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Current Oklahoma Hospitals

Uhhhhhhh, just no. That's just a stupid attempt to deflect your lack of knowledge about anything related to healthcare expansion, the actual topic at hand.
So that's a non-answer. Got it. You don't want to face it but it's a good comparison.
 
So that's a non-answer. Got it. You don't want to face it but it's a good comparison.
Well, here's the deal...

We in the Healthcare industry have been begging for people to get vaccinated, long before it was available to the public. I didn't predict that we'd have so many misinformed and uninformed about the importance of taking the vaccine. And how exactly is it financially feasible for me to equip and staff for that outsized variable? In addition to covid, we've seen increases in other seasonal things like RSV and parainfluenza.

Sorry man, funding to construct PICU beds wouldn't be anything that happened in your 18 month time window. And that's just funding. Funding for increased ICU beds, same thing. We don't actually get to set the price of our products, the government does by being the largest reimburser in healthcare. And guess what? It's not negotiable.

Shall we continue?
 
So now you show your ignorance. It has to be easier to build a hospital than it is to build a refinery or expand an existing one. About the only thing more difficult today would be to get a new nuclear plant built.

Yet hospitals are built and expanded all the damn time.
jfk, when did you turn in to a walking talking colostomy bag? I do not care how easy it is to build a refinery. I do know many of the challenges in expanding (capital improvements) a hospital. It is not a simple matter of shareholders deciding to take a financial gamble. Do you know the requirements? Also, staffing a hospital is not a simple task, either. A hospital employs a massively high percentage of technical employees that requires years of training and certifications. Nothing that can be addressed in an "18 month period" unless you want "doctors" that did very little schooling. I am sure a refinery employs a decent number of technical/degreed employees, but that is not the majority of employees as is the case with a hospital. I have to presume it is a much simpler path to downsize a refinery due to that employee makeup.
 
jfk, when did you turn in to a walking talking colostomy bag? I do not care how easy it is to build a refinery. I do know many of the challenges in expanding (capital improvements) a hospital. It is not a simple matter of shareholders deciding to take a financial gamble. Do you know the requirements? Also, staffing a hospital is not a simple task, either. A hospital employs a massively high percentage of technical employees that requires years of training and certifications. Nothing that can be addressed in an "18 month period" unless you want "doctors" that did very little schooling. I am sure a refinery employs a decent number of technical/degreed employees, but that is not the majority of employees as is the case with a hospital. I have to presume it is a much simpler path to downsize a refinery due to that employee makeup.
You are simply mistaken about the education and training needed to be an operator in a refinery let alone and engineer. A Dr. screws up and a patient dies. An operator screws up and an entire crew could die.

Again, you don't have to build out permanent brick and mortar structures. Just come up with contingency plans for temporary expansion for fvcks sake.
 
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Well, here's the deal...

We in the Healthcare industry have been begging for people to get vaccinated, long before it was available to the public. I didn't predict that we'd have so many misinformed and uninformed about the importance of taking the vaccine. And how exactly is it financially feasible for me to equip and staff for that outsized variable? In addition to covid, we've seen increases in other seasonal things like RSV and parainfluenza.

Sorry man, funding to construct PICU beds wouldn't be anything that happened in your 18 month time window. And that's just funding. Funding for increased ICU beds, same thing. We don't actually get to set the price of our products, the government does by being the largest reimburser in healthcare. And guess what? It's not negotiable.

Shall we continue?
Sounds great. Now quit bitching about being flooded with sick people. You've had the opportunity to increase capacity and have done nothing despite the obstacles. So when you ship people out, don't pretend like you are the victims.
 
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jfk, when did you turn in to a walking talking colostomy bag? I do not care how easy it is to build a refinery. I do know many of the challenges in expanding (capital improvements) a hospital. It is not a simple matter of shareholders deciding to take a financial gamble. Do you know the requirements? Also, staffing a hospital is not a simple task, either. A hospital employs a massively high percentage of technical employees that requires years of training and certifications. Nothing that can be addressed in an "18 month period" unless you want "doctors" that did very little schooling. I am sure a refinery employs a decent number of technical/degreed employees, but that is not the majority of employees as is the case with a hospital. I have to presume it is a much simpler path to downsize a refinery due to that employee makeup.
Bravo.

