Painful Cuts Coming to Pain...Elections Have Consequences

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Pain physicians should read the handwriting on the wall and remember the words of Pastor MARTIN NIEMÖLLER and his observations of how insidiously ideology seems into human affairs and, eventually, our fundamental rights.

First, they came for the Communists
And I did not speak out
Because I was not a Communist
Then they came for the Socialists
And I did not speak out
Because I was not a Socialist
Then they came for the trade unionists
And I did not speak out
Because I was not a trade unionist
Then they came for the Jews
And I did not speak out
Because I was not a Jew
Then they came for me
And there was no one left

To speak out for me
i have yet to hear right supporting forum members acknowledge that the words and actions of your leader and your political party are representative of this thought process, who have come out against Muslims, Mexicans, immigrants, Asians, Jews, LBGTQ, non-Christian nationalists......


as a side note, i find it not a little ironic that we have the right to weapons of severe destruction that can kill or maim us instantly, while we do not have the right to get help if we survive the blast and mass tissue destruction from that weapon.....

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These jobs aren’t easy to get. There is a ton of risk involved and most finance/stats/whatever majors will never come close to making 550 per year. Also I guarantee that people overstate what they make by at least a factor of 1.5-2x

Statistically, most finance/stats/math majors will never even crack 150k
I’ve known the guy for 30 years and have seen his house. He’s not overstating anything
 
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i have yet to hear right supporting forum members acknowledge that the words and actions of your leader and your political party are representative of this thought process, who have come out against Muslims, Mexicans, immigrants, Asians, Jews, LBGTQ, non-Christian nationalists......


as a side note, i find it not a little ironic that we have the right to weapons of severe destruction that can kill or maim us instantly, while we do not have the right to get help if we survive the blast and mass tissue destruction from that weapon.....
There's no such thing as a right that guarantees you will receive something.

For example, you have the right to PURSUE happiness.
 
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Just had a Canadian patient who said their system is terrible for spine. Months to get MRI, months to see pain doc, months before ESI, months before surgical consult. He really needed a discectomy and it took over a year.

Military I think just works differently being a smaller subpopulation of young healthy people. Once it expands beyond that, it's a mess--look at VA.
I see Canadians almost weekly.

1 year wait for a Pain Medicine specialist initial CONSULT
6 month wait for an SIJ or ESI procedure
2-3 year wait for a TKA
it goes on and on.
 
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I think states should be given the option to opt out of medicare/medicaid and instead get GIANT block grants to implement their own programs. California could build care centers across the state and set up a public HMO style system.

The most important aspect of any public health plan is that it doesn't interfere with a completely independent free market health system, unlike what we have today in the US. The public system is cannibalizing the private system and vice versa.
 
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I thought they hadn’t finalized the Medicare fee schedule yet(?)
 
I see Canadians almost weekly.

1 year wait for a Pain Medicine specialist initial CONSULT
6 month wait for an SIJ or ESI procedure
2-3 year wait for a TKA
it goes on and on.

Many on the political see this as a successful demonstration of equity in health care.

“If you demand the collective to pay for your medical expenses, then be prepared for the collective to demand to make your medical decisions for you.”
 
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I see Canadians almost weekly.

1 year wait for a Pain Medicine specialist initial CONSULT
6 month wait for an SIJ or ESI procedure
2-3 year wait for a TKA
it goes on and on.
You see ‘rich’Canadians…
Two tiered system in socialized countries.
American is on its way . Strong work dems
 
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I see Canadians almost weekly.

1 year wait for a Pain Medicine specialist initial CONSULT
6 month wait for an SIJ or ESI procedure
2-3 year wait for a TKA
it goes on and on.
My patients wait a few weeks to see me and lose their minds it took so long, I can’t imagine Canadian pain patients
 
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Many on the political see this as a successful demonstration of equity in health care.

