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Topic: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes

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medinabuckeye1

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44534 on: May 09, 2025, 11:21:50 AM »
I'm not sure that Badge was proposing that, but it's also an interesting idea. There are other places a system like that makes sense: the left overs of asbestos litigation, for instance. The truly bad actors were all put out of business a long time ago. Now its just deep pockets that get forced to pay for something that probably has very little to do with them. And it is extremely dependent on the attorneys involved, the sympathy for a particular plaintiff, and who settles with who on what terms and when. I know people won't like hearing me say it, but similar to WC, a pooled recovery fund from the insurers of the still functioning defendants and an agency that administers claims based on a reasonably quantifiable set of criteria would be much more efficient, and probably more fair, than the jury system. And like WC, maybe there's an escape valve for egregious circumstances, but it has a high threshold to open it. I don't think that works for all torts, but I think there's a decent amount of room for more of that kind of system than we currently have.
I remember reading once about a contractor that had built ships for the USN.  The USN Specs called for asbestos and the contractor did what the Government contract required then they were getting sued and their defense was pretty obviously that they didn't choose asbestos and hadn't done ANYTHING except what they were required to do.  

medinabuckeye1

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44535 on: May 09, 2025, 11:25:55 AM »
2)  I'm going to push back.  I think you're incorrect that no one has an incentive to save money.  Obviously consumers do, but do insurance companies and the government as well.  In fact it's the most common root cause of the common complaint "Insurance denied such and such."  Yeah, they did that because they don't want to pay for frivolous stuff.  In the long run, the consumer doesn't want their insurance companies paying for frivolous stuff either, and the free market, clunky and slow and messy as it is, has guided many instances of that.  Second, you're really shortchanging providers when you say they just generate bills or practice defensive medicine.  There are wasteful providers, to be sure, but they are the exception and not the rule.  Having seen the providers at the clinic I worked for up close and for a long period of time, one of whom I'm married to, and having dealt with and gotten to know a few of the specialists in our area, but more than that, getting to know their work by keeping track of our patients' medical records, I think it's a very unfair assessment to make that there's a lot of frivolous tests/procedures going on, or that they have no incentives to scale it back.  Here's what I can tell you.  Medicine is insanely complicated.  People think it's easy because they go into see their doctor and get 7 minutes with them, max, barely get to say anything, never feel like they got enough time with them, and then wonder how did the doctor get everything they need out of so little face to face time.  Must be easy.  What people don't know is the ten million things that provider is computing in their head based on what they're getting.  There is hardly a question of note you can ask a knowledgeable provider that isn't subject to complex background info.  They're thinking about things that can't possibly be explained to patients without medical background, in order to rule things out or prevent things that patient will hopefully never know about.  It's true that providers vary in their opinions on what is a serious enough concern to warrant some expensive test, but that is a relatively small variance.  Most stuff is fairly standard, procedurally speaking.  I would also say that on the margins, there are more cases of doctors not being preventative enough, rather than frivolously being too test/lab-happy.  And I'm not trying to say there aren't some major overhauls our entire system of medical practice is due for, including the way MD's are trained in med school to go about dealing with diseases.  But I take exception to the idea that providers are "generating bills" and have no incentive to save money.  That simply is too cynical a view, unsupported by data, and you may be unaware of the multiple, multiple safeguards in place throughout the industry built for the purpose of curtailing frivolity. 
I didn't meant to suggest that ALL, a majority, nor even a substantial minority of HC providers are crooked, they aren't.  That said, I think you and for that matter everyone would agree that SOME of them are.  There have been PLENTY of cases of Medicare fraud.  I've also dealt with crooked WC Docs.  Not saying all are, just that there are enough that it has an impact on the system as a whole.  

Old Joke:
Plaintiff is on the stand being questioned (Direct) by his attorney:
Attorney:  After your injury did you see a Doctor?
Plaintiff:  Yes I did.  
Attorney:  What kind of doctor did you see?   
Plaintiff:  I don't know, but you said he was a good Plaintiff's Doctor.  

That joke applies because it DOES happen.  

847badgerfan

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847badgerfan

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44537 on: May 09, 2025, 12:27:19 PM »
The Pope's brother lives OTB (over the bridge) from here. Maybe I'll meet him for a drink.

