the SEC should take a very close look at UNH.
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