|
Fried Chicken posted:Only if you ignore how prevalent upcoding is. Yeah, I'll concede on that point. Hospitals overcharging so that when they get reimbursed at a lower rate they're still covered is definitely a thing Also, aren't Medicaid reimbursement percentages actually higher now than they are for Medicare? Thought I read something from the AHA about that the other day
|
#
?
Dec 3, 2014 06:35
|
|
|
|
| # ? Jun 10, 2024 07:58 |
|
|
Good Citizen posted:Yeah, I'll concede on that point. Hospitals overcharging so that when they get reimbursed at a lower rate they're still covered is definitely a thing Couldn't comment on the latter, but I'd be interested in seeing anything on it. I was under the impression medicaid was far cheaper in all regards and thus served as a better foundation for single payer policy than medicare. But the stuff I saw on that was prior to the scouts ruling on the expansion so the myriad of ways states are doing it could have shifted the aggregate cost curve
|
|
#
?
Dec 3, 2014 06:40
|
|
|
Fried Chicken posted:Couldn't comment on the latter, but I'd be interested in seeing anything on it. I was under the impression medicaid was far cheaper in all regards and thus served as a better foundation for single payer policy than medicare. But the stuff I saw on that was prior to the scouts ruling on the expansion so the myriad of ways states are doing it could have shifted the aggregate cost curve The AHA claims that Medicare is reimbursing at 3% lower than Medicaid based on cost. http://www.aha.org/research/policy/finfactsheets.shtml Of course they're a hospital advocacy group and the 2014 update still seems to be using 2012 figures so who knows. The re-admit penalty hitting hospitals this year will probably claw a few percentage points off the top of Medicare as well
|
|
#
?
Dec 3, 2014 06:50
|
|
|
Pervis posted:Gotta love how Medicare can overpay for devices and drugs and nobody bats an eye. It's like military appropriations, but for old people. Create a project that's a bitch to remove or modify without producing nasty soundbites against likely voters, but that ultimately also drives the deficit up giving you win/win when you aren't in power (not that anyone really remembers the splurge of 2002-2006). What is hilarious about this is that Medicare costs are still dramatically lower than free market markups for healthcare, as Brill noted in his article.
|
|
#
?
Dec 3, 2014 07:03
|
|
|
I do feel like there is a disproportionate amount of funds and time spent on, for instance, erection medicine as opposed to things like breast cancer. That being said, when people can function physically and sexually it increases the overall health of a society and decreases crime. I was fortunate enough to have a professor that explained political science as including one facet: "Maybe, a diplomat woke up on the wrong side of the bed. Maybe, she had a fight with her husband the night before. Individuals are involved and their petty choices or misfortunes can be the factor that pushes two nations into war." Would be nice if in Ferguson it was merely one person instead of an entire local justice department hell bent on criminality and violence. They sent riot cops after peaceful protesters for hours and hours while the rest of the city burned. They knowingly and deliberately avoided the looters and thieves to pick on the peaceful demonstrators. They put retired, empty cop cars 30' ahead of the police line on purpose (no, it doesn't make it okay to destroy municipal property, that does not excuse this intentional tactic though).
|
|
#
?
Dec 3, 2014 08:04
|
|
|
H.P. Hovercraft posted:
'murica!!  Florida deserves to go the way of Atlantis. Good riddance.
|
|
#
?
