G-7 nations reach historic deal on global tax reform
- Under the agreement, G-7 nations will back a global minimum corporate tax of at least 15%, U.K. Finance Minister Rishi Sunak announced in a series of tweets.
- The reforms will affect the largest companies in the world with profit margins of at least 10%.
- U.S. Treasury Secretary Janet Yellen, who is in London for the face-to-face meeting, hailed the move as significant and unprecedented.
Every Nation In The World: <raises corporate income rates by 15%>
I'm reading through some Medicare reimbursements on various procedures and our fucking medical system is a sham. Such horseshit. We are literally paying more for Drs to do shitty, temporary work than for fantastic, permanent*, HARD surgeries.
Ridiculous.
Ridiculous.
It's fucked isn't it?
It's one thing to know that it's fucked... But when you look at the numbers and know how bad some procedures are relative to others it's disgusting.
i know im beating a dead horse, but MSM has the same donors (advertisers) as establishment politicians.
(basically, every politician other than the justice democrats)
D
Deleted member 1
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Outpatient medicine is moving towards "quality" and capitation.
The goal is not to get the patient better. The goal for the insurance company is to code the patient sicker thus justifying greater dollars to them.
My patients now routinely show up in the insurance company has sent me five pages of stuff to look through and agree or disagree on various diagnoses. Anything you agree on has to be addressed in that day. So I get some patient that shows up for a knee problem and I think I'm just walking into a 15-minute knee. Oh no there's the paper asking me about 21 different diagnoses of which 18 this patient actually has. Now I have to add 18 random ass ICD-10 codes into the chart and state my plan for every single one of them. Of course this can't happen in real time because I wasn't expecting the bureaucratic nightmare. So that goes on the homework pile where I spend hours after clinic everyday doing paperwork that makes me want to quit medicine.
The system also holds doctors accountable for patient decisions that are in violation of the insurance wants. I have to get a certain number of my patients to get their mammograms done each year. That's fine I think that's a great thing. I order them I call the patient. Corona virus comes along and I've got all these patients refusing to get their mammograms despite my begging and pleading. Colonoscopy? Same thing.
My document that I ordered it and I recommend it to the patient and the patient calls and we document that the patient's refusing to get it done. That's not enough. Patience didn't get it done therefore I'm a bad doctor and my star rating (the insurance equivalency of Facebook likes) goes down and I miss out on money. So now non-compliant patients are hitting my livelihood and I hate having to think about firing somebody because they decide they don't want to do something I recommend. That totally disrupts the doctor patient relationship. Those patients don't get better if you fire them. They only get better with long-term relationships and working on them together. On the other hand if I don't fire them year after year that patient now is going to be taking food from my mouth.
The whole system is so broken I can't even stand it.
Is there anywhere that has a properly functioning medical system in your opinion?
D
Deleted member 1
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That's completely fucked all around.
Was it with an "A" or a hard "R"?
My wife broke her ankle - well the lower portion of the tibia and fibula - and ripped some tendons. Surgery is tomorrow. Something about kevlar, titanium and tight rope.
We have a high deductible health plan. Should be a fun invoice.
M
member 1013
Guest
What happened? Hope she heals well
Have the borders been opened yet?
Missed a step and rolled the shit out of her ankle. Doc feels confident they can put her back together. Definitely fucked for the summer though. Sucks.
Harris told everyone not to come. She sounded pretty serious.
Should work.