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NC_Tigah
| Favorite team: | LSU |
| Location: | Make Orwell Fiction Again |
| Biography: | Warmest climes but nurse the cruellest fangs: the tiger of Bengal crouches in spiced groves of ceaseless verdure. |
| Interests: | Cornucopian ends attained. |
| Occupation: | Physician |
| Number of Posts: | 139597 |
| Registered on: | 9/28/2003 |
| Online Status: | Not Online |
Recent Posts
Message
quote:
Sen. Daniel Patrick Moynihan of New York
quote:Sad truth!
Far-right bigot in 2026
quote:Check out Medishare. Not a recommendation per se. I literally know nothing of the particulars. But I understand there are many satisfied customers
So I decided to go the uninsured route, I am going to seek out cash prices and see if I could save on every day meds without having to pay Blue Cross.
quote:It is a wonderful story btw. You have no idea how an account like your Dad's hits home and is appreciated. Thanks for sharing. :cheers:
If he didn’t there wouldn’t be a single ENT in a very Spanish speaking part of town that would provide these surgeries to the community. He would have made more not doing surgery and just seeing patients at that rate. It’s ridiculous.
re: KA conversation. I see it all over this board. Very little anywhere else
Posted by NC_Tigah on 6/11/26 at 5:05 pm to sidewalkside
quote:Inexplicable.
KA conversation. I see it all over this board.
We are at war with Iran.
Election fraud rampant in CA.
We find out 15-40 oil tankers have been slipping out of Hormuz nightly.
Dems are running an avowed Nazi in Maine.
An international birthing tourism network is uncovered targeting US citizenship.
Etc, Etc, Etc, Etc ......
Yet, KA conversation is all over this board.
quote:An insured patient undergoes $100K in billable care of which insurance pays $60K (the negotiated price) and the insured individual pays nothing. Yet, an uninsured patient is billed $100K. Does that clear things up?
Why would anyone get insurance if they get they same price that insurance pays.
quote:Medicaid is horrible ... especially for surgeons or "proceduralists." Worse yet, those were undoubtedly some of his sickest patients.
Medicaid doesn’t help. My dad used to get paid $118 for a tonsillectomy.
re: Hospitals Need To Face Consequences for Hiding Prices From Patients and Practitioners
Posted by NC_Tigah on 6/11/26 at 4:36 pm to wackatimesthree
quote:BINGO!
So they idea is to make the entire bill as big as possible so that 10% of it is bigger than it otherwise would be.
quote:One of those three is not like the other two.
Corporate Medicine, Big Pharma, Physician Groups ... continually grease the palms of Politicians
quote:Indeed.
blatantly corrupt and stupid.
Someone else noted that uninsured should have to pay negotiated insurance rates. He is 100% right! But that is ... wait 4 it ... against the law.
Regular rates for medicines/procedures are boosted, because many insurance programs negotiate % off of regular rate.
Of course if insurance says they'll only pay 60% of the regular rate, individual and facility participants are incented to boost prices so that a profit is attained at $60/procedure.
$100 for a $60-$70 procedure might constitute profiteering, but the only folks required to pay it, !by law!, are the uninsured. IOW, the same laws created by the same people who claim to have the "commonman" in mind.
Being FORCED to bill an uninsured patient is not why virtually any of us entered the field. Offering no details other than "trust me," there are ways to circumvent that process if one is willing to forego all charges.
I've given away a fortune in free care
quote:You are so right.
I know you didn't write those words.
I didn't.
In fact, I debated posting them (felt a bit like hurling). But I try to represent OP materials honestly.
re: In 1986 Politics Was a Different World -- The Big Bob Packwood Tax Reform
Posted by NC_Tigah on 6/11/26 at 3:55 pm to dickkellog
quote:
did your mother drop you on your head as a child?
look boy i was a broker from 1983 until 2004 the trading range of the djia was 1700 to 1900 in 1986, 1700 adjusted for inflation would be 5200 not 50,000
congratulations kid you're an idiot.
quote:Dang! dickkellog, you were far more 'meat' than 'cornflakes' in that post. :rotflmao:
dickkellog
re: In 1986 Politics Was a Different World -- The Big Bob Packwood Tax Reform
Posted by NC_Tigah on 6/11/26 at 3:51 pm to Sweep Da Leg
quote:The DJIA is up 13x in real terms. With dividends reinvested the real total return is closer to ~7–9% annualized, compounding to somewhere in the range of 15–20x.
