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Joined 1 year ago
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Cake day: June 29th, 2023

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  • The reason people aren’t protesting in not some fantasy that they’ll benefit from it one day but that they will fall under the weight of capitalism’s heavy hand if they get recorded protesting and get fired or get a sick day and get fired and lose everything. The reason that the wealthy don’t want a safety net is not just because they hate the poor (they do) but because they have control over a population of workers who live in fear of the economic meat grinder. The system is so much more cynical and cruel than I would have imagined possible.




  • I worked for one the first hospitals that was doing genomic testing for oncology patients in the U.S. I am not advocating against genomic testing or precision medicine, but Amerisource Bergen, (at the time) McKesson, and the sales people at the manufacturer were licking their chops at the thought of precision medicine. It was extremely lucrative for some improvements on QoL. I sincerely hope that it’s not cost prohibitive to patients and results in breakthroughs in treatment. But I did watch as a lung cancer drug was administered to patients at the cost of 250k per treatment. I don’t remember how many treatments there were but the cost was insane. The US system of healthcare is absolutely broken and I believe there’s a study that particularly evaluated cancer as a major cause of families depleting whatever savings they had within a couple years of being diagnosed. This is an indictment of the whole system. Not the efficacy of the drugs.







  • I work in a consulting role and the company I am currently working for is a vc funded provider group specialty healthcare docs. It’s all about volume. They’re completely inept in the way they’re running the company. They are incapable of making decisions that need to be made for the future of the organization so they keep pushing them down the road and papering over the terrible fundamentals because for them it’s all about hoovering up practices to gain market power. Everyone is miserable and always fighting at the highest levels. No one has authority over the organization. And people in lower rungs of the org have some of the worst insticts and are rewarded for it. VCs are making bad businesses significantly worse. They all operate under the same fundamental logic:

    Get big enough at all costs until you are undeniable.

    Jack up prices.

    Then reduce the labor force to reap short term profits.

    Then sell off to a bigger player without any regard for how the chips fall.

    Or keep getting so big that you are unmanageable.

    Consumers suffer.

    Rinse.

    Repeat.