Your healthcare providers genuinely care about you; however, due to low insurance payments they have to see a lot of patients to make ends meet. This is because insurance pays more for four 15-minute appointments than two 30-minute appointments.
This issue affects primary care providers the most because they are among the lowest paid providers.
However, I wonder if “making ends meet” is really an accurate portrayal? That phase to me means like a single mom working two minimum wage jobs to support 3 kids in grammar school..
I understand it is a ton of work to become a doctor. And the debt load for all those years of education is crushing. Brutal hours in a pretty toxic environment with other doctors. And insurance companies must be an absolute nightmare to deal with. Totally agree with all of those compelling points and don’t debare any of them.
But is it realistic to say that many doctors are worried about how they will feed their kids dinner tonight?
Depending on the area they serve and how many Medicaid/Medicare patients they see, they can have a very thin margin. For example, commercial insurance pays ~$150 for an office visit, but Medicaid/Medicare pays about half that. Providers often lose money seeing Medicaid/Medicare patients, so they have to make up the difference by seeing enough commercial insurance patients. Sometimes providers have no choice but to not accept new Medicaid/Medicare patients to achieve the necessary ratio. Adding insult to injury , the One Big Beautiful Bill Act put even more financial pressure on providers.
Thank you for that additional context. Really interesting to understand the economic model that goes along with people’s medical care. And inam not disputing the overall spirit of your comments.
My hunch, maybe wrong, is that the percentage of MDs living below the poverty line is pretty low, compared to most other professions, even compared to those with advanced degrees.
I might be wrong, “making ends meet is an accurate way to describe the MD population.
Apart from that nuance, I am in violent agreement with you.
$150 for an office visit... half that, $75, if medicaid is paying... 15-30 minutes per visit...that comes to $150-$600 per HOUR. If you're struggling to "make ends meet" at that pay rate, you're doing something wrong.
There’s a receptionist who checks you in. A whole office staff that keeps that place running. First you see the medical assistant for an intake and they do your vitals. There’s malpractice insurance. Rent, utilities, equipment, medical devices. There’s medical waste that needs to be collected. There’s also staff benefits. Hopefully they all have insurance and a retirement plan. most of our healthcare is for profit. Now you have to put that in as well. your primary care provider isn’t seeing anywhere near $600 an hour.
Fair, they don't see all of it, so let's say 90% of that $600 is going to the doctor, that is still $60/hr. Doesn't really change my first point much, if you're struggling to make ends meet at $60/hr, you're doing something wrong.
Primary care doctors make maybe 100k WITH all the backed bookings they do, which is not a lot in many areas, especially if you have kids and especially if you still have 300k+ of school debt. Residents make maybe like 60k.
If we want knowledge, helpful and happy doctors they need to be making a lot more than 100k.
Paying 400k in student loans?? On top of rent or mortgage? On top of long hours? On top of raising children? On top of losing the best years of your life in a library? Respectfully 100k is not enough
Are they barely making ends meet, as in the verge of losing their house, ending up homeless, working a 2nd or 3rd part time job. On food stamps or other social program. Taking the bus to work because they can’t afford to get their car fixed. No health insurance whatsoever because the jobs don’t have benefits. Struggle with health issues and obesity because their diet is terrible.
That is what barely making ends meet looks like to me.
Barely making ends meet means living paycheck to paycheck, right? That’s what it means to me. And yes, some doctors do live paycheck to paycheck. Paying off 400k+ in loans is like paying off a house. Many doctors actually do work a 2nd part-time job. Some have a 3rd part-time job too. Their jobs are more secure, yes but 100k isn’t a lot in this context.
No. Making ends meet does not mean living pay check to pay check. It means all the things I listed above. Precariously balance on the edge of tipping into homelessness or living a car. Scared to death of getting seriously ill for lack of health insurance. I think an extremely small percentage of doctors live anywhere close to that level of destitution.
Do we need more doctors? Absolutely. Should they get paid more. Yes. Should there be loan forgivensss after a certain period of service? Also yes. Does one have to put in years of eduction and residency and specialization? In a learning and working environment that is designed to be a high pressure frat house. Yes to all.
Is a significant percentage of doctors truly teetering on the edge? No. Frankly it is offensive to argue differently.
This is true for a lot of people not just Doctors. In reality this is why it’s so hard for anyone to get ahead. But, also we really just buy too much and spend to much money stupidly like ordering food to be delivered, eating out, buying too much of everything (clothes, shoes, purses, watches, etc). Tons of other ways of over consuming.
The common denominator to many of our secrets and problems are because of insurance companies whether it is health or car or home. Insurance companies are good at two things: selling policies and denying claims, and they squeeze the life out of anything they touch. They don't want to pay.
After high school, imagine going to school for 12 more years to get your MD… only to have some Claims Examiner at a health insurance company dictate what is best for your patient.
then they clearly care more about money than patients. how are you 'struggling to make ends meet' when you are earning more than the majority of the population? how many ivory back scratchers does one person need?
