Kenneth Fisher, M.D.

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Kenneth Fisher, M.D.

Kenneth Fisher, M.D.

@kennethafisher

A proponent of individualist personalized care, Author Understanding Healthcare https://t.co/9SNOoHCRhL, Author on Authentic Medicine, https://t.co/tF5LGx8bpM

Kalamazoo, Michigan U.S.A. Katılım Kasım 2009
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Kenneth Fisher, M.D.
Kenneth Fisher, M.D.@kennethafisher·
The single biggest problem in state governance is the political dominance of public unions. Several states are now pressing reforms that curb their coercive hold over their members. wsj.com/opinion/public… Read about F.D.R's negative view of public unions, page 62, towards moral clarity and clear thinking available here - amazon.com/Towards-Moral-…
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Terry Wilcox
Terry Wilcox@Terrilox·
I really like this idea. We've trained people and many employers to be completely passive about healthcare. Just hand over the premiums, cross our fingers, and hope the insurer doesn't screw us when we actually need it. That's why so few people even bother appealing denials. Insurance companies think in 12-month increments because that's how their risk pools and quarterly numbers work. They have zero incentive to invest in someone's long-term health. What you're describing flips that completely. It puts people back in the driver's seat as the actual CEOs of their own healthcare. Instead of renting protection from a middleman every month, you're building something real with your own money. The DPC gives you a doctor who actually knows you, the stop-loss handles the nightmare scenarios, and the rest sits in your account hopefully growing and earning some interest if you stay healthy. The stop-loss component even gets rid of the need for catastrophic coverage? I'm glad you're thinking beyond the employer-dictated model. I wish healthcare was not tied to your employer. My dad was a type 1 diabetic his whole life, and his biggest stress was almost always "do I have a job with good insurance?" Before the ACA, it was basically impossible for someone like him to get covered at all. The fear of losing coverage tied people to jobs they hated and made every career move terrifying. Redirecting what employers already spend on premiums into these kinds of personal accounts could finally start breaking that grip while still giving companies a predictable, controlled way to support their people. Obviously plenty of details to hammer out but the core is powerful. It rewards staying healthy, encourages smarter spending, and actually builds wealth instead of just feeding the system. Tools and resources that help people think like owners instead of passive consumers? Curious how you'd see this working on the employer side? Could they just redirect their current contribution straight into the account?
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Dutch Rojas
Dutch Rojas@DutchRojas·
A test worth running on your own organization. Take the largest five expense categories on your operating budget. For each one, ask whether the price you are paying is set by you, by the vendor, or by the absence of someone like you on the other side of the table. In most independent organizations, four of the five answers will be “the vendor.” The fifth, if you are honest, will be “we don’t actually know.” Now ask a different question. For each of those categories, is there any reason, legal or strategic or operational, that you could not be buying it jointly with three peers in your city? Not your competitors. Your peers. Other independent operators in adjacent fields who carry the same fixed costs you do. The list of categories where the answer is “no reason at all” is usually longer than the list where the answer is “good reason.” Most operators have never produced this list. The list, once produced, tends to change behavior immediately. Not because the operator was previously irrational. Because the operator had not previously seen the categories arranged this way. The categories arrange themselves the same way for the consolidators. That is, in fact, most of what consolidation is. buff.ly/iA4VNL0
