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World views Trump more unfavorably than Obama except in two places: Israel (small margin) and Russia (huge margin)
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A tale of modern Russia. Igor Zorin manages a state-run broadcaster in Russia, earning an official salary of about $75,000 a year. In recent years he's managed to buy over $8 million of Trump-branded condos in South Florida. None of his purchases appear to have used bank financing, so it's assumed he paid cash.
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This a very good interview with Dr. Kenneth Davis, president and CEO of the Mount Sinai Health System in NY. The current dialogue on the AHCA is crap. That is because neither the ACA or the AHCA grappels with the central issues plaguing the US HC system.
These are primarily rising costs and then those rising costs are related to structural inefficiencies. He succinctly answers the conservative position that government involvement in the US HC system is driving up costs (a nice mem or soundbite but a huge oversimplification).
Davis argues that the current US HC system is unsustainable by government, by employers and by individuals and that is regardless of who is paying the bill. So, dicking around with two plans (ACA and AHCA) that due nothing of substance to address the underlying structural problems that are the causes of that is a waste of time.
What the AHCA is really all about is cutting Medicaid. That is where the savings in the AHCA are coming from. This may be the best part of the interview where Dr. Davis addresses the implications of this for the typical Large Public Hospital systems that receive money through block grants to the states. Decreasing those block grants, a major provision of the AHCA, will cause significant problems for these hospital systems who, by and large, provide most, if not all all, the inpatient and outpatient HC services to the poor (that term being very widely applied to a very large number of Americans).
These same institutions also provide the greater part of HC services to Medicare beneficiaries. Loosing them, in any number, because they go bankrupt, what Dr. Davis opines will happen with the AHCA, will ultimately affect a very large number of recipients of HC if not directly as it relates to Medicaid cuts, but indirectly to Medicare beneficiaries as well as those with employer based commercial health insurance. Care will disappear.
Davis advocates the US HC system moving away from Fee For Service reimbursement models and toward reimbursement for the value of the service (I linked months ago to a Harvard Business School article on how this works). He also advocates for structural changes that keep patient's seeking care out of the expensive places to provide it and directing them into a system that channels them to an appropriate lower level of care and then moving upward, in a coordinated way, to higher levels of care as that might be needed (also spelled out in the Harvard Business review article).
Last edited by Jeff Buchanan; June 27, 2017, 07:57 AM.Mission to CFB's National Championship accomplished. JH chased Saban from Alabama and caused Day, at the point of the OSU AD's gun, to make major changes to his staff just to beat Michigan. Love it. It's Moore!!!! timeComment
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Like minded people fuel extremismGrammar... The difference between feeling your nuts and feeling you're nuts.Comment
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Trump has tweeted or re-tweeted NINE TIMES this morning and not one of them had to do with the health bill or Syria red line. All about himself, attacking the media, CNN, and retweeting stuff he saw on Fox & Friends.
First President we've had who is completely obsessed with cable newsComment
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Anonymous WH official who won't go on the record says: Don't trust anonymous sources who won't go on the record
[ame]https://twitter.com/maggieNYT/status/879711606518755330[/ame]Comment
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That was a really interesting chart DSL. Note what happened to rates during the Great Depression of the 30s. Hillary proposed a capital gains rate of 47%, highest in US history.
Yup. The Court also chopped up the nonsense about what Trump said on the campaign trail as being dispositive as to motive; always a goofy basis for a decision.It would appear that the reason the stay was mostly lifted was b/c the Courts made no fucking finding of "irreparable harm" -- required to enter a preliminary injunction -- for foreign nationals with no ties to the US. Well, no fucking shit.
I'm not sure how much it portends their ultimate decision. Hopefully a lot -- I'd rather have Congress and the Executive making immigration policy than some district court judge in Honolulu.
This whole travel ban litigation should make even the Dems here a little anxious about the power we vest in Federal Court judges. I wonder if a federal judge could stop a military campaign launched by the Executive without a declaration of war from Congress. That has a lot more constitutional basis than what a guy says on the campaign trail.
Personally, I'd like to see that judge in Hawaii impeached. There has to be some restraint exercised upon these judges that think they are God.(ya, I know, the difference between a Federal District Judge and God is that God doesn't think He is a Federal District Judge.)Comment
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hate to say it but those who provide to society should be placed higher up the food chain then those who don't provide to societyOriginally posted by froot loops View Post
if you have only enough resources to operate on 2 people and 3 people need that operation --the 2 of whom work full time then so be it
the other issue is those 22 million people do not lose health care--they continue to have emergency room care and care from various organization that provide free care
we will NEVER be able to provide the same level of care to every citizen
Obama care effectively insured 14 million more people still leaving 30million plus uninsured. it also did so on the backs of many who struggled in the middle class seeing a tripling of their premiums and deductible soaring to 8K
until we have transparency in who charges what and can pick for ourselves whom we want when it comes to testing--a more capitalistic approach. and more importantly until we place a cap of the cost per individual either yearly or lifetime of both of what the govt provides to each individual--we will never be able to deliver health care to all without bankrupting the system and the individualsComment
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42 pecent of all Medicaid funding goes to Nursing Home recipients. I know, I know, they should buck up and provide or die.Originally posted by crashcourse View PostComment
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So what crash is arguing is if you are elderly and/or disabled, you should rightfully be sent to the bottom of the food chain. Nearly two thirds of the medicaid funding goes to those groups, survival of the fittest. Twenty percent goes to children, if they can't provide, be done with them. I think the GOP senators maybe agree with him, you wonder why they don't lead with this argument.Comment
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What if you work two part-time jobs? Does that merit you an operation?
Or, if I work full-time and part time, can I get both operations? What if I work three part-time jobs?
What if I work full-time, but its seasonal and I need my operation out of season?
We need some clarification!Comment
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hate to say it but those who provide to society should be placed higher up the food chain then those who don't provide to society
if you have only enough resources to operate on 2 people and 3 people need that operation --the 2 of whom work full time then so be it
Do you really believe that or are you just trolling?“Outside of a dog, a book is a man's best friend. Inside of a dog, it's too dark to read.” - Groucho MarxComment
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He was devastated at the end of Logan's Run.Comment
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