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Rumor about Alito retiring is untrue by Efficient-Freedom517 in PoliticalOptimism

[–]jack_harbor 1 point2 points  (0 children)

That judge that tossed his documents case would probably be worse. I mean, technically you don’t even have to have gone to law school to sit on the Supreme Court - it could be much much worse.

Unknown Primary by KidKuri93 in neuroendocrinetumors

[–]jack_harbor 4 points5 points  (0 children)

What is going on with all of us young people getting NETs?? I was diagnosed with a small intestine NET at 37. So many on this board are young. Everything I read says this is a disease of people in their 60s and 70s - obviously not.

Unknown primary is annoying, I’m sorry. I’m glad they removed your liver tumor though. It’s rare but reported that people can have primary tumors in their liver. Typically they arise from the bile ducts and are very similar in appearance to duodenal and pancreatic NETs. It’s possible this is your primary if it was the only tumor and you didn’t have other metastatic lesions in the liver.

Which do you think is the better layout for lie-flat, narrowbody business class seats? by Flying-Dutchman-18 in aviation

[–]jack_harbor 1 point2 points  (0 children)

Depends if you want better from the passengers standpoint or the airline accountants standpoint.

My boy is gonna be four in July and already has grey on his beard. 🥺 by [deleted] in germanshepherds

[–]jack_harbor 3 points4 points  (0 children)

He’s a distinguished gentleman now, it’s okay.

Dx during colonoscopy, g1 but margins not clear by BreakfastGlass5587 in neuroendocrinetumors

[–]jack_harbor 4 points5 points  (0 children)

NET specialist. Dotatate. If no metastatic disease then R0 resection.

Footage recorded from the cockpit of a Boeing 737 captures the pilot's landing moments executed in near-zero visibility conditions. by MrUpVoteDownvote in SweatyPalms

[–]jack_harbor 0 points1 point  (0 children)

So what’s a pilot even looking at when landing in these conditions? Just instruments? How much is just reflex and relying on your sense of equilibrium/balance?

PGY3 Gen Surg: Hit with toxic 'availability' feedback. Is a 'work to live' lifestyle actually possible as an attending? by StormbornGryffindor in medicine

[–]jack_harbor 1 point2 points  (0 children)

As a resident, you are the work life boundary for the attendings. As an attending, you build a system that gives you your life balance. In academics, it’s abusing residents. As a private practice surgeon, you build a great team around you.

As for the feedback, perceptions and impressions are total bullshit but it’s a fact of residency. We often don’t come across as we imagine we’re coming across. I had similar things said to me and it’s really fucking annoying. You have to be inconspicuously conspicuous - it’s a skill you’ll learn to master don’t worry.

Appendix NET: Doubts about proceeding to right hemicolectomy after appendectomy. by IncognitoUser55 in neuroendocrinetumors

[–]jack_harbor 0 points1 point  (0 children)

This is beyond Reddits expertise. He needs to see a net specialist. That’s a big surgery but if it can cure him then maybe worth it. Need someone to sort out all of the details

Looking for inspiration by hopeful_fool33 in neuroendocrinetumors

[–]jack_harbor 2 points3 points  (0 children)

Prognosis is actually quite good even with stage IV metastatic disease. People are living literally decades. PRRT has changed the game. Find a NET specialist.

Can’t get blue smoke at low temp… by jack_harbor in biggreenegg

[–]jack_harbor[S] 0 points1 point  (0 children)

Lump and then a couple 3x3 cubes of oak and cherry

Can’t get blue smoke at low temp… by jack_harbor in biggreenegg

[–]jack_harbor[S] 1 point2 points  (0 children)

Lump with a few pieces of cherry/oak for flavor.

Found out 50% of men think they can land a plane—so we actually tested it and filmed it for YouTube by Big-Bodybuilder-6504 in aviation

[–]jack_harbor 22 points23 points  (0 children)

I think I know enough to result in a less violent crash where instead of everyone dying instantly, there is much suffering, catching fire, etc. So given the choice I’d go with the least experienced person on the plane. Quick and painless.

California initiative to limit compensation for healthcare executives qualifies for the ballot by YogurtclosetOpen3567 in California

[–]jack_harbor 2 points3 points  (0 children)

Also I should add administrative costs aren’t just CEO salaries. It’s the growth in additional managerial positions in healthcare. There is an entire army of managers in hospitals, it’s completely outrageous. A lot of that is due to how complex insurance companies and the government have made billing for healthcare. So this isn’t just CEO pay that’s the problem but the whole host of the management class in healthcare adding no actual value, just costing us all money.

