Category: U.S.med

Chinese edu: 基本功

Posted on by tiger40490

See also

Chinese culture (and to some extent Eastern Europe, and East Asia) is more serious, relative to the west, about fundamental skills (基本功), stringent, tough training

  • calligraphy
  • piano
  • street dance contest…
  • ice skating
  • women’s marathon
  • speed coding

In terms of sports, China and neighbors are formidable, why not stronger than the west !?

In terms of tech innovation, the west still has a better system including their education philosophy/orientation.

In math, things are more nuanced. I don’t know why Chinese mathematicians are not dominant, but quant world has high Chinese representation.

In many engineering/science subjects, students don’t need to be as precise as in quant. An 80% grasp is often good enough to get you an A.

In programming, Indian students receive less rigorous training, but not weaker in general, based on my decades of first hand observation.

My sister often says her fellow accountants are often focused on precision and missed the big picture priorities.

There are other competitive domains .. design, architecture, literature, music, visual arts, performance arts, business,

 

covid19 reveal`U.S.systemic weakness #theAtlantic

Posted on by tiger40490

— https://www.theatlantic.com/health/archive/2020/03/how-will-coronavirus-end/608719/ :

On the Global Health Security Index, a report card that grades every country on its pandemic preparedness, the United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed.

To contain such a pathogen, nations must develop a test and use it to identify infected people, isolate them, and trace those they’ve had contact with. That is what South Korea, Singapore, and Hong Kong did to tremendous effect. It is what the United States did not. Centers for Disease Control and Prevention developed and distributed a faulty test in February. Independent labs created alternatives, but were mired in bureaucracy from the FDA

Many other pointers..

general practitioner ^ specialist

Posted on by tiger40490

https://www.huffingtonpost.com/allen-frances/we-have-too-many-speciali_b_9040898.html points out

The most powerful departments in any medical school became the ones that attract the most research dollars and produce the most clinical revenue by doing highly reimbursed medical and surgical procedures. Primary care teaching and practice has always been deeply devalued by medical centers because it does neither.

Primary care is best at the unglamorous and financially unrewarding task of taking good care of patients. Primary care is worst at promoting institutional prestige and profit

In 1961, almost half of US physicians were general practitioners; by 2014 the fraction had declined to one third

OTC^prescription medication

Posted on by tiger40490

FDA website —

“prescription (Rx) refers to medicines that are safe and effective when used under a doctor's care. Nonprescription or OTC drugs are medicines FDA decides are safe and effective for use without a doctor's prescription.”

“FDA also has the authority to decide when a prescription drug is safe enough to be sold directly to consumers over the counter. “

“more than 700 products sold over the counter today use ingredients or dosage strengths available only by prescription 30 years ago.”

Blue cross doctors in Singapore

Posted on by tiger40490

Here’s the deal with Blue cross:

There are about 50 S’pore providers in the blue card network. If we see these doctors, then generally we would get 100% reimbursed as they are considered “in-network” by the insurance company (Empire Blue).

Often these Singapore doctors don’t know US insurance nitty gritty, but they probably know if they are “contracted” or participating with blue cross blue shield. So it’s good to confirm with them before going.

If Empire Blue doesn’t consider these providers as in-network, then we have the option to dispute, because these providers are listed on the blue card website.

If we have no time to dispute, or if we simply use any doctor in Toa Payoh, then we would still be covered as out-of-network, usually at 70% after deductible.

Like UnitedHealthCare, Emergencies are always covered in-network, with any Singapore doctor, so for every visit, try to persuade the doctor to write “emergency” on the bill.

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