B-Large

racist- or might I say, Gaycist

lessons at that particula school could be viewed as incindiary.

The standard paper at our hospital is designed to remove a thin layer of dermis around the anus. I have made a freindly agreement with the head of Envrio Services to get a nice, plump two ply charmin for my group- it sucks to carry it with you, but it sure isnt a pain the ass either.

this thread is gay

I saw Norm Abram make a guiter on the Old Yankee a few years ago... he made it looks like childs play... that's a heck of a project, I'd love to see the pics when you are done... working in Bubinga, huh? Changing blades pretty often I suspect? I did some knife and jewerly boxes in Bloodwood and Yellowheart- the BloodWood was about the most dense wood I have ever encountered, blade were dull as **** after a few boxes. Back on topic. People do theorecically have to pay up front for services, they just get billed for thier deductible. My wife and I never had a deducitbel on our managed care plan till a few years ago... its amazing how much even a $1,000 deductible changed our attitudes toward health spending. We now shop arounf for Med refills, and try to jamb services in when we have the dedctible paid for the year- I even e-mailed my Endo MD to see if I would just do labs and he could make changes to my Meds and I could skip the office visit, since all he does is tells me abut his kids and my new TSH... lol... this is one area where OC and I seem to see eye to eye, big deductibes driving price and consumption caution. Where we disgree is where the risk pool sits and who manages it. Awesome pic- he has a shop in LