ReallyAnonymous

6 ms·

1.
by ReallyAnonymous 3y ago
actually, the problem is that Congress continues to LOWER physician reimbursement, but RAISE hospital reimbursement. When I became a surgeon in 2002, medicare paid $600 for me to take out a gallbladder. I had to pay my overhead (50%) so my
2.
by ReallyAnonymous 3y ago
surgeon here. before Obamacare insurance companies denied payments if they deemed the issue pre-existing and were not told about it in the patient's application. I was in private practice for 10 years and now employed surgeon for 12 bc
3.
by ReallyAnonymous 3y ago
The USA tax code potentiates this. First $12m tax free, step up basis allow tremendous wealth to be bequeathed without financial penalty. Trusts, when set up correctly, can do so as well. Once inherited, the first $90,000 (married couple) o
4.
by ReallyAnonymous 3y ago
surgeon here: antibiotic treatment works great as long as there's no peritonitis and/or no appendicolith seen on CT. However, statistics show that 30% of successfully treated patients go on to get appendicitis again within 1 year.
5.
by ReallyAnonymous 4y ago
this. rich people make their money either investing for others or investing for themselves and are rewarded with paying less taxes on that income than people that work.
6.
by ReallyAnonymous 6y ago
I grew up in the 80s going to the Cary Mall. It was awesome. I used to converge at the arcade where my dad would occasionally give me $.50 to play 2 games......Mostly I would watch. Anyway, it's great to see my hometown have Epic and S
7.
by ReallyAnonymous 6y ago
The libertarian leaning policies of the USA have already started to create a low birth rate. The first affected generation doesn't have time to realize that they will be worse off than their parents, and so has 2-3 children without rea
8.
by ReallyAnonymous 6y ago
In South Carolina, where I work for a hospital, you automatically qualify for Medicaid when you’re diagnosed with cancer. This way people don’t die from untreated cancer. Getting diagnosed early when uninsured is where we fail as a society.
9.
by ReallyAnonymous 6y ago
didnt realize that link was behind paywall. It won't happen again. Gist of the story is that an amateur law student was amazingly good at predicting AAPL earnings every quarter. Graduated, and started his own hedge fund. Publicly advoc
10.
by ReallyAnonymous 6y ago
Options trading is all or nothing. Yes, it's a way to multiply your profits, but it also multiplies your losses. AAPL stock, from the release of the iPhone until now, has been an amazing investment. Some amateur analysts would beat the
11.
by ReallyAnonymous 6y ago
GF paid 18K on student loans last year, but only 2500 deductible on her taxes. I had 28k in margin interest last year, 100% deductible. US is greatly skewed to the rich
12.
by ReallyAnonymous 6y ago
If you make less than 38600, you pay ZERO dollars in taxes on the first $75k of qualified dividend income
13.
by ReallyAnonymous 6y ago
Senior citizens are allowed to take classes for free in North Carolina. My mother uses this to take foreign language classes. She said the older folks taking the classes take it way more seriously than the 'students' ("Who go
14.
by ReallyAnonymous 6y ago
Excellent points. Everything in this country is aligned with being wealthy. Look at how they attack 'public schools', and 'teachers unions' ruining education and want to use tax dollars to subsidize private schools. Who
15.
by ReallyAnonymous 6y ago
Actually, without subsidies, it's around $3500 / month for a family and that's with a $5k - $10k deductible. I have a collegue that retired after inheriting a lot of money and that's what he pays for health insurance. Mo
16.
by ReallyAnonymous 6y ago
Actually, anesthesiologists are middle of the pac in regards to malpractice. Whenever someone quotes income levels for physicians, it's usually after all expenses, including malpractice. It really doesn't matter how much a doctor
17.
by ReallyAnonymous 7y ago
I went to Duke University from 1987 to 1991. Because I was a North Carolina Resident not using a public university, but staying in state, North Carolina paid Duke $1000 out of the $8000 tuition for me. Not sure what it is now, or if it stil
18.
by ReallyAnonymous 7y ago
I take care of a lot of people who work for Fortune 500 companies that have Medicaid. My taxes, therefore, subsidize these companies' profits. Moreover, when I was in private practice, I accepted sub market fees for my services when I
19.
by ReallyAnonymous 7y ago
General surgeon in the South here. What I've seen is that uninsured individuals will prolong going to the doctor for symptoms because of cost and that sometimes costs them their lives because of the advanced presentation of their disea
20.
by ReallyAnonymous 7y ago
my gf just finished her nurse practitioner degree and while she increased her salary from 60k to 90k, her student loan payments, with some loans being 10% !, eat up all of her increased income. She's happier, but after all the bills, s
21.
by ReallyAnonymous 7y ago
I'm old enough ( graduated HS 1987 ) to have had woodworking in middle school. Still have the shitty pine box I made in class. I now enjoy woodworking as a hobby, not a profession. Currently building a dresser for the bedroom. Will tak
22.
by ReallyAnonymous 7y ago
I'm a surgeon and always ask patients what they do for a living. I once took care of a gentleman who travels the world for his company that designs and manufactures refrigeration units that are used to ripen green bananas. I never woul
23.
by ReallyAnonymous 8y ago
I've re-excised melanoma's in young people and excised moles that I didn't think looked like melanomas that came back as being them. Metastatic melanoma kills. The recovery room of one of our local hospitals is named after a
24.
by ReallyAnonymous 8y ago
no. Some are a conglomeration of private practices that joined to better negotiate with insurance companies, some are owned by other entities, some are independent. My group was self employed up until 5 years ago, but no insurance company w
25.
by ReallyAnonymous 8y ago
I am a general surgeon employed by a hospital system in the southeast. PE / VC don't add anything other than trying to skim a profit off the top of medicine, like any other capitalist. Dermatology is a lucrative practice. They don
26.
by ReallyAnonymous 8y ago
I'm a Duke '91 graduate and had several sigma chi friends and witnessed this game many times. Don't know if it still takes place now. https://www.youtube.com/watch?v=CwmpLZHKF4Y
27.
by ReallyAnonymous 8y ago
48 yo surgeon here - be careful, bc without board certification, you'll limit yourself to who will let you work in their clinic. You're getting paid for residency, just do two more years, get your FP / int med certification.
28.
by ReallyAnonymous 8y ago
The US has too many MBA types that determine that the 'job' is one that either 'anyone can do' vs 'very popular', so then they push wages down. It works for a while, as those that have chosen a career path feel
29.
by ReallyAnonymous 8y ago
my parents have always been frugal and wise with their money. My dad lost his job at age 51 and couldn't find another job so he retired. His last salary, in 1981, was 30K a year. But he's good at the stock market. My mom says they
30.
by ReallyAnonymous 8y ago
I've taken care of numerous people living with their lung cancer. It becomes difficult when they develop another cancer, e.g. breast. Do you do axillary dissection or just radiate the axilla? Anyway, melanoma, lymphoma and lung CA (and

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