Dec 3, 2014 09:52
|
|
|
Post 9-11 User posted:Would be nice if in Ferguson it was merely one person instead of an entire local justice department hell bent on criminality and violence. They sent riot cops after peaceful protesters for hours and hours while the rest of the city burned. They knowingly and deliberately avoided the looters and thieves to pick on the peaceful demonstrators. They put retired, empty cop cars 30' ahead of the police line on purpose (no, it doesn't make it okay to destroy municipal property, that does not excuse this intentional tactic though). The sick reality behind events like Ferguson is that the white middle class in the U.S. seems to be more concerned about the potential for a piece of gene-modified corn appearing in their salad than the outright racism on display with police forces around the country. I was blown away to hear a relative actively celebrating the death of Brown during Thanksgiving (rest assured once my family members related to him pass on, I'll never talk to the rear end in a top hat again). There are just too many people that think this is how things should work, and they're absolutely pleased with the way things turned out. Anecdotal as it may be, I get the feeling the US is headed to a very sad and sick place in the future, especially with the public overwhelmingly voting Republican recently. I think the majority of Americans ultimately do want to bring back racial segregation and don't care about environmental destruction (as evidenced by SUV and large truck sales taking off again after the gas prices decreased) and the stripping of worker's rights with "right to work" legislation, because many are in a position in life where they won't live long enough to see any serious consequences. I think the best thing that can happen is for the boomers to die off and let a younger generation try again, but I know in my heart it'll be too late. 
|
|
#
?
Dec 3, 2014 11:52
|
|
|
H.P. Hovercraft posted:There is no engineering solution whatsoever to keep Miami above water. Not that anything is going to be tried anyway. It's stuff like this why there've been some rumblings of South Florida breaking away to become its own state. Can't really blame them.
|
|
#
?
Dec 3, 2014 13:30
|
|
|
So assuming that sea levels do eventually rise enough to gently caress with major US cities, how long will it take for the sea level rise to occur?
|
|
#
?
Dec 3, 2014 13:53
|
|
|
Ballz posted:It's stuff like this why there've been some rumblings of South Florida breaking away to become its own state. Can't really blame them. To hell with that, just make the state north of Orlando part of Georgia or Alabama. Gainesville can stay as an exclave.
|
|
#
?
Dec 3, 2014 13:55
|
|
|
computer parts posted:So assuming that sea levels do eventually rise enough to gently caress with major US cities, how long will it take for the sea level rise to occur? Most cities? Decades. Miami? Well, uh, it's sort of already happening, so they're going to have slow but steady increases in how inconvenient it gets. Still probably decades from "infeasibly expensive to operate", but they're already investing in more pumps to, you know, keep the storm sewers at highest tide from flooding the streets in saltwater.
|
|
#
?
Dec 3, 2014 13:59
|
|
|
Ripoff posted:The sick reality behind events like Ferguson is that the white middle class in the U.S. seems to be more concerned about the potential for a piece of gene-modified corn appearing in their salad than the outright racism on display with police forces around the country. I was blown away to hear a relative actively celebrating the death of Brown during Thanksgiving (rest assured once my family members related to him pass on, I'll never talk to the rear end in a top hat again). There are just too many people that think this is how things should work, and they're absolutely pleased with the way things turned out. Uh, no. The Midwest gives zero fucks about GMOs. Hell, a GMO labeling law failed in Colorado, home of legal weed. I know this thread loves to jerk off to the thought of tens of millions of white people hating science but it's just not true. The average middle class white voter only cares about what they perceive as their economic self interest, and that's it, period.
|
|
#
?
Dec 3, 2014 15:37
|
|
|
GMO is a buzz word bought into by anti science assholes on both sides. Don't go thinking it's just a liberal hippie douche or right wing blow hard thing. Oh no my corn is built to need less water oh no. Monsanto can gently caress right off though.
|
|
#
?
Dec 3, 2014 15:48
|
|
|
computer parts posted:So assuming that sea levels do eventually rise enough to gently caress with major US cities, how long will it take for the sea level rise to occur? Miami is already affected by saltwater intrusion in the Biscayne aquifer.
|
|
#
?
Dec 3, 2014 16:06
|
|
|
Hands up don't post
|
|
#
?
Dec 3, 2014 16:07
|
|
|
Ted Cruz, Steve King, and Michele Bachmann are holding a press conference at noon to urge the House not to go along with Boehner's plan to fund the government. 
|
|
#
?
Dec 3, 2014 16:12
|
|
|
saintonan posted:Medicare seriously buys $450 million worth of penis pumps every year? After reading the article, it sounds like we should be imprisoning people for gouging medicare, but that'll neeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeever happen. Instead of bitch slapping bad actors, we're going to just shut off all funding for the overpriced items. This is ARE gubmint.
|
|
#
?