“If you demand the collective to pay for your medical expenses, then be prepared for the collective to demand to make your medical decisions for you.”
great. we are quoting nazi sympathizers now. did you even know where that quote came from, or did the content just fit your narrative? this guy was pretty awful


 
Democrats are the new Nazi's.....they want 87,000 new IRS agents, they want to see your vaccine papers, they censor you for differing opinions, they censor factual news stories that hurt them, etc etc.
The media actively reports people who "question the results of the election". Never thought I'd see that one in America.
 
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The Dems also tried to make a disinformation board, remember?
 
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I think it's an essential question to ask if his obvious aphasia is accompanied by other cognitive impairments. I would absolutely assume it does.

But I wouldn't be surprised if he wins anyway, just because so many Americans consider politics to be strictly symbolic.
 
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Democrats are the new Nazi's.....they want 87,000 new IRS agents, they want to see your vaccine papers, they censor you for differing opinions, they censor factual news stories that hurt them, etc etc.
do you mean immunization records? Because we've had that for decades.....
Also, Fox censors factual stories that doesnt drive its narrative... lets not pretend the right is any different. Both play to their bases. One just happens to be linked to Neo-Nazis, seditionists, and the KKK.
 
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as a side note, i find it not a little ironic that we have the right to weapons of severe destruction that can kill or maim us instantly, while we do not have the right to get help if we survive the blast and mass tissue destruction from that weapon.....

Nice trick there. Making guns (ARs?) sound like bombs. Dangerous and unusual.
 
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I see Canadians almost weekly.

1 year wait for a Pain Medicine specialist initial CONSULT
6 month wait for an SIJ or ESI procedure
2-3 year wait for a TKA
it goes on and on.

You see ‘rich’Canadians…
Two tiered system in socialized countries.
American is on its way . Strong work dems

Serious question: do Canadians as a result have worse outcomes regarding pain, or do those with chronic pain have worse functional status as compared to their counterparts in the USA?
 
do you mean immunization records? Because we've had that for decades.....
Also, Fox censors factual stories that doesnt drive its narrative... lets not pretend the right is any different. Both play to their bases. One just happens to be linked to Neo-Nazis, seditionists, and the KKK.
KKK: Hugo Black. Supreme Court. Bilbo. Kleagle byrd. All democrats.
 
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I have a question. Is it unethical for practicing physicians (ie neurologists) to speculate about his mental condition without seeing his EMR. One wrote an op-Ed in the times a few weeks ago saying it was normal for stroke survivors and many improve after. Is this appropriate/ethical?
 
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I have a question. Is it unethical for practicing physicians (ie neurologists) to speculate about his mental condition without seeing his EMR. One wrote an op-Ed in the times a few weeks ago saying it was normal for stroke survivors and many improve after. Is this appropriate/ethical?
What's unethical about it?
 
KKK: Hugo Black. Supreme Court. Bilbo. Kleagle byrd. All democrats.
Perhaps you should read about the reconstruction and post-reconstruction era roots of the KKK and their origin.
But hey, if we just want to list out politicians who were racists and KKK members, we can do that too.
 
Are you comparing an adult not being allowed into a private or public location without a COVID vaccine card to children having their MMR vaccines for school?

I’m not talking about Fox. I’m talking about democrats and the govt officers they control like the DOJ working with big tech and the media to censor factual news stories so the American public doesn’t know about it. Might as well add using the DOJ to go after parents who oppose certain school policies. THERE’S NO DOUBT WHO THE NAZIS ARE.

You can also compare them to colleges and places of work which are not filled with children.
Not really sure why people are crying about this?

Yeah man, please tell me about all the censored factual news stories. Are these the same ones that are on the MyPillowGuy's hard drive that he cant ever seem to find?
 
nice to see some sanity when discussing politics. on the pain physicians forum there is a political thread which any liberal with half a brain has stopped reading (im still active on it, if that tells you anything).

also, moving forward, id suggest not responding to doctodd. he is a well-known troll. don't take him seriously re: political discussions
 
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But I wouldn't be surprised if he wins anyway, just because so many Americans consider politics to be strictly symbolic.
To be fair, Dr Oz being a greasy putz may have something to do with that. Even when he was just a tv guy a lot of people didn’t like him.
 