We're in the construction phase of a $250 million project to expand. The plans started a decade ago. I'm not sure he realizes that drilling rigs aren't quite the brick and mortar investments that hospital expansions are.

And I'm convinced he has no idea about anything related to hospital operations and the things you touched on, plus all of the regulation involved. I should ask him for an example of a place in any city that I can go get petroleum products for free, like gas fillups, motor oil, etc. I'm not going to because I like him and don't want to embarrass him.
 
Sounds great. Now quit bitching about being flooded with sick people. You've had the opportunity to increase capacity and have done nothing despite the obstacles. So when you ship people out, don't pretend like you are the victims.
Yeah, you're digging in on being a jackass. Good luck with that, dude.

I hope you don't need your local EMS or ER in a timely manner. And yes, I'll continue to point out how fvcking stupid people are for not taking the vaccine. What now?
 
Again, you don't have to build out permanent brick and mortar structures. Just come up with contingency plans for
How about you look into the requirements for such a structure to be approved BEFORE you sound like a moron? It would look better for you.
 
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Yeah, you're digging in on being a jackass. Good luck with that, dude.

I hope you don't need your local EMS or ER in a timely manner. And yes, I'll continue to point out how fvcking stupid people are for not taking the vaccine. What now?
I think people are stupid for not getting the vaccine as well. But it takes two to argue. You're being a dick just as much as I am. You refuse to hear any criticism. And this is legitimate.
 
Well, here's the deal...

We in the Healthcare industry have been begging for people to get vaccinated, long before it was available to the public. I didn't predict that we'd have so many misinformed and uninformed about the importance of taking the vaccine. And how exactly is it financially feasible for me to equip and staff for that outsized variable? In addition to covid, we've seen increases in other seasonal things like RSV and parainfluenza.

Sorry man, funding to construct PICU beds wouldn't be anything that happened in your 18 month time window. And that's just funding. Funding for increased ICU beds, same thing. We don't actually get to set the price of our products, the government does by being the largest reimburser in healthcare. And guess what? It's not negotiable.

Shall we continue?

Are you 100% certain that this operates exactly the same in every state?

I had a conversation several years ago with someone in healthcare administration and it sure seemed to me that she stated pretty clearly that facility construction and expansion rules were very very different between Missouri, Oklahoma, and Colorado, the states where she has direct experience.
 
@Ostatedchi, I like what you bring to the board a lot (especially diversity things), but truly all due respect you are out of your element on this topic. It is just not feasible to do the things you are talking about. Like I said, we have physical space in our hospital and have no staff, none, to man the space. Extra healthcare workers, especially those trained to work in COVID wards are simply not in existence. We could build a million extra temporary medical structures to house these patients and it wouldn’t matter. That’s not even taking into account the medical supplies that are already extremely hard to get. We could plan all we want but if you don’t have the manpower (or supplies to a lesser degree) available, what can do? Hospitals are paying ICU travels nurses insane amounts of money BYW, like $100-200/hr to try to entice to fill the void and they just aren’t there,
 
Did you actually read that? There's zero chance you did if you posted that in defense of any bullshit you're posting. So...

Who sets the price of petroleum products?
In large part the various state and federal governmental agencies that tax the shit out of it.
How about you in the medical field?
 
Are you 100% certain that this operates exactly the same in every state?

I had a conversation several years ago with someone in healthcare administration and it sure seemed to me that she stated pretty clearly that facility construction and expansion rules were very very different between Missouri, Oklahoma, and Colorado, the states where she has direct experience.
I’m sure it’s a little different. Almost everything in healthcare regulations and payments differ from state to state a little bit, but overall similar structures.
 
