Carrie MacKay

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Carrie MacKay

Carrie MacKay

@MacKayKada

Burnaby, British Columbia Katılım Eylül 2016
330 Takip Edilen46 Takipçiler
Carrie MacKay
Carrie MacKay@MacKayKada·
@mcuban Although our system is not perfect, if you have an emergency you are seen right away. Americans don't have to do things exactly like Canada, but you are the only major country who doesn't have some kind of Universal Healthcare.
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Mark Cuban
Mark Cuban@mcuban·
Look up how and when Canada got there and how they budget and pay for it. Then ask how you would transition our system to their approach
Steven Cole@StevenMCole2

@mcuban @DrDiGiorgio It really is a shame we don't have hundreds of examples of how Single-Payer, Universal healthcare works in countless first world countries on Earth. Canada is literally our neighbor.

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Anthony DiGiorgio, DO, MHA
Mark, you are getting close to understanding why single payer cannot work. But I fundamentally disagree with the idea that we could ever just "know" costs well enough to make it work. Hayek was right about this. The relevant knowledge is too dispersed, too local, and too dynamic to ever be gathered and priced correctly by central planners. Take basketball. Imagine single payer basketball. The government is the only purchaser of basketball entertainment in all its forms. Fans are not allowed to just buy a ticket to the Mavs game. Instead, a central office decides who gets to attend and hands out tickets based on "need." The central planners also handle the TV deals, merchandising, concessions, and every other revenue stream. Everything goes through the government, with no out of pocket cost to any consumer. Now teams no longer compete for fans on price, experience, convenience, or innovation. They submit cost reports to Washington explaining what it allegedly costs to run a game. But here is the problem. If there is no market price for tickets, media rights, parking, merchandise, or concessions, how exactly do you decide what the game is worth? How do you decide what players should be paid? How do you know whether a courtside seat is underpriced, overpriced, or priced just right? You do not. You are guessing. So bureaucrats step in and decide the approved reimbursement for a regular season game, a playoff game, courtside access, halftime entertainment, parking, and concessions. What happens next? If the approved rates are too low, teams do not magically become leaner and more innovative. They cut where fans can feel it. Fewer games. Worse arenas. Less staff. Delayed upgrades. Lower quality. Longer waits. Less access. Maybe smaller market teams shut down altogether. If the approved rates are too high, you do not get efficiency either. You get lobbying. Every team hires consultants to prove that its fan base is poorer, sicker, more rural, more complex, or otherwise deserving of special payment adjustments. Soon the league is no longer about basketball. It is about coding, compliance, modifiers, subsidies, carveouts, and political influence. Teams make money not by pleasing fans, but by persuading Washington that their costs are uniquely deserving of reimbursement. And once government is the only buyer, there is no real price discovery left. There is only political bargaining disguised as pricing. The Knicks get one deal. Rural teams get another. Old arenas get subsidies. Favored constituencies get carveouts. Every interest group insists that without one more special adjustment the whole sport will collapse. Fans are told this is fair because nobody has to pay at the gate. But of course they still pay. They pay through taxes. They pay through rationing. They pay through fewer choices. They pay in lower quality. They pay by being told which arena they can use, which game they qualify for, and how long they have to wait. That is the key point. Knowing the accounting cost of hosting a basketball game does not tell you the right price of a ticket. Price is not cost. Price emerges from supply, demand, scarcity, quality, preference, and competition. A central planner can know what it "costs" to turn on the lights, pay security, and clean the arena. That still tells him nothing about what a seat is worth to fans, what kind of experience teams should offer, which franchises are efficient, or where new arenas should be built. Healthcare is even less suited to central planning than basketball. It is more heterogeneous, more personal, more local, and far more dependent on dispersed knowledge. The fantasy is always the same: if only the people at the top had better data, they could set the right prices. No, they could not. They would still be guessing, just with nicer spreadsheets.
Mark Cuban@mcuban

Single payer COULD cut cost and improve care but there are 2 fundamental issues. 1. All plans proposed have placed the Sec of HHS in charge of the program. You can't have a political appointee in that position and it's hard to de-politiicize HC in this country 2. They assume that they can get providers and specialists to accept whatever rates they set. You are talking about organizations that in most cases, don't even know their costs. Why ? They don't want to know their costs. For lots of reasons to long to dig into here Proponents of M4A have to first get hospitals to the point where they can define all their costs and do a Bill of Materials for procedures. You can't negotiate a price for all Americans if you don't know what your costs are It's Shark Tank 101. So we get a stalemate. Politicians don't do the work needed. Hospitals and providers avoid the work needed Other countries started on their path to universal care decades and decades ago. When healthcare was much simpler technically and fiscally. If senators won't support the Break Up Big Medicine Bill or anything comparable , there is no chance of getting to single payer. Our politicians don't have the backbone to do what is needed. You can call out all but Hawley and warren. No one else has uttered a syllable in support