Some/many are straddled with 300k in debt to get there. Most don’t start earning until their 30s.
I know docs get paid a lot… but also shouldn’t they? I once saw a Cardiothoracic surgeon performing five surgeries in 24 hours. I’m okay with him making 1 million a year.
they should be well compensated if they are doing their job, yes.
but there is no excuse to provide sub-quality care by rushing through people in order to see as many patients as possible in an attempt to earn more, which is what op is suggesting.
How about wasting your teens, 20s, doing 24 hour shifts, all the liability and 300-400k loans. And you want you doctor make the same as a costco worker? They deserve more than what they get.
The amount insurance pays doesn't all go into the doctor's pocket. When I did the accounting for a provider I was astonished how much it costs to run a practice. Malpractice insurance for a primary care provider is ~$5,000/yr IF they have never had a claim. Then there's rent, support staff, continuing education, general office expenses to name a few. Brand name drugs require pre-authorization with insurance which can take anywhere from 15 minutes to 4 hours of support staff time because every insurance company has different criteria. The insurance companies often require different billing codes for the same procedure. Because of this complexity processing billing costs between 10-25% of revenue.
Another big factor for them (both) when it comes to cash flow is “time value of money” with how claims are denied or need to be recoded. It screws up the docs cash flow while the insurers park it with big banks and earn interest. If you can deny or delay $250-$1B for 30 or 60 days that brings in a decent amount of interest income. With both mine and my wife’s docs they have added additional products and services that are outside of insurance for additional cash flow.
For shits and giggles read a health insurance companies quarterly or annual statement. There’s a reason companies like Vanguard and Black Rock own huge chunks of these companies.
I worked for a podiatrist where 80% of patients are elderly and come for basic podiatric care and have Medicare. The reimbursement rates for those visits are incredibly low.
This is why we cash pay our primary care private physician. The level of care is greater and more personalized while the cost is lower than dealing with insurance.
I work in science. A lot of publishing and also getting grants awarded, depends a lot on who you know and are "friends" with, in addition to the strength of your data.
The whole "pay to publish" business model of many academic journals is quite ... interesting. I know they don't accept advertising and don't have a ton of paid readers but still ...
Publishing a scientific article is outrageously expensive it can run you in he vicinity of 5k to publish. And that is after review. The usual proces, simplified and in a nutshell is, submit to a journal, indipendent peer review, when accepted, pay the publishing cost. And they charge extra for color figures.
I don't think I would go that far. Corruption is on a whole different level. Academic science is still the most reliable way to get to the truth and has, at it's core, benefit to all as it's main goal. Unlike the other two
After retiring with 24 years as a dental hygienist I would deadly have to agree. The things I saw , experienced would shake your beliefs in health care!
I have been offered dental stone removal for the last 30 years.
If there is no need, there is no need. Some people really build this shit up fast, but not everyone. I have had only ones plaque removal, never since, never had problems.
Teeth are very genetic dependent and the way they mineralize.
I eat lots if sweets and acidy foods and have no issues whatsoever( do not floss either)
My wife does not eat sweets and flosses and still has many problems. If we would go to the same dentist? He would probably offer us similar treatments although i am in no need of those.
No- most cavities don’t hurt until they are large. Periodontal disease doesn’t usually hurt, but it is associated with over 57 different systemic conditions. Your oral health plays a large role in your systemic health and frankly should be considered part of basic health care/health insurance.
This is true. There is nobody to check on them—-unlike the medical field. If your mouth can’t make money, you’re worthless to them. I had a dentist yank a tooth out. It took the devil to pay to get it out. wtf! He was practically standing on the chair to get leverage to get it out! “If you need a 2-foot crowbar to yank my tooth out, maybe you should leave it alone!”
Honestly, this used to be a little funnier, but the fewer people there are who have access to reliable healthcare and the fewer who can actually get checkups, the more tragic it gets.
Good thing conservatives are always fighting tooth and bloody claw to keep any kind of access to health care away from the poor.
Wouldn't want people to have to experience life, liberty, and the pursuit of happiness, or anything like that.
We have a local news channel that puts out their top and bottom 5 of the week. The link all of the actual health inspections and violations found, with the address.
In my old office job it was how many “urgent” things were literally made-up emergencies lol… half the chaos was just bad planning from higher ups. I used to think everything was super important until I realized most of it could’ve waited days. Once you see it, you can’t unsee it.
The ONLY thing i miss about living in texas is that all rentals are required to have a dead bolt that you cant unlock from the outside. Obviously people can break through windows and such, but that would be very loud
Many building contractors have never touched an actual tool and don’t have any employees. Everything is done by subcontractors and nobody takes responsibility for anything but their specific piece of the job and the contractor has no clue if something is done correctly or not.