All that was/is great and true but let’s be honest about the DOW. It’s this high for a large part because of inflation
In that timeframe, US markets far outperformed the world 2-3x Europe, 8x Japan, >2x China (investable)
quote:Wait!
The kneejerk is to blame Democrats for being hyper-partisan
WTF?
"The kneejerk is to blame Democrats"?
Calling out BAMN is "kneejerk"?
Identifying a weaponization of the DOJ is "kneejerk"?
Identifying hyperpartisan support of an actual Nazi tattooed misogynist is "kneejerk"?
Calling out actual communist advocates as hyperpartisan is "kneejerk"?
Nah, my knees aren't jerking.
Hospitals Need To Face Consequences for Hiding Prices From Patients and Practitioners
Posted by NC_Tigah on 6/11/26 at 3:21 pm
quote:
Hospitals Face No Consequences for Hiding Prices
By Justin Leventhal
June 09, 2026
Imagine leaving a hospital with your newborn child only to learn your bill was $24,000 more than what it would have been at another hospital in the same area. This is the reality for some patients in the San Francisco area—and it is not unique. Across the country, identical procedures have wildly different prices depending on where patients receive care, and patients have almost no way of knowing those prices in advance. Federal transparency rules exist, but their penalties are minimal and rarely enforced.
Without meaningful price transparency, patients cannot comparison shop for care in any practical sense. Prices are hidden, inconsistent, and often unknowable until after treatment, forcing patients to make decisions without the most basic market signal: cost. In that environment, providers face little pressure to compete, allowing wide—and often arbitrary—price variation for identical services. Those inflated and opaque prices don’t stay contained; they feed directly into higher insurance premiums and larger out-of-pocket costs, ultimately shifting the burden onto patients.
...
Congress can fix both problems. First, it should codify transparency requirements into statute rather than leaving them vulnerable to executive action. Second, it should impose meaningful penalties tied to hospital revenue or assessed per-violation, per-day. As long as penalties remain capped at insignificant levels, hospitals will continue to ignore them. Finally, CMS should condition eligibility for Medicare and Medicaid funds on demonstrated compliance with transparency rules. Together, these reforms would greatly increase hospitals’ incentives to comply.
Until these gaps are closed, hospital price transparency will remain more promise than reality. Presidents of both parties have pushed for greater transparency; now Congress must make it enforceable. That means codifying the rules and imposing penalties that matter. Without those changes, hospitals will continue to treat transparency as optional—and patients will continue to pay the price.
LINK
In 1986 Politics Was a Different World -- The Big Bob Packwood Tax Reform
Posted by NC_Tigah on 6/11/26 at 3:17 pm
It's not often I see an article by Art Laffer and Stephen Moore
quote:
The Big Bob Packwood Tax Reform
The Oregon senator, who died Saturday at 93, closed loopholes and cut the top rate to 28%.
By Arthur Laffer and Stephen Moore
June 10, 2026
Forty years ago this month, the Tax Reform Act of 1986 was heading for passage in the Senate. The act defined the Reagan revolution by lowering the highest personal income-tax rate—which had been 70% in 1981—to 28%. The corporate rate was slashed from 46% to 34%. The number of individual tax brackets went from 14 to two. When the dust settled, there were two tax rates: 28% and 15%. Everything was “paid for” by nixing exceptions in the tax code covering everything from real estate to unemployment benefits and racehorses to solar energy.
Sen. Bob Packwood carried the bill to victory. Packwood, who died Saturday at 93, was chairman of the Senate Finance Committee. As Congress dithered, he took charge, sought out sensible Democrats like Sen. Daniel Patrick Moynihan of New York, Rep. Dick Gephardt of Missouri and House Ways and Means Committee Chairman Dan Rostenkowski of Illinois, and reached a deal. New Jersey Sen. Bill Bradley, a Finance Committee member, recalled his colleague’s work for the bill with these words: “Bob Packwood cajoled, threatened and persuaded others on the committee to embrace it, outmaneuvering senators who wanted higher rates and real estate lobbyists eager to protect tax shelters.”
