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December 11, 2013

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Jane

Me too!

BB Key

TM, Nice ad . Food City has stores on VA, TN , & KY , They also sponsor a NASCAR race in either Bristol or Martinsville .

Neo

The sign language interpreter who stood alongside world leaders at Nelson Mandela’s memorial service and translated their words for deaf viewers was nothing but a big phony.

According to the Associated Press, the man — who was seen standing in close proximity to leaders like President Obama — has now been caught red-handed as a “fake.”

Bruno Druchen, the national director of the Deaf Federation of South Africa, said the unnamed fellow ”was moving his hands around but there was no meaning in what he used his hands for.”

... are we sure the "interpreter" was the fake ?

MarkO

Damn, I hate it when TM makes me cry.

sbw

Tears here, too.

Jack is Back!

Aren't you a month late with this thread?

Marlene

Me too.

caro

Excellent.

NK(withnewsoftware)

daveinMa-- that was garrett Morris's best bit on SNL-- that and the time the white folks sent him to Harlem to buy weed, and Chevy Chase demanded he get their money back because of substandard product, Chase then read the news that the dealers had killed Garrett in a 'drug deal gone bad'.

jimmyk

LOL, Dave, that was one of my all-time favorite SNLs, back when it was funny.

Jane

I stopped crying to laugh about the signing guy. Wonder what he got paid.

jimmyk

It's hard to find old SNL video, but here's the one with news for the hard-of-hearing:

http://www.funnyordie.com/videos/702f7c56c4/snl-news-top-sories-for-the-hard-of-hearing

My other favorite Garrett Morris was when he played Anwar El-Sadat on a infomercial pleading for advice.

NK(withnewsoftware)

Morris did an OK Sadat. He also did a good Bowery wino, when Daniel Patrick Moynihan did a faux advert hustling NYS wines.

pagar

IMO, Veterans Day and every day is saddened by having US Senators who are willing to confirm John Kerry as Sec of State for the United States of America.

Ignatz

Every day as Memorial Day I can get behind.
They never got to come home and salute their grandpa.

centralcal

Just got to work, and already tears flowing from your link Tom Maguire.

Danube on iPad

I liked Morris as Chico Escuela.

Buckeye

What pagar said at 11:16am

My dad was part of the 1st wave onto Iwo Jima. He passed in the early 90s. Glad he is not around to witness what is going on now.

peter

Just beautiful, Tom. Just for that you get special dispensation to post ten Gary Taubes threads.

Janet - the districts lie fallow, while the Capitol gorges itself

Here's the Dennis Miller/ Mark Steyn bit that daddy was talking about - from Steyn on FB -

Mark Steyn
THE DENNIS MILLER SHOW
(Audio) Here's the audio from Mark's recent appearance on The Dennis Miller Show

http://www.podcastone.com/pg/jsp/program/episode.jsp?programID=393&pid=367202#.Uqd0GVTPoPU.twitter

river of tears

Shed some genuine tears.

http://www.policymic.com/articles/70755/why-almost-1-million-veterans-will-lose-food-aid

"Amongst the Americans who benefit from the extra funds are 900,000 veterans and their families. After the cuts, food vouchers will average less than $1.40 per meal per person. It will become nearly impossible for people to rely on food stamps for nutrition. This is particularly detrimental for veterans who also face difficulty when integrating into the workforce."

river of tears

You'll be fine. Just donate a can of corn to the Food Bank.

Dave (in MA)

Was the guy signing "Bababooey", I wonder?

Jim Rhoads f/k/a vnjagvet

I love the ad, but I really envy grandpa's ability to fit into the old uniform. Ain't no way I could do that. Maybe some of my baby fat will disappear when I get into my 80s;>)

Jack is Back!

Let me get this out of the way now:

To My Liberal friends:

Please accept with no obligation, implied or implicit, my best wishes for an environmentally conscious, socially responsible, low-stress, non-addictive, gender-neutral celebration of the winter solstice holiday, practiced within the most enjoyable traditions of the religious persuasion of your choice, or secular practices of your choice, with respect for the religious/secular persuasion and/or traditions of others, or their choice not to practice religious or secular traditions at all. I also wish you a fiscally successful, personally fulfilling and medically uncomplicated recognition of the onset of the generally accepted calendar year 2014, but not without due respect for the calendars of choice of other cultures whose contributions to society have helped make America great. Not to imply that America is necessarily greater than any other countries nor the only "America" in the Western Hemisphere. Also, this wish is made without regard to the race, creed, color, age, physical ability, religious faith or sexual preference of the wishes.