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Carrie MacKay
Carrie MacKay@MacKayKada·
@Brad604 You should be at home and watching WBC. I know Canada got knocked out but but let's cheer for Dominican Republic to beat ISA!🤷‍♀️
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Brad604
Brad604@Brad604·
The calm before the storm here in Metro Vancouver. As this Pineapple Express type of Atmospheric River straight from Hawaii begins as Snow for many of us. It will quickly transition to rain around midnight as the warm tropical air rushes in. No risk of Freezing Rain or Sleet as temperatures are already right at or already above freezing. Burnaby, BC. #bcstorm #shareyourweather
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Carrie MacKay
Carrie MacKay@MacKayKada·
@googiegirl @Brad604 You should take off that Blue Jays hat then, but you're probably not a real baseball fan anyway 😒
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Kelly B
Kelly B@googiegirl·
@Brad604 I go almost every weekend. Cheaper gas and groceries, plus fun things to do... why wouldnt someone go?
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Beautiful Angel
Beautiful Angel@BeautifulA99937·
@yegwave @JackDan110 It’s so so so EVIL people. They are even harvesting the maid peoples organs. Yea they are making money of their organs. It’s so messed up our country is so messed up. Canadian just go along with all of it.
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YEGWAVE
YEGWAVE@yegwave·
🇨🇦 Officials report that Canada is on track to surpass 100,000 assisted suicides by early 2026, which would exceed the country’s total military fatalities in World War II.
YEGWAVE tweet media
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vids that go hard
vids that go hard@vidsthatgohard·
*4 months until the World Cup* USA: WW3 Mexico: Narcos drug lords Canada subplot:
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Wtf
Wtf@Wtfveth·
@vidsthatgohard The government legally pushes you to do assisted suicide if you have mild depression lol
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Charl du Preez
Charl du Preez@charldpz·
@nembuIa Not a chance. Canaduhh is a shithole and the people are even worse. Besides Germans, Canadians are the worst people on the planet. They have no morals and no sportsmanship - it’s a pass on Canada.
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☁️
☁️@nembuIa·
The only country fit to host the World Cup in North America rn is Canada. Mexico is burning down & the United States isn’t travel friendly either. FIFA really fucked it this time.
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Nunya
Nunya@Nunya2868·
@nembuIa There was literally a mass shooter in canada like a week ago
GIF
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🦬@buffalorantings·
When I’m trashing talking Canadians and they come back with how our president is a pedophile
GIF
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Carrie MacKay
Carrie MacKay@MacKayKada·
@Austin2Jacobsen Your state is as cold as most of Canada. I live in Vancouver and we haven't even had snow this year🙄
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Austin Jacobsen
Austin Jacobsen@Austin2Jacobsen·
Imagine your county is 90% frozen for three quarters of the year and losing in hockey to a country that has alligators in it
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Roddy 🇨🇦
Roddy 🇨🇦@RodKahx·
According to family in the region, the cartels are moving north into Sinaloa.
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Carrie MacKay
Carrie MacKay@MacKayKada·
@RedWave4EVR @OilersJack Sorry to disappoint you again, but I'm straight 🤷‍♀️and there is a whole rainbow of people out there. You're probably married to your cousin and your inbred spawn take the short bus to school .
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Brian
Brian@RedWave4EVR·
@MacKayKada @OilersJack Your wife is black????Adopted kids? I know it’s not a black husband you know most blacks hate gays don’t ya?
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Captain Jack 🏴‍☠️
Captain Jack 🏴‍☠️@OilersJack·
Remember when Canada booed the USA National Anthem and the American players got pissed and responded by doing this. 🤯🤯🤯
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Carrie MacKay
Carrie MacKay@MacKayKada·
@RedWave4EVR @OilersJack It's worst than you think, I'm in a mixed race marriage with mixed race children 😱 Please pray for me😜
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Brian
Brian@RedWave4EVR·
@MacKayKada @OilersJack lol there it is the typical queer idiology. I hope you and your wife fly those pride flags high and mighty today cause you sure can’t fly that shitty Canadian flag high today! Find Jesus young lady good luck !!!
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Carrie MacKay
Carrie MacKay@MacKayKada·
@RedWave4EVR @OilersJack You're a funny guy, but now I must go do what us crazy libs do on Sunday, like celebrate living in a free country, fly a rainbow flag and maybe head over to a nearby hospital for some free healthcare .And you do what you do on Sunday, go to church, yell racial slurs & go toKKK
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Brian
Brian@RedWave4EVR·
@MacKayKada @OilersJack No he actually called the cops on Epstein. You know Epstein was a huge lib and donor to the Dems??? Come on now ! And I know Trump ain’t the best husband and ain’t perfect but he sure ain’t no Pedo! That’s the Clintons and Obamas!!
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Carrie MacKay
Carrie MacKay@MacKayKada·
@RedWave4EVR @OilersJack Come on, you know Trump is losing his marbles and was best friends with Epstein. Anyway, I need to rest, I've been up since 5am watching Canada out play USA, but not being able to score😩
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Brian
Brian@RedWave4EVR·
@MacKayKada @OilersJack lol no sorry hun that was Biden!!!!!! Your whole country is full of Pedo LGBTQ scum. I will say this at least you responded and you at least had a sense of humor unlike pretty much every other crazy lib!!
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Carrie MacKay
Carrie MacKay@MacKayKada·
@RedWave4EVR @OilersJack You earned your crazy brag😩 I shall now cry away my sadness 😩 Thankful that Mark Carney is our Prime Minister (Trudeau has been gone for a year), and you have a pedo President who has dementia 🤷‍♀️
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Brian
Brian@RedWave4EVR·
@MacKayKada @OilersJack Well my Lib friend Allan can say is 3 things too you. Jesus is Real! Woke is Dead! And USA is the best fkin hockey team in the world!!!!!!!! We own you!! Men’s and Woman’s! You guys still have Justin Truduea though lololol. I hope you didn’t block me
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