[img]http://www.trbimg.com/img-55394bce/turbine/la-tent-city-la0028337493-19750612/1550/1550x872[/img]
[quote]It was late April 1975 when refugee camps sprang up across the U.S. to shelter 100,000-plus Vietnamese who fled after the fall of Saigon. At Camp Pendleton, with just 36 hours' notice, enlisted crews swept the grounds, put down plywood floors, set up hundreds of tents and thousands of cots and stocked pantries for evacuees who were unfamiliar with America's culture and language, and even the taste of fried chicken.[/quote]
[img]http://www.trbimg.com/img-553edb21/turbine/la-vietnamese-refugees-rebuild-their-lives-fro-009/1550/1550x872[/img]
[quote]Refugees gather during a visit by Rio Hondo College theater students. Because of the language barrier, mime was used in the entertainment.[/quote]
[IMG]http://i.imgur.com/3O48ROU.jpg[/IMG]
[QUOTE]The Ghost Army: The US army used inflatable rubber tanks and vehicles to deceive the Nazis in WWII[/QUOTE]
[IMG]http://i.imgur.com/pEnsZjU.jpg[/IMG]
[QUOTE]Vintage advertisement![/QUOTE]
[IMG]http://i.imgur.com/0ldaq9W.jpg[/IMG]
[QUOTE]New York, 1932[/QUOTE]
[IMG]http://i.imgur.com/hSzIPa9.jpg[/IMG]
[QUOTE]Llama, Times Square, 1957[/QUOTE]
[url=http://imgur.com/gallery/g4xmj]Sauce[/url]
[img]http://static3.businessinsider.com/image/54354c476da8117353c2b352-1200/the-annual-journey-to-mecca-also-know-as-hajj-in-the-muslim-faith-is-considered-one-of-the-largest-yearly-gatherings-of-people-on-the-planet.jpg[/img]
Mekka last night.
[editline]17th July 2015[/editline]
But pic is from 2014, can't find a new one.
snipped and replaced with picture. meant for stgym sorry
[img]http://pre03.deviantart.net/b462/th/pre/i/2011/160/8/c/space_station_by_reeezzz1-d3igd79.jpg[/img]
[QUOTE=Neat!;48227955][img]http://assets2.ignimgs.com/1999/11/04/misslecommand5-126084_320w.jpg[/img]
this fucking game
[I]this fucking game[/I]
young me was so fucking pissed at this level, man.[/QUOTE]
Wrong thread?
[QUOTE=w0lfeh;48227351]
[IMG]http://i.imgur.com/0ldaq9W.jpg[/IMG]
[/QUOTE]
I totally don't suffer from acrophobia, but holy shit, this dude has balls of steel. One sudden wind gust cound've easily thrown him off. Reminds me of those crazy dudes [URL="http://www.youtube.com/watch?v=gLDYtH1RH-U"]climbing skyscrapers without a belay[/URL] or just [URL="http://www.youtube.com/watch?v=DOoiWLU0H20"]walking and exercising above the abyss[/URL] or something.
[t]http://fc06.deviantart.net/fs71/f/2015/020/a/5/jungle_by_sheer_madness-d8eot28.jpg[/t]
[t]http://36.media.tumblr.com/56d79272882ae0c05a6aef2b4ff24a8a/tumblr_nri55j2jCP1tofcqeo1_1280.jpg[/t]
[t]http://i.imgur.com/yNmERmB.jpg[/t]
[t]https://cdn.artstation.com/p/assets/images/images/000/037/217/large/abalakin2.jpg?1400220227[/t]
[t]http://i.imgur.com/zgbMPU6.jpg[/t]
[editline]17th July 2015[/editline]
[t]https://cdn.artstation.com/p/assets/images/images/000/605/244/large/johnson-ting-mars-1.jpg?1428322889[/t]
[QUOTE=ferrus;48218833][vid]http://img.pr0gramm.com/2015/07/16/cf90166460d98db4.webm[/vid][/QUOTE]
Whats going on here?
