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Simpler and easier are two different things. In retrospect anything can seem easier because at the time we might not have seen the complexity of everything.
Hey junior go and get a job like us boomers did. We did not wait till someone retired so we could take their job. You younger people are a joke always blaming someone for their troubles. Grow up and be adults.
Location: In a city within a state where politicians come to get their PHDs in Corruption
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Quote:
Originally Posted by Vannort54
Hey junior go and get a job like us boomers did. We did not wait till someone retired so we could take their job. You younger people are a joke always blaming someone for their troubles. Grow up and be adults.
Nothing screams "an adult' more than someone throwing around blanket statements about entire generation(s).
Needing the money might be nice but at the same point the spending is marginal. If you want the economy to grow you have to put it in the hands of people that have less so to speak.
The "firsts" drive quite a bit of the economy. First car, first apartment/house, getting married, having children, getting a degree, various durable goods etc. By the time someone is in their 60s and older they already did these things.
Instead the amounts end up going towards general consumption, health care and property taxes. Furthermore they have to sell their investments to other generations at a discount if they do not pass the baton so to speak.
I have been at the hospital for closing in on 17 years and have no doubt that I can survive at least another 20 years here based on current financial and industry projections. Our new hospital will not even be completed for another year and a half and as far as I know it is not going anywhere. We are one of the top performing hospitals and healthcare organizations financially in the nation. My job may open up but only because i will have moved up or over to another position.
In all due respects those projections are WAY too long. Small businesses might plan ahead nine months, large corporations a year and a half. In my state even with a union the longest in the public sector can be drafted would be for three years. The longest local contract would be a cable one at ten years.
If you want to project 20 years in the future go right ahead but there are just too many variables.
In 1994 who would have thought 9/11 would have happened, Katrina, oil prices at 130 a barrel, gas at $3+ for years automation taking a fair amount out etc.
Keep in mind that in the medical profession doctors exist on licenses. If a state issues more the wages ultimately go down. Also the medicare reimbursement rate is a huge factor in hospitals AND not all states have legalized drug store clinics/private clinics. Add in some medical tourism on a domestic and foreign level and frankly prices WILL go down. If states removed licensing and a national license was put in its place competition would cause quite a bit to drop. Remember what happened when they deregulated the airlines..right? Prices dropped like a rock.
In all due respects those projections are WAY too long. Small businesses might plan ahead nine months, large corporations a year and a half. In my state even with a union the longest in the public sector can be drafted would be for three years. The longest local contract would be a cable one at ten years.
If you want to project 20 years in the future go right ahead but there are just too many variables.
In 1994 who would have thought 9/11 would have happened, Katrina, oil prices at 130 a barrel, gas at $3+ for years automation taking a fair amount out etc.
Keep in mind that in the medical profession doctors exist on licenses. If a state issues more the wages ultimately go down. Also the medicare reimbursement rate is a huge factor in hospitals AND not all states have legalized drug store clinics/private clinics. Add in some medical tourism on a domestic and foreign level and frankly prices WILL go down. If states removed licensing and a national license was put in its place competition would cause quite a bit to drop. Remember what happened when they deregulated the airlines..right? Prices dropped like a rock.
In Healthcare and when you are building a brand new hospital we look out on the horizon 20 and 30 years down the road. We just dropped close to $365million on a new hospital. Our bond issues will take at least 20 years to pay off. No guarentees for anything as most know, still projections for the future are part of the planning stages. We have contigencies for the current system and the funny thing is that the Affordable Care act was modeled after Kaiser Permanete's plan. We are a contracted Kaiser hospital. Part of their business plan is to go into an area an contract with a hospital so that they can use their money to build hospitals in other areas. We are the guys in this area and have a 10 year with two 5 year contract extensions. That places this organization in the 20 year mark and you can bet that we are on board to make that happen.
As far as Doctors, we need more than we have. And Doctors are their own business. They are not the employee part of a hospital. The fact is that we give them priveleges to work here. Healthcare organizations look into the future to see what will be happening years down the road. We have to in order to remain viable. I have seen things change over the years and jobs close while others open up. Automation has helped us out a lot. I remember the lab having a person moving specimens from one machine to another. Now that is all automated. Did it save us in staff? No we needed those people in other areas. We embrace change because it makes us better.
Actually ACA was kinda model after Romneycare which was modeled after Hillarycare which kinda was argued to be like Bismark's back in the 1880's.
Ok ok so you have a ten year contract with two possible five years extensions. I wouldn't go around saying you have a 20 year projection. In Mass the largest state contract was supposed to be a sure dunk for the MBCR. One BILLION dollars.
They lost.
it was ugly at the end and they tried to fight it but it was a huge huge loss. They had that contract for over a decade.
Reminds me of force feedback surgery. GE shows commercials of doctors here performing surgeries in other countries. But the inverse can also occur. All you need is high internet speed for the connection. Resolution of 4K will easily pass as looking the same as being there.
Actually ACA was kinda model after Romneycare which was modeled after Hillarycare which kinda was argued to be like Bismark's back in the 1880's.
Ok ok so you have a ten year contract with two possible five years extensions. I wouldn't go around saying you have a 20 year projection. In Mass the largest state contract was supposed to be a sure dunk for the MBCR. One BILLION dollars.
They lost.
it was ugly at the end and they tried to fight it but it was a huge huge loss. They had that contract for over a decade.
Reminds me of force feedback surgery. GE shows commercials of doctors here performing surgeries in other countries. But the inverse can also occur. All you need is high internet speed for the connection. Resolution of 4K will easily pass as looking the same as being there.
Yea, we do that here. da Vinci Surgical robots have been a part of our facility for maybe 10 years now. These kinds of things help because we have a lack of people. You can perform a surgery with fewer people and that is a Godsend as many hospitals are doing more with less and no we are not any differant. Our hospital was started back in 1902 and has been in the black since that time frame. We have had two reductions in employment during that time frame. One occured because we had incresed our numbers when a local hospital closed its doors. When the county took that hospital over 5 or 6 year later we let some people go. Another reduction happened and most of those people were absorbed within the system, including a few that had worked in the business office that were trained for a clinical setting. One of those people works in our same day surgery unit as a tech and loves it. She had worked only in an office setting her first years here and at other places.
Kaiser can not have a clinic system without a hospital. They have 50,000 patients in the area and need a hospital. It can take as long as 10 years to get one off the ground. we were scared at first but they showed us other areas where they have worked the similar business model.
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