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how can we short the entire american healthcare system?

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  • how can we short the entire american healthcare system?

    because my brothers in christ i am hearing some things.

  • #2
    Brother please explain in more detail

    Comment


    • #3
      I'm not sure you want to short the entire system, but there are segments that are reporting some massive losses recently. What are you hearing that makes you say this?

      Comment


      • #4
        the actual boots on the ground healthworker scuttlebutt is that we've adopted a totally unsustainable path forward. simply put; what we ask of them isnt on the menu.

        basically unless elon musk can trot out his tesla-bots to deal with ER triage and literally everything that happens after it, we are very close to ERs shutting their doors because staff are emotionally incapable of showing up.

        we told them oh this will only be for a month or two, just stick with it, and its been years. and they have reached their tipping point re 'holy shit this really is the new normal, and i cant do this'.

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        • #5
          ill put this to you another way brothers; close your eyes and imagine them striking.

          Click image for larger version

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          • #6
            Brother can you please explain what we should be seeing in that chart? I see the price change is negative YTD, I would like to be able to better understand what you see when looking at something like this. Brother I never had anybody to teach me these type of things, any insights would be appreciated, thank you.

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            • #7
              just a couple of good targets to stack puts on if you should hear any rumors of a big breakout covid variant entering the chat.

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              • #8
                Just a few thoughts on the above. I've worked in healthcare for over 20 years in a number of roles. I have a pretty well rounded view of the system.

                Generally speaking, staffing has been an issue for as long as I have been in the game. There's a lot of tech trying to solve this issue, but nothing revolutionary just yet.

                You have the silver tsunami (boomers aging into Medicare) and a massive drug crisis happening without mixing in COVID so the issue is definitely real.

                I'd define that as a provider/healthcare delivery issue.

                There is also the ACA issue of subsidies expiring which seems like it will be resolved with the new democratic bill that sleepy Joe will sign. I'd define that as a payer/insurer issue.

                Within the system, you have these massive pay-viders like UHG and Kaiser who have realized it's better to control the money and the patients. I don't want to get too technical but there is something called medical loss ratio that limits the profits health plans can make and the expenses they can charge as administrative fees.

                I wouldn't look to short the entire system since ultimately the payments to insurers are essentially guaranteed and more people are aging into Medicare than are dying off. 10k boomers per day turn 65 until 2031.

                I would look to be short on the provider groups that aren't well diversified meaning they don't also own a health plan. Just my. 02

                ​​​​

                Comment


                • sonatine
                  sonatine commented
                  Editing a comment
                  extraordinary insight

              • #9
                Just another thought, a lot of the VC that was going into health tech is drying up big time. People are not as willing to burn cash in the hopes of having an Uber -like healthcare unicorn hit. It's resulting in layoffs and people are a little scared. Investors want balance sheets that aren't in the red.

                Stocks like Bright health group and clover have gotten destroyed but that might be a buy low kind of opportunity. Shout out to one-step.

                Comment


                • #10
                  Fierce healthcare, Beckers, and modern healthcare are good free resources to get healthcare news fyi.

                  Comment


                  • #11
                    Quad post tilt!!!

                    Comment


                    • #12
                      Minnesota nurses are voting to strike/not strike tomorrow FYI.

                      https://www.beckershospitalreview.co...ent=newsletter

                      Comment


                      • #13
                        Originally posted by sonatine View Post
                        the actual boots on the ground healthworker scuttlebutt is that we've adopted a totally unsustainable path forward. simply put; what we ask of them isnt on the menu.

                        basically unless elon musk can trot out his tesla-bots to deal with ER triage and literally everything that happens after it, we are very close to ERs shutting their doors because staff are emotionally incapable of showing up.

                        we told them oh this will only be for a month or two, just stick with it, and its been years. and they have reached their tipping point re 'holy shit this really is the new normal, and i cant do this'.
                        This is already going on in Canada. Many ERs have been closing for weekends and shipping patients off to other hospitals. Conservatives have been privatizing certain aspects of health care and workers are fed up. Major nursing shortage. Pressures of covid and a populace that is anti science have lead nurses into a why even bother attitude.

                        that being said obviously system very different in Canada vs usa.


                        Comment


                        • #14
                          Originally posted by betcheckbet View Post

                          This is already going on in Canada. Many ERs have been closing for weekends and shipping patients off to other hospitals. Conservatives have been privatizing certain aspects of health care and workers are fed up. Major nursing shortage. Pressures of covid and a populace that is anti science have lead nurses into a why even bother attitude.

                          that being said obviously system very different in Canada vs usa.


                          its safe to say that if we end up with a desantis / republican flavored government down here, the health care system will simply be torn apart and sold off and basically be run like our prison systems. in fact, probably by the same conglomerates running our prison systems.

                          sightly off topic i saw a great quote the other day about how everything you need to know about american health care is that coverage for eyes and teeth are considered add-ons.

                          Comment


                          • betcheckbet
                            betcheckbet commented
                            Editing a comment
                            In Canada eyes and teeth are not not covered by government if you are over 25 (at least in most Provinces). Universal healthcare is only true if you compare it to Americans.

                        • #15
                          pretty sure the hot life-play by 2024 is going to be american med students hitting the books extra hard so they can qualify to work in asia.

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