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Houthi Red Sea Blockade

Well, the issue is that USG spending is UP since T47, despite all the slash and burn stupidity.
Let's give 47 a little more time to see if he does what he says he will.

I've seen clips of Obama talking specifically about cutting the wasteful spending - nobody was lighting their hair on fire then. But I guess that is because he didn't actually do what he said he would.
 
Let's give 47 a little more time to see if he does what he says he will.

I've seen clips of Obama talking specifically about cutting the wasteful spending - nobody was lighting their hair on fire then. But I guess that is because he didn't actually do what he said he would.

Woah, wait a sec…are you saying Trump is following Obama’s methodology?
 
Is anyone really going to argue the validity of cutting wasteful spending?
I have also seen wasteful cutting, that then requires a rehire, restart of needed programs. I don't mind cutting waste, but almost always it's the coalface that gets cut and not the people in the middle that add minimal value, who's main job is to protect their own job.
 
I have also seen wasteful cutting, that then requires a rehire, restart of needed programs. I don't mind cutting waste, but almost always it's the coalface that gets cut and not the people in the middle that add minimal value, who's main job is to protect their own job.
A local police force did just that. Cut the typists that type reports. Constables had to type their own stuff and couldn’t get on the street to arrest jerks.
 
Probably because somebody convinced them that some sort of technology will solve that.
Do they even teach skills such as typing now (ok, data input). I watch my family doctor updating my file and it is painful. Half of my allotted 15 minutes is spent watching her hunt and peck on the keyboard. One of my specialists just writes notes. He sees 4 patients per hour, spends the entire 15 minutes with the patient, so roughly 24 per day on average. Providing the same time AND doing data entry would either reduce his visits by one third or put him into an 8 hour day. His office manager spends 1 hour per day typing his notes into the system in between the telephone and scheduling and finally about 30 minutes after closing. She recently became his business partner. What I am saying is that we need to re-invent the role of the secretary and pay them very well for their skills
 
Do they even teach skills such as typing now (ok, data input). I watch my family doctor updating my file and it is painful. Half of my allotted 15 minutes is spent watching her hunt and peck on the keyboard. One of my specialists just writes notes. He sees 4 patients per hour, spends the entire 15 minutes with the patient, so roughly 24 per day on average. Providing the same time AND doing data entry would either reduce his visits by one third or put him into an 8 hour day. His office manager spends 1 hour per day typing his notes into the system in between the telephone and scheduling and finally about 30 minutes after closing. She recently became his business partner. What I am saying is that we need to re-invent the role of the secretary and pay them very well for their skills
While this is very true, the way that many gp/family medical offices run now is a centralized pool of "staff" who work for the clinic and are managed by an office manager. The Doctors, in some cases, have little or no influence on the quality or quantity of work that staff does. So I believe there is a trust issue there. Dr's want to ensure what they want written on a patients file is what ends up there, and sometimes maybe that means doing the job yourself, especially if you have to review all the files at the end of the day yourself for accuracy.

But they could be using tech more advantageously. We have a vet friend who now uses a medically oriented AI program that records her voice to take the notes. She then reviews the file at the end of the meeting and makes any corrections. She says the program is better than 95% accurate. There no longer needs to be a tech in the room to take notes for them, they can be prepping the next patient.
 
While this is very true, the way that many gp/family medical offices run now is a centralized pool of "staff" who work for the clinic and are managed by an office manager. The Doctors, in some cases, have little or no influence on the quality or quantity of work that staff does. So I believe there is a trust issue there. Dr's want to ensure what they want written on a patients file is what ends up there, and sometimes maybe that means doing the job yourself, especially if you have to review all the files at the end of the day yourself for accuracy.

But they could be using tech more advantageously. We have a vet friend who now uses a medically oriented AI program that records her voice to take the notes. She then reviews the file at the end of the meeting and makes any corrections. She says the program is better than 95% accurate. There no longer needs to be a tech in the room to take notes for them, they can be prepping the next patient.
I find there are very few GPs around now but lots of family medical centres which are businesses set up to collect money for services rendered but not necessarily providing decent primary health care. Our local system has 4 or 5 in the office with two service windows: one of which is always closed. Expect to stand in front of the window for at least a couple of minutes whilst the residing worker finishes either a phone call or a conversation with the individual in the closed window next door. I realize there are exceptions but as the saying goes:" Its hard to get good help these days" And all the staff are graduates of an advanced course from Sheridan or the like. Rant off
 
I have to wonder if they are targeting the launching areas of the marine drone boats. It would be pretty hard to hide that, unless of course they surround themselves with civies while doing so.
 
you mean like computers were supposed to make our work less time consuming and easier?
I remember talk about computers way back - like '50s and '60s - speculating that we would have so much spare time on our hands we wouldn't know what to do with it.

