Don't forget that there is another realm - the hospital - in which the doctor finds all sorts of notes from the hospital's coders who are trying to find some more ICD's in order to upgrade to a better-paying DRG.
Doctors who don't pay at least some attention to coding are doctors who don't depend on 992xx for their income.
Funny, here in Mississippi (where the storm actually hit) the response was extremely effective and competent. Of course, we actually do take care of our people and maintain our levees (for example, the ones along the Mississippi River got quite a stress test this summer). Maybe it's just that New Orleans has really crappy leaders.
Most do, even in the US - ever gotten an immunization at your county health department? The argument is largely about what "a basic level of healthcare" is. And the proponents of government-provided health care in the US seem absolutely dedicated to arguing for combining the worst aspects of the Canadian system and the NHS instead of creating something that works - hence the opposition. You don't hear them arguing that we should expand Medicaid to cover anyone who wants it.
Incidentally, roads, bridges, water/sewer, and EMT services all have either specific taxes (like car licensure fees) or direct user fees (ambulance rides aren't free, and neither is my water service). Only fire and police are paid out of the general fund. If you've ever seen how much people bitch and moan about insurance copays, you know how popular similar fees for government-provided health care would be. Everyone wants Blue Cross service at NHS prices... but one or the other has to give.
I wouldn't pay road taxes if I didn't own a car (they're funded with gasoline taxes and license-plate fees), and while my city government owns the municipal water and sewer system I pay a per-gallon fee for water and sewage - the system pays for itself. The rural areas around here have non-governmental cooperatives that provide water and sometimes sewer service (if you get far enough out, you have to use a septic tank).
His reasoning isn't wonderful, but all of those things are paid for with user fees or with taxes levied only on those who use them.
"I'd like to hear your sales pitch for a small practice" isn't belligerent, or lying. Nor did I ever specify anything about the support staff - their existence, their absence, anything at all, because the doctors-and-patients remark was to set the suggestions in the realm of what he'd do for a small practice, not Kaiser Permanente or Mayo. Although it affects me in no way whatsoever, I'd be interested to hear the ideas of someone who thinks he can fix a "broken process". Do you have such a boiling hatred of everyone and everything MD that you think anything I say at all in response to him is an attack?
You could just pay that certain premium by flying first class. Yes, it's a lot more expensive than a cheapest-coach-fare, but it will get you there far faster than an airship will.
Your understanding is correct. However, since whiskey bottles don't come with expiry dates on them, the "more than a decade old" bit has to refer to the age on the label, which would be the time for which it was aged in a cask.
I'd love to have the chance to show a doctor or lawyer what I could do for them with smart tech. implementations.
So give me your pitch for the local medical clinic. Let's say they have 5000 patients and two doctors. Every nickel you spend is going to come out of their pockets directly, so everything you do had better make them more money or give them significantly more free time.
25GB per season is 480 seasons of TV per 12 TB. Rewatching? You'd be lucky to watch all of those. Assuming you watch 3 hours of TV a day, and (this is very conservative) there are 12 episodes per season, that's 5 years of watching TV before you repeat a single episode.
This is a 1996 document from the GAO, but is roughly in line with this from 2006. A little less than a third of postal employees are city carriers, and it's not going to be possible to eliminate them completely. Let us assume you could fire half of them, and that doing so would cut your labor cost in half (both big assumptions). Assuming that these are average-pay employees, you can save at most 10% of overall costs. It's not nothing, but it's also not salvation.
If your processing facilities aren't open every day, you can't forward mail from one place to another efficiently. If you send a letter from Key West to Point Roberts, it's not as though there's a dedicated truck that runs that route.
You still need daily delivery to businesses and you still have to move it all the time. It's not that it won't save any money; it's that it's almost certainly not enough to tip the PO into profitability.
The mail still needs to be moved and processed six (seven?) days a week. Cutting home delivery frequency would save money, but probably a lot less than you think.
Do you have any idea the pain it is to try to keep an original XBox working with optical disk still in play?
I know you're making a general point, but bad choice of example. Chip/TSOP/softmod, replace hard drive, copy games to drive (you'll need to pirate the ISOs or have access to a single working optical drive to do this once, never have to do it again). It's a better experience in every imaginable way.
apps are available to do so, and if they aren't, you could write one yourself
The number of people who can actually write PDF display software that is both accurate and fast may not be small in an absolute sense, but as a percentage of the market it's so small as not to be worth bothering with.
The eInk devices have succeeded because they're cheaper, lighter, longer-lived, and better at one specific task than the real tablet alternatives.
Why would I need to go to Africa to know their limitations? You wouldn't slice and dice tissue there, anyway, because the people can't afford chemotherapy in the bush (which is the only place you're going to use this stuff). You'll be doing fluid and culture smears to identify bacteria, malaria, STDs, etc.
Don't forget that there is another realm - the hospital - in which the doctor finds all sorts of notes from the hospital's coders who are trying to find some more ICD's in order to upgrade to a better-paying DRG.
Doctors who don't pay at least some attention to coding are doctors who don't depend on 992xx for their income.
Injured by industrial robot
I'm not at work, so I don't have access to an ICD code list, but I'm pretty sure this one is already in the ICD-9.