To My Conservative Friends:

Merry Christmas and a Happy New Year

MarkO

Boehner? Internecine bloodletting from the tippy top.

Say hello to my little friend, Hillary.

Jack is Back!

Actually, I am not worried about the Vets who are being left out of the SNAP program because I know how generous the progs, dems and left are with OPM, that they will not pass up the opportunity to make sure the food banks are fully funded from their own charitable giving.

river of tears

Ah. There's nothing more satisfying to the simple, than a simple sentiment in this terribly complex and nuanced world.

daddy

‘GOOD ONE!’ Larry Elder has a crushing Castro question for Obama

Larry Elder ✔ @larryelder
Follow
Obama said he'd change name "Redskins" to avoid offending Native Americans. How many Cuban-Americans were offended by the Raul handshake?

I like it.

Let's call them The Washington Redskins Castros.

The uniforms are already Castro red, and it pretty much describes the political philosophy of everybody who works in the political Bureaucracies of DC. Simply change the symbol on the helmet from this:

to this:

and play ball.

Go 'Stro's!

Jack is Back!

daddy,

Then I'd have to change my fight song to this:

Saludo al Castros,
victoria del saludo.
Che en el camino de la guerra,
lucha para viejo Fidel

maryrose

48 people signed up in Oregon. That is pathetic.
There is no way they meet the Dec23rd deadline and consequently as RB suggests Colorado will have more uninsured than insured come Jan. 1st. We have yet to see the extreme rage and fall-out from this flawed debacle.

maryrose

JIB:
I am happy Pope Francis was chosen as the Man of the Year.He is a pope for all the people.

whut

"Indeed, Ryan has succeeded where his party’s official leadership has failed since taking control of the House three years ago: Speaker John Boehner, Majority Leader Eric Cantor, and Senate Minority Leader Mitch McConnell, all of whom are master politicians, have tried, and failed, to cut agreements large and small to avoid another round of legislating by crisis."

http://www.buzzfeed.com/johnstanton/how-paul-ryan-saved-the-day

MarkO

"Beisbol ben bery, bery good to me."

Jack is Back!

maryrose,

Yeah. I wonder how Rush is taking it:)

daddy

Speaker John Boehner, Majority Leader Eric Cantor, and Senate Minority Leader Mitch McConnell, all of whom are master politicians

Time for that Vizinni comment of narciso's.

Danube on iPad

Apparently there are a hell of a lot of CA doctors who are not participating in the exchanges:

http://washingtonexaminer.com/professional-groups-arent-spearheading-doctor-rebellion-against-obamacare/article/2540494

What next?

hit and run

maryrose:
consequently as RB suggests Colorado will have more uninsured than insured come Jan. 1st.

What he said is a bit different than that:

"There will be fewer Coloradans insured on January 1, 2014 than were insured on January 1, 2013."

The estimate he used was 726K uninsured.

That's roughly equivalent to the number of people who live in the 2nd (Colo Springs) and 3rd (Aurora) largest cities in CO combined.

MarkO

Next? Hospitals.

James D.

Here's my question about the budget deal:

Since we know that the administration feels no need to enforce, let alone obey the law; and since we know that there are landmines of varying horribleness buried in pretty much every piece of legislation Congress passes...

Why on Earth should I have the slightest faith that this deal will do anything remotely like what Ryan & co are promising it does?

rich@gmu

MarkO-

thought that some hospitals have already announced they are not participating.

JamesD-

faith...DC? YIKE!!!

my brain is fried. I can't study anymore.

Danube on iPad

I know Sloan-Kettering and Cedars Sinai have opted out.

