Doug Oliveira

anti-radicals, people enthusiastic, Globetrotter, IT guy, wine lover, race car fanatic, family lover.

[Doug Oliveira @d_b_o]

@mcuban look at SUS, Brazil's system. That is your answer. Just got copied by Mexico.

[Mark Cuban @mcuban]

You aren't wrong that premiums are a healthcare tax, of which a too high percentage goes to the insurance conglomerates.

But you left out a lot of important information
1. Who would run M4A, and how would that person(s) be selected and how often? Right now the Sec of HHS has discretion over everything, and we appoint a new one every 4 to 8 years, or more.. The implications are obvious.

2. What is not covered ? Is every $4m therapy going to be covered ? Even when you negotiate, it won't be cheap. What about the most expensive life saving equipment? It's not like the feds are good at negotiating healthcare

3. Who gets paid less ? Doctors ? Nurses? Specialists?

4. You assume employers will pass along what they don't pay for their share of benefits, to the employee. Do you live in the USA ? This assumption is unfortunately laughable and nothing in an M4A bill can change that

5. Much of medicare/medicaid is run by outside companies. Many of whom are the very worst actors in the healthcare industry. How do you replace them all ? How many years do you think that will take ? or Do you expect them all to become good actors and do the right thing rather than try to maximize earnings?

6. Hospitals don't know what their procedures cost them to perform. They use derivative cost accounting like cost to charge ratios, or, only show Medicare Cost Reports, and basically just look at how much cash they have on their books. Which is one of the reasons they are able to say they don't make money from Care/Caid patients. I don't think many understand what the concept of margin contribution is. If they don't know what their costs are, and you don't know what the actual costs are, how are you going to be able to work from a budget to determine total costs ?

That said, Im for Universal Coverage. But till you know what it actually costs to deliver care in this country, its going to be near impossible to make work

How do other countries do it ? Most started on this 30 years or more ago. Pre MRI machines. Pre Cell and Gene Therapies. They were able to start at a time when healthcare was much simpler, and evolve, some successfully, some less so, from that point.

This is my opinion. If you disagree with any of it, happy to read it here

[Doug Oliveira @d_b_o]

@elonmusk You put him there, your effort, your money, your time, your mistake
Now, fix it.

[Doug Oliveira @d_b_o]

https://t.co/UrQT7ZYVXt

[Doug Oliveira @d_b_o]

@Ricamconsult Fala da cotação do dólar, de como está alto,,bla bla bla

[Doug Oliveira @d_b_o]

@TonyKanaan Tem uai! Tô aqui no kansas

[Doug Oliveira @d_b_o]

@TonyKanaan Tô aqui sim. Aqui no kansas

[Doug Oliveira @d_b_o]

@TonyKanaan call @Delta offer to do a free TV and YouTube ad

[Tony Kanaan @TonyKanaan]

Hello friends, I need your guys opinion and I will elaborate more later. 27 years flying with the same airlines. 7 MILLION miles flown with them, 400k last year. Had a great run with them, made friend with a lots of their employees, then from one day to the other they take away your status. What should I do ? @AmericanAir

[Doug Oliveira @d_b_o]

Everything that I believe

[Arnold Schwarzenegger @Schwarzenegger]

This is my message to anyone who has chosen the path of hate. Please listen.

[Doug Oliveira @d_b_o]

@danieljosebr Não tem IR no seu mundo? O diretor não paga IPTU maior? Imposto não é só isto.

[Doug Oliveira @d_b_o]

Dolar a R$5.05 e caindo, @Ricamconsult também caindo, mas é do galho né

[Joaquim Barbosa @joaquimboficial]

Ora, ora, senhor Hamilton Mourão. Poupe-nos da sua hipocrisia, do seu reacionarismo, da sua cegueira deliberada e do seu facciosismo político! Fatos são fatos! Mais respeito a todos os brasileiros! “Péssimo para o país” seria a continuação da baderna, da “chienlit” e

[Thiago Nogueira @thiagonoggueira]

O refrigerante de maçã, sabor tutti-fruti, fórmula genuinamente mineira, criado na década de 1940, produzido pela @CocaCola_Br, fabricado em Jundiaí e vendido apenas em Minas Gerais, especialmente em BH e região metropolitana. Um patrimônio.

[Chico Pinheiro @chico_pinheiro]

Esses bandos riquinhos se acham patriotas. Não passam de patriotários. Se amassem a Pátria, reverenciariam o gênio @gilbertogil, vencedor do Grammy, o maior prêmio da música mundial e Patrimônio vivo do povo brasileiro ! Evoé, Gilberto Gil! !

[Edu Krieger @edukrieger]

Viva Gil e viva Chico

[Bob Fernandes @Bob_Fernandes]

Papito Ran... quem seria?

[Doug Oliveira @d_b_o]

@nikolas_dm Morreram 63 mil pessoas em Minas de Covid. Lula ganhou em Minas por uma diferença de 49 mil votos.
Da próxima vez, pense antes passar lei sobre máscara.

[Really American 🇺🇸 @ReallyAmerican1]

Accurate.

[Doug Oliveira @d_b_o]

Up...a good summary

[Brasil no Grid 🇧🇷 @brasilnogrid]

⚠️Anúncio

Após as negociações, a Band renova com a Fórmula 1 para manter os direitos da categoria até 2025!
Gostaram da renovação?

[Flávio Dino 🇧🇷 @FlavioDino]

O FGTS foi criado em 1966 para substituir a indenização por dispensa sem justa causa, que era de 1 mês de salário por ano trabalhado. Daí o deposito mensal ser 8%, para manter certa paridade com sistema anterior. Proposta de 2% é pior do que foi feito pela ditadura