[QUOTE=Just2Rusty;48228754]Whats going on here?[/QUOTE]
winter is coming
[img]http://orig09.deviantart.net/4842/f/2015/120/0/f/leviathan_by_moonxels-d8rm8mt.jpg[/img]
[img]http://img01.deviantart.net/e95c/i/2015/190/3/9/star_by_yurishwedoff-d90mjg7.jpg[/img]
[img]http://pre05.deviantart.net/e410/th/pre/f/2014/065/0/8/source_by_ericoscarj-d78wjld.jpg[/img]
For Dune fans
[img]http://orig02.deviantart.net/e8c1/f/2015/190/b/e/shai_hulud_and_the_god_emperor_by_erikshoemaker-d90m52n.jpg[/img]
Hospital bill for a rattlesnake bite in the US
[t]http://i.imgur.com/BbQgU8a.jpg[/t]
[quote]Your payment is due: July 27, 2015[/quote]
[img]https://thesmokingnun.files.wordpress.com/2010/12/picture2b1.jpg[/img]
[i]Photograph of a store shelf. 197?[/i]
[QUOTE=Araknid;48234778]Hospital bill for a rattlesnake bite in the US
[t]http://i.imgur.com/BbQgU8a.jpg[/t][/QUOTE]
What the fuck is wrong with America.
[QUOTE=Fourm Shark;48235792]how does someone without insurance even begin to pay off something like this.[/QUOTE]
you dont
in america, walking around without health insurance is like walking around with life-crippling risk of debt over your head. even if youre just a tourist, american healthcare cost is disgusting.
[QUOTE=Fourm Shark;48235792]how does someone without insurance even begin to pay off something like this.[/QUOTE]
Producing and selling meth.
[QUOTE=Fourm Shark;48235792]how does someone without insurance even begin to pay off something like this.[/QUOTE]
Lmao even with insurance only a fraction of that would be covered unless you're paying up to a thousand dollars a month for some godlike policy.
American insurance is the biggest scam ever invented, if you have it, it's cripplingly expensive, won't cover everything, and won't cover the total cost.
If you don't have insurance you are breaking the law and can be fined heavily, even though if you weren't paying hundreds upon hundreds of dollars a month you could save all of it anyway and then pay for the cost of the event normally.
It's completely bullshit, and when we try to do anything at all to move towards a more European system (Obamacare) it doesn't work and then everyone that doesn't know anything about it anyway calls it socialist commie law.
Sorry for the rant.
How much would you have to raise taxes in order to get the European system?
[QUOTE=Fourm Shark;48235792]how does someone without insurance even begin to pay off something like this.[/QUOTE]
As if insurance will make a difference
[url]http://prescriptions.blogs.nytimes.com/2009/09/07/insured-but-bankrupted-anyway/?_r=1[/url]
[img]http://i.imgur.com/LwwzxZ7.png[/img]
[QUOTE=aznz888;48235953]you dont
in america, walking around without health insurance is like walking around with life-crippling risk of debt over your head. even if youre just a tourist, american healthcare cost is disgusting.[/QUOTE]
With Obamacare don't you get free healthcare if the cost is more than a certain percent of your income though?
And also get taxed extra if you don't have healthcare?
[QUOTE=Araknid;48234778]Hospital bill for a rattlesnake bite in the US
[t]http://i.imgur.com/BbQgU8a.jpg[/t][/QUOTE]
Holy fuck, and people moan in Britain when they have to wait a few weeks for an appointment on the NHS.
It's so weird growing up in Britain, I really can't imagine a place where I would have to pay thousands of pounds just to not be in pain/dead.
[QUOTE=vladnag;48237388]Holy fuck, and people moan in Britain when they have to wait a few weeks for an appointment on the NHS.
It's so weird growing up in Britain, I really can't imagine a place where I would have to pay thousands of pounds just to not be in pain/dead.[/QUOTE]
It's really dumb because even if you're the most hardcore conservative, it makes economic sense to fix up your workers so they can get back to being in the workforce ASAP and contribute to the economy.
Imagine having to sell your house and car because you got too close to a small animal without noticing.
That's some mafia style loan shark business.
[QUOTE=joost1120;48238004]Imagine having to sell your house and car because you got too close to a small animal without noticing.
That's some mafia style loan shark business.[/QUOTE]
Antivenin is expensive. And rattlesnake bites are serious. You require immediately treatment or you're fucked.
[Quote]But even with a more typical dose of antivenin, the cost of treatment packs as much punch as the bite itself.
CroFab, an antivenin manufactured by BTG International, is[I] the only FDA-approved antivenin in the United States[/I] for bites from pit vipers, including rattlesnakes, copperheads and cottonmouths, also known as water moccasins.
"It is quite complicated to make," said BTG communications manager Ashley Tapp. The antibodies are created in sheep, which reduces the occurrence of allergic reactions in people who receive the drug.
