Forum Replies Created
May 12, 2023 11:17 am at 11:17 am in reply to: Did we really go to the moon #2189953
I heard that vort a number of years ago. Elon Musk gives his reason for working on colonizing Mars, as a backup plan for catastrophes that may occur on planet Earth.
It seems like something along the lines of Rav Yonasan Eibshutz’s explanation for the Dor Haflaga.May 1, 2023 11:24 am at 11:24 am in reply to: Stem cell donation #2185789
Reach out to Gift of Life for a detailed overview.
Someone I am associated with will be donating in the very near future. They have provided the donor with a detailed overview and I was privy to the information.
Never do any procedure without consulting those that you trust, such as your physician and others that you would normally consult with.
Everything in life has risks, including a short car drive. But in the scheme of things this is considered a very low-risk procedure.March 15, 2023 2:47 pm at 2:47 pm in reply to: Dental Insurance #2174107
There needs to be some mechanism that will filter out unnecessary or excessive medicine.March 14, 2023 8:03 pm at 8:03 pm in reply to: Dental Insurance #2173797
“I guess both. I’m saying if a Doctor thinks patient would benefit from a drug/scan etc the doctor should be able to prescribe it and the patietn get it.”
I understand your viewpoint that doctors should have the ability to prescribe medication and diagnostic tests that they deem necessary for their patients. However, it’s important to realize that insurance companies may not be obligated to cover the cost of these treatments. Since their primary objective is to remain profitable and sustainable, they may reject claims and requests that may be seen as not necessary in order to reduce costs.
In an ideal free market scenario, insurers would be forced to compete with each other and provide better value to consumers, such as better coverage and an easier time at approvals. However, the current healthcare system is complex and involves many grey areas. For instance, there are certain medical conditions that have vague symptoms, and the potential risk of serious consequences is minimal. In such cases, patients may request multiple diagnostic tests, which some providers may consider to be excessive. If patients are willing to pay for these tests out of pocket, they may still be able to receive them.
“what I imagine is a world where if a doctor orders a test it is done and paid for.”
In that world, there are often significant wait times for tests, and appointments can be months away.March 14, 2023 4:02 pm at 4:02 pm in reply to: Dental Insurance #2173723
“IVe since hinted to patients to exaggerate their symptoms, Its easy to get a CT scan in ED, though I hope you appreciate the absurdity of this suggestion, Lie, commit insurance fraud to get Health care you have paid for already’
– Its the way the system is set up, if the provider believes that this is an urgent matter, they can send the pt for the scan. I doubt that this would be considered insurance fraud.
In fact, PCPs send pts frequently to the ED for quicker and more convenient management. Despite the fact that at times these pts can adequately be managed outpatient.March 14, 2023 4:02 pm at 4:02 pm in reply to: Dental Insurance #2173720
“I say denying healthcare is a non starter if thats the only way it can function, then we need a different way. Period If that means Insurance will no longer be the lucrative field it is (one that MADE money during a pandemic!!!) and instead we a need a non-for profit system or Government run Ok so be it. But denying healthcare a patient and or doctor* deems neccesary is a non-starter for me”
– The financial incentives in the healthcare industry have spurred innovation and enabled the provision of advanced care. Without these incentives, progress in the industry would have been hindered. Providing healthcare for free is not sustainable as it does not cover the costs of research, development, and high-quality care.
“* who should “win” when the patient and doctor disagree is a good question and one that potentially needs to be worked out. I’m not certain myself. but I am sure it shouldnt be a bureaucrat or nurse who glanced a t the chart”
– In terms of payment or patient autonomy?
If it’s with regard to payment, maybe they should get a premium policy that does not require pre-authorization.
Personally, I believe that the healthcare system is too complicated. Insurance should be reserved for expensive unexpected medical or trauma care with high deductibles, and routine care should be paid out of pocket. Just as people purchase fire or loss insurance to protect themselves from unexpected events.
However, people would neglect their care if they had to pay for it themselves, leading to missed check-ups and medication non-compliance. To address this issue, insurance rates should reflect an individual’s health status, based on factors like regular check-ups, BMI, healthy habits, and medication compliance. insurance rates can be affected by an individual’s risk factors or prior claims. By incentivizing people to take care of their health and making insurance rates reflect this, the healthcare industry can better ensure the sustainability of the system and improve overall health outcomes.
