The healthcare industry has had horrendous work conditions for a very long time. It’s deeply ingrained into the US system. That’s a bad starting point.

Then adding in all the emboldened anti-science and anti-healthcare mentality must be beyond frustrating to deal with as a professional. I can’t stand seeing the comments on social media that minimize the literal millions of COVID deaths, the supposed effectiveness of bullshit treatments, and the utter lack of respect for the people who have dedicated their lives to advancing medicine.

Getting that shit thrown in your face as you’re literally trying to help them has to feel like a giant punch in the gut.

And that’s all on top of the abundant societal issues that these workers have to deal with. From insurance fuckery to the growing numbers of people without homes and those battling addiction.

Living that day in and day out would make anyone miserable.

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Very true. Even just writing (or rewriting) the regulations is full of ways to get whatever the executive branch wants.

“It’s a big club, and you ain’t in it.” George Carlin

I get what you’re saying, but there’s a lot more to separation of powers than this. You might be well aware of all this, but for those that aren’t, here’s a giant wall of text.

The executive branch’s powers are clearly defined and including acting as the head of the military, the head of foreign affairs, and the executor of the laws congress passes. It is quite restricted by congress in many ways. Of course, the executive branch has emergency powers and limited ways around the laws congress enacts, but that’s not the default and it is very much intended to be restricted by congress.

The executive branch also has room to make interpretations (create regulations) and to prioritize certain laws when they come into conflict.

This is what they’re doing here. They have weighed the laws (from congress) they are tasked with enforcing, which includes (a) specific immigration restrictions and (b) a variety of other ones that could impact their ability to execute the immigration restrictions (the “26” laws waived, including water and environmental protections). The DHS (an executive branch agency) has determined that (b) these 26 place an undue burden that prevents them from executing (a) the immigration restrictions, and is therefore temporarily waiving (b).

You can read the actual order here: https://public-inspection.federalregister.gov/2023-22176.pdf

Notice that it does not say it’s randomly waiving laws of its own accord without a law that it is executing. It is clearly referencing the statues (enacted by congress) that it is acting on. It is identifying that it is failing to execute some laws, but only so it can prioritize another one it has deemed more important for this specific action. It’s also become popular for the executive branch to use emergency decrees to act unilaterally, but these are supposed to be much more limited and a functioning judiciary/congress should hold the executive accountable when this happens.

What the executive branch is NOT doing here is very important too. It is NOT deciding it doesn’t want to do what congress says. Congress could rewrite the immigration law or any of the other 26 laws to change the way the executive branch executes them, if it feels the executive is implementing them wrong. And the judicial branch could easily weigh in on this if someone affected brings the case to them.

Wise of you to seek out advice and plan this far ahead. I’ve moved many times and have learned a thing or two.

First, savings. Don’t minimize them. It’s always crucial to live within your means and have cash set aside. Everything costs more than you think. The move, the new place, the getting settled into a new place. Jobs may not work out. Bottom line, do whatever you can to have some savings and quickly replenish it if you have to dig in.

Second, housing and transportation. Usually the two biggest out of pocket costs. Moving to a new area means you don’t know exactly where you want to live or what commutes are tolerable and where is worth living. So find something you’re comfortable with, but don’t overspend or get too committed. I love being close to work so I don’t have a long commute and will take a much smaller place to do so. I also don’t like living with roommates, so I often cut back transit costs and other expenses to live alone. If you don’t mind living with others, you can save a lot of money. But do not be house or car poor. See the first point.

Third, furnishings and getting settled in. It will take time. Don’t put too much pressure on yourself to create a picture-perfect home or have a big groups of friends right away. These things take time, especially to be done well. Cover your household basics (a good mattress is a worthwhile investment) then keep an eye out for second hand goods to get things started. Try to expand your horizons and join local groups or clubs to make some friends with similar interests. If you notice red flags, pay attention to them. Sometimes nasty people cling onto newcomers and can cause you unnecessary stress/problems. Seek out worthwhile relationships and nurture them instead.

