iiinova — where your digital self keeps evolving

Reposted by Frank Cacace MD FACP

Dr. Todd Arrington @btarrington.bsky.social · 28/07/2026

“If you have a chance to accomplish something that will make things better for people coming behind you, and you don’t do that, you’re wasting your time on this Earth.” ~Roberto Clemente. Image: MLB via Getty Images.

This color photo shows a man in a Pittsburgh Pirates baseball uniform—Roberto Clemente—standing in a batting stance and holding a baseball bat.

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Dan Pomerantz @dhpomerantz.bsky.social · 10/09/2025

In case anyone needs this now (full quotation in alt text)

Photo of the following quote from Joward Zinn
"TO BE HOPEFUL in bad times is not just foolishly romantic. It is based on the fact that human history is a history not only of cruelty, but also of compassion, sacrifice, courage, kindness.
What we choose to emphasize in this complex history will determine our lives. If we see only the worst, it destroys our capacity to do something. If we remember those times and places-and there are so many-where people have behaved magnificently, this gives us the energy to act, and at least the possibility of sending this spinning top of a world in a different direction.
And if we do act, in however small a way, we don't have to wait for some grand utopian future. The future is an infinite succession of presents, and to live now as we think human beings should live, in defiance of all that is bad around us, is itself a marvelous victory."
- Howard Zinn

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 24/08/2025

www.nytimes.com/2025/08/24/o... The @nytimes.com should share this to every local newspaper across the land

nytimes.com

Opinion | America First? Not When It Comes to Your Health.

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 16/08/2025

podcasts.apple.com/us/podcast/4... Hey #healthcare #primarycare employed physicians This episode 👇👇 Honoring physicians who still hold onto the indivisible fact that caring for the patient is the APEX of it all Every healthcare committee member on The Hill needs to listen

podcasts.apple.com

"And then something changed...… - 43cc - Apple Podcasts

Podcast Episode · 43cc · 08/14/2025 · 51m

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 15/08/2025

#baseballcards #thehobby The picture of athlete and humanitarian rising up above ill will - the Bob-re namers of the world Slowly getting back into the joy of vintage cards - this one finds a new home! @spoart.bsky.social @curtburner.bsky.social @culleys.bsky.social @metsuniverse.bsky.social

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Reposted by Frank Cacace MD FACP

🦋Dr. Natalia🕊🌻🪬 @solnatamd.medsky.social · 27/07/2025

“USPSTF plays a critical, non-partisan role in guiding physicians’ efforts to prevent disease and improve the health of patients by helping to ensure access to evidence-based clinical preventive services. As such, we urge you to retain the previously appointed members of the USPSTF"

ama-assn.org

AMA deeply concerned by reported USPSTF changes

In a letter, AMA urges HHS secretary to retain previously appointed members and continue the Task Force’s regular meeting schedule.

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 16/07/2025

podcasts.apple.com/us/podcast/t... #medsky #primarycaresky #ruralmedicinesky this pod should be mandatory 👂. This doc-advocate is incredible &bears compassionate witness on M’caid expansion &current threats 2it 2those who say med education should stay out of sociopolitical contributors, LISTEN 👇

podcasts.apple.com

One Rural Doctor on the Cuts to Medicaid

Podcast Episode · The Daily · 07/14/2025 · Subscribers Only · 31m

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 16/07/2025

Hey #medsky #primarycaresky When is enough enough? When does a legislature finally legislate? When is there a fiduciary responsibility when that is what should be legally expected? h/t @drmommy.bsky.social on the share Check the short doc out

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Gary Schwitzer @garyschw.bsky.social · 16/07/2025

“Driven by commercialism, direct-to-consumer advertising, and the pursuit of perfect health—a culture of “more is better”—modern medicine has fostered a culture of overdiagnosis and overtreatment.” open.substack.com/pub/garyschw...

open.substack.com

How disease is defined may hurt patients

Preventable ignorance may lead to preventable harm

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 11/07/2025

Hey #healthcare #medsky I think so much has to be done in our financialized spaces to hold onto our oath and patient relationships in the exam room … I don’t like how the word HERO has been used, eg w the pandemic Reeve’s second definition makes much more sense Be the ordinary person 👇

Quite from Christopher Reeves about heroism.

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 10/07/2025

Hey #medsky #primarycaresky Might have typed this to a friend in an Epic meeting this morning, stirring pot (nah!) from early retirement: I want the EHRs to be as good at patient and panel centered documentation as they are at being billing instruments. That’s it, just say that and walk out.