I know, its all wishful thinking.March 14, 2023 12:36 pm at 12:36 pm in reply to: Dental Insurance #2173528
“That year I had spent months trying to get a CT scan approved for a patient wit ha suspicious lesion. Renal cell carcinoma is essentially curable if caught early enough before it spreads. by the time it was approved it had spread.”
This is very unfortunate as early detection is crucial and delays may increase complications and reduce the effectiveness of treatment. They had the following alternative options.
a. Go to the ED, and have the ED provider convinced that their symptoms require an urgent scan.
b. Explain to them the importance of the study, and why it is time sensitive, and see if they can lay out the costs (roughly 500 when paid out of pocket) and hopefully be reimbursed at a later time.
(I assume that being that they had private insurance, they had some sort of income that made the not eligible for government-funded healthcare insurance).
c. Could have used ultrasound as an alternative diagnostic tool to detect a mass, and use that as an objective means for declaring the CT Scan study urgent or emergent.
I for sure will not tell you how to practice and I am sure that you do your best to prioritize the needs of your patients, but one needs to navigate the system to the benefit of their patients.March 14, 2023 12:36 pm at 12:36 pm in reply to: Dental Insurance #2173531
“The bottom line is I don;t think free market could or should be in charge of healthcare
We have touched on many reasons here are a few:
1) Healthcare is largely not driven by supply and demand
2) The information asymmetry is close to insurmountable
3) When its an emergency you cant exactly price shop
4) Having a business decide who lives and who dies Is as you said “wrong, I agree”
So If not the private sector who should run it?
t o that I say it should be the government.”
These are significant issues, but I fail to see how putting the government in charge would fix those issues. In fact, the government may make decisions without consequence to its decisions. Where in a free market, a truly free and open market the service providers or insurers would have to compete with each other for the consumers to sign up with them.February 26, 2023 9:02 pm at 9:02 pm in reply to: Does Netilas Neshama on Shabbos Only Apply At the Organism Level? #2169413
During the time of Chazal, cellular biology may not have been understood. It’s also possible that since the processes within cells are interdependent to sustain life, the body as a whole was considered a living entity and not an individual organism.
This same discussion is relevant to antibiotics.October 4, 2022 4:50 pm at 4:50 pm in reply to: King Charles and Queen Camilla #2129491
“ is being able to say and do anything the true Torah value of success?”
Is placing severe restrictions that are not from Hashem or have anything to do with religion, a true Torah value?
You know where else there is little crime? In prisons. Does that mean society should be placed in prison?October 4, 2022 4:48 pm at 4:48 pm in reply to: King Charles and Queen Camilla #2129490
Your cherry picking. Is Russia crime free?
Besides, democracy and freedom of choice has consequences, people will make bad choices. But having a few decide for the many is bad.
Communism resulted in the death of millions.October 2, 2022 12:13 am at 12:13 am in reply to: King Charles and Queen Camilla #2128811
History is a bunch if lies agreed upon… but that also goes for the version of “truth” you put forth.September 29, 2022 4:20 pm at 4:20 pm in reply to: Putin’s attempted annexation of four Ukrainian provinces #2128485
Apparently, the world leaders are not listening to your advice, so the situation is escalating with the threat of Russia going nuclear.September 28, 2022 4:19 pm at 4:19 pm in reply to: Russia is losing the war in Ukraine #2128218
What compromise do you think Russia would be willing to accept in order to stop the war?September 23, 2022 4:32 pm at 4:32 pm in reply to: Trump Declassified by Thinking #2127636
I share your concerns, and a clear declassification process should be established.September 22, 2022 5:22 pm at 5:22 pm in reply to: Trump Declassified by Thinking #2127413
“ If declassified, it should be indicated on the document.”