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NewsForce
NewsForce@Newsforce·
IN THE ROOM: DR. JAY BHATTACHARYA ON COVID, SCIENCE, AND THE FIGHT AGAINST TECHNOCRACY Former UK Prime Minister @trussliz speaks with NIH Director @DrJBhattacharya about the lab leak theory, the failures of the Covid response, and the deeper crisis inside modern science. They also discuss peer review, censorship, lockdowns, scientific authority, pharmaceutical incentives, and why Bhattacharya believes the West now needs a second scientific revolution rooted in openness, replication, and freedom. Timestamps: 3:00 - Did Covid come from a lab leak 7:00 - The broken incentives inside science 14:00 - Big pharma creates problems to sell solutions 19:20 - We must trust science, not "agencies 24:47 - Censorship has no place in science 27:10 - The role of the elites 31:28 - Can truth and freedom still win
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Thomas Sowell Daily
Thomas Sowell Daily@DailySowell·
“We need to look not at the noble preambles of legislation, but at the incentives created in that legislation. Very often legislation intended to help the disadvantaged in fact pays people to stay disadvantaged.” — Thomas Sowell
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Milton Friedman Quotes
Milton Friedman Quotes@MiltonFriedmanW·
“If an experiment in private enterprise is unsuccessful, people lose money and they have to close it down. If an experiment in government is unsuccessful, it’s always expanded.” — Milton Friedman
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Kenneth Fisher, M.D.
Kenneth Fisher, M.D.@kennethafisher·
Iran has fired the first shots to end the cease-fire, but Trump can use the U.S. military advantage to pry open the Strait of Hormuz. wsj.com/opinion/irans-… Will world leaders use this battle over shipments of oil to promote nuclear energy and electric vehicles to reduce the use of fossil fuels? Probably NOT.
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Nikki Haley
Nikki Haley@NikkiHaley·
America just crossed a dangerous milestone: our national debt now exceeds the size of our economy. Washington spends $1.33 for every $1 it takes in, with a $1.9T deficit this year alone. When the bill comes due, expect higher taxes, a weaker dollar, fewer services, a weaker military—and our kids stuck paying for it.
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Kenneth Fisher, M.D.
Kenneth Fisher, M.D.@kennethafisher·
President Trump deserves credit for staying the course on Iran when so many around him are losing their nerve. wsj.com/opinion/trumps… The religious fanatics ruling today's Iran are the Natzis of the 21st Century. Their power MUST be curtailed.
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Dutch Rojas
Dutch Rojas@DutchRojas·
A 501(c)(3) hospital is tax-exempt. You knew that. A state hospital is something different. It is the state. The University of Missouri’s hospital system runs $1.91 billion in revenue, owns roughly $2 billion in assets, and pays no federal tax, no state tax, no property tax. Not because of an exemption. Because Section 115 of the Internal Revenue Code says the state does not pay income tax to itself. The interesting question isn’t whether this is fair. The interesting question is what happens to the surrounding healthcare market when one player operates at zero tax basis and everyone else doesn’t. What I keep coming back to: most physicians within 250 miles of Columbia, Missouri have not worked through what their actual competitor. They are, in fact, competing against an arm of the State of Missouri funded by taxpayers… @HawleyMO @RepJasonSmith @RepMarkAlford
Squawk Box@SquawkCNBC

