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| Favorite team: | US Space Force  |
| Location: | CO |
| Biography: | |
| Interests: | |
| Occupation: | |
| Number of Posts: | 1549 |
| Registered on: | 4/19/2018 |
| Online Status: | Not Online |
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My son is about to enter into an ophthalmology surgery residency. He has used robotic assisted devices for surgery. That is one thing, but having robby the robot doing your surgery,,,danger danger. Musk may be correct that it is POSSIBLE that such a thing can be accomplished, but you have to get by the regulations set in place by the AMA, FDA, unions, insurance companies to actually have this be a thing. These entities will defend their occupation through legislation until enough evidence exists that it is infallible and cheap for them. I call 15-20 years when all us old geezers that don't trust robots die off.
0
re: Good news for Starlink users! Fiber speeds incoming.
Posted by rphtx on 1/9/26 at 8:29 pm to AncientTiger
I used Starlink since beta, out of necessity. Live on a mountain with DSL or SL as the only option. We recently got fiber up the road and switched because its 3x the speed and 1/2 the price. Starlink offered half the rate after I cancelled which would be comparable pricewise, but hey why was that not the rate from the start?
I went through 3 dishes because hail x SL dish works out in mother natures favor. Overall I was pretty satisfied with the service, besides the 3-4 weeks it took to get replacement dishes. If it is the best option then I would have no problem staying with SL.
I went through 3 dishes because hail x SL dish works out in mother natures favor. Overall I was pretty satisfied with the service, besides the 3-4 weeks it took to get replacement dishes. If it is the best option then I would have no problem staying with SL.
re: Can anyone help me create the letter “K” out of paw prints?
Posted by rphtx on 12/14/25 at 7:44 pm to shutterspeed
quote:
k
I see what you did there
quote:
That entire video was cancer to my ears
Only real men can hear bagpipes.
re: What 2026 shows are you looking forward to?
Posted by rphtx on 12/14/25 at 11:08 am to LuckySo-n-So
Opeth in COS
311 Day in Vegas
all i got so far
311 Day in Vegas
all i got so far
My spouse got the kids a few things, but anything I want/need is stuff that costs $$$. I don't need another hat or socks from my kids. I just told them don't worry about it. They live in different states anyway, so won't be hanging out for Christmas. Even if I had an unlimited budget, probably would still not care to participate in buying a bunch of junk.
quote:
They pool resources and live with two or three families.
When I was working at HEB in decent area of NW Austin, we had a large number of Pakistanis in the surrounding neighborhoods. It became obvious that many were living as multi generational or family situations under one roof. It was not uncommon to see up to 15 people in our database with the same address. These were generally 3 bedrooms averaging about 2200 sqft.
It's been this way for years. There are several issues with this, first being the poor communication that occurs when you have a patient, pharmacy, PBM and a doctor all involved. Four entities that don't have a singular ability to see who has the ball in their court.
Doctors rarely ever bother to check who presides over your prescription insurance and will just write you an rx without seeing if its covered or in what tier it is. Takes him a second to write this. Rx gets to the pharmacy who runs the rx and it will go through if its on your insurance formulary. If it doesn't go through, you get a rejection message (which hardly ever helps about why its not covered) and subsequently try and contact the dr to change to something covered.
This can be the start of the shitshow where you now have to rely on your dr to contact the insurance and not sit on their hands. This can take 1-3 days in a dr's office where the staff isn't making tiktok vids or It can take up to 7-10 days in a poorly run office.
If your dr. checked the box "brand only" on the rx, its worse because brands are not typically covered and if they happen to be, they are a high copay. Dr could have avoided this mess by learning to write for generics or at the least write a backup rx for a generic treatment option .
Ex: Dr's like to write for Prevpac's to treat GERD. Its a brand product with three different drugs combined and has no generic equivalent. Its rarely covered, but he could write out 3 separate rx's for the 3 drugs in a Prevpac that are all usually $5 each. You essentially wait for the dr and PBM to hash it out. If any group involved fails at getting things done, its just a back and forth while you wait.
PBM's also have complicated cascades for treatment. They don't want to pay for things that are essentially the same treatment, but where a cheaper way is available (ie the Prevpac example). They will also like to see you treated first with standard therapy that is tried and true and most likely the cheaper route. Once you have checked off these first line therapies and they have not worked, the PBM will start to pay for more expensive treatments. They want to see the cheapest approach tried first before paying for brands, whether or not its the best option for you.
For sure, the entire insurance system created by PBM's gets worse year after year with more headaches and less coverage. In the end though, the largest issue is people not answering faxes, emails and phones. As the years went by, I had a phones stuck to my head 80% of the day trying to get things moving for patients. Its why I don't do it anymore.
Doctors rarely ever bother to check who presides over your prescription insurance and will just write you an rx without seeing if its covered or in what tier it is. Takes him a second to write this. Rx gets to the pharmacy who runs the rx and it will go through if its on your insurance formulary. If it doesn't go through, you get a rejection message (which hardly ever helps about why its not covered) and subsequently try and contact the dr to change to something covered.
This can be the start of the shitshow where you now have to rely on your dr to contact the insurance and not sit on their hands. This can take 1-3 days in a dr's office where the staff isn't making tiktok vids or It can take up to 7-10 days in a poorly run office.
