Actually, some form of Universal Care could be cheaper, offer better care, and be less bureaucratic.
But the Democrats think if you just write the legislation, that makes it so. It doesn't
Because other countries do it, it must be easy for us to do it.
Problem in this country is no one really knows what medical care or drugs cost.
Everything related to the cost of care has been made intentionally opague. It's a business strategy at every step. Every healthcare contract has a confidentially clause.
Hospitals don't know how to allocate costs to determine their true cost
If you don't know what the cost of what the government wants to buy from you, and the government doesn't know what the fully burdened cost they will pay is. And we don't know how high end hospitals can offer the same level of care at Medicare pricing. Etc etc etc
And of course every insurance company and big hospital system will tie up the legislation in courts for decades.
Ideology is not a strategy. Until there is transparency so a budget can be attempted , and the influence of the huge HC conglomerates is diminished , universal healthcare isn't achievable.
Stop outsourcing your AI conviction to people barely using AI.
Use it obsessively. Talk to people using it obsessively. Track real workflows across wildly different use cases.
That’s how you see what’s real before it becomes undeniable.
I was an uptight 32-year-old who'd just left Goldman.
Barely any money when I started my own business.
So naturally my pompous little ass joined the Harvard Club — I wanted people to know I went to Harvard.
Four years of breakfast meetings, prospect after prospect.
Meanwhile Joaquin is busing my table every morning.
We'd chat often and I tipped well.
One day he comes over and says — Mr. Anthony, you manage money, right? We've had a personal injury situation.
My family just came into $35 million. You've always been kind to me.
Would you manage it?
The guy busing my table had a higher net worth than I did.
Be good to people. All of it comes back around.
On S&P 500 Rule Changes:
“The S&P 500 is removing long-standing profitability requirements — the “enshittification” of the index. This change potentially turns the index into a “dumping ground” for Private Equity to offload unprofitable, highly leveraged companies onto retail index investors.”
Interlude
“The S&P500 has indeed “sold out.” By proposing to kill the long-standing “profitability” requirement for the S&P500 (already weakened by the use of operating vs GAAP earnings), the S&P500 has offered itself up as the dumping ground for private equity.”
As posted by @profplum99 from his pithy & witty subStack 🎩
@mcuban@costplusdrugs I get my Tacrolimus, mycophenolic acid, and 12 or so other meds from @costplusdrugs for my liver transplant. Cheaper than meeting the $2100 deductible.
Although I have a drug plan for catastrophic events, like 3 prior transplant rejections.
Why aren’t any of these at risk hospitals publishing their full accounting so everyone can see where they spend their money ?
All but one group of hospitals that I have looked at potentially investing in, spend so much on consultants and fees that it’s no wonder they are at risk
Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything.
And then when you show them how to save money, their “supply chain” employees resist any change.
They are so set in their ways, it’s a shock more don’t go out of business.
Prove me wrong.
the tariff lows on the $QQQ last year were $400 ish (I was a buyer) - what has changed since?
Tariffs more confusing than ever
ai stress
deglobalaization acceleration
rising rates
troops on ground
I am NOT bearish but i’m a cynic and so why should I buy at $qqq $560