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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
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@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    1. Eugenia (Gina) South, MD MS‏ @Eugenia_South 10 Jun 2020

      Can someone who knows more about this than me, comment on the following: Why are ‘resident clinics’ for patients with Medicaid or uninsured while ‘faculty clinics’ are for patients with private insurance? Racism? Classism? Should this be stopped?

      124 replies 269 retweets 1,519 likes
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    2. Taylor Nichols, MD‏ @tnicholsmd 10 Jun 2020
      Replying to @Eugenia_South

      Yes, it’s segregated care. This is purely about economics of clinics and reimbursement based on their insurer. For example, in my region Medicaid paid 48 cents to the Medicare dollar in primary care, which is already much lower than private insurance...

      6 replies 2 retweets 68 likes
      David Gorski, MD, PhD‏Verified account @gorskon 10 Jun 2020
      Replying to @tnicholsmd @Eugenia_South

      It’s also an old practice that predates Medicaid. It was thought of as a way for residents to gain independent experience. I’m not defending it. It’s a holdover from many decades ago that sense in its time as a means of providing care for the indigent but hasn’t for a long time.

      3:40 PM - 10 Jun 2020
      • 1 Retweet
      • 26 Likes
      • Rachel, MPH, DNP, PMHNP-BC katyakoshka Rage donating is my selfcare Mohammad F. Shaikh, MD Vamsi Aribindi multip0921 Melissa loves dogs Bree Taylor Nichols, MD
      4 replies 1 retweet 26 likes
        1. David Gorski, MD, PhD‏Verified account @gorskon 10 Jun 2020
          Replying to @gorskon @tnicholsmd @Eugenia_South

          That made sense in its time.🤦🏻‍♂️

          0 replies 0 retweets 9 likes
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        2. Taylor Nichols, MD‏ @tnicholsmd 10 Jun 2020
          Replying to @gorskon @Eugenia_South

          Fair. Also true for “student run clinics” of which my institution has many and very much celebrates that fact. I loved working in them as a student and providing care to the uninsured and least cared for, but it really...isn’t great that we have to have such clinics at all.

          1 reply 0 retweets 10 likes
        3. David Gorski, MD, PhD‏Verified account @gorskon 10 Jun 2020
          Replying to @tnicholsmd @Eugenia_South

          We have a medical student-run clinic at our medical school that provides care to the uninsured and indigent. I have mixed feelings about it. These students are idealistic and well-supervised and provide a valuable and educational service, but again there’s the two-tier system.

          1 reply 0 retweets 6 likes
        4. Show replies
        1. Danielle Kain‏ @DeiselKain 11 Jun 2020
          Replying to @gorskon @tnicholsmd @Eugenia_South

          I suspect different in Canada. Practiced in Ontario and Nova Scotia at 3 diff academic medical centres and had residency clinics at all of them. Identical patient pop to attending clinics. Just sought patient’s permission before booking.

          0 replies 0 retweets 0 likes
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