Interesting poll from Reason:

"At a recent event, President Barack Obama said the health care law is here to stay and vowed, 'We aren't going back.' But 55 percent of Americans say they’d prefer to go back to the health care system that was in place before the Affordable Care Act, while 34 percent prefer the current health care system."

rich@gmu

all those policies that have been cancelled are not coming back. those new 800k Medicaid enrollments are not going to be thrown out of the program. and we don't know how many of those about 400k have actually paid for there metal coded plan.

an insane way to run public policy.

Danube on iPad

I don't want to alarm you, Beasts, but the University of Texas has just announced that their football team will henceforth be known as the Longsabans.

Rob Crawford

"an insane way to run public policy."

It's all the Pitzer Pisser dreamed of!

pagar

", while 34 percent prefer the current health care system."

There is no way in h__- this is a system.
No payment system alone says it's a disaster not a system.

rich@gmu

Rob-

>>>It's all the Pitzer Pisser dreamed of!<<<

wouldn't expect anything less from the feather passers.

insanity and hard to believe it is going to get worse.

yeah, weed legal in Uruguay...

Rick Ballard

Hit,

My uninsured estimates come from Census data, adjusted for population growth since last report. I should have been more specific re "fewer Coloradans insured" since I note the goal posts moving towards including Medicaid signups. When you see Medicaid included, the correct CBO target becomes 16 million rather than the more publicized 7 million.

peter

maryrose, I am with Ace on this. Time is just using Francis I as a lefty prop. And it was very predictable.

rich@gmu

Rick-

they are even running short on Medicaid enrollments...800k vs. 9M projected...less than 10%.

wow.

Jack is Back!

Peter,

That was my rationale for picking him plus the sheer number of Catholic living rooms around the world to hang the cover on.

Rick Ballard

Rich,

Both aspects of the "uninsured" count, numbers and targets, are model outputs. Census delivered "50 million uninsured" by including 12-14 million illegal aliens and CBO forced the 7 million and 9 million targets using an "X net budget cost" without ever determining the actual market for "free".

I wonder if the proles are shy of signing up for Medicaid due to catching a whiff of Zeke Emengele's plan for cost containment via the Kevorkian Korps?

rich@gmu

thanks for that Rick. hadn't thought about it that way. If Zeke were to really get his way, he'd go to the barefoot doctor plan.


the model of Obamacare-Mao's Healthcare Wishcasting...so let it be written, so let it be done


>>>http://www.marxists.org/reference/archive/mao/selected-works/volume-9/mswv9_41.htm<<<

Ignatz

Does anyone know the demographics of the new Medicaid enrollees?

I'm guessing we're looking at a disproportionate number of young, low income, single adults automatically enrolled and who have little need of or interest in health issues. If they get sick then they go get medicaid if they need it since AFAICT medicaid has never had any pre existing condition exclusions. These people are in reality no more "insured" than they were before.

cathyf

Iggie -- I'm thinking that a good portion of those young low-income kids are less insured, too.

Old system: 27-yr-old McDonald's cook with basically nothing beyond an old car, clothes, cell phone, and some furniture, has the cheap McD plan which has a $50 deductible and a max payout of $2000. If he breaks his ankle playing basketball with his friends then the insurance picks up the $1000 in bills (well, after the $50.) The $950 would have wiped the kid totally out and left him begging from relatives, so the cheap plan is a lifesaver. If he gets cancer, he runs through the $2000 cap in about 10 minutes, is totally broke 10 minutes after that, and goes on medicaid. But if he has the usual types of medical expenses that 27-yr-olds have (well under $2,000/yr), that McD plan provides completely reasonable reimbursements and so the doctors in town are happy to fix him right up like any other person with private insurance.

Obamacare: the McD plans are waivered but only temporarily, so when that runs out our fry cook goes on medicaid. Every little thing that happens to him goes through a medicaid mill clinic or misusing the ER, and he gets terrible treatment.

Rick Ballard

Ignatz,

Given that 25% of the uninsured are illegals, it's very difficult to come up with a composite demographic sketch of the new Medicaid draftees.

