LeviF Posted 5 hours ago Posted 5 hours ago 21 minutes ago, The Frankish Reich said: This is the polar opposite of the original idea of American Exceptionalism. The term "American Exceptionalism" was coined by communists. So, yeah, that's kind of the point.
The Frankish Reich Posted 5 hours ago Posted 5 hours ago 2 minutes ago, LeviF said: The term "American Exceptionalism" was coined by communists. So, yeah, that's kind of the point. Famous Communist Ronald Reagan: "anyone, from any corner of the world, can come to live in America and become an American." No stronger statement of American Exceptionalism has ever been voiced.
LeviF Posted 5 hours ago Posted 5 hours ago 2 minutes ago, The Frankish Reich said: Famous Communist Ronald Reagan: "anyone, from any corner of the world, can come to live in America and become an American." No stronger statement of American Exceptionalism has ever been voiced. Amnesty, gun control, no-fault divorce, abortion, deindustrialization, wide open border... You know, you were clearly being tongue in cheek, but now that I think about it...
milfandcookies Posted 5 hours ago Posted 5 hours ago 26 minutes ago, sherpa said: Maybe you don't understand this. The US gov takes revenue from taxes and pays for this in many programs. That money is coming from wage earners. Is that unclear? no I think I was clear
Joe Ferguson forever Posted 5 hours ago Posted 5 hours ago (edited) 1 hour ago, The Frankish Reich said: We are getting there, but we are getting there really slowly. @Joe Ferguson forever, we don't need you doing primary care in small town Alabama. We do need an NP or a PA and some other less overeducated health professionals there. The American model of training physicians - 4 years of college, 4 years of residency, etc, etc, is just way too expensive and lengthy for what we really need in these non-major cities. I'm in a big city with leading regional healthcare, but when something more than the old "it'll probably resolve by itself in a week or with antibiotics" hits me, I'm referred to a specialist anyway. I pay a monthly fee to be part of a small panel of patients cared for by a single MD. I certainly feel it’s worth it. If I felt that care from a midlevel was equivalent, I wouldn’t spend the money. And in these undesirable places, depth of knowledge is even more important. Specialists are few and far between. I counsel my friends and family to do the same as me. The acceptance of inferior midlevels in place of physicians is a reason why healthcare quality is dropping. Dumbing down to the lowest common denominator is not a recipe for excellence. Don't Americans deserve excellence? Btw, most states require a supervising MD, for any practicing midlevels why do you think that is. Re seeing specialists, mid levels refer much more frequently which ultimately cost the patients more. Edited 4 hours ago by Joe Ferguson forever
leh-nerd skin-erd Posted 4 hours ago Posted 4 hours ago 17 minutes ago, Joe Ferguson forever said: I pay a monthly fee to be part of a small panel of patients cared for by a single MD. I certainly feel it’s worth it. If I felt that care from a midlevel was equivalent, I wouldn’t spend the money. And in these undesirable places, depth of knowledge is even more important. Specialists are few and far between. I counsel my friends and family to do the same as me. The acceptance of inferior midlevels in place of physicians is a reason why healthcare quality is drooping. Btw, most states require a supervising MD, for any practicing midlevels why do you think that is. Re seeing specialists, mid levels refer much more frequently which ultimately cost the patients more. Profit motive and an exceptionally strong lobbying efforts. 1
Joe Ferguson forever Posted 4 hours ago Posted 4 hours ago (edited) 15 minutes ago, leh-nerd skin-erd said: Profit motive and an exceptionally strong lobbying efforts. or, they don't think they should be practicing independently. ding, ding, ding. Edited 4 hours ago by Joe Ferguson forever
leh-nerd skin-erd Posted 4 hours ago Posted 4 hours ago 9 minutes ago, Joe Ferguson forever said: or, they don't think they should be practicing independently. ding, ding, ding. Where money, power and influence are involved, it usually comes back to money, power and influence.
The Frankish Reich Posted 4 hours ago Posted 4 hours ago 1 hour ago, Joe Ferguson forever said: The acceptance of inferior midlevels in place of physicians is a reason why healthcare quality is dropping No offense, but this is what MDs always say. There's a protectionist/limiting competition reason for that. My take: it is better to have access to a primary care provider, even if it is a PA or NP, than it is to have no access at all. And that's kind of where we're heading in a lot of parts of this country. Don't let the perfect be the enemy of the good. Should we allow NPs/PAs to practice without onsite physician "supervision" (supervision that exists more on an org chart than in reality) in underserved areas? Absolutely. All those routine physicals, well-baby appointments, taking blood samples and adjusting blood pressure meds, treating strep, etc., etc. We are spending way, way too much on all those things. 4
JDHillFan Posted 2 hours ago Posted 2 hours ago You know Chuck is serious based on his balled fists, arm pumping, and f-bomb. They don’t come any more authentic than The Cheeseburglar.
gobills404 Posted 2 hours ago Posted 2 hours ago Hopefully this means self-deportations are gonna sky rocket
milfandcookies Posted 2 hours ago Posted 2 hours ago Kinda the plan all along right? Wasn’t it in that project 2025? Shut down the government and then it makes it easier to sunset all the wasteful things
ScotSHO Posted 2 hours ago Posted 2 hours ago 9 minutes ago, milfandcookies said: Kinda the plan all along right? Wasn’t it in that project 2025? Shut down the government and then it makes it easier to sunset all the wasteful things why so many questions?
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