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Joined 1 year ago
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Cake day: August 7th, 2023

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  • Agreed.

    Medical billing is a pachinko game that provides no health benefits. I’ve overseen things and had things like medicaid/medicare billing mapped out and it’s terrifyingly stupid. It makes our tax laws look rather simple.

    We can’t even trust cost plus models because of the for profit games like:

    Hey we need 1000 bandaids at the hospital. Ok, how about 1000 for $100 bulk? Uh…no we need special ones. Um okay how about 1000 individually packaged bandaids hand prepared atop Mt Olympus by golden haired virgins during intense thunderstorms for 1000 bucks each? Perfect!

    Because they have to defend only making cost plus a fixed percentage of profit so better to make 15k than 15 bucks. Jackassery

    I’m not against financial rewards for superior products but there’s nothing like that in healthcare here. Financial incentives for better outcomes might be good, but instead every incentive begs for bad things.

    Trump promised a plan, teased it constantly, never released one. No plan except getting rid of Obamacare.




  • I think hybrids need to be built like EVs with on board range extender generators. I believe the Volt was that way but if you had enough battery to cover 120 miles full EV with plug-in recharge most of the time it would be full EV. Long trip? Generator kicks on at mile 100 and takes you an absurd distance.

    The latest Toyota hybrids are pretty great but they need competition. Sadly the Volt died.

    Kia/Hyundai/Ford/Audi should make “Range extender” versions trading half the battery pack for generator and fuel weights to up the pressure.

    Full EV might not be great for long trips, but full ICE is silly compared to a hybrid.

    Make the F-150 standard truck get 40mpg on gasoline on trips, EV around town and you have a winner.









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