Frank Cacace MD FACP
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gimapreceptor.bsky.social
Frank Cacace MD FACP
@gimapreceptor.bsky.social
30+ yr Internal Medicine physician into longitudinal primary care patient relationships, teaching young docs &students, EBM, Meded, vintage baseball cards, my piano, Ru the stem cell transplanter, and advocating for patients, PCPs and their space. #medsky
Reposted by Frank Cacace MD FACP
In case anyone needs this now (full quotation in alt text)
September 10, 2025 at 10:52 PM
www.nytimes.com/2025/08/24/o...

The @nytimes.com should share this to every local newspaper across the land
Opinion | America First? Not When It Comes to Your Health.
www.nytimes.com
August 24, 2025 at 3:38 PM
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
"And then something changed...… - 43cc - Apple Podcasts
Podcast Episode · 43cc · 08/14/2025 · 51m
podcasts.apple.com
August 16, 2025 at 2:11 PM
#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
August 15, 2025 at 12:04 AM
Reposted by Frank Cacace MD FACP
“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 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.
www.ama-assn.org
July 27, 2025 at 7:36 PM
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 ¤t threats 2it

2those who say med education should stay out of sociopolitical contributors, LISTEN 👇
One Rural Doctor on the Cuts to Medicaid
Podcast Episode · The Daily · 07/14/2025 · Subscribers Only · 31m
podcasts.apple.com
July 16, 2025 at 1:59 PM
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
PA is a big reason why the practice of medicine has gotten so bad. One practice manager is making good trouble. Watch the New Mini Documentary "Overturned" open.substack.com/pub/healthca...
Watch the New Mini Documentary "Overturned"
"Health insurance is the biggest scam in the history of the United States of America."
open.substack.com
July 16, 2025 at 12:27 PM
Reposted by Frank Cacace MD FACP
“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...
How disease is defined may hurt patients
Preventable ignorance may lead to preventable harm
open.substack.com
July 16, 2025 at 11:29 AM
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 👇
July 11, 2025 at 2:19 PM
Hey #medsky #primarycaresky

H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share

Check this out for some #diplomaticdefiance skill building 👇👇

Of particular relevance, primary care …

www.fixmoralinjury.org/centerline/t...
The Quiet Power of Speaking Up — Moral Injury of Healthcare
A Guide to Diplomatic Defiance for Reinforcing Ethical Systems
www.fixmoralinjury.org
July 10, 2025 at 5:54 PM
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.
July 10, 2025 at 2:32 PM
July 9, 2025 at 12:22 PM
Reposted by Frank Cacace MD FACP
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...
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.
www.nbcnews.com
July 9, 2025 at 3:02 AM
Reposted by Frank Cacace MD FACP
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)
The only political split that matters - feed everyone on the off chance one person is hungry, or feed no one on the off chance someone undeserving might get fed
July 8, 2025 at 1:19 AM
Reposted by Frank Cacace MD FACP
Willie Stargell, 1970 #Pirates

#Baseball
July 7, 2025 at 2:26 PM
#medsky #primarycaresky #pediatricssky #obgynsky #geriatricssky

Newly retired, just wrote this to a group that works on preserving #healthcare in US :

-> 1/5
July 7, 2025 at 3:46 PM
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!
July 5, 2025 at 6:08 PM
#medsky The very initial retirement reading list :

Oh, and this one too :
July 5, 2025 at 4:27 PM
Reposted by Frank Cacace MD FACP
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.
July 4, 2025 at 1:02 PM
#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
July 4, 2025 at 5:14 PM
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?
July 4, 2025 at 5:06 PM
Reposted by Frank Cacace MD FACP
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
July 2, 2025 at 9:41 AM