Edward S.

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Edward S.

Edward S.

@edwards183

Historian/Economist & Productivity/Efficiency guy. MS/MBA/CPA. USAF/ANG ret.

Katılım Mart 2011
129 Takip Edilen101 Takipçiler
Edward S.
Edward S.@edwards183·
@realdocspeaks Hmmm - interesting how the timeframe corresponds with the Citizens United SCOTUS decision. As long as unlimited private $$ in politics is allowed to exist, you & Dutch are mounting Rocinante/Rucio everyday and shouting at the rain.
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
It doesn't matter if you violate the Stark law and compared to the hospital alternative: • The service was better • The service was cheaper • The service was of a higher quality • The patient was happy • The outcome was great The Federal government doesn't care because it hates the thought of independent physicians. The reason is simple: We don't pay Congress millions of dollars each year. It was never about the patient!
Dutch Rojas@DutchRojas

Stark Law is the only federal statute where the penalty depends on your W-2. Own the MRI center, go to court. Work for the hospital that owns the MRI center, go to lunch.

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Edward S.
Edward S.@edwards183·
@DrDiGiorgio @MaxJordan_N One someone reaches a certain point of wealth, the privacy/security protections afforded to other citizens is inadequate to ensure their safety. The ROI/value of nefarious acts by criminals outweighs the risk of that base protection. It then the wealthy person’s responsibility.
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
@MaxJordan_N That is a dangerous slippery slope. Once someone is too wealthy they are no longer private citizens, subject to the same legal protections as everyone else? That mindset has led to some of the most horrific crimes of the 20th century.
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Max Jordan Nguemeni
Max Jordan Nguemeni@MaxJordan_N·
Luigi Mangione has not yet been found guilty and afaik the police has not release compelling confirmatory evidence placing him at the crime scene. Also stop with this private citizen bullshit. People stop being private when they own corporations & have the power to buy elections.
Elena@VirtualElena

yeah not sure how i feel about a socialist mayor standing directly outside of a named private citizen’s home saying incendiary class-warfare type axioms. what makes it even more disgusting is that luigi shot the unh ceo A BLOCK away from where mamdani is standing.

