Robby Lloyd

[Robby Lloyd @RobbyLloyd89]

@FFMikeKash People are allowed to do however many sets they want. Learn alternative movements or wait your turn

[Robby Lloyd @RobbyLloyd89]

@mhdksafa @NimblewNumbers Jesus never embezzled tax money allocated to feed poor people

[Robby Lloyd @RobbyLloyd89]

@sarahtexe I understand how that sounds like a bad thing to you, but the department of education is not actually important to our children’s education. It’s just a bunch of bureaucrats in DC who embezzle money that could be spent in classrooms. Education has gotten worse since it started.

[Robby Lloyd @RobbyLloyd89]

@lingonlad @DelusionPosting You’re acting like it’s a million.

[Robby Lloyd @RobbyLloyd89]

@BrentAWilliams2 Mountains of worthless dirty data

[Robby Lloyd @RobbyLloyd89]

@RepMarkPocan Impossibly stupid thought process by Mr Pocan

[Robby Lloyd @RobbyLloyd89]

@larayapmaaq I have no idea who this is

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

There are many people who sincerely believe M4A would save money.

It's wishful thinking.

We spend $5T on healthcare right now.

If we moved to M4A, Americans wouldn't accept a reduction in access or quality, so we are likely going to stay at $5T in spending, as a baseline.

The percieved cost savings come from administrative simplicity, removal of profits, and a healthier overall population.

Keep in mind, every M4A proposal removes any cost-sharing from the patient, making all services free at the point of care.

We have two large randomized studies which show what happens when people get free care. Utilization and costs go up. When things are free, people use more. This is basic economics.

M4A won't magically produce more doctors and elective clinic appointments, so when utilization goes up, wait times will go up. This means more people will utilize the ER for their care. We saw this with Medicaid expansion under the ACA. The ER is more expensive, so costs will go up.

Those large studies also showed that the increased utilization doesn't lead to improved health benefits. Low-value utilization rises as much as high-value use does. Since wait times for clinic appointments will go up, there's a good chance health outcomes get worse.

The administrative simplification won't come about either. Medicare is extremely complex. Just look at the hundreds of pages of regulations in the physician fee schedule, inpatient fee schedule, outpatient fee schedule, SNF fee schedule, IRF fee schedule, etc.

CMS also offloads much of the adminsitrative burden to doctors and hospitals. For example, doctors spend 2h on the computer for every 1h of patient time. They spend billions on collecting and reporting mandatory CMS quality metrics. Hospitals spend billions on metrics and compliance as well.

The administrative simplicity argument also ignores basic economics and history. Nationalization of an industry never leads to efficiency. Governments do not improve efficiency. Many people smarter than I have written volumes of text on why this happens.

The same goes for removal of profits. Profits are a reward for providing a good or service efficiently. Remove profits and things do not get cheaper. Again, countless brilliant economists have explained this. There's no ambiguitiy here.

So, I'm sorry to burst your bubble, but the only way M4A will save money is if strict rationing and limits are put on healthcare access. That's not something Americans will accept.

[Robby Lloyd @RobbyLloyd89]

@1Nicdar Yes. I would like to see it stripped to the bones if possible.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

I got a chest X Ray a few weeks ago.

Got the bill today.

To read the X-ray, the physican got paid $31.00

To shoot the X-ray, the hospital charges $886.16

I also got lab work. Hospital charge: $784.19

Hospitals are the reason for high healthcare costs.

[Robby Lloyd @RobbyLloyd89]

@dqveed Your profile picture is of a white british actor

[Robby Lloyd @RobbyLloyd89]

@SteveOnSpeed Interest

[Robby Lloyd @RobbyLloyd89]

@JoeA_NFL I think Kraft is special after the catch. My biggest differentiators for TE’s are speed and YAC/MTF. There are a lot of big tight ends that have no maneuverability and also have no ability to break a tackle. Kraft is the best in the league at both

[Robby Lloyd @RobbyLloyd89]

@RepGregMurphy Make it a job people can tolerate to work for 25 years

[Robby Lloyd @RobbyLloyd89]

@LangmanVince Go show her how to play ball king

[Robby Lloyd @RobbyLloyd89]

@MuseBaker All the probably teams you’re clearly wrong about. Still interesting though

[Robby Lloyd @RobbyLloyd89]

@dirtmcgirt810 @MathBomb Who cares?

[Robby Lloyd @RobbyLloyd89]

@ATLCWorker Kids and socialists both have naive world views and neither understand what it is to be fully responsible for themselves or others.