Moving to a new places is one of the most exciting and frightening things you can do. But as long as you avoid getting your bank account too close to zero and take your time while putting in effort to live like a local, it can be absolutely amazing. I’ve lived in different countries, met people from vastly different cultures, lived on entirely different cuisine, and simply had some of the most mind and soul-expanding adventures in new areas. I’ve also missed my home, my family, friends I left behind, things I gave up, and more. But the reality is that all the material stuff will come and go, the time with family and friends should be cherished but not limit your life, and at the end of the day, you are the one in charge of your destiny. It’s up to you and you alone to figure out where to live and what to do to discover happiness. Just make sure to give yourself a fighting chance. Don’t go broke. And avoid abusing anything. Moderation and variety.

I write too much. Good luck!

Today I learned. Good point, thanks. Wonder why they chose to highlight it over the others. Must have a good conversion rate comparatively.

Found this list of assets owned by Berkshire Hathaway to be more than I knew, especially at 100% ownership: https://en.m.wikipedia.org/wiki/List_of_assets_owned_by_Berkshire_Hathaway

They’ll also use the customer donations in their own marketing materials with carefully chosen wording.

“We put $X in the hands of X charity!” Sounds cute, until you realize why they don’t say they “donated $X” instead. It’s because it’s often not their money or donation.

I’d love to know how much they paid for it. Even part of the “message from warren” page too. Must have been a pretty penny. I bet a lot of pages would love to do static links in exchange for upfront fees similar to it.

The FTC home page has a list of options, including “file antitrust complaint.” I’m guessing that’s probably the most useful: https://www.ftc.gov/ I’ve also seen others say to email [email protected].

But here is the FTC contact page: https://www.ftc.gov/about-ftc/contact. And here is more generic agency information: https://www.usa.gov/agencies/federal-trade-commission

Contacting most government institutions is usually surprisingly easy and you typically don’t need to be overly concerned about using the right template or anything.

Just quickly and clearly communicate what topic it’s about, what your specific issue is, a small bit of reasoning showing why it’s a problem, and a brief conclusion that usually asks for a specific action.

You can always call the general phone number and very briefly explain in laymen’s terms what you need (maybe something g like “I’d like to submit comment about a specific technology” or something similar). The operators are usually willing to help get you in touch with the right person, as long as you can explain what you need in a succinct manner (unlike this ridiculously long comment).

Along this same train: critical thinking.

“Critical thinking is the intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action.”

https://www.criticalthinking.org/pages/defining-critical-thinking/766

Learn how to think critically and you can do damn near anything from diagnosing car problems to understanding complex economic issues. You’ll improve your communication, your understanding, and your ability to handle the world around you. It’s where open minded meets level headed.

Did someone say people should work for free? No where am I saying that. Massive profits are not necessary to cover overhead - expenses like overheard and salaries are paid for by revenue - what’s leftover is profit.

This thread is about whether the current US healthcare insurance industry is a scam or not. Scam means “a dishonest scheme” and insurance saying it’s going to provide healthcare coverage but actually just takes your money, doesn’t provide coverage, and only pays investors/executives could be considered a dishonest scheme by many.

Insurance companies have a natural tendency to become worse and worse over time. This is called the race to the bottom and is an incredibly well-known phenomena in insurance. Like monopolies, insurance is one of the rare situations where experts are in damn-near universal agreement that heavy regulation is necessary.

Right now, insurance companies are objectively very bad to the people they provide coverage for. This isn’t an opinion, this is a fact that’s easily verified and well understood. They are not being effectively regulated and as such, are racing to the bottom by providing absolutely terrible coverage while taking in massive premiums. This is not good for anyone and is not fixed by a free market in any way. You cannot effectively shop for insurance and their behavior is not rectified, unless prohibited by law (regulation).

Many people lock in interest rates for the life of the loan. Most often 30 years for mortgage loans. You don’t have to renew a mortgage’s interest rate unless you get an adjustable rate one.

