The best way to find out is to see what happens. Also, he was called grifter and other things. It's really not necessary for him to respond, but if you truly are interested in learning, then jump on a call or webinar with him. I also had a negative view of Jordan initially, but we've spoken a bunch and now I am friendly with JJ, even though I don't agree with everything he says.
I don't know that RO in current state is ready for this. But, it could be Pets.com, with Chewy waiting in the wings in 5 years.
JJ - in this era with oversupply, this model is going to piss off a lot of people. Plus, your prior position on physician presence will make some people question motives. The billing aspects are going to be interesting, for sure. Granted, I believe in people evolving with their thinking, but I think we had some pretty fierce debates on supervision. Sounds like I convinced you?
If your model spreads to cities, this is the end. There is no way out. I don't see a way for us to survive.
I would suggest ASTRO / ACRO take a long hard look at what the plan is for Bridge and model out what happens if you have docs going in 1-2 days a week at 25% of centers. It will be a death knell, if done rapidly and without foresight.
If on the other hand, this is strictly a rural "solution" - well, a lot of them have been doing this already with the waiver. There has been no evidence of harm done (yet). This will seem like a new shiny coat of paint on an old car. Maybe some value add, but there are rural centers in the black with low volume (I'm pointing at me). But again, I will learn more if we talk in detail.
I'm not supportive or unsupportive. I was talking with some friends about it yesterday and my view of this is when something this dramatic comes long, it is very important to be aware of it and view it critically, trying your best to remove your own biases. Steel man, not straw man. There are others above who call names or use tautology in their debate, but the best way to look at this is to break it into parts.
- rural oncology does have a shortage (maybe not ROs particularly, but some areas do)
- supervision remains unclear to some people, clear as day to others
- NP/PA role is undefined, but 2020 Medicare wording makes it sound like they can attain privileges
- rural waiver examination did not show any detriment to patient outcomes per Medicare
I want to protect my income and position. And all of yours. But, there is a wave of new stuff coming that we can't predict or fully understand.