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Ian Weissman, DO @drianweissman.bsky.social · 09/07/2025

Medical schools have warned the loan cap could discourage students from going into medicine at a time when the country is already on track to have a shortage of as many as 86,000 physicians by 2036, according to the Association of American Medical Colleges. www.nbcnews.com/politics/con...

nbcnews.com

Medical students fret over the new student loan cap in the 'big, beautiful bill'

The bill will cap total medical loans at $200,000 — far below the more than $300,000 median cost of attending medical school.

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Alana Kinrich @alanakinrich.medsky.social · 08/07/2025

Feeding people is so much cheaper than having them end up in the emergency room. Housing people is so much cheaper than having them end up in the emergency room. Covering primary/preventative healthcare is so much cheaper than having them end up in the emergency room. (It’s also morally right)

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Vintage Jerseys & Hats @polyesterunis.com · 07/07/2025

Willie Stargell, 1970 #Pirates #Baseball

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 07/07/2025

#medsky #primarycaresky #pediatricssky #obgynsky #geriatricssky Newly retired, just wrote this to a group that works on preserving #healthcare in US : -> 1/5

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 05/07/2025

Hey #medsky #primarycaresky Just retired from medical center/residency teaching 33 year career reflection : Exit interviews are important, they’re ok I believe sooo much more in STAY interviews, though Support each other, touch base, mentor!

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 05/07/2025

#medsky The very initial retirement reading list : Oh, and this one too :

6 book covers representing my ‘to read’ list

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Reposted by Frank Cacace MD FACP

Innsmouth Looksmaxxing @gonebabygone.bsky.social · 04/07/2025

I always say I love my country the way Anthony Bourdain did, not as a benevolent state or one founded in innocence but as vast, beautiful place full of discrete people and cultures such as has rarely been attempted and worth fighting for.

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 04/07/2025

#primarycaresky #medsky Political harm committed under the cover of ‘waste, fraud and abuse’ are bottomless Social determinants of health are political - redlining, caste protection, inertia When a single person w diabetes or asthma is bureaucratically denied coverage, it’s immoral &criminal

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 04/07/2025

Hey #primarycaresky #medsky Budgets reveal values Intended widening of fortunes, good and ill, is an expression of values Hurting those who voted for you is betrayal, they’ll see it with the indignity of no access for medical care This is a #healthcare denial bill. And for what?

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Christina Huang @handle.invalid · 02/07/2025

The senate fought hard against the bill. But we have to realize that some people have no conscience, and will allow for profits over people in a heartbeat. Let’s stay vigilant and hopeful. Thank you @murray.senate.gov @wyden.senate.gov It’s up to us as doctors to continue advocating for patients

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Reposted by Frank Cacace MD FACP

Christina Huang @handle.invalid · 02/07/2025

Watching this government deal with budgets is akin to: 1. private equity buys a hospital, squeezes it for all of its resources (leaving people without healthcare) 2. Then enriching themselves with the profit (no matter the human cost) #cansky #medsky Hahnemann’s story: cdn.mdedge.com/files/s3fs-p...

Hahnemann’s Closure as a Lesson in Private Equity Healthcare by Dr. D’Mello

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Julia Métraux @juliametraux.bsky.social · 04/07/2025

I had a rheumatology doctor's appointment right before the House passed the bill. I can't help but think of people with autoimmune disorders who may be kicked off of Medicaid, in part because they're too sick but can't prove they're "disabled enough" for work requirement exemptions.

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Richard Ferro, MD MSc @richferro.com · 04/07/2025

The cost of the BBB to medical education will be devastating. The elimination of Graduate PLUS loans and a $200k cap for federal loans means that medical students, who more than half have loans greater than $260k, will have to take out private loans with higher interest rates. #Medsky

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Richard Ferro, MD MSc @richferro.com · 04/07/2025

If we want to build the next generation of primary care physicians we NEED to address this critical injustice to students loan borrowers now. Otherwise we’ll see fewer doctors in lower paying specialties at a time when we desperately need them.

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Reposted by Frank Cacace MD FACP

Ryan Marino, MD @ryanmarino.bsky.social · 04/07/2025

Essentially 100% of patients I see for substance use are on Medicaid (or uninsured & working to get on Medicaid). Most cannot afford their lifesaving medications without coverage & I’ve seen devastating results from coverage lapses in the past. This bill’s new “requirements” are going to kill people

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Reposted by Frank Cacace MD FACP

Codify Baseball @codifybaseball.bsky.social · 04/07/2025

just put a camera on bobby witt jr. and leave it there

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Reposted by Frank Cacace MD FACP

Jennifer M Moss, MD, FACOG @jmmosstx.bsky.social · 01/07/2025

"We cannot and will not gamble with our patients’ health or the health of our communities. We must lean into what we, as medical physicians and experts, know works, based on decades of evidence. It’s a time for clarity, consistency, and courage."

