George Smallfield

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George Smallfield

George Smallfield

@smallfieldRVA

Following richmond politics and happenings

Richmond, VA Katılım Nisan 2019
228 Takip Edilen176 Takipçiler
George Smallfield
George Smallfield@smallfieldRVA·
@ForwardCarolina That looks terrible to me…. Gerrymandering reinforces a two party system that fails most of us. It also produces more extreme in both parties to avoid being “primary’ed” bad when done in any state for any party. Glad Indiana said no even if my home state allowed a D power grab.
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SAC ☮️
SAC ☮️@sacdamb·
Early voting in Virginia, there’s a 45-minute line on a beautiful Saturday afternoon. America is completely fed up with these corrupt bastards.
SAC ☮️ tweet media
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George Smallfield
George Smallfield@smallfieldRVA·
@WallStreetApes It’s actually more efficient. Not really green but generators running optimal load is WAY more efficient than truck diesel idling stopped, changing RPMs and friction for stopping. Regenerative braking and almost no idle fuel burn w electric make this a big cost saver.
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Wall Street Apes
Wall Street Apes@WallStreetApes·
Amazon is using large Sunbelt Rentals Generators to charge their electric delivery vehicles These generators are powered by diesel fuel So they’re using diesel fuel, to charge their electric vehicles “to Go Green” Someone make it make sense
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George Smallfield
George Smallfield@smallfieldRVA·
@DutchRojas Yep - an electrician charges $250 to drive out for service, BEFORE any other work and charges are added. Overhead and regulation much less. It’s insane the working conditions and low pay received in primary care. It speaks to their dedication to patients they don’t swap jobs.
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Dutch Rojas
Dutch Rojas@DutchRojas·
HCA’s margin is 16%. The Mayo Clinic’s CEO makes $4M. The village priest runs St. Jude’s balance sheet through the Caymans. And the family doctor is the greedy one for wanting $200 cash for a physical.
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George Smallfield
George Smallfield@smallfieldRVA·
@LevarStoney @tedcruz Gerrymandering is bad regardless of which party does it and for whatever reason they use to justify their power grab. It is theft of the voice of the people. It was when R did it in VA and it is now that D has the same idea for the same reason - grab and maintain power.
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George Smallfield
George Smallfield@smallfieldRVA·
@DerrickEvans4WV Free markets. If you make it, can export for more, no one should stop you. We are supposedly a free country and should work to be more like one. We have become too much about rules deciding winners instead of markets deciding. Markets are more objective, fair and less corrupt.
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Derrick Evans
Derrick Evans@DerrickEvans4WV·
Can someone please explain to me how we have all this extra oil to sell to other countries, but gas is over $4/gallon here as if there’s some sort of shortage.
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Dutch Rojas
Dutch Rojas@DutchRojas·
Everyone thinks Stark Law prevents corruption. It does not. It prevents independent physicians from operating integrated clinical delivery models. Hospital-employed physicians face no such constraint. The law does not ban self-referral. It bans self-referral by the wrong kind of physician…
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George Smallfield
George Smallfield@smallfieldRVA·
@kaszfj @chriswithans My call coverage rate was less than half what they pay locums to cover. I’ve seen locums with similar rates to employees. I’ve also made way more than my employed rate working kocums. Depends on what you do and the deal you work out.
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frank k
frank k@kaszfj·
@smallfieldRVA @chriswithans Incorrect. After 6 years health system employed, 12 years in academic medicine, now Locums ~6 yrs now. My hourly pay isn’t significantly different from “employees” in my specialty. I just have freedom to set my own schedule. I pay for my own healthcare. No benefits or sick days.
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Chris
Chris@chriswithans·
This is why we’ll never get “affordable healthcare” in America. Established, stable non-profit hospital offers $440,000 a year for a doctor and they act like it’s poverty wages. No one’s forcing them to accept but they hate the idea that’s a floor for their earnings.
Doctoring Differently | Naomi Lawrence-Reid, M.D.@DocDifferently

Kaiser LA wants to pay board-certified cardiologists $218.65/hr to work overnights and weekends. Don’t take this job. It’s hurts all of us.

