Replies

I watched the Pinsky interview which was excellent. The topics were familiar from other interviews Zelenko has done but he had a chance to dive into deeper detail and expand on how he sees treatment and prevention.

Ok, there is misinformation on his departure from Kiryas Joel, as expected with the fake news covering anything to do with HCQ and Dr. Zelenko. The doctor makes it clear in his Pinsky interview that this media crime and arrogance is all about sacrificing health to the goal of getting rid of Trump. So it should come as no surprise that reports of Zelenko moving his practice are written with a slant that he was ‘driven out’ or he is held in ‘low esteem’. That slant would be false, nothing could be further from the truth.

But he did leave but the question is what did he leave?

He didn’t leave his patients, he left his healthcare administration organization.

Let’s add some medical real-world context.

MDs often have run-ins with their healthcare organizations. MDs need administrations because most health transactions are financed by some form of insurance versus out of pocket payments. As doctors don’t have the time to be on the phone for hours everyday fighting for insurance coverage for their patients, they settle to be part of a healthcare administration.

Dr. Zelenko was a medical director at Carestier Health which was technically his ‘employer’ but which he entered an agreement to be an MD as part of their healthcare administration. But these agreements become blurred over time as health administrators start treating MDs as mere hired help while MDs treat their health administrators as secretarial assistants.

It’s a bit of a afterthought development in American health delivery as MDs carry all the liability and responsibility whereas health administrators do not. So it’s easy to expect conflict built into the arrangement.

What happens when a health administrator gets uppity and starts arguing with one of their an MD providers who is popular among patients?

Some health administrators are known to take the view “I’m the boss and I set policy and if you don’t like it, you can leave and I’ll hire (sign up) another provider to replace you”. In most American business, this type of view is understood as par for the course.

But this interaction is different when it comes to MDs. When an MD announces they are leaving their current health provider organization, it’s different because the MD’s patients have a choice to follow their MD if they can.

In Dr. Zelenko’s case, he moved his administrative services agreement to Monsey Health Center:

https://monsey.info/monsey-news/703384/dr-zelenko-joins-monsey-practice

Monsey, NY is about 5 to 10 miles from Kiryas Joel and it’s almost a certainty that most of Dr. Zelenko’s patients kept their choice with him.