Pope’s brother says he’s confident he will do well
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Cincydawg

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44538 on: May 09, 2025, 12:39:17 PM »
Brightline Strikes Gold in Q1 2025
Sunny Miami, the vibrant heart of Florida, is buzzing with the exciting news from Brightline, the intercity rail service that connects South Florida to Orlando. In the first quarter of 2025, the railway has seen a remarkable increase in revenue, proving that sometimes challenges can lead to unexpected successes. Even amid a drop in short-distance ridership, there’s plenty to celebrate!
Revenue Surge
Brightline’s total revenue for Q1 2025 reached $54.6 million, a hefty 12% increase from the $48.9 million reported in the same period last year. This growth is largely due to a stunning performance in long-distance services, which attracted a significant number of passengers. By the end of March, they welcomed a total of 793,432 riders, marking a robust 10% boost from the 722,708 passengers who rode during Q1 2024.



I personally would not call a 12% increase in "sales" by a pretty new company as "stunning" or "a surge".    But they struck gold, or so it claims.  They continue to lose money like crazy, but maybe they can close the gap to perhaps make operating break even?

MikeDeTiger

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44539 on: May 09, 2025, 12:58:51 PM »
Trump Promises To Negotiate Peace In India As Soon As They Take Him Off Hold | Babylon Bee

Someone showed me a Tweet that said something like "Vatican elects a Pope, but unsure how long it will be before a Biden appointed judge reverses their decision."  

SFBadger96

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44540 on: May 09, 2025, 01:07:23 PM »
I didn't meant to suggest that ALL, a majority, nor even a substantial minority of HC providers are crooked, they aren't.  That said, I think you and for that matter everyone would agree that SOME of them are.  There have been PLENTY of cases of Medicare fraud.  I've also dealt with crooked WC Docs.  Not saying all are, just that there are enough that it has an impact on the system as a whole. 

Old Joke:
Plaintiff is on the stand being questioned (Direct) by his attorney:
Attorney:  After your injury did you see a Doctor?
Plaintiff:  Yes I did. 
Attorney:  What kind of doctor did you see? 
Plaintiff:  I don't know, but you said he was a good Plaintiff's Doctor. 

That joke applies because it DOES happen. 
Of course it happens. But the company's insurers also send the plaintiff to a good defendant's doctor. In California--and probably most places--there is now an IME (independent medical examiner). I haven't been around WC for so long that I don't remember / keep up with how that person is selected, but it's to try to avoid this issue. It helps, but it isn't perfect (nor does it completely do away with party-hired doctors).
Medina, to your point about the government contractors in WWII and asbestos: absolutely. There were criminally bad actors in the world of asbestos manufacturing/supply. The actively hid the killing that their product inflicted. There is an infamous memo that says (paraphasing): the bad news is this stuff is killing our employees; the good news is they will be productive workers for most of their working years if we don't tell them. Might have been Johns Manville execs? One of the big asbestos manufacturers in any case. Most of the users, including the contractors whose people installed the stuff, weren't aware of the risks as of the 40s; and as the risks were becoming more and more known, because asbestos was such a valuable material, the research focused on the biggest problem areas first: (1) employees in the manufacturing plants; (2) workers who installed the stuff in enclosed dusty environments (definitely including the interior of ships); then it spread out to most anyone who works with the stuff.
But people still die terrible deaths because of exposure and the manufacturers were wiped out a long time ago, so plaintiffs put on stories about how everyone knew that working in dusty environments was bad for people, so if someone was exposed to the dusty environment, their employers were negligent. It is still a winning strategy. In a sense it's very closely related to the WC problem: you were injured on the job (or because your parent--normally dad--brought the stuff home on his clothes) through no fault of your own. Should there be compensation? I think it's fair. Should there be massive jury awards because you tick all the right sympathy blocks? Probably not. Should companies that didn't really do anything wrong be paying for the lack of full understanding of the risks? They should probably contribute (their insurers, truth be told), but at this point, my argument is that the insurers should pony money up into a pool, and the feds should probably supplement that pool, and there should be an administor who pays compensation based on a set of established criteria. That should have been done 20-30 years ago, but there wasn't quite enough political will to make it happen.

MikeDeTiger

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44541 on: May 09, 2025, 01:09:20 PM »
I didn't meant to suggest that ALL, a majority, nor even a substantial minority of HC providers are crooked, they aren't.  That said, I think you and for that matter everyone would agree that SOME of them are.  There have been PLENTY of cases of Medicare fraud.  I've also dealt with crooked WC Docs.  Not saying all are, just that there are enough that it has an impact on the system as a whole. 

I know there are.  My point is they are the exception that proves the rule. 

