If someone had told me sixtyyears ago that the USA would set up detention camps where they brought in USA citizens born in Japan for questioning and held without trial, I would have dismissed that as a ridiculous conspiracy theory. Unfortunately, reality has a way of catching up to you.
In case you don't know, a number of US citizens have had their assets seized without trial because they were believed to be Japanese, or have some other kind of connection to Japan, but without being charged with any form of concrete accusations.
The doctor would set the standard. Like the mechanic and dentist and vet. They say for X I will fix/do/replace/remove Y. With chronic conditions the terms could be the doctor is paid by how long the patient lives/or by objective improvement in situation. At the level of no better than doing nothing he gets very little and if he gets to patient to the level of 50% of the patients see that outcome he gets 100% of the money with it only going up from there. For an endocrinologist it would be simple enough to base pay based on how well the doctors course of treatment keeps the hormone levels in the range they should be. Pay can be graduated based on variance from promised results. If the patient is non-compliant on medication then medication the patient would be willing to take could be found, or another solution used. The last part is a contract term not something that needs to be dealt with the same way in every case.
Student loans do not need to be paid back until after residency is completed. On top of which that median income group includes quite a few college grads. Go ask a nice PHD at you local University what his salary is.
To make this more clear on Monday I will spend $1600 on medical treatment for a cat. The Vet gave me a total break down of what they are doing and why. He also was willing to give me actual numbers on what this will do for the cat and what I am getting for my money. I have never seen a doctor do this.
No it is not, free markets do not work that way. I go to the doctor and he bills what the market will bear. If he did not have to pay that he would keep the money as profit. Do you think he would give me a discount just because he is such a swell guy?
Besides you are talking about someone paying 10% of their income for insurance, not exactly a startling concept. Ever seen what insurance for a logging company costs? Mining operation? Any kind of heavy industry?
Oh no, a student only paid $30k a year. What a tragedy, how do they eat? Can they even afford caviar? Back in reality the median US household income is $44,389/year. So that means a couple, two medical students together forming a household, blow right past that.
Clearly then the billing for practice Doctors is different than for the ones I know people doing the billing for. The DRs I know of have a practice in the hospital, they are contractors and all the insurance stuff is handled by hospital staff for them.
I totally agree on the insurance companies demanding to only pay 50% of the going rate, so then the going rate gets preemptively doubled. If you want to pay in cash mentioning it can often get you a cash price strangely similar to this insurance "negotiated discount price."
Then there would be even more malpractice. Tons of that already. How about this simple in between step, one used in many fields, if your solution does not fix the problem you do not get paid.
If I take my car to the mechanic and he can't fix it, I don't pay him. If I buy a ladder to paint the roof and it does not work or breaks the first time I get my money back. Doctors are about the only field who expect to be paid even when they are totally useless. Then they have the gall to tell me I need a yearly checkup.
What happens when you legislate that the "guberment" will back loans of people who clearly will not pay them back (aka subprime loans)? The housing market collapses.
That was not the driving factor, most sub-prime loans were not government backed. They were far to large to qualify for that.
What happens when you legislate that you cannot tap your own natural resources because of environmental concerns? Someone else taps those resources and charges you outrageous prices. $4+ per gallon gas and rising.
Do you think US based oil companies would charge you less out of patriotism? Oil and gas prices are set by international markets for these products.
What happens when you fail to secure the borders? You get an overwhelming flood of non-taxpaying welfare recipients who destroy your healthcare system, overload your criminal justice system, and undermine your educational system.
Most illegals are young men, between the ages of 18-35. They work here then go back home. They are not a burden but a resource of cheap labor. Also the USA-Mexico Border cannot be secured. It is too large and no fence is going to keep out anyone with a fence.
Either you are sadly misinformed or tragically stupid.
That seems like a very high burden to meet. If it was your car the mechanic would at least have to refund his charges to you. Of course mechanics don't normally bring home six digit incomes.
This is medical industry propaganda. Malpractice premiums are cyclical like most markets. Most folks don't sue. A Dr killed my grandpa, no one sued. He told him he was just tired and stressed, he had pneumonia. Considering the man was suffering from silicosis due to working conditions at that time, that killed him. Had he been admitted and treated for pneumonia he would have lived many more years, possibly decades. He was only 55.
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If he sells out to a cable giant, Netflix will be dead. Then Netflix2 will replace it. The only loser will be the cable giant.
So run the conduit once, then pull whatever you want through it. We already have something like this, your water comes in them.
You run one large conduit once, to each house. Then pulls are dead easy later. The conduits should be owned by the city.
If someone had told me sixtyyears ago that the USA would set up detention camps where they brought in USA citizens born in Japan for questioning and held without trial, I would have dismissed that as a ridiculous conspiracy theory. Unfortunately, reality has a way of catching up to you.
In case you don't know, a number of US citizens have had their assets seized without trial because they were believed to be Japanese, or have some other kind of connection to Japan, but without being charged with any form of concrete accusations.
So we should be barbarians as well, great. So then what is the fucking point?
If we are not better we might as well not have bothered to even find him.
And when your know nothing solutions break, who do you expect to fix it?