Dec 3, 2014 16:16
|
|
|
Post 9-11 User posted:I do feel like there is a disproportionate amount of funds and time spent on, for instance, erection medicine as opposed to things like breast cancer. Fortunately there isn't. If anything, breast cancer research gets too much money (proportionally) thanks to all the awareness it gets as opposed to other diseases.
|
|
#
?
Dec 3, 2014 16:24
|
|
|
duz posted:Fortunately there isn't. If anything, breast cancer research gets too much money (proportionally) thanks to all the awareness it gets as opposed to other diseases. And because 'Boobs'
|
|
#
?
Dec 3, 2014 16:27
|
|
|
If memory serves, if we went after diseases in terms of how many deaths they have caused, the flu would be at the top of the list. I do know that if we targeted based off how much they cost to treat we would be going after diabetes. Because with that it isn't just the insulin, it is also the eventual dialysis and/or amputation, the disability pay and paying for assisted care after those, that type II has all the obesity related issues but exasperated by the diabetes... It gets expensive real fast. But that would require a Manhattan Project style approach to the disease plus a complete overhaul of our food production subsidies and incentives and nutritional and exercise information campaigns and school programs. So that's never gonna happen
|
|
#
?
Dec 3, 2014 16:39
|
|
|
Obesity would also be up there. It carries with it an insane amount of increased risk for just about everything bad medically including a huge correlation with type 2 diabetes. But holy poo poo good luck with even getting most people to even admit it is a medical condition much less addressing the causative factors.
|
|
#
?
Dec 3, 2014 16:46
|
|
|
Joementum posted:Ted Cruz, Steve King, and Michele Bachmann are holding a press conference at noon to urge the House not to go along with Boehner's plan to fund the government. The only way this plan could get any dumber is if it involved Jose Canseco. Are these people that divorced from reality? Joementum posted:Ted Cruz, Steve King, and Michele Bachmann Well. 2 out of 3 ain't bad, but I thought Cruz was sociopathic and not developmentally challenged.
|
|
#
?
Dec 3, 2014 16:48
|
|
|
Historically, flu may be the top killer. In terms of singular killer now, it's either heart attacks or a cancer, lung I believe. Pan-cancer deaths and pan-cardiovascular disease deaths are about even and flip 1/2, though you can massage those numbers based on classification.
|
|
#
?
Dec 3, 2014 16:52
|
|
|
mdemone posted:
Cruz is not dumb, he's extremely intelligent and completely amoral.
|
|
#
?
Dec 3, 2014 17:09
|
|
|
Unzip and Attack posted:Cruz is not dumb, he's extremely intelligent and completely amoral. Eh, I'm starting to have doubts on that. Yeah, he's not completely dumb, but I think people overestimate his intelligence. Above average, sure, but that isn't saying much, honestly.
|
|
#
?
Dec 3, 2014 17:16
|
|
|
I'm waiting to see what Cruz's Tea Party hero end game is before I credit him with Moriarty level intelligence. It just doesn't seem like his plan is going anywhere and I'm not confident he's going to be a Senator for life, Presidential nominee, or get some cushy industry job handed to him afterward (at least based on his service). He seems like a guy with above average intelligence that has bought his own hype.
|
|
#
?
Dec 3, 2014 17:19
|
|
|
Unzip and Attack posted:Cruz is not dumb, he's extremely intelligent and completely amoral. I'm having a hard time buying the idea that the guy is intelligent. His backers and advisers may be intelligent, but I suspect the guy is dumber than a bag of rocks.
|
|
#
?
Dec 3, 2014 17:19
|
|
|
Cruz was one of the top guys at the Harvard Law Review so he might be a crazy sociopath but he certainly isn't dumb.
|
|
#
?