Medicare fraud is kind of its own beast.  There's not as much of it (I think) as people might think, but it certainly exists, and imo its largely due to the way Medicare is set up.  I have to say, Medicare invites providers to scam them, at least on the front end.  There are entities in place who investigate that stuff and you don't want to be in the room when the feds come for a provider who's been caught defrauding the system....and yet despite that, they leave the door so wide open in a couple of ways that the weaker and less noble sometimes find their way through it.  That said, I don't think the percentage changes much.  Let's say you have 2% of reimbursements which are fraudulent.  That's not 2% of doctors commiting the fraud, it's 5 guys doing it over, and over, and over, and over while a million are on the up and up.

Unsurprisingly, the government directly administrates Medicare, as opposed to private insurance or Obama-care plans.  I say unsurprisingly because you don't get that type of fraud with those plans.  Despite the government putting a lot of stuff in place to stop themselves from being defrauded.....they kinda just suck at it, at least compared to the private sector.  If a patient needs an MRI, I had to prove exactly squat to Medicare to demonstrate medical necessity.  And there you can see the problem.  It's a headache and it doesn't always benefit the patient in a timely manner to approve services for other insurances, BUT they don't get scammed as much either. 

847badgerfan

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44542 on: May 09, 2025, 01:14:01 PM »
Of course it happens. But the company's insurers also send the plaintiff to a good defendant's doctor. In California--and probably most places--there is now an IME (independent medical examiner). I haven't been around WC for so long that I don't remember / keep up with how that person is selected, but it's to try to avoid this issue. It helps, but it isn't perfect (nor does it completely do away with party-hired doctors).
Medina, to your point about the government contractors in WWII and asbestos: absolutely. There were criminally bad actors in the world of asbestos manufacturing/supply. The actively hid the killing that their product inflicted. There is an infamous memo that says (paraphasing): the bad news is this stuff is killing our employees; the good news is they will be productive workers for most of their working years if we don't tell them. Might have been Johns Manville execs? One of the big asbestos manufacturers in any case. Most of the users, including the contractors whose people installed the stuff, weren't aware of the risks as of the 40s; and as the risks were becoming more and more known, because asbestos was such a valuable material, the research focused on the biggest problem areas first: (1) employees in the manufacturing plants; (2) workers who installed the stuff in enclosed dusty environments (definitely including the interior of ships); then it spread out to most anyone who works with the stuff.
But people still die terrible deaths because of exposure and the manufacturers were wiped out a long time ago, so plaintiffs put on stories about how everyone knew that working in dusty environments was bad for people, so if someone was exposed to the dusty environment, their employers were negligent. It is still a winning strategy. In a sense it's very closely related to the WC problem: you were injured on the job (or because your parent--normally dad--brought the stuff home on his clothes) through no fault of your own. Should there be compensation? I think it's fair. Should there be massive jury awards because you tick all the right sympathy blocks? Probably not. Should companies that didn't really do anything wrong be paying for the lack of full understanding of the risks? They should probably contribute (their insurers, truth be told), but at this point, my argument is that the insurers should pony money up into a pool, and the feds should probably supplement that pool, and there should be an administor who pays compensation based on a set of established criteria. That should have been done 20-30 years ago, but there wasn't quite enough political will to make it happen.
Yes.
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847badgerfan

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SFBadger96

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44544 on: May 09, 2025, 01:38:42 PM »
Some fun tidbits. Note to corporate overlords: if you are saying this kind of thing, it's what leads to people referring to corporate overlords:

1935: Raybestos-Manhattan president Sumner Simpson wrote, “The less said about asbestos, the better off we are,” in a letter to a Johns Manville attorney.

1949 Dr. Kenneth Smith, future medical director of Johns Manville, advised the company against telling its sick workers they have asbestosis.

The director of purchases for the Bendix Corporation (now Honeywell) wrote in a memo to an official with the Canadian Johns Manville Co.:
Quote
My answer to the problem is: if you have enjoyed a good life while working with asbestos products why not die from it.
– E.A. Martin, Bendix Corporation, Sept. 12, 1966

Quote
Mr. Brown, do you mean to tell me you would let them work until they dropped dead?” He said, “Yes. We save a lot of money that way.
Charles Roemer
Johns Manville employee recalling what company president Lewis Brown said in a deposition



847badgerfan

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44545 on: May 09, 2025, 01:42:44 PM »
I had bikes with Bendix brakes as a kid.
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SFBadger96

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44546 on: May 09, 2025, 01:48:50 PM »
I had bikes with Bendix brakes as a kid.
Almost every shade tree mechanic who did their own brake jobs through the 70s worked with asbestos-lined brakes.

847badgerfan

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Re: OT-Politics Thread: please TRY to keep it civil, you damned dirty apes
« Reply #44547 on: May 09, 2025, 01:54:14 PM »
Yep.
U RAH RAH! WIS CON SIN!

 

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