American Healthcare continues to go backward

cowboyinexile said:
Wouldn't the butter just run out when you are cooking it?
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The answer is yes but part of the instagram presentation is to cut the burger in half and squeeze it to show the “extra juice” running out.

I’ve never made them as 80/20 is a bit too much for me.

But I’m also the same guy who finishes my pulled pork and ribs in butter and brown sugar.
 
steross said:
And there is absolutely nothing wrong with food like that as yummy special occasion food. Heck, we had carnitas for dinner last night. Not that crock pot stuff, but hunks of pork fried in lard until caramelized and amazing carnitas at an El Salvadorian restaurant.

But these people eating a butter burger or rib-eye every day etc simply are going against all research.
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Search "carnivore breakfast" on twitter.
https://twitter.com/x/status/1873025744085176780
 
Polds4OSU said:
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And the difference is, and what people miss, what RFK Jr himself misses, is that RFK Jr is rich and can afford to buy the very best and take time to carefully design diets and consult chefs, personal trainers, etc. All that he's doing doesn't work the same way without all the accoutrements he can afford and that most ordinary people can't, that I can't afford. It's like every damn celebrity that loses 20 pounds and then writes a book telling everyone else how to do it, but they had a personal chef and a personal trainer, etc. and they don't know a damn thing about exercise or physiology or diet. Whereas the dietary guidelines are pretty much designed for everyone.
 
I can’t remember who wrote it, but wife #1 bought a celebrity weight loss book. Chapter 1, verse 1, sentence 1: “Aerobic means ‘moving through air.’” Nope, that is not what aerobic exercise means.
 
https://twitter.com/x/status/1980977491234963630

When I was in South Georgia the group that I worked for wanted a diabetic keto acidosis protocol (DKA) to help treat DKA so that when a patient was admitted in the middle of the night things didn’t get missed.

What he’s talking about, “blind obedience to a protocol” is a boogie man that doesn’t exist. He’s trying to create fear. Protocols exist to help providers think through complex cases and make sure things don’t get missed that might get missed otherwise. Study after study after study after study shows that they improve care. That’s why we use them. They improve care because they ensure that things don’t get missed.

There were two versions of the DKA protocol that I wrote, a two page version without references and a ten page version with full references. Every step, every piece of the protocol was referenced from the scientific literature, often with multiple sources. And every piece of the protocol was a choice that could be modified if needed or eliminated altogether if it wasn’t needed or if conditions made it unwise.

I’ve written other hospital protocols. The last one I wrote in South Georgia was a heparin protocol.
 
RxCowboy said:
https://twitter.com/x/status/1980977491234963630

When I was in South Georgia the group that I worked for wanted a diabetic keto acidosis protocol (DKA) to help treat DKA so that when a patient was admitted in the middle of the night things didn’t get missed.

What he’s talking about, “blind obedience to a protocol” is a boogie man that doesn’t exist. He’s trying to create fear. Protocols exist to help providers think through complex cases and make sure things don’t get missed that might get missed otherwise. Study after study after study after study shows that they improve care. That’s why we use them. They improve care because they ensure that things don’t get missed.

There were two versions of the DKA protocol that I wrote, a two page version without references and a ten page version with full references. Every step, every piece of the protocol was referenced from the scientific literature, often with multiple sources. And every piece of the protocol was a choice that could be modified if needed or eliminated altogether if it wasn’t needed or if conditions made it unwise.

I’ve written other hospital protocols. The last one I wrote in South Georgia was a heparin protocol.
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I never understood how important and how many lives could be saved by hospital protocols until I asked my buddy why as an IT worker for a hospital he was going around and removing mouse pads and replacing all mice in the hospital with optical mice and was required by protocol to burn them.

He then explained how many people died per year due to getting preventable infections from something as simple as a mousepad on a desk In a sterilization room and showed me results of test swabs done on a mouse pad and the different strains of bacteria and viruses that were living in the surface of that mouse and mouse pad ....

