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Anastasis

Certifiably Surly
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    31057
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Everything posted by Anastasis

  1. sanctimonious twattery. Also 1968 mustangs.
  2. Sadly this is no replicable. More likely to throw off a mild clot in my experience.
  3. Yeah, I want to take it to dark chocolate but usually end up pulling it at milk chocolate.
  4. I always feel that I need to take my roux at least one or two steps darker.
  5. Found another Hamas colonel.
  6. Yep. Don't forget the drain part. That one is kind of important. Those things aint cheap.
  7. That is extremely useful information. Thanks.
  8. I have used GoodRx for my boy's inhaler many times. If you are going out of pocket, it is worth it to take a look. But as I understand it those cards really fucking suck for the shop doing the dispensing. Would like to hear @HRSchenker's perspective.
  9. That was about the US generic price 20 years ago before the FDA required reformulation away from CFC inhalers to HFA and triggered a bunch of patent law protections that allowed the price to go nuts here.
  10. Yeah, that's high but not uncommon. Wait until one of the biologics really lands solid with an Alzheimer's indication and Medicare financing melts down.
  11. You know that I agree with most of your takes on the subject, but the reality is that we live in a world where the cost of many drugs now makes almost any medical condition a potentially financially catastrophic one. It's not just the inpatient hospitalization for an AMI, or the individual diagnosed with a serious cancer. Biologics accounts for ~40% of US drug spending, and 70% of the growth in us drug spending. Long litany of autoimmune and inflammatory conditions involved, and the costs can easily get to high five figures. Shit, a fucking corticosteroid inhaler alone can run $250/mth. Got a couple kids with asthma and the baseline all-in for management can be $10k per year even if you are able to keep them out of the ER/UC. The major high cost centers are facilities and pharmacy. Until you control those costs, utilization management will be used to contain premiums and keep them from spiralling totally out of control for everyone. Doesn't matter what financing system we use, single or multi-payer, we have to bring drug pricing under control.
  12. Maybe. Maybe not. We just recently had a thread get ghosted from this board full of posters doing their best to get themselves put on a government watchlist, or at least a door knock. It prompted a reminder from the board owner that the popos can read surly and that the board will comply with any requests for information from law enforcement. I figured there was some more background to that reminder, but maybe not.
  13. Yeah, that's not bad. The non HDHP available are like $250+ per paycheck. So I keep ~$425 in monthly premiums that goes into the HSA to cover expenses. In years where we don't utilize much services, the HSA stacks up. In years where you have an inpatient admission or a couple ER visits, you hit the deductible phases and potentially the oop max. The tax advantaged saving in the HSA make the math work in my favor most years. But only because all the preventative services discussed above are covered at no charge. The HDHP does cause you to pay a close eye and manage expenses, particularly on the pharmacy side. Once there is a high cost biologic or other med in the mix, all the math goes to shit pretty quickly.
  14. It was the Philippines, IIRC. Also IIRC, TxTow was a drugs addled and AIDS infested pedophile.
  15. I'm on a HDHP. $35 a paycheck for family coverage, employer's contribution is $900 per paycheck. Out of pocket max is $9k per year, which we have hit only once thankfully. Deductible kicks in at $3k/$6k. Using pre-tax dollars to pay for all medical expenses is huge, and one reason that I strongly favor having HSA's accessible to all. Need to be able to start building that account in your early working years before expenses start taking off.
  16. In all fairness, anyone that posts on this board probably needs to be on a watch list of one form or the other. But it would be interesting to ask the mods about which posters here have triggered interactions with LEOs, and what the profile of the posted content was.
  17. it’s goldfished brain morons like you that 956’s propaganda works on
  18. I know a few of the folks working to commercialize the microdosing LSD stuff. They are good people. They got openings. Might be an interesting gig. But they got a long uphill climb.
  19. You bail out 956? It never fails to surprise me watching the most self-assured clowns, stomping their feet and talking in very authoritative voice, just fucking falling right on the face time after time after time after time. 956 has mastered that act. He relies on the short attention span of many posters here, and a very deep subject matter expertise in one small niche that doesn’t translate broadly, to run out his craft. That’s why everything comes back to kremlin talking points for him. His world doesn’t get much deeper than that.
  20. The fbi spokesman said that they “have strong evidence that suggests it was the subject that wrote it, but that they had not conclusively proven it yet”. Not kremlin talking points. Right out of the mouth of the fbi rep at the podium. Here is a cbs article that gets at the content https://www.cbsnews.com/news/las-vegas-cybertruck-bombing-matthew-livelsberger-letter-mental-health-crisis/ A review of Livensberger's social media posts, interviews with friends who knew him well, and most pointedly, his email to Shoemate, offered indications he may have been struggling with those issues. On Friday, Shoemate discussed the letter on The Shawn Ryan Show, a podcast where Ryan, a former Navy SEAL and CIA contractor, interviews individuals primarily from the national security space. In the email obtained by CBS News, Livensberger referenced his ongoing concerns about civilian casualties caused by an airstrike in Afghanistan. The incident he mentioned appears to align with reports of U.S. airstrikes in May 2019 targeting alleged drug-processing facilities in Afghanistan, where more than 30 civilians, including children, were reportedly killed.
  21. Is it the reference to the Afghanistan war crimes thing thats got under your skin? Is that the so called kremlin-aligned talking point? It must be nice to live in a world where such a thing impacting a SF operator and loosening up a couple screws is so unfathomable.
  22. Your horn only has one note. But keep tooting it.
  23. Sorry bro. Kremlin talking points. The propaganda artist out front told you already.
  24. This is the real head scratcher in my mind. Seems like this guy could have rigged the batteries to explode and set off a bunch of secondaries in the bed. But he swallows a bullet and sets off some fireworks? That shit feels either very rushed or very fucking lazy for an operator.
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