Is that your assumption and practice or is that the set guidelines?September 22, 2022 12:41 pm at 12:41 pm in reply to: Trump Declassified by Thinking #2127335
I have not seen or listened to Trump’s interview and the only information I have about this is from what the media is reporting. However, I don’t think there is a formal process of declassifying documents, nor does it require a declassification stamp. This is something that was never really clarified in the past. The President may at his own discretion declassify documents, but there is no actual process that he is required to follow. Can he simply tell his staff that it’s declassified? Can he simply tell himself that it is declassified? Does he need to make a note or mark it as declassified?
Another thing that is interesting is, I don’t believe that Trump actually packed his own boxes and schlepped all those boxes out of the WH, he is a man of means and probably had other staff do it. There are lawyers and protocol people on staff that participate in everything that happens in the WH. This does not make him innocent, but it may complicate the story. He may not even have had any knowledge about the specifics of what was removed from the WH.August 28, 2022 4:12 pm at 4:12 pm in reply to: Hospital Wait Times #2119205
ERs tend to become busy later afternoon, when people are more available to check in.August 26, 2022 7:08 pm at 7:08 pm in reply to: Hospital Wait Times #2118929
If the hospital accepts medicare they are required by law to asses and stabilize every patient that presents themselves to the hospital for help.August 12, 2022 2:11 pm at 2:11 pm in reply to: I don’t like Donald Trump, but… #2114614
“So now there is a story running in WaPo”
I would assume that most people by now know that any stories are just that, stories. At this point, we don’t have many facts one or another.August 11, 2022 5:04 pm at 5:04 pm in reply to: I don’t like Donald Trump, but… #2114445
“Again, the crux of disagreement seems to stem from your starting point that every governmental official is corrupt or biased that they can’t be trusted to do their duties. Thus the rush to assume conspiracies.”
I am not sure how you deduced that.
All I said is that until we learn more, everything is speculation and there is precedence with regards to creating illegitimate investigations against Trump with the sole purpose to contain his political future.August 11, 2022 5:04 pm at 5:04 pm in reply to: I don’t like Donald Trump, but… #2114442
“2cents: just because there were a couple of biased people who hated Trump working on the case, it doesn’t mean the investigation was politically motivated.”
Correct, but that was not the basis of the claim. We now have objective evidence that the origin of the investigation was politically motivated and not based on actual interference concerns.
This is why I stated, that the fact that warrants were obtained does not yet convince me that this was a legitimate investigation.
It seems that more information will be revealed, which will make us smarter.August 11, 2022 10:35 am at 10:35 am in reply to: I don’t like Donald Trump, but… #2114214
“2cents: if your opinion of the search is colored by Mueller report, it is not true that the report was illegitimate. Please read the report yourself instead of Trump/Fox’s characterizations. Trump barely cooperated and also worked to derail the investigation, so Mueller was limited.”
I am not sure you understood what I wrote. We now know for certain, based on written communications that were at the time, (meaning at the onset of this investigation) that the Mueller investigation was a political hit job by people in the FBI.
If you are ok with that, you probably do not like our country.
Smerel kind of made my point already.
In short, that was done by the highest levels of authority in the FBI/DOJ, at the time I was also thinking if they are doing this, there has to be some legitimacy to this, but no, it was iligimate in terms of being instigated by political hacks and people in the DOJ that targeted Trump for reasons that had nothing to do with Russia or criminality.
So no, just because the FBI and a judge signed a warrant, does not mean we should just accept it as OK. We now know that this may very well be politically motivated.
I guess we will learn more with time.August 10, 2022 9:55 am at 9:55 am in reply to: I don’t like Donald Trump, but… #2113862
While we are free to speculate, we should realize that we dont have any of the facts. This may likely be something minor that Trump is using to augment and promote himself by getting people upset about the system.
On the other hand, for those that are saying that this must be a very legitimate and serious concern if the FBI went through the hoops and was able to get a warrant. In the past, I would have thought the same.
However, the Mueller investigation, has completely changed my mind. No longer are serious investigations necessarily legitimate, even if they are conducted by the highest levels of authority.
We now know that the there was no legitimate basis for this investigation, the people that authorized it knew it as well. Yet, it held us all captive and at the time made us all think that Trump might be guilty of treason. The fact that other unrelated carious white collar crimes were uncovered, does not justify any of this.