Approximately 11% of the population of US citizens are uninsured, roughly 16% of the population has an IQ <80. I'm just guessing but I'd be willing to put money on a correlation of greater than .7.

peter

I need some advice. I just learned that a business acquaintance whom I had not run into in years died last May. His company's website had a memorial page to him. Great guy, generous to a fault, worked his way up from nothing, working from the time he was a little kid, to driving a top of the line Lexus. I wasn't extremely close to him, but I recognized that he was a very special human being. Should I send his family (whom I did not know) a note, or not. they wouldn't even know who I am.

AliceH

I just discovered that states are simultaneously taking medicaid/SChip enrollments directly as well as via exchange, but reporting them separately.

The just-released HHS report on Oct/Nov enrollments includes just a subset of new medicaid enrollments (subject to actually being vetted and enrolled by the state). The actual counts of non-exchange enrollments (which is probably most of them, since very few are automatically intefaced at this point) is reported HERE (pdf) (Oct only).

I suspect there could be some double counting, but impossible to say how much. Also, on the medicaid-only report, some states are counting renewals same as new. FWIW.

Oct Medicaid non-exchange Summary: 2,479,114 new applications (can be multi- people per app)
1,460,367 individuals determined eligible.

Buckeye

CathyF

Just went to .gov website to see what happens with this hypothetical. Assume he makes 16K/yr. A silver plan in Ohio would cost approx $2400/yr and taxpayers get stuck with about $2000/yr. McD fry chef pays $35-40/month. Probably not substantially different for him, but hugely different for the taxpayer.

single-pay only way

http://www.therealnews.com/t2/index.php?option=com_content&task=view&id=31&Itemid=74&jumival=11152

So if you go to a hospital in Canada, there's no billing office in most hospitals, because every Canadian has the same coverage and a hospital gets paid the way a fire department gets paid in our country. They get one check a month to run the entire operation. There's no need to figure out who got each Band-Aid and aspirin tablet. You go to a typical American hospital, there are 150 people doing nothing but billing. And we ought to put those people to work doing useful things, help taking care of people, and put those resources to actually making health care work in our country rather than shuffling papers and enforcing inequality, enforcing that some people have the right to good health care and many others don't.

DESVARIEUX: I can attest to that billing, 'cause my mom is actually on in a registered nurse, and much of her time is dealing with billing, 'cause she does home care.

But I want to talk a little bit more about the Canadian system. You mentioned that this would be a sort of model a bit. You were referring to it. But there are people that criticize it, saying, oh, there are so many long lines, and the wait time is impossible at times. What is your response?

HIMMELSTEIN: Well, Canada spends about half as much per person on health care as we do in this country. And if we were willing to take Canada's system and double the amount of funding, we would have not just better care than they have in Canada, but much, much better care than we have here in the United States. And we know from comparative studies in the two countries that the average Canadian gets care as good as the average insured American today. But you take double the money they spend in Canada, we ought to be able to do very much better than that for every American.

DESVARIEUX: And you also claim--I know I read a little bit of your work that this [incompr.] save money not only for the health care recipients, but also for the providers. Can you explain that a bit more?

HIMMELSTEIN: Well, for providers, I mean, the average doctor is spending about 20 percent of their time on nothing but billing and bureaucracy. So we'd free up tremendous amount of time of doctors and nurses--you mentioned your mother--to actually do the work that we're trained to do rather than checking the boxes and fighting with insurance companies. And that provides the resources we need, the extra time we need to take care of people,
to take care of people who are currently uninsured.

The other thing we need to do is stop doing some of the useless and even harmful stuff that doctors are doing today because there's money in it. So we know that a lot of the operations done today actually don't to patients any good, that probably something like one out of five of the cardiac stents that are put in place are done not because they do patients any good but because there's money to be made doing them. So we need to take the profit motive out of the health care system as well.

henry

Peter,

I am now receiving many such notes, often with an anecdote or two saying nice things about my dad. Send the note, it will be received as a blessing.

Ignatz

Peter, sometimes the most valuable words are from people we didn't know but who knew our loved one; let's the family know he touched people beyond their knowledge.
Send a note. They'll appreciate it.

Ignatz

Thanks cathy and Rick.

peter

thanks, Henry and Ignatz. I appreciate your responses.

MaryD

Peter, by all means send the note and tell them what you just told us. The family will be very grateful for it.

