AnonymousActuary
No bio...
User ID: 2163
AnonymousActuary
3d ago
At best, you are demonstrating a chilling effect may have happened at a point where significant malpractice had occurred perhaps twice, and the woman was already near death (IF everyone involved is telling the truth about their actions - what mom with a pregnant 18 year old leaves the hospital after they've been declared septic??!?). Let's start with the malpractice and then we can worry about these edge cases.
AnonymousActuary
7d ago
The Right seems to have figured it out wrt SCOTUS
AnonymousActuary
10d ago
"Because EOs are just not that powerful of a tool. They don't override laws, and there are a lot of laws constraining agencies."
https://en.wikipedia.org/wiki/Deferred_Action_for_Childhood_Arrivals
Agree to disagree I suppose.
AnonymousActuary
11d ago
key thing is being involved other ways - church, neighborhood two huge ones that are admittedly probably harder than they used to be. Once you hit high school might be worth starting to get more involved - taking some AP classes, dual enrollment at local college, and highly highly recommend music and athletic extra curriculars.
AnonymousActuary
12d ago
Ender's Game and the following trilogy (Speaker for the Dead, Xenocide, Children of the Mind) I highly recommend. Speaker for the Dead especially.
I enjoyed the Ender's Shadow series as well (though I just read the finally released last book, and it was baddddd), so maybe just stick to the original 3 (Shadow Puppers/of the Hegemon/of the Giant). Not sure those still hold up though, it's been a while.
Hyperion and the sequel are my favorite SF I've read recently - very very good.
Timothy Zahn has a lot of fun stuff if you are into star wars, and some even if you aren't (the conqueror's trilogy, angelmass, icarus hunt)
AnonymousActuary
13d ago
I too am very smart and can't think of any difference between a drug that treats blood cancer and one that treats a lifestyle choice.
The comparison between the drugs that treat type 2 diabetes/cardiac issues and those in question is left for the reader.
AnonymousActuary
14d ago
Wesnoth has a place near and dear in my heart as one of the first times I grok'd tactics in a game like this. I was playing a mission and just kept slamming my forces against the enemy with no ability to make headway. I finally realized if I pulled back a bit I could stretch his reinforcement lines out and build up overwhelming force, upon which point I broke through and destroyed him. Was very empowering.
AnonymousActuary
14d ago
The reason people don't care that much is they are insulated from the cost in most cases (and indeed most of the outrage comes from when those cases breakdown - such as Out of network bills).
I don't really care what the ER charged me, I hit my deductible regardless every year. This principal-agent problem is obviously part of the issue with increasing costs.
The bigger problem though is just that there is a very small portion of the population that is very expensive to treat, and you/your loved ones have a small chance of losing the lottery in any given year and being part of that population. That's why premiums keep going up so much/Medicare solvency is threatened and all that. Someone who goes to the ER a few times a year/has a baby with the accompanying IP stays etc. is still a very small utilizer in the grand scheme of things.
AnonymousActuary
14d ago
Insurance companies are working on this - ie I've seen presentations about trying to build variable copays into an app so someone trying to go to an urgent care or ER can go to one the company has contracted with at a cheaper rate.
AnonymousActuary
21d ago
Adolin story carries hard tbh
AnonymousActuary
1mo ago
I think there is something different in a lot of these areas in that the fans of (insert Taylor Swift, LEGO, Star Wars, Marvel, Funko Pops, Video Games etc) would probably still have been fans in the past, at least to some extent, but due to trends around marriage and having kids, instead of listening to a radio station or going to a movie or whatever they have high levels of disposable income and time to spend on their hobbies that would otherwise be spent on children.
I personally see this as net negative for society, others might see it as net positive, but I think it is hard to argue it is not happening.
AnonymousActuary
1mo ago
https://slatestarcodex.com/2016/09/07/reverse-voxsplaining-brand-name-drugs/
This should be required reading for anyone in this site commenting on it.
