Recent content by Snobdds

  1. Snobdds

    New Mexico / Colorado

    They are everywhere on I-80 in Wyoming. They do work.
  2. Snobdds

    Entry level California home costs up 88% since 2020.

    I think the housing problem, in 10 years, turns over due to demographic problems. In 10 years, most of the baby boomers will be gone. They, right now, capture over 50% of the housing stock between 1st and 2nd homes. The family formation rate is not high enough to absorb all those homes with...
  3. Snobdds

    Parents with dementia, how dealing with that has gone.

    I had my data guy run the prevalence of dementia running in families today... It came back with a 88% confidence interval for a given z score. That correlates to around a 94% chance. Not zero, but still significant. See below. "While both maternal and paternal family history can influence...
  4. Snobdds

    Parents with dementia, how dealing with that has gone.

    I would worry that your spouse had two parents with dementia. Really worry...
  5. Snobdds

    Medical Cost

    No they aren't. I am BCBS, I did actuarial stuff for years and now in charge of risk management for all of BCBS. I know this. You can't really get more benefits than those mandated by the ACA. In fact, you have pediatric dental in your 60's. Great benefit, too bad you pay for it and will...
  6. Snobdds

    Medical Cost

    The vertical integration was more from the standpoint of patient reporting requirements. Small dr. offices did not want to endure the burden of all the requirements. So they teamed up with hospital systems to help with the reporting requirements. Hospital systems also barred doctors that were...
  7. Snobdds

    Medical Cost

    All benefits are mandated to be those of obamacare. So you may not have a subsidized policy, but your benefits on that policy are the exact same as obamacare policies.
  8. Snobdds

    New Carburetor

    I invested in an ultrasonic cleaner. I have put in carbs that I never thought would run again. Varnish build up due to ethanol is what was killing my carbs. Savings one carb pays for the ultrasonic cleaner.
  9. Snobdds

    Medical Cost

    We need to break up the hospital groups. After obamacare, it incentivized all the hospitals to vertically integrate. Now we have hospital systems with college campus like amenities. The medical tend prior to obamacare was 4-6% annually. Now we are 10-12%. It doesn't take a rocket...
  10. Snobdds

    Medical Cost

    Why are boomers so entitled. You paid 39% of something, on a drug plan that is probably $60 per month. How much more assistance do you need?
  11. Snobdds

    Medical Cost

    The medical profession has been selling off data for at least 10 years now. You are 10 years too late with your outrage...
  12. Snobdds

    Medical Cost

    Well hospitals get to write off the difference between billed and reimbursed charges on their P&L. Why do you think all the hospitals are campus style facilities now? They used the reimbursement differential to build out facilities. So hospitals' have an incentive to have high charges and...
  13. Snobdds

    Medical Cost

    Because drug companies only sell to PBM's. They don't want to have inhouse sales people selling to 15K individual pharmacies. It would be a conflict of interest for insurance companies or Medicare to sell them too...
  14. Snobdds

    Medical Cost

    We know there is an entire body of people that will resist this just because of who it's from. They will be rejected even though it makes great sense. I want to see who big pharma aligns itself with on this issue. That will be the tell...
  15. Snobdds

    Medical Cost

    This is true, but the US funds the R&D for the world. For example, Humira cost the US consumer around 7K per injection, even during the patent phase. That same injection in Europe was around $200. Big pharma has deals with Pharmacy Benefit Managers to soak the US consumer with the brunt of...
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