BeatenMacaque

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BeatenMacaque

BeatenMacaque

@BeatenMacaque

Lurker. Former exit liquidity. LARP.

Katılım Kasım 2021
1.1K Takip Edilen464 Takipçiler
BeatenMacaque retweetledi
BuBBliK
BuBBliK@k1rallik·
🚨 do you understand what's happening to America's scientists.. 9 people. NASA. Los Alamos. MIT. The Air Force. Dead or missing in 33 months. no autopsies. no cause of death. no answers. > an astrophysicist shot on his porch at 6am. > a nuclear physicist assassinated at home. > a JPL director vanished mid-hike. never found. > a 4-star general walked out with just a handgun. gone. they didn't work on random stuff. missiles. asteroid deflection. nuclear fusion. UFO programs. and they're dying quietly while everyone argues about tariffs.
R A W S A L E R T S@rawsalerts

🚨#BREAKING: A Ninth scientist linked to secret US space and nuclear programs dies with no cause of death listed.

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Overeducated Gibbon
Overeducated Gibbon@MostlyMonkey·
Retarded communist garbage, you could claim the same thing for any other profession. Forming a monopoly on medical services that would allow physicians to extract maximal rent is not the standard. We have allowed doctors to do too much of this, in fact.
Dutch Rojas@DutchRojas

Physicians, in aggregate, are not compensated commensurately with the value they create. The deeper issue is not clinical skill or effort. It is coordination. As a profession, physicians have rarely acted with collective intent to secure what is structurally theirs. Over time, key domains were ceded, quietly and incrementally, to a small set of policy actors and intermediaries in Washington. Hospital ownership. Graduate medical education funding. Academic training pathways. Insurance design and control. Employee benefits infrastructure. Employer-based clinics. Professional fee structures. Core healthcare software and data systems. These were not lost in a single moment. They were transferred, piece by piece, without a unified response. There was no sustained counterweight. No organized resistance. While control shifted outward, physicians remained fragmented, often directing their energy toward one another rather than toward the structures reshaping their profession. The consequences are visible. Patients bear the cost. Outcomes lag. The system grows more complex and less accountable. There are exceptions. A minority of physicians do engage, organize, and push back, and when they do, they are formidable. Supporting them is both necessary, worthwhile, and a joy! But at the level of the whole, the profession has not operated as a coordinated economic or political force. In that vacuum, others have stepped in to define the terms.

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BeatenMacaque
BeatenMacaque@BeatenMacaque·
@CyborgPeds You are a civil servant. Be better. Honestly we shouldn’t be maintaining physician incomes of more than 32k/year
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Cyborg Pediatrician
Cyborg Pediatrician@CyborgPeds·
In residency we worked 100 hrs/wk for $32k/yr. I lived four blocks from the hospital so didn’t need to buy a parking pass. Once, I got scolded in public for parking in a patient space when I was too tired to walk from home. It was literally the only time I had parked there.
Anthony DiGiorgio, DO, MHA@DrDiGiorgio

Did an emergency crani in the middle of the night for a young girl with an epidural hematoma and a blown pupil. Got scolded by an administrator the next day for failing to include a 10-point review of systems in my H&P.

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Anthony DiGiorgio, DO, MHA
Did an emergency crani in the middle of the night for a young girl with an epidural hematoma and a blown pupil. Got scolded by an administrator the next day for failing to include a 10-point review of systems in my H&P.
Kevin Pho, M.D.@kevinmd

No surgeon. No anesthesiologist. One physician. Packed ED. @jessicasinghmd stabilized a critically ill patient with blood in their airway. Shift ends. The incoming physician, also an administrator, says in front of staff: "I need you to function." She reported it. Was told this person "was known for this." Had made other administrators cry. That was the culture. She left. Not because of the clinical work. Because the people who should have her back in life-or-death moments couldn't even acknowledge a successful resuscitation. Her advice now: don't accuse, observe. "I noticed this, and here's its impact." And if you don't feel safe saying it alone, bring a third party. Episode is in the comments. #PhysicianBurnout #PsychologicalSafety #EmergencyMedicine

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BeatenMacaque
BeatenMacaque@BeatenMacaque·
@heart_ but you know it grips like a noose at high noon
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Heart
Heart@heart_·
auto translation showing us fresh new horrors beyond human comprehension
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BeatenMacaque
BeatenMacaque@BeatenMacaque·
dear @OpenAI, can codex max subscribers do 4x speed for 3x use or maybe some type of continuum?
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BeatenMacaque
BeatenMacaque@BeatenMacaque·
@YounisJoseph @ashdgandhi your audience here is the bottom 85%. your industry handed over the business of medicine to business people who will vilify you along with everyone else for expecting money. docs just need to quit en masse and let the chips fall where they lie.
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Ashvin Gandhi
Ashvin Gandhi@ashdgandhi·
The average physician has an NPV of around $10M, and neurosurgeons make way more than the average. Neurosurgeons work a ton of hours and undergo many years of training. However, they are extremely well compensated for that, as they earn nearly $1 million/year on average.
Ashvin Gandhi tweet mediaAshvin Gandhi tweet media
Joseph Younis, MD@YounisJoseph

When you adjust a neurosurgeons pay for 40 hour weeks, their salary drops from a reported $749k to $483k. Now imagine 4 years undergrad, 4 years med school, 7-10 years residency, 300k debt to for an effective 483k pre-tax. You just started and you’re 20 years from using your 401k

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Joseph Younis, MD
Joseph Younis, MD@YounisJoseph·
You think comparing a neurosurgeon to the average lawyer is a fair comparison? Your comparison should either adjust for years in training = years in attorney practice or scarcity percentiles. I.e, a neurosurgeon is 0.001% of population, an attorney is 0.4%, 400x more. 1/0.4/0.001 = top .25% of attorney = neurosurgeon scarcity.
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Ashvin Gandhi
Ashvin Gandhi@ashdgandhi·
I’m a big fan of free speech, but we should probably ban doctors from comparing their TOTAL debt with their ANNUAL income. Paying even 8% interest on $300k of medical debt comes to $24k/year. So, this poor neurosurgeon’s $749k salary is really just $725k after adjusting for debt.
Joseph Younis, MD@YounisJoseph

When you adjust a neurosurgeons pay for 40 hour weeks, their salary drops from a reported $749k to $483k. Now imagine 4 years undergrad, 4 years med school, 7-10 years residency, 300k debt to for an effective 483k pre-tax. You just started and you’re 20 years from using your 401k

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BeatenMacaque
BeatenMacaque@BeatenMacaque·
@ContrarianSaver If you think physician salaries are crazy you should take a gander at airline pilots
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Contrarian Saver
Contrarian Saver@ContrarianSaver·
Here is a PSA for doctors of all stripes: if you want to preserve your $749k salaries, paltry and unfair as they may be, STFU about them! The average person thinks this is insanely wealthy, idc how many student loans you have. Trust me: silence is golden
Joseph Younis, MD@YounisJoseph

When you adjust a neurosurgeons pay for 40 hour weeks, their salary drops from a reported $749k to $483k. Now imagine 4 years undergrad, 4 years med school, 7-10 years residency, 300k debt to for an effective 483k pre-tax. You just started and you’re 20 years from using your 401k

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Elon Musk
Elon Musk@elonmusk·
Grok will never go to therapy. Never.
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BeatenMacaque retweetledi
Brian Roemmele
Brian Roemmele@BrianRoemmele·
Now at number 9.
Brian Roemmele tweet media
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