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ProstheticRGK

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About ProstheticRGK

  • Rank
    Footballguy
  • Birthday 12/27/1969

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  • Gender
    Male
  • Location
    NorCal
  • Interests
    Dr. John McDougall's Starch Solution, veganism, cooking, Diablo III, medicine, Eastern Philosophy and nice butts in yoga pants.

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  • Favorite NFL Team
    Philadelphia Eagles

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  1. ProstheticRGK

    Why is Medicare for all bad?

    Turn the system on its head. When people oay insurance, they get coverage. The healthcare network that gets assigned their dollars gets a flat fee for the year. The incentive then is on keeping the person healthy, so they don't need service.
  2. ProstheticRGK

    Why is Medicare for all bad?

    Never had an issue with you before, don't want one with you now. But this is the point in the conversation where the worm has decidedly turned from defending an argument to frustrated internet insults. I'm bowing out. Good day to you, sir.
  3. ProstheticRGK

    Why is Medicare for all bad?

    I'm doing a poor job? You're patently, ridiculously over the rainbow. What do you do for a living, Tom? Whatever it is, you go ahead and spend 11 years in school and training, get yourself $500k in debt and then, when you get out, I'll pay you $25/hr to perform a service that could potentially kill the person for whom you're providing it. Also, I hope your malpractice insurance is paid off, because if things go wrong while you're doing your $25/hr gig, you're getting sued, for millions. In a case that will linger like a stale fart in your life for at least 6 years, until it gets settled even though you didn't do anything wrong and stuff happens sometimes. It's just easier to settle. But only after you've been through hell and carried around the weight of a court case, having to justify your actions and being painted as a soulless, rich doosh who isn't very good at his job and hates old people. also, I was unaware that anesthesiologists were so active in hiring illegals as to account for all of the hiring. I am interested in your research and would like to subscribe to your newsletter.
  4. ProstheticRGK

    Why is Medicare for all bad?

    Doing an old man a solid is cool. Having the ability to choose whether to do that old man a solid is even cooler. I've seen a lot of people get their bills waived (anesthesia bills separate from hospitals and other bundled charges) by anesthesia and surgeons both because it was a charitable thing to do. my argument is just that these are people, just like you and me, not rich guys twiddling their handlebar moustaches, figuring out how to swindle granny out of her house for snake oil. They put a considerable amount of time and money into their training and work long, hard hours with a considerable amount of exposure to liability. They're making business decisions with billing, just like all of us do every day negotiating salaries or billing clients. People insinuating they should just offer themselves up as sacrificial lambs of goodness to serve the community for low pay just come off as unrealistic, to me. Why would anyone do that? I know I wouldn't. I already made the decision not to become an RN over being an MD because my working career years versus debt load would have made the two choices almost even, and the amount of hours I'd have had to do as an MD made the choice an easy one. If you take away incentive for people to bust their asses to make more money, you're fundamentally breaking the system.
  5. ProstheticRGK

    Why is Medicare for all bad?

    Nevermind, you're on a roll.
  6. ProstheticRGK

    Why is Medicare for all bad?

    I hope whatever it is you do for a living escapes the "vague moral high horse" clause of public opinion setting your earnings. For $25/hr? Garbage men make about that much. They may run across an errant fleshlight bow with raccoon gnawings on it, but last I heard, if they aren't on their game for the day, they aren't killing someone.
  7. ProstheticRGK

    Why is Medicare for all bad?

    It's a business decision. I never heard any doctors complaining about the "takers". I did hear anesthesiologists complain about being reimbursed at $25/hour for giving a spinal anesthetic to a 79 year old that had spinal stenosis, aortic stenosis, and CHF and then have to monitor their BP like a hawk for 3 hours. It's simply not worth the nail-biting level of anxiety for that money. you can make it about rich people taking scrooge mcduck baths in their swimming pools of gold dubloons if you want, but that doesn't really advance the conversation, and it doesn't match up very well with my experience.
  8. ProstheticRGK

    Why is Medicare for all bad?

    If there's a built-in disincentive for a professional to use a product/service/payment form, then it is a flaw with the sytem. Human nature pretty much guarantees people will utilize whatever gives them optimal return for their investment. I don't care how philanthropic somebody is, they're not going to forego making the most amount of money they can for a theoretical sense of "fairness". I don't know what line of work you're in, but imagine somebody suggesting you start using a billing/reimbursement system that makes you jump through a bunch of hoops for lesser pay. But, the real payoff is that you get to claim you support fairness/equity/universal coverage/a great boon to humanity. it also doesn't strike me as particularly hypocritical that your opinion of Medicare changes once you stop haggling for payment from the system and start receiving coverage that you've paid into.
  9. ProstheticRGK

    Why is Medicare for all bad?

    Sort of. I know a lot of physicians who refuse Medicare patients, because the reimbursement is poor and because being a Medicare provider comes with extra regulatory restrictions on your practice to stay certified. I know even more physicians who would refuse Medicare patients, if they didn't make up such a significant portion of residents in their area. you're right that their power is economy of scale and being able to translate that into lower prices. They also negotiate a ton of bureaucratic nonsense, couched as performance standards, into their reimbursement agreements. I imagine the cost-saving benefits have a break even point, beyond which, there's no more room to negotiate lower without crippling the system. The amount of bureaucratic bloat that could result, I see as a potential ravenous Leviathan, with no projected limit on growth.
  10. ProstheticRGK

    Criminal Justice and Sexual Assault

    Belief isn't a prequisite for finding utility in a mental construct. And he is kind of a jerk. But, she's also the source of universal unconditional love, so that's nice.
  11. ProstheticRGK

    Criminal Justice and Sexual Assault

    "Doing the Lord's work" is my euphemism for doing the crappy, thankless work that a lot of people just skip over, but is really the difference between doing a job and doing a job the right way. Nobody ever gets credit for doing the Lord's work. You don't get a raise or a promotion for doing the Lord's work. Maybe, it makes it easier to sleep when your head hits the pillow, but not necessarily. It's the kind of work that only a benevolent god on a cloud with a tally board of good and bad deeds would notice. This thread makes me angry and sad. I remember sitting in an ashram listening to some maharishi speak, and him saying that this was basically the human condition: angry or sad. He said he'd rather be angry, because, at least then, you could evince change. Sad people tend to remain sad. I'll admit I am more sad than angry. Henry seems more angry. Henry is doing the Lord's work. People seem complicated. My life is complicated. I support changing the way we view sexual assault. But, even if I agree with most of what is posted and shared on this board, I have a lot of other things that require more of my energy and attention. If someone wants my tacit support, they are going to have to make it easy for me to give it. I have given this issue a lot of introspection, have opened my mind and have considered things in a way I may have never thought to consider. That's something. But the real work of evincing change has to come from angry people that make real practical change simple for good, sad people to support. keep doing the Lord's work.
  12. Seeing him live is much better than seeing him in the stu-sru-studio. Oh-oh.
  13. ProstheticRGK

    Eagles vs Giants - Week 6 TNF

    Lol, that was the jinx, I guess. That guy sux.
  14. ProstheticRGK

    Eagles vs Giants - Week 6 TNF

    Man, i love having bradham back. He is so good against the run