Getting that sort of support is easy, sign this form stating any damage done will come out of your budget.
If you have a good crimper all you need is a new die. If your crimper does not have swappable dies, buy a better one.
The doctor would set the standard. Like the mechanic and dentist and vet. They say for X I will fix/do/replace/remove Y. With chronic conditions the terms could be the doctor is paid by how long the patient lives/or by objective improvement in situation. At the level of no better than doing nothing he gets very little and if he gets to patient to the level of 50% of the patients see that outcome he gets 100% of the money with it only going up from there. For an endocrinologist it would be simple enough to base pay based on how well the doctors course of treatment keeps the hormone levels in the range they should be. Pay can be graduated based on variance from promised results. If the patient is non-compliant on medication then medication the patient would be willing to take could be found, or another solution used. The last part is a contract term not something that needs to be dealt with the same way in every case.
Thank you.
Slightly more words:
Student loans do not need to be paid back until after residency is completed. On top of which that median income group includes quite a few college grads. Go ask a nice PHD at you local University what his salary is.
Bullshit. I can it something man-sized at 800m, given a few attempts. 2000m+ shots have been made.
To make this more clear on Monday I will spend $1600 on medical treatment for a cat. The Vet gave me a total break down of what they are doing and why. He also was willing to give me actual numbers on what this will do for the cat and what I am getting for my money. I have never seen a doctor do this.
You think bing is not doing the same fucking thing?
Are you stupid or do you work for them?
No it is not, free markets do not work that way. I go to the doctor and he bills what the market will bear. If he did not have to pay that he would keep the money as profit. Do you think he would give me a discount just because he is such a swell guy?
Besides you are talking about someone paying 10% of their income for insurance, not exactly a startling concept. Ever seen what insurance for a logging company costs? Mining operation? Any kind of heavy industry?
So no one has ever been cured of cancer, or had a tumor removed/killed off. No on has ever had open heart surgery or taken medicine for heart disease?
No one has ever been treated for head injuries and had that treatment provide some amount of improvement in there condition?
I am not suggesting 100% fix. I am suggesting you give me a bill to achieve some well stated goal if you fail to meet that goal I don't pay.
And you think oil companies in the USA would also do that?
Hugo Chavez does a lot of things, and I think I rather pay $4/gallon than deal with him.
Oh no, a student only paid $30k a year. What a tragedy, how do they eat? Can they even afford caviar? Back in reality the median US household income is $44,389/year. So that means a couple, two medical students together forming a household, blow right past that.
Clearly then the billing for practice Doctors is different than for the ones I know people doing the billing for. The DRs I know of have a practice in the hospital, they are contractors and all the insurance stuff is handled by hospital staff for them.
I totally agree on the insurance companies demanding to only pay 50% of the going rate, so then the going rate gets preemptively doubled. If you want to pay in cash mentioning it can often get you a cash price strangely similar to this insurance "negotiated discount price."
Even then he is only out 100k every 20 years. Oh no, however will a doctor afford $5k a year to save up for this little eventuality.
Then there would be even more malpractice. Tons of that already. How about this simple in between step, one used in many fields, if your solution does not fix the problem you do not get paid.
If I take my car to the mechanic and he can't fix it, I don't pay him. If I buy a ladder to paint the roof and it does not work or breaks the first time I get my money back. Doctors are about the only field who expect to be paid even when they are totally useless. Then they have the gall to tell me I need a yearly checkup.
What happens when you legislate that the "guberment" will back loans of people who clearly will not pay them back (aka subprime loans)?
The housing market collapses.
That was not the driving factor, most sub-prime loans were not government backed. They were far to large to qualify for that.
What happens when you legislate that you cannot tap your own natural resources because of environmental concerns?
Someone else taps those resources and charges you outrageous prices. $4+ per gallon gas and rising.
Do you think US based oil companies would charge you less out of patriotism? Oil and gas prices are set by international markets for these products.
What happens when you fail to secure the borders?
You get an overwhelming flood of non-taxpaying welfare recipients who destroy your healthcare system, overload your criminal justice system, and undermine your educational system.
Most illegals are young men, between the ages of 18-35. They work here then go back home. They are not a burden but a resource of cheap labor. Also the USA-Mexico Border cannot be secured. It is too large and no fence is going to keep out anyone with a fence.
Either you are sadly misinformed or tragically stupid.
That seems like a very high burden to meet. If it was your car the mechanic would at least have to refund his charges to you. Of course mechanics don't normally bring home six digit incomes.
Ask that Korean doctor about "fan death", then decide if he should be treating your child or not.
You forgot another factor, if I want to pay for it why can't I order my own tests?
Why do I need a dr to ok me and adult to take drugs or get lab tests. I hack all my other hardware. DRs make a lot by being gatekeepers.
This is medical industry propaganda. Malpractice premiums are cyclical like most markets. Most folks don't sue. A Dr killed my grandpa, no one sued. He told him he was just tired and stressed, he had pneumonia. Considering the man was suffering from silicosis due to working conditions at that time, that killed him. Had he been admitted and treated for pneumonia he would have lived many more years, possibly decades. He was only 55.