As a family physician who’s served Nevada for over 44 years, I live by the creed of “do no harm.” As Senate Republican Leader, I carry that principle to Carson City, earning the nickname “Dr. No” for casting more “no” votes than anyone else in the Nevada Legislature. I wear this title with pride—not because I delight in saying no, but because I believe every bill must prove it serves Nevadans without causing harm.
In my medical practice, I don’t prescribe treatments without evidence. In the Senate, I don’t support legislation unless its sponsors show it won’t burden our taxpayers, small businesses, or families. The onus is on the legislator to provide data, reason, and a clear plan—no hidden taxes, no bureaucratic overreach, no unintended burdens. As a fiscal conservative, I’m skeptical of government expansion; as a doctor, I demand proof. That’s why “no” is often the most responsible vote I cast.
I’m a good sport about “Dr. No”—it reflects my commitment to principle. But what’s less sporting is the quiet demise of Republican legislation. Democrats, one seat shy of a supermajority, wield their power to kill our bills without a vote. In the 2025 session, 65% of the 102 Republican bills introduced (66 bills) died in committee, compared to just 13% of the 227 Democrat bills (30 bills). Only 17% of our bills passed the Senate, while 43% of theirs did. Our ideas—on school choice, healthcare access, or tax relief—often vanish in committee, no debate, no record. Meanwhile, I put every vote on the public record, win or lose, for all Nevadans to see. Transparency is accountability, and I’m proud to stand by my record.
My “no” votes aren’t about obstruction; they’re about protecting Nevada’s way of life. When a bill threatens to raise costs for our ranchers, entangle our entrepreneurs in red tape, or erode our freedoms, I’ll say no every time. But I’m ready to say yes to sensible ideas—bipartisan or not—that balance our budget, strengthen our healthcare, honor our veterans, or back our law enforcement.
To my colleagues across the aisle: bring your best ideas, make your case, and let’s debate openly. To my District 17 constituents, I’ll keep asking tough questions, voting with conviction, and fighting for you—whether that means yes, no, or “prove it.” And to those who call me “Dr. No,” I’ll keep earning that name, one principled vote at a time.
Sincerely,
Dr. No
Robin L. Titus, M.D.
Senate Republican Leader
Nevada State Senate, District 17
Comment
Comments