Living in Leftlandia
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An ER visit for a sore throat is a very expensive way to manage the sore throat population.
Do you think a sore throat is life threatening when you get one? Do you go to the ER for a sore throat?
They both are on the absolute cutting edge of research.
Look at GE. They were once the stalwart cash cow in medical. Their stock is at 9 bucks today.
Welch allyn, who essentially has had a monopoly on their product line and has been a family owned company for close to 100 years was forced to sell to hill rom, because they were dying.
On and on
Are you a distributor or manufacturer?
150k gets you a bad doctor if everyone else is offering 200k
You are right rural hospitals are a special case and need special support.
Whoa. Reality. That doesn't fly here. Only socialist ideology directed at healthcare will work here.
I already stated above.
Okay that’s rural. Look up any of the large national idns, that are public, and check out their financials.
check the profit margin on other research leaders in other industries (no software).
You think it is medical that is dragging down GE? Welch allyn was dying so much that they sold for 2 billion?
Yeah distributors are in an even worse position than providers.
Just looked up HCA and they look like they are doing well.
You really think a company that had been family owned as long as they had been sells if not under duress? Okay.
And GE has lots of problems, but medical is a pretty big boat anchor.
That’s one. Look up chi, chs, Providence
HCA has revenue streams others don’t. Same with humana.
Across the board. Why should anyone be able to keep more than 10% of the money they make doing nothing? 10% is a good return, no? Anything more than that is just greedy. Just think of all of the socialism that could pay for.
I’m telling you if the distributors unilaterally were cut by 10%, they wouldn’t be in business.
Literally everything you mention already has a competitive bidding process. You act like there are a bunch of rubes that are just ripe for swindling. Literally every commodity utilized in the medical industry is under constant and intense downward pressure. The free market is working on the supply side.
I’m ending my participation in this. You just don’t understand that world. I’m not going to try and continue to educate you.
We should be discussing pharmaceuticals. Pharmaceutical companies are the ones that have providers by the balls. Our own government is responsible for quite a bit of the ridiculous prices. Instead of being able to buy IV paracetamol dirt cheap from plenty of places outside the US, we're stuck buying IV Ofirmev at 10 times the cost. Why? Because of a patent and FDA regulations. Don't get me started on naloxone.
As a "professional tourist" from 1990-May, 2003, I saw many U. S. Nationals visiting Canadian pharmacies filling prescriptions. Cheaper. I saw many, many more Canadians going south visiting U. S. doctors. My company did considerable business in Ontario and British Columbia. I've spent my share of time listening to 50,000 watt CKLW AM 800 Windsor News/Talk radio talking about health care. I don't want Canada's single pay rationed health care system.
As a taxpayer here's what I don't like about Medicare and, of course, it could have changed since this occurred.
We contacted Medicare about getting my Dad a wheelchair. They told us they would not buy one immediately. Rather, they would pay a distributor to lease one for 13 months at $25 per month. Once the 13 months had passed and he still needed it, Medicare would purchase it for one additional month's payment. So, 14 months for $350. At the time, I could buy him the same one off the internet for less that $150.
I get calls often about being Medicare qualified for a free knee or back brace. In questioning one of the sales people, I asked what it would cost Medicare for a knee brace. I was told they would charge Medicare $600. I can buy top of the line ones off Amazon for $150 max. Of course, I could have been being bullshitted and don't need either brace since the VA has given me both for free and how many braces does a person need.
Do you think Hill-Rom buys a 2500 employee company for 2 billion if it is under duress? Sometimes people cash out if they get a good deal. The Hill Rom segment that Welch Allyn falls in had an income of 253 million off of 960 million in net revenue, that what we call in the business world "really good."
GE's healthcare division had an 18.7% profit margin in 2018, which might make it the lightest boat anchor ever.
No they would take their hair cut and pass the rest on to the manufacturers.
if you are telling me this is all labor then I guess I have to believe you. (You should look at the financials of the companies doing the bidding though)
Not sure I would trust any education I receive from some one who knows so little about boat anchors
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It would be used to pay for Berniecare, which will be socialized medicine. Whatever isn't used for Berniecare can be directed into Social Security or poop patrols as the US begins to look like San Francisco under leftist leadership.
I am going to need more socialism than that before I agree to a 90% capital gains tax.
So you're committed to free shit as long as you aren't paying for it?
Why should doctors and nurses have a higher effective tax rate for providing your "free" medical care than someone who makes money because they are privileged enough to have money to invest? That's sounding a lot more like Venezuelan socialism than Democratic socialism.
I agree with you in principal, but 90% is just too high with out more socialism.
(I pay more in income tax and payroll tax than I do capital gains even if it were 90%)
Ok. I'll compromise. Whatever isn't used for Bernicare gets to go to whatever social programs you'd like. How much revenue do you think the feds would get from taxing capital gains at 90%?
I don't know man, I think the Laffer curve is quite a bit skinnier on capital gains than it is on income. https://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/84xx/doc8449/88-cbo-007.pdf
They can certainly keep the investment as long as they like. When they sell it, us socialists will get 90% of their action. The more valuable at the time of sale, the better. I'm very patient.
We kind of need the revenue now to make up for the inevitable reduction in investment.
I typed that and then I remembered I am an MMTer so we don't need the revenue just the freeing up of real resources. I'm in.
English? English is the dominate West Germanic language and the world's most spoken second language. My English consists of about 2500 words. I abuse 3 languages. You guys have me looking up words all the time. Thanks a lot! Please try to use smaller words.
Lol. You're always so rollicking, Sunburnt.