Therefore, no longer is a warrant or the fact that there is an investigation any indication that there is a legitimate issue here.April 12, 2022 11:39 am at 11:39 am in reply to: The Russia-Ukraine War Hoax #2077818
“big difference, though, a war cant be staged – an invisible spiritual fictional virus – who can know if it’s real????”
Are you claiming that all those people that allegedly died from the SARS Covid19 virus are really alive, they were just abducted and are living on some remote island?April 12, 2022 9:19 am at 9:19 am in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2077729
“ Using your brains.”
If one chooses to he skeptical, brains can be fooled.April 12, 2022 9:19 am at 9:19 am in reply to: The Russia-Ukraine War Hoax #2077727
Musk is a fictional character created by twitter to get attention.April 11, 2022 7:19 pm at 7:19 pm in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2077619
“ I agree that many corpses were found in Bucha, but how do you know those people were not just caught in crossfire?”
Why is it that you believe that corpses were actually found? Maybe this is a hoax. Why do you choose to believe this?April 11, 2022 3:23 pm at 3:23 pm in reply to: Lakewood safety patrol #2077549
“In fact, there were no Chassidim living in Lakewood 15 years ago.”
This is a highly inaccurate statement. For starters, Satmar had a shull in Lakewood much more than 15 years ago, and I am sure there were many other Chassidishe shulls at time.April 11, 2022 3:23 pm at 3:23 pm in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2077548
“My recommendation: think and don’t just swallow what you are being told.’
What not to do is simple, the question is what to yes believe. Is there a war now between Russia and Ukraine? Why believe that?
Or, will you just bring examples of statements that are inaccurate as a distraction to this discussion?April 11, 2022 8:49 am at 8:49 am in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2077377
“ Modern and 2cents, Liz Cheney today said that the attack on the Kramatorsk train station shows that Russia is committing genocide in Ukraine. Your take on her statement, please.”
You selectively choose what to believe and what to ignore. The consensus of all information, from multiple different flows, including rescue organizations, media, raw data from people on the grounds all point to Russia being a very bad actor. If you are selective in what you believe, why believe that there is a war to begin with? Have you seen it with your own eyes, or your simply believing what your being told?
Besides, I’ve not been able to follow the logic behind the entire invasion/special operation, as well as Russia telling the world prior to this that they are not planing to invade Ukraine.
It seems like a chain of lies and deceit by the Russians that not a single country, other than other communist allies, have not condemned and taken action to sanction Russia.April 10, 2022 6:20 pm at 6:20 pm in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2077228
Are you even sure there is a war between Russia and Ukraine? Maybe the media simply manufactured the entire war thing.
Maybe its not even Russia Thats fighting Ukraine, its the media that us feeding us this made up news.April 6, 2022 5:13 pm at 5:13 pm in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2076278
It so seems that you have sided with the Russians on this matter and are have strong opinions about Ukraine.
While I don’t think that any of what was written here will change your mind, it seems odd that all the information coming out clearly point to Russian atrocities, they have no regard for civilian human life.
If this were not the fact, Russian PR would be at full speed providing acceptable information to refute this. In fact, all they have is some made-up stories that hold no water.
How is it that day after day, there is another atrocious story about a hospital, school, or civilians being killed by the Russians, and they are all consistent with photos and videos? If even just some of this were made up, there would have been many inconsistencies.
It’s clear that Russia is willing to reach its objectives by all means, with no regard for its consequences. That is not Ok.April 5, 2022 10:53 am at 10:53 am in reply to: Gruesome Evidence Points to War Crimes in Ukraine #2075682
Politics is about twisting logic and facts to fit a pre-set narrative.
The simple reality is, that people are being hurt and killed. These are civilians that just want to live, take care of their families and their selves, and contribute to society. These people have not instigated this war nor are they playing an active role in this war.
To justify an invasion, kill civilians, and flatten residential buildings, schools, and hospitals is an extreme level of evil and has no justification in a civilized society.
Russia started this, they need to eat the consequences that come along with their actions.
Putin may believe that killing so many people, including young Russian soldiers is justified as long as his objectives are met. The world does not have to subscribe to that belief.April 5, 2022 10:53 am at 10:53 am in reply to: Is there any difference between a religion and a cult? #2075679
While there are some overlapping similarities between a cult and a religion, they are not the same.