Danube on iPad

National Post (Canada):

"Another increase in median wait times for medical treatment despite fast-growing public health-care spending means Canada should look abroad for alternative ways of delivering universal health care with private options, say the authors of a new report.

“'Other countries with universal health care systems spend less than we do and don’t force citizens to wait like this,' said Nadeem Esmail, director of health policy studies for the Fraser Institute and co-author of the think tank’s report on medical wait times in Canada.

“'It’s time Canada adopted some of the policies that allow nations like Australia, Switzerland and Sweden to provide more timely access to quality universal care.'

"The national median wait time was 18.2 weeks, about three days longer than last year, according to Waiting Your Turn, the 2013 edition of the Fraser Institute’s annual report. In 1993, the median wait time was 9.3 weeks."

It's why so many Canadians, when in deep trouble, come to the U.S. for treatment. The U.S. is no. 1 in the world in life expectancy following the contracting of a serious illness. You do not see Americans going to Canada for treatment.

Shall we now discuss the U.K.'s NHS?

Rick Ballard

"Shall we now discuss the U.K.'s NHS?"

Have they raised the prole bounty again? Poor devils.

grabasstic politic

Heh. 'Merican providers have been quite adept at modeling Henry Ford's assembly-line for procedures. Twenty colonoscopies in succession should save money, not cost twice as much as the Canadian system. You know, in case you didn't actually read the piece.

AliceH

Canada is experiencing a growth in private clinics, diagnostic centers, etc. That's on top of the seldom-acknowledged fact that "single payer" doesn't cover prescriptions, and that 30% of actual medical care consumed is out of pocket.

2012 healthcare expenditures are significantly higher than prior years - having risen to ~$6K per person ($4.2K govt funded, remainder private/out of pocket). A lot of it is due to union/overhead/graft -- that the non-medical costs are hidden from the consumer at point of service is not evidence they don't exist.

The costs would presumably be higher still if the US weren't subsidizing their prescription drugs.

I dunno. If I were Canadian, I'd be fighting tooth and nail to stop the US from becoming single payor -- Canadians in need of medical care and prescription drugs wouldn't be able to afford it.

Stu707

Single-pay at 4:16

So if you go to a hospital in Canada, there's no billing office in most hospitals, because every Canadian has the same coverage and a hospital gets paid the way a fire department gets paid in our country.

In 2000 I had coronary bypass surgery at Cedars-Sinai in LA. As soon as you are able they encourage you to walk around the hallways—helps to break-in those newly installed blood vessels, valves, etc. On those walks you meet your fellow patients and share stories. One guy I met was from Canada. “I hear you have this great system up there. Why’d you come here for the surgery?”, I asked. He laughed and said if you need bypass surgery in Canada you go on a waiting list. By the time you make it to the top of the list, your condition may have deteriorated to the point that the surgery is too dangerous.

He said the reason for this is that the wise people who run Canada’s health care system decided that it was more cost efficient to buy hear-lung machines that are essential for heart surgery than to lease them The machines are very expensive. Thus a shortage of machines there. In the US, hospitals decide for themselves whether to buy, lease, or combine purchase with leasing of however many machines the hospital thinks it needs.

He told me that anyone in Canada who could afford it buys insurance that pays for heart surgery in the US.

AliceH

--But you take double the money they spend in Canada, we ought to be able to do very much better than that for every American.--

Love the lack of actual numbers. Let's work the equation:

($6028pp * 2) * 314million= $3.786 Trillion a year.

Go on. Sell that to the American public.

grabasstic politic

It sells itself....

"Almost 4-in-10 U.S. adults did not see a doctor when sick or failed to fill prescriptions due to cost, compared to 5 percent in other nations, researchers say.
An 11-country survey by The Commonwealth Fund also found about 2-of-5 U.S. adults spent $1,000 or more out-of-pocket for medical care in the past year -- by far the highest rate of any country surveyed.

The survey of 20,045 adults from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the United States found the United States spent more on healthcare per capita than any other nation -- $8,508.

Norway had the next highest at $5,669 per capita and $5,643 per capita in Switzerland. New Zealand had the lowest per capita rate -- $3,182 -- per person, the report said.

