David Shenberger

Dad of two hilarious little boys who will be skiing soon! Engineering consultant by day. Give me a good book any day (except a powder day!)

[Susan Stipa @SusanStipa]

Why duckweed (Yes. The plant on the pond.)

[David Shenberger @dshenb]

@SouthwestAir disappointed we can't get a response from Reno baggage claim to determine where bags are and if they'll be delivered

[Allie ✞ @allie__voss]

The navy already solved:
- small reactors
- long core life
- reliable operation
- mass production

For some reason we've been leaving this technology under water for over 70 years

[John Mauldin @JohnFMauldin]

In the 90s, i was on a commission in Arlington Texas to deal with a large budget shortfall in the school district. Voters had shut down a tax increase. We solved the “crisis” almost entirely by cutting admin staff. And it is worse today.

[Chamath Palihapitiya @chamath]

The State of California has been run top to bottom by one party since 2011.

Here are their results:

1) highest state income tax
2) highest rate of poverty
3) highest rate of unemployment
4) highest rate of homelessness
5) highest energy costs

Hard to explain this away.

[The Cyber Security Hub™ @TheCyberSecHub]

Significant Rise in Ransomware Attacks Targeting Industrial Operations https://t.co/ko9qTIzi1h #cybersecurity #infosec #hacking

[Nikhil Krishnan @nikillinit]

one of the more interesting responses to the newsletter came from an anon urologist in Texas walking me through how they get screwed in billing that favors hospitals

high level

- They do ultrasound biopsy

- New tech comes out (MRI fusion) but CPT doesn't account for it. They give the patient and Advanced Beneficiary Notice and the patient pays extra for it.

- New CPT accounts for it, but it's not enough. Also means the practice can't do an Advanced Beneficiary notice. The practice would now lose money doing this

- Practice then has to refer out somewhere that gets paid a facility fee, which costs way more even though it doesn't need to be done there.

This feels like one of the core flaws of CMS and the CPT coding system that uses “how much did that cost” as the baseline for figuring out reimbursement. Of course if you use that methodology you will end up with people shifting care to higher cost settings.

Walk through of the economics they gave me below

[Connor Boyack 📚 @cboyack]

Every government program creates three things:

1. A new problem
2. A constituency that benefits from the problem
3. Bureaucrats whose careers depend on managing—not solving—it

Then they ask for more funding.

[Sean League @SeanLeague2]

As a personal example. We had Kaiser, my wife had to get an ultrasound for some female issues. We went in and asked how much it would cost. They told us, with insurance, $2800 because we had not met the deductible threshold yet. While I was waiting, one of the secretaries told us that if we went to another Kaiser facility and asked to pay cash it would be at least $2000 cheaper. We canceled the appointment right there and went to the other facility in Irvine, CA. We just said that we didn't have insurance and they charged us $290 minus $50 cash discount, so $240 for the same scan! This is the scam, and it has happened to us 3 times in the last six months, so we just started paying cash all the time and canceled our insurance. We now get seen same day, any doctor we want and save up to 10x the price. I am getting a CAT scan next week for $350 cash. https://t.co/iSaPTo2boL

[John Mauldin @JohnFMauldin]

The Fourth Turning is a very important concept.

[Charles Murray @charlesmurray]

It is one of the most startling aspects of rereading Atlas Shrugged in the 21st century. The speeches of her villains read like transcripts of speeches by the woke left.

[David Shenberger @dshenb]

Stand Up for Freedom: Pardon the Innocent Coders Jailed for Building Privacy Tools! - Sign the Petition! https://t.co/7u2cq8AlDb via @Change

[David Shenberger @dshenb]

@exjon As a fellow ex-nuc ET, I've always enjoyed your worldview. Wishing you all the best for your recovery

[Billy Binion @billybinion]

Stories like this raise my blood pressure. Police pulled over this couple—allegedly for following a car too closely—and robbed them of the $42,300 they were going to use to buy a tractor-trailer for their trucking business. It's legalized larceny, and it can be life-ruining.

[David Shenberger @dshenb]

@BlueNileDiamond really disappointed in your customer service and willingness to stand behind your products even when they are plainly defective. Doesn't make sense to not take care a men's wedding ring when he would be buying a lifetime of jewelry for his wife.

[David Shenberger @dshenb]

@BillSimmons @TheRewatchables @SeanFennessey @ChrisRyan77 Cartman's mom is on the cover of Crack Whore magazine!

[Sky Sports F1 @SkySportsF1]

Toto Wolff gave his thoughts on Max Verstappen's new F1 record 💬

[Don Lewis @DonLew87]

When Barbara Walters put Sean Connery on blast. Legend. R.I.P.

[David Shenberger @dshenb]

@dailydirtnap also reined

[River's End @RiversEndJenner]

Friday sunsets always set the mood right for the weekend! Join us for a cocktail or dinner soon! ✨

Make reservations at https://t.co/IfljybX9lE