@KeenanPeachy I just met a 31 yo ex-stripper who just got engaged in Mexico while on vacation. She was on the phone scheduling his vasectomy! She has zero kids while he has one teenager
Yes! I have repaired so many faces and limbs in the ER from pit bull bites. I always ask what breed bit them… it almost always a pit bull. During residency on our anesthesia rotation, I chose to intubate the most beautiful 20-something year old repeatedly for plastic surgery to address the pit bull bite.
She knew the dog who bit her. She was petting him as she fell asleep on her friend’s sofa. She underwent multiple surgeries to repair the damage.
I am so over it.
Being a doctor means having the knowledge to fix most of the issues with access to care but being prohibited from doing so.
Constant obstacles are thrown in our way.
We could fix it. We are told that we aren't allowed to.
It's depressing.
@DarcyRober23154 I feel bad for the sick boomers. They grew up in a world where they had a primary care doctor who knew them and cared for them and insurance that worked…
@molsjames The a-line is strange. Is that standard of care in an elective surgery? Also which oral vitamin C supplements do you recommend? Are Emergency packets ok?
Spent last evening with my oldest son.
It was a LONG four days in the ICU. Everyone is so so sick these days. And some days you barely move the needle. And it can be hard to sometimes know the best way forward. It’s taxing on the body, psyche, and soul.
And I text him. Let’s get dinner. I’m off tommorow.
He texts back let’s do it.
I take him to a nice spot. He’s on a small cut and not drinking. Getting back into soccer playing shape. And I’m proud of him about that. But he insists I get a couple drinks. He’s driving. And I needed it.
An appy, steaks, and dessert. And I get to spend like 90 uninterrupted minutes simply listening to this bright mind tell me all of the cool things he’s doing. And thinking. And planning. He’s teaching me things now. Has his own opinions different from my own. Asks me for advice on his zone 2 cardio engine build. Listens.
It’s hard to put into words how proud I am of him. There are always times in a good father’s life where he wonders “was I a good dad?” - we can be so hard on ourselves. Was I too hard on the boy? Lord knows I wasn’t perfect. I had no manual. And I was so young when he was little. There were times where I was so worried. Did I instill the right morals and values?
And then at these little flash points you just see it all come together. In one place. In one unique and wonderful young man.
I am blessed I was given the honor of being a part of his life. Did he save my soul? Maybe. In many ways. The best thing that ever happened to me.
Every family is paying about $30k annually for healthcare they barely use, and that typically comes with a high deductible and out of pocket costs.
The median healthcare spend is $500 annually.
Now imagine an alternate version. Every American has a tax exempt HSA, but to participate, you must purchase at least a catastrophic insurance plan. If we allowed pre-ACA plans, we are looking at $6000-12000 per year. For the poor, instead of Medicaid or an ACA subsidy, the government just funds their HSA for them.
Now every family is putting $15k a year into an HSA. Most people would barely touch that. Maybe use some to pay for a DPC and the occasional lab or prescription. But by retirement, everyone would have $2-5 million saved up. That could pay for all lifetime medical expenses for 95% of Americans.
The only people who have to deal with insurance companies are those with catastrophic high cost events (trauma, cancer, etc). The only role government has is as a reinsurance to keep premiums low and help people with pre existing conditions get plans. Or for the truly destitute who burn through their HSA and cannot care for themselves (universal backstop coverage).
This would provide truly universal coverage, give money back to patients, simplify healthcare, and make every American richer.