“Emergency” for a doctor is different than “emergency” for a layperson. When I say something is emergent, I mean the patient is at risk of dying/seriously decompensating in 24 hours. If I say something is urgent they have a risk of decompensating in 48-72h. Everything else can wait until after the weekend/holiday/open OR schedule/whatever
I’ve been in the retail gasoline/service station/petroleum hauling industry since 1995.
All gasoline is “the same” product. It all comes from the same terminals and refineries. The gas at Costco is the exact same gas at Chevron (less whatever additive the brand mixes in - which is largely marketing). So, while chemically they’re not identical, in terms of performance and potency, it’s the same exact gasoline; hauled by the same tankers, loaded at the same terminals. Branded gasoline isn’t “refining” better quality: the only distinction is additives.
As a consumer if you’re NOT buying Arco AM/PM gas or Valero gas(as examples) because you perceive their lower prices as indicative of an inferior product, I’d say that’s foolish. I’m not saying the additives don’t matter, but I would say the (perceived?) benefit hardly justifies the additional cost. Likewise Shell = Phillip66 = Chevron = Sinclair. When one of their specific terminals goes off-line for whatever reason, they ALL have agreements to use the other’s terminals so their stations don’t sit out of gas.
Now, out here in Kommiefornia, refineries across the board do blend differently seasonally.
So I would argue the statement “All gasoline is the same.” is more TRUE than not. Again, I have been in this industry for close to 30 years: I buy my gas where it is cheap and convenient.
I’m not sure this is even a “dirty secret”. It just our industry.
I sell b2b software. There's no such thing as promotional pricing, it's just a negotiating tactic. The numbers are all just made up, I just get paid more when you are bad at negotiating.
The fuel tankers you see going down the road? Yeah, the shell on those tanks are usually millimeters thick. 1/8 inch (or less) of aluminum is all that’s holding all that flammable liquid in. Moral of the story, drive safe. Especially around fuel drivers.
Sweaty buckets! I work in set construction for film and TV, and apparently union painters used to be able to order sweaty buckets from the local paint providers out here in Hollywood. What is a sweaty bucket? You might ask, and well, use your imagination but yes. Shenanigans are abundant in film and television
Try again. Except for the additive packages. And most of those are the same. It’s just marketing. So don’t pay more for Exxon or chevron or shell. It’s all the same. Comes from the same tank at the same terminal
Most teachers are afraid of parents (b/c of that one parent who made their life Hell/ bullied them) and will compromise a lot with a respectful, kind approach.
When you call a Customer Service ctr angry and complaining know we don’t give two 💩’s, we mute you and Mock you, then come back sweet as pie. The angrier you get the less effort we do, be nice and we will help you out…..
In philosophy, it's really exceptional for most people to know at an expert level some topic other than philosophy, which has been a mayor cause of adhering to, or expressing very uninformed ideas.
I worked in crisis communications for major corporations that were always the subject of conspiracies and the conspiracies were always wrong. The reality was just understaffed people working really hard. Political opponents made up conspiracies because they either had no clue, or there was money in it.
This is not a partisan thing, by the way. It’s actually really discouraging to see from the inside just how dishonest most of the political discourse is. Whatever your political persuasion, based on my experience I can tell you that a huge amount of what you believe to be true is nonsense spun up for one of the two reasons listed above.
The visually appealing high-quality fruits you purchase at a grocery store are nothing like the fruit stock used to create bottled juice products at scale. Many companies also rework reject materials that fall outside of quality standards into existing saleable finished products.
I forgot how long ago this was but there were people from China/Vietnam in videos talking about how cheap it is to make and how much it’s sold for in the west. It’s sickening actually
In Australia, many optometrists have KPIs to meet including same day spectacle conversion rate, average order value, average sight test Medicare earnings and in some larger chains, conversion rate of extra tests. Optometrist salaries are getting lower over time due to big corporate chains, where most optometrists are making less than median Australian salary even with the intensive training they go through and the risks taken with being therapeutically endorsed and being primary care practitioners. Many optoms won’t get salary rises if KPIs aren’t met. Ever felt like your optom is just rushing you out or forcing extra tests on you? They probably are.
Try to seek out reputable independent optometrists who typically don’t have these KPI pressures - especially if you actually have ocular disease or health concerns.
Optometrists are finally starting to unionise to try and push against these pressures. Optometry is an amazing and fulfilling career, but sale based KPIs mixed with healthcare is a huge problem. Not to mention the amount of optometrists who have spoken out about poor working conditions, unpaid overtime, missed lunch breaks for months, being scalded for needing to use the restroom, etc. Unless the optom is the practice owner, it’s usually not their fault that they’re working like that - they’re trying to do the best they can in the situation they’re in as they see no alternative.
I mean, I just assume all people are aware of the fact that the entire planet's networking infrastructure is cheaply taped together by the thinnest possible janky links that you could imagine.
It's honestly probably only the mere fact that people believe that tech is so inherently magical that it even works at all.
