Seth Borman
@SethBorman
Real estate. Cofounded a medical clinic. Former artillerist. Henry George was right. Non-subscriber to pagan Caesarism.
Disintermediating PBM middlemen would save Americans $100b a year says USC research. They nailed it academic.oup.com/healthaffairss…
For all my urbanists out there, I now live where I can walk my kids to school and it's everything I hoped it would be.
340B Arbitrage: $54B/year Health Systems buy cancer drugs at 50% off. Then bill insurers full price, and pocket the spread. Independents physicians? Pay retail. The result: buy the oncologist, bill the difference. 1
The simplest way to reduce foreign ownership of land is to increase property taxes.
hey can somebody remind me again why this should be legal
PSA: There's a theory floating around amongst academic physicians that DPC skims the cream to get the easiest patients. Nothing could be further from the truth. The typical DPC patient is complicated and is desperately seeking more attention than academic physicians can spare.
Our patients get this CT scan for $200.
In March, my wife went to the hospital for stomach pain. They did a CT scan of her abdomen that came back negative. The bill: $9,117.42 ...but apparently if you're an illegal alien, this is free? The system is broken.
Besides the fact that this isn't true (Japan also uses employer based insurance) the idea that 178,000,000 are going to go out and get a good deal from major insurance carriers... just isn't true. They'll go without before stroking a check for $2200/mo for a family of 4.
I would argue get all employers out of the healthcare system. Run the other way. The United States is the only G20 country where the majority of healthcare coverage is provided through private employer-sponsored insurance. And employers are reluctant unnecessary third parties.
In light of the passing of architect Leon Krier, I'd like to share an illustration of his that affected me deeply.

The irony here is that academic physicians charge some of the highest prices in medicine, a single office visit might cost the same as 6-12 months of DPC... and your DPC doctor doesn't benefit from overcharging you for ancillary services the way academic physicians do.
The authors of a new Perspective write that primary care physicians have been leaving traditional practices for concierge and direct primary care practices, in which patients are offered personalized and more accessible primary care in exchange for membership fees. Read the…
I took my 5 year old fishing yesterday and before we left I bought a fishing license. My daughter asked what a fishing license was and where they came from. I told her that it is permission from the state government to fish and she asked "are they going to help?"
My observation that the only way to make money off Medicare is by stealing from it remains undefeated. If they ever lose their MA contracts their physicians will drag them into bankruptcy. statnews.com/2024/11/25/uni…
This lawsuit against @UHC acknowledges something we implicitly know - the true expectations of their shareholders: “The group, which is seeking unspecified damages, argued that the public backlash prevented the company from pursuing "the aggressive, anti-consumer tactics that it…
Because health “insurance” in the US is not actual insurance - it is just an indirect method of implementing government-funded healthcare It’s literally impossible to “insure” against predictable expenses - annual physicals, chronic medications, routine childbirth, etc.
Why can health insurers not offer catastrophic-only plans? We know the reason: because they would be wildly popular and put an end to the whole scam. brownstone.org/articles/small…
Keith Smith telling it like it is and calling out government created monopolies in health care. @matthewstoller @musharbash_b Monopoly: The State’s Deadly Version: FMMA 2025 youtu.be/GaQSGV7xiaM?si… via @YouTube
Modernism has a Problem After a century of tireless effort and trillions of dollars worth of resources squandered, Modernism is yet to produce one sole place of human habitation remotely comparable to the humblest efforts of uneducated medieval peasants.