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Serious question: do Canadians as a result have worse outcomes regarding pain, or do those with chronic pain have worse functional status as compared to their counterparts in the USA?
They seem to have better outcomes overall. They are literally invested in following recommendations and motivated to improve.
 
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To be fair, Dr Oz being a greasy putz may have something to do with that. Even when he was just a tv guy a lot of people didn’t like him.
Because voting on personality has worked so well for the country these last 2 years.
 
Yeah man, please tell me about all the censored factual news stories. Are these the same ones that are on the MyPillowGuy's hard drive that he cant ever seem to find?
There’s really only 1 we care about. The Hunter Biden laptop story the FBI coordinated with big tech and the media and said was Russian misinformation right before the election.
 
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There’s really only 1 we care about. The Hunter Biden laptop story the FBI coordinated with big tech and the media and said was Russian misinformation right before the election.
but we dont really care about all the cover-ups leading to Jan 6? got it.
 
I read somewhere that psychiatrists aren’t allowed to diagnose non-patients (Goldwater rule or something) and didn’t know if it applied to all physicians

Interesting, I guess this specific rule only applies strictly to psychiatrists. In a different world, I would expect physicians to adhere to a higher standard than they currently behave. But in this world, anyone who believes a doc on TV should get nominated for the Darwin Awards.
 
Chest CT for cardiac patients 6mos-1yr

great. we are quoting nazi sympathizers now. did you even know where that quote came from, or did the content just fit your narrative? this guy was pretty awful



If you dispute the statement, say so and argue the counterfactual.
 
but we dont really care about all the cover-ups leading to Jan 6? got it.
I’m sure Liz Cheney will expose them all for that peaceful protest. Maybe Steven Spielberg will direct the next Jan 6 hearing?
 
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The presidential election - place your bets (non) physician forum style.

It's spreading like the blob, lol
 
So on the note of elections, what does the GOP need to do to moving forward after disappointing midterms?

Is Trump a winning strategy or a hindrance?
Modernize stance on abortion care?
Revisit war on drugs?
Look at income inequality?

Can't imagine 2024 will go well for the GOP if they continue with the status quo.
 
So on the note of elections, what does the GOP need to do to moving forward after disappointing midterms?

Is Trump a winning strategy or a hindrance?
Modernize stance on abortion care?
Revisit war on drugs?
Look at income inequality?

Can't imagine 2024 will go well for the GOP if they continue with the status quo.
I think it's abundantly clear after this election (as if it wasn't wasn't earlier) that voters as a bloc care much more about getting high, having casual sex, and punishing those who by some miracle makes more than them than they do about understanding how our government works, taking responsibility, or planning for the future.

Only way republicans can grow is if they also accept that getting high and putting money on the Nation's credit card to give to the irresponsible is a good thing.

Republicans are right on the abortion issue, they are just being out-sold. People are stupid. I'm in Michigan where we just passed a constitutional amendment that literally allows ANYONE (not even a health care provider) to perform partial-birth abortions on children without parental notification if the kid has anxiety AND they are immune to prosecution if the abortionist (again, could be anyone) thinks they did the right thing.

Insanity.
 
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I think it's abundantly clear after this election (as if it wasn't wasn't earlier) that voters as a bloc care much more about getting high, having casual sex, and punishing those who by some miracle makes more than them than they do about understanding how our government works, taking responsibility, or planning for the future.

Only way republicans can grow is if they also accept that getting high and putting money on the Nation's credit card to give to the irresponsible is a good thing.