That being said, it's pretty apparent at this point that the internet is multi-densional, allowing access to multiple timelines, and also allowing televangelists like bashar to create realities that attempt to trap unwitting 4th density beings in what can only be assumed to be yet another layer of samsara.
I think this got a bit off topic, but tldr, the internet is mostly run on collective belief.
Most welders’ wives seem to think we will be going on vacations and trips after retirement. They don’t realize we will probably die of lung cancer before retirement age.
I work at CVS, and we all know that there are many pills that would be like $3 or $5 if you just pay cash but if you use insurance, you now have to pay $10 copay. Ask for a medicine price list
I work at a public library and the amount of money we have available to spend is astounding. It comes from the city, the state, donations, endowments, volunteers. It’s crazy.
Most weed that you’re buying from dispensaries aren’t actually the strains that are labeled. Weed will come into a distro as one strain and leave as another (in terms of labeling of course) depending on what strain name would do better from a sales perspective.
Your healthcare providers genuinely care about you; however, due to low insurance payments they have to see a lot of patients to make ends meet. This is because insurance pays more for four 15-minute appointments than two 30-minute appointments.
This issue affects primary care providers the most because they are among the lowest paid providers.
I think you raise a number of good points.
However, I wonder if “making ends meet” is really an accurate portrayal? That phase to me means like a single mom working two minimum wage jobs to support 3 kids in grammar school..
I understand it is a ton of work to become a doctor. And the debt load for all those years of education is crushing. Brutal hours in a pretty toxic environment with other doctors. And insurance companies must be an absolute nightmare to deal with. Totally agree with all of those compelling points and don’t debare any of them.
But is it realistic to say that many doctors are worried about how they will feed their kids dinner tonight?
Depending on the area they serve and how many Medicaid/Medicare patients they see, they can have a very thin margin. For example, commercial insurance pays ~$150 for an office visit, but Medicaid/Medicare pays about half that. Providers often lose money seeing Medicaid/Medicare patients, so they have to make up the difference by seeing enough commercial insurance patients. Sometimes providers have no choice but to not accept new Medicaid/Medicare patients to achieve the necessary ratio. Adding insult to injury , the One Big Beautiful Bill Act put even more financial pressure on providers.
Our office does not see Medicaid patients because they pay next to nothing.
Thank you for that additional context. Really interesting to understand the economic model that goes along with people’s medical care. And inam not disputing the overall spirit of your comments.
My hunch, maybe wrong, is that the percentage of MDs living below the poverty line is pretty low, compared to most other professions, even compared to those with advanced degrees.
I might be wrong, “making ends meet is an accurate way to describe the MD population.
Apart from that nuance, I am in violent agreement with you.
$150 for an office visit... half that, $75, if medicaid is paying... 15-30 minutes per visit...that comes to $150-$600 per HOUR. If you're struggling to "make ends meet" at that pay rate, you're doing something wrong.
There’s a receptionist who checks you in. A whole office staff that keeps that place running. First you see the medical assistant for an intake and they do your vitals. There’s malpractice insurance. Rent, utilities, equipment, medical devices. There’s medical waste that needs to be collected. There’s also staff benefits. Hopefully they all have insurance and a retirement plan. most of our healthcare is for profit. Now you have to put that in as well. your primary care provider isn’t seeing anywhere near $600 an hour.
Fair, they don't see all of it, so let's say 90% of that $600 is going to the doctor, that is still $60/hr. Doesn't really change my first point much, if you're struggling to make ends meet at $60/hr, you're doing something wrong.
Repaying medical school loans is like having a mortgage. That’s a huge chunk of $ that evaporates every month for many decades
Primary care doctors make maybe 100k WITH all the backed bookings they do, which is not a lot in many areas, especially if you have kids and especially if you still have 300k+ of school debt. Residents make maybe like 60k.
If we want knowledge, helpful and happy doctors they need to be making a lot more than 100k.
Agree! However, I don’t think it is accurate to say that an MD pulling down $100K is barely making “ends meet” which was the comment I reacted to.
There are so many professions that are underpaid compared to the favour they add to society: doctors, teachers, firefighters, etc.
Respectfully- 100k when they have 200-400k in student loans is not a lot.
Are they “barely making ends meet”?
Paying 400k in student loans?? On top of rent or mortgage? On top of long hours? On top of raising children? On top of losing the best years of your life in a library? Respectfully 100k is not enough
Are they barely making ends meet, as in the verge of losing their house, ending up homeless, working a 2nd or 3rd part time job. On food stamps or other social program. Taking the bus to work because they can’t afford to get their car fixed. No health insurance whatsoever because the jobs don’t have benefits. Struggle with health issues and obesity because their diet is terrible.
That is what barely making ends meet looks like to me.
Barely making ends meet means living paycheck to paycheck, right? That’s what it means to me. And yes, some doctors do live paycheck to paycheck. Paying off 400k+ in loans is like paying off a house. Many doctors actually do work a 2nd part-time job. Some have a 3rd part-time job too. Their jobs are more secure, yes but 100k isn’t a lot in this context.
