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rayspizza

Trumpcare

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Well said Willy. If you just think about the personality it takes to seek power over people, add legal bribery to the mix, allow those same people to increase their power by law, then put your faith in those people to make your life better. The blind faith is perplexing. Govangelicals must be weak people is the only reason I can think of, well that or they just think that everyone else is.

Imagine if we allowed bribery to be legal for judges what our legal system would look like. Well, we do for the people who actually make the framework for our legal system. What could go wrong?

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They some how have convinced themselves that people who seek power through government are altruistic when handed power, yet those who seek power through the private sector are somehow naturally evil and greedy. It would be an interesting study in cognitive dissonance.

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They some how have convinced themselves that people who seek power through government are altruistic when handed power, yet those who seek power through the private sector are somehow naturally evil and greedy. It would be an interesting study in cognitive dissonance.

People should spend time in Detroit to learn the difference between what the gov has done there compared to people like Ford, Illitch, Gilbert and Moroun. Without the private sector the most traveled international bridge in the world wouldn't exist.

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Doesn't the fact that doctors can demand any salary they want make you think they have a little too much power? I'm saying that mentality is pervasive in medicine and healthcare. And if the government doesn't put its foot down, costs will continue to escalate far ahead of inflation. Insurance companies dgaf about costs. They just pass them on or try to wiggle out of paying. Nobody is watching out for the consumer. And there will be no affordable care until government holds up a stop sign.

A doctor with no patients can demand all he wants but he won't get it.

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Some would see more but the new Meaningful Use laws takes time away from patient care and forces them to a computer for compliance to get reimbursement.

Thank jeebus for smartphrases and macros. I can do most level 5 notes in 3-4 minutes without a scribe. Billing for critical care time takes another minute or 2

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You work in a hospital setting and the cost to set all of that up was not yours, but the hospitals. Imagine Dr Jones down the road who has been seeing 30 patients a day but can only see 20 now because he's forced to hit metrics like 50% e-prescribe to get full reimbursement. 90% of patients better have the hispanic/non-hispanic box checked!

He could let his nurse log in under his name to send the script, but it's now a criminal act if he does.

We still have 2 ER docs that use scribes out of loyalty. The docs pay for them though, so the hospital doesn't care.

The apps on the smartphones have been wonderful. I especially like the cardio ones that send alerts. I don't know why anyone wouldn't want to use them, but if they don't, it should be their choice.

We have some who have embraced the technology, some who struggle constantly. I'm glad you've embraced them.

Are you the one who claimed he hasn't taken the flu shot? Do you wear a mask in the ER? I wondered about that when you said it.

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You work in a hospital setting and the cost to set all of that up was not yours, but the hospitals. Imagine Dr Jones down the road who has been seeing 30 patients a day but can only see 20 now because he's forced to hit metrics like 50% e-prescribe to get full reimbursement. 90% of patients better have the hispanic/non-hispanic box checked!

He could let his nurse log in under his name to send the script, but it's now a criminal act if he does.

We still have 2 ER docs that use scribes out of loyalty. The docs pay for them though, so the hospital doesn't care.

The apps on the smartphones have been wonderful. I especially like the cardio ones that send alerts. I don't know why anyone wouldn't want to use them, but if they don't, it should be their choice.

We have some who have embraced the technology, some who struggle constantly. I'm glad you've embraced them.

Are you the one who claimed he hasn't taken the flu shot? Do you wear a mask in the ER? I wondered about that when you said it.

Lol. Got a nasty gram about the flu shot today. I have to be in compliance at this hospital by 3/31-just fucking lol at that anyways. My last day is 3/30, well an overnight, so technically 3/31

Wash hands religiously. No mask unless symptomatic even runny nose, thankfully I'm strong like bull

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They give us no choice. You either take the flu shot or wear a mask during flu season. Those things are too hot, I take the shot.

I'm neurotic about the hand washing too going back to my days as the wound-care specialist. I'm also territorial about my laptop and phone, the germ magnets.

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They give us no choice. You either take the flu shot or wear a mask during flu season. Those things are too hot, I take the shot.

I'm neurotic about the hand washing too going back to my days as the wound-care specialist. I'm also territorial about my laptop and phone, the germ magnets.

