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terapined
terapined
Joined: Dec 1, 2012
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Romes
March 7th, 2018 at 8:46:51 AM permalink
Have not really followed this because I could care less about Trumps personal sex life
From all the headlines, is she taking the money but voiding the agreement?
Actually sounds like something Trump would do. lol
"Everybody's bragging and drinking that wine, I can tell the Queen of Diamonds by the way she shines, Come to Daddy on an inside straight, I got no chance of losing this time" -Grateful Dead- "Loser"
boymimbo
boymimbo
Joined: Nov 12, 2009
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Gamblerspro
March 7th, 2018 at 9:25:55 AM permalink
Quote: petroglyph

I support America, America first, and Americans. Then labor, and anti war. I couldn't name his cabinet. I don't like kushner, Ivanka is smoking hot. Some of his sound bites attract me. But I don't follow that stuff. I couldn't tell a tweet from a cheese sandwich. I don't approve of his MENA stance. I couldn't care less about his sexual preferences or exploits. Don't want the country embarrassed, but like WJC I want every president to get some fellatio in the Oval office. I would. I don't care if he does or doesn't like golden showers, Russian hookers or a touch of blow. I want someone who puts America first, regardless of race, gender, national origin, or political party. That about covers it.



Trade is necessary, obviously. The United States doesn't produce a lot of things, or it costs incredible amounts of money to produce due to the cost of labor or the availability of the raw materials. You are being duped to believe that the US is being screwed on every trade deal.

The fact is that pretty much all of us are not trade experts. In face, we are trade dummies. Trade is very complicated. Multiple jurisdictions have courts to oversee trade issues. Trade treaties are very complex.

The result of Trump announcing tariffs had the effect of:
- precipitous drop in stock market
- his own party pleading with him not to do it.
- his chief economic advisor's resignation.

People on this forum who think those tariffs are good ideas go straight against the wisdom of most experts, including Republicans. The president is virtually alone in this case, and supporters of this particular plan are neglecting conventional wisdom and greatly simplifying the issue by claiming that America gets terrible trade deals.

People should realize that his tariffs are just pandering to the Great Lakes states in order to get more votes come 2020. The 1T deficit in a economy that is humming along is completely ridiculous.
----- You want the truth! You can't handle the truth!
Steverinos
Steverinos
Joined: Jul 6, 2016
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Gamblerspro
March 7th, 2018 at 9:39:51 AM permalink
Quote: AZDuffman

Yeah, that way they will say he just gets $400 and tough if he doesn't like it. So he leaves medicine altogether and works in something more lucrative, possibly working on dogs not people. Then people get to wait weeks instead of days or hours for their "free" health care.



You crack me up with all your doomsday predictions. People in other civilized countries that have national healthcare are just fine and are, for the most part, satisfied with the service.

http://news.gallup.com/poll/8056/healthcare-system-ratings-us-great-britain-canada.aspx
boymimbo
boymimbo
Joined: Nov 12, 2009
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March 7th, 2018 at 9:53:02 AM permalink
Quote: AZDuffman

Yeah, that way they will say he just gets $400 and tough if he doesn't like it. So he leaves medicine altogether and works in something more lucrative, possibly working on dogs not people. Then people get to wait weeks instead of days or hours for their "free" health care.



He can't work on dogs without his D.VM.

I am not going to get into a battle on health care except to say that the market is not elastic because the providers do not compete and pricing is set to guarantee bloated profit because the US market places a very high price on living. This is why a pharmaceutical company can quadruple its price on epinephrine shots (EpiPen(TM)) without any deleterious effects. It is why an insurance company can raise rates for 10 - 20% for no particular reason (no competition). It is why hospitals can charge more for services without any ill effect.

Obviously every doctor's margin is going to depend on their average going rate for the services they provide and that the public pricing is far less than the private pricing.