No. Making ends meet does not mean living pay check to pay check. It means all the things I listed above. Precariously balance on the edge of tipping into homelessness or living a car. Scared to death of getting seriously ill for lack of health insurance. I think an extremely small percentage of doctors live anywhere close to that level of destitution.
Do we need more doctors? Absolutely. Should they get paid more. Yes. Should there be loan forgivensss after a certain period of service? Also yes. Does one have to put in years of eduction and residency and specialization? In a learning and working environment that is designed to be a high pressure frat house. Yes to all.
Is a significant percentage of doctors truly teetering on the edge? No. Frankly it is offensive to argue differently.
This is true for a lot of people not just Doctors. In reality this is why it’s so hard for anyone to get ahead. But, also we really just buy too much and spend to much money stupidly like ordering food to be delivered, eating out, buying too much of everything (clothes, shoes, purses, watches, etc). Tons of other ways of over consuming.
The common denominator to many of our secrets and problems are because of insurance companies whether it is health or car or home. Insurance companies are good at two things: selling policies and denying claims, and they squeeze the life out of anything they touch. They don't want to pay.
It's the for profit aspect that destroys it. Insurance should be not for profit or a mutual company where the clients own the company.
After high school, imagine going to school for 12 more years to get your MD… only to have some Claims Examiner at a health insurance company dictate what is best for your patient.
To be fair, their 3 hour orientation at the insurance company was pretty comprehensive.....
As a person with a mother in primary healthcare, I can confirm this is true.
then they clearly care more about money than patients. how are you 'struggling to make ends meet' when you are earning more than the majority of the population? how many ivory back scratchers does one person need?
Some/many are straddled with 300k in debt to get there. Most don’t start earning until their 30s.
I know docs get paid a lot… but also shouldn’t they? I once saw a Cardiothoracic surgeon performing five surgeries in 24 hours. I’m okay with him making 1 million a year.
they should be well compensated if they are doing their job, yes.
but there is no excuse to provide sub-quality care by rushing through people in order to see as many patients as possible in an attempt to earn more, which is what op is suggesting.
A few minutes ago I replied to another comment explaining all the costs they have to cover before they make any money for themselves. It's insane!
irrelevant.
How so?
off topic, plus doesn't negate my previous post
How about wasting your teens, 20s, doing 24 hour shifts, all the liability and 300-400k loans. And you want you doctor make the same as a costco worker? They deserve more than what they get.
Because they have a lot of school debt
The amount insurance pays doesn't all go into the doctor's pocket. When I did the accounting for a provider I was astonished how much it costs to run a practice. Malpractice insurance for a primary care provider is ~$5,000/yr IF they have never had a claim. Then there's rent, support staff, continuing education, general office expenses to name a few. Brand name drugs require pre-authorization with insurance which can take anywhere from 15 minutes to 4 hours of support staff time because every insurance company has different criteria. The insurance companies often require different billing codes for the same procedure. Because of this complexity processing billing costs between 10-25% of revenue.
Another big factor for them (both) when it comes to cash flow is “time value of money” with how claims are denied or need to be recoded. It screws up the docs cash flow while the insurers park it with big banks and earn interest. If you can deny or delay $250-$1B for 30 or 60 days that brings in a decent amount of interest income. With both mine and my wife’s docs they have added additional products and services that are outside of insurance for additional cash flow.
For shits and giggles read a health insurance companies quarterly or annual statement. There’s a reason companies like Vanguard and Black Rock own huge chunks of these companies.
I worked for a podiatrist where 80% of patients are elderly and come for basic podiatric care and have Medicare. The reimbursement rates for those visits are incredibly low.
This is why we cash pay our primary care private physician. The level of care is greater and more personalized while the cost is lower than dealing with insurance.
I work in science. A lot of publishing and also getting grants awarded, depends a lot on who you know and are "friends" with, in addition to the strength of your data.
The whole "pay to publish" business model of many academic journals is quite ... interesting. I know they don't accept advertising and don't have a ton of paid readers but still ...
Publishing a scientific article is outrageously expensive it can run you in he vicinity of 5k to publish. And that is after review. The usual proces, simplified and in a nutshell is, submit to a journal, indipendent peer review, when accepted, pay the publishing cost. And they charge extra for color figures.
The who you know thing becomes i increasingly important in many fields of work.
3 corrupt things in the world (THE LAST ONE WILL SHOCK YOU!1)
1) Politics
2) Journalism
3) Academia
I don't think I would go that far. Corruption is on a whole different level. Academic science is still the most reliable way to get to the truth and has, at it's core, benefit to all as it's main goal. Unlike the other two
The dental 🦷 industry is the highest grossing of ALL medical specialty, AND over 50% of treatments are unnecessary.
That is a dirty secret 🤨
Curious to know more about these unnecessary treatments..