@Ostatedchi, I like what you bring to the board a lot (especially diversity things), but truly all due respect you are out of your element on this topic. It is just not feasible to do the things you are talking about. Like I said, we have physical space in our hospital and have no staff, none, to man the space. Extra healthcare workers, especially those trained to work in COVID wards are simply not in existence. We could build a million extra temporary medical structures to house these patients and it wouldn’t matter. That’s not even taking into account the medical supplies that are already extremely hard to get. We could plan all we want but if you don’t have the manpower (or supplies to a lesser degree) available, what can do? Hospitals are paying ICU travels nurses insane amounts of money BYW, like $100-200/hr to try to entice to fill the void and they just aren’t there,
So that's a deviation from the original post. It talked about not having enough beds. What you post is a different issue and probably a more difficult one to solve. You couldn't pay me enough to work in the medical field. So in a way I get that.
 
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In large part the various state and federal governmental agencies that tax the shit out of it.
How about you in the medical field?
Ohhhhhhh, so you set the price above your cost and government taxation?
 
Ohhhhhhh, so you set the price above your cost and government taxation?
Actually our refineries are running at a loss right now champ. We borrowed 4 billion dollars last year to make ends meet. We did have a profitable last quarter (the first one in 6 quarters) but that was on the backs of other business units. The refineries are not profitable right now. When they are profitable they make about 3 cents a gallon.
 
So that's a deviation from the original post. It talked about not having enough beds. What you post is a different issue and probably a more difficult one to solve. You couldn't pay me enough to work in the medical field. So in a way I get that.
It's all the same issue! Who do you think funds the premiums it takes to get staff? It isn't CMS. How do you think expansions are funded? Not CMS. You can build for all sorts of temporary solutions at insane costs (not sustainable), but then what? We can't staff what we have now despite the ridiculous (also not sustainable) premium pay.

Sorry Chi, but your industry gets a ton of tax subsidies. Mine gets paid what the government is willing to pay. And then what can be negotiated with insurers. And yikes, the uninsured. Have to take care of them too.

Can you point me to any free oil and gas outlets like what we have in healthcare? I'm sure your company has free gas available across the state of Oklahoma and beyond.

Smh
 
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It's all the same issue! Who do you think funds the premiums it takes to get staff? It isn't CMS. How do you think expansions are funded? Not CMS. You can build for all sorts of temporary solutions at insane costs (not sustainable), but then what? We can't staff what we have now despite the ridiculous (also not sustainable) premium pay.

Sorry Chi, but your industry gets a ton of tax subsidies. Mine gets paid what the government is willing to pay. And then what can be negotiated with insurers. And yikes, the uninsured. Have to take care of them too.

Can you point me to any free oil and gas outlets like what we have in healthcare? I'm sure your company has free gas available across the state of Oklahoma and beyond.

Smh
Tax subsidies my ass. You can keep the subsidies if they just didn't tax that in the first place.
And nothing is free. Someone pays for it. Maybe it isn't the individual who's sick. But someone paid. You're better than that.
 
Actually our refineries are running at a loss right now champ. We borrowed 4 billion dollars last year to make ends meet. We did have a profitable last quarter (the first one in 6 quarters) but that was on the backs of other business units. The refineries are not profitable right now. When they are profitable they make about 3 cents a gallon.
Oh, so piss poor planning obviously, but who has absorbed that cost (hint gas prices)?

Ahhhhh, that's right consumers who choose whether they want to put gas in their car. And where are the free gas pumps for when I can't afford to put gas in my car?
 
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It's all the same issue! Who do you think funds the premiums it takes to get staff? It isn't CMS. How do you think expansions are funded? Not CMS. You can build for all sorts of temporary solutions at insane costs (not sustainable), but then what? We can't staff what we have now despite the ridiculous (also not sustainable) premium pay.

Sorry Chi, but your industry gets a ton of tax subsidies. Mine gets paid what the government is willing to pay. And then what can be negotiated with insurers. And yikes, the uninsured. Have to take care of them too.

Can you point me to any free oil and gas outlets like what we have in healthcare? I'm sure your company has free gas available across the state of Oklahoma and beyond.

