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vgr's profile
Venkatesh Rao
Venkatesh Rao
Venkatesh Rao
@vgr

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Venkatesh Rao

@vgr

Conversational account. For work follow @ribbonfarm, @breaking_smart, @artofgig. Tweets are 90% vacuous views, apathetically held. Mediocritopian. IKEA builder.

Los Angeles, CA
venkateshrao.com
Joined August 2007

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    1. Venkatesh Rao‏ @vgr Apr 5
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      Weirdest subplot I’m tracking: failing hospital economics. This is something that can only happen in the US because they’re run for profit (or on individual nonprofit basis). Often owned by PE firms. Seems their high-margin “products” are a) elective procedures b) ER visits...

      6 replies 43 retweets 213 likes
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      Venkatesh Rao‏ @vgr Apr 5
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      For those who came in late: Because hospitals (esp ERs) are losing money due to Covid19 priority and fall in other causes of emergencies like traffic accidents, and delaying of elective surgeries, they’re in a short-term $ crisis. So cutting pay. Including for frontline staff.

      10:04 AM - 5 Apr 2020
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      • 62 Likes
      • Nomad imyjimmy (张帆) Emmanuel Amberber Andrew Brož Kelly Digges kelliot Arnav Kalra Captain Meowmori BEAST
      5 replies 3 retweets 62 likes
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        2. Venkatesh Rao‏ @vgr Apr 5
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          There’s a weird way some form of nationalized healthcare could happen. This will clearly (and justifiably) cause outrage. Frontline staff will not only demand (and should get) back pay, they should probably get hazard pay too. This will most likely come from bailout funds...

          1 reply 4 retweets 53 likes
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        3. Venkatesh Rao‏ @vgr Apr 5
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          The terms of this bailout are crucial. The PE firms that own these assets will likely try to score no-strings free money. Best case, they’ll probably get easy loan terms with requirement that it be used for back pay and not laying off/furloughing staff, either frontline or admin.

          2 replies 1 retweet 32 likes
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        4. Venkatesh Rao‏ @vgr Apr 5
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          But this is bad. The PE firms should NOT get to socialize the costs of their profiteering in better times with no consequences during public service periods. I think the government should get equity for bailout even if the owners lose control. Indirect partial nationalization.

          3 replies 12 retweets 83 likes
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        5. Venkatesh Rao‏ @vgr Apr 5
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          Not saying you necessarily want state run healthcare. But a transient public ownership phase might be the perfect condition under which to pass much needed reform laws and get a better healthcare for all type deal done, with infrastructural skin in the game.

          2 replies 0 retweets 34 likes
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        6. Venkatesh Rao‏ @vgr Apr 5
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          Caveat: I just learned about all this via reading public news coverage in the last week or so. I’m sure my naive layperson gloss on this is the tip of a very deep iceberg, and that there’s already an invisible war underway for control of the future of the hospital system.

          2 replies 0 retweets 38 likes
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        7. Venkatesh Rao‏ @vgr Apr 5
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          If I got anything badly wrong please correct me. If you have good deeper links on this, please share. I’m not linking anything I’ve read so far because... they’re not particularly good links/sources.

          1 reply 0 retweets 14 likes
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        8. Venkatesh Rao‏ @vgr Apr 5
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          Venkatesh Rao Retweeted

          Yep. I haven’t dug into this deeply. I suspect it’s not the ER doctors who choose this but facility owners. https://twitter.com/oddcopter/status/1246850161483091968?s=21 … https://twitter.com/oddcopter/status/1246850161483091968 …

          Venkatesh Rao added,

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          2 replies 0 retweets 11 likes
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        9. Venkatesh Rao‏ @vgr Apr 5
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          Venkatesh Rao Retweeted shawn z kumar

          Good point, but will be hard to financially engineer since only fed can print the brrr money to do this, and they won’t want to do it on behalf of states esp under Trump who will fight for his PE buddies in the biz like Schwarzman to retain control. https://twitter.com/shawnkumar1000/status/1246850701839314944?s=21 …https://twitter.com/shawnkumar1000/status/1246850701839314944 …

          Venkatesh Rao added,

          shawn z kumar @shawnkumar1000
          Replying to @vgr
          I agree. But perhaps we states exert ownership over the Feds. Hospitals should be run at a regional level.
          2 replies 0 retweets 9 likes
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        10. Venkatesh Rao‏ @vgr Apr 5
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          Venkatesh Rao Retweeted Cory Doctorow #BLM (AFK until Jan 4 2021)

          Cory flagged this yesterday. https://twitter.com/doctorow/status/1246445485860118528?s=21 …https://twitter.com/doctorow/status/1246445485860118528 …

          Venkatesh Rao added,

          Cory Doctorow #BLM (AFK until Jan 4 2021)Verified account @doctorow
          During a 2007 trip to NYC, while taking long walks from one indie bookstore to the next, lugging increasingly heavy bags of pressed vegetable matter, I stumbled on Simon Lovell's HOW TO CHEAT AT EVERYTHING at the St Mark's Bookshop. https://www.runningpress.com/titles/simon-lovell/how-to-cheat-at-everything/9781560259732/ … 1/ pic.twitter.com/jOaq4oJUMi
          Show this thread
          1 reply 1 retweet 23 likes
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        11. Venkatesh Rao‏ @vgr Apr 5
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          Venkatesh Rao Retweeted

          Looks like at least some part of this is due to profiteeering ER docs https://twitter.com/oddcopter/status/1246853549977415685?s=21 … https://twitter.com/oddcopter/status/1246853549977415685 …

          Venkatesh Rao added,

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          1 reply 1 retweet 10 likes
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        12. Venkatesh Rao‏ @vgr Apr 5
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          Note that already in CARES act, one of the battles was over coverage of uninsured Covid19 patients *at Medicare rates*. Iirc there was a fight over that for precisely this reason. If the “government put” had been priced the way the owners wanted, the $ would have been way higher

          1 reply 0 retweets 6 likes
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        13. Venkatesh Rao‏ @vgr Apr 5
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          Venkatesh Rao Retweeted

          Twist. Not sure how to verify the actual pattern of cuts. This needs a good investigative journalist digging. https://twitter.com/stucchio/status/1246857095204311040?s=21 … https://twitter.com/stucchio/status/1246857095204311040 …

          Venkatesh Rao added,

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        14. End of conversation

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