"I would say that non-for-profit hospitals look like hedge funds with hospital beds because of how they're acting," says @RepJasonSmith ahead of a hearing with hospital executives on rising healthcare costs: cnb.cx/4mYJi3l

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Students For Liberty
Students For Liberty@sfliberty·
Thomas Sowell: The Unintended Consequences of the Minimum Wage.
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Elon Musk
Elon Musk@elonmusk·
This is how an economy actually works
Brivael Le Pogam@brivael

Elon Musk avait dit un truc qui m'avait marqué sur l'allocation de ressources. En substance : passé un certain niveau de richesse, l'argent n'est plus de la consommation, c'est de l'allocation de capital. Cette phrase change tout. L'économie, dans le fond, c'est juste un problème d'allocation. Tu as des ressources finies et des usages infinis. Qui décide où va quoi ? Imagine une cour de récré. 100 enfants, des paquets de cartes Pokémon distribués au hasard. Tu laisses faire. Très vite, un ordre émerge. Les bons joueurs accumulent les cartes rares, les collectionneurs trient, les négociateurs trouvent des deals. Personne n'a planifié. Et pourtant chaque carte finit dans les mains de celui qui en tire le plus de valeur. Le système maximise le bonheur total de la cour. C'est ça, la main invisible. Maintenant fais entrer la maîtresse. Elle trouve ça injuste. Léo a 50 cartes, Tom en a 3. Elle confisque, redistribue, impose l'égalité. Trois effets immédiats. Les bons joueurs arrêtent de jouer, à quoi bon. Les mauvais n'ont plus de raison de progresser, ils auront leur part. Les échanges s'effondrent. La cour est égale, et morte. Elle a maximisé l'égalité, elle a détruit le bonheur. Le problème de la maîtresse, c'est qu'elle ne peut pas avoir l'information que la cour avait collectivement. C'est le problème du calcul économique de Mises, formulé en 1920. L'URSS a essayé de le résoudre pendant 70 ans avec le Gosplan. Résultat : pénuries, queues, effondrement. Pas parce que les Soviétiques étaient bêtes, parce que le problème est mathématiquement insoluble en mode centralisé. Quand Musk a 200 milliards, il ne les consomme pas, il les alloue. SpaceX, Starlink, Neuralink, xAI. Chaque dollar est un pari sur le futur. Et lui a un track record. PayPal, Tesla, SpaceX. Il a démontré qu'il sait identifier des problèmes immenses et y allouer des ressources avec un rendement spectaculaire. L'État aussi a un track record. Hôpitaux qui s'effondrent, éducation qui décline, dette qui explose, services publics qui se dégradent malgré des budgets en hausse constante. Le marché identifie les bons allocateurs, la politique identifie les bons communicants. Le profit n'est pas une finalité, c'est un signal. Il dit : tu as alloué des ressources rares vers un usage que les gens valorisent suffisamment pour payer. Plus le profit est gros, plus la création de valeur est grande. Quand Starlink est rentable, ça veut dire que des millions de gens dans des zones rurales ont enfin internet. Quand un ministère est en déficit, ça veut dire qu'il consomme plus qu'il ne produit. L'un crée, l'autre détruit, et on appelle ça redistribution. Dans nos sociétés il y a deux catégories d'acteurs. Les entrepreneurs et les bureaucrates. L'entrepreneur prend un risque personnel pour identifier un problème, mobiliser des ressources, créer une solution. S'il se trompe il perd. S'il a raison, ses clients gagnent, ses employés gagnent, ses fournisseurs gagnent, l'État collecte des impôts. Il est la cellule de base du progrès humain. Le bureaucrate ne prend aucun risque personnel. Son salaire est garanti. Au mieux il maintient une rente existante. Au pire il la détruit par excès de réglementation, mauvaise allocation forcée, incitations perverses qui découragent ceux qui produisent. Mais dans aucun cas il ne crée. Regarde les 50 dernières années. iPhone, internet civil, SpaceX, Tesla, Google, Amazon, Stripe, mRNA, ChatGPT. Toutes des inventions privées, portées par des entrepreneurs, financées par du capital risque. Pas un seul ministère n'a inventé quoi que ce soit qui ait changé ta vie au quotidien. La France est devenue le laboratoire mondial de la dérive bureaucratique. 57% du PIB en dépenses publiques, record absolu. Une administration tentaculaire, une fiscalité qui pénalise la création de richesse. Résultat : décrochage face aux États-Unis, à l'Allemagne, à la Suisse. Fuite des cerveaux. Désindustrialisation. Dette qui explose. Et le pire c'est que la mauvaise allocation s'auto-renforce. Plus l'État prélève, moins les entrepreneurs créent. Moins ils créent, moins il y a de base fiscale. Plus l'État s'endette et taxe. Boucle de rétroaction négative parfaite. La maîtresse pense qu'elle aide, et chaque année la cour produit moins. Dans nos sociétés, ce sont les entrepreneurs, toujours, qui font avancer la civilisation. Les bureaucrates au mieux maintiennent une rente, au pire la détruisent. Aucune société n'a jamais progressé en taxant ses créateurs pour subventionner ses gestionnaires. La question n'est jamais qui a combien. C'est qui alloue le mieux la prochaine unité de ressource pour maximiser le futur de l'humanité. La réponse depuis 200 ans n'a jamais changé. Ce ne sont pas les fonctionnaires.

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Kenneth Fisher, M.D.
Kenneth Fisher, M.D.@kennethafisher·
A 6-3 Supreme Court majority in Louisiana v. Callais took a large step toward ending the partisan abuse of race to carve up Congressional districts. wsj.com/opinion/lousia… Read, "A Color Blind Constitution?" Reviewing the Supreme Court's findings about race, page 1, in "Towards Moral Clarity and Clear Thinking," amazon.com/author/kenneth…
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Elon Musk
Elon Musk@elonmusk·
They stole a nonprofit. It’s not right.
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Kenneth Fisher, M.D.
Kenneth Fisher, M.D.@kennethafisher·
If the U.A.E. exit is a portent, the OPEC cartel may eventually break up on its own under the weight of competition. wsj.com/opinion/united… Misses the point. It is time to start weaning off fossil fuels, build much more nuclear electricity-generating capacity, and encourage the purchase of electric cars.
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