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Trump tells House Republicans to find a ‘fair number’ on SALT

What are the assumptions with the data? That is the key here. And why you're wrong.
What assumptions are you talking about?

I'm referring financial results. So there aren't assumptions. The report I'm referring is one that delineates P&L by payer. They make black numbers on privately insured and red numbers on publicly insured.
 
What assumptions are you talking about?

I'm referring financial results. So there aren't assumptions. The report I'm referring is one that delineates P&L by payer. They make black numbers on privately insured and red numbers on publicly insured.
OK. Do you agree that the way our system is setup that Medicare is roughly cpi +1, or ~3% annually in perpetuity?
 
Now do the bottom of lawyers :D
An eye opener to me was I had a coworker who had some money and bought a house by coconut grove. I can’t remember what it was. Not crazy expensive at all. Anyway he sold it after three years and wanted to celebrate so we went out for drinks. The profit he made on that deal was more than I made in salary the length of time he had the house. 3 years ish. And I worked from 9 to 7 or 8 every day and every Saturday.

I think that hustle mentality and opportunity is even more prevalent with the younger Gen. House flippers. Bitcoin. So much shit. Med school just seems like a lot. Not to mention the pool worth a shit at math etc to qualify
 
An eye opener to me was I had a coworker who had some money and bought a house by coconut grove. I can’t remember what it was. Not crazy expensive at all. Anyway he sold it after three years and wanted to celebrate so we went out for drinks. The profit he made on that deal was more than I made in salary the length of time he had the house. 3 years ish. And I worked from 9 to 7 or 8 every day and every Saturday.

I think that hustle mentality and opportunity is even more prevalent with the younger Gen. House flippers. Bitcoin. So much shit. Med school just seems like a lot. Not to mention the pool worth a shit at math etc to qualify

Everything is easy in a bull market. A lot of it is blind luck.
 
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What assumptions are you talking about?

I'm referring financial results. So there aren't assumptions. The report I'm referring is one that delineates P&L by payer. They make black numbers on privately insured and red numbers on publicly insured.

OK. Do you agree that the way our system is setup that Medicare is roughly cpi +1, or ~3% annually in perpetuity?

I'm more interested in the chart than the text.
 
Why not compare to Germany or Netherlands.... Seems at least a closer peer.

According to this ranking system the US scores well on a lot of the metrics.... With the extreme exception being 'fiscal sustainability'


We can and should look at whatever we can to get better results -- without a rating of 16 on fiscal sustainability.

But we need to disabuse ourselves of the notion that healthcare is a right. That's for childrens' fairytales.
 
Strangely, I hear a lot of doctors complain about quotas and not having time to actually spend with patients. I think of course that impacts GP more than specialists, and I think it is GP we have the biggest shortages.
GPs are useless anymore. All mine does is read the blood report. Hell, I can do that.

And if there are any issues, they just send you to a specialist. Whatever they're paying GPs, it's too much.
 
Graduate more people. Expand. Part of the problem I know is residency, there are only so many positions so we'd have to expand that too.
Not saying it would happen here, but Korea tried to force universities to take on more med students, and it resulted in a catastrophic doctor strike that is still going on to this day one year later.

Doctors are gatekeepers, and will protect the gate at all costs. Be careful what you wish for.
 
I suspect lawyers have the broadest range of all. Really more akin to just business. From $30k a year to billions.

First year salary at big firms here is $225k
Man, I’ve seen some very sad cases in those late December CLEs. Holy hell.
 
Some good stuff in the text tho

AI is going to have a massive impact on healthcare.

The new resource allocation system our hospital has is jaw-dropping. I've gotten an in-depth demonstration of it. It's not entirely automated, but it largely is. Basically the idea is to not only pair up patients to services (and/or beds) quickly and efficiently in real time, but also to do near-term projections to assist with staffing and scheduling. And they match all this up across the entire network. There's even talk of eventually incorporating private practices where they can send overflow.

The impacts are less on the cost side of the ledger than on the revenue side of the ledger (basically the idea being that they can perform 20 CTs on a machine per day, rather than 15...and the reimbursement is the same whether a service takes 2 hours or 15 minutes). But improvements on either side are a positive.

I've had lengthy conversations with the guy who has run all of this for them. And what's clear is that they're just scratching the surface. They're just getting underway with clinical applications of AI. And he feels strongly we'll be seeing them hit quickly and impactfully.
 
AI is going to have a massive impact on healthcare.

The new resource allocation system our hospital has is jaw-dropping. I've gotten an in-depth demonstration of it. It's not entirely automated, but it largely is. Basically the idea is to not only pair up patients to services (and/or beds) quickly and efficiently in real time, but to do near-term projections to assist with staffing and scheduling. And they match all this up across the entire network. There's even talk of eventually incorporating private practices where they can send overflow.

The impacts are less on the cost side of the ledger than it is the revenue side of the ledger (basically the idea being that they can perform 20 CTs on a machine per day, rather than 15...and the reimbursement is the same whether a service takes 2 hours or 15 minutes). But improvements on either side are a positive.

I've had lengthy conversations with the guy who has run all of this for them. And what's clear is that they're just scratching the surface. They're just getting underway with clinical applications of AI. And he feels strongly we'll be seeing them hit quickly and impactfully.
Very interesting. Throw in telemedicine and it may be a new world after AI.
 
