Master Thread Dance Your Cares Away/Fraggle/Law Abiding Citizens

Master Threads
A few days ago someone was complaining that Dr. salaries were driving up the cost of care. That isn't the case at all, but I also didn't have time to write-up how the healthcare system works. Here is my explanation.

Healthcare consists of 3 primary verticals and functional groups:

1. Providers - healthcare systems that employ Dr's & Nurses and provide care
2. Payers - insurance companies that steward dollars to pay for care (reimbursement)
3. Life Sciences - drug makers

I an ideal & non-corrupt world, people would pool money, it would be invested to earn interest, and distributed as people needed so that providers could focus on delivering care rather than managing a bank. Along the way, the Life Sciences companies realized that Chronic Disease as-a-service was much more profitable than actually curing root cause issues. They started off paying physicians to prescribe medications that caused certain side effects that could be monetized, but then realized is was much easier to simply control the formularies that determine which medicines and individual doc can prescribe, particularly when they are employed by a larger health system.

Fast forward to 2009 and the ACA (Obamacare) a lot of acceleration was brought to this process and some significant policy implications most of the populace has zero idea about:

1. We limited the profit margin of insurance companies to 20%. With many of these companies being publicly traded companies, it gave them 2 levers to pull: A. increase revenue via premium increases. B. Diversify
2. The diversification plays for UnitedHealth, Anthem, etc. all fell into the following strategies: buy-up the Pharmacy Benefit Managers (PBM) & build out Health Savings Accounts. UnitedHealth and Optum are the largestd example and most advanced, but all of them fundamentally did the same thing.

Now you have an entity like UHC, where ~$200B of it's $450B in revenue comes from core business and it's diversification play, Optum, accounts for more than half of its business. The $250B (450-200) breaks down into the following areas:

1. OptumRX (PBM) = ~$130B
2. OptumHealth (HSAs) = ~100B
3. OptumInsights = ~10B)

Optum, controls the formularies through it's PBM, derives more of it's net margin from this business line, and is then incentivizing the Life Science companies to crank up their costs by underwriting and de-risking their entire product development and R&D cycles. This is fundamentally why drugs cost so much.

Optum also used our HSAs as a way to further underwrite the increase in our core insurance premiums :)

This is the game.

Physicians are pawns. Very few I know actually understand the system and are simply regurgitating what they've been taught in Med School, which is subsidized by the PBMs and Life Science companies that are pursuing Chronic Disease Management as a Service as the desired business model to maximize their shareholder value. They are simply doing what they've been taught.

If we had any moral people in those organizations and their boards, they should've asked to stop. I also think breaking these up, particularly the PBMs via anti-trust measures is a necessary step to actually rectifying the entire mess. Medicare is also the largest purchaser of pharma products via CMS and has leverage here if used properly.
 
Rebarcock. said:
This is how incredibly stupid portions of society are in 2025
Click to expand...

tom-cruise-what.gif
 
Pardon my ignorance on cloud seeding,

1) who determines where seeding occurs?
2) once determined, who authorizes it?

Weather manipulation to prevent droughts (water scarcity) seems great on face value but obviously serious collateral damages occur. IMO it’s better not to interfere with His plans.

For all the recent victims, how do they prove “beyond a reasonable doubt”
1) the weather was manipulated

Flooding in Texas is fairly common

2) if “proven” who is held responsible? The contractor ie Rainmaker or the hiring entity?

Overall

Can a class action lawsuit be placed 5, 10, 15 years down the line if the weather destruction can be linked to the companies that end up with ownership of the disaster areas?

Western NC “hurricane”
Maui & Palisades fires
Kerrville floods and many other examples

Lots of questions, so I’ll hang up and listen.

Thanks
 
Hoosier in Mad Town said:
A few days ago someone was complaining that Dr. salaries were driving up the cost of care. That isn't the case at all, but I also didn't have time to write-up how the healthcare system works. Here is my explanation.

Healthcare consists of 3 primary verticals and functional groups:

1. Providers - healthcare systems that employ Dr's & Nurses and provide care
2. Payers - insurance companies that steward dollars to pay for care (reimbursement)
3. Life Sciences - drug makers

I an ideal & non-corrupt world, people would pool money, it would be invested to earn interest, and distributed as people needed so that providers could focus on delivering care rather than managing a bank. Along the way, the Life Sciences companies realized that Chronic Disease as-a-service was much more profitable than actually curing root cause issues. They started off paying physicians to prescribe medications that caused certain side effects that could be monetized, but then realized is was much easier to simply control the formularies that determine which medicines and individual doc can prescribe, particularly when they are employed by a larger health system.