Dec 3, 2014 17:23
|
|
|
I'm willing to give the benefit of the doubt to a guy who got through Harvard Law School that he's smart. It's just we keep hearing how much of a mega genius this guy is when all evidense after he was elected seems to point to the contrary. Even his stupid fake filibuster ended up with him being outsmarted by Reid. I'm sure he's smart is certain aspects of life, but that doesn't mean that everything he does or plans is a masterstroke.
|
|
#
?
Dec 3, 2014 17:23
|
|
|
Ethiser posted:Cruz was one of the top guys at the Harvard Law Review so he might be a crazy sociopath but he certainly isn't dumb. Fair enough, but what I've tend to notice is people mistake book knowledge for intellectualism.
|
|
#
?
Dec 3, 2014 17:24
|
|
|
Radish posted:He seems like a guy with above average intelligence that has bought his own hype. e: Remember, this is the guy who completely missed the loving point of Green Eggs and Ham, a book written for toddlers.
|
|
#
?
Dec 3, 2014 17:29
|
|
|
Harvard doesn't impress me, Law Review or otherwise. There are a lot of dumb motherfuckers that went to Harvard.
|
|
#
?
Dec 3, 2014 17:30
|
|
|
Did the stupid fake filibuster cost him any power or career prospects? He was pandering to people who wouldn't see, understand, or care about any of that.
|
|
#
?
Dec 3, 2014 17:31
|
|
|
SubponticatePoster posted:e: Remember, this is the guy who completely missed the loving point of Green Eggs and Ham, a book written for toddlers. I don't think anyone could live that down. Even my two year old figured out Green Eggs and Ham and how it was just a trick to make him try new things.
|
|
#
?
Dec 3, 2014 17:31
|
|
|
haveblue posted:Did the stupid fake filibuster cost him any power or career prospects? He was pandering to people who wouldn't see, understand, or care about any of that. Cruz is going to go as far as he always was, which is where he is now. He's a one term Senator who is going to spend the rest of his life as a periodic Fox News contributor until the network dies as a result of media's shifting landscape or the death of its entire user base.
|
|
#
?
Dec 3, 2014 17:33
|
|
|
I think he has at least one more term in him before tides shift and someone comes along to knock him out in the primary. That's assuming he wants to run of course instead of going to head up some shadow money pac.
|
|
#
?
Dec 3, 2014 17:40
|
|
|
Shifty Pony posted:I think he has at least one more term in him before tides shift and someone comes along to knock him out in the primary. That's assuming he wants to run of course instead of going to head up some shadow money pac. Him winning the primary in the first place was an galactic confluence coincidence that was made possible by the election being pushed back, historically low turnout, and a criminally complacent opponent who was literally being robbed blind by his best friend and campaign manager. The GOP establishment in Texas loving hates him and Cruz won't have Obama to run against in 2018.
|
|
#
?
Dec 3, 2014 17:43
|
|
|
GreyjoyBastard posted:Most cities? Decades. Miami? Well, uh, it's sort of already happening, so they're going to have slow but steady increases in how inconvenient it gets. Still probably decades from "infeasibly expensive to operate", but they're already investing in more pumps to, you know, keep the storm sewers at highest tide from flooding the streets in saltwater. Hell, pick a section and shore up the building you need to, buy some gondolas and done. You've got Little Venice with bath salts and meth.
|
|
#
?
Dec 3, 2014 17:47
|
|
|
Radish posted:I'm waiting to see what Cruz's Tea Party hero end game is before I credit him with Moriarty level intelligence. It just doesn't seem like his plan is going anywhere and I'm not confident he's going to be a Senator for life, Presidential nominee, or get some cushy industry job handed to him afterward (at least based on his service). http://talkingpointsmemo.com/livewire/ted-cruz-not-that-conservative quote:Sen. Ted Cruz is not "all that conservative," says Sen. Ted Cruz. His plan is now tack to the center and pick up a rich backer
|
|
#
?
Dec 3, 2014 17:48
|
|
|
|
| # ? Jun 10, 2024 07:58 |
|
|
Let's all keep some perspective and remember that Ted Cruz will never be the GOP nominee, much less President, ever ever ever.
|
|
#
?
Dec 3, 2014 17:50
|
|