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Registered on:3/25/2009
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quote:

I work in healthcare and that is the proper term from a business perspective.

As far as healthcare companies, as in hospital systems, not wanting people to lose weight because it loses them money, it's really not that big of a needle mover for two big reasons -

1. High rates of obesity inversely correlate with socioeconomic status. Health systems lose money on Medicaid patients. And their biggest loss every year, by far, is from uninsured patients entering their hospitals. Having fewer of these patients is a good thing and could offset losses to #2. One caveat: lower socioeconomic people haven't ramped up their GLP-1 usage much because of cost, but there is a push to have Medicaid cover it. There will be lobbying from health systems to have Medicaid provide generics soon.

2. Obesity related health issues really start to explode as a patient gets older and age into Medicare and health systems barely break-even on Medicare. A lifetime of being fat really comes back to bite them as they approach and pass 60/65. So even a huge portion of the "insured" obese people in higher socioeconomic status don't have major obesity related health issues until they're older.

I did a lot of work on some strategic plans for 2 health systems around this. They were wanting to understand the long term impact on their patient populations.

GLP-1, assuming there isn't some awful side effect we don't know about, should save insurers money long term. It hasn't been realized yet, as it's fairly new. GLP-1's should also not really hurt health systems/providers/hospitals.

Now, whether insurance companies reduce premiums because of this is another thing, they might just see margin expansion and never move. It's like once there is a tax, that tax likely isn't ever going away.


Your entire underlying premise is based off of existing cost structure for providing care. I think this will have to change along with many other things. Is it fair? Most will say no. That said, I'd point you to what healthcare professionals make in other countries.

THAT is the real conversation no one is willing to have. And yes, I know what I'm typing out is going to be highly controversial, but we're going to have to have that conversation sooner or later. We're already starting to see some of it with the huge influx of NPs and PAs. And yes, I know the reason it's higher than other countries is because we have some of the best doctors and specialists in the world.
quote:

If people and companies think they are paying too much for a good or service they can not pay it or get that good or service elsewhere. That's the beauty of capitalism and why it is great for innovation, competition, and the consumer. Of course, the govt picking winners and meddling does the opposite of all those things.

I do love the tact often taken here with throwing out a big profit number and suggesting it's cruel and unusual. If companies should not be allowed to make a profit, who should get to decide what is reasonable? You? Government?

You simply do not have a RIGHT to a treatment, service, pharmaceutical product, etc, just like you don't have a right to anything else that requires someone else's time, effort, money, or innovation. Otherwise, let's all gang up on Apple and their $112 BILLION in profit last year.



Ehh...health insurance is tied to jobs(for better or worse)....so I'd argue that individuals don't have much say in getting the service elsewhere. The for profit mechanism isn't tied to the realities that capitalism should bring. If we had a truly open market like say car insurance or life insurance where every company can compete on a level playing field across state lines, then I think the health insurance industry would look a lot different.

As to your other comment about Apple making profits, my answer is similar. Apple is playing in a space that is based entirely in a free capitalist market. I can chose to buy an apple phone or one of the hundreds of google phones. I can buy a macbook pro or a PC. Or, I can chose to not buy anything at all. People require health care like they require clean water. At some point you will need the assistance of a medical professional. You don't need a computer.

I'm not saying I have all the answers but this current system is highly flawed and isn't doing what's best for the consumer.
quote:

I'll take it a step further. Medicare and Medicaid should play for GLP-1s


Medicare covers it now for like $50 a month.
quote:

Then where are these doctors, surgeons, and other Healthcare professionals that are willing to donate their time to providing Healthcare services and extensive complex care?

Some of you are too stupid Im shocked you dont forget the breathe.


I'm not so sure people are confusing a for profit industry run amuck with slavery. The unfortunate reality is there are needless complexities involved today from an insurance and administrative perspective for the sake of profit. Think about the income and profit generated by UHC without providing a single ounce of healthcare themselves. They generated $450 BILLION dollars in revenue(only 70% of which was actually passed on to health care providers...not to confuse my previous statement) and $12.1 BILLION in profit. You don't think that's a problem?

re: The kids are growing up.