After retiring with 24 years as a dental hygienist I would deadly have to agree. The things I saw , experienced would shake your beliefs in health care!
Such as?
I have been offered dental stone removal for the last 30 years.
If there is no need, there is no need. Some people really build this shit up fast, but not everyone. I have had only ones plaque removal, never since, never had problems.
Teeth are very genetic dependent and the way they mineralize.
I eat lots if sweets and acidy foods and have no issues whatsoever( do not floss either)
My wife does not eat sweets and flosses and still has many problems. If we would go to the same dentist? He would probably offer us similar treatments although i am in no need of those.
I am not a dentist, just personal experience
Is it safe to assume most procedures aren’t necessary until some discomfort is experienced? Like replacement of fillings or pulling teeth?
No- most cavities don’t hurt until they are large. Periodontal disease doesn’t usually hurt, but it is associated with over 57 different systemic conditions. Your oral health plays a large role in your systemic health and frankly should be considered part of basic health care/health insurance.
This is true. There is nobody to check on them—-unlike the medical field. If your mouth can’t make money, you’re worthless to them. I had a dentist yank a tooth out. It took the devil to pay to get it out. wtf! He was practically standing on the chair to get leverage to get it out! “If you need a 2-foot crowbar to yank my tooth out, maybe you should leave it alone!”
In my industry? That 80% of the “urgent problems” clients bring us… were created by the clients themselves.
Finance?
could be health care... if you believe that poor lifestyle choices and addiction are a choice instead of the result of poverty.
"I can't turn my head"
"How long has your neck been hurting, Mr Stoic?"
"Aw. Like ... Three years?"
Honestly, this used to be a little funnier, but the fewer people there are who have access to reliable healthcare and the fewer who can actually get checkups, the more tragic it gets.
Good thing conservatives are always fighting tooth and bloody claw to keep any kind of access to health care away from the poor.
Wouldn't want people to have to experience life, liberty, and the pursuit of happiness, or anything like that.
In the ED, at 1800 on a Friday of a holiday weekend, and proceeds to pitch a fit that “nothing is getting done and I’ve been here for HOURS”
Most restaurants have unsanitary kitchens
Nah, the restaurant I worked at was hella clean. We all ate there.
We knew that already.
We have a local news channel that puts out their top and bottom 5 of the week. The link all of the actual health inspections and violations found, with the address.
In my old office job it was how many “urgent” things were literally made-up emergencies lol… half the chaos was just bad planning from higher ups. I used to think everything was super important until I realized most of it could’ve waited days. Once you see it, you can’t unsee it.
Urgent just means "we didn't think this through and, instead, set an arbitrary deadline without all the facts" about 90% of the time.
Cheese factories use the same product in multiple different labels. So store brands are exactly the same as major labels.
Nobody is as safe as they think in their homes.
PLEASE elaborate
I’m a locksmith. I can definitely break in to your home. No matter how expensive your locks are.
Cool. I hope locksmiths are required to have criminal background checks.
You seem kind of proud to say something so intimidating.
I’m very proud of what I do. But when I do it it’s not intimidating. If you’re locked out on a cold night like tonight, you’ll be happy I can do it.
I don't find that intimidating. I find that realistic and educational.
Good for you?
Unfortunately, a license for locksmithing is not required in many states, meaning no background check nor proof of actually having knowledge of locks.
Lol if I found out, I don't think I'd date you or let you know my address.... but that's such a useful skill to know!
The ONLY thing i miss about living in texas is that all rentals are required to have a dead bolt that you cant unlock from the outside. Obviously people can break through windows and such, but that would be very loud
this is why my pair of corso’s are here
German Shepard and firearms. Nobody unwelcome is safe in my house.
Because of falls, appliances, intruders? Please explain further.
Cast members on reality tv are not respected a lot outside of filming.
We have gallows humor. It's a stress reliever. If someone else heard it they would think we were all uncaring ass hats.
Definitely medicine or adjacent
Yeppers, fire/ems
And journalism.
Or child protective services
Many building contractors have never touched an actual tool and don’t have any employees. Everything is done by subcontractors and nobody takes responsibility for anything but their specific piece of the job and the contractor has no clue if something is done correctly or not.
In my industry threatening you’ll see a lawyer does not scare us. At all.
Ditto here
I’m not supposed to talk about what I do or what we make. But it’s in everything that flies and goes to inner and outer orbit.
Is it tinned spaghetti? It's tinned spaghetti isn't it.
I love tinned things, do they make tinned spagets?
Chef Boyardee would be happy to meet you.
I don’t know if I’d call that ‘tinned spaghetti’ I’m talking like ‘Ma’s penne n sauce’.
Are you MIB?
Is it glitter??!!!
Glitter in outer orbit, that’s a thought.
Well there is a conspiracy around glitter that we are running short but they can’t tell us who is using it and why!
https://meadowbrookglitter.com/bulk-glitter/
You can buy glitter direct from these guys. They are the largest manufacturers and the original inventors of glitter.
