Another non conformist

@bryanrbeal It just depends on whether you have a real issue or just want to check your labs

If I have to see an NP instead of a real doctor, I want a 50% discount on my bill This is quite the racket healthcare providers have devised. Most of the time you go to the “doctor“ you’ll never see a doctor at all. You’ll see a nurse practitioner. But they’ll still bill you as if you had seen a doctor. Even though the nurse practitioners are far less educated and trained, and paid much less.

@Cryptoboyy_Aji What you changed was the dollar primarily…

My coworker started at this company in 1995. His salary was $42,000. A gallon of gas was $1.15. His rent was $650. He bought a house two years later. I started at this company in 2019. My salary was $48,000. A gallon of gas was $2.80. My rent was $1,800. I still don’t own a home. He made $6,000 more than me back then. I make $6,000 more than he did. Same company. Same role. Same hard work. He retired last year with a paid off house and a pension. I have $4,000 in savings and $38,000 in student loans. We didn’t just change the economy. We changed what a lifetime of work is worth.

@mcuban Don’t forget the regulatory environment…. And the discrepancy of reimbursement, certificates of need, etc. there is so much wrong with healthcare that you would probably just meet to scrap the whole system and start from 0. I agree free or less expensive med schools would help

If you want more doctors doing house calls, not selling their practices and going to work for the big HC conglomerates, make public med school free. A little gov intervention, so that rather than having 100s of thousands in debt guiding their decisions , they can do primary care or be a family physician and spend as much time with patients as they want. They can take cash. They can take chickens. If you had 250k after almost a decade of school, do you think that would impact your decisions ? And if you own a big HC conglomerate, does knowing they are drowning in debt impact your decision and how you compete and contract with them ? Fuck yeah it does. You pressure them till they have to sell out to you in an acquihire. They can’t afford to survive on their own and every huge HC company takes advantage of them About 32k students enter med school and DO school a year. 75k for a grant each. Thats 2.4b annually for each class. That’s it. You want better healthcare for everyone. That’s the place to start.

@robleathern @StatisticUrban @loobah_l Bad graph, lots of people are lost before residency, a very small amount of people who want to be derm become derm

@StatisticUrban @loobah_l Reminding me of this phenomenon:

The average starting salary for a new dermatologist attending graduating from residency in the US is $525k per yr, working an average of 37.4 hrs/wk. Consequently, a huge number of quite literally the smartest people in the country are dermatologists. It's insanely competitive.

@StatisticUrban And it’s a huge waste, easiest job ever, that requires tremendously little brain power

@CoffeeBlackMD Myocardial infarction with ST elevation, and you draw like crap

What am I trying to teach my resident about with this picture?

@_josephine0_ The short one, better for close combat

It’s 2:27 AM and someone just broke into your home. Which one will you choose?

@LynAldenContact Anthony Starr is the only redeeming thing about the show, but the writing is so horrendous, it doesn’t matter.

Homelander really was an S-tier meme source.

@amyoder This is fun fanfic. English has so many words, because half the vocabulary came from other languages, it borrowed heavily from French, Germanic etc…

English is probably the only language where you can measure someone’s IQ by how well they know how to speak it. English has ~600,000 words. Do other languages have more words? Yes. But English is far better at describing things because it focuses much more on adjectives and adverbs rather than just nouns. Arabic has 100+ words for “Camel”. English has one. But English has 10,000 words that can be used to describe the camel’s appearance, temperament, character, physicality, etc. You get a much clearer picture of what this specific camel looks, sounds, and smells like. It’s much easier to appreciate a story like Romeo and Juliet when you view it as an evangelization arm of the English language (and culture), rather than just a homework assignment. This is likely the reason why the British were so dominant. They were significantly better at organizing and motivating their people *because of* their excellence of communication. English >

@nancy_buford15 @mister5S @ToddNidasqM @beerandtokens I agree with one thing you said; your generation voted great to make sure you would do great, regardless of the consequences

@mister5S @ToddNidasqM @beerandtokens Then you guys should vote better! NOTHING is free & boomers have been paying in for a long time! Stop voting for the free stuff & those who push it! Only then will money go back in to your pockets

During the 70s the median mortgage payment made up less than 20% the median salary. Today it’s nearly 30%. Which btw, means the median salary doesn’t even qualify for a mortgage on a median priced house. Yes, you experienced inflation in the 70s. But life’s necessities were dramatically cheaper as a percentage of wages.

