yzerman19

This “Obama guy” is not a politician. He isn’t a talking head either. I have personally interacted with him in business. In the circles I run in, his opinion matters. He’s not always right, but when he speaks I make sure I hear what he’s saying.

So- Andy is usually one of the smartest people in the room. I’m curious if he’s seen anything or his people have seen anything in the last 36 hours that would alter this projection. one of the things I’m seeing is that CA models are extremely worried about it ripping through the homeless population unabated.

To alleviate human suffering when we can. operative words being when we can. You do your best. gotta take the personal and emotional out of it if you are making difficult decisions.

Just wait until some junky on a speedball dies because we ran out of vents...the moral outrage! If we just had more control and more govt services we could save the world! snowflake mentality. Nobody is special, we are carbon, hydrogen, and oxygen (splattering of most other elements)brilliantly organized for a nanosecond in space time as we propel towards entropy. Love one another, live each minute as if it’s your last, and accept What cannot be controlled.

I’d celebrate those we would be able to save as opposed to mourning those lost. We can not save everyone.

Yes- that is the goal...slow burn vs explosion

The bar chart In the link cherry picks a top ten vs average, but I don’t disagree on academic comp. Physician comp is of course extremely disparate. High volume procedurists making 7 figures and low volume PCPs making less than coders at Microsoft.

I just don’t think the testing really matters for most...if as you say people are conservative and responsible- don’t give it, don’t get it...if sick, limit your interactions with other people. If you don’t need to leave the house, don’t leave the house.

Where I am in CA it’s pretty much everything

Aside from things I’ve already said about access and funding and reimbursement differential, the best part about Medicare for all is that a Federal political appointee, bureaucrats, and Washington politicians would call all the shots. No more local decision making based on the region/community, but bill pork and influence as determinants...say goodbye to ”fly-over”state healthcare.... hope everyone read the sarcasm

If protecting people from viruses with a low lethality is superordinate to the broader economic stability of the country, we are screwed...

Because US system is multi-modal in outcome distribution. if you generally take care of yourself, have insurance, and live in certain areas of this country (not the Deep South) you have the best healthcare and quality of life years the world has ever contemplated. Never confuse outcomes with the quality of care- people play a big role in their health status.

Also remember execs are ultimately responsible for employment, which has a massive economic impact in the community.

Supply and demand. most healthcare is not for profit, so executive comp is heavier in salary due to no stock

I would contend that there are significantly more variables at play than testing and government response (in regard to SKorea and Italy). im glad you like your German healthcare. I can tell you this, If I were truly ill in Germany, I’d be on a plane to Rochester, Cleveland or Baltimore in two shakes of a lambs tail.

I’d also add that we’ve been sick in my house. I’ve had a cold this week- not running in to get tested. Hanging out at home, working from home, not leaving the house. I’m actually kinda hoping I have Coronavirus, that this is the extent of my illness (I’m 43 with Rx managed Htn) and we can all move on quickly. another thing not being discussed is regional exposures to other coronaviruses i.e. common cold strains etc as well as genetic makeups of those most and least susceptible to the lethal side of this virus. I have also seen that they are advancing a CAR-T like infusion therapy on this using B Cells from survivors of covid-19. Science, not the government is our best bet.

The reality is if you haven’t accepted the fact that you will likely acquire some version of this Coronavirus in your lifetime, you aren’t living in reality. I get a flu vaccine every year, but I don’t think that it protects me from ever getting the flu. we’ve taken a turn toward the surreal here to slow the spread of this thing, nothing more.

Yeah home...I currently live in the greater Los Angeles metroplex (albeit suburbs) so I’ve got that going for me...which is nice...

Or if she fell getting up to go to the bathroom at night and broke her hip. not being callous- she is likely someone’s mother and grandmother. I am sorry for their loss, but 82 with emphysema is not a shutdown the American way of life trigger.

Further clarification: claims will be paid even if no premiums are collected in this environment

and for everyone who complains about health insurance premiums, margins (which are very thin most years), and importantly reserves- this is why they have them. Reserves are part of a calculation known as risk based capital. Claims will be paid, many elements of patient Financial responsibility will be waived. Same goes for delivery system cash on hand. The system is financed (when managed adequately) to weather this. whether or not access is adequate is a different question, but understand this- reductions in dollars to health plans and healthcare delivery (I.e Medicare for all- Medicare pays about half what commercial insurers pay for services) will put even more pressure on rural and community providers. Likely shutting many down and consolidating any kind of secondary or tertiary care into metro facilities. It’s a subtext of the death rate in other countries that isn’t being discussed right now. I’d be willing to bet that there are more ICU beds properly staffed with the best modern vents and other equipment in Minnesota than in the country of Italy.

Key point: government I, for one, have never thought of the government as a protector. It cannot fail me on this, because I put no faith in it to begin with. It is not some omnipotent protector of people. if a million people die from this, that’s sad- tragic; but nothing, let alone the government, can protect us all from viruses. Nature and biology are stronger than any government. The real interesting societal view on this is what happens without “bread and circuses”- the circuses are shutdown...people have bread...for now. oh how I wish we were discussing a 7-0 Sioux win last night instead of this.

Too much volatility...can’t time the markets, but today was an excellent opportunity to recover and reposition.

I watched recorded world juniors last night from the dvr

One of the greatest films of all time IMO.