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Edward S.
Edward S.@edwards183·
@krustchef28091 @HeathVeuleman @DutchRojas Have fun storming the castle. As long as the federal govt is funding 40%+ of US healthcare spending, and the wealthy states continue to subsidize the poor ones - the mandates will continue.
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Heath Veuleman
Heath Veuleman@HeathVeuleman·
Today, take a hard look at your tax bill. ~$1.9 trillion of federal spending now goes to healthcare. That’s ~27% of total spending. But the number that actually matters is that it’s ~39% of all federal revenue. Before you pay a single premium, nearly 40 cents of every dollar the government collects is already committed to healthcare. But wait - there’s more: ~67% of Americans have private insurance (most through employer-sponsored plans) And you still pay ~$1,500/year (single) or ~$6,000+/year (family). Note that is before deductibles. Before copays. Before coinsurance. So let’s summarize: You’re taxed for healthcare. You pay premiums for healthcare. You pay out-of-pocket for healthcare. And you still can’t access or afford healthcare. And here’s the part no one wants to say - the system is working exactly as designed! The only two groups that can force real change are the consumer and the physician.And both are paralyzed. Patients have been conditioned to believe there are no alternatives. Physicians have been absorbed into systems they don’t control. Until one of those groups moves, nothing changes. Thank you for your attention to this matter!
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Edward S.
Edward S.@edwards183·
@DrDiGiorgio What do have against corn dogs, in certain parts of the country they are basically a food group.
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Edward S.
Edward S.@edwards183·
@GayBearRes @TrinityMustache Well to be fair - men have pretty much had the corner of the abuse (and murder) market for millennia. Might be time to loosen the grips a little.
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GBR
GBR@GayBearRes·
@TrinityMustache Because it’s important that women get the same opportunities as men. Apparently, that includes letting abusive people win public office.
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Edward S.
Edward S.@edwards183·
@GayBearRes We could easily go back to pre-2000 tax brackets. If we did that and raised the top bracket to 43% it would be another $600B in revenue/year. Raise Medicare taxes by 1.5% =$300B/year. Make affluent seniors pay more for Medicare =$100B. Get rid of Medicare advantage plans =$150B
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Edward S.
Edward S.@edwards183·
@PountneyNeil @daniellismore My mother-in-laws family is from West Yorkshire, and 90% were pro-Brexit. One of my great pleasures in life is to constantly rain schadenfreude on them via SM and when I visit/see them.
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Neil Pountney
Neil Pountney@PountneyNeil·
@edwards183 @daniellismore If we rejoin it will happen again. The easiest fix would be to say if you move from one country to another your benefits will be the same as the country you left
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Daniel Lismore
Daniel Lismore@daniellismore·
People who voted for Brexit are traitors to Great Britain. In a new book, it has been claimed that the late Queen Elizabeth II privately expressed concern to former US President Barack Obama, questioning why David Cameron would put such a significant political decision to a public vote without knowing the likely outcome. The 2016 referendum was full of misinformation, and 10 years later, the consequences are clear. We must rebuild our relationship with Europe. 🇬🇧🏴󠁧󠁢󠁥󠁮󠁧󠁿🫖☕️👑
Daniel Lismore tweet media
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Edward S.
Edward S.@edwards183·
@PountneyNeil @daniellismore But in reality the metaphoric policy change that it ended up being was amputating a leg below the knee - when was was needed was to cut out a few bunions on that foot.
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Neil Pountney
Neil Pountney@PountneyNeil·
@edwards183 @daniellismore It was in essense one topic that decided Brexit and that was the influx of people to the UK to take advantage of our social programs. That created a lot of discontent
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Edward S.
Edward S.@edwards183·
@PountneyNeil @daniellismore If people in the UK wanted to vote to make themselves poorer, so be it. key is that they believed the brexiteers who were saying they were going to be richer. Anyone with 1/2 a brain who wasn’t a grifter could see that that Brexit was going to make the UK poorer. C’est la vie
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Neil Pountney
Neil Pountney@PountneyNeil·
@daniellismore So what you are saying is the People should not have been given a choice unless the outcome is what YOU and people like you want.
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Edward S.
Edward S.@edwards183·
@SethBorman @anup_malani @soniajaffe @JulianReif Well - a perpetual bond needs to be paid and line of credit need to be qualified for. Prices would go down due to would be demand destruction. This would only work if all facilities were allowed to deny care based upon ability to pay. (I’m ok with it, it would save a lot of GDP)
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Anup Malani
Anup Malani@anup_malani·
New publication with @soniajaffe & @JulianReif in J. Public Economics: Economists estimate insurance value assuming the uninsured can't borrow. But they can. Fix the baseline and the value of health insurance drops by 24-61% depending on credit terms.
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Edward S.
Edward S.@edwards183·
@SethBorman @AnechoicMedia_ As someone who has spent time in places without a functioning govt (Somalia/Balkans), I can tell you with a level of certainty that “natural” rights are pretty much mental m*sterbation. In the end - whoever has the most powerful weapons enforces “rights”.
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Seth Borman
Seth Borman@SethBorman·
@edwards183 @AnechoicMedia_ That turns this into a debate about natural rights but I generally agree that your rights start and stop at the point where you or someone you know is willing to fight for them.
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AnechoicMedia
AnechoicMedia@AnechoicMedia_·
Another way these people obviously can't believe what they're saying is to observe that property taxes are highest in urban areas where collective social order is established and occupying some random building as a criminal is difficult, while taxes are lowest in rural areas where both the cost of diffuse protection and the threat posed by criminals to isolated property occupants is high.
Matt Bruenig@MattBruenig

@Sheesh_barak @TheStalwart @xwanyex Correct. One way of putting it is that you don't actually buy land. You buy a voucher that you can redeem with the state at any time to have it violently exclude others from it. This "violence voucher" is what is valuable. The land, absent a violent voucher, would trade for ~$0.

