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View Diary: The goal IS to reduce the standard of living (386 comments)

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  •  Your neurosurgeon can train new surgeons (none)
    to his high standards.

    He can then put them on his payroll.

    Then more high quality surgeons will be available to treat even more patients.

    He can then bring home more than $200,000 a year.

    DOCTORS CAN'T REALISTICALLY FLEE

    If I have to go overseas for medical care, I will have a choice of where I go. I may pick a German surgeon instead.

    Medical providers either have to work in the United States or compete against surgeons in countries like India or China.

    •  Your're still wrong (none)
      1. not every one can teach - just try it some time.
      2. If ery job is capped at $200,000 I'm gonna get the easiest job for my $200,00 income - I'm no fool.
      3. If everyone earns $200,000 all prices will go up to ensure that they reflect the fact that people make $200,000 - evrey one looks for profit.
       
      •  Yes, wrong.... (none)
        Take home pay should be limited to $200,000 a year based on how many ice cream cones you can eat. Makes as much sense. Reality check time...

        On Perlstein and beautiful irony: Poynter

        4/20/2004 10:14:11 AM

        PRIZE-WINNING WALL STREET JOURNAL REPORTERS TO SPEAK OUT AT WEDNESDAY'S ANNUAL MEETING -- AND TO STAGE PROTEST OUTSIDE

        Inside the Dow Jones annual meeting on Wednesday, Pulitzer-Prize winning Wall Street Journal reporters will stand up and speak to directors and shareholders about the damaging effects that proposed healthcare cuts and pay limits will have on quality at the Journal. Dozens of other Journal and Dow Jones employees will attend the meeting to support those speeches. (The Journal is Dow Jones's flagship publication.)

        •  Creating jobs high paying jobs is more (none)
          beneficial to society than eating ice cream.

          Want more money? Create more high paying market sector jobs!

          I am simply proposing to measure a very useful quality such as middle class job creation and allow it to be rewarded.

          I don't care to continue to reward greedy people for laying off Americans and for jacking up my bills.

      •  yeah, this sounds like free market communism to me (none)
        with the worst of both systems.

        </shudder>

      •  You will find that few jobs paying (none)
        $200,000 are easy.

        If you know about any easy $200,000 jobs, please post the details below.

        People making more than $200,000 tend to have specific skills enabling them to earn such large sums. They will generally have a hard time switching to something else that still pays $200,000.

        Furthermore, I don't think people with the easiest $200,000 jobs will be inclined to give them up.

    •  wtf (none)
      if you have to go overseas for medical care you'll have a choice of where you'll go?

      well that's just fucking great for you, now isn't it.

      1. how about those of us without the financial resources to afford international airfare? and hotel and skilled rehab stays? and the fees of foreign doctors and hospitals (i hear, from pastordan among others, that they can be quite expensive)??

      2. how about those of us who didn't do the requisite pre-planning for our emergency trauma surgeries?

      3. how about those of us who are stuck in this country (see 1) and therefore have to fight behemoth HMO's - who have a fiduciary obligation to only care about profits - every god damn day in order to survive? fuck us huh?

      what unabashed self-ishness. what arrogance. oh, it's ok cus you can go to Germany.

      by the way, doctors at teaching hospitals do teach. they teach med students, they teach residents, and they teach fellows. in your 'plan' who exactly gets credit for training the fourth year med student during clinical rotations? the junior resident? the senior resident? the attending? do they all divy up the incentive? or do they all get the full bonus?

      and my attending neurosurgeon, btw, wouldn't be employing the residents or fellows she trains. they'd be working for the hospital - or the hospital's physician orginization. does the CEO of the hospital of the PO then get credit for the work of my attending neurosurgeon under your 'plan'?

      •  You have to truly CREATE a JOB (none)
        needed and supported by the market and not simply manage or transfer an old job or simply teach somebody how to do a job.

        Setting up Dr. Bob's Emergency Trauma Center would be considered a transfer.

        Teaching a novel surgical technique for a previously untreatable condition and then hiring people to perform it would qualify.

        Scams will trigger IRS penalties and interest charges and possible jail time.

        Most hospitals receive so much government money that they shouldn't qualify as market based entities.

        Also if courts are used to collect past due bills, that income would not count proportionately towards the $40,000 requirement.

        Lifting an individual's income above $40,000 for the first time would be an important test. Don't fire an old employee making $50,000 because that would then simply be a job transfer.

        If you trained me to be a fine Afghan cuisine chef and paid me at least $40,000 a year you would be on your way. There are no Afghan restaurants in my area and I haven't made $40,000 a year for more years than I care to admit.

        If you opened SV Breweries with me and we had five people making more than $40,000 a year, we could agree to let you claim all five.

        Basically, I am proposing a job creation tax credit. If you feel that is too difficult, feel free to stick with a $200,000 a year limit.

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