Smh
Okay so it's an unsolvable problem... I'm willing to concede that. If that's the case then quit bitching about the reality of the situation. You chose this profession. Buck up or quit.
 
Tax subsidies my ass. You can keep the subsidies if they just didn't tax that in the first place.
And nothing is free. Someone pays for it. Maybe it isn't the individual who's sick. But someone paid. You're better than that.
🤣🤣🤣🤣🤣

Wow. Are you actually serious? Head up your ass is an understatement, OstateDodge. Where can I find your company's free gas pumps? I can give you the address of plenty of hospitals that have to take care of you regardless of your ability to pay.
 
Oh, so piss poor planning obviously, but who has absorbed that cost (hint gas prices)?

Ahhhhh, that's right consumers who choose whether they want to put gas in their car. And where are the free gas pumps for when I can't afford to put gas in my car?
Hint... no. Our stock price absorbed it. And it was actually great planning because our balance sheet allowed us to weather the difficult time. But you continue to be dug in and being an asshole because heaven forbid someone criticize the medical field.
 
Okay so it's an unsolvable problem... I'm willing to concede that. If that's the case then quit bitching about the reality of the situation. You chose this profession. Buck up or quit.
Yikes you had me for a bit and then lost me again. Please just stop here. Unless you’ve worked in the ERs/ICUs in the last 18 months (or ever), do not make judgements on how they feel right now. They’ve been bucking up for a long time while most of the country gets to act like this doesn’t really exist. Unless you’ve had to convince a family to pull their father off life support so someone else can have it, just stop.
 
Okay so it's an unsolvable problem... I'm willing to concede that. If that's the case then quit bitching about the reality of the situation. You chose this profession. Buck up or quit.
Oh piss off. Pointing out reality isn't bitching. I wouldn't trade a day of my work for yours, princess. I'll be absolutely non supportive of anything oil industry related wise when it goes to shit again. That's going to be a deviation from the past.
 
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🤣🤣🤣🤣🤣

Wow. Are you actually serious? Head up your ass is an understatement, OstateDodge. Where can I find your company's free gas pumps? I can give you the address of plenty of hospitals that have to take care of you regardless of your ability to pay.
You don't provide 'free' anything. You know that. You charge someone for that cost.
We could set up free pumps for people who are unable to pay. But the cost of the other fuel purchased would increase... Just as what happens in health care.
 
Hint... no. Our stock price absorbed it. And it was actually great planning because our balance sheet allowed us to weather the difficult time. But you continue to be dug in and being an asshole because heaven forbid someone criticize the medical field.
So once again, OstateDodge, where can I find those free Phillips 66 gas pumps?
 
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Oh piss off. Pointing out reality isn't bitching. I wouldn't trade a day of my work for yours, princess. I'll be absolutely non supportive of anything oil industry related wise when it goes to shit again. That's going to be a deviation from the past.
LUL. right until you need to fuel up and can't. And like I said, you couldn't pay me enough to do what you do.
 
You don't provide 'free' anything. You know that. You charge someone for that cost.
We could set up free pumps for people who are unable to pay. But the cost of the other fuel purchased would increase... Just as what happens in health care.
Uhhhhhhhh, if you come into the ER unconscious, and have a thoracotomy, who is paying up front? Oh, duh, nobody. Now, who is paying on the billing end? No insurance? Can I send you the bill? That's the nonsense you're trying to imply.

So, which Phillips branded stations can I get gas and bill to someone else?

This is embarrassing.
 
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Can we all just agree the O&G industry and the healthcare industry are absolutely nothing alike? Like as far from alike as can possibly be. I didn’t ever think I’d have to make that distinction but here I am. Let’s move on from that discussion bc there is nothing there.
 
You are so full of shit. Nothing is free. You know that.
Yeah, so who is paying the homeless guy's bill? Serious question. Is there a fund to bill for people who have zero ability to pay? I'm required BY LAW to provide service regardless of ability to pay. Point me to the equivalent law regarding petroleum products.
 
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