“Let’s go radical,” Packwood told his Democratic colleagues, who joined him in cleaning out the stables of the tax code and using the savings to slash the tax rate even lower than the 35% that President Reagan had sought. Lobbyists gave up trying to fight the bill because of its epic proportions. The bill passed the Senate 97-3. “Yes” votes included Ted Kennedy, Joe Biden and Al Gore.
Yes, nearly every Democrat voted for a 28% tax rate.
...
The law, on top of the 1981 Reagan tax cuts, made America a magnet for capital from around the globe. It helped launch the greatest period of wealth creation in world history over the succeeding 40 years. The Dow Jones Industrial Average closed at 1,808.35 on Oct. 22, 1986, the day Reagan signed the law. Today it is over 50,000.
Tax revenue exploded with lower tax rates. The share of taxes paid by the wealthy rose as they lost their favorite tax shelters and instead put their money to productive use. Economist Martin Feldstein, who served as chairman of the White House’s Council of Economic Advisers (1982-84), wrote on these pages in 2011 that “actual experience after 1986 showed an enormous rise in taxes paid, particularly by those who experienced the greatest reductions in marginal tax rates.”
...
LINK
Trump will get what he wants in Iran by negotiation or by force
Posted by NC_Tigah on 6/11/26 at 3:02 pm
quote:
Trump will get what he wants in Iran by negotiation or by force
by Conrad Black
11 June 2026
We seem finally to have reached the dénouement in the long, extremely one-sided, and comparatively bloodless war the United States and Israel have conducted with Iran. In one month of strategic bombing and missile attacks, the United States and Israel launched 20,000 strikes killing only an alleged 3,500 Iranians but destroying up to 90 per cent of that country’s missile and drone firing capacity and completely destroying its air defences, its navy (apart from a few coastal whalers) and almost all munitions stocks and authentic military targets. Israel suffered approximately 30 civilian deaths from counterattacks, and the United States eight combat fatalities plus five more in a non-combat accident.
There has never in the history of serious combatants been such a one-sided exchange of fire for a whole month. Because of the fragmentation of Iranian leadership, including the death of almost all of the senior cadres of the original Iranian government, the American leadership was persuaded that Iran was prepared to concede the principal US requirements: A complete and permanent end to any Iranian pursuit of a deliverable nuclear warhead, the end of Iranian military assistance to terrorist organisations and of any Iranian claim of a right to block or interfere with international commercial traffic in the Strait of Hormuz.
...
Trump has just successfully purged his party of malcontents in the Senate and House of Representatives and not more than four or five presidents in the country’s history have been as preeminent as he is in the politics of the country at this stage in his administration. He has a blank cheque to return to combat and pummel Iran into submission, or to receive Iran’s submission without a return to war. He will not make a bad peace and is in a position to extract a satisfactory one. The time has come.
LINK
Good news gets buried when it doesn’t fit the left’s narrative of perpetual crisis
Posted by NC_Tigah on 6/11/26 at 2:57 pm
quote:
When the Bottom Stories Are the Real News
Good news gets buried when it doesn’t fit the left’s narrative of perpetual crisis.
By James B. Meigs
June 11, 2026
Why does negative news dominate our national conversation while positive stories quickly fade away? The traditional explanation is that bad events are newsworthy because they break the norm, while positive trends tend to be gradual. And yes, there’s still truth to that old maxim, “If it bleeds it leads.”
But...
Here are four big trends the press doesn’t talk about enough, but the rest of us should:
Mississippi’s Kids Are Learning
This one isn’t news to Journal readers. “Mississippi, which spends far less per student than almost every other state, is outperforming other states with larger education budgets,” Jason L. Riley wrote earlier this year. At a time when student test scores are plunging nationally, Mississippi and several other Southern states have dramatically turned the tide.
How did they do it? By rejecting left-wing orthodoxy on education. While other states embraced fuzzy “whole language” approaches to reading and reduced testing in the name of equity, Mississippi went back to phonics and strict accountability. And, crucially, the state didn’t let teachers unions derail the project. This “Mississippi miracle” has gotten some coverage. Even the New York Times praised the gains. But it hasn’t provoked a nationwide revolt against the entrenched education establishment. It should.