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 01/07/2025

www.nytimes.com/2025/07/01/o... Depressing for sure, that healthcare finds itself in the perpetual position of paying for oligarchical tax relief … in a rich stupid immoral country This Opinion transcript outlines a political strategy in 2026 and 2028. There is some pointed messaging here

nytimes.com

Opinion | Trump May Get His ‘Big Beautiful Bill,’ but the G.O.P. Will Pay a Price

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Dr. Annie Andrews @drannieandrews.com · 25/06/2025

The only pediatrician in Congress absolutely nailed it today. Maybe we should send more…

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 25/06/2025

www.acpjournals.org/doi/10.7326/... Hey #primarycare #proudtobeGIM #IMProud #medsky We all need internists, general physicians for all adults We are the roots to good care and extended health There are many ways to improve our conditions and survival rate Our structures have it ALL WRONG

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Robert Reich @rbreich.bsky.social · 22/06/2025

"Every gun that is made, every warship launched, every rocket fired signifies, in the final sense, a theft from those who hunger and are not fed, those who are cold and are not clothed." -Dwight D. Eisenhower, 1953

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 23/06/2025

Hey #medsky #primarycaresky Love 💕 posts like this. I learned Breath of the freshest air in days like these

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Reposted by Frank Cacace MD FACP

Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 22/06/2025

"About one in five unvaccinated people with measles will be hospitalized, according to the Centers for Disease Control and Prevention. As many as one in 20 children contracts a secondary pneumonia infection. More than one in 1,000 dies."

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Ken Milne MD @thesgem.bsky.social · 22/06/2025

“The greatest enemy of truth is not the lie —it is the lazy mind.” VOLTAIRE #MedSky @kaymd.bsky.social

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 22/06/2025

podcasts.apple.com/us/podcast/o... Hey #medsky - working in our clinics/workshops/hospitalwards/advocacy spaces - undulations in our professional peace 4sure Well, 🙏🏻 @stefankertesz.bsky.social &Saul Weiner 4this profound/inspired pod, On Becoming Healer episode h/t @dhpomerantz.bsky.social share

podcasts.apple.com

The Extraordinary Dr. Richard Clarke Cabot

Podcast Episode · On Becoming a Healer · 06/17/2025 · 40m

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 21/06/2025

Hey #medtwitter #primarycare 5 more days 2a commencement 4me .. Residency based proud 2be General Internist Oh what patients &learners are expressing! We must (I will) keep fighting for the interests and sustainability of our foundational humanistic work Primary care is investment not cost

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Holly Yang @hollyby.bsky.social · 21/06/2025

International Medical Graduates provide important access to medical care for people all over the United States. I hope that these physicians can train and work without disruption this year and in future years. They are essential to US healthcare. #medsky www.nytimes.com/2025/06/18/h...

nytimes.com

Trump Travel Restrictions Bar Residents Needed at U.S. Hospitals

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Shematologist, MD @shematologist.medsky.social · 14/06/2025

Vaccines have literally saved more than 150 million lives over the last 50 years and prevented much more morbidity but hold up guys somebody with a brain worm knows better

Figure showing number of deaths averted due to vaccines from 1974-2024

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 14/06/2025

#medsky #primarycaresky There are just too many buffoons w horrific influence on our #patients right now Hubris kills Buffoons brimming with hubris and Dunning-Kruger, we’ve got to defend against them.

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 31/05/2025

#medsky #primarycaresky #healthcare should be seen as a public good Not an object of financialization Swaths of humans are losing care sites, &financial cannibalism marches on Legislators: why? Where are you? CMS: Fee scales are compounding the mess Doc-leaders: Please don’t get engulfed

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 25/05/2025

podcasts.apple.com/us/podcast/4... Hey #healthcare world #medsky Private equity swoops in, the saviors inject capital/make promises, u know what comes next This is a NEVER event if we value dignity of health over immoral profiteering in our society Should be criminal

podcasts.apple.com

The Fall of Crozer Health, Part 3:

Podcast Episode · 43cc · 05/15/2025 · Bonus · 30m

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Frank Cacace MD FACP @gimapreceptor.bsky.social · 25/05/2025

Hey #medsky #primarycaresky #hospitalmedicinesky Near retirement, next reflection There are a LOT of margin driven and greedy entities extrapolating profit off the backs of patients and communities in our spaces Why isn’t there a shred of regulation aimed at that predatory space?

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