AnonymousActuary
1mo ago
In any given year, healthcare expenditure will not be normally distributed across the population, but instead heavily skewed to a small segment.
This is extremely true and makes me wonder if we could put a few more chronic conditions in Medicare like we do with dialysis and cut costs enough for everyone else that it could be closer to actual insurance (literally moving the sickest 1% of the population or so could cut premium by 40% - sickest 5%, more like 70%)
Honestly, I kinda wonder why Obamacare wasn't more like this - seems like it would've been an easier sell to put more people on Medicare than what the ACA actually was, and it would've left people alone as far as purchasing more expensive plans? You'd have to figure out how to compensate providers somewhat, but I'd imagine there are ways (bump up Medicare reimbursement rates a bit, slight increase in Medicare taxes, slight increase in corporate taxes to offset decrease in large group premiums from some employees care shifting to Medicare?)
AnonymousActuary
1mo ago
oh I'm just saying if you set prices at 100% of Medicare. You can have transparent prices that are higher.
I know United (ironically) has been doing some work around varying copays such that the member is pointed towards providers with more favorable contracts with United. Maybe a little promise there.
AnonymousActuary
1mo ago
If everyone pays 100% of Medicare a lot of providers are going out of business. Commercial rates subsidized Medicare to some extent.
AnonymousActuary
1mo ago
Do you have kids?
AnonymousActuary
1mo ago
He's definitely right that the ACA puts that cap on non-benefit expenses (including profit), but I would tend to agree that I'm not sure how much that raised premiums. The main thing the ACA did was put the onus on paying for chronically ill people not on medicare/medicaid/Employer insurance on the taxpayer (via APTCs) and the unsubsidized making more than 250% FPL (to some extent) and 400% FPL (to a very large extent).
Not sure why we didn't just put those chronically ill in Medicare like the dialysis population....though eventually you run into the problem that Medicare rates don't sustain providers - commercial population subsidizes. Tricky little issue we have here.
AnonymousActuary
1mo ago
Story in healthcare same as everywhere - you have an increasingly rich populace with a rivalrous good that is non-discretionary (housing, education, childcare, healthcare), and the Government/private actor response is to subsidize demand and regulate supply than go shocked-pikachu-face.jpg when costs skyrocket.
AnonymousActuary
1mo ago
Lasik is unironically used as an example of a field that insurance doesn't touch that has in fact gotten orders of magnitude better and cheaper over the years.
AnonymousActuary
1mo ago
This is something I've actually been meaning to ask about - I saw somewhat credible comments that this was due to deregulation under Trump, but haven't heard the other side of the story.
AnonymousActuary
2mo ago
any D appointee would have, maybe, but he was the one who actually had.
AnonymousActuary
2mo ago
enhanced ACA subsidies might be on the way out, which were new in the last few years. The status quo subsidies I have seen nothing about cutting.
I too would like to see our gerontocracy see deeper cuts but that seems to be politically untenable, to say nothing of the giant wealth transfer to them that was our COVID policy...
AnonymousActuary
2mo ago
Not commenting on your main question, but when it comes to whether someone gets help with Medical expenses I'm confused what you are referring too.
- ACA plans are heavily subsidized for (currently) everyone regardless of Income, and pending ARPA subsidy expiration will stilly very heavily subsidized for people <250% FPL and somewhat subsidized for under 400% FPL.
- If under <100% FPL Medicaid exists and is heavily subsidized care
- Children with serious chronic illnesses (from Cancer to more substantial handicaps) can be eligible for Medicaid including at-home nursing at no cost to their parents.
Texas has not expanded Medicaid, so if this person is somehow <138% FPL but not eligible for Medicaid otherwise they might be in trouble (weird coverage gap thing Congress should absolutely fix by just making everyone <138% FPL eligible for CSR 94 plans + highest level of APTC subsidies), but #3 would still apply.
AnonymousActuary
2mo ago
what substance he had was quite partisan - he argued against Little Sisters of the Poor, for instance
The malpractice was when she was sent home while septic and 6 months pregnant
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