If your dr. checked the box "brand only" on the rx, its worse because brands are not typically covered and if they happen to be, they are a high copay. Dr could have avoided this mess by learning to write for generics or at the least write a backup rx for a generic treatment option .
Ex: Dr's like to write for Prevpac's to treat GERD. Its a brand product with three different drugs combined and has no generic equivalent. Its rarely covered, but he could write out 3 separate rx's for the 3 drugs in a Prevpac that are all usually $5 each. You essentially wait for the dr and PBM to hash it out. If any group involved fails at getting things done, its just a back and forth while you wait.
PBM's also have complicated cascades for treatment. They don't want to pay for things that are essentially the same treatment, but where a cheaper way is available (ie the Prevpac example). They will also like to see you treated first with standard therapy that is tried and true and most likely the cheaper route. Once you have checked off these first line therapies and they have not worked, the PBM will start to pay for more expensive treatments. They want to see the cheapest approach tried first before paying for brands, whether or not its the best option for you.
For sure, the entire insurance system created by PBM's gets worse year after year with more headaches and less coverage. In the end though, the largest issue is people not answering faxes, emails and phones. As the years went by, I had a phones stuck to my head 80% of the day trying to get things moving for patients. Its why I don't do it anymore.
re: Trump Gold Cards are now available to buy
Posted by rphtx on 12/10/25 at 7:31 pm to hawgfaninc
Too bad Trump Official crypto isn't going for a mil.
We got apple fireball
re: Latest update on the jabs
Posted by rphtx on 12/4/25 at 4:44 pm to Night Vision
Does this offer an explanation for how unvaccinated women acquired the mRNA?
Brisket
Slaw
Baked beans
Mashed potato salad
Hamburger enchiladas
Sourdough bread
Beer
Slaw
Baked beans
Mashed potato salad
Hamburger enchiladas
Sourdough bread
Beer
re: In praise of Mission BBQ
Posted by rphtx on 11/26/25 at 7:53 pm to conservativewifeymom
I had a chopped beef sandwich that was basically like burnt sawdust. They don't serve beer. I like what they do and their 'mission', but never returned.
re: Iman in South Florida breaks down in tears because people were eating bacon
Posted by rphtx on 11/23/25 at 3:28 pm to Major Dutch Schaefer
I told a friend that lives in TX that he was probably going to see shitria law within a decade there. Guess I was off by a decade.
Huh. Didn't know Phil Anselmo was a vegan.
I judge by gas and groceries. Gas fluctuates and that's fine. Groceries, however, I can definitely feel the increase. We don't buy much anything besides food and gas and we usually buy the same items at the grocery store. If you always purchase the same food, it is noticeable. Seems the things that were $2-3 dollars are $5 now and go up .$50 every 6 months. Never mind beef. Glad I bought half a cow last year.
You can say inflation is higher or not, but I'm spending more for basics for sure.
You can say inflation is higher or not, but I'm spending more for basics for sure.
quote:
Rank Song Title Artist Play Count (Billions)
1 Bohemian Rhapsody Queen 2.192
2 Smells Like Teen Spirit Nirvana 1.684
3 Don’t Stop Believin’ Journey 1.600
4 Don’t Stop Me Now Queen 1.642
5 Another One Bites The Dust Queen 1.572
6 We Will Rock You Queen 1.082
7 Sweet Home Alabama Lynyrd Skynyrd 1.125
8 Eye Of The Tiger Survivor 1.073
9 Californication Red Hot Chili Peppers 1.154
10 Have You Ever Seen The Rain? Clearwater Revival 1.139
Downotes for posting some information? Braindeads in this group. :doublebird:
Rank Song Title Artist Play Count (Billions)
1 Bohemian Rhapsody Queen 2.192
2 Smells Like Teen Spirit Nirvana 1.684
3 Don’t Stop Believin’ Journey 1.600
4 Don’t Stop Me Now Queen 1.642
5 Another One Bites The Dust Queen 1.572
6 We Will Rock You Queen 1.082
7 Sweet Home Alabama Lynyrd Skynyrd 1.125
8 Eye Of The Tiger Survivor 1.073
9 Californication Red Hot Chili Peppers 1.154
10 Have You Ever Seen The Rain? Clearwater Revival 1.139
1 Bohemian Rhapsody Queen 2.192
2 Smells Like Teen Spirit Nirvana 1.684
3 Don’t Stop Believin’ Journey 1.600
4 Don’t Stop Me Now Queen 1.642
5 Another One Bites The Dust Queen 1.572
6 We Will Rock You Queen 1.082
7 Sweet Home Alabama Lynyrd Skynyrd 1.125
8 Eye Of The Tiger Survivor 1.073
9 Californication Red Hot Chili Peppers 1.154
10 Have You Ever Seen The Rain? Clearwater Revival 1.139
re: Seattle Mayoral race. Nothing to see here.
Posted by rphtx on 11/14/25 at 9:55 am to newmexicotiger
re: Protestants in Europe have fallen
Posted by rphtx on 11/11/25 at 8:18 am to dickkellog
quote:
as a roman catholic, this really doesn't concern me as i believe the entire protestant reformation, was the inspired work of satan, so the fact that it's dying it's natural death just 400 scant years later is not surprising good riddance! it's dying in america too!
Weird take man. Inspired by Satan? I think you might want to take a look in the mirror.
Also, that person can claim to be a part of an 'evangelical' church, but I don't personally know any evangelicals or protestants who are OK with gay marriage.
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