There is no shortage.
I work in Massachusetts.
Ya'll hiring?
We're all on meth
Line cook? Restaurant industry?
Truck driver haha
“Emergency” for a doctor is different than “emergency” for a layperson. When I say something is emergent, I mean the patient is at risk of dying/seriously decompensating in 24 hours. If I say something is urgent they have a risk of decompensating in 48-72h. Everything else can wait until after the weekend/holiday/open OR schedule/whatever
Legal cannabis THC percentages are BS The cannabis oil used in vape cartridges are sweepings, glove tips ,and twist ties
Incorrect. And you really need to find more quality jobs if that’s all you’ve seen.
Brand name and store brand bakery products (cookies, crackers etc.) are the same, just in different boxes.
Not necessarily true. In fact, very rarely actually.
Don't do the radiation treatments.
Elaborate?
We are under paid and cannot live comfortably on one income. But we do it anyway - veterinary medicine.
All gasoline is the same
Not true. Industry expert here.
Wellllll, it kinda depends on what you mean.
I’ve been in the retail gasoline/service station/petroleum hauling industry since 1995.
All gasoline is “the same” product. It all comes from the same terminals and refineries. The gas at Costco is the exact same gas at Chevron (less whatever additive the brand mixes in - which is largely marketing). So, while chemically they’re not identical, in terms of performance and potency, it’s the same exact gasoline; hauled by the same tankers, loaded at the same terminals. Branded gasoline isn’t “refining” better quality: the only distinction is additives.
As a consumer if you’re NOT buying Arco AM/PM gas or Valero gas(as examples) because you perceive their lower prices as indicative of an inferior product, I’d say that’s foolish. I’m not saying the additives don’t matter, but I would say the (perceived?) benefit hardly justifies the additional cost. Likewise Shell = Phillip66 = Chevron = Sinclair. When one of their specific terminals goes off-line for whatever reason, they ALL have agreements to use the other’s terminals so their stations don’t sit out of gas.
Now, out here in Kommiefornia, refineries across the board do blend differently seasonally.
So I would argue the statement “All gasoline is the same.” is more TRUE than not. Again, I have been in this industry for close to 30 years: I buy my gas where it is cheap and convenient.
I’m not sure this is even a “dirty secret”. It just our industry.
Stop.
That's a layer 8 issue
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You should create a fight club
I sell b2b software. There's no such thing as promotional pricing, it's just a negotiating tactic. The numbers are all just made up, I just get paid more when you are bad at negotiating.
The fuel tankers you see going down the road? Yeah, the shell on those tanks are usually millimeters thick. 1/8 inch (or less) of aluminum is all that’s holding all that flammable liquid in. Moral of the story, drive safe. Especially around fuel drivers.
okay but what about the ones with milk in them?
Those are food grade. Surprisingly those are made thicker than petroleum tankers.
Automotive: you name it… dirt.
Cars wear out and break. This is normal. They do not heal. Ignoring warning lights increases the cost every time you drive it.
Sweaty buckets! I work in set construction for film and TV, and apparently union painters used to be able to order sweaty buckets from the local paint providers out here in Hollywood. What is a sweaty bucket? You might ask, and well, use your imagination but yes. Shenanigans are abundant in film and television
I’m using my imagination and have no idea what you’re talking about.
It’s filled with beers and ice
Sometimes the cheaper dog/cat food is 100% just as good as the high end brands
All gasoline is the same. It is mingled in pipelines and tanks.
Not true
Yes it is.
No. No it’s not.
Try again. Except for the additive packages. And most of those are the same. It’s just marketing. So don’t pay more for Exxon or chevron or shell. It’s all the same. Comes from the same tank at the same terminal
So 87, 89, premium, E85, and ethanol free gas are all coming out of the same tanks? I don’t think so asshat.
Those are different grades. Different specifications. Good grief.
Exactly.
Go back a few comments. This one is explained by someone in the industry.
I’m a chemical engineer with 35 years refining experience.
So 87, 89, premium, E85, and ethanol free gas are all coming out of the same tanks? I don’t think so asshat.
No. Those are different grades. Good grief.
Exactly.
You did say “all.”
Guess I did.
Most teachers are afraid of parents (b/c of that one parent who made their life Hell/ bullied them) and will compromise a lot with a respectful, kind approach.
Why I got out of teaching - parents
When you call a Customer Service ctr angry and complaining know we don’t give two 💩’s, we mute you and Mock you, then come back sweet as pie. The angrier you get the less effort we do, be nice and we will help you out…..
Can anyone hear when I totally lose it and cuss out the automated prompts for the 10 minutes it takes to get to an actual person?
I used to work in CS and no we didn’t.
In philosophy, it's really exceptional for most people to know at an expert level some topic other than philosophy, which has been a mayor cause of adhering to, or expressing very uninformed ideas.
