Dr. Morgan Lorio

speaker

106 appearances 1 recordings 1 series first heard Jan 2026 last heard 29 Jan

Dr. Morgan Lorio’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Jan 2026 with 1.

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It doesn't make the system work better.

It makes the system smaller by quietly wearing it down.

In this case, efficiency is just attrition with better branding.

Rome didn't collapse from lack of manpower.

It collapsed when experience was replaced with cheaper substitutes.

That's not efficiency.

That's slow institutional decay.

Yeah, well, because it breaks a foundational assumption

This is something we surgeons were taught and made to believe, that physician work equals time times intensity.

CMS is now assuming efficiency gains without observing actual clinical practice.

Spine surgery, meanwhile, is becoming more complex.

We have older patients with more morbidities, and we're using minimally invasive techniques that require higher cognitive load.

When time goes down and intensity goes up, only the time gets counted now and the surgeon eats the rest.

Well, Carly, it's historic.

Fewer than half of physicians are now in private practice.

Among physicians under 45, self-employment has dropped to roughly one-third.

This isn't about preference.

It's about economic unsustainability.

Administrative burden and payer leverage have made independence structurally unviable.

Carly, I'm a slow learner.

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