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Edward S.
Edward S.@edwards183·
@SethBorman @AnechoicMedia_ One of my favorite thought exercises to people is the fact that if you died and had no heirs, property title reverts back to the govt (sovereign). The govt grants title with rights + responsibilities. (people always forget that part) but can take it back via due process.
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Seth Borman
Seth Borman@SethBorman·
@AnechoicMedia_ He added a step. Property rights start with the legal right to eject other people from your land. Without property rights no one has the right to eject another from land.
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Edward S.
Edward S.@edwards183·
@PountneyNeil @poicipensoalnik The Italian judiciary is more like a civil service. Except for the their highest court. The biggest issue they have is procedural and case load. Everything in the Italian court system is designed to slow everything down to a crawl. It can take 5+ yrs for a simple case
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💙Giovanni💙
💙Giovanni💙@poicipensoalnik·
Amici di tutto il mondo ora che le barriere sono cadute Voglio farvi una domanda, siate sinceri: Cosa pensate dell' Italia 🇮🇹e degli Italiani? 🇮🇹
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Edward S.
Edward S.@edwards183·
@GayBearRes @StatisticUrban Ossoff is a straight, secular Jewish version of Pete. Whip smart, good debater, attractive, excellent political instincts. I’m glad he is one of my Senators. (I like Warnock also, he has very good political instincts too)
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GBR
GBR@GayBearRes·
@StatisticUrban I’m coming to terms with the fact that Pete can’t pull it off and am trying to get comfortable with Ossoff
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Hunter📈🌈📊
Hunter📈🌈📊@StatisticUrban·
To me, Newsom is nearly the worst of both worlds. He upsets the progressives, but he brings ~no benefit with moderates or swing voters. I would much rather have either a solid progressive like AOC or someone with experience winning swing states like Warnock, Ossoff, Beshear.
Politics & Poll Tracker 📡@PollTracker2024

Yale poll | 3/9-3/23 RV Democrats view Gavin Newsom as the most electable presidential candidate in 2028 and Abigail Spanberger as the least electable.

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Edward S.
Edward S.@edwards183·
@PountneyNeil @poicipensoalnik It’s political and legal system need reforms. Politically - Kill off the FPTP seats and increase the cutoff to 5%. Judicial - rewrite of civil code, give senior courts right to deny review of appeals, force all civil cases under 50K euro to binding mediation/arbitration.
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Neil Pountney
Neil Pountney@PountneyNeil·
@poicipensoalnik Great European Country, lots of culture wish they would distance themselves more away from the USA and be more Euro friendly but I can say that about many European Countries. Need to improve their football team though :)
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Edward S.
Edward S.@edwards183·
@HeathVeuleman @DrDiGiorgio Lots of other counties train Doctors and Nurses - sounds like a great reason to expand H-1B and J-1 visa’s to fill those roles we can’t seem to train up and fill.
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Heath Veuleman
Heath Veuleman@HeathVeuleman·
Here’s some context: we have a shortage of physicians and a shortage of nurses. Still think the exponential growth is not the administrative/managerial class?
The Kobeissi Letter@KobeissiLetter

Healthcare is carrying US job growth more than ever: The number of healthcare workers has surged +84% since 1996, far outpacing every other major sector. Growth has accelerated since the 2020 pandemic, rising +24%, to a record 18.4 million employees. Meanwhile, the number of construction workers has risen +55% since 1996, to 8.3 million, also an all-time high. This is followed by financial activities roles at +32%, and retail trade at just +10% over the same period. Manufacturing has gone in the opposite direction, declining -27%, to 12.6 million, near the lowest since January 2022. The US job market is heavily skewed toward healthcare.

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Edward S.
Edward S.@edwards183·
@Etherlander @PountneyNeil @Osinttechnical Well - then all y’all can pick up a rifle and charge that FPV drone and Fateh nest. Air Power alone does not win wars, only boots on the ground can. (I did my 22+ of service - somebody else or their kids and step up and take shrapnel/TBI injuries).
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Etherlander
Etherlander@Etherlander·
@edwards183 @PountneyNeil @Osinttechnical Nothing in North Korea worth bombing. As for the Iran regime, their actions speak for themselves. No one trusts them to act like adults. They sow discord all over the world. Cannot be trusted with a nuclear weapon.
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OSINTtechnical
OSINTtechnical@Osinttechnical·
Trump on Iran's nuclear program: "You want to see a stock market that goes down, let a couple of nuclear bombs get dropped on us."
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Edward S.
Edward S.@edwards183·
@Etherlander @PountneyNeil @Osinttechnical Any country that has nukes does not have to worry about getting bombed to oblivion or invaded. That is the defense. Nobody bombs or invades North Korea, Pakistan, or Russia.
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Keşfet

@realdocspeaks @DrDiGiorgio @MaxJordan_N @krustchef28091 @HeathVeuleman @DutchRojas @GayBearRes @TrinityMustache