Ryan

Biohacker + Longevity. Investor. Tesla. Manufacturing. Business. Aphantasic. Get Optimized:

[Ryan @reallyoptimized]

@BoomerDivvies Both.

[Ryan @reallyoptimized]

The @MiamiDolphins should sign @TimTebow for the rest of the season.

Why the hell not.

Tim would fill the stadium and probably find a way to win some games, too.

[Ryan @reallyoptimized]

@noahkaufmanmd Oh I know. I follow @DutchRojas closely!

I think many misinterpret my comments to mean I endorse these other systems, or don't think doctors should make more.

Couldn't be further from my position.

I'm just discussing the nuance and reality of the situation.

[Ryan @reallyoptimized]

@noahkaufmanmd @spartywrx AI is our only hope, for a lot of things.

We'll see if it can get there fast enough.

And I agree with you that we may be headed towards single payer. But that wouldn't mean you couldn't continue what you do, and who knows, maybe your approach becomes even more in demand...

[Ryan @reallyoptimized]

He's right.

And Peter is leading the way in the field as well with @fountainlife_hq

Advanced healthcare is following the abundance framework.

Expensive today.

Then cheaper.

Then free or nearly free.

There's other options already breaking the mold as well.

It's happening.

[Peter H. Diamandis, MD @PeterDiamandis]

Elon believes in universal HIGH income. Everyone receives better medical care than billionaires do today. Many people think that's impossible. Let me remind you, many thought it impossible to land rockets on ships.

[Ryan @reallyoptimized]

@James9thLife iHerb can be very pricey though. I prefer full script if you can get on a 35% discount dispensary.

[Ryan @reallyoptimized]

If you pray to be healthy then eat junk food and don't stay active, then you aren't understanding quite how this works.

[Ryan @reallyoptimized]

@spartywrx @JahangirAsgha10 I'll be clear that I do NOT want a single payer system.

I just enjoy discussing the topic and the objective realities surrounding it.

[Ryan @reallyoptimized]

@spartywrx @JahangirAsgha10 The point is that this type of nuance doesn't make it into the public discourse.

The results are better population wide and doctors make a lot less. Now go try and convince voters...

All I've said is it's a hard sell to the public.

[Ryan @reallyoptimized]

Careful what you wish for... Even with the debt burden American doctors make significantly more than single payer counterparts.

And when we don't have enough willing to take on that debt, the government will fund schooling and control the flow of labor - collapsing physician salaries in the process.

https://t.co/RgorrwGc1Y

[Ryan @reallyoptimized]

You are stumbling into a deeper point I'm making and you don't realize it.

The public and voters are deeply entangled with healthcare and salaries.

A Danish style system isn't out of the question if you piss off enough voters.

And in that system, the government tightly controls the education side which plays direct and indirect roles in their lower physician salaries.

They entirely control the flow of labor and meet the demands, which gives doctors minimal bargaining power.

[Ryan @reallyoptimized]

@spartywrx @noahkaufmanmd So literally what I said....

[Ryan @reallyoptimized]

You are stumbling into a deeper point I'm making and you don't realize it.

The public and voters are deeply entangled with healthcare and salaries.

A Danish style system isn't out of the question if you piss off enough voters.

And in that system, the government tightly controls the education side which plays direct and indirect roles in their lower physician salaries.

They entirely control the flow of labor and meet the demands, which gives doctors minimal bargaining power.

[Ryan @reallyoptimized]

@RRTHEFAN @JahangirAsgha10 I didn't argue this...

[Ryan @reallyoptimized]

@nicknorwitz If you shaved you might still pass as a teenager!

[Ryan @reallyoptimized]

This is obviously a bit of a gimmick in terms of actual aging and pace of aging.

But it is useful to see where you stack up against your age group.

This seems to be about as good as you can get on the Eight Sleep metrics.

Be a professional sleeper.

It'll change your life.

[Ryan @reallyoptimized]

We also have to accept that we are only worth what the market says. That includes my own business and products. We have this discussion all the time at the office... The frustrations when doing comparisons.... Gotta get past that.

Deep discussions can be had about doctor salaries being blamed for high healthcare costs despite having essentially nothing to do with it, but that's a different topic.

[Ryan @reallyoptimized]

@JahangirAsgha10 I'll add that I lump myself into "not getting any sympathy" - I accepted that long ago. I own the business. I am successful. I'm not convincing people struggling to pay their bills that I don't make enough! That's all I'm trying to say.

[Ryan @reallyoptimized]

A Danish doctor in the same position makes about half that. Around $200k+ in very high cost of living areas.

And of course an ER doc can negotiate pay. As he said, nobody is paying it so he can ask for whatever he wants... have at it. Nothing wrong with it. I'm just saying it's a hard sell.

At a private practice, you can charge whatever you want providing you have patients that will pay it. We don't disagree. And in fact I can imagine oftentimes a top tier surgeon may very well be undercharging...

The context here is hourly employment at a hospital and trying to convince people that an American doctor should make 8X more than a doctor in a first world health system that produces better population level results.

Thats a hard sell.

I'm not arguing in favor of a Danish system. Just adding some context.

[Ryan @reallyoptimized]

I know doctor salaries aren't the issue with costs - and I might even argue great doctors should make more than great athletes.

But it's just a reality that an average worker making $60k and not sure how to pay infinitely rising costs of healthcare isn't going to show sympathy for a doctor saying $450k isn't enough.

It's a tough sell!

But the context here is also hourly employment. If you can make this much at your own business, and get patients to pay, by all means!

[Ryan @reallyoptimized]

@robt_heartdoc @BowTiedLoon Surgeons shouldn't be paid hourly.

[Ryan @reallyoptimized]

@doctordolla4 Probably the opposite