B-Large

I just interviewed a couple from St Louis today that is closing their concierge practice. What people miss is that even concierge practices bill insurance including Medicare, and cannot stay open even with 10k -20k annual memberships. Doctors expect to make 250-300k in primary care and have small panels of patients (under 2,000)- but in reality, the economics don't work and working 7-9 days a week gets old fast. To be honest, the ACA plans are consistent with the reality of Heathcare financing. Premiums will be expensive and deductibles will be high, our system is outrageously expensive, poorly utilized, communicates poorly, and we spend far too much on end of like care. I have a Medicaid patients in his late 70's (long story how he got to me to manage), but he's been at our hospital 3 weeks and had 200k worth of surgeries. If we intend to continue to treat everything until death, we'll need to rethink how much of our national and personal budgets are allocated to Healthcare. Everybody wants to make money in the game, everybody wants extensive care until they croak and Americans in my experience don't want to personally pay for it.... That's a powder keg right there.

Mitch Daniels would be a great candidate, I'd pull for him. hes appears to be a pragmatic decision maker how would leave the foundation of the ACA is place and simplify the law to make I more palpable for Americans in general, since he has already implemented a tax subsidy scheme in Indiana. I could see him appealing to voters like myself, not hardline conservatives but people who feel Government is completely lost its way in terms of size and scope. I'd like to know more about his foreign policy and attitudes toward the war department. I am somewhat warming to a Cruz general run, I really like his tax plan and do believe he is principled when it comes to governance. I'm not terribly religious so that gives me angst and a total and compete repeal of HCR would probably break it for me... I'm doing my best to not shut the door on the guy but the Healthcare issue is a big one for me. I really don't care for Hillary Clinton, and while I appreciate the passing of the ACA, I still don't think Obama did much to improve the country from a reform standpoint... While I appreciate the Bern, a socialist platform just isnt in our blood and when the youngin supporting him get to about 40, they will realize it too.

Kids, don't do drugs.... or tune into politics...

It goes as far as assigning appropriate pronouns to be sensitive. I don't really even know what a pronoun is.

I'm still collating. My wife and I had a brief conversation about this gender stuff not too long ago. My position, I don't get it. Born with a dick, you're a boy. Born with the opposite you're a girl. But there is a movement to support those who are identifying as gender neutral.... What does that even mean?

That school is a few streets from my house. That kids father is definitely a stool pusher. What happened to Math, Science, Reading and Art? We had a sex ed thing in 5th grade, but parents attended. 8th grade health class was about drugs and sex, actually extremely helpful....

a unavoidable and nothing but default solution might be exactly what we need, although it would be miserable topped on miserable. the finest lessons are the ones that hurt the most. i personally don't believe we've hurt enough, though some would disagree, but its the reason we keep making th same mistakes IMHO.

That's the problem, the tax credit premium support model incentives earning less. I

I had a Sales Manager in my first job out of College once say to me "Don't confuse activity with results, kid" I take that little diddy with me throughout life now, and I think it especially applies to public programs. Just because we can "do" something, doesn't mean we should or that there is a compelling case to be made it will deliver results. Feel good gestures are the magic arrow in a politicians quiver... I did something!

We are receiving $3,900 in federal money because we qualified for a an ACA subsidy, but did not apply for it when I was not working last year and buying Maine federal individual policies. We are also getting another $900 from the State of Colorado in the same case. Classic Government- subsidize someone who didn't ask for it nor "need" it. Our experience on the ACA insurance was quite good, cost comparative to my employers based plan after benefit credits... its nice to have a 250 deducitble rather than 6,000 though.

No problem, I share openly to provide context for discussion just like these. And yes, I could but the ticket myself- however, as you well know, a demographic change solves nothing if the person affected does not want to change.

Homelessness is a complex socioeconomic issue, and does not have any easy or complete solutions. To me, you have to tackle it two ways, by addressing the short term homeless population, then setting ones sights on the chronic homeless. In my experience, being on the board of a charity that addressed the first group, you can help that group by getting them off the streets, cleaned up, safe, and in an environment to get back into productive employment of working toward that goal... the short term homeless tend to be a lot of people who have had bad stuff happen to them, are left with nothing and simply cannot get momentum to get back on their feet... one of my employee right now has 4 children, no help from the father and would be on the street or in a shelter without her sister. More concerning is this gal is part of a huge segment in the country I call the working poor.. working, but one huge car repair or major health related setback from being flat on their back- she also misses a lot of work because she has sick kids, spring break, can't afford child care, before school care etc... my response is why the !@#$ did you have 4 kids without a stable environment and a man to marry and support you, but that ship is passed and we now work the problem, with few answers other than an attendance records that warrants dismissal and huge amounts of social assistance. The other group, people who are crazy or have a deep dependency issues. The Denver Road Home, the 10 year plan to end homelessness has failed to achieve its goal with this group is any way shape or form- the problem, they don't want to he housed and live by rules, or simple don't have the capacity to function in those constrained environments. A bus ticket for those who have people who want to help them, to be is a decent idea- but then again, why weren't those family member or friends willing to send them a Greyhound ticket before? They are not that expensive. But they probably have a better chance of getting into a treatment program back around family who somewhat care about them, versus a city where they don't know a single persona other than other homeless. Again, as I said in another post there is probably a reason why that person hasn't been on a bus sooner and a caring family not paying for the ticket probably isn't the case. My father has been to inpatient rehab 2 times, only to relapse and be in the same situation. But my family has some resources to continue to help if he wants it- which me and my family disagree on sharply.... but I think about those who don't have those resources, what would happen? I am sure my dad would be sleeping on the street in Portland, maybe a bus ticket takes him to Denver where he would end up on another street. I debate with myself if my dad is really ill, doe she not have the capacity to make decisions that are good- or is he just lazy and lacks humility. I lean toward the latter, and I think that is true is more cases than not.