Funny, here in Mississippi (where the storm actually hit) the response was extremely effective and competent. Of course, we actually do take care of our people and maintain our levees (for example, the ones along the Mississippi River got quite a stress test this summer). Maybe it's just that New Orleans has really crappy leaders.
And the US is much richer than NK. Who runs out of money first?
For example, it's less than a third of the number of people murdered in New Orleans in 2010. The city proper has a population of just 336000.
government isn't on the take
Take off the rose-colored glasses.
a basic level of healthcare
Most do, even in the US - ever gotten an immunization at your county health department? The argument is largely about what "a basic level of healthcare" is. And the proponents of government-provided health care in the US seem absolutely dedicated to arguing for combining the worst aspects of the Canadian system and the NHS instead of creating something that works - hence the opposition. You don't hear them arguing that we should expand Medicaid to cover anyone who wants it.
Incidentally, roads, bridges, water/sewer, and EMT services all have either specific taxes (like car licensure fees) or direct user fees (ambulance rides aren't free, and neither is my water service). Only fire and police are paid out of the general fund. If you've ever seen how much people bitch and moan about insurance copays, you know how popular similar fees for government-provided health care would be. Everyone wants Blue Cross service at NHS prices... but one or the other has to give.
I wouldn't pay road taxes if I didn't own a car (they're funded with gasoline taxes and license-plate fees), and while my city government owns the municipal water and sewer system I pay a per-gallon fee for water and sewage - the system pays for itself. The rural areas around here have non-governmental cooperatives that provide water and sometimes sewer service (if you get far enough out, you have to use a septic tank).
His reasoning isn't wonderful, but all of those things are paid for with user fees or with taxes levied only on those who use them.
Dude, you need help. Get it from a physician, get it from a shaman, whatever. Get it from someone, because you're insane.
Yeah, they want you on a data plan.
"I'd like to hear your sales pitch for a small practice" isn't belligerent, or lying. Nor did I ever specify anything about the support staff - their existence, their absence, anything at all, because the doctors-and-patients remark was to set the suggestions in the realm of what he'd do for a small practice, not Kaiser Permanente or Mayo. Although it affects me in no way whatsoever, I'd be interested to hear the ideas of someone who thinks he can fix a "broken process". Do you have such a boiling hatred of everyone and everything MD that you think anything I say at all in response to him is an attack?
Sometimes you need to take a photo, and have a copy in your hand, NOW.
Presumably, that's not a big enough market to sustain production. There are, after all, very few cases where this is really true.
You could just pay that certain premium by flying first class. Yes, it's a lot more expensive than a cheapest-coach-fare, but it will get you there far faster than an airship will.
You know, this isn't a very good sales pitch.
Does the technology somehow magically prevent errors?
Does it work the same way with Whiskey?
Your understanding is correct. However, since whiskey bottles don't come with expiry dates on them, the "more than a decade old" bit has to refer to the age on the label, which would be the time for which it was aged in a cask.
I'd love to have the chance to show a doctor or lawyer what I could do for them with smart tech. implementations.
So give me your pitch for the local medical clinic. Let's say they have 5000 patients and two doctors. Every nickel you spend is going to come out of their pockets directly, so everything you do had better make them more money or give them significantly more free time.
25GB per season is 480 seasons of TV per 12 TB. Rewatching? You'd be lucky to watch all of those. Assuming you watch 3 hours of TV a day, and (this is very conservative) there are 12 episodes per season, that's 5 years of watching TV before you repeat a single episode.
This is a 1996 document from the GAO, but is roughly in line with this from 2006. A little less than a third of postal employees are city carriers, and it's not going to be possible to eliminate them completely. Let us assume you could fire half of them, and that doing so would cut your labor cost in half (both big assumptions). Assuming that these are average-pay employees, you can save at most 10% of overall costs. It's not nothing, but it's also not salvation.
If your processing facilities aren't open every day, you can't forward mail from one place to another efficiently. If you send a letter from Key West to Point Roberts, it's not as though there's a dedicated truck that runs that route.
You still need daily delivery to businesses and you still have to move it all the time. It's not that it won't save any money; it's that it's almost certainly not enough to tip the PO into profitability.
The mail still needs to be moved and processed six (seven?) days a week. Cutting home delivery frequency would save money, but probably a lot less than you think.
Do you have any idea the pain it is to try to keep an original XBox working with optical disk still in play?
I know you're making a general point, but bad choice of example. Chip/TSOP/softmod, replace hard drive, copy games to drive (you'll need to pirate the ISOs or have access to a single working optical drive to do this once, never have to do it again). It's a better experience in every imaginable way.
apps are available to do so, and if they aren't, you could write one yourself
The number of people who can actually write PDF display software that is both accurate and fast may not be small in an absolute sense, but as a percentage of the market it's so small as not to be worth bothering with.
The eInk devices have succeeded because they're cheaper, lighter, longer-lived, and better at one specific task than the real tablet alternatives.
Why would I need to go to Africa to know their limitations? You wouldn't slice and dice tissue there, anyway, because the people can't afford chemotherapy in the bush (which is the only place you're going to use this stuff). You'll be doing fluid and culture smears to identify bacteria, malaria, STDs, etc.