John MD Profile picture
20 Nov, 4 tweets, 1 min read
1...Corporations have essentially become nations without borders, taxes or laws. It philosophically challenges the concept of “nation”. I wonder if somewhere in our collective human future, if people will be able to ‘pick’ their nation based on something other than...2
2...geographic borders. I wonder if such a movement would have eventual trickle down effects to geographic limitations. Imagine if the “nation” you were part of was found to be against you personal values. You could reassign yourself to another nation. Maybe as new...3
3...nations took hold and gained momentum, they would be able to hold sway over regions and establish concrete rule. Would the struggle for truth vs deception be quelled, or would it explode out of control?...4
4...Well, if medicine doesn’t work out for me, maybe at least I could at least swing it as a novelist or dystopian struggle. William Gibson, watch out!

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More from @John1MD

21 Nov
1...To every small business owner: masks save you from this situation: A colleague saw a pt the other day, the pt next day learned they had been exposed, and 3 days later they were +, because the pt and doc wore masks, that doc now doesn’t have to shut down...2
2...that clinic while awaiting a swab -, and hoping not to develop symptoms. That clinic business didn’t lose thousands, 60-300 patients didn’t lose their appointments. Every other small business, where the owner’s presence is essential, would suffer the same impacts...3
3...and every industry that relies on small businesses doesn’t need to feel that customer impact. So, if you value the clinics, the small businesses, direct service providers, contractors...wear a damned mask. Prove you could give a damn about others.
Read 6 tweets
28 Sep
Me: "So it dawned on me this morning. Equalization is not what it is being portrayed as."

You: "Yes, we know, Dr. John, its about Albertans being richer and being in a higher tax bracket".

Me: "But, wait. Its actually much worse than that. Let me explain"

2/We are all starting to understand that equalization and the resulting transfer payments tend to give Alberta less and other provinces more. Also, that individual Albertans pay more into it, but this is a function of them actually being in higher income tax brackets. 3/
3/So now I am hearing the language start to soften. Which is what the govt does, they change the message to make it morally easier for Albertans to digest. Now, they are talking about simply restructuring how it works. Instead of the feds collecting the taxes and then /4
Read 8 tweets
17 Sep
1...None-the-less it offers some opportunity to shed light on the dispatch changes. As the doc for nearly all the firemedics in Red Deer, a number of the members have noted to me that frequently they rely on information being sent to them by the dispatcher that depends...2
2... on a common understanding of the local environment. The dispatcher, and the EMS/fire crew share common landmarks, a common civil experience. Further, the dispatcher and the person in distress also share that civil experience...3
3...A GPS gives you a building location, but the shared knowledge of those involved gets the EMS crew to the portion of the parking lot closest to the open back door. These opportunities are lost when the dispatcher is 160 km away and hasn't been in that community in 10 yrs...4
Read 4 tweets
12 Sep
1...On power politics: When the disruption cost exceeds the concession costs, govt moves. Now, when Z number of people create Y amount of disruption each, the cost is Z*Y. Now if 10 times more people get involved, the cost becomes 10Z*Y. The more people involved, the less...2
2...the less each has to do to surpass the concession cost.

Further, to keep govt in line, one must continue to make real the threat of disruption costs. Organizations need to stay strong after the win. This resiliency is created through not only realization of goals...3
3...but also a greater sense of agency and accomplishment through leadership development within the movement’s members. Bringing that back to the beginning, any organization that starts to appear like it might have staying power, affects the initial...4
Read 13 tweets
12 Sep
1...In a time oil has been seriously undervalued, yet the products of that oil have not, why do we still continue to be merchants of oil? $12B to pipeline companies could have been $12B to refineries, production plants, jobs. Instead of Oil merchants we could have been...2
2...merchants of end-products, with us reaping the benefits of an inexpensive input material and having gained the benefits of all the value-added actions of OUR workforce. If we had kept the money in OUR borders, we could have ensured it improved OUR infrastructure...3
3...We could have subsidized myriads of manufacturing companies, skills, jobs. We could have had companies coming to us because we no longer felt the need to send our resources to them. We could have educated OUR population to the captains of those processes...4
Read 11 tweets
11 Sep
1...@franco_nomics you realize that of that "10%", 40% (4% absolute) goes to hiring more Albertans, engaging Alberta services, and keeping money in the economy. Then 40% of what is left (nearly 3%) goes to taxes, which goes right back into supporting Albertans/Canadians...2
2...(of course that is presuming that those taxes don't get stolen by corrupt politicians). So, the remaining 3% gets used by doctors to live in Alberta, eventually giving the money back to Alberta. So, yes Franco, 3% of the budget goes to doctors, 3% goes to taxes, 4% goes...3
3...goes to Alberta.

Now, lets contrast that with the 50% of the deficit that went to corporate handouts, none of which went to taxes, none of which went to Albertans, none of which stayed in the province.

So, tell me @franco_nomics, on your reputations as an economist...4
Read 4 tweets

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