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Politics : The Trump Presidency -- Ignore unavailable to you. Want to Upgrade?

To: TimF who wrote (68170)	4/24/2018 11:55:08 AM
From: neolib	Read Replies (2) \| Respond to of 361476

The hospital won't stay in business if it just gets the marginal cost Excellent, you now should realize it shouldn't happen at a hospital. Walmart is what I had in mind. Try to make a argument for why an ECG, blood pressure, body temp, your weight, or for that matter a whole body MRI scan should be done at a medical facility, other than to cause the price of the service to be 10x or 100x what it actually costs. While you are at it, make an argument for why the medical profession seems to own the data rather than the patient.

To: TimF who wrote (68170)	4/24/2018 12:05:01 PM
From: neolib	Respond to of 361476

BTW, my cost was WAY high, because ECG (although not 12-lead) will in the near future be commonly available on fitness bands/smartwatches. The cost will be "free". The same will become true of continuous blood pressure monitoring, oxygenation levels, and at some point glucose monitoring as well. There will be lots of yelling and screaming about the devices not being medical grade and not being regulated, well, so what would you prefer, an occasional datapoint of the params from periodic doctors visits that cost $150 per office visit and are done on medical grade equipment, or continuous data done on your $200 fitness band, that in reality, is likely to be nearly as accurate, just not certified as such? For health outcomes, its not contest... The world is profoundly changing, and the continuous monitoring of data is going to be FAR more valuable than the periodic office visit because almost all these variables have highly variable temporal properties, and yet the studies today are all based on the nonsensical notion of occasional measurements with zero regard for Mr Nyquist. That will get changed going forward, and as a result we will start getting much better ideas about how to deal with lots of issues. Blood pressure is a classic on this front. Lots of idiot current ideas because of the poor measurement process.