zzyzx
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"Commiefornia" ???
Please explain...
How so?
Please stop bad mouthing my state.
Fixed the prices for you hahaSorry Chimpie!
What concerns me is the, system is not compensating as well as it should. It falls under that whole rule of inflation. The reimbursement rates seem to be either stagnant or reduced all together. To meet the wage of skills their needs to be profit. If reimbursement is minimal or does not keep up with cost you than can not of course raise wages and becomes than increasingly hard on the company providing such services. In situations of a municipal, you have systems that double bill. Yearly as a tax and than a charge any time a service is renderd case in point fire ran ems. With a private company, your profit is depending on what systems and measures are in place. In such metropolitan areas such as Los Angeles County their is a set rate for reimbursement. One flat rate of a few hundred dollars plus mileage fee plus equipment fee such as a fee for use of 02. You than break down these fees by say mrs.Jones has to go to the ED 2 miles away:
Ambulance response fee: $1,200
Night fee:$300
02: $200
Per mile: $32.50
Wait time fee per 15 minutes (doesn't exsist every where) $75
So lets say ~$1,800is her bill.
The bill goes to Medicare
They only pay $300 of the bill (if your lucky)
You just made half of what you need to meet the cost of what is set as a standard rate. Lets say $300x4 calls a day 1 unit x a month. Thats $1200 for the month off that one unit. You than need to add in the cost of insurance, wages, supplys, other bills and you than are presented with why their are such low wages in the industry. If you are a monopoly say, AMR due to us all being familiar with AMR, your talking millions. But again your talking a whole birthday sheet cake that can feed 30 adults when trying to feed 100. To fix this issue, again their needs to be better reimbursements. I dunno if that would have to be lobbying or what, but if theirs money coming in at a low flow than obviously you see the problem we are currently presented with.
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I was just doing a simple example lol I forgot about the ol' night differential. I did have a family member transported by LAFD a year ago, $3k was the bill.Fixed the prices for you haha
Trash talking our government only erodes people's faith in it. There are a lot of hard working people in government trying to make California a wonderful place to live. These people include cops and firefighters, who are of course also government workers.
Calling it Communist just because there may be some laws and regulations you don't like is not intellectually honest, nor does it help shape an intelligent debate. Please stop bad mouthing my state.
There are a lot of issues with CA. For example: if I want to buy a handgun, I am limited to one every month, I have a waiting period before I can actually get it, I have to get one that is on "CAs approved list", if I want ammo for said gun I now have to have a license, if I want to bring ammo in from a different state I now have to have a license. If I want to modify my truck I have to make sure it meets "CA approved emissions", so that intake system or programming chip that is legal in 48 other states I can now not get legally.Trash talking our government only erodes people's faith in it. There are a lot of hard working people in government trying to make California a wonderful place to live. These people include cops and firefighters, who are of course also government workers.
Calling it Communist just because there may be some laws and regulations you don't like is not intellectually honest, nor does it help shape an intelligent debate.
Please stop bad mouthing my state.
People are fleeing the state for places with lower taxes, more employment opportunities, and a less restrictive regulatory environment.
One reason for the high compensation: It can be cheaper for jurisdictions to pay big overtime — at 1.5 times or double regular pay — than it would be to add staff because of the pension liabilities attached to each new hire.
Fleeing indeed. And the irony is that the same "refugees" bring the very mentality they are fleeing to where they re settle.