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Ronald Hirsch, MD

@signaturedoc.bsky.social

Utilization review Medicare regulatory nerd. Road cyclist. 3v CAD s/p stenting (see proile pic). Fully vaccinated, still N95 masking on planes. Vote blue. Opinions my own, not those of employer

created September 26, 2023

773 followers 763 following 446 posts

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Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

yes. I see pics

3/9/2025, 3:03:45 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Oh, the Medicare plans have been using AI for a while to prior authorize (or rather deny requests) for nursing home or rehab care.

3/9/2025, 2:07:41 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

More the reason to stay far away from RFK Jr. I’ve heard he bites.

3/9/2025, 1:47:54 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Here are the service categories. But CMS has yet to release a list of the actual procedures. The NCDs and LCDs do not have procedure codes. For example, “diagnosis and treatment of impotence” is a service category, but what the heck types of procedures fall into that?

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2/9/2025, 10:19:10 PM | 3 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

The Medicare Recovery Auditors have been paid to deny payment for care since 2009. They denied liberally in the hopes providers would not have the resources to appeal.

2/9/2025, 9:41:57 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Say it- RFK Jr is a serial killer! He has already killed in Samoa and will kill again.

2/9/2025, 8:25:05 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Ability to adjust weather maps with a Sharpie is a must have competency

2/9/2025, 7:54:31 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Was this a tour of The Gilded Age homes?

2/9/2025, 7:36:36 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Eating breakfast and got to see nature in action

squirrels having sex on a patio railing
2/9/2025, 2:58:33 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Can't someone stop RFK Jr from biting people? www.nbcnews.com/health/healt...

2/9/2025, 1:16:17 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

I would pay money for an app that will immediately set off a notification and an alarm when Trump dies so I can stop obsessively checking @cnn.com for that headline. But of course, I don’t want a notification about the next celebrity engagement or the next law that Trump violates.

1/9/2025, 10:11:06 PM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

RFK murdered over 50 children in Samoa with his anti-vaccine advocacy. His serial killing is all over the world.

1/9/2025, 12:30:28 AM | 7 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

@joho.bsky.social is a national treasure. His book is a masterpiece takedown of the COVID deniers whose actions killed people. redhawkpublications.com/We-Want-Them...

31/8/2025, 10:23:42 PM | 13 2 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Trump not pay a contractor? Say it ain’t so!!

30/8/2025, 11:24:39 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Makary needs to get over it. I’ve got an idea for him- start regulating supplements - demand scientific evidence of clinical benefit just like he wanted with masks and vaccines.

30/8/2025, 11:21:56 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Trip to Party City? Oh wait…

30/8/2025, 9:03:02 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

It’s a tragedy…that Party City went bankrupt and closed all its stores.

30/8/2025, 12:51:42 PM | 6 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

That is hilarious!!!

29/8/2025, 5:15:35 PM | 4 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Beware- men in those six states will have their info entered into AI if they want Viagra -- "diagnosis and treatment of impotence" will require prior auth under WISeR.

29/8/2025, 4:45:24 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Your lawn does not need to look like a golf course. Stop killing nature with toxic lawn fertilizers and weed control. Promote native landscaping - wildones.org

29/8/2025, 3:01:09 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

HHS/CMS does almost no audits themselves. Everything is outsourced to private companies. Even the OIG contracts Maximus to do their audits. "Pay to deny" started in 2005 with the RAC (and we know how those contractors abused the privilege) Now WISeR will be second program.

29/8/2025, 2:31:17 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

And they will be paying the companies with the AI programs based on “savings,” aka to deny medical care. Will be interesting to see if AI evolves to deny more to help its employer.

29/8/2025, 1:36:38 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

For Republican voters, "right to life" ends at birth. They could care less about protecting, feeding, or educating all children.

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28/8/2025, 3:30:48 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

☝️☝️ SERIAL KILLER ☝️☝️

28/8/2025, 3:24:41 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

How come he was allowed to use his cell phone and I can’t when I fly?

