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47
Security at walking street wreaking havoc
LOL, I'm not the one who got threatened by security guards as I think your the one who is having PTSD there buddy. -
37
Gulf of America.
IMO you have underestimated Trump's goals. Label me an optimist, but I would like to think he will put the country first before enrichment. If America moves forward so will Trump's riches. -
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Kazakh man reports Phuket investment scam run by Ukrainian and Thai men
The newspapers should be on hand for every scam in Phuket ( and elsewhere). It’s the only way this madness comes to light. I believe it’s got quite OTT in Phuket. -
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THAILAND LIVE Thailand Live Thursday 9 January 2025
Man Dies in Warming Fire Incident in Surin A strange occurrence claimed the life of a 42-year-old man after he fell from his bed and sustained fatal burns while sleeping near a fire lit for warmth. Full story:https://aseannow.com/topic/1348319-man-dies-in-warming-fire-incident-in-surin/ -
66
Congratulations Canada = Buh Bye Trudeau
Actual stats are: Half of patients with non-urgent issues are in and out of Canadian emergency departments in less than 2.6 hours, with 90% wrapping up their visit in less than 7.6 hours. Patients who are more seriously ill are seen sooner but stay longer – 50% are done their visit in less than 4.1 hours, while 90% go home in less than 10 hours. Those who need to be moved from the emergency department to a hospital bed wait the longest. Half make the move within 14.7 hours, while 90% are admitted within two days. A&E in Canada works more or less the same as UK as US as everywhere. Cases are triaged. Cases needing urgent care are seen most quickly. Little Timmy with his head stuck in a saucepan isn't. Interpreting the waiting times is complex. The reasons why waiting times are getting longer are myriad, but actually kind of universal. A major reason is lack of access to a GP; you can't get to see a GP when you want, so you go to A&E, when really, 9 times out of 10, you don't need be there. This is a widespread problem across the Western world, basically down to lack of GPs (Primary Care), and that you can trace back to health policies of 20 years ago, when medical schools were recruiting young doctors, and which of those ticked the box to go into dull-as-dishwater general practice. We are getting older, living longer, but living more poorly. So lots more old people stopping you getting that GP appointment. Then there is inpatient bed capacity. People who cannot be admitted to hospital stay in A&E longer. This is where Roemer's Rule kicks in, Milton Roemer was an American health researcher who observed, in the 80s, "in an insured population, a hospital bed built is a bed filled". EnocH Powell said something similar "he number of patients always tends to equality with the number of beds available for them to lie in", ie, there are never enough hospital beds for everyone. So, there is attention of admission policies and discharge. But, with an aging population, now you have bed blockers; someone treated in hospital can no longer go home, because their home is no longer safe for them. Covid exposed the extremely lean nature of Canadian bed management, running at about 110% capacity, compared to the UK at about 95% capacity. The US clearly people out of hospital, too quickly it turns out. The US has the worst readmission rates in the Western world. What that means is if you go to hospital in the US, you are more likely to die after discharge than anywhere else. People readmitted to hospital are usually in a miserable state and the prognosis is poor. The UK brought in "Discharge-2-Assess" during Covid, to free up beds. It meant patients who couldn't go home were sent to nursing homes for a couple of weeks. That's what happened to that Thai Youtuber, Ed Sweeney. Its not a bad approach, but the corrosive impact is the outflow of money to nursing homes that are PE owned. That's money that leaves the UK. Bed capacity is a conundrum. No one wants to fund a healthcare system that full of empty beds, empty operating theatres, idle doctors etc. Its not the fault of any particular government, nor will a new government fix it. These are problems decades in creation, and COVID exposed the inadequacies of conventional medicines. Innovations are needed. Strangely, its US insurers and the UK NHS leading the way. US insurers are pissed off at the increased cost of medicine. That murdering loon in New York had previously undergone spinal fusion surgery after suffering chronic pain for many years. There is already much discussion in the medical community that one of the major reasons for increase in costs is unecessary surgery, and Spinal Fusion is a prime example. Spinal Fusion rates have gone up 10x in 10 years, but thats not because people's backs are getting worse. Its because docs get paid more to operate than not. Insurance complains, and jumps in to block claims, and doctors complain about interferance when the Insurance company says they will pay for an epidural not spinal surgery. Insurance companies are pissed off about readmission rates, because that means more pay out, and the patient is likely to die anyhow. So, they are cutting reimbursement rates unless hospitals pull their finger out and sort out the numbers. That's forcing hospitals to invest in community nurses, apparently a revelation in the US, and investing in algorithms that can predict whether a discharged patient needs help. It saves money, and stops people going to hospital , meaning beds are freed up. The NHS is the biggest employer in Europe. Its the biggest single healthcare system in the world. It has, despite the moans, a huge budget. It has a lot of money for innovation, and so has its own Digital Health Arm, developing apps with the prime objective of stopping people using the NHS. Its all using nudge theory; by putting up barriers, people who aren't all that sick don't block up A&E. The results are a very good national phone service; I really can talk to a doctor on the phone and get useful advice. They rolled out an AO powered online diagnostic service. At first glance, it looks a bit noddy, but behind it is powerful analytics, triaging patients before they go to hospital. There are websites comparing waiting times. They are complete bull<deleted>. One site claims the averqge wait in Canada is 2.1 hours. The same site claims the wait in India is 18 minutes. By their measure, an Indian state hospital is the best in the world. Indians would respectfully disagree. The data is complex, and its impossible to make country to country comparisons, because its apples to oranges. -
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Man Dies in Warming Fire Incident in Surin
Picture from responders. A strange occurrence claimed the life of a 42-year-old man after he fell from his bed and sustained fatal burns while sleeping near a fire lit for warmth. The incident occurred in Nong Kathin Village, Si Suk Subdistrict, Sri Narong District, and was reported early on the morning of 8 January. Responding to the call, members of the Surin News Association’s Disaster Relief Department, medical examiners from Sri Narong Hospital, and officers from Sri Narong Police Station attended the scene. Upon arrival, authorities discovered the man lying face down in the remains of the fire. He was wearing a long-sleeved blue shirt, and his face and head showed severe burn injuries. His legs were still resting on the bed, indicating that he had fallen off while asleep and his body had no other visible injuries. Relatives confirmed that the deceased had no underlying health conditions, but did drink and expressed no suspicions surrounding his death. It is believed that the man, like many others in rural areas during the cold season, had lit a fire to stay warm during the night, as he slept outdoors. Unfortunately, this common practice appears to have resulted in his death. The body was sent to hospital for an autopsy to confirm the cause of death and will be released to the family if no suspicious circumstances are found. Authorities are reminding the public of the dangers of using open flames for heating during the winter months. They urge residents to ensure fires are either extinguished or in a safe location, before sleeping and to take precautions to avoid similar incidents. -- 2025-01-09 -
21
Healthcare Insurance
I haven't declared anything. I live in the US and merely joining in this conversation
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