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And here’s what it really comes down to…. saving money Programs like Canada’s MAiD, Medically Assisted in Dying, are really about saving money Bill Gates said “Is spending $1 million on that last 3 months of life for that patient…. would it be better not to lay off those...

40,522 просмотров • 5 дней назад •via X (Twitter)

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American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

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Right to Recovery Treatment evidence sessions in Scottish Parliament with Third Sector With You and The Salvation Army. What wording should replace “addiction” in the Bill to ensure people can access treatment without requiring a formal diagnosis? @GraemeCall78170 instead of answering his reply focuses on systemic access issues and the limitations of the Bill’s scope. Dr Sandesh Gulhane reminds him that the bill has narrow scope due to it not being a government bill and has to ask again about the use of the word addiction. Director of Addictions of The Salvation Armysays, "I think to give it a word or a title, it’s a really difficult thing". (Yes, its like a scene from the Ministry of Funny Walks) only none of this is funny, but deadly serious. Dr Sandesh Gulhane "Just on the point of addiction being used as a diagnosis, we heard from the Royal College of Psychiatrists, it was clear that perhaps the word addiction is not the right word to be used, and I'm sure that Douglas Ross, who is he member in charge of the bill, would be looking into that. So if we were to amend this because we need to say that you have something, not necessarily a diagnosis, but what is it that we should be saying in, in your opinion, as a way to have the right to have a treatment. Is it simply you would like to receive treatment or what exactly would you suggest?" @GraemeCall78170 "I think it for us, it's always been about access, right, so treatment is there. We recognise as an organisation we have a full clinical offer in England, not in Scotland, so we understand the importance of clinical process processes and in certain circumstances diagnosis is absolutely critical because there are other things that are going on, underlying mental health, underlying physical problems, so we completely recognise that. But the reality of the system is that people can't get access to the system, it's not about treatment. So services like ours here, all we do is we try and find ways to navigate the system to try and get people to where they need to be. But a lot of people that we engage with don't need a medical intervention, they dont. They just some mutual aid, some support, they need some practical stuff around their housing. So I think it's the disappointing thing as I read the bill as it was presented, it did feel narrow to me. I can't deny that. And I think it didn't reflect the experiences that we have as organisation." Dr Sandesh Gulhane "Being a member's bill it does need to be very narrow. It's not a government bill. If it was a government bill, that that's fair enough that this really does need to have enough scope. But my question was, what wording would you use in instead of a diagnosis of addiction? What wording would you like to see for people who do want to access treatment?" Lee Ball [Director of Addictions, Salvation Army] "For me, I think it's the person's right to want treatment. I think to give it a word or a title, it’s a really difficult thing. I don't envy your job trying to come up with a word for this because there are so many words that have so many different meanings."

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Naval Ravikant tells his favorite Elon Musk story “There was a story that I read about [Elon] that really affected me,” Naval begins. “He was talking to Bill Gates, and Bill Gates had just taken out some huge short on Tesla.” “Why would you do that? Why would you short Tesla?” Elon asked. Bill Gates replied, “I talked to my financial advisors, looked at the math, and it’s overvalued. So I’m going to make money on the short.” To which Elon responded: “What do you care about making money? I thought you were into electric cars and climate change and saving the world?” Elon walked away in disgust and never talked to Bill Gates after that. Naval comments: “That’s when I realized Elon is a purist. He means what he says. Money is a tool for him to get to where he’s trying to go. And so I take him at face value… A lot of people set these audacious goals to inspire people, but they don’t really mean it. Elon I take at face value. I really do think he intends to get to Mars. I don’t think he’s joking about that.” He continues: “Elon doesn’t want to go down in history as the electric car guy or even the guy who saved America. He wants to go down as the guy who got humanity to the stars. And I’ll give him more credit than that. I don’t even think he wants to go down as the, ‘I got humanity to the stars guy.’ He’s just like, ‘I want to get to the stars, and I have to make it happen in this lifetime’… That’s so inspirational. I think that drives everything. And I think the government was just a thing that got in his way.” Video source: Scott Adams (2024)

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95,825 просмотров • 10 месяцев назад

Naval Ravikant tells his favorite Elon Musk story “There was a story that I read about [Elon] that really affected me,” Naval begins. “He was talking to Bill Gates, and Bill Gates had just taken out some huge short on Tesla.” “Why would you do that? Why would you short Tesla?” Elon asked. Bill Gates replied, “I talked to my financial advisors, looked at the math, and it’s overvalued. So I’m going to make money on the short.” To which Elon responded: “What do you care about making money? I thought you were into electric cars and climate change and saving the world?” Elon walked away in disgust and never talked to Bill Gates after that. Naval comments: “That’s when I realized Elon is a purist. He means what he says. Money is a tool for him to get to where he’s trying to go. And so I take him at face value… A lot of people set these audacious goals to inspire people, but they don’t really mean it. Elon I take at face value. I really do think he intends to get to Mars. I don’t think he’s joking about that.” He continues: “Elon doesn’t want to go down in history as the electric car guy or even the guy who saved America. He wants to go down as the guy who got humanity to the stars. And I’ll give him more credit than that. I don’t even think he wants to go down as the, ‘I got humanity to the stars guy.’ He’s just like, ‘I want to get to the stars, and I have to make it happen in this lifetime’… That’s so inspirational. I think that drives everything. And I think the government was just a thing that got in his way.” Source: Scott Adams (Nov 2024)

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32,145 просмотров • 1 месяц назад

🚨 BREAKING: Speaker Johnson just CONFIRMED the GOP healthcare bill that passed tonight will DECREASE premiums by 11%, with NO ACA extensions for Big, Rich Insurance 🔥 "It gives persons more options, more flexibility in their health care and also it adds transparency." THIS IS HUGE! "We had the PBM, pharmacy benefit manager, transparency piece to it as well. Now contrast that with the Democrats, COVID era subsidy that they wanted to extend that would only impact 7% of Americans." "The bill we just passed impacts 100% of Americans. Their version would impact 7% of Americans and it would cost taxpayers $350 billion." "That is not the way to reduce the cost of health care. The Democrats do not want a solution, they just demonstrated, because they voted against this bill. They want an issue for the election. It is based on a false narrative." "The Democrats broke America's health care system. When they gave us the ACA, the unaffordable care act 15 years ago, they promised that premiums would come down that access would increase in quality of health care would increase. None of that happened because it's a flawed system." "Their response right now is to subsidize and continue to shovel taxpayer dollars onto a broken system. We say enough is enough!" "The Republican Party is the party that is bringing the ideas forward to fix this crisis and fix this problem for everyone. It is a serious problem." "We took a big step tonight to do that. We hope that this could sign in law quickly because it will have the desired effect. We hope the Senate can get this done in short order."

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545,137 просмотров • 7 месяцев назад