Do they even teach skills such as typing now (ok, data input). I watch my family doctor updating my file and it is painful. Half of my allotted 15 minutes is spent watching her hunt and peck on the keyboard. One of my specialists just writes notes. He sees 4 patients per hour, spends the entire 15 minutes with the patient, so roughly 24 per day on average. Providing the same time AND doing data entry would either reduce his visits by one third or put him into an 8 hour day. His office manager spends 1 hour per day typing his notes into the system in between the telephone and scheduling and finally about 30 minutes after closing. She recently became his business partner. What I am saying is that we need to re-invent the role of the secretary and pay them very well for their skills
It might be generational. Both of doctors do their appointments with a table in hand and don't seem to be very distracted by it. The good thing is prescriptions and requisitions are sent before you leave the office and you don't have a pharmacist staring at a scrawl saying 'what the hell is this'.
 
While this is very true, the way that many gp/family medical offices run now is a centralized pool of "staff" who work for the clinic and are managed by an office manager. The Doctors, in some cases, have little or no influence on the quality or quantity of work that staff does. So I believe there is a trust issue there. Dr's want to ensure what they want written on a patients file is what ends up there, and sometimes maybe that means doing the job yourself, especially if you have to review all the files at the end of the day yourself for accuracy.

But they could be using tech more advantageously. We have a vet friend who now uses a medically oriented AI program that records her voice to take the notes. She then reviews the file at the end of the meeting and makes any corrections. She says the program is better than 95% accurate. There no longer needs to be a tech in the room to take notes for them, they can be prepping the next patient.
I find there are very few GPs around now but lots of family medical centres which are businesses set up to collect money for services rendered but not necessarily providing decent primary health care. Our local system has 4 or 5 in the office with two service windows: one of which is always closed. Expect to stand in front of the window for at least a couple of minutes whilst the residing worker finishes either a phone call or a conversation with the individual in the closed window next door. I realize there are exceptions but as the saying goes:" Its hard to get good help these days" And all the staff are graduates of an advanced course from Sheridan or the like. Rant off

Having been in that business (the management of medical clinics, doc in the box) following military service in the days of paper records as well as implementation of EMR, I've seen it from both perspectives. And it is a business, for both the clinic as well as the physician. While I will accept that the quality and quantity of "staff" may vary, in my experience the physicians who are in a "business arrangement relationship" often have more influence on the activities of the staff than may be evident to patients. And what does the public get for a fee for service.

The rule of thumb for clinic expenses was generally accepted as 25% to 40%. Of course that was in the pre-covid days, I could conceiveable see 45% - 50% being the new norm. That's the share of the physician's billings that covers the clinic's cost.

The majority of patient encounters in primary care (non-hospital) would usually be classed as minor or intermediate assessments; they are not limited (or billed) as to time involved, number of complaints, referrals made, or diagnostic tests ordered/reviewed; it's one (or more) visit to one doctor on the same day.

Using OHIP schedule of benefits
INTERMEDIATE ASSESSMENT Definition/Required elements of service:
An intermediate assessment is a primary care general practice service that requires a more extensive examination than a minor assessment. It requires a history of the presenting complaint(s), inquiry concerning, and examination of the affected part(s), region(s), system(s), or mental or emotional disorder as needed to make a diagnosis, exclude disease, and/or assess function.
A007 Intermediate assessment or well baby care ........................... 37.95
MINOR ASSESSMENT Definition/Required elements of service:
A minor assessment includes one or both of the following:
a. a brief history and examination of the affected part or region or related to a mental oremotional disorder; or
b. brief advice or information regarding health maintenance, diagnosis, treatment and/orprognosis.
A001 Minor assessment................................................................... 23.75
 
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