Newdoc

I guess I could change my handle but it's a play on words. 17 years out of residency. Seen a thing or two so I know a thing or two.

The opposite of humblebrag.

Are you willing to pony up the 20-30k adm for one? That’s if you can get an allocation or have dirt on a Ford dealer sales manager.

Good pickup. That face screams long term corticosteroid use or a steroid imbalance pathology. And the plastic surgery didn’t help.

Lol. AOC thread and completely off topic. It’s like monkeys flinging poo in here.

Dude don't argue semantics. There can be more than one thing in a core. Like a nucleus of an atom. You know. Because of science reasons. Reward centers and parts of the brain affected by smoking and food ingestion do cross over. Because science....

If the new vaccine shows reduction of serious illness, hospitalization and death over previous vaccination and/or natural immunity OR shows reduction in contagiousness of Omicron when infected then yes, I will get it and recommend it, especially for high risks patients.

I stated that our poor baseline health is PART of the reasons our healthcare is so expensive. An upside down healthcare system that rewards sick care is very much at the heart of the matter. But compared to other first world countries, our obesity, diabetes and metabolic syndrome rates are at the top. We keep a lot of sicker people alive way longer than we used to and longer than we should. You cannot argue against the obesity analogy and use smoking. The factors for nicotine addiction are also very complex and are on par with opioid addiction. Smoking was an easy target for the insurance industry and politically acceptable at the time. There are even politically incorrect analyses that show smokers may save on retirement and healthcare expenditures because they 1) pay high taxes on cigarettes and 2) die sooner and faster without necessarily dragging out healthcare expenditures like a lot of chronic conditions. I am way more aware of the complex reasons for obesity than you are but most of our American obesity issues come down to poor lifestyle choices and a food industry all to willing to make a buck on cheap processed metabolically inflammatory food with our ignorance and willingness to eat it. And we have failed as a country in teaching healthy lifestyle choices in primary education. We have passed the tipping point where any politician and even most healthcare workers are not willing to flat out tell people that their lifestyle is killing them and straining the healthcare economy because we are almost more obese than not as adult Americans. But still, financially motivating people to reduce their risk factors maybe a major stimulus needed to reduce the economic burden of obesity. Yes, there are people who have BMI's in the obesity range that are metabolically healthier than normal weight people but this is more the exception than the rule. When infected with Covid, obesity (even with normal metabolic parameters) in the non elderly population was overwhelmingly a risk factor for hospitalization and death. This was very much glossed over by both administrations, the CDC and the media. The vast majority of obese people could reduce most of their health problems with a 10-15% loss of excess weight. It sometimes isn't necessary to have a normal BMI. So if you are going to single out the unvaccinated for insurance rate hikes then it is fair game to single out other relatively controllable health factors as well. Furthermore, you can now exclude rate hikes for natural immunity from Covid because it has been shown to reduce this risk of bad outcomes in subsequent Covid infections, especially true since Omicron's emergence. We should give credit for people who are seropositive for previous Covid infection as equal to vaccination if the data continues to show equal outcomes. I don't recommend natural immunity as a primary means of obtaining immunity however. People were really rolling the dice by waiting on natural infection.

You didn't even read my whole post did you? Yeah, because Covid, vaccines and insurance liabilities exist in a vacuum. I take it you support the hypocritical policies of being an unhealthy human blob but only raising rates on the unvaccinated? I'm all in for lifestyle and voluntary preventative health pricing structures based on risk data. That includes the unvaccinated, smoker, sedentary, etc. I am not for singling out those with uncontrollable health conditions such as auto-immune disease, genetic disease, etc. Poor lifestyle choices (rampant obesity, poor diet, scant participation in preventative health) are at the core (with other factors) of why we spend so much on healthcare in this country and rank poorly in healthcare outcomes. We are floating our health debt like the US dollar. You're not going to move the average US citizen to action for better health with clever campaigns and pleading public service announcements. And all you are going to do "taxing" and singling out the unvaccinated is cause more triabilism. Do you have a rebuttal or just another clever gif?

And then we jack up insurance rates for the obese and the non compliant diabetics and those who don’t eat leafy green vegetables five times a week or don’t exercise. I’m all for it bc Americans only respond to their pocketbooks for health stimuli but it’s a slippery slope you aren’t prepared to go down. The AHA put a stop that anyway.

So $8 natty is like married natty.

Side gig “makeup artist”

This. I read the beach detailed in the story and was not surprised.

Masks on planes and trains is mostly theater at this point considering the bajillion other places you can catch and spread Covid other than federally regulated transportation. For frickin’ sake, the non prechecks are still taking off their damn shoes at the airport two decades after one guy couldn’t successfully detonate his sneakers on a plane. Despite our confidence to be logical, we are a very stupid society. Governmental agencies should not be viewed as reliable purveyors of science.

Young team with the star in foul trouble and on the road. I understand Pop doesn’t have tank in his DNA but this promising very young team is not ready for the playoffs.

These announcers are a beating. Every Pelican player is the NBA mvp and a rags to riches, playing on some blacktop playground for $3.50 a game prior to being discovered by the savy scouts from New Orleans. And they just cannot leave more than 0.5 seconds of airtime without their inane babbling.

Not sure there is really anything "innocent" about throwing feces on a house. So there should have been some type of punishment to fit the crime (like cleaning the dudes toilets weekly for a year or pumping septic tanks for a couple of weekends). It certainly wasn't vigilante justice. Now we have a dead kid, a torn up family, traumatized friends and another family that will see their husband/father locked away for a significant number of years.

The maturity of discourse here is fantastic. No wonder the modern political parties look like they do. And this is mostly a collection of flagship university graduates.

Ahh, the ol’ snarky correlation vs causation crowd with clever memes. Here’s another one… You’re a fool if you don’t think the fed and our centralized government doesn’t have a frickin huge role in the current inflation cycle. Tell me you don’t know monetary policy and it’s role in inflation with “clever” memes.

It’s a little disingenuous to start a thread on these “mass” shootings while you tip toe around the constant and inherent singular slaying of people (mostly inner city) at the barrel of a gun every damn day across the U.S. And the additive singular numbers are much higher than these two incidents. I guess there wasn’t some scary looking gun involved in the last two shootings because I haven’t seen the ban “assault weapons” crowd out yet. Gun violence absolutely needs to be addressed but mass shootings and “assault weapons” are scary window dressings that distract from the endemic gun and other deadly weapon problems in this country.

Kansas watching shots go up on nobody putting bodies to block out. Fundamentals.

Kansas guards looking frantic and out matched.

I think these shirts were included in Jesus' statement, "Lord forgive them, for they know not what they do."