I sometimes irritate who I'm coming in for bc I'm always there 10 min early to bleach my space...keyboard, phone,desk

Beats most ER smells imo...

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The government caused the out of whack fee schedules favoring hospitals over private practice. The government caused the lack of competition for providers and centers by the CON program. The government limits the competition for insurance through state border laws. The government causes costs to rise through repetitive paperwork. The government caused insurance to be tied to employment through price fixing in the manufacturing sector. The government keeps costs from falling by not allowing direct access to a PT, OT, ST, NP or PA.

I didn't know that government has screwed up healthcare on so many levels. I understand why you don't believe socialized medicine can ever work here. But I don't believe a marketplace that preys on the sick can be left to uncontrolled market forces. Maybe i'm too cynical, but I think insurance companies exacerbate the problem.

I'm old enough to remember when employer-based group health insurance was a good thing. It was affordable and offered families quality care. What happened? The scope of those policies are just a shell of what they were. Employers don't want any part of health insurance anymore. You can argue that they never should have, and you're probably right. But it used to work.

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I didn't know that government has screwed up healthcare on so many levels. I understand why you don't believe socialized medicine can ever work here. But I don't believe a marketplace that preys on the sick can be left to uncontrolled market forces. Maybe i'm too cynical, but I think insurance companies exacerbate the problem.

I'm old enough to remember when employer-based group health insurance was a good thing. It was affordable and offered families quality care. What happened? The scope of those policies are just a shell of what they were. Employers don't want any part of health insurance anymore. You can argue that they never should have, and you're probably right. But it used to work.

Insurance companies alone would not be able to make the problem worse on their own. It is the insurance companies empowered by the government who tilts things in their favor that make the problem worse.

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lol yeah, that was harsh. Apologies Gregrrr.

Insurance companies don't prey on the sick either, they prey on the healthy, but I'm less touchy about bashing insurance, it's one of my favorite pastimes.

It's getting old, we elected an idiot who stood in front of the country and said a doctor would rather chop off a foot than help it heal because it reimburses better. I've dealt with his idiot minions since. I went into healthcare to help people, not fuck them over, as did the majority of healthcare workers. I would have went into politics if that was the goal.

I also want to make as much money as I can while doing what I want. I don't know when that became a bad thing.

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lol

It's getting old, we elected an idiot who stood in front of the country and said a doctor would rather chop off a foot than help it heal because it reimburses better. I've dealt with his idiot minions since. I went into healthcare to help people, not fuck them over, as did the majority of healthcare workers. I would have went into politics if that was the goal.

I also want to make as much money as I can while doing what I want. I don't know when that became a bad thing.

I agree

It's funny when people confuse me for a public servant tho

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We don't prey on the sick, we help them.

Fuck You!

Yeah "prey" was a bad word choice. And I didn't mean it personally. i'm just saying that sick and injured people are easy targets. And in a capitalist society that spells trouble. I think a competent government should be able to balance the scales and make healthcare affordable. If that requires some form of price control so be it.

i have nothing against you making yours. I'm sure you worked hard to get where you are. But I have no doubt the entity that pays you is taking full advantage of the fact that people in enough pain will agree to pay practically anything for relief.

I'll support anyone with the guts, brains and authority to dismantle the works and do it right.. But if you're just putting a new shade of lipstick on the pig GTFO.

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lol the hope for a competent government v a capitalist society. hmmmmm

Tough choice eh?

And if you boil it down properly that means a choice between having people in power over you who tell you how to act or living in a society where individual freedom is respected and you change people's behavior through voluntary means.

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Yeah "prey" was a bad word choice. And I didn't mean it personally. i'm just saying that sick and injured people are easy targets. And in a capitalist society that spells trouble. I think a competent government should be able to balance the scales and make healthcare affordable. If that requires some form of price control so be it.

i have nothing against you making yours. I'm sure you worked hard to get where you are. But I have no doubt the entity that pays you is taking full advantage of the fact that people in enough pain will agree to pay practically anything for relief.

.

1) A true capitalist society would not protect insurance companies from other insurance companies just because they are based in another state.

2) A patient, even in this f**ked up system we have is still free to shop around for the best doctors or the best prices.