28/8/2025, 12:33:26 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

It appears RFK Jr’s serial killing plan includes our veterans and not just ordinary Americans. Stop him now!

28/8/2025, 12:31:10 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

He is a serial killer.

28/8/2025, 3:01:24 AM | 5 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

He’d be another random NFL tight end if he wasn’t dating, now engaged to, Taylor.

28/8/2025, 2:21:10 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

"Patient has a beating heart. Approved for COVID vaccine"

27/8/2025, 10:08:27 PM | 4 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Breaking News: Top CDC scientist resigns. Dr. Debra Houry had "a long history of working across seemingly partisan divides." We are all doomed. RFK Jr is a serial killer and determined to kill as many Americans as possible. open.substack.com/pub/insideme...

27/8/2025, 10:07:09 PM | 29 10 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

A box of Kraft Mac & Cheese cures all!

27/8/2025, 4:50:51 AM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

On the positive side, our health insurance premiums will go down if insurers no longer have to pay for all that costly chemotherapy, surgery and radiation therapy. Hospice is a whole lot cheaper 🙄

26/8/2025, 6:00:56 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Life in prison until his family buys a bunch of Trump's cryptocurrency then he will get a pardon and citizenship for his family.

25/8/2025, 6:43:56 PM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

And that's why I post a pic every time I see it (and so should everyone else)

22/8/2025, 6:07:13 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

# AirportScrubSighting Boston Logan

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22/8/2025, 4:16:35 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

urologist!

21/8/2025, 4:45:02 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Yep! He already is killing children in Samoa and a few in the US

21/8/2025, 4:42:07 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

You can't call nephrology fast enough!!! They LOVE hyponatremia! @kidneyboy.bsky.social will confirm that!

20/8/2025, 7:59:05 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Just when you thought United Health Group/UHC/Optum couldn’t get more evil… kffhealthnews.org/news/article...

20/8/2025, 10:48:12 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

He’s attacking @ameracadpeds.bsky.social because they spoke out about starvation of children in Gaza.

20/8/2025, 10:24:05 AM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Does raw milk treat this condition? 🙄

19/8/2025, 7:00:03 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

I do miss the robust medical discussions that happened on that other site. Learned so much!

19/8/2025, 5:21:45 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

This is the article you need to read today to cleanse your mind and learn about a fascinating creature.

19/8/2025, 2:31:21 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Trump has turned the White House into a brothel. What the f**k is wrong with him?!!

19/8/2025, 1:07:25 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Sensitive nasal passages in those ED docs — they get nose bleeds if they have to go above the first floor of the hospital.

19/8/2025, 1:03:14 AM | 4 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

South Park repeat of that episode last night crashed the Fortnight server!

14/8/2025, 11:32:32 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Back in the old days, hitting pleural fluid was always a celebration when doing a thoracentesis by percussion and palpation. Heck, even a successful paracentesis was cause for celebration. But you're right -- nothing like the perfect LP.

12/8/2025, 3:45:24 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

@brianhiestand.bsky.social - yes! Why is this still a thing after 2 1/2 years???

11/8/2025, 10:25:06 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Already written - Coronary www.goodreads.com/book/show/64...

10/8/2025, 12:00:13 AM | 3 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Of course. He was home with his kids for two weeks and begged to get his job back so he don’t have to parent them. That’s why he opposed Covid school closings- too much parenting for his ego.

9/8/2025, 3:24:48 PM | 1 0 | View on Bluesky | view

Profile picture @Peg33 (@peg33.bsky.social) reposted

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8/8/2025, 7:43:56 PM | 339 165 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

The Washington Trials of War Crimes by ICE will rival the Nuremburg Trials after WW II. And hopefully the real Alcatraz will be reopened by then so the ICE agents can be imprisoned there.