I worked in crisis communications for major corporations that were always the subject of conspiracies and the conspiracies were always wrong. The reality was just understaffed people working really hard. Political opponents made up conspiracies because they either had no clue, or there was money in it.
This is not a partisan thing, by the way. It’s actually really discouraging to see from the inside just how dishonest most of the political discourse is. Whatever your political persuasion, based on my experience I can tell you that a huge amount of what you believe to be true is nonsense spun up for one of the two reasons listed above.
What are your thoughts on the efforts of sites like "Ground News" to show the spectrum of reporting on issues?
All your “corporate” complaints go right back to the store manager
Students would never believe how many of their college professors are flat broke. Like living out of their car and showering at school broke.
Tell us more.
Retired
Both public and private schools exist solely to make money. 'Education' is the product they sell. Kids are their customers.
And parents and tax payers are the suckers sending their offspring with their check in hand, daily.
The visually appealing high-quality fruits you purchase at a grocery store are nothing like the fruit stock used to create bottled juice products at scale. Many companies also rework reject materials that fall outside of quality standards into existing saleable finished products.
Designer clothes/handbags are all made in China. "Made in Italy" itself is a label thats brands pay for to have it on their items.
I forgot how long ago this was but there were people from China/Vietnam in videos talking about how cheap it is to make and how much it’s sold for in the west. It’s sickening actually
In Australia, many optometrists have KPIs to meet including same day spectacle conversion rate, average order value, average sight test Medicare earnings and in some larger chains, conversion rate of extra tests. Optometrist salaries are getting lower over time due to big corporate chains, where most optometrists are making less than median Australian salary even with the intensive training they go through and the risks taken with being therapeutically endorsed and being primary care practitioners. Many optoms won’t get salary rises if KPIs aren’t met. Ever felt like your optom is just rushing you out or forcing extra tests on you? They probably are.
Try to seek out reputable independent optometrists who typically don’t have these KPI pressures - especially if you actually have ocular disease or health concerns.
Optometrists are finally starting to unionise to try and push against these pressures. Optometry is an amazing and fulfilling career, but sale based KPIs mixed with healthcare is a huge problem. Not to mention the amount of optometrists who have spoken out about poor working conditions, unpaid overtime, missed lunch breaks for months, being scalded for needing to use the restroom, etc. Unless the optom is the practice owner, it’s usually not their fault that they’re working like that - they’re trying to do the best they can in the situation they’re in as they see no alternative.
almost all professional gamblers are broke, even the ones that win a lot.
Listeria is a lot more prevalent than you probably realize.
Your eye doctor makes more money on the markup of eyeglass frames than eye appointments.
There is never adequate adult supervision in childcare settings. They are always running a bare minimum to keep the money flowing to the top.
Yep, I've seen this multiple times. Even with disabled kids.
A masters in architecture is an entry position at big firms.
HR is there to protect the company not the employees.
Thought this was common sense already
CA. Recreational market. Most of the stuff is just rebranded lcg
If an archaeologist says something is "ritual" it means we have no idea
When government asks for public input it’s mostly to check a box. The decision was probably already made.
I mean, I just assume all people are aware of the fact that the entire planet's networking infrastructure is cheaply taped together by the thinnest possible janky links that you could imagine.
It's honestly probably only the mere fact that people believe that tech is so inherently magical that it even works at all.
That being said, it's pretty apparent at this point that the internet is multi-densional, allowing access to multiple timelines, and also allowing televangelists like bashar to create realities that attempt to trap unwitting 4th density beings in what can only be assumed to be yet another layer of samsara.
I think this got a bit off topic, but tldr, the internet is mostly run on collective belief.
Most welders’ wives seem to think we will be going on vacations and trips after retirement. They don’t realize we will probably die of lung cancer before retirement age.
I work at CVS, and we all know that there are many pills that would be like $3 or $5 if you just pay cash but if you use insurance, you now have to pay $10 copay. Ask for a medicine price list
The two best archaeology movies are Spaceballs and cool hand Luke.
The reason restaurant food is better than what you make at home is just more butter and salt.
In teaching, grading gets done with maybe 20% fidelity to the goals of the assignment.
Special education kids typically get passed on to placate parents.
In most states, schools cannot penalize students for absences, no matter how many they have.
Most schools are about 5 minutes and one decision away from being national news because of lack of supervision of students.
I work at a public library and the amount of money we have available to spend is astounding. It comes from the city, the state, donations, endowments, volunteers. It’s crazy.
Many high end electronics are nothing more than rebranded crap that recognizable companies put their name on to sell.
Most weed that you’re buying from dispensaries aren’t actually the strains that are labeled. Weed will come into a distro as one strain and leave as another (in terms of labeling of course) depending on what strain name would do better from a sales perspective.
There are probably 50 different types of till receipt paper/rolls. It's very exciting.
Most of the computers I get a "fixed" simply by restarting them.
Was told to not tell people because they take it as an insult.
Magnets stop working if you get them wet
Wrong
Fuckin magnets - how do they work?