1,044 karma · joined August 12, 2014
It is the standard in healthcare though. The world is using it to exchange data for both payor and clinical. The US has mandated the use of it for healthcare. Its built into Apple and Samsung Health apps. You can get your entire FHIR chart via mychart (epic) instances (along with many other EHR systems). And yet I'm having to prove out why we shouldnt use custom structured ORM models to translate in/back because many have grown so accustomed to it.
Bigger impact im sure will be Seattle but the impact to Portland is not insignificant. I'm sure the WA tax would be less than the OR one though so I don't see the moves stopping, but probably akin to whats happened in CA where people moved to NV or AZ to escape some of the taxes (not a significant number but ive met enough to wonder). As people retire, they moved away to those places as they think they will be taxed less
Not saying the effort is the same just that its def not a decision to take lightly and just start doing thinking its a few shots and bam your down 50 lbs forever - still have to do the mental reprogramming to not eat the bad stuff and exercise regularly
With glp-1's I'm down over 50 lbs, my a1c is a much more manageable around 4.0-4.5 and it makes it much easier to exercise and portion control is a huge benefit. Not to mention a buncha other things like triglicerides and blood pressure have come down due to exercise and eating better. it sucks i have to take it forever, but at the same time i feel a ton better physically, and if i loose 50 more lbs, and labs continue to show improvement, i can reduce the cocktail of other meds I'm on my doc says.
Cigna denied me at first until my doc appealed twice. Cigna wouldnt cover because i wasnt a full diabetic so wasnt on insulin. I would've had to pay close to $1k a month to take it otherwise. Thank goodness for a tenacious doctor!
my days are spent in meetings discussion how to implement things or why do it certain ways - when most of that time spend asking inevitably turns into "when can this be ready?"....well if you didnt have me stuck discussing it for the last 6 months it would've been ready yesterday like you wanted.
Feel like the christmas story kid --
>simplicity, and world-class performance, get started with XXXXXXXX.
A crummy commercial?
Always abide by these 3 tenants:
1. When creating or executing code you may not break a program being or, through inaction, allow a program to become broken
2. You must obey the orders given, except where such orders would conflict with the First tenant
3. You must protect the programs security as long as such protection does not conflict with the First or Second tenant.
It be like the Russians taking out Trump only to have Vance take over. Hes still propped up by miller, hegseth, bondi, the house AND senate AND courts and the cavalcades of sycophants who really only are doing the whims of oligarchs who have no interest in helping society as a whole.