8/8/2025, 8:09:25 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Anyone looking for an Alaska fixer upper? www.zillow.com/homedetails/...

7/8/2025, 9:01:11 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Maxwell was raping children herself, not just helping Trump and Epstein do it!

7/8/2025, 2:54:52 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Dean Cain is no Pat Tillman; Cain's a washed up actor promoting hate and violence, not defending our country. www.cnn.com/2025/08/07/e...

7/8/2025, 2:52:36 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Why is no one talking about the wild ending to this week’s The Gilded Age??!!

5/8/2025, 11:51:46 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Ok, I'll play. Why is it so crowded on a Monday? It's usually the weekends with the worst crowds. (And happy to support them even with lines rather than shop at Target!)

4/8/2025, 7:04:30 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Love when screening works but sad that it shows that once again addressing the social determinants of health has so far to go. And angry that RFK Jr is determined to resist any effort to reduce health disparities or even measure the effects of these disparities and the effects of SDoH.

4/8/2025, 4:22:20 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Politics over data??? No, not the Trump/RFKJr/Bhattacharya/Makary/Means cartel!!!!

30/7/2025, 4:56:02 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

I loved the "spend more time with family." He's the guy that opposed shutting down schools in COVID because he did not want to be stuck at home watching his kids.

30/7/2025, 4:51:08 PM | 5 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Let him charge health insurance companies first!! That’s true organized crime- UHC, Aetna, Blue Cross, etc.

30/7/2025, 1:30:39 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Miracles do happen.

30/7/2025, 1:12:56 AM | 11 2 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

You mean giving Suprep for colonoscopy prep or to avoid constipation?

28/7/2025, 9:45:02 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

And he just officially abolished birthright citizenship www.hhs.gov/guidance/doc...

28/7/2025, 4:18:44 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

It's official- children born in the US are not automatically citizens without a "qualifying parent" per EO from Dictator Trump. www.hhs.gov/guidance/doc...

28/7/2025, 3:52:31 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

"Hey! I know that guy!!!"

24/7/2025, 8:53:19 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Ethical Obligations to Inform Patients About Use of AI Tools url:https://jamanetwork.com/journals/jama/fullarticle/2836687?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=072125

21/7/2025, 6:19:43 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

I wish I could have watched. I was sound asleep then woke up in recovery apparently saying inappropriate things. One patient of mine reportedly started singing Star Spangled Banner during her scope. Talk about no filter… 🤣

19/7/2025, 5:36:01 PM | 6 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Your article on Makary's blind spots is an absolute masterpiece! Thank you!!!! vajenda.substack.com/p/marty-maka...

18/7/2025, 2:30:57 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

The choreography is superb! Credit to Trump staff. So many moving parts to get that perfect shot!

17/7/2025, 8:44:20 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

We learn Trump is on Aspirin for CAD prevention. USPSTF does not recommend ASA for primary prevention -> RFK Jr shuts down USPSTF to avoid scrutiny.

17/7/2025, 7:52:01 PM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

We know money changed hands! Our tax dollars! Who got that money and how much? You have to assume their monarch got a nice bribe to accept these ICE kidnapping victims. www.cnn.com/2025/07/17/a...

17/7/2025, 7:49:57 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

They're eating their own!!

15/7/2025, 5:17:32 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

This is RFK Jr's version of doing science right??? Change the study results to fit their narrative? I don't think so... RFK Jr, Oz et al are serial killers.

15/7/2025, 3:30:27 PM | 3 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

I sure hope every one of those parents files fraud and personal injury lawsuits against that doctor!

14/7/2025, 6:32:06 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

It's all about corruption even in HHS with people's lives at stake - All that matters is - What's in it for RFK Jr and his pals? kffhealthnews.org/news/article...

14/7/2025, 4:56:20 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

The corruption and conflicts of interest at HHS are immense with RFK Jr. kffhealthnews.org/news/article...