And yeah, insurance companies and the government are screwing over doctors. Salaries are stable or falling for physicians. Insurance companies are not passing on their increased profits to its workers either. It's because doctors don't have much in the way of bargaining power, so they get screwed over and hope that their Hippocratic Oath makes them work longer.
----- You want the truth! You can't handle the truth!
boymimbo
boymimbo
Joined: Nov 12, 2009
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March 7th, 2018 at 10:02:00 AM permalink
Quote: Steverinos

You crack me up with all your doomsday predictions. People in other civilized countries that have national healthcare are just fine and are, for the most part, satisfied with the service.

http://news.gallup.com/poll/8056/healthcare-system-ratings-us-great-britain-canada.aspx



To be fair:

Expectations are higher in the USA. Brits and Canadians are very proud of their systems and overlook their flaws: doctor and nursing shortages and an antiquated infrastructure due to lack of oversight. Canadians carry a morality that everyone should be in the same boat when it comes to their health and that if you want a better level of service to go elsewhere. I can't speak for the Brits.

Doctors in the USA are burdened with abnormally high student debt, high malpractice insurance rates, and a complex and stupid billing system. And SooPoo makes a very fair statement to say that if rates dropped, doctors would retire and there would be a lack of services. And because of the demanding and specialist nature of physicians, they can do little else with their lives.
----- You want the truth! You can't handle the truth!
SOOPOO
SOOPOO
Joined: Aug 8, 2010
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March 7th, 2018 at 10:28:05 AM permalink
Quote: dglscorrigan

I work in a VA hospital in OR. I explain major surgery as follows ; The anesthesiologist murders the patient in front of witnesses. The surgeon, assisted by nurses, operates on the corpse. After closing, the doctors and nurses all pray the anesthesiologist can bring the patient back to life. **** That is why I always pay the anesthesiologist his asking price.



Thank you. Pretty accurate. When a patient asks me how much it costs to be put to sleep, my answer is always the same..... "It's free! You pay me to wake you up!"
rsactuary
rsactuary
Joined: Sep 6, 2014
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March 7th, 2018 at 10:55:16 AM permalink
Quote: SOOPOO

Thank you. Pretty accurate. When a patient asks me how much it costs to be put to sleep, my answer is always the same..... "It's free! You pay me to wake you up!"



Sort of off topic, but I recently had a colonoscopy done and went under anesthesia for the very first time. That Propofil is some pretty crazy stuff! I was out in maybe 30 seconds and I can't believe what happened to me without me being aware of anything!

I looked at the billings and the anesthesiologist charged UHC $910 and the contractual amount was $378.20 for a standard colonoscopy procedure.
SOOPOO
SOOPOO
Joined: Aug 8, 2010
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March 7th, 2018 at 12:46:46 PM permalink
Quote: rsactuary

Sort of off topic, but I recently had a colonoscopy done and went under anesthesia for the very first time. That Propofil is some pretty crazy stuff! I was out in maybe 30 seconds and I can't believe what happened to me without me being aware of anything!

I looked at the billings and the anesthesiologist charged UHC $910 and the contractual amount was $378.20 for a standard colonoscopy procedure.



If I'm understanding what you mean, the anesthesiologist "wanted" to bill you $910 but has agreed to accept $378 because he accepts your insurance as payment in full. Just so you all understand my rant against government price fixing, Medicaid would pay around $50.
boymimbo
boymimbo
Joined: Nov 12, 2009
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March 7th, 2018 at 12:50:05 PM permalink
Quote: SOOPOO

If I'm understanding what you mean, the anesthesiologist "wanted" to bill you $910 but has agreed to accept $378 because he accepts your insurance as payment in full. Just so you all understand my rant against government price fixing, Medicaid would pay around $50.



For propofil? My understanding is that you used to get 5 "units" for colonoscopy + the work units, but now get 3 "units" at $22/unit from Medicare.

Why do the rates vary so widely???? How does the AET get to charge $910, insurance gets to pay $378, and Medicare get to pay $66?
----- You want the truth! You can't handle the truth!
AZDuffman
AZDuffman
Joined: Nov 2, 2009
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March 7th, 2018 at 2:42:02 PM permalink
Quote: SOOPOO

If I'm understanding what you mean, the anesthesiologist "wanted" to bill you $910 but has agreed to accept $378 because he accepts your insurance as payment in full. Just so you all understand my rant against government price fixing, Medicaid would pay around $50.



I can't get my oil changed for a price that low!
All animals are equal, but some are more equal than others

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