Link does work- error message says OP has gummed up his computer with to much gay pornography....

I'm half expecting him to, when he is accepting the nomination at the convention, to laugh and say you're all on candid camera. Not sure what to think. LA is obviously convinced Trump is a self interest driven phony. But is this campaign about a guy who has little else to achieve in the life other than political change at the high level in the country that has allowed him to be so successful? Does he really believe he can make monumental lasting change for the better?

this election cycle says more about the Electorate than anything else..... but that shouldn't really surprise anyone, there are people who actually think Bernie Sanders, a socialist, can win a general election in a conservative leaning country.

You bite your tongue.... I have decided not to vote for competency, issues, etc.... I am now voting for entertainment. my ideal ticket you ask? Trump/ Sanders 2016. Democratic and Republican party regulars melt down into a pool if partisan sludge.

I don't get your point. Cruz is strongly conservative, Trump less so. They want a strong conservative, why would their stories reflect anything else?

God Mitch McConnell is a dipshit- "Give the people a voice in nominating the next justice" Was Obama re-elected by a coin flip, or decree, or some other alternate process? What a douche bag.

Not in its current form- but I can more so than Hillary Clinton. Who knows, if he gets elected maybe he calms down the campaign circus and really gets to work. Maybe he turns out great.

This place, again, is a conclave of latent homosexuality. How? Why you ask? We have been fed a steady diet of utter horseshit by our policiains for decades- offering us the finest solution trillions of wasted money can buy... whose most likely to shed light on the horseshit sandwiches? Hillary? She's a cog in the damn machine, hell she's the engine, transmission are tires... nothing more repugnant than someone feels entitled to the job. Feeling the Bern? Not in this country were not. Cruz? Maybe, but he's also a theocratic hardliner whom is loathed by just about everybody but other hardliners.. Rubio? Too young and wet behind th ears Kasich? Not enough charisma. Trump is not a politician, if he gets elected probably wouldn't care if he got a second term. He will be the first President who I believe will literally say it like it is regardless of political consequence. He'll set an agenda that will be disruptive to conservatives and liberals, and send sacred cows down the line in a heartbeat. Americans have faith he will get something accomplished, real meaningful changes we keep seeing politicians kicking down the road. I'm not saying I'd vote for him, but I get the excitement. Can you imagine a Clinton or Cruz administration? I can't.

It's always a good thing, as long as you're not the one dumb enough to do it. We rely on people spending nearly dollar for dollar of what they earn, and expanding that purchasing capacity with credit. I'm often amazed how much stuff people financed that is not real estate, a business or some other appreciating asset.

Damnit. He baits be in with absurd scenarios every time.... One step further betters the question. How many individuals fit the 10,000,000 @ .05 versus the 50,000 @ .50? This scenario needs to be debated in terms of aggregate.

gigantic women who waddle themselves into work at the hospital each day with 4.95 worth of diabetes liquid from Starbucks. I can only guess they do it on the weekends too, in lieu of dieting or exercising. Idiots indeed. Tripled? Your example scenario isn't realistic.

try my friend, I said try. It is indeed hard to find a lot of everyday products made here. I do however buy all my tools, supplies, plywood made in this country, or the very least made in Canada. I'm saddened by the mentality of many of our citizens... They'll spend 150-200/ month on coffee, but meltdown when gas is 2 a gallon or toaster is more than 2.99 at Walmart. We have a nation of fiscally stupid people, it's no wonder our government is screwed up as well.

I try to never buy cheap products, and always try to buy American products that are quality. the wealthy got tax cuts, got super wealthy and free trade deals made killing jobs here a no brainer. I'm not advocating protectionist policies, but workers are starting to put two and two together... and these are not just Democrat takers, these are conservative families beginning to ask what the !@#$ happened, and where has the GOP been for them. This may be the best thing that happens to the GOP, if you really think about it.