@jph1931@kpharmd12 Optum sent out an opt-out contract that said the exact same thing. How can you even call something a contract when the payer can change the payment amount at any time, and not even have to notify you?
@kpharmd12 What a crock of shit. Got reimbursed $3.77 for two vials of testosterone from @CVSHealth today. What a fucking joke. @FTC won’t do jack shit (and also won’t reply to any emails or calls) and @CMSGov keeps paying these stupid fuckers more
Why do we do this to ourselves?
@theangrypharm We might as well start bagging groceries in the stores too to increase our worth! Maybe stock produce too for another diverse revenue base… these people want us to do everything except make money off what we’re supposed to do, which is prescriptions
This is the problem with socialism.
The answer is always more money. Never a number. Never a limit. Never a point where voters are allowed to ask, after we spent all this, why are the results still mediocre?
NYC Public Schools is already running a roughly $44.6 billion budget. Depending on how you count the all in costs, that puts spending in the neighborhood of $40,000 plus per student.
That's more than most private schools charge. So what's the amount of money per pupil that will make New York public schools adequate? How much wealth should be redistributed to those Queens teachers to make the system "fair?"
We see this in healthcare, too. Any potential cut to Medicaid is dooming poor people to die. @SenSchumer claimed over 50,000 people were going to die if we made even the slightest cut to Medicaid. Fine. Then say the quiet part out loud.
What is the target spend per Medicaid enrollee? What happens when spending rises and patients still cannot get care?
Let's get those numbers out there, find a way to fairly tax the wealthy to fund the safety-net, and then be done with it. $50k per student per year? $10,000 per Medicaid beneficiary with some age-adjustment? $200,000 per mile of high speed rail track?
They can never tell you.
One, because they have never run a business before, so they have no idea how to actually look at a balance sheet.
But, two, they don't want the money to go to the teachers, students, patients, or choo choo train. They want wealth redistributed from class enemies like Bezos to their political allies. They want to fund things that sound nice. "Free childcare" "Free diapers" "Free Faith Healers" so they can take money from people they don't like and give it to people they do like.
But, again because they have never run an actual business and because their only motiviation is to just not fail badly enough to prevent their re-election, the services come in way over budget and under-quality. They're spending other people's money on other people, and as Milton Friedman points out, that's when you stop caring about both price and quality. So the people to whom they promised free stuff look at their free stuff and are disappointed.
"I was supposed to get healthcare but now I need to wait a year for my knee replacement."
So they blame their class enemies and say "well it would work if we could just take MORE of their money and redistribute it."
So they take more money, but the quality doesn't improve. Their political allies, the union bosses and NGO CEOs get big paychecks they then funnel back into their campaigns.
And again, and again. Until all the people who actually produce wealth have been taxed into oblivion. You have no more Amazon. No more abundance. Just bread lines and poverty.
And that teacher in Queens still isn't getting paid what they are worth.
California is a real time contest between the smartest people on Earth trying to invent the future and the dumbest people on Earth trying to return us to the stone age.
Christopher Nolan: Orchestras didn’t exist back then. We can’t use an orchestra for The Odyssey...
Also Nolan: Helen of Troy is now black. Achilles is a 5 ft nothing tranny. Travis Scott is gonna rap. Robert Pattinson is gonna say “daddy”. Soldiers will have iron armor in the Bronze Age. Movie will be based on a modernized, feminist rewrite of the story.
This movie will be a beautifully filmed piece of woke, liberal slop.
In 1913, when America started taxing income, you owed nothing unless you made more than $3,000 a year. In today's money, that comes to about $100,000. Less than 1 in 100 Americans paid a thing, because the whole system was built for the rich. Then a war broke it.
For the country's first 125 years, the federal government ran on tariffs and taxes on things like whiskey. In 1913, the constitution was changed to allow income tax. If you earned over $3,000, you owed 1%. The top rate was 7%, and only on income over $500,000, which is about $16.5 million today. Out of 97 million Americans, almost no one paid.
Because only the rich paid, the rules were built around how rich people lived. They owned businesses. They had offices, employees, equipment, travel. So the law let them subtract those costs before tax. The phrase, then and now, is "ordinary and necessary" expenses. If it cost you money to make money, you only paid tax on the profit.
For 30 years, that was the system. The rich paid and got to write off their business expenses. Everyone else paid nothing.
Then WWII hit. A 1942 law gutted it. The tax-free amount was slashed to $1,200 for married couples and $500 for singles. A new "Victory Tax" took 5% of every dollar above $624. People paying income tax exploded from 7.7 million in 1939 to 36.7 million in 1942, to 50 million by 1945.
The Treasury knew people would resist. So they hired Walt Disney. He made a cartoon where Donald Duck reluctantly does his taxes, then races across the country to hand-deliver them so they can fund the war effort. About 60 million Americans saw it. Tax filings doubled the next year. A sequel followed in 1943, the same year paycheck withholding became law. Your employer would now hand the tax to the government before you ever held it.
When the system was rebuilt for workers, only the rules that taxed them changed. The rule letting businesses deduct stayed in place. There was never an "ordinary and necessary" rule for survival. Rent, groceries, healthcare, the bus you take to the job you're being taxed on, none of it deductible.
Today, a single person in 2026 can earn $16,100 tax-free. The 1913 version, in real money, was about $100,000. The shield that once protected ordinary people has shrunk to a sixth of what it was.
The tax code had one job: tax the wealthy on what was left after their expenses. WWII rewrote who had to pay. The right to deduct survived for businesses. For the rest of us, it was never written.
Glad I’m working a job so people that weren’t born here, and have never contributed a single notable thing, can grift millions. Fuck every part about our government and healthcare systems
94 Medicaid "home health" companies purport to occupy this office building, taking more than $66 million of your money. They provide free butlers to immigrants.
"No windows on the outside hides the fact that there's no one on the inside." There's an entire street of these.
One company owns your insurance, your doctor, and your pharmacy.
They negotiate with themselves. They pay themselves. They win every time you need care.
This isn't a health system. It's a racket.
I support breaking them up.
Someone explain this to me like I’m 5 years old.
If I have someone who is on Medicare Part D and needs an Advair HFA inhaler- their copay is set at $387, which results a $44 LOSS on the drug to the pharmacy.
Yet, if you have no insurance coverage: you can sign up for FREE on the manufacturer’s website for a help card and get it for $35.00. The pharmacy is paid $29.00 over their actual cost of the drug.
Same drug, filled at the same pharmacy.
Two completely different outcomes for the patient and the pharmacy.
This training is a good warm up pipeline for guys who want to get Forklift Certified. If you can get thru BUD/S you have a decent shot at coming thru the Forklift Certification program successfully, but BUD/S is a lot more laid back and all around easier than “The Forks”
I’m not kidding when I say we should pick up a random Small Business owner from the Midwest, give him total unquestionable authority for 1 year, and just see what happens.
As long as the person is:
- Male
- Married
- Has multiple kids
- Practicing Christian
- IQ over 130
Obamacare has drastically increased consolidation, administration, destroyed independent MDs practices, and increased overall costs (direct + indirect).
And no one got to “keep their doctor”.
What a scam.