AI is going to have a massive impact on healthcare.

The new resource allocation system our hospital has is jaw-dropping. I've gotten an in-depth demonstration of it. It's not entirely automated, but it largely is. Basically the idea is to not only pair up patients to services (and/or beds) quickly and efficiently in real time, but also to do near-term projections to assist with staffing and scheduling. And they match all this up across the entire network. There's even talk of eventually incorporating private practices where they can send overflow.

The impacts are less on the cost side of the ledger than on the revenue side of the ledger (basically the idea being that they can perform 20 CTs on a machine per day, rather than 15...and the reimbursement is the same whether a service takes 2 hours or 15 minutes). But improvements on either side are a positive.

I've had lengthy conversations with the guy who has run all of this for them. And what's clear is that they're just scratching the surface. They're just getting underway with clinical applications of AI. And he feels strongly we'll be seeing them hit quickly and impactfully.
As is always the case with technology and regulated industries, the regulations will drastically slow down adoption well after the technology is ready.
 
GPs are useless anymore. All mine does is read the blood report. Hell, I can do that.

And if there are any issues, they just send you to a specialist. Whatever they're paying GPs, it's too much.
The insurance is more expensive and covers less or so it at least seems. That gp is just another bill. A referral bill. Took my daughter for an mri Monday. Insurance on file. Still dinged with $700 on the spot.
 
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Why wouldn't we just subsidize HSAs? That's what Singapore does, after all. And it seems to have worked.

Again, I'm not familiar with any healthcare system anywhere that has achieved a better balance between cost, access, and quality. Those three things hang in the balance. Everybody wants lost cost, high access, high quality. But here's Sowell again with his whole things about solutions and tradeoffs.

Yes, Singapore is a tiny nation with very different culture, etc. I'm not saying we should or even could just copy it verbatim. But we'd be fools not to at least borrow from it.
Subsiding is fine. I do not recall specifically how they do it. Subsidizes need indexed somehow. Musk should receive less of a subsidy than some others.
 
The insurance is more expensive and covers less or so it at least seems. That gp is just another bill. A referral bill. Took my daughter for an mri Monday. Insurance on file. Still dinged with $700 on the spot.
Like selling your house. Everybody has a hand in your pocket.
 
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As is always the case with technology and regulated industries, the regulations will drastically slow down adoption well after the technology is ready.

Regulation (or, at least, over-regulation) really needs to start being viewed as the self-imposed millstone that it is. I'm sure you're right about this. And I'm sure the regulators will make the case that it's necessary and worth it, etc.

But is it really? I guess that's a question easier asked than answered. We tend to speak of regulation in generic terms, as if it's all created equally. And it isn't, of course. It's always been a baby/bathwater thing.

But is it too much to ask that our policymakers at least make an effort to look for the bathwater and drain it? Marc Andreessen had a good interview I watched yesterday where he discussed this -- and he brought up some really interesting points about the post-Chevron regulatory environment.
 
Regulation (or, at least, over-regulation) really needs to start being viewed as the self-imposed millstone that it is. I'm sure you're right about this. And I'm sure the regulators will make the case that it's necessary and worth it, etc.

But is it really? I guess that's a question easier asked than answered. We tend to speak of regulation in generic terms, as if it's all created equally. And it isn't, of course. It's always been a baby/bathwater thing.

But is it too much to ask that our policymakers at least make an effort to look for the bathwater and drain it? Marc Andreessen had a good interview I watched yesterday where he discussed this -- and he brought up some really interesting points about the post-Chevron regulatory environment.
Of course, it’s a reasonable request to look at which regulations are necessary. But it’s much more complicated than that. Don’t forget to throw medical malpractice lawsuits and the cost they bring into the ecosystem into the fold also. Regulations, medical malpractice, as well as non-medical managers running institutions and physicians staying on much longer than they need to create a slow moving tortoise.
 
Of course, it’s a reasonable request to look at which regulations are necessary. But it’s much more complicated than that. Don’t forget to throw medical malpractice lawsuits and the cost they bring into the ecosystem into the fold also. Regulations, medical malpractice, as well as non-medical managers running institutions and physicians staying on much longer than they need to create a slow moving tortoise.
Out of deference to @mcmurtry66, we’ll just stipulate that med-mal suits are a wonderful thing that serve to protect us and that we should be nothing but thankful for….not merely a good way for lawyers to make a handsome living. :p

(I’m kidding, of course…I’d much rather live in a place where doctors are held accountable for their screwups than in a place where they aren’t. I usually give some exemption to MM lawyers from my tirades on trial lawyers as a group).
 
Out of deference to @mcmurtry66, we’ll just stipulate that med-mal suits are a wonderful thing that serve to protect us and that we should be nothing but thankful for….not merely a good way for lawyers to make a handsome living. :p

(I’m kidding, of course…I’d much rather live in a place where doctors are held accountable for their screwups than in a place where they aren’t. I usually give some exemption to MM lawyers from my tirades on trial lawyers as a group).
MM lawyers only deserve your sympathy crazed. They have it the hardest of all ambulance chasers. Obstinate Defendants with a god complex. Settlements hampered by consent to settle clauses. Obscene expenses. Layers and layers of built in defenses. Caps that make it rarely worthwhile

They should get medals like Olympic heroes or war vets
 
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