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A processor doing 5,000 head a year operates under the exact same federal regulatory architecture as a plant doing 5,000 head a day. The compliance cost for a giant packer works out to about 7 cents per animal. The same requirement on a small processor adds $5 per head...

24,393 просмотров • 22 дней назад •via X (Twitter)

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David Friedberg: Higher Interest Rates Are About to Make America’s $40 Trillion Debt Problem Much Worse “The federal government has a problem because over the next 12 months they have to refinance $10 trillion of debt. That debt is coming due. Those bonds are now due. They have to pay the principal back to the bond holders, and they have to go back to the treasury market and sell more treasuries to borrow more money to refinance. So the borrowing cost now is going to climb up, and when that borrowing cost climbs up, the federal government's burn goes up and the fiscal deficit goes up. So my theory and my argument on this is: There is no action that Bessent can take that's actually going to have a meaningful effect on the long end of the curve. We have a fundamental fiscal spending problem with the federal government right now. It is very expensive now to borrow money if you're the US federal government. And the reason is persistent inflation, I would argue because of excess government spending on social programs and other things. And the big problem at this point is the federal government is spending so much that if they were to cut spending aggressively, the argument and the concern is it would hit unemployment and it would cause a recession because the federal government is such an intricate part of the economy now. That's the argument. But it's causing inflation, and it's causing deficit spending. So this year the deficit will be roughly $2 trillion. And as a result, the market is saying, ‘We're worried about the US fiscal solvency over the long run, or there's a higher risk. As a result, we're going to charge you a higher interest, 5.2% on the 30 year.’ What does this mean for the federal government? Well, today, the federal government's average cost of debt is 3.4%. That's what we're paying on interest on average on the $40 trillion of debt that the federal government has outstanding. For every 1% change in the interest rate, the US government has to pay 1.25% of GDP in excess interest each year. 1.25% of GDP in interest each year for that 1% change in the interest rate.”

The All-In Podcast

334,109 просмотров • 23 дней назад

CVS just settled its latest fraud case, and for once the fine was big enough to actually hurt. It cost them $440 million, and as a bonus it bankrupted the guilty subsidiary and forced CVS to sell it off. The company was Omnicare, a pharmacy that supplies medications to nursing homes and other long-term care facilities. CVS bought it in 2015. That same year, a former Omnicare pharmacist filed a whistleblower lawsuit, and the Justice Department joined the case in 2019. The scheme was simple and it ran for years. Omnicare kept dispensing drugs on stale, expired prescriptions and billing the government for them over and over. From 2010 to 2018 that added up to more than 3.3 million false claims and about $135.6 million in overpayments from taxpayers. A federal jury reached its verdict in April 2025. The judge did not mince words, calling it deliberate, egregious, and a very big fraud on the government. Then came the math that made it sting. Under the False Claims Act, damages get tripled. So that $135.6 million ballooned to $406.8 million, and the government asked for another $542 million in penalties on top. The court entered a total judgment of about $948.8 million. CVS ultimately agreed to pay $440 million to resolve it, with the first chunk due almost immediately. Here is the part that makes this different from every other settlement. The penalty was not a rounding error the company could shrug off as the cost of doing business. It broke the unit that did the fraud. Omnicare filed for Chapter 11 bankruptcy in September 2025, and earlier this year CVS announced it is selling Omnicare to a company called GenieRx. So a business CVS bought in 2015 is now being sold off in the wreckage of its own fraud case. That is the lesson. It is actually possible to make a fine big enough to change behavior instead of just becoming a line item. Now we just have to scale that up. But honestly, why wait on fines at all? There is already a faster tool sitting right there. When an individual violates the False Claims Act, they can lose the privilege of participating in federal programs like Medicare. Imagine how quickly the fraud would vanish if that same exclusion got applied to the giant repeat offenders who keep doing this. Kick them off the program and watch how fast the behavior changes. While we wait for that day, here is my pitch. We built a pharmacy where it is literally impossible to pull this kind of thing, because you see the price before you pay it. No hidden claims, no secret markups, no middleman in a position to overbill anyone. Just the real number, up front. Imagine that.

Forest Park Pharmacy

23,159 просмотров • 2 месяцев назад

WOW 🚨 The nonprofit who owns the billing codes used by our medical system and gets paid $300 million per year in royalties ALSO SETS THE PRICE OF MEDICAL SERVICES for those codes American surgeon “It feels ridiculous because we as healthcare providers have to use those codes according to state and federal government, and the AMA created them, copyrighted them, and charges us, the people that they're representing, to use them. So let's go one step further. The CPT code system is meant to be this five-digit code that is a universal language for documenting and reporting for all the things that we do in healthcare back to insurance companies, right and ultimately, that affects reimbursement. But here's a wrinkle that you might not have known. The AMA also actually makes a recommendation to the government about a value that's assigned to the CPT codes that they own. That's right. They own the system. They're making money off of that, and then they're also recommending back to CMS and ultimately to insurance companies how much doctors and providers are paid for those codes. That is quite a lot of power for one organization to hold over the money that's exchanged in this healthcare system. So they're making that three hundred million dollars a year licensing it, but then they're also influencing what I get paid for everything that I do. Interesting…..” - US government made using these codes mandatory - A nonprofit who donates millions to politicians on both sides was able to keep the copyright - That group collects hundreds of millions a year from the people required to use it - The same group runs the committee that recommends the dollar values attached to those codes The people who could change this, our politicians, are being paid off not to change it This is a racket

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358,422 просмотров • 24 дней назад