Fast forward to 2009 and the ACA (Obamacare) a lot of acceleration was brought to this process and some significant policy implications most of the populace has zero idea about:

1. We limited the profit margin of insurance companies to 20%. With many of these companies being publicly traded companies, it gave them 2 levers to pull: A. increase revenue via premium increases. B. Diversify
2. The diversification plays for UnitedHealth, Anthem, etc. all fell into the following strategies: buy-up the Pharmacy Benefit Managers (PBM) & build out Health Savings Accounts. UnitedHealth and Optum are the largestd example and most advanced, but all of them fundamentally did the same thing.

Now you have an entity like UHC, where ~$200B of it's $450B in revenue comes from core business and it's diversification play, Optum, accounts for more than half of its business. The $250B (450-200) breaks down into the following areas:

1. OptumRX (PBM) = ~$130B
2. OptumHealth (HSAs) = ~100B
3. OptumInsights = ~10B)

Optum, controls the formularies through it's PBM, derives more of it's net margin from this business line, and is then incentivizing the Life Science companies to crank up their costs by underwriting and de-risking their entire product development and R&D cycles. This is fundamentally why drugs cost so much.

Optum also used our HSAs as a way to further underwrite the increase in our core insurance premiums :)

This is the game.

Physicians are pawns. Very few I know actually understand the system and are simply regurgitating what they've been taught in Med School, which is subsidized by the PBMs and Life Science companies that are pursuing Chronic Disease Management as a Service as the desired business model to maximize their shareholder value. They are simply doing what they've been taught.

If we had any moral people in those organizations and their boards, they should've asked to stop. I also think breaking these up, particularly the PBMs via anti-trust measures is a necessary step to actually rectifying the entire mess. Medicare is also the largest purchaser of pharma products via CMS and has leverage here if used properly.
Click to expand...
Very well said. I didn’t realize the profit limit.

I’ve always thought healthcare framework should have had parameters of no more than 10% gdp like other countries spend, medical costs shouldn’t bankrupt a person.

Let smart people design a system under these rules. This would regulate insurers, or even eliminate them. In addition tort reform would be needed.
Also as you pointed out, need to reign in pharma.

Anyway, maybe a king for the day could fix it.
 
I've lived in Texas my entire life and never have seen flooding like this is such a short period of time. I've seen flooding here and other areas before but noting like this at this time of year. I've seen widespread flooding although mainly as a result of hurricanes. For a storm to remain almost stationary for that amount of time during the summer is quite unusual. Normally, it's hot and dry now with little rain except along the coast.
 
wrecking_crew said:
Pardon my ignorance on cloud seeding,

1) who determines where seeding occurs?
2) once determined, who authorizes it?

Weather manipulation to prevent droughts (water scarcity) seems great on face value but obviously serious collateral damages occur. IMO it’s better not to interfere with His plans.

For all the recent victims, how do they prove “beyond a reasonable doubt”
1) the weather was manipulated

Flooding in Texas is fairly common

2) if “proven” who is held responsible? The contractor ie Rainmaker or the hiring entity?

Overall

Can a class action lawsuit be placed 5, 10, 15 years down the line if the weather destruction can be linked to the companies that end up with ownership of the disaster areas?

Western NC “hurricane”
Maui & Palisades fires
Kerrville floods and many other examples

Lots of questions, so I’ll hang up and listen.

Thanks
Click to expand...
There are differing levels depending altitude. State has up to X height the fed takes over.
 
🚨 The FDA Commissioner is asking Americans to “be patient” while the agency finally does the science.

After 4 years.

After millions were coerced.

And he says he KNOWS people injured or killed by the COVID vaccine.

Thread 🧵

threadreaderapp.com

Thread by @RodDMartin on Thread Reader App

@RodDMartin: 🚨 The FDA Commissioner is asking Americans to “be patient” while the agency finally does the science. After 4 years. After millions were coerced. And he says he KNOWS people injured or killed by the...…
threadreaderapp.com threadreaderapp.com
 
I debated writing all of this down, but here is some big picture stuff here that I think is going on (may be wrong) but ties together so much of the stuff we've discussed here over the years.

When we look at the macro-economic viewpoint, the entire financial system has run off of fractional reserve banking for most of the past 200 years. The root of that operation can be traced back to the City of London, Paris and Brussells, with more recent operations being focused in Basel Switzerland where the Bank of International Settlements resides. At it's core, those entities accrue value by turning debt into credit or monetized assets (i.e real estate, equities, bonds, etc.) Either way, they need to have a host-like relationship with economies from which to create debt w/o killing the host, but at some point, too much debt brings all empires to a halt.