This is the main reason why mortgage applications are down significantly right now. People with super low interest rates don’t want to move because they’d have to get a new loan to do so, and interest rates are much higher now. If they stay and they have a fixed-rate loan, nothing changes.

It’s true insurance companies need to take in adequate premiums in order to have the money the money to pay claims. And when done in balance, insurance is a great thing. Not all insurance in a scam, no doubting that.

But the current state of insurance, especially health insurance in the US, shows that these companies are making massive profits. How does this happen? Literally one way: They take in more premiums than they pay out in coverage. How? By either knowingly overcharging people or skirting out of paying covered claims through other means (such as baseless rejections).

That’s the problem with the entire insurance industry and why it must be properly regulated in any industry: It is a race to the bottom. The worse the insurer treats the people that buy insurance from them, the better the company does financially (charge a lot, pay out a little). Mix in the fact that (1) you cannot shop around at the time you need a claim and (2) the contracts are so intensive only a sophisticated legal team can interpret them, and it’s a recipe for disaster.

So you’re right that all insurance isn’t necessarily a scam. But if you can’t see that the US health insurance industry raking in profits shows serious dysfunction that could be considered a scam, it’s worth taking a second look.

Some historical perspective as it relates to greed:

During some of the United States’ most prosperous times, the marginal income tax rates were higher (topping out around 90%!) and executive compensation was no more than ~20x the average worker pay.

Now, marginal tax rates and capital gains rates are so low, the wealthy often pay the lowest effective rates (sometimes less than 10%). And executive pay is simply off the charts at 300x, 500x, even 700x median pay.

https://www.epi.org/publication/ceo-compensation-2018/

The problem is greed and its manifestation as tax and corporate policy. Basic tax reform and implementing new corporate regulations can and would fix many issues plaguing this country.

Those in poverty would be lifted out by higher wages and adequate social safety nets. The growth of a thriving middle class creates a premier labor force, allows people to innovate and start new businesses, and creates additional private support networks that reduces stress on government programs.

It even helps the elite by letting them live in a prosperous country where they don’t have to step over people dying in the streets to go to their entertainment spots. Theft and crimes of desperation decrease as stability increases. Labor is more educated and healthy. They don’t have to drive on roads with defunct bridges. On and on.

We are all in this together. It’s time to act like it. We’ve done it before and we can do it again.

Can confirm it works now (not sure when change happened; pretty sure I’ve been using since early 2022). I regularly use epub on kindle.

They did recently drop mobi (or at least threaten to - they send me an email saying they are going to drop mobi capability after I send one to my kindle).

Kindle supported file types: • .EPUB • .PDF • .RTF • .DOC, .DOCX • .HTML, .HTM • .JPG, .JPEG, .GIF, .PNG, .BMP

https://www.amazon.com/sendtokindle/email

Absolutely. I worked for one office where one founder would literally come around doing “bed checks” multiple times a day. I’m talking about a guy with a net worth well over $100 million, seriously connected to federal politics, major local influence on universities and government. This guy spent no less than 15 hours/week checking to see who was sitting in their seats. That was one of his top priorities.

Of course, this bled down to supervisors that he promoted. And as a result, the entire office was full of the most mediocre workers I’ve ever dealt with. Just sit at their desk doing nothing except ready to schmooze the boss. Many were afraid to use the bathroom, go to lunch, etc. Total nonsense.

Can’t say how easy/difficult they are to actually find, but alcohol free spirits are a thing. Even AF distilleries offering a “normal” distillery/brewery experience are opening up.

https://www.liquor.com/best-non-alcoholic-spirits-5190976

Yeah, pretty sad that being in hospital administration is now typically more lucrative than being an MD.

https://www.medicaleconomics.com/view/time-address-widening-pay-gap-between-hospital-execs-and-physicians

But don’t forget about the insurance companies - they’re just groups of bankers and lawyers working together to figure out how to squeeze as much money as possible out of every aspect. The worse coverage they provide, the stronger the insurance company gets (the race to the bottom).