In simplistic terms, a cult is where people have extreme dedication and worship a leader, or are controlled by a leader.
Religion is a set of shared beliefs about a supernatural power and is consistent with basic mainstream standards for human dignity.
There are some overlapping characteristics which is why religions are sometimes brushed off as cults, but they are fundamentally different.March 30, 2022 1:09 pm at 1:09 pm in reply to: Washing on Pizza #2074148
From the OU website:
“Rav Belsky, zt”l said that it is unclear whether pizza is a snack or meal food, but noted that the general custom is to say Mezonos when eating a small amount.
It should be noted that if the pizza dough is fully baked prior to adding the cheese (as is the case with some frozen Pizzas) the bracha would be Hamotzi. When the dough is baked alone, its status at that time is Hamotzi, and that does not change when a filling is added.”
It seems, that one is allowed to make a Hamotzi if they wanted to, especially if they were to eat the pizza as a meal.
Personally, I try to wash and make an Hamotzi, its not a big deal and gives us an opportunity to Bentch and thank Hashem for all the good that he bestowed upon us.March 23, 2022 2:35 pm at 2:35 pm in reply to: Food and other #2071859
“Also do you really mean it that the economy is better or even getting better with rising prices by the day?”
While we may be affected by increased prices for essential items, I am not sure that this is how the economy is measured.March 23, 2022 2:35 pm at 2:35 pm in reply to: Food and other #2071858
As you noted, the solution to grow one’s own food is for those living in suburban areas. It also only applies to those with the skills, capability, and availability of time.
Also, it is not just the potential shortages in food that are causing a price hike. Inflation and increased operational costs, such as increases in fuel prices, increases in shipping costs, and higher pay for operators is also a factor.March 16, 2022 3:28 pm at 3:28 pm in reply to: Daylight Savings time #2069802
Would it really add an hour, or would our clocks read a different time than we would otherwise expect it to read?
It seems that the only things that will be affected are those that are tied to a time, such as normal 9-5 business hours. Otherwise, everything carries on.March 13, 2022 8:55 am at 8:55 am in reply to: recent read #2068661
I think you should have written with no KNOWN exposure to Covid.March 11, 2022 1:14 pm at 1:14 pm in reply to: Clarity: Ukraine, bloody Nazi past and the current innocent #2068419
“All people are responsible for the sins and crimes of their ancestors so long as they have not taken any steps towards teshuva.”
Can you provide a source for this claim?March 10, 2022 4:48 pm at 4:48 pm in reply to: “Cancel culture” as a weapon of war #2068189
“What I intended to point out was how coordinated, rapid, and policed this boycott was from the outset and at a point in time when information was more scarce.”
Rapid indeed. So was the Russian invasion and its killing of civilians. The Russians may have been counting on the fact that reaction, at least the reactions that would matter will take some time, and by that time all will be over.
For the reaction (sanction and boycotts) to be effective, they needed to be deployed rapidly.
Russia initially lied to the world when it announced that it has no intention of invading Ukraine and is moving its military away from the border. This was a lie, and likely to avoid any rapid reaction to their offensive.
Some companies are pulling away from the Russian market to avoid being hit with government-induced sanctions. Others to avoid negativity.
Russia is indeed being canceled and the way it APPEARS at this moment, for good reason. As you pointed out, I sure hope that this never gets utilized for other ideologies. But right now, this is not some ideology that people subscribe to, it’s a mass-murdering scenario and needs to be stopped. If these are the means to stop it, it may be worth it.
Lastly, I am sure that it took little convincing for most companies to divest and pull out of Russia, with the tanking and unstable economy, not much business is to be made in Russia at this point. They just run the risk of Russia finding alternative companies to work with, such as Chinese companies.March 10, 2022 12:32 pm at 12:32 pm in reply to: “Cancel culture” as a weapon of war #2068045
We cannot have it both ways, we cannot cancel companies for assisting or being contracted by Hitler and yet complain when companies are being pressured to cease doing business with or even in Russia.
