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joshknut

Metropolitan Tower 224'
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Posts posted by joshknut


  1. Everyone always talks about the "huge" number of property owners for the West End site. But take a look at this rendering of the West End site and then pull up CAGIS. I count 6 property owners: Board of Education, City of Cincinnati, Lighthouse Ministries, Provident Bank, Run in Run Out LLC, and Brooks Stoney Lee. The vast majority of the space is owned by the board of education. Is it really unrealistic to buy these properties? If FCC really wanted this area, the song and dance routine with Oakley and Newport would be exactly the thing to make Lighthouse ministries not hold out on a good offer (for a crazy high offer).

    Stadium.jpg.7818efa76b2f976d74d1528850251b10.jpg


  2. I saw this in San Diego:

     

    https://www.google.com/maps/@32.7095939,-117.1601143,3a,75y,77.69h,113.46t/data=!3m6!1e1!3m4!1s1LkfFYxcEu9k8HPEezWQKg!2e0!7i13312!8i6656

     

    What do the architects and others on here think about this kind of modern infill? Does something like this belong in OTR?

     

    It was interesting being the the Gas Lamp quarter which went through its renaissance in the 80s and 90s. It's about 10 times smaller than OTR in number of contributing buildings and acreage. 


  3. Relevant quote I recently stumbled upon:

     

    "As a nation, we began by declaring that 'all men are created equal.' We now practically read it 'all men are created equal, except negroes.' When the Know-Nothings get control, it will read 'all men are created equal, except negroes, and foreigners, and Catholics.' When it comes to this I should prefer emigrating to some country where they make no pretense of loving liberty – to Russia, for instance, where despotism can be taken pure, and without the base alloy of hypocrisy."

    - Abraham Lincoln, Lincoln Letters

     

    I think we should start calling the Trump supporters the "Know-Nothings" as Lincoln would have.


  4. Actually, I have many of their children as patients. They wait just as long as anyone else. It's actually been a problem with CCHMC getting their money from Saudi Arabia, but they will always take those patients because it's CCHMC.


  5. Jake, I know people on here are not saying doctors are over paid or a reason for high costs. However, I feel that it comes up a lot in many conversations about health care. I just like to remind people, when I have the platform, that we aren't all just a bunch of money bags. One thing that could help is reducing the exorbitant costs of tuition (not just in medicine).

     

    There are many areas in american hospitals that are running low efficiency facilities in terms of costs that could be corrected with a more unified plan among all hospitals.

     

    There also is "cover your a$$ medicine", as it is called. For example, when I studied medicine in Israel, laboratory blood work was only drawn if it was indicated (imagine that!). On a floor of 50+ patients, we had a handful of labs to draw each day. Once I started on the floors in the US, this all changed. Many times, you are expected to have labs trended every single day when someone is admitted, which is ridiculous. Why do I need to follow someone's  blood counts if I have no reason to believe they are actively bleeding? Do I have my blood drawn every day when I'm at home? No. It's nuts that this happens here and is a gigantic waste of money. And if you don't do it, and someone ends up anemic for whatever random reason (ie, you drained it out of them from too much blood work), your superior would ask you "why weren't you trending their lab values?" This kind of logic continues into imaging as well. In Israel, if a patient had all the clinical signs and symptoms of appendicitis, they would take the patient to surgery without a CT confirmation. Here, you have to have a CT confirmation, because if you take someone to surgery and they end up NOT having appendicitis, you will get sued. So tons of money is wasted with too much imaging, which in turn delivers a lot of unneeded radiation to patients. A CT of the abdomen is equivalent to about 200+ chest xrays (fun fact: A transatlantic flight is a little more than 1 chest xray or the equivalent of eating about 400 bananas)

     

    Attached file is for radiation fun!


  6. Yes, it's expensive. The $9000 a day for a premature baby, for example, in the NICU is receiving around the clock care from hyper-specialized staff. This not only includes the doctors, but also the nurses, the PCAs, respiratory therapists, etc. Also, in a NICU, there are many specialized devices for keeping tiny humans alive who do not have fully developed lungs. These things are expensive. Now, there was a mention that UC's lobby isn't nice, which is like judging a book by its cover. For example, West Chester Hospital is really "pretty", but I would never send a family member there. It's the "Hotel California" of hospitals. If it's anything (truly) emergent, always go to UCMC.

     

    Another thing to keep in mind, is that our health care costs are so high in order to be able to pay for the people who can't pay. This is why ED visits can be extremely high. This is to pay for the people who have no insurance or way to pay who use the ED as a primary care facility. It's charging the people who can pay more to cover the costs of those who cannot. What does that sound like?

     

    People like to complain about doctor salaries as being a cause of high costs, but I rarely hear people complain about hospital administrators and their salaries. Hospital administrators are business people who sit in their little offices from 9-5 and make tons of money for doing things like making lobbies pretty.

     

    A physician, by the time they are making a real salary are typically in their mid-30s, have $500,000+ in student loan debt, and absolutely no savings. We have spent the entire portion of our late 20s and early 30s, when our friends are settling down, saving for retirement, buying houses, etc, working our asses off with little reward and lots of negative money. As a resident we work 80 hour + weeks, while making around $50,000 - $60,000 a year. It's basically like working two full time jobs to make ends meet, but at the same time being constantly pushed to limits of stress, exhaustion, mental capacity, etc. Add in trying to keep a family with children. I spent the past few months on Saturdays/Sundays at the library studying for board exams, while missing things like by baby going to the pool for the first time, or his trying to speak for the first time, or pretty much anything a normal parent would get to do on the weekend with a new baby. We miss these times with our friends and family. Many times, while most people are out enjoying their weekends or evenings, we are working. Even if we are not at the hospital, we are working. That may be studying, calling patients, answering questions from colleagues. The whole thing is rough. And by the time we are finally done and making a salary, there's a $500,000 bill waiting for you, and you're 35 years old. So why do we do it? We do it for you. Our patients. There's a lot of better and easier ways to make money out there and not be a doctor. People just always think of the fancy rich doctors on TV, which is greatly skewed. Yes, there are ones out there making a killing in plastics or dermatology, but that's not the majority.

     

    The best way to bring down costs of health care would be to have universal coverage and set prices dictated for services. The universal payer would set these prices and what is included in the entire "health care basket". This would homogenize costs over all hospitals and take out a lot of uncertainty. Allowing people access to primary clinics (now that they have coverage) will reduce the burden on the health care system by having more preventative medicine and lower unneeded ED visits.


  7. Does anyone have an opinion on this? It seems as if FCC is trying to get a Cincinnati deal, but they want the plans secret. There doesn't seem to be any negotiation or planning of this kind of secrecy on the NKY side. Is it normal to have non-disclosure agreements for something like this but it's just getting press do to its potentially political significance?

    http://www.cincinnati.com/story/news/politics/2017/06/21/two-pols-promised-secrecy-fc-stadium-talks/417044001/

     

     

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