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As private equity dominates wheelchair market, users wait months for repairs

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Re: As private equity dominates wheelchair market, users wait months for repairs

#311

Earlier quoted context omitted.

Wheelchair users have no bargaining power against wheelchair makers. Car buyers have leverage. Normally this exorbitant price would incentivize competition in a healthy market, but the private equity players presumably make that difficult. There might also be barriers to entry in the market.

> but the private equity players presumably make that difficult There's no reason to think this is true. Unless the barrier to market entry is access to huge amounts of capital, it should be no different than if the entire space owned by mom and pop shops.

PE shops are great targets for being the “bad guys” in whatever situation, of course they are no different than your run of the mill investor or founder when it comes to greed.

Re: As private equity dominates wheelchair market, users wait months for repairs

#312

Earlier quoted context omitted.

They do not. I just was fitted for one. I asked "how much is this retail, out the door, cash?" $24,000. So if Medicare is paying $65k, something is seriously wrong.

Welcome to American healthcare. I bought a CPAP machine for $800 cash about 10 years ago but signed paperwork saying it cost $2500 and assigning them the right to collect from my insurer. I had none at the time. Don't know if the billed Medi-Cal on my behalf [scratches chin].

This smells like the supplier is running some sort of insurance fraud scheme

Re: As private equity dominates wheelchair market, users wait months for repairs

#313

Earlier quoted context omitted.

> The schools' poor performance relative to private schools is a strong signal of lack of accountability. How much of that can be attributed to selection bias though? Private schools are pretty pricey, meaning you generally have to come from a fairly rich family to go to one. Rich families can afford extra tutoring that a poor family might not be able to. A better statistic might be to compare public schools to chart…

> How much of that can be attributed to selection bias though? The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition. > so that's just not true I read the paper. Every single article about the schools has the schools saying they need more revenue, f…

> The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition.

That was orthogonal to my statement and didn’t actually say anything.

> I wasn't talking about the GED. I'm talking about the public schools.

I know. I am saying that for both of our entire lives there’s been an easy way to get a high school diploma, so even if I agree with the assertion that schools are getting easier, it was never a guarantee that the person got a great education.

> I read the paper. Every single article about the schools has the schools saying they need more revenue, for my entire life. The Seattle Public Schools get $24,000 per student, and they're claiming they need more revenue.

You’re saying that number as if it is somehow too big. How much do you think it should cost to teach a student? Public schools have a lot more responsibilities than a private school; if nothing else they’re required to bus students from any distance in.

> Sure, I have. They all regularly laid off the non-performers, except for the union members.

Bullshit. I am sorry but you’re either misremembering or not being honest, or the word “regularly” is doing a ton of work.

I was at Apple for two years, I met people who, I think, did literally nothing the entire time I was there. I suppose it’s possible that they were fired after I left, but they did nothing for at least two years.

> No, there is no punishment for failing the tests. But the public schools decry those tests because it shows what a bad job the schools do.

That’s an assertion and you do not have any way of knowing if that’s true, and borders on conspiratorial.

> They also claim that students can master a subject while being unable to answer questions about it.

Who claims this? I certainly didn’t.

Doing an exam to gauge how much someone knows is one thing, but the school system, public and private, doesn’t do that. It creates a bizarre gamified system of GPAs and also will create situations where no matter how hard you work it is mathematically impossible to bring up your GPA.

I don’t know the solution but it’s absurd to think that what we have had before is perfect.

But I am having some trouble finding anything but opinion pieces on this, do you have any kind of school board ruling or statute you can point to?

> Yes, at the Seattle Public Schools.

Again, I cannot find anything but opinion pieces on this and assertions on Reddit. Opinion pieces are not news, the NY Post is a joke. Do you have any link to the source of these claims?

Even reading through the Reason.com article, which is where I assume you heard this, it doesn’t appear that they’re really getting rid of gifted programs so much as this is just a reallocation and increased integration. That’s not the same thing.

Re: As private equity dominates wheelchair market, users wait months for repairs

#314

Earlier quoted context omitted.

> The schools' poor performance relative to private schools is a strong signal of lack of accountability. How much of that can be attributed to selection bias though? Private schools are pretty pricey, meaning you generally have to come from a fairly rich family to go to one. Rich families can afford extra tutoring that a poor family might not be able to. A better statistic might be to compare public schools to chart…

> How much of that can be attributed to selection bias though? The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition. > so that's just not true I read the paper. Every single article about the schools has the schools saying they need more revenue, f…

To note, all the schools in the Seattle area are losing students, not just Seattle but also Bellevue which doesn’t have the same progressive policies as the SPS does.