The United States also spent the most on insurance administrative cost, $606 per person, compared to $277 in France and $266 in Switzerland, the next-highest countries. The report's authors noted the high administrative spending in the United States was a symptom of the country's complex, more fragmented health insurance system

Read more: http://www.upi.com/Health_News/2013/11/13/US-healthcare-Most-expensive-longest-waits-most-red-tape/UPI-30501384398664/#ixzz2nD2ci3sH

cathyf

Buckeye -- would the kid making $16,000/yr end up in the bronze plan? Or would he be forced into Medicaid? (Does it make a difference whether he lives in a state that took the medicaid expansion?)

AliceH

It's stupid conflating primary care practices for "I don't feel well" situations with specialty care for cancer, heart attacks etc.

Also, that Health News survey is the biggest pile of poo pretending to be data I have ever seen. It's worse than useless, as you'd know if you spent 2 minutes considering their *cough* methodology explanation.

AliceH

Apparently, most in the US world of politics or academia, and everyone anywhere else in the world, are entirely ignorant of the fact the US has thousands of free clinics and Public Health offices that deliver free or income-based primary care, vaccinations, check ups, referrals, prescriptions, to the uninsured, underinsured, and medicaid patients. .

Also hundreds of hundreds of patients receive free cancer care, organ transplants, heart surgeries, etc. etc.

If you want to argue that more care like this needs is needed for the poor or low income, don't start by revealing your ignorance of the programs that already exist. That's tantamount to revealing your ignorance of the poor (who, believe me, do know about these services).

AliceH

And while I'm on my roll...

If I were asked why I didn't go see a Dr. last time I had a cold, I'd say "not worth the money".

If the visit were free, I'd say "not worth the time".

Either way, I'm not going to a Dr. for a damn cold.

Ignatz

--An 11-country survey by The Commonwealth Fund also found about 2-of-5 U.S. adults spent $1,000 or more out-of-pocket for medical care in the past year -- by far the highest rate of any country surveyed.--

Are taxes counted in that equation or do we assume they never see the inside of a pocket??

MaryD

Alice, when my husband and I lived in Boston, we had as our GP an extremely talented physician at Mass General (a very highly regarded hospital). He left general practice and went into research because he was being driven nuts by the well-insured Boston yuppies who would come to him every time they had a sniffle or a hang nail and demand instant gratification. MeMeMe is I think part of the problem.

Rick Ballard

cathyf,

The Kaiser subsidy calculator still functions correctly. The Medicaid cut off varies depending upon whether a state has expanded eligibility but $16K is too high for Medicaid.

Danube on iPad

"...if you need bypass surgery in Canada you go on a waiting list. By the time you make it to the top of the list, your condition may have deteriorated to the point that the surgery is too dangerous."

It's the essence of the single-payer ststem: you reduce costs by rationong care, and you ration care by means of the waiting line.

After the experience since October 1, it's going to be a month of cold Sundays in hell before the American people allow a single-payer system to be inflicted upon them.

Danube on iPad

"...the United States spent more on healthcare per capita than any other nation -- $8,508."

You get what you pay for. I can get an MRI scheduled for three days from now. Try that in Canada, etc.

The single-payer debate has been held in this country. Its proponents were routed.

AliceH

Ignatz: Invisible taxes were not taken into account by the survey. However, they DO count out-of-pocket for dental and vision as being part of medical expenditures.

The real flaw is they just made random calls, ignoring hang ups and no answers, until they reached whatever they're pretend sample size, thus having a skewed starting point. Further, they made no distinction in responses based on whether someone was insured via medicare, medicaid, or private -- they just did some weighting to get the uninsured vs. insured stuff to meet the desired results.

The link is just to their press release. They don't say that to get the other countries numbers, they used other studies, with different methodologies, and just smoothed it all out to fit the spreadsheet.

I linked to this tripe a week or two ago. I knew it was custom made partisan spin then, and as expected, the pretense of "science" was just too tempting for the lemmings.

Danube on iPad

"Are taxes counted in that equation...?"

Silly question. Anything you receive courtesy of taxpayer money is free.

narciso,

Makes my point even more,

Rob Crawford

I wish someone would put the Pitzer Pisser out of our misery.

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