Anastasis

The single biggest obstacle to overcome will always be the lobbyists. https://www.politico.com/news/2024/11/15/industry-rfk-donald-trump-hhs-00189674

I think that we would probably find lots of common ground if you wanted to dig it on the specifics. For example... You want to talk leverage and price negotiating strategies I am all for it. The IRA scheme will always be two steps behind the trend. By design.

I'll take 5:1 on 1k for Trump administration proposal for Medicare expansion. Non-political charity of winner's choice. MLF would be my preference. No bet if Oz doesn't clear confirmation.

You said "largest profit margins of any segment in the system". This is no world where that is close to accurate.

Give me a line. On people's heads exploding.

And another.

This is a chart from an advocacy group in favor of single payer. I can certainly find more data, but this is representative at least directionally of the profit margins across the system.

You're almost there. Now do the math on the various biologics and the condition prevalence as they expand across indications. Manage those all you want too, right? It's just a math equation at that point once you have conceded that you are just counting the beans. Just objectively false information. Insurance is just a volume game, its not a margin play. The margins are the lowest in the whole sector. Pharma and hospital systems are the whales. Which are exactly the cost areas that payer UM tries to contain. Bring those in check and UM can be a thing of the past.

Nobody should have a hard on for anyone in this administration, nor the last (notable exception for Tulsi should be granted freely). I don't care which system of financing healthcare you want to embrace. It is going to involve utilization management. In the insurance segment that most of us occupy (small or large employer group), it is your employer and not some big bad insurance company making those rules. We live in a world where there are drugs that cost in the millions of dollars per year. Yeah, someone is gonna want some confirmation before they scratch that check.

Oh good, please tell me more. MA is not perfect. There is a pathway here to Medicare coverage for all. I don't personally love it. We (well not really you, but the other "we") have had in depth discussions on healthcare policy threads in the past. There are much better paths forward. But you play the cards you are dealt. And right now you are dealt Dr. Oz.

I am not a huge fan of PA per se and I have personally published peer reviewed research on the topic. Utilization management has a place though. It is part of traditional medicare. It is part of MA. It is part of every socialized medicine system in the world. You are rolling out simple talking points.

Even Willfully gets it.

You literally have an oped written relatively recently by the newly nominated head of CMS advocating exactly for that. Figure how to make a win here guys. Jesus.

You make more as a provider because you have adopted the outcomes based reimbursement schemes and provide quality care, at least as far as it is defined by those schemes, correct? We could maybe agree I hope that in general pay for outcomes is better than pay for service. We could certainly probably dig into ways to improve those schemes and create systems where there are better aligned incentive structures, but I hope that we can at least agree on the basics here? I know. But in all fairness, the additional dental benefits provided compared to traditional Medical may not resonate with Sooners. Come on I keed.

What a world. Thank god for the good fortune of lucky timing.

Apologies in advance of course. I know that we are all suppose to just argue about the personalities at this point and not the potential policy implications.

Back to Oz for just one more second. It’s gonna be fucking hilarious watching peoples heads explode if Trump delivers Medicare for all. https://www.forbes.com/sites/steveforbes/2020/06/11/medicare-advantage-for-all-can-save-our-health-care-system/? Medicare Advantage For All Can Save Our Health-Care System George Halvorson, former CEO of Kaiser Permanente, and Dr. Mehmet Oz propose here a quick and comprehensive way to provide Americans with universal health-care coverage and better health care, especially poor, underserved communities. How? By having health insurance bought through the highly successful Medicare Advantage program. One-third of people on Medicare have opted for Medicare Advantage because beneficiaries get better care thanks to competing plans. As the authors explain, Medicare Advantage could be expanded quickly and would be infinitely better than the highly-flawed idea of Medicare for All. A timely and important piece, to say the least!

We haven’t even made it to inauguration yet. Got to start endurance training.

No, I did direct heat first and then dropped the heat to finish through. Totally agree though on reverse sear.

Finally made the jump to a wireless probe. RFX should be showing up tomorrow. Could have used it last night with some pork chops.

double cut bone in pork chop.

The FDA and CDC and CMS will be fine. They are slow moving ships. We've all been through this before. Fucking Gottlieb was one of the best FDA heads in recent memory. Revolving door to PFE notwithstanding.

And I will concede that.

I see the point conceded.

This is an evidence based medicine and FDA role/responsibility thing. But Dr. Oz I guess.