@doggygoth Funny, I would pick anything else but blue lol. You enjoy those winters.

genuinely if you pick anything except blue you are a complete and total moron

@UziCryptoo Yeah, property taxes are awful.

You can't tax rich people on unrealized gains from stocks because "it's not real money until it's sold." So explain to me why my property taxes keep going up based on the unrealized value of my house? I didn't sell it. I didn't cash out. I didn't make a profit. But somehow I'm paying taxes on paper gains every single year. Interesting how "unrealized gains" only become a problem when wealthy folks are involved.

@kitten_beloved As long as you are not transported many feet under water, I don’t see how 30 seconds would kill you. Some of those plunges would be very cold though.

Easiest yes of my life

@thoughtson_tech @SalaryDr Primary care is just never going to be valued…

The million-dollar number pulls all the attention. But the more telling detail is "community hospital," because that's where the labor market distortion actually lives. Academic centers and large health systems can at least gesture toward value-based metrics when setting pay. Community hospitals operate almost purely on competitive pressure and procedural volume, which means the comp structure for IR has almost no mechanism to correct for what the work actually produces downstream. When I built out the actuarial model for my piece on physician value, radiology came out at 69% above its measurable contribution to outcomes and cost reduction. IR specifically sits at the procedural end of a field that already skews toward enabling other value creation rather than generating it directly. The million-dollar question, literally, is whether that premium is compensating for skill scarcity, procedural risk, or just the artifact of a fee-for-service system that prices the intervention and ignores everything around it. Medical students are watching this math in real time. And that's where the downstream effect gets uncomfortable, because every IR attending at this salary is a data point that steers trainees away from primary care at exactly the moment we need the opposite to happen. The compensation gap isn't abstract, it compounds through every match cycle. Whether the right fix is payment reform, residency reallocation, or something else entirely, I'm genuinely not sure the system has the political will to unwind this before the primary care shortage forces the issue: onhealthcare.tech/p/the-physicia…

This Interventional Radiology attending in New York made $1,000,000 last year. $1M base 50-hour workweek 13 weeks PTO 4/5 job satisfaction Community hospital. 2 years out of training. Would you take this deal?

@RealDianeYap Yeap, I’m a physician, and definitely a loser on this society, no sarcasm.

Loser. Work smarter, not harder. The guy who paid for my apartment in grad school got paid $250k per year for 4 weeks of work. I mean “work” — he got flown out to Boston, wined and dined for a week each quarter and voted on some board stuff he didn’t do the reading on.

@MelatKirosCO Wealth is borderless, likely won’t work

He’s right bc we tax income, not wealth. Bezos takes out a tiny salary, pays the income tax, and lives off loans borrowed against his stocks, basically tax free. They all do this and now 935 billionaires hold more wealth than 170 million Americans. It’s time to tax wealth.

@InvestingAddict The funny thing is a S&P 6 would have overperformed the S&P 500 by a lot

Why doesn’t someone create the S&P 5000 which includes the 5,000 biggest companies in America. Wouldn’t that outperform the S&P 500?

@tugce190333 Being insignificant and worthless until you make something great out of your sorry carcass.

Kadınlar regl, hamilelik, menopozla uğraşıyor, erkekler neyle uğraşıyor

@TheOGPurist_ This is similar to I donate wood and the place sold furniture, so I stoped.

I stopped donating blood the day I found out it’s sold to public hospitals

@hicasamadim Number 3

sadece dikkat seviyesi yüksek olanlar yapabilecek! ilk kaç numaralı kap dolar?