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Libertarian Party
Libertarian Party@LPNational·
Democrat and Republican registrations have dropped to historic lows. 📉 Voters are done with the two-party system!
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George Smallfield
George Smallfield@smallfieldRVA·
@MaryBowdenMD If healthcare workers only have a 20% take rate for a generally free vaccine it makes me wonder why. These should be some of the best informed to make this decision. If they largely opt out maybe they don’t need it or systemic failure exists making it hard to get
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Mary Talley Bowden MD
Mary Talley Bowden MD@MaryBowdenMD·
The primary reason healthcare workers continue to get COVID shots is because their employers are requiring it. 80%+ uptake if work requires it vs 20% if work doesn’t require it.
Mary Talley Bowden MD tweet media
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George Smallfield
George Smallfield@smallfieldRVA·
@Dougmcg1 Are there tags on eggs, chicken and broccoli? I don’t eat much steak either as it’s doubled in cost over the last 5y or so. Steak seems a luxury item.
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George Smallfield
George Smallfield@smallfieldRVA·
@DrMcFillin Site neutrality- same patient, same pay and banning back door Medicaid payments to make everyone taking that program get the same amount for the same service would go a long way to save little remaining competition in the market we generate
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Dr. Roger McFillin
Dr. Roger McFillin@DrMcFillin·
The loss of the independent physician has had devastating consequences on American society. Corporate medicine has destroyed American healthcare.
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George Smallfield
George Smallfield@smallfieldRVA·
@BladeoftheS Universal healthcare here would have so much outflow to people paying to have the laws written for them. One obvious outflow - pharma - mostly offshore to save on taxes. We pay sometimes 1000x other countries for the same drug because of restrictions on buying Rx from overseas.
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BladeoftheSun
BladeoftheSun@BladeoftheS·
Let me explain Universal Healthcare. It doesn't matter how much it costs, because if all the money goes to Nurses, Doctors, Hospitals and treatments run by the Government all that money goes back to the Government. So it cannot be unaffordable. The real problem, no profits
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George Smallfield
George Smallfield@smallfieldRVA·
@rascal113646 @DutchRojas Medicare pays 2-5x for procedures done in centers owned by the large systems. Docs liked being independent, but if your revenue for the same procedure is 1/3 of your behemoth across the street the market forces are too strong. Law is designed to remove independent practices.
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LilRascal
LilRascal@rascal113646·
@DutchRojas Why are Dentists operating from small practices and make independent decisions but Physicians are controlled by Insurance companies?
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Dutch Rojas
Dutch Rojas@DutchRojas·
Every major hospital system in America is a nonprofit. None of them are poor.
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George Smallfield
George Smallfield@smallfieldRVA·
@conviction_meta @DutchRojas @HeathVeuleman I’ve worked for nonprofits working to improve payer mix. Includes building clinics off bus routes. I doubt illegal as it is pretty common practice for nonprofits to maximize commercial insurance. Working for profit employed feels exactly like working non profit employed.
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doji crow
doji crow@conviction_meta·
@DutchRojas @HeathVeuleman If a non-profit hospital incentivized an outpatient clinic to increase volume on commercial based insurances, this would be considered?
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George Smallfield
George Smallfield@smallfieldRVA·
@kp07110 @DutchRojas Not really. They pay execs 8 figures, bloat admin (pay people who often are in the way of care) and do essentially 0 charity work. The also embezzle money out by hiring “consultants” and paying firms for work that are all friends of the executive team at overpriced rates.
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WV
WV@kp07110·
@DutchRojas Correct, if they were for profit the money would be in individual bank accounts making individuals rich (see tenet). Instead, non profits reinvest the money back in communities and save to make sure their doors stay open. Non profit doesn’t mean poor. It’s where the profits go
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George Smallfield
George Smallfield@smallfieldRVA·
@DutchRojas Most do negligible service to the community and I think none do more service/charity than they cost government by being tax exempt
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George Smallfield
George Smallfield@smallfieldRVA·
@WadeTPaton Yes - you can be a socialist or communist for real in our capitalist system any time you want. No need to do as a system wide theft and redistribution.
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Keşfet

@ForwardCarolina @ethanclynne @FairElectionsVA @sacdamb @WallStreetApes @DutchRojas @LevarStoney @tedcruz