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Report: Trump halted $181 billion in regulatory costs on first day in office

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4 hours ago, smilesammich said:

i'm sure he doesn't go around paying sales tax for all his big ticket items either.  not anything that can be shuffled/written off as expense.

 

5 minutes ago, smilesammich said:

i never said they were. 

yes.

Then what did you mean here?

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3 minutes ago, smilesammich said:

depends on how you define 'pay more'. and i didn't say dt has been 'given a pass' by the irs.

More.  As in bigger amounts.  As in $10 is more than $5.

 

You claim he doesn't pay taxes, which is obviously false, or he would be in hot water with the IRS for tax evasion.

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Timeline
4 hours ago, smilesammich said:

i'm sure he doesn't go around paying sales tax for all his big ticket items either.  not anything that can be shuffled/written off as expense.

 

Use Tax Audit would be quite a pain then :jest:

09/14/2012: Sent I-130
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Free pollution for everybody! Yay!

 

B and J K-1 story

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8 hours ago, IDWAF said:

Well, you are absolutely wrong on this one, Doc2Be.  Last year, I had a bill for $50K from the hospital.  Got a notice from them that insurance refused to pay, and it was my responsibility.  Got on the phone with the insurance as soon as the letter arrived, only to find out that it had already been paid.  Asked for an itemized breakdown of the bill and payments.... turns out insurance paid about $5100 of that $50K bill, and that was the end of that.

Well yes I'm clearly wrong with your personal example, but I can say with absolute certainty that it isn't usual for insurance to pay 10%. They pay less for sure but typical more than that. That hospital lost money even though you were insured. It may have had to do with what the bill was for (why your insurance initially said they wouldn't pay). Perhaps it was something that the insurance doesn't typically cover but the hospital was able to get them to pay something. That happens sometimes, they ask the doc to do a peer to peer with a "medical" person at the insurance company to try to convince them to cover (they aren't fun).

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9 hours ago, IDWAF said:

More.  As in bigger amounts.  As in $10 is more than $5.

 

You claim he doesn't pay taxes, which is obviously false, or he would be in hot water with the IRS for tax evasion.

nope didn't claim that either. and why do you think he won't release them, smarty?

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28 minutes ago, bcking said:

Well yes I'm clearly wrong with your personal example, but I can say with absolute certainty that it isn't usual for insurance to pay 10%. They pay less for sure but typical more than that. That hospital lost money even though you were insured. It may have had to do with what the bill was for (why your insurance initially said they wouldn't pay). Perhaps it was something that the insurance doesn't typically cover but the hospital was able to get them to pay something. That happens sometimes, they ask the doc to do a peer to peer with a "medical" person at the insurance company to try to convince them to cover (they aren't fun).

i would take anecdotes from IDWAF with a couple handfuls of salt.

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Just now, smilesammich said:

i would take anecdotes from IDWAF with a couple handfuls of salt.

The Dunning-Kruger effect is going strong in this thread.

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9 hours ago, IDWAF said:

 

Then what did you mean here?

how people build wealth and utilize the tax code to their advantage. 

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1 hour ago, smilesammich said:

i would take anecdotes from IDWAF with a couple handfuls of salt.

In fairness it is perfectly reasonable to use a personal example, since most people rarely if ever deal with health insurance in their "youth" (Less than 50) since most people are lucky enough to be healthy.

 

It is perfectly reasonable to think that your personal example somehow fits the mold for everyone else. I can't fault him for thinking that. It's just that in this particular situation it just doesn't apply to the majority of cases. Insurance negotiate prices, but they will still pay more than debt collectors. The more a hospital has to suffer the loss from uninsured patients, the more they have to come up with that money somewhere else (or offer less care). There is a huge disparity between hospitals in our country, when you compare the "have's" (the hospitals where they focus on non-emergent cases and only take patients with insurance) and the "have nots" (where hospitals take all comers, are in traditionally low income areas, and have very active ED's that attract the uninsured). Even within the same city it can be crazy. I trained in San Diego and you go up to La Jolla and there is a beautiful Cardiovascular Hospital, palm trees in the lobby, private suites. It attracts the best doctors, and it gives excellent care. For those with insurance. The hospital makes money. It was built specifically in La Jolla because they would limit the uninsured that show up. Compare that to the inner city hospital (Hillcrest) which is old, busy, has less equipment for diagnostics etc... They have a much larger population of patients that walk through the doors of the ED uninsured, and you can't send them away.

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1 minute ago, bcking said:

In fairness it is perfectly reasonable to use a personal example, since most people rarely if ever deal with health insurance in their "youth" (Less than 50) since most people are lucky enough to be healthy.

 

It is perfectly reasonable to think that your personal example somehow fits the mold for everyone else. I can't fault him for thinking that. It's just that in this particular situation it just doesn't apply to the majority of cases. Insurance negotiate prices, but they will still pay more than debt collectors. The more a hospital has to suffer the loss from uninsured patients, the more they have to come up with that money somewhere else (or offer less care). There is a huge disparity between hospitals in our country, when you compare the "have's" (the hospitals where they focus on non-emergent cases and only take patients with insurance) and the "have nots" (where hospitals take all comers, are in traditionally low income areas, and have very active ED's that attract the uninsured). Even within the same city it can be crazy. I trained in San Diego and you go up to La Jolla and there is a beautiful Cardiovascular Hospital, palm trees in the lobby, private suites. It attracts the best doctors, and it gives excellent care. For those with insurance. The hospital makes money. It was built specifically in La Jolla because they would limit the uninsured that show up. Compare that to the inner city hospital (Hillcrest) which is old, busy, has less equipment for diagnostics etc... They have a much larger population of patients that walk through the doors of the ED uninsured, and you can't send them away.

i have no issue with recounting a personal tale, i do it all the time. i was commenting on the source. convenience factor, patterns. just sayin.

 

i don't really think most people under 50 rarely if ever have to deal with medical insurance, you can be healthy and need insurance and be under 50. have a baby. i hear it's done all the time.

 

(as you shouldn't send them away)

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Just now, smilesammich said:

i have no issue with recounting a personal tale, i do it all the time. i was commenting on the source. convenience factor, patterns. just sayin.

 

i don't really think most people under 50 rarely if ever have to deal with medical insurance, you can be healthy and need insurance and be under 50. have a baby. i hear it's done all the time.

 

(as you shouldn't send them away)

True having a baby does happen under 50. I guess I was thinking aside from that. Sadly I was probably also thinking about Men specifically since IDWAF is a man (I'm assuming?). Most men can go decades before ever having a prescription even (no birth control).

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