Posted by kennypowers on 8/16/26 at 7:52 pm to
The days are long but the years are short. It goes by fast my man.
That's Mexican chicks though right. They turn in to Sophia Vergara or a troll. There is no in-between.
We need to normalize allowing the kids in the audience stand up and turn their back to this kind of nonsense.
quote:

Carvana was a simple process and gave me a fair deal.


Carvana for sure. They make it stupid simple.
You seem overly angry bro. You good? Pretty much all of those dudes played minor league or high level college ball. Where did you play again?

Also, those cats are averaging making $100k a year to do that shite.
When you can't grow your subscriber base in a meaningful way through offering increased value, this is where you end up. Increase prices(churn be damned) and roll on.
Because neither of them ACTUALLY give a shite about Iran.
quote:

Remember, hormones are what drive eating behavior. Ghrelin and leptin, in particular.


This is the part most on TD don't understand. They all want it to be a moral failing of some sort.

Let's try a thought experiment:

Stop being horny. If you just stop being horny all the time you wouldn't have that porn addiction.
There's a joke about Liberia somewhere in the answer...
Real talk. None of that shite is hard to deal with. It's a 4wd truck. You have to deal with all of that shite on any 4wd truck. Is it an arguably shitter design? Maybe. I'm a GM guy but I've replaced probably 8-10 struts on GM vehicles and it's basically the same problems. The strut isn't going anywhere...it's trapped. As long as that upper/lower ball joints stay attached to the knuckle, none of that shite is going anywhere. The CV axles aren't going anywhere either. It's trapped between the knuckle and the transmission.

Much ado about nothing. Turn the wrench, be quick, make money. There's nothing new about any of the shite he's saying.

re: Medical Insurance Doubled

Posted by kennypowers on 1/2/26 at 2:45 pm to
There is going to be enough pain this year that the policy makers are going to have to do something. Yet to be seen what that something is. Honestly, i'm completely on board with a public option for everyone if they were previously on the ACA. Just let them buy in to Medicare and let's roll. That seems like the easiest fix there is.
quote:

I don’t care

It’s not an addiction it’s literal lack of self control.


If it's just a lack of self control, why are people alcoholics? Are you saying you think alcohol is designed to be addictive? I don't like alcohol personally...but I drink socially where appropriate. Why do people smoke weed if they might lose their job? Why would people ever freebase heroin?

Your logic isn't logic'ing broseph.

That said, you missed the point of the post. Food is inherently addictive. So much so, in fact, that people are willing to kill other people for food when it's not available. We are driven biologically to eat and drink as a mode of survival....and that's the point. You can't escape food and if your body craves it, even if you don't require more calories to survive, then there must be something else going on. Hence the food addiction comment.
quote:

We have to stop pretending like eating is an addiction.


Name another pleasurable activity that turns in to an addition where you're required to still do it in order to survive?

Smoking - nope
Drinking alcohol - nope
Smoking weed - nope
Smoking crack - nope
Really any hard drugs - nope
Having sex - nope

This is angle I see few people think about but has a massive impact on this discussion. All those other activities turn in to "addictions" when you abuse them. All you have to do is stop doing that thing and you can cure that addiction.....but not eating you have to continue to do it to survive.


re: When FA meets FO

Posted by kennypowers on 12/16/25 at 8:23 am to
If they will not walk, you walk them.

Flawless victory.
quote:

No.

Good grief.

Turn the whole Healthcare over to the government. What could go wrong?


Do you somehow think that medicare is proving the actual healthcare? They are just paying for it. My mom and my inlaws both use it extensively...they see normal doctors.
quote:

You beat me to it.

"Nobody thinks Medicare is a bad program." Yeah, they do. The people who need to get paid for the medical services they rendered think it's a bad program.

And again I return to the triangle of price, quality, and availability.

Increasing Medicare might mean improving price and availability, but to the extent that it does that, it also means decreasing quality.


This is something we're going to have to talk through and it's going to be tough for both parties. It might mean that doctors don't make $300k+ a year anymore. The number of doctors in the US is artificially constrained to keep earning/market place value high. Honestly, I think that's why you're starting to see more and more PAs and NPs out in the real world.
This seems like a super simple solution...no? Allow the people using Obama care the option to buy in to a rebranded version of medicare. Call it Trump care premium or whatever. Would we not be better off than throwing millions/billions of dollars at the current ACA? Everything is already in place. I haven't talked to a single person on medicare that thinks it's a bad program...