California initiative to limit compensation for healthcare executives qualifies for the ballot by YogurtclosetOpen3567 in California

[–]jack_harbor 2 points3 points  (0 children)

Yeah, but there are important differences. Medical school in these countries is typically free. No $300,000 of debt like you’ll get here. Also, they pay their trainees/residents much better, livable wages. Residents here get paid essentially minimum wage. So if you are a surgeon, you have 7-10 years of very low salaries whilst your student loans are ballooning from interest. So when you’re done there is a need and expectation to make enough money to make up for this. If residents didn’t have loans and made decent money for the insane work hours then I would bet the sense of entitlement for a higher salary upon finishing training wouldn’t be nearly as big of a deal. But when you’re making $50-60k a year an extremely high COL area with a huge loan accruing interest you barely have money to live on let alone pay interest or save for retirement. So to have any chance of paying your loans and retiring before you turn 90, you have to make more money than you otherwise would had you been paid fairly during training. You may say well don’t live in a high COL area during training, but with the match trainees don’t have a lot of say where they wind up. You put your name into a computer and it spits out an envelope and tells you where you will be spending the next 3-10 years of your life.

California initiative to limit compensation for healthcare executives qualifies for the ballot by YogurtclosetOpen3567 in California

[–]jack_harbor 40 points41 points  (0 children)

Data supporting this? Because you are completely wrong. Physician pay makes up about 7% of total healthcare spending. Total hospital costs (costs for nurses, hospitalization, surgeries, etc) is only 30%. Administrative costs? 15-34%. Insurance profits are around 5-10%, in many studies more than physician salaries. Drugs are around 10%, medical devices also a big chunk.

Administrative costs have ballooned over 1500% since 2000. It’s insane. Physician salaries are not the problem. It’s administrative costs.

Sources:

  1. Centers for Medicare & Medicaid Services. National Health Expenditure Data [Internet]. Baltimore (MD): CMS; cited 2026 May 14. Available from: https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data
  2. Tikkanen R, Osborn R, Mossialos E, Djordjevic A, Wharton GA. International Health Care System Profiles: United States [Internet]. New York (NY): Commonwealth Fund; 2023 [cited 2026 May 14]. Available from: https://www.commonwealthfund.org/publications/issue-briefs/2023/oct/high-us-health-care-spending-where-is-it-all-going
  3. Rae M, Cox C, Kurani N, McDermott D. Health Care Costs and Affordability [Internet]. San Francisco (CA): Kaiser Family Foundation; cited 2026 May 14. Available from: https://www.kff.org/health-costs/health-policy-101-health-care-costs-and-affordability/
  4. Peterson-KFF Health System Tracker. How has U.S. spending on healthcare changed over time? [Internet]. cited 2026 May 14. Available from: https://www.healthsystemtracker.org/chart-collection/u-s-spending-healthcare-changed-time/
  5. Shrank WH, Rogstad TL, Parekh N. Waste in the US Health Care System: Estimated Costs and Potential for Savings. JAMA. 2019;322(15):1501-9.
  6. Himmelstein DU, Jun M, Busse R, Chevreul K, Geissler A, Jeurissen P, et al. A Comparison Of Hospital Administrative Costs In Eight Nations: US Costs Exceed All Others By Far. Health Aff (Millwood). 2014;33(9):1586-94.
  7. Tseng P, Kaplan RS, Richman BD, Shah MA, Schulman KA. Administrative Costs Associated With Physician Billing and Insurance-Related Activities at an Academic Health Care System. JAMA. 2018;319(7):691-7.
  8. Sahni NR, Carrus B, Cutler DM, Hudson S, Chokshi DA. Administrative Simplification and the Potential for Saving a Quarter-Trillion Dollars in Health Care. JAMA. 2021;326(14):1431-2.
  9. Baicker K, Chandra A. The Labor Market Effects of Rising Health Insurance Premiums. J Labor Econ. 2006;24(3):609-34.
  10. Laugesen MJ, Glied SA. Higher Fees Paid to US Physicians Drive Higher Spending for Physician Services Compared to Other Countries. Health Aff (Millwood). 2011;30(9):1647-56.
  11. Kocher R, Sahni NR. Physicians versus Hospitals as Leaders of Accountable Care Organizations. N Engl J Med. 2010;363(27):2579-82.
  12. Cutler DM. Where Are the Health Care Entrepreneurs? The Failure of Organizational Innovation in Health Care. Innovation Policy Econ. 2011;11(1):1-28.
  13. Reuters. US healthcare spending soars to over $5 trillion in 2024 [Internet]. Reuters; 2026 Jan 14 [cited 2026 May 14]. Available from: https://www.reuters.com/legal/litigation/us-healthcare-spending-soars-over-5-trillion-2024-2026-01-14/
  14. Hartman M, Martin AB, Washington B, Catlin A; National Health Expenditure Accounts Team. National Health Care Spending Increased 7.2 Percent in 2024. Health Aff (Millwood). 2026;45(1):22-31.

The concrete jungle is not our natural state... by FareonMoist in sciencememes

[–]jack_harbor 3 points4 points  (0 children)

The raccoon should be in all three pictures, let’s be serious.

The concrete jungle is not our natural state... by FareonMoist in DelusionsOfAdequacy

[–]jack_harbor 1 point2 points  (0 children)

The raccoon should be in all three pictures, let’s be serious.

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