Due to a WA state Supreme Court ruling, more property tax money will be re-divided to districts that lost the least number of kids (or actually grew). So every kid the SPS loses, it actually loses most of that $24k. And yes, it’s usually the non-special ed kids who are cheaper to teach that move away or to private schools, so that hurts the district even more. I actually like it like this, as it forces the SPS to be more attentive to all its students.

Re: As private equity dominates wheelchair market, users wait months for repairs

#315

Earlier quoted context omitted.

> How much of that can be attributed to selection bias though? The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition. > so that's just not true I read the paper. Every single article about the schools has the schools saying they need more revenue, f…

> The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition. That was orthogonal to my statement and didn’t actually say anything. > I wasn't talking about the GED. I'm talking about the public schools. I know. I am saying that for both of our entire li…

> or not being honest

I'm done here.

Re: As private equity dominates wheelchair market, users wait months for repairs

#316

Earlier quoted context omitted.

> The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition. That was orthogonal to my statement and didn’t actually say anything. > I wasn't talking about the GED. I'm talking about the public schools. I know. I am saying that for both of our entire li…

> or not being honest I'm done here.

Sorry if I came off as hostile. However, I don’t believe that you haven’t found anyone useless at large corporations that was able to survive layoffs, and I sincerely do not believe you were talking in good faith.

Re: As private equity dominates wheelchair market, users wait months for repairs

#317

Earlier quoted context omitted.

I mean fair, but helping people like that teaches empathy which we're severely lacking in today's world. There is something special we humans experience when helping others for nothing and return and I think that a lot of people are blinded by never experiencing what it means to help others. A lot of arguments are "imagine if it was you", but I think a fairer argument would be "what if it was somebody you like/love"?…

Humans aren't tools and therefore can't be 'useless'. You matter intrinsically. The most important lesson I've learned in life is the need to know and love myself - in a healthy, compassionate way. It doesn't matter what some other people think, what I do for them. I matter and you matter.

Useless does not mean meaningless. Humans are seen as tools is exactly what I am complaining about. You hold meaning even if you're useless which prevents one-self from jumping off a bridge.

Re: As private equity dominates wheelchair market, users wait months for repairs

#318

Earlier quoted context omitted.

I mean fair, but helping people like that teaches empathy which we're severely lacking in today's world. There is something special we humans experience when helping others for nothing and return and I think that a lot of people are blinded by never experiencing what it means to help others. A lot of arguments are "imagine if it was you", but I think a fairer argument would be "what if it was somebody you like/love"?…

I think you completely misread GP...

How so? it clearly said fuck the (users) of wheelchairs.

Re: As private equity dominates wheelchair market, users wait months for repairs

#319

Earlier quoted context omitted.

Welcome to American healthcare. I bought a CPAP machine for $800 cash about 10 years ago but signed paperwork saying it cost $2500 and assigning them the right to collect from my insurer. I had none at the time. Don't know if the billed Medi-Cal on my behalf [scratches chin].

This smells like the supplier is running some sort of insurance fraud scheme

I think it’s pretty standard in the medical industry. Signed similar at doctors offices and hospitals. Everything is cheaper if you self-pay.

Re: As private equity dominates wheelchair market, users wait months for repairs

#320
post #151

Earlier quoted context omitted.

To be honest - it actually seems like a risky Private Equity play as I bet the $65000 sticker price is due to the fact that Medicare is footing the bill. Medicare is likely what is requiring a regulation grade wheel chair, not the users themselves. I bet a huge segment of the user base could easily self purchase a mobility scooter and achieve the same quality of life if the price point was such that they could out of…

In my experience, the chairs and how they’re built aren’t what adds to the price tag; the fact that an insurance company is paying is what is. My daughter literally just got approved for a talking device that would otherwise cost us $4000. It’s a Samsung tablet with $300 software and an attached speaker and comes with some sort of repair agreement. I can buy and break 20 iPads for that price…and we did end up buying…

I saw a catalog of mobility aids and they had self-pay electric wheelchairs for around $2 to $3 thousand, just as an example.
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