So we’re supposed to trust them….

September 26, 2009 at 8:42 PM (Uncategorized)

this is always where I fall off the kumbayah everyone is basically good train….

According to the very worthy organization AA, some alchoholics can make it into recovery and reconstruct their lives to do some good for themselves and the world around them…I’ve seen it succeed in people both partially and long term….

But my experience has led me to believe that one cannot count on or trust an alcoholic or drug addict.  In part because I’m  a food addict.    and in part because I’m clear the addictive personality cannot be erased or put aside.  The focus can shift, shift to a good place. (Excercise, philanthropy, etc.)

But once an addict always an addict. In my family and in the wider world.

And what happens when the focus shifts to a place the addict sincerely believes is a great good (fundamentalist religion for example) but that produces scary dangerous ideas that are out there in the media or political discourse.

Sorry no.  If you did drugs or alcohol and extreme religion was what got you out of it.  Good for you, good for your friends or family that you aren’t drinking or drugging  anymore….

But now, you’re probably addicted to what you believe is God’s will, and that is a dangerous dangerous thing….because you know darn well when you are addicted to something, it’s a little hard to be sensible about it.

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My Head Hurts

September 25, 2009 at 12:34 PM (Uncategorized) ()

Kyl is pro- life, by definition.
Kyl is against maternity care in the markup of the Senate Finance Committee Healthcare Bill

My. Head. Hurts. Arizona, you’re smarter than that.

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A Step Forward :)

September 24, 2009 at 9:09 PM (Uncategorized) (, )

The first attempt at a preventative vaccine for HIV that may have some effect…

Long breath out….this is hopeful….

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You’ve had time…

September 23, 2009 at 2:34 PM (Uncategorized)

Evidently, health interest lobbyists are asking for a delay of the Baucus bill passage so they can now read all the relevant bills…

Their clients have had time. Time to self-regulate. Self reform…so that these bills wouldn’t need to be read.

By self reform I mean accepting much more affordable premiums, tying them to cost of living + a non usurious amount, tying themselves to a modest increase over Medicare rates, stopping recissions and pre-existing condition denials and higher rates based on gender, as well as limits on out of pocket expense and no lifetime maxes or caps, in order to provide the service that they say they’re built for.

Well, sh!t, lobbyists! Let’s sit down and do a bit of a timeline shall we?

in 1973, Richard Nixon, negotiating with a large closed system, first flirted with the idea of HMO’s, as a way to fix the system.

In the mid to late 80’s traditional plans were narrowed by ‘networks’ of providers who would pay a higher percentage if you went to a certain hospital or doctor than if you just went anyplace at all.

From the rise of the HMO grew capitation, the idea that no matter how many patients a doctor saw, they would be reimbursed a flat fee every month. There were, and are both open and closed HMO’s. Closed means you go to their hospital, their pharmacy, their doctor’s office, or you are SOL.

So called “Open” HMO’s have a doctor and hospital list. Choice is wider, prices are higher, and either doctors are screwed by capitation meaning they left the HMO, or patient’s are over a barrel economically due to fee for service, (doc’s ordering possibly superfluous tests, to cost shift for uncompensated time and care) situations, depending on the type of HMO it is. It was clear by the mid 90’s that HMO’s weren’t working for many docs…and insurance companies didn’t like the profits…they weren’t high enough…

The art of the claim denial has always been with us, here in the States, but in the 80’s and 90’s it became an art form. Had your clients agreed to temper this profit driven egregious practice, we’d be less likely to be wrestling with such bills now.

Big Pharma started advertising…the money rolled in. But they will not negotiate with anyone but those who care for our troops…You Pharma lobbyists know darn well, that cutting a deal isn’t self regulation…Pharma has never offered self regulation, and they never will.

President Clinton tried to pass healthcare reform. If your clients had agreed to self reform and self regulation then, that battle might not have been lost.

Then came PPO’s (Preferred provider) organizations with a return to networks, and dizzying requirements for ‘participating’ and ‘non participating’ subscribers and medical folk. An illusion of the old “go to any doc” type of plan, that in reality would stiff you at least 4k for any serious illness.

Your clients had time to self-reform and self regulate then, which would have meant much less bill reading time for you lobbyists, who then might have to go out and lobby for something else all together.

In November of 2008, ten months ago, in case anyone is counting, we elected a president who promised reform.

You would have been able to put some serious polish on your tarnished image had you offered to self regulate, and self reform, perhaps even taking a meeting or two with then-Senator Kennedy….

While our legislators left DC, not only did you and your clients say nothing about self reform, you have been shockingly obvious about your mission to kill reform.

Could have read most of the bills then, couldn’t you? Even while trying to kill them, you could have taken that time. But you passed.

Your clients have had 36 years to self regulate. Sue me, but I think that’s more than enough damn time.

Whiners. It’s final exam time and you never read the text.

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Gem from the Baucus Markup (updates through the day)

September 22, 2009 at 8:59 AM (Uncategorized) (, , , )

Maria Cantwell made an excellent case for The Community Choice Act, gave an actual percentage that keeping seniors and persons with disabilitiesi in their homes is 70 % cheaper than placing them in nursing homes. ..overhauling fee for service (which I have concerns about) and the necessity of the public option

Then, “Family Values” Ensign  spoke and said that plans have “a little deductible here and there.”

Cornyn wants Medicaid and Medicare cut…hmmm no big surprise there.

Nelson Rockefeller: due to a snafu with my c-span 3 feed I only heard part of his remarks but they were a sane, sensible fact based review of the benefit of the public option.  Not confrontational yet, which is good.

Pat Robert’s R-KS won’t vote for anything that won’t attract at least 70 votes on the senate floor

He believes that doing nothing is the best idea.  He fears rationing.  States that the number of uninsured American citizens are ‘relatively few.’ States it will fund abortion (WTF?)

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