I believe there have been 3 major tide shifts that have impacted these shifts over the past 200 years and they are not all related to war.

1. Industrial Revolution - put a premium on natural resources and human capital to build physical products
2. Internet Resolution - enabled the monetization human engagement & services vs. human capital
3. AI Revolution - premium on data accessibility & monetization of scarce resources (i.e. information, access to capital, etc.)

I think the bankers realized in the late 1800's that the British Empire was falling under the weight of debt it accrued in wars (the main tool used to drive debt) and needed to shift the host relationship to the United States due to the immense amount of natural resource availability and much smaller population. Additionally, I believe some of the controlling families of Europe objected (see Archduke Ferdinand assassination) and that is why we had WW1 and WW2. The trade-off was the US would subsidize the defense and social programs of Europe in exchange for being the new empire.

Additionally, the same banking families led the re-establishment of Israel in 1948, and that became an operational arm to continue to drive debt creation out of the United States by ongoing military activity in the Middle East. It's still going today.

With the advent of the Internet, the bankers realized that total people an the ability to monetize consumption was more necessary and they needed to start diversifying away from the United States and into the more populated countries such as China and India. 9/11 happens and we begin the shift. We've been going through it ever since. It also explains why China just launched aircraft carriers to the 3rd island chain (the furthest they've ever advanced) built in Ukraine, run on Iranian oil, and financed by Israel.

That's the whole cloth of current events.

In any event, we now see, and the CCP saw awhile ago (hence the 1-child policy) that the sheer amount of people became a problem, economically speaking, when automation became advanced enough via the AI revolution. This is why India has not had the same investment, and why all of the creepy secret societies think that we need population reduction events AND explains why they are importing all of these people into the hosts they have killed off over the past 100 years why they move to new areas. It's all about their economic viability. It also become much easier with a Digital Currency matching the Digital Fiat. Now we have a Beast System in place.

It's demonic. It's completely parasitic in nature. It's also related to what we see in the Bible.

Now I don't think these people have fully factored in how those same devices they created will be used against them. I also think we have to be very very careful in painting all Jews as evil. God said in his Word Nor no one is a Jew who is merely one outwardly, nor is circumcision outward and physical, but a Jew is one inwardly and circumcision is a matter of the heart, by the Spirit, not by the letter (the Law).

I may be way off here but I see regularly throughout history that Satan copies & corrupts God's plan for evil rather than good. I see no reason to rule out the thought that the same people who God used to bring in Messiah and show the world the one true God, would be commandeered by Satan to usher in the anti-christ. The Jewish people were dispersed for almost 2000 years during that time, built the modern banking system the entire globe uses. I don't think that is a coincidence. I may be way off and I have zero biblical reference here. I'm only going off the pattern recognition.

I also know the easy button is to demonize the people doing this. It's happening already. We need to reject that and pray for them to repent. God does say in the Bible that he will save many Jewish people in the end time, 12K from each tribe (144k) and that Israel (physical) plays a role in Jesus' return as conquering King. I encourage you all, and myself, to tread lightly in condemning others and rather purse that God would change hearts and minds as only He can. It's hard. There is real evil and I certainly think we need to remove the Israeli influence in our policy making. It's only led to destruction. It's fueled by poor theology and development relatively new concepts such as Dispensationalism.
 
imprimis said:
I've lived in Texas my entire life and never have seen flooding like this is such a short period of time. I've seen flooding here and other areas before but noting like this at this time of year. I've seen widespread flooding although mainly as a result of hurricanes. For a storm to remain almost stationary for that amount of time during the summer is quite unusual. Normally, it's hot and dry now with little rain except along the coast.
Click to expand...
I’m not sure what is happening but it has come a good little shower every day for the past 2 weeks here in northwest TN. It feels like it has rained almost every week since spring. Something is going on
 
22*43*51 said:


🚨 JUST IN - MATT GAETZ, who many wanted Trump to name as Attorney General over the past week in place of Pam Bondi:

"Pam Bondi is the BEST attorney general Donald Trump has had by a factor of ten thousand."

"Pam Bondi is a STAR and has our full admiration and support. To those who don't share my enthusiasm, look at how far we've come."

"The Bondi team successfully litigated away the judicial coup of nationwide injunctions. They did that. They won that for us."

"They have created the legal infrastructure for highly effective deportations. She's got the cartels self-deporting. She has targeted the criminals and the gang networks."
Click to expand...


