DR doc

[DR doc @darkroom_doc]

@olsonplanner Good thread.

I think it’s under-recognized that in some states you CAN work at a private practice and qualify for PSLF, as long as your group is contracted by a qualifying nonprofit.

[DR doc @darkroom_doc]

@DbirdCT @charlescwcooke He’s talking about total effective tax rates (not just sales tax), which vary based on income levels.

Figure 1 here

https://t.co/K3P6i9nI2q

[DR doc @darkroom_doc]

@olsonplanner PAYE.

Of course, excess payments should be refunded if it goes through, but I have little faith that it will be accurate if it takes this long to get final approval.

Whether it's approved or not, I just want an answer.

[DR doc @darkroom_doc]

@Redmond_CA @northwoods1980 Both. A couple hypoplastic ribs are there.

[DR doc @darkroom_doc]

@nomeveoparanada @northwoods1980 @Tarundrim Yes. The value is proving you looked, saw it, and it’s not something else.

[DR doc @darkroom_doc]

@WendeNGibbs @atmghn “Vacuum phenomenon”—It is believed that vacuum forces generate this finding. Coined by someone named Magnusson way back in 1937.

Wish I could comprehend the original paper.

[DR doc @darkroom_doc]

@txsportsdoc @CarelonHealth The reality is their decisions DO impact care and the docs are the ones left to practice under the constraints of their decisions and the patient’s financial situation.

[DR doc @darkroom_doc]

@txsportsdoc @CarelonHealth The co’s will also argue that their denial of coverage is not “practicing medicine or denying care”—it just means it’s not covered and the patient is free to get the care on their own dime.

[DR doc @darkroom_doc]

@jointdocShields @DGlaucomflecken What a headache.

Docs should start invoicing ins co’s for the time spent on being their customers’ de facto policy implementers and service representatives. A cost must finally be quantified/incurred.

[DR doc @darkroom_doc]

@olsonplanner The “huge amount of control of time for many years” cannot be stressed enough.

[DR doc @darkroom_doc]

@morrisonMSK Would it be worse if they didn’t know, or—this is them trying?

🫣

[DR doc @darkroom_doc]

@HPB_Surgeon @cutitoutPODCAS1 He’s illustrating a financial teaching point, not giving career advice.

[DR doc @darkroom_doc]

@fuzzymittens @olsonplanner Can’t believe the criticism (outrage?) this has generated.

Endless medical cases are presented/consumed on this platform for educational purposes. This is just a personal finance case doing the same thing.

…I guess the real teaching point is docs are bad at the money stuff…

[DR doc @darkroom_doc]

@northwoods1980 i like to think there’s a villain origin story behind this initiative somewhere.

[DR doc @darkroom_doc]

@olsonplanner Obviously can’t discuss too many other specifics, but how does this shake out with regards to pay per shift, or pay per hour? In reality, much of that “more pay” in PP may just be a result of “more time working”.

What kind of life does Lili want to live?

[DR doc @darkroom_doc]

@northwoods1980 I don’t even understand the premise…

A diagnostic entity was named in the impression.

The result—a clinically insignificant finding—was not told to the patient.

And the ER doc got worked up about not relaying the findings to the patient?

Am I getting that right?

[DR doc @darkroom_doc]

@olsonplanner I’ve seen a suggested target savings rate of 20% “take-home pay” as a general recommendation in the public domain. What are the specific reasons your recommendation is on a pre-tax basis?

Thank you for all the time and expertise you share on this platform. It’s invaluable.