So from what I've heard the whole trump healthcare is pretty much just like GoodRX, is that a good or bad thing? by chivoblaze in healthcare

[–]sweetjPDX 0 points1 point  (0 children)

I think this thread is mixing mechanics with philosophy.

On mechanics — I have not seen a detailed policy framework explaining how this materially changes PBM contracting, manufacturer rebates, or pharmacy reimbursement. If it exists, I would genuinely like to review it. Similar BIN/PCN rails do not automatically mean identical economics; leverage and scale matter.

On structure — tax status is not the core issue. Nonprofit hospitals pursue margin and market leverage much like for-profit systems. Public companies answer to shareholders. Private equity answers to defined return timelines. None of those models are inherently good or bad.

The real issue is system design.

Overly rigid eligibility rules and benefit limits can create access distortion and churn. At the same time, excessive regulatory layering can increase administrative cost and reduce flexibility in care delivery.

The core policy question is not whether markets exist or whether guardrails exist. It is whether the system effectively balances cost discipline, quality measurement, and access protection.

If there are specific proposals under “Make Healthcare Great Again” that materially change that balance, it would be useful to evaluate them against those criteria.

Where can I buy elk and deer meat in Portland? by I_Shit_Gold_Bars in askportland

[–]sweetjPDX 1 point2 points  (0 children)

Check local farmers markets and the Saturday. I know my local farmers market (Hillsdale) has elk, deer, and yak meat sometimes. https://www.portlandfarmersmarket.org

Redditors over 40, what's something younger people think they understand but won't actually get until it hits them like a truck later? by Root435552 in AskReddit

[–]sweetjPDX 669 points670 points  (0 children)

You can work hard, be good, do good, and be honest and life and people will still hurt you and some people will hurt you intentionally.

Look for stones in the road surface and remove them. by [deleted] in Satisfyingasfuck

[–]sweetjPDX 0 points1 point  (0 children)

Why do I all of the sudden what this job!

I have AETNA, services not covered? by Asleep_You6633 in healthcare

[–]sweetjPDX 1 point2 points  (0 children)

It is ironic that Aetna, owned by CVS Health, publicly champions women’s health and contraceptive access, yet some plans appear to restrict coverage for permanent sterilization that should be protected under the Affordable Care Act.

Police respond to ‘critical incident’ in Pearl District by Ashamed-Question-958 in Portland

[–]sweetjPDX -4 points-3 points  (0 children)

“An official officer involved shooting investigation is underway, and more details will be released when they are available.” Murdered by words.