So I went down the rabbit hole of trying to determine what are the economics for someone, who is currently healthy , to go to a HDHP with a 10k plus deductible.
The question I asked is āI dont trust insurance companies. What happens if I have a million dollar emergency and they wonāt pay ā. All I can say is WTF
If they donāt pay, there are Independent Review Organizations, who are supposed to be independent, and their decision to pay or not is final. I asked for examples of companies. One was ExamWorks. That rang a bell.
These motherfuckers are the same company that issued a ridiculous denial for a patient I was trying to help. So I knew the Too Big To Care, vertically integrated insurance companies hired them to do DENIALS !!! WTF.
The biggest customers of the companies that are the final decision makers for insurance carrier denials, are the biggest insurance companies.
That is beyond fucked up. Itās the definition of conflict of interest. How do state insurance commissioners allow this ?
The high deductible plans that many people say is the solution to fixing how we do insurance, may be effectively compromised
Iāll volunteer to be on the committee that cuts your health benefits cost. You need someone from the outside that is objective, and can stand up to the big healthcare conglomerates
Hey @grok, Iām curious. How many times in aggregate, have the Big 3 PBMs or any of their affiliated companies been sued, in any capacity, in 2026 alone ?
Op-Ed: Joel Thayer: The drug middlemen settled, but the conflict of interest remains. https://washingtonreporter.news/op-ed-joel-thayer-the-drug-middlemen-settled-but-the-conflict-of-interest-remains/
Mark Cuban Says He Was Dizzy for Months, So He Built a VR Fix That Does at Home āMuch Of W... https://www.barchart.com/share/news/4664104/mark-cuban-says-he-was-dizzy-for-months-so-he-built-a-vr-fix-that-does-at-home-much-of-what-a-180k-machine-does via @Barchart
I think itās going to be interesting to watch the irony of the social media algos amplifying the anti AI sentiment far beyond any positive AI sentiment.
Meta and Google are going to be trying to make enough money from pushing people to hate AI, to subsidize their AI
Hey @grok , which is more likely to create a human extinction event or series of events in the next 25 years , AI or Climate Change ? Assign a probability to each
If the answer to either is yes, do your best to put a timeline for when you think it happens
# A town's first data center: what to require before saying yes
A data center can bring construction employment, tax base, and infrastructure investment. It can also impose demands on electricity, water, public services, and nearby neighborhoods that last for decades and outlive the equipment inside.
Two facts should frame everything. The industry produces very few permanent jobs relative to its cost ā one watchdog analysis of eleven major projects found subsidies averaging about $1.95 million per job. And in a survey of data center owners, only three percent named tax credits and local incentives as the biggest siting factor; land and power availability drive the decision. You are usually not paying for something that would otherwise not happen.
**The basic rule:** every important promise needs a stated limit, a reliable way to check it, a responsible party with money behind it, and a practical response when it is broken.
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