That’s some pretty serious dedication to avoiding Reddit.

If you buy a month of lenny’s newsletter you can get a year of perplexity pro for free.

WARNING ⚠️: Only applicable for those with 0 to 5 μg/mg epidermal melanin.

Having a family says nothing about a person’s virtue.

Isn’t the US leading the world in AI? How else will the world access chatbots that make confidently make shit up?

So the only people going to the Dunkin’s in the office building are office workers. If we don’t go back, that Dunkin’s could go out of business. Is that something we can really allow on our collective conscience?

constantly comparing themselves to empires.

Good thing empires never fall, right?

Many if not most men are like this. It’s usually their wives or another woman in their lives that drags them in when something is about to fall off. It’s another way in which husbands leave 71% of a household’s ‘mental load’ on their wives, down to their own well being.

From personal experience, the vast majority are practicing out of scope. It would cost them a ton of money in overhead to have a cardiologist deny a claim for cardiology related testing or treatment so they just wing it. In some cases it’s not even a physician, it’s a nurse, NP or PA.

This is where government needs to step and regulate but we all know that isn’t going to happen.

It was made by the creator of ente which is a free (5 GB) open source alternative to Google Photos. There are paid plans for more storage.

The creator was a Google developer who left after he found out Google was helping the US military train drones with AI.

Hey at least it’s interesting to watch an empire crumble, right? Right?

Any examples?

A long term care bed at a nursing home costs anywhere between $5500 to $20000 monthly. There are many rich, retired people who would have their finances depleted in a few years with a cost that high.

The average middle class individual would never be able to afford that so the fall back is usually medicaid.

What you are saying is generally true. The only real oversight in ensuring things are moving forward is us ourselves as patients. It’s our responsibility as patients to take charge of our health.

That being said, P2P is sadly a standard aspect of American medical practice. Essentially anyone in a direct patient contact position position has done them. In the clinic or hospital, it may be your primary clinician handling it but it doesn’t necessarily have to be. It can be handled by other clinical staff or a group of nonclinical doctors also.

You dont have to worry about P2P since it will get taken care of (whether the service will be covered by insurance is another story). Instead I’d focus on keeping disconnected parts of the system abreast of your medical conditions and current list of medications. Because health information is protected there really isn’t a great solution for centralizing this data yet so if you go to a clinic that’s on a different EMR, they’re not going to have all of the necessary information available to them.

This is advice for doctors, not patients.

Usually doctors do the peer to peer and then the patient can appeal once services are denied (which is almost always the case if you’ve reached the peer to peer stage).

I’ve used this before with mild succees. It’s far from reliably effective. You’re more likely to get the decision over turned at the appeal stage, the problem being that precious time is lost while going through that process.

I do like to schedule an appointment so that patients are part of the peer to peer call. That way they can tell the doctor, nurse, PA, NP or whichever other service reimbursement bouncer the insurance company has hired that they’re putting a curse on them and their family.

Early to mid mollenial here with the same experience. It all went downhill when Facebook and flip phones with cameras came out ie. around 2006.

Generally the hospital has checks and balances to prevent fraudulent billing (well not in this case, apparently).

My bigger issue with the RVU system is how it promotes sub sub specialization into procedure based specialties which are the antithesis of preventative medicine. The system valuee family medicine doctors the least despite the massive shortage in their services (especially in rural communities).

So, the surgeon that fixes the broken hip gets paid more than the doctor that gets the bone density scan done and starts meds that support bone health. The cardiologist that opens up the blocked vessel gets more than the PCP who takes the time to counsel on athersclerotic cardiovascular disease and controls risk factors medically and with lifestyle.

I’m not saying the surgeon / proceduralist shouldn’t get paid more. I’m just saying that when your system incentivizes ‘wait for the problem to happen and then fix it’ you’re going to have some bad health outcomes.

Bill Gates’ net worth has grown substantially despite his philanthropy, rising from $126.8 billion in early 2023 to $156 billion in December 2024.

Regarding COVID-19 vaccines, Gates actively opposed patent waivers and influenced Oxford University to privatize its vaccine through AstraZeneca rather than keep it open-source. He pushed for maintaining intellectual property rights through COVAX, despite public funding supporting vaccine development.

Not a good guy by any metric.

I understand now that you are using the communist definition, which is not the definition that’s widely agreed upon but is popular here. Another user clarified that. Thanks and glad we could clear things up.

Ah that explains the response. I was using the modern American definition. Genuinely appreciate the clarification