• 1 Post
  • 31 Comments
Joined 1 year ago
cake
Cake day: June 12th, 2023

help-circle
    1. Started a small mutual fund and retirement fund when I was just starting out and still in undergrad. I did not have much and was fully self sufficient. But someone came to my job and showed us how retirement plans worked and convinced me to start one. Same with a mutual fund. I never put more than $20-$40 in each because I didn’t have much but boy did that pay off.

    2. I purchased a small condo in the city with some of the money I put away in #1. Just sold it recently (20 years after purchasing it; lived in it for 5 years, rented it out for a profit for 15 years). I made a lot of money off that sale. More money than I’ve ever seen at once.

    3. My spouse and I have always lived below our means. Now we’re not frugal - we go out for nice dinners, travel, have kids. We also have good jobs. But, when we purchased a house we could have afforded to get one that was $600k and instead opted for a smaller townhome in a nice neighborhood for almost half the price. Living this way has paid off more than I could have ever imagined. Both of us don’t have to work. We travel whenever we want. We could technically both stop working in our 40s/50s and probably be fine. It’s a feeling of freedom. We’ve never over-extended ourselves. When our colleagues and friends were buying expensive homes and expensive cars and extending themselves, we just didn’t do that.


  • The thing is, they are only uncomfortable with it because some fascist politician is telling them to be uncomfortable with it. I am a same-sex married person with children. When people are face-to-face with a regular person like myself who happens to be married to someone of the same gender and has kids, most people actually have very little problem with it. But then some politician feeds them lies, lies that are then propagated on Facebook or Twitter, and suddenly they have an issue with the concept.

    What is happening in Italy terrifies me. It’s terrifying because it is the same slippery slope Russia went down and the same slippery slope we’re heading down in the USA. We’re watching it happen in real time with kids who are transgender. The GOP is not stopping there. They have already shown they are a full-on fascists. They will not stop until the USA is their authoritarian utopia.











  • So a few things. This is a CVS minute-clinic visit, not a visit to a general provider. The minute clinics have contracts with insurance companies that look a bit different in terms of what and who they are permitted by the insurance companies to treat. There are some really odd variations in these contracts by insurance companies for reasons that are not always grounded in science.

    This, as you’ve noted, is an unfortunate reality of a for-profit health care system that is dictated by private companies, insurance companies, and mind-bogglingly complex contracts that sit between providers and patients. The most annoying part IMO is that insurance companies provide zero transparency into these contracts and the justification behind decisions. It’s all “business decisions” at the end of the day, not decisions that are medically sound and in the best interest of the patient.

    And for those wondering why OP maybe just didn’t go to a “regular doctor” - the U.S. has a horrible shortage of general practitioners (primary care) physicians. This shortage is worse in some areas than others. And even if you’re lucky to live in an area that has general practitioners, the waiting list to get into their practices might be long. This leaves many people relying on a “doc in the box” aka CVS Minute Clinic or some similar outfit. These doc in the box clinics often only have a nurse or nurse practitioner on site, with a supervising physician off side. They are for-profit entities and they work with the insurance companies to design their contracts to maximize profit.

    If you ever find yourself in OP’s physician, one easy way to get around this is to indicate that the visit is for something more general, like abdominal pain or unexplained fever. While the staff still might refer you off to another provider, it might be a good way to at least “get in” with someone.

    Another option is to visit a local urgent care clinic if one is available and covered by insurance. These are often staffed by actual physicians so they can treat a wider range of conditions. Many often even have testing facilities right on site for a number of issues.

    Finally, another option is to call your insurance company and see if they have an over-the-phone nurse consultant available. They can usually help direct you to the right location for treatment based on your symptoms and insurance coverage.

    But yes, OP, I agree with you that we need something better. Medicaid and Medicare have slowly been expanding and my hope is that they will eventually expand enough to cover all Americans. it has been proven that they can still operate without completely decimating the insurance industry (see Medicare and Medicaid managed care). While I don’t agree with for-profit health insurance, the reality is that they are a lobbying force that has to be worked with if we are going to get everyone universal coverage.

    Source: Health policy professional by trade, extensive experience within the health care industry





  • We have some not-close friends who are very wealthy. Not billionaires but very deep into the millionaire range. Mansions, fleet of expensive cars, private jet. That sort of thing. The husband took up all sorts of extreme hobbies. He does rather risky vacations and adventures (wife refuses to go with him because she’s more grounded and not willing to risk the lives of their kids). It’s almost like the husband has come to believe that being rich makes him immortal, as if any situation he might find himself in can be remedied with enough cash. He seems to not understand that there are simply some perils that all the money in the world cannot save you from.


  • That is a good point and I fully recognize it’s nearly impossible to draw the line somewhere. But this situation is just so extreme. Like it’s not just someone who went out on a boat, maybe got caught in bad weather because they weren’t paying attention to the forecast or didn’t make needed repairs on their boat and got stuck. Even if someone was out boating for leisure you could chalk it up to an honest mistake or just boneheaded decision. But there’s something about taking such a HUGE risk of intentionally paying $250k to go down to the ocean floor and then necessitating a harrowing rescue that puts so many other lives at risk that just seems incredibly different. It’s way beyond any line most reasonable people could even fathom.

    Reality too is that there’s a good chance they won’t be found in time and I’m sure rescue crews know that. Just hope no one else here hurt in the process.




  • Highly doubt it. I’ve been watching coverage and it seems pretty unlikely they will be found before their oxygen runs out (assuming they are even still alive and haven’t died as a result of an implosion).

    What irks me with all the coverage, however, is that no one is pointing out the potential harm to all the people involved in trying to rescue these people. The Coast Guard and other outfits undertaking the rescue attempts are put in danger the whole time they are out there. And of course there’s the cost involved as well.