Quickly made me realize why protocols existed to remove and replace desktop towers in hospitals and mouse pads etc
 
Dr Oz: "We should make you so healthy that you flourish in life and you engage the workplace. Getting America back to work full speed, getting you to work longer if you desire, that builds trillions of dollars of value to the GDP. That's the goal of the health system."

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Aaron Rupar (@aaron.rupar) on Threads

Dr Oz: "We should make you so healthy that you flourish in life and you engage the workplace. Getting America back to work full speed, getting you to work longer if you desire, that builds trillions of dollars of value to the GDP. That's the goal of the health system."
www.threads.com www.threads.com
 
I will fully concede that it’s possible I’m not seeing the full picture. I’m going to use round numbers so google experts can go easy on my cipher’n.

Estimates say Medicare for all will cost about $3.5T.

We already spend about $2T combined for Medicare and Medicaid that covers about 140MM Americans.

US citizens spend about $1.5T on private insurance.

US businesses spend about $1.3T on healthcare benefits.

States and local governments spend another $800B on healthcare insurance.

That’s $5.6T in the system on a potential $3.5T Medicare for all expenditure where each stakeholder/payee (Fed, St/Local, Corp & Individual) can continue to pay in but have their current share reduced. Everyone wins and the Fed can use the savings to pay down debt &/or give tax credits to taxpayers. Same goes to state and local. US employers could raise wages or cut prices. I realize that employers and individuals would continue to have FICA and Medicare premiums.

In this dream world average citizen sees their health insurance costs go down and possibly gets a tax break and a wage increase/costs decrease.

I would also advocate for a Medicare for all model that allows for straight Medicare or Medicare Advantage and a private insurance option for businesses or individuals who want to pay up for a “gold plan”. Then also restructure pharma by appointing Rx as drug czar and get drug costs down and changing how costs are negotiated. Further putting coin in individuals and govt pockets.
 
HacklemanPoke said:
I will fully concede that it’s possible I’m not seeing the full picture. I’m going to use round numbers so google experts can go easy on my cipher’n.

Estimates say Medicare for all will cost about $3.5T.

We already spend about $2T combined for Medicare and Medicaid that covers about 140MM Americans.

US citizens spend about $1.5T on private insurance.

US businesses spend about $1.3T on healthcare benefits.

States and local governments spend another $800B on healthcare insurance.

That’s $5.6T in the system on a potential $3.5T Medicare for all expenditure where each stakeholder/payee (Fed, St/Local, Corp & Individual) can continue to pay in but have their current share reduced. Everyone wins and the Fed can use the savings to pay down debt &/or give tax credits to taxpayers. Same goes to state and local. US employers could raise wages or cut prices. I realize that employers and individuals would continue to have FICA and Medicare premiums.

In this dream world average citizen sees their health insurance costs go down and possibly gets a tax break and a wage increase/costs decrease.

I would also advocate for a Medicare for all model that allows for straight Medicare or Medicare Advantage and a private insurance option for businesses or individuals who want to pay up for a “gold plan”. Then also restructure pharma by appointing Rx as drug czar and get drug costs down and changing how costs are negotiated. Further putting coin in individuals and govt pockets.
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The very first thing I would do to reduce prescription drug costs is eliminate direct to consumer advertising and almost all forms of glossy prescription drug advertising. It is simply a waste of money and drives up costs.

Second, I don’t know who the hell came up with the idea of a second insurance company to handle prescription benefits, but if you make me Rx czar I have ICE round up all the PBMs, put them in speed boats in international waters and hit them with some Hellfire missiles from drones. If Medicare/Medicaid can pay the hospital and clinic, they can pay the pharmacy too. They don’t need to pay the PBM to pay the pharmacy.
 
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Pharmacy Benefit Managers

Because every system becomes more efficient by adding a layer of middle managers that absolutely no one understands what they actually do.
 
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