Republicans are right on the abortion issue, they are just being out-sold. People are stupid. I'm in Michigan where we just passed a constitutional amendment that literally allows ANYONE (not even a health care provider) to perform partial-birth abortions on children without parental notification if the kid has anxiety AND they are immune to prosecution if the abortionist (again, could be anyone) thinks they did the right thing.

Insanity.
I suppose that's one way to look at it.
 
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michigan proposal 3.GIF


nothing in the proposal states anywhere about "ANYONE (not even a health care provider) to perform partial-birth abortions" or "immune to prosecution". and i think mental health means a little bit more than "kid has anxiety".

clearly in the proposal is the clause about the state being able to regulate after fetal viability.

methinks a bit of hyperbole



fyi, 56.7% of Michiganders disagree with you.

heck, even that backwards h311hole Ingham county (home to Lansing and MSU), voted for the proposal.
 
So on the note of elections, what does the GOP need to do to moving forward after disappointing midterms?

Is Trump a winning strategy or a hindrance?
Modernize stance on abortion care?
Revisit war on drugs?
Look at income inequality?

Can't imagine 2024 will go well for the GOP if they continue with the status quo.
I think their strategy is: prevent people from voting
 
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Republicans are not anti abortion. The party needs to stop conflating religious affiliation with politics. The polls show that the desire to access safe abortion health care services is popular with people in both parties.
 
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View attachment 361978

nothing in the proposal states anywhere about "ANYONE (not even a health care provider) to perform partial-birth abortions" or "immune to prosecution". and i think mental health means a little bit more than "kid has anxiety".

clearly in the proposal is the clause about the state being able to regulate after fetal viability.

methinks a bit of hyperbole



fyi, 56.7% of Michiganders disagree with you.

heck, even that backwards h311hole Ingham county (home to Lansing and MSU), voted for the proposal.
You're reading the shorthand that was on the ballot, not the actual proposal. Here it is with explanations. Key parts are what the legal definition of "individual", "someone", "healthcare provider" and "an individual's autonomous decision making" are.
 

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We need two more parties … no other way out of this ****-show
 
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View attachment 361978

nothing in the proposal states anywhere about "ANYONE (not even a health care provider) to perform partial-birth abortions" or "immune to prosecution". and i think mental health means a little bit more than "kid has anxiety".

clearly in the proposal is the clause about the state being able to regulate after fetal viability.

methinks a bit of hyperbole



fyi, 56.7% of Michiganders disagree with you.

heck, even that backwards h311hole Ingham county (home to Lansing and MSU), voted for the proposal.
And no, 56.7% of Michiganders think they voted to "Restore Roe", which is what the Pro-Proposition 3 signs all said.
 
I think it's abundantly clear after this election (as if it wasn't wasn't earlier) that voters as a bloc care much more about getting high, having casual sex, and punishing those who by some miracle makes more than them than they do about understanding how our government works, taking responsibility, or planning for the future.

Only way republicans can grow is if they also accept that getting high and putting money on the Nation's credit card to give to the irresponsible is a good thing.

Republicans are right on the abortion issue, they are just being out-sold. People are stupid. I'm in Michigan where we just passed a constitutional amendment that literally allows ANYONE (not even a health care provider) to perform partial-birth abortions on children without parental notification if the kid has anxiety AND they are immune to prosecution if the abortionist (again, could be anyone) thinks they did the right thing.

Insanity.
Just going to ignore the claims you confidently made about getting high and casual sex as if any if that is relevant.

As stated above, the majority if the country thinks Roe should not have been overturned.
 
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Only way republicans can grow is if they also accept that getting high and putting money on the Nation's credit card to give to the irresponsible is a good thing.

Republicans are right on the abortion issue, they are just being out-sold. People are stupid.

This. And republicans need more control of the media like democrats have. Most young people don’t watch the news. If they get exposed to 5 seconds of it during a 1 year election cycle, they vote based on those 5 seconds, and those 5 seconds are pro-Democrat.
 
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