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See Elizabeth Warren's 2003 book "The Two-Income Trap" -- a shockingly based analysis of the consequences of married women entering the workforce en masse in the 1970s and 1980s. Concludes everyone is worse off.
@DrDiGiorgio@ssdhall Where do you even start with such an imbecilic thing to say as Mr. Munro has? Since it makes no sense in the first place, it is not even possible to make an argument against it.
If the patient has an internet connection and thinks that a particular A1c value is desirable goal, then they will know whether that physician is meeting their expectations. If not, they can choose another physician. Further, in no instance did I say that data should not be collected. That is a different beast than one which "rewards" physicians based on subjective outcomes, which leads to physicians chasing "metrics" -- e.g. A1C level -- typically via the most efficient means possible, namely medication. What if a patient would like to try dietary changes and not be medicated? They would be strong-armed into pharmacological quick fixes. We lived in a world back in the 1970s-1980s when people essentially had good judgment about their own physicians. We can go back to that world.
So long as those outcomes and satisfaction are revealed in the form of where the patients put their own money. This is the only way as far PCP office visits are concerned. But any attempt by the government or third parties to determine the yardsticks for those "outcomes" and "satisfaction" will result in the same mess we are in now.
@LorickFoxPA@DrDiGiorgio Sorry, you cannot eliminate greed. It is a fundament of the human condition. Do you not think that "non-profits" started out with good intentions? Look at what they have become!!!
@DrJesseMorse@SammyJankisCPA Oh yes we are paying for it! If you lose your job or if you have a job that does not offer health insurance, then you are stuck on the ACA marketplace where the prices are even worse!
@WaTxCa@TheGreenOldDill If insurance were not required to "cover" primary care visits, then we would start to see some sanity return to the system. Free PCP!
I literally said the same thing. If some owns two properties, then they should pay double what some who only owns one does. The amount per property should be the same for everyone, regardless of "value." Incidentally, most HOA fees, especially for single-family homes, are based on "equal assessment."
Yes! One of the worst elements of the ACA is its "ten essential health benefits" which requires plans to cover primary care! If primary care were removed from all third-party coverage, then access would improve and the pressures independent physicians face to sell out to large hospital systems would be eliminated. PCP office visits are naturally cheap and predictably priced and most people (except the truly indigent) can pay for such a service directly out of their own pockets. That would do more to restore sanity than any other reform! https://t.co/nTNyMZj3TS
Stop it with this nonsense of "owning a greater share of the town" as having anything to do with the alleged value of the house. If you "own two houses" -- where each house is the the yardstick for "a share" -- then that person will be charged double the amount that someone who "owns one house" is charged. You are justifying a system that violates the rights people have to dispose of their property how they will.