Crime Is Dropping
According to the Federal Bureau of Investigation, the U.S. murder rate dropped almost 15% in 2024, and other major crimes fell as well. Baltimore saw homicides plunge roughly 60% between 2022 and 2025. That’s an astounding victory for the city once known as “Bulletmore, Murderland.”
What happened? The public got sick of left-wing crime policies, for one thing. In the delirious days of the George Floyd protests, activists argued that we needed to “literally abolish the police.” Progressive prosecutors promised to let more defendants go free. Police pulled back. For these and other reasons, the murder rate skyrocketed. Soon voters had enough. They booted some of the worst prosecutors and started backing the cops again. Baltimore launched an aggressive “focused deterrence” program targeting repeat violent offenders for prison, while also giving young men help escaping gang life. The results speak for themselves.
Baltimore’s tough-minded approach should be Topic A in every city hall in America.
The Environment is Cleaner
A recent Gallup poll found that 66% of Americans think the environment is getting worse. In truth, pollution has plummeted. Since 1980, carbon monoxide emissions have dropped 87% percent; sulfur dioxide by 95%; and other forms of air pollution declined by large measures as well—all during a period when the U.S. population grew by around 50% and the economy more than tripled in size. Our lakes and rivers tell a similar story.
The public’s uninformed pessimism suits the activist class. An atmosphere of perpetual crisis helps justify radical policies. So it’s no surprise that, while we were winning the war on pollution, progressives pivoted to the more amorphous threat of climate change....
Americans Are Getting Healthier
I complain a lot about progressive activists. But when it comes to America’s health, left-wing pessimists and MAHA populists are both reluctant to accept good news. And lately, there has been a lot of good news: Death rates from drug overdoses are plummeting. The rise in obesity seems to have peaked. Today, 70% of people diagnosed with cancer will survive for five years or more, up from 50% since the 1970s. Deaths from heart attacks have declined nearly 90% since the 1950s. Overall, after a Covid-era drop, U.S. life expectancy recently reached its highest level ever, at 79 years.
LINK
re: Maker of Gardasil hit with $50 million dollar settlement due to injuries.
Posted by NC_Tigah on 6/11/26 at 1:22 pm to conservativewifeymom
quote:The Medical establishment recommended this vax routinely for 9-12 year olds. Parents were told it was safe, and would limit major causes of cervical/uterine cancer and save lives with virtually no vaccine risk. That is what their doctors told them.
parents have not done their due dilligence.
Parents used to be able to trust establishment doctors. They used to be able to trust establishment doctors in part because those doctors used to be able to formulate their own thoughts and opinions rather than running like lemmings over a predictable precipice just because the CDC opined in a particular way.
None of that is true anymore, certainly not universally, and parents are left to frankly make their best guess. It is sad. IMO, it is inexcusable. Hopefully it will change. But CV19, and the medical response to it (response by MDs who had the faculties to know better) was simply appalling! and I'm not yet sensing an attitudinal shift among Primary Practitioners.
Nowadays, they are all too often cowed by their non-MD employers.
re: Trade Data Shows Trump’s Tariffs Are Working
Posted by NC_Tigah on 6/11/26 at 12:25 pm to SlowFlowPro
quote:Not necessarily. China is highly export dependent, and is so at the expense of law abiding counterparties. As such, the counterparties have ability to force lawful behavior through inclining tariffs or trade restrictions. To this point, they simply have lacked the general will to do so.
You mean have the US government ban trade with China?
re: Trade Data Shows Trump’s Tariffs Are Working
Posted by NC_Tigah on 6/11/26 at 12:10 pm to Taxing Authority
quote:Isolationism? The west cutting trade with a rogue partner until it toed the line would not constitute western isolationism.
Isolationism
re: Trade Data Shows Trump’s Tariffs Are Working
Posted by NC_Tigah on 6/11/26 at 12:08 pm to Taxing Authority
quote:Did you somehow interpret my comments as specific to economic power, or even to the US per se?
To say the US held the same monetary and economic power it did in the late 1700s as it does today is silly.
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