3) The best way to "balance the scales" would be for government to get out of the way, stop protecting insurance companies' rates, and let people make their own choices. An insurance company who routinely screws over their customers wouldn't last long before an honest competitor took their market share, especially in this age of online reviews and accessible information.

4) Price controls won't work because if prices are artificially held down, the quality of the product will erode.

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Yeah "prey" was a bad word choice. And I didn't mean it personally. i'm just saying that sick and injured people are easy targets. And in a capitalist society that spells trouble. I think a competent government should be able to balance the scales and make healthcare affordable. If that requires some form of price control so be it.

i have nothing against you making yours. I'm sure you worked hard to get where you are. But I have no doubt the entity that pays you is taking full advantage of the fact that people in enough pain will agree to pay practically anything for relief.

I'll support anyone with the guts, brains and authority to dismantle the works and do it right.. But if you're just putting a new shade of lipstick on the pig GTFO.

I was a little harsh and apologize. Like Earlybird said, it gets old being treated as a public servant who is only out to screw people. Why people think they have a right to my time, my equipment, my staff because I busted my ass is sometimes infuriating.

We could also say people who abuse the system through drug seeking ER visits, Munchhausen parents, and people who refuse to follow medical advice by eating shit and not exercising are abusing healthy people. I think poor choices should have consequences and good choices be rewarded but that's just me.

Agree completely with your last paragraph. We are going to end up with something shitty for the sake of doing something. We will be told how great it is, half the people will believe it.

I would like to mention, if I came up with the magic cure-all to everything, I should be a Trillionaire if that's what I wanted. I obviously wouldn't need that much, but it shouldn't matter.

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1) A true capitalist society would not protect insurance companies from other insurance companies just because they are based in another state.

2) A patient, even in this f**ked up system we have is still free to shop around for the best doctors or the best prices.

3) The best way to "balance the scales" would be for government to get out of the way, stop protecting insurance companies' rates, and let people make their own choices. An insurance company who routinely screws over their customers wouldn't last long before an honest competitor took their market share, especially in this age of online reviews and accessible information.

4) Price controls won't work because if prices are artificially held down, the quality of the product will erode.

Ok, you're not buying my premise that the helpless consumer needs gov't protection. And yet healthcare costs continue to rise faster than inflation. If government is really to blame for everything that's wrong with healthcare, I guess the best we can hope for is a new shade of lipstick. I better go get my free-ish colonoscopy before it's too late.

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Ok, you're not buying my premise that the helpless consumer needs gov't protection. And yet healthcare costs continue to rise faster than inflation. If government is really to blame for everything that's wrong with healthcare, I guess the best we can hope for is a new shade of lipstick. I better go get my free-ish colonoscopy before it's too late.

We use too much healthcare as it is. Costs rising so fast is the signal that we are doing it wrong. Government being involved for the past 75 years or so might be the sickness. I kind of like the markets in food and clothing, two other "essential" things that government is a lot less involved in. How about we give individual people the freedom to find some solutions of their own by voluntarily cooperating with other people. Yes, some people will make mistakes but I'd rather a mistake be made of one''s own volition as opposed to the mistake being mandated from the top.

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After a small group of reluctant conservatives on Friday expressed newfound support for House Republicans’ Affordable Care Act replacement, Majority Leader Kevin McCarthy (R-Calif.) announced that the GOP would move ahead with voting on the legislation next week, even though a significant chunk of hard-line conservatives swear they won’t budge.

About a dozen members from the Republican Study Committee ? all of whom President Donald Trump dubiously reported were “either a no or a maybe” ? came out in support of the GOP’s American Health Care Act on Friday. All it took for those members was a little face time with the president and some cosmetic tweaks to the legislation, which Trump backed.

Those changes would give states the option of imposing work requirements on Medicaid recipients, as well as of receiving a Medicaid block grant rather than the per-person sum they get now. But conservatives in the House Freedom Caucus ? a smaller, but more dedicated conservative group in the House ? do not appear wowed by the changes.

“Wait, we are still opposing?” Freedom Caucus member Raul Labrador (R-Idaho) facetiously asked The Huffington Post on Friday. “I thought we had caved as soon as they met zero of our demands.”

http://www.huffingtonpost.com/entry/conservatives-war-gop-health-care-bill_us_58cc477ae4b0be71dcf4d3f7

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