There always is the risk that cancel culture may be extended for political and social causes, but that does not mean that using it for evil of such magnitude and extreme, such as killing civilians and hospitals is uncalled for.February 14, 2022 4:04 pm at 4:04 pm in reply to: Warning: Do not lift the Chasan on the Table #2060288
Hill of beans,
“Should we also stop the Choson from breaking the glass under the Chupa since there are well documented instances, multiple times, where he cut himself and need to be taken from the chasuna?”
What the Choson chooses to do, especially if there is a minhag associated with his actions is not to compare to placing the Choson on a table throwing him off balance while elevated from the ground putting him at significant unnecessary risk.January 31, 2022 5:11 pm at 5:11 pm in reply to: Hospital Horror Stories? #2056447
Um, .5 and .50 are the same amount.”
Yeah, that stood out when I was reading it. He probably meant .5 and 0.05 Which is a significant difference.January 11, 2022 7:18 pm at 7:18 pm in reply to: Vaccine Mandates #2050444
“ But, seriously, let’s share information and think critically together. To your comparisons with smkoers, etc – they are already paying more: medical for smoking and life insurance for obesity, and all pay co-pays. People at fault of accidents – their insurance pays damages and their premiums go up.”
With regards to insurance, I do not think that premiums are linked to peoples behaviors or prior medical conditions. Especially when they are enrolled in company insurance policies.
Better would be, if people are given incentives to lead healthier lives and make better health decisions. Such as reductions in insurance policies for maintaining a good BMI or for being enrolled and actually showing up to gym a couple of times a week. Being fully vaccinated can also be considered, like this the insurance companies will have a healthier customer base, with less expenses.
Its not going to happen, its not how things are set up. But that would be a bit more solution oriented and beneficial to all parties.January 11, 2022 7:16 pm at 7:16 pm in reply to: Vaccine Mandates #2050439
Re “nudging”, who is providing guidance to this? Government officials or public health officials?January 11, 2022 7:15 pm at 7:15 pm in reply to: Vaccine Mandates #2050435
“ wow, sounds like something i said rubbed you wrong”.
Not at all, I was just trying to explain myself, I didnt feel “rubbed” by your polite inquiry.January 11, 2022 5:24 pm at 5:24 pm in reply to: Vaccine Mandates #2050390
“I don’t have a solution since Autonomy is critical, and people are allowed to change their minds. But it isnt straightforward .”
-100%, it is very complex and as you mentioned poor decision-making strains the healthcare system and in return, it hurts others that need the system.
This is also a complicated halacha question, do we have autonomy in a religious sense or just in a secular sense? What if someone was diagnosed with a heart attack, the accepted standard of care would be to remove the occlusion, and in return, they are expected to lead an otherwise normal life. However, for some odd reason, the patient refuses further care, which may result in death or permanent complicated heart failure. I believe that such a patient is obligated, in a religious sense to seek the appropriate care.
Prophylactic care, such as acquired immunity (vaccines), has been accepted as a mainstay in medicine. But the Covid19 vaccine is still being worked out, we are not sure how it compares with regards to natural immunity, or those with elevated titers.
Furthermore, if the increased strain on the health care system (partially a consequence of the vaccine mandates, as the already understaffed facilities now had to fire valuable staff) is only temporary, such as until the current wave resides, if hospitalization levels were to fall to acceptable levels, will the mandates be re-evaluated?
Lastly, while I am a strong proponent of any efforts to fight this virus by all means, including vaccinations. Patient (human) autonomy is a very serious matter, I would shudder to think if my consent would not matter if I were to be a patient. This is why I tried making my point that medical-related mandates are dangerous, it’s like a slippery slope, good intentions but hard to draw the line once implemented.January 11, 2022 5:15 pm at 5:15 pm in reply to: Vaccine Mandates #2050382
” I don’t remember if you mentioned what area of medicine you practice”
-Correct, I don’t believe that an anonymous online post should be based on assumed credentials, for all one knows I spent hours on a post to make it seem as if it was written by someone that deals with medical matters.
I would prefer that my posts should be accepted on the merits of their content, not as if they were written by an authority.
I do the same when I read posts written by other people, I accept the content as is, unless I know the author and respect them as an authority.