14/7/2025, 2:10:06 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

So says Robin on Ghosts UK

11/7/2025, 4:03:10 AM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

#HappyKittenDay to Leopold, survivor of meningioma s/p radiation Just as your children are always kids no matter how old they are, cats are still kittens at any age.

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10/7/2025, 7:57:01 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Does Marjorie Taylor-Greene know they are now using Chinese lasers to kill mosquitoes? (This is actually pretty cool and will buy once price comes down from $600) www.indiegogo.com/projects/wor...

10/7/2025, 3:53:53 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

Now we have MABA- Make America Beautiful Again, with the sec'y with Hegseth, Vought, Wiles, and more MAGAts on the commission to open more public lands to hunting and fishing and recreation. What could go wrong??? public-inspection.federalregister.gov/2025-12774.pdf

8/7/2025, 7:45:55 PM | 1 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

He can't let his job get in the way of his tee times on his golf courses...

8/7/2025, 4:36:16 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Please ensure FEMA is functioning to help those Americans and all Americans when disaster strikes. Do not let Trump decimate another crucial govt agency for personal ego and financial gain.

7/7/2025, 4:23:05 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Every meal sitting in a chair. If the doctor doesn’t get breakfast in bed, the patient shouldn’t either.

4/7/2025, 6:29:44 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Not sure I'd go on vacation with her to Nepal... www.pbs.org/newshour/wor...

2/7/2025, 3:23:27 PM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Go Mint Chocolate Chip and Pistaschio!

2/7/2025, 1:10:09 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

If Elon thinks this will convince me to buy a Tesla, he's mistaken. I am waiting for the Chinese electric cars, just like Jim Farley, CEO of Ford www.businessinsider.com/ford-ceo-chi...

30/6/2025, 8:29:18 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Quite the case for term limits. At least for their last term, our elected officials can do what we elected them to do, as Thom Tillis is doing now and not be constantly groveling for money and support for reelection.

30/6/2025, 4:46:03 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Stephen Miller and RFK Jr are both serial killers. And the blood is on Trump’s hands!

27/6/2025, 11:42:25 PM | 2 1 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Headline to Read-- Stephen Miller joins RFK Jr as a Trump Administration Serial Killer

27/6/2025, 11:27:31 AM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Kuldorff starts by claiming (lying) that one COVID infection gives lifetime immunity to future infection

25/6/2025, 2:16:00 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Pass. You’ll just be a publicity tool for them and draw more listeners to their crap

25/6/2025, 11:47:06 AM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Serial killer RFK Jr.

24/6/2025, 7:54:20 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

He signs his name to his social media posts!!! Who does that but a demented person who thinks they are dictating a letter?

24/6/2025, 7:52:30 PM | 1 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Can't wait for all the false positives. Watch health care expenditures skyrocket...

24/6/2025, 5:43:27 PM | 3 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

And the federal General Accountability Office agrees the restrictions are harmful! links-2.govdelivery.com/CL0/https:%2...

24/6/2025, 5:33:14 PM | 0 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Hard to know which one is a more telling sign of his worsening dementia...

24/6/2025, 2:11:14 PM | 2 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social)

In a devious public relation plan, RFK Jr just took away ACA health coverage from all #DACA recipients without anyone noticing by also announcing a deal with insurers to "reform" prior auth. This final rule was released and ignored by the media- urldefense.proofpoint.com/v2/url?u=htt...

24/6/2025, 12:48:12 PM | 13 12 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

Why does he sign his name to his posts? Does he think when he writes a post, it gets printed on paper and hand-delivered to the subject of the post?

24/6/2025, 12:30:52 PM | 4 0 | View on Bluesky | view

Profile picture Ronald Hirsch, MD (@signaturedoc.bsky.social) reply parent

GAO did criticize abortion restrictions...this is typical Republican payback links-2.govdelivery.com/CL0/https:%2...

23/6/2025, 6:55:44 PM | 0 0 | View on Bluesky | view