[B]BTG sells CroFab for as much as $2,700 per 1-gram vial, although Shands pharmacists say hospitals usually pay about 80 percent of that price.
But because of the costs of storing, preparing and administering the drug, Shands charges about $20,000 for one vial of CroFab.[/b]
That "typical" snakebite Baines described could put a patient back about [b]$160,000 before insurance[/b], which offers variable coverage.
[B]At 80 vials, the cost of antivenin therapy is closer to $1.6 million.[/B] It's unclear what insurance Ben's family has or how much of the therapy it would cover.[/quote]
[url]http://www.gainesville.com/article/20130612/ARTICLES/130619841?p=2&tc=pg[/url]
So those prices are for a highly specific treatment and are not what you would see for a hospital visit for something a lot less minor.
[editline]18th July 2015[/editline]
(Hense why the bulk of that receipt is in pharmacy and lab costs and ICU)
[editline]18th July 2015[/editline]
To go along with the thread, have this video on how to make Antivenom:
[media]https://www.youtube.com/watch?v=W277rt1Dzt4[/media]
[editline]18th July 2015[/editline]
Luckily for Aussies, the treatment is free. So the possibility of cheaper venom treatment is out there. But that's not how it is right now so it's best to just be [I]extra careful[/I] if you don't want to pay out your ass.
Ive worked in health care for a total of 3 years now, ive seen civilian side of the house and federal (military hospitals), worked with various levels of providers and in different departments (ER, Surgery, L&D Surgical, and Medical-surgical wards), as a student, volunteer and as a full time Surgical Tech.
The issue with health care being high is complex, and cant be blamed on one single factor, its a combination of many. Ill try my best to break it down. Ill be talking about the OR the most since its where ive been the longest, and the TRUE money maker of a hospital, ill also be talking about civilian hospitals; federally run hospitals are on a different beat.
[B]1: Its a Business[/B]: Through and through everyone working in a hospital knows this, we walk in knowing we're going to making some decent coinage, pay-check wise, and we know the "business" is going to be profiting from what we're doing. The doctors/nurses/techs have to be paid a certain amount to keep us working because theres so much student debt for a lot of people to get to where they are. Doctors the most, but after awhile doctors rake in so much because its whats expected, and for so many of them it just turns into how they can suck as much money out of a patient as possible, some they really look out for their patients financially, but you as a patient wont really know this until AFTER your treatment, and thats if you know what to look for.
Many different hospitals have different approaches in how they bill, some will bill for each individual item opened in surgery, if its used or not, than some will only bill items used ON THE PATIENT, this is the best approach, because a lot of consumable items will be opened accidentally and not be used. ive seen 100 suture needles opened because a surgery was booked wrong, and this added an extra couple hundred to the patients bill. Whichs brings onto equipment
[B]2:Equipment mark up is high[/B]: Lets look at a few things, first normal saline is .09% NaCl w/H2O, anyone who took chemistry knows its probably not that big of a feat to make such a solution, the packaging,sterilization, and transportation is expensive, as is the trained person to administer it, but that still will never make up for the fact IV therapy with 1L of NS at bolus for 15 minutes in the ER for dehydration should cost nothing near 1k of coinage. When you can be taught how to start and discontinue an IV in a 1 day class, and mastered in a few weeks with OJT. Ever think bottled water was unnecessarily expensive? IV fluids is like that, but on a much great level. Now other solutions can be a little more complicated, but other IV solutions such as D-50, or 50% dextrose is also absurdly high for such a simple solution. Lets talk about another piece of equipment thats typically billed to people. Endoshears, they're one time use disposable laporscopic scissors, typically used to cut and dissect tissue in surgery, for example to help remove your gallbladder off your liver and to cut the cystic duct and artery during a lap cholecystectomy, in more simple words, it cuts. The issue with this, is it is billed towards the patient at a 400 dollar rate, when in reality it simply costs 20 dollars to make, and is sold to the hospital in bulk at a semi-high rate, but nowhere near 400 dollars. So whats the issue with this item if its REQUIRED to complete some surgical procedures? Theres no need for it actually, because during surgery instrument sets are used, that are washed, sterilized and maintained by the hospital comes with their very own laporscopic scissors. The issue is very rarely the re-usable equipment is maintained correctly at most facility, the scissors are dull, and very often surgeons request for endoshears to be opened to amend the equipment failure. THE ISSUE here is two things:someone should be sharpening them and taking care of the instruments, 2: you're charging the patient for the hospitals failure to preform adequate upkeep to their equipment in check. Imagine if you ordered a steak medium-rare, and the cook burned it to a crisp, and had to make another one, but you got billed for both steaks? Bad analogy, but its the same point. The best way to sum up this is inefficiency,poor oversight and high mark up to turn a profit.