ZFG. If they don’t dismantle the blackmail system it’s all for naught. They’ll just wait him out. Shit needs to fucking happen and people need to be prosecuted. If that doesn’t happen it’s just another temporary delay.

Keep kickin that fuckin can assholes
 
Hoosier in Mad Town said:
I debated writing all of this down, but here is some big picture stuff here that I think is going on (may be wrong) but ties together so much of the stuff we've discussed here over the years.

When we look at the macro-economic viewpoint, the entire financial system has run off of fractional reserve banking for most of the past 200 years. The root of that operation can be traced back to the City of London, Paris and Brussells, with more recent operations being focused in Basel Switzerland where the Bank of International Settlements resides. At it's core, those entities accrue value by turning debt into credit or monetized assets (i.e real estate, equities, bonds, etc.) Either way, they need to have a host-like relationship with economies from which to create debt w/o killing the host, but at some point, too much debt brings all empires to a halt.

I believe there have been 3 major tide shifts that have impacted these shifts over the past 200 years and they are not all related to war.

1. Industrial Revolution - put a premium on natural resources and human capital to build physical products
2. Internet Resolution - enabled the monetization human engagement & services vs. human capital
3. AI Revolution - premium on data accessibility & monetization of scarce resources (i.e. information, access to capital, etc.)

I think the bankers realized in the late 1800's that the British Empire was falling under the weight of debt it accrued in wars (the main tool used to drive debt) and needed to shift the host relationship to the United States due to the immense amount of natural resource availability and much smaller population. Additionally, I believe some of the controlling families of Europe objected (see Archduke Ferdinand assassination) and that is why we had WW1 and WW2. The trade-off was the US would subsidize the defense and social programs of Europe in exchange for being the new empire.

Additionally, the same banking families led the re-establishment of Israel in 1948, and that became an operational arm to continue to drive debt creation out of the United States by ongoing military activity in the Middle East. It's still going today.

With the advent of the Internet, the bankers realized that total people an the ability to monetize consumption was more necessary and they needed to start diversifying away from the United States and into the more populated countries such as China and India. 9/11 happens and we begin the shift. We've been going through it ever since. It also explains why China just launched aircraft carriers to the 3rd island chain (the furthest they've ever advanced) built in Ukraine, run on Iranian oil, and financed by Israel.

That's the whole cloth of current events.

In any event, we now see, and the CCP saw awhile ago (hence the 1-child policy) that the sheer amount of people became a problem, economically speaking, when automation became advanced enough via the AI revolution. This is why India has not had the same investment, and why all of the creepy secret societies think that we need population reduction events AND explains why they are importing all of these people into the hosts they have killed off over the past 100 years why they move to new areas. It's all about their economic viability. It also become much easier with a Digital Currency matching the Digital Fiat. Now we have a Beast System in place.

It's demonic. It's completely parasitic in nature. It's also related to what we see in the Bible.

Now I don't think these people have fully factored in how those same devices they created will be used against them. I also think we have to be very very careful in painting all Jews as evil. God said in his Word Nor no one is a Jew who is merely one outwardly, nor is circumcision outward and physical, but a Jew is one inwardly and circumcision is a matter of the heart, by the Spirit, not by the letter (the Law).

I may be way off here but I see regularly throughout history that Satan copies & corrupts God's plan for evil rather than good. I see no reason to rule out the thought that the same people who God used to bring in Messiah and show the world the one true God, would be commandeered by Satan to usher in the anti-christ. The Jewish people were dispersed for almost 2000 years during that time, built the modern banking system the entire globe uses. I don't think that is a coincidence. I may be way off and I have zero biblical reference here. I'm only going off the pattern recognition.

I also know the easy button is to demonize the people doing this. It's happening already. We need to reject that and pray for them to repent. God does say in the Bible that he will save many Jewish people in the end time, 12K from each tribe (144k) and that Israel (physical) plays a role in Jesus' return as conquering King. I encourage you all, and myself, to tread lightly in condemning others and rather purse that God would change hearts and minds as only He can. It's hard. There is real evil and I certainly think we need to remove the Israeli influence in our policy making. It's only led to destruction. It's fueled by poor theology and development relatively new concepts such as Dispensationalism.
Click to expand...
If i may add
Daily acts of altruistic kinds acts serves God's purpose. Most all of us enjoy fellow Americans. Help where you can and even towards to malcontents. Kill them w kindness. You never know what a person is having as their burden that day. And giving brings self joy knowing you helped another fellow human
 

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