What is Direct Primary Care?
It is a membership system where you pay your doctor directly, much like your grandparents did. It is typically handled through a clinic. How does it work?
For a small monthly fee, you get basic services such as annual physicals, regular check ups and treatment for minor emergencies of the sort that can be handled in a doctor's office.Why would it have lower costs than the current model?
It achieves lower costs in large part by cutting out the middle man of health insurance for basic services. The fact that the U.S. relies on a third party payer system adds tremendous bureaucracy and expense for no actual gain of any sort. How does it achieve better health outcomes?
Doctors in DPC clinics spend substantially less time on paperwork, thus allowing them to spend more time with patients. They see their patients more frequently and patients are thus better able to stay on top of health maintenance issues, thereby reducing the incidence of serious complicatio…
I have written about this before and I get endless flack over unimportant details while people miss my main point. I don't know what I did wrong or what I need to do differently, but I am trying again.I worked in insurance for over five years. I still do insurance related writing to earn money. I have a spiffy technical certificate in insurance stuff (making me a "Certified life and health insurance specialist," at least when I worked for Aflac). So, I think I know whereof I speak and understand this stuff better than most people.When combined with either a high deductible health insurance or health savings account (to cover surgery, hospitalization, etc), membership in a Direct Primary Care clinic is legally compliant under the ACA such that you will not be dinged with a tax penalty for not having regular health insurance.Unlike the rest of Obamacare, Direct Primary Care has a track record of actually a) lowering costs and b) improving health care received by patients. …
There is currently at least a couple of discussions on Hacker News about sexism in IT. In this case, a prominent female engineer has quit GitHub and is publicly leveling a lot of ugly accusations. Discussion of such things is also frequently ugly, often dividing up between those folks quick to attack the woman in question and those folks quick to defend her and attack the folks she is accusing.
As for the topic at hand, my cynicism tells me that I'd bet the farm on everything she's said being accurate. I do, however, wish to withhold judgment on both sides without being accused of enabling the decried behavior. That's an alarming trend from a certain vocal group in this industry, a "with us or against us" mentality that bothers me a lot. I've been called a "rape apologist" in the past for simply saying I didn't have enough information about an alleged rape to reach a conclusion.
1) Attraction: Oh my god, it's a girl and she has a brain and is interested in some of the same things I am interested in. Maybe I can get a date!
2) Misguided attempts to encourage women to post more: Oh my god, it's a girl and we need more girls posting here. Let's be nice and friendly and make her feel all welcome and stuff so she will post more (thereby sucking all the intellectual content out of their posts and killing any reason you have to post there).
3) It's not really kid gloves, it's really walking on egg shells: Oh my god, it's a girl and what if she breaks down and cries because I argued with her (like my girlfriend routinely does) or what if I make a joke and she takes i…
The main body of this post (the part in the blockquote) was originally published elsewhere under the title "Money and Maneuvering Room" on 2012/07/12.
I have long collected little mental snippets about money and how people relate to it. For example, (ironically enough) long before my medical diagnosis, I made mental note of the idea that if you have a deadly disease and there is no cure, no amount of money will fix your problem. I also really like the scene in "Titanic" where the rich guy tries to buy his way into a lifeboat and gets told his money won't be worth anything at the bottom of the ocean.
In the past year or two, as my financial problems deepened, I began reading and thinking more deeply on this topic of money and how people relate to it. I learned the phrase "fuck you money", which I had not heard before. It is the idea of having enough money "to be able to tell anyone to go to hell". It is attributed to Bogart (supporting link…