Plasticolicious, MD💈

COMO EJERCER DE MÉDICO EN EEUU: Muchos me preguntaron cómo “homologar” el título de Argentina en EEUU. En realidad, no es tan simple como homologar. Es un proceso más complejo. Paso a explicar... (thread)

Judge Tiffany Baker refused to revoke the bond of a convicted pedophile, leading to the murder of Missy Mogle. The Florida House has a duty to hold Judge Baker accountable. I sent a letter to Speaker Perez calling for him to begin impeachment proceedings. Radical judges must not be allowed to endanger our kids.

@vrexec Location matters. High value RE can appreciate much more than 3% per year. You assume your rent doesn’t increase. Owning a home creates asset protection.

I'm doing some back of the envelope math on buying vs renting. Say you buy a $1M house with 20% down at about 6% mortgage rate and plan to stay there for five years. Your principal paydown in the first five years is about $57,000, but you've paid about $230,000 in interest. You've also paid roughly $100,000 in property taxes, insurance, and maintenance. Say the house appreciated 2.5% every year — so when you sell it's worth about $1.13 million. Your all-in costs to sell are about 7.5% — brokerage commissions, transfer taxes, attorney fees, title insurance, and the inevitable post-inspection negotiation. On a $1.13M sale that's about $85K in fees. So you net about $1.046M. You still owe $743K on the mortgage. You walk away with about $303K in cash — your $200K down payment back, your $57K in principal, and about $46K in net profit from appreciation. Your non-recoverable costs — interest, property tax, insurance, maintenance — were about $330K over five years, or about $5,500/month. That's your effective rent. But you "made" $46K selling, or about $770/month — so your effective rent was about $4,700/month. Not bad, but you tied up $200K for five years to get there. And if appreciation was 1.5% instead of 2.5%, that net gain basically disappears and you're paying $5,400+/month in effective rent. And this assumes there's appreciation at all — and that something doesn't go wrong with your house that needs a major remodel or repair. On a five-year horizon at 6% rates, you need everything to go right on appreciation just to make ownership competitive with renting. The transaction costs eat most of your upside. What am I missing? Anything?

@cremieuxrecueil I guess what I’m saying is you can’t separate IT costs from admin costs, they can easily be grouped. Sure there may be nuance of how we label things, but the “non-medical” costs have increased too much. More importantly, there are clearly ways to lower these costs.

@cremieuxrecueil I know you did, but admin costs DID explode as an overall percentage of HC costs.

The governor of Florida is approvingly retweeting the fakest graph in healthcare.

@HansNoticer @EagleYear1776 @YounisJoseph Then the issue is to train more American MDs. Currently there aren’t enough to fill all those spots.

@plasticolicious @EagleYear1776 @YounisJoseph The US has at least 330,000,000 people, so there are plenty of good Americans who could and would do them. There is absolutely no reason for bringing in people not even born in the US for such vocational training.

Out of 963 orthopedics residency match spots, exactly 5 were offered to non-US IMGs; that’s about 0.5%. I demand justice for this great replacement

@DrDiGiorgio Some ppl just have limited capacity to understand 2nd and 3rd order effects. Do they realize that, apart from the patient, the person most impacted by complications is the surgeon? I’d take a pay cut if a genie 🧞‍♂️ let me have 0 complications for my entire career.

Yeah 12 years of training and 2000 surgeries under direct supervision did nothing to give me insight on complication avoidance.

@neeratanden Confusing the natural beauty of California with criticism for the incompetent Democrat supermajority government is classic liberal mind tricks.

@wholemars I love how you said “more income tax than I’ll probably pay in my entire life”. You have lofty goals. Good for you, I hope you achieve them.

Crazy how politicians just like to voters. Did Elon actually pay just 3.3% income tax? Nope, he paid $455 million or 30% of his reported income. Then they added in “wealth growth from 2014 - 2018”. Nobody pays income tax on their stocks going up, that is taxed as capital gains when sold. And that’s a four year period, not a one year income tax period. $455 million is more income tax than I will probably pay in my entire life, but they’re lying and saying these people are tax cheats.

@even_steven8tht He’s just using the tax money of citizens in the private sector to subsidize the public sector. Tax-payer funded childcare is one of the few things I think taxes should be used for, but everyone should have access.

America is such a fascinating place because this man is providing a service that actually materially benefits people, arguably what the government is designed to do, and you will still see articles upon articles trying to convince you he’s actually doing a bad thing.

If this is your algorithm, you either follow or respond to too many of these accounts.

Our enemies have known for a while that no matter what atrocities they commit against us, they can easily manipulate the left into supporting them anyway.

@DrDiGiorgio California… amirite?!

Finished our taxes and came to a realization: In a two-physician household, one spouse's income is entirely confiscated by the government.

@HansNoticer @EagleYear1776 @YounisJoseph Nah man, they don’t. These programs cannot attract good American grads because they are all matching at better programs. The few that don’t match just overestimated their own credentials and never applied to lower tier programs.

@plasticolicious @EagleYear1776 @YounisJoseph Yes they do, and there doesn't need to be a single foreign doctor in the US.

They do it all for the picture. It’s all theatrics. We get it, all you leftists hate Trump. You hate conservatives. And anything you hate is “literal Nazis”. It’s not new or original… it’s just the chronic tantrum you guys throw.

Jugaron una finalissima entre subcampeones?

@dampajoo1 @FrenlyOfficer I’m talking about doctors. No doctors want to live there.

@plasticolicious @FrenlyOfficer It no one wanted to live there there would be no need for doctors.

A very wonderful thread

@FrenlyOfficer They just hire the bare minimum and overwork the docs until they’re burnt out and leave. Then repeat.

So let the salaries keep rising until they’re tempted to move