3:[B] no one pays[/B]: very few people actually pay for their medical bills, (good reason too), so few can afford it, but that just puts the hospital in the position of marking things up even higher to bring in enough money to operate and still make profit. So the very few that will pay, get the bill for their treatment, and the 20 other people in the hospital who received it.
4: [B]your doctor doesn't care about you half the time [/B]: he just wants to treat you, and get rid of you, and get as much money as possible because your questions about when you can drink beer again, if you should smoke still, or when you can eat what you want, after you had that below knee amputation to treat your diabetes is annoying to him with the stupidity that comes with some patients. The best way to sum this up is burn out, mixed in with its just a business to some doctors. They dont do patient care too great half the time, and some will use the most unnecessarily expensive tests,equipment and implants just because they can and the more they do the better for them. The things doctors say about you behind closed doors or when your under for surgery are things you could probably sue them for, "you big fat piece of cunt, whose making them come in on their day off".
[B]Disclaimer:[/B] Im not saying every hospital, and doctor you go to is out to get you, or full of incompetence, theres some good facilities who are the lesser of the evil, and some doctors who really care for you, and do it for the right reasons, and will write off hundreds of thousands of dollars off your bill/pull some strings. But you really dont know what you're getting into until after your treatment, and i can say from the hundreds of providers ive worked with, you're batting at an average of 50 to 30% who are not looking out for your best interest. Just remember your biggest advocate in a hospital is your nurse and tech. They get paid well, but their pay is fixed.
The biggest reason to why things are this way, one word: capitalism.
The most common thing i heard the first 6 months of working in surgery
"Gotta turn over, and set up they want to make money."
[quote]4: your doctor doesn't care about you half the time : he just wants to treat you, and get rid of you, and get as much money as possible because your questions about when you can drink beer again, if you should smoke still, or when you can eat what you want, after you had that below knee amputation to treat your diabetes is annoying to him with the stupidity that comes with some patients. The best way to sum this up is burn out, mixed in with its just a business to some doctors. They dont do patient care too great half the time, and some will use the most unnecessarily expensive tests,equipment and implants just because they can and the more they do the better for them. The things doctors say about you behind closed doors or when your under for surgery are things you could probably sue them for, "you big fat piece of cunt, whose making them come in on their day off". [/quote]
In personal experience the best doctors I've had are the specialists you see outside of the hospitals. My orthopedic specialist/surgeon and ENT specialist we're the best doctors I've had because they too are running a business but it's dependent on their quality because the patients have to see them more than just for the surgery.
I feel like the hospital doctors are too burnt out and have too many patients and are exposed to too much reality to really care about their patients as more than just a client so to speak. We're talking about people that probably see people die every day and can't get too attached and worked up that it might have been someone in their care. One minute they're telling a family their grandpa didn't make it, the next they're telling someone he needs the leg amputated, the next hes clearing a patient to leave, then its lunch, then back to the grind, and a surgery the next morning. I don't think they [I]can[/I] care. It would be too hard.
[editline]18th July 2015[/editline]
I wonder how much the price would change in the US if we really made an effort to tackle overcharging for equipment/medicines.
[QUOTE=Araknid;48234778]Hospital bill for a rattlesnake bite in the US
[t]http://i.imgur.com/BbQgU8a.jpg[/t][/QUOTE]
you see, if he was in an evil socialist country he would have had to wait days to be treated and he could have died. But thanks to the america's best healthcare network in the world he lived! And the best part of it all is that the government didn't rob him in order to pay for healthcare to freeloaders on welfare.
[sp]millions of americans would actually say this[/sp]
source [url]http://www.10news.com/news/one-rattlesnake-bite-150k-doctor-bill[/url]
that absolute tool tried to take a selfie with it
[editline]g[/editline]
and no, I'm not justifying the ridiculous bill
I don't know much about snakes and what pushes them to bite, but I would guess that I was lucky not to be bitten by a rattlesnake myself when I was in the states in 2011
walked into the fucker when it was dark, shunted it hard with my foot and it raised its head and rattled at me
