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9
Wrist Surgery Specialist
Thank you, that's very useful information. It's a Thai insurance company, basic enough cover I think, provided with my work here. Much less than what an international cover would provide. -
13
Rand Paul Decries Congressional 'Cowardice' As He Explains Vote To End Trump's Tariffs
I've been speaking to a US supplier of hospital needles and syringes. They are an American company, but they are now pulling out of that segment of the US market. They make speciality needles and syringes in China. They supply hospitals on a Call Off basis. Contractural details mean they cannot cite tariffs as a force majeure, and will have to swallow the price increase. They cannot simply switch manufacture to the US, at least not in short order. The needles require specialist tooling, that typically they get from Germany. Moving production to the US would require them to notify the FDA of a change to the technical package. The FDA requires approvals of changes in manufacturing sites, changes to manufacturing processes. For Class II devices like these, it used to be that the FDA would make a decision in 6 months, but they feel now that recent changes in FDA headcount will extend this. They face either 6-12 months of losses, or losing market share entirely. They think the effect is going to ripple throughout healthcare. At the next round of contract negotiations, hospitals will see prices increase 100-150%. This is going to further increase because at the same time, the FDA has seen serious headcount reductions, which is already causing bottlenecks in medical device approvals. They expect the government's reaction will be to deregulate; to simplfy the approvals process and lower the bar. This won't necessarily lead to more medical injuries, but it will increase the pressure to move the cost of device assessment to the insurance industry. The Insurance industry look largely to the CMS to determine if they will pay for a device or therapy, and that will be based on expert assessment of technical documentation. If the insurance industry is now conducting those assessments, access to quality healthcare will be further restricted, and the increased costs will be passed on to the customer (the public). When physicians choose a medical device or a drug to treat their patient, its not done on the basis of where it is made. its done on the basis of what is best for their patient. Putin found this out. When his war started, he ordered his people to come up with Russian made medtech. The Doctors told him to do one. This is no surprise. It happened during COVID, with ventilators. All around the world, politicians went and got industry together to make ventilators. The UK pulled in the military and Formula 1. The US turned to General Motors and Ford. James Dyson thought he would go ahead and redesign the ventilator. Healthcare professionals were genuinely fearful that idiot politicians were going to tell them how to treat patients. Russia did that, telling hospitals to daisy chain systems. A resulting fire incinerated an entire ward. In America, the American President wanted hospitals to use Russian made equipment. These went quietly to the skip. In the UK, doctors did their level best to stop patients going to the Nightingale Hospitals to be looked after by British Airways stewardesses (a Boris idea). -
17
America Is Already Great Innit Mates
Maybe MAGA should be ... MAAA ... Make America Affordable Again USA is great, if you already own your final home, and can still afford the RE taxes, and manage your health. Or your income is $100, 000 a year as a single person. $200k if married & $300k if wanting children ... -
23
"No One is Prepared for What’s Happening in CANADA... | Victor Davis Hanson"
Thanks for the summary. Saved me wasting time watching the vid. -
17
America Is Already Great Innit Mates
bob smith has a new incarnation! 100%- 1
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6
Alcohol but not a real problem
An unhelpful post has been removed. As this is a medical issue and not related to excessive drinking per se, moving it to main Health Forum. OP, in addition to the issues related to alcohol content (already explained), beer is carbonated and carbonated drinks should be avoided after throat radiation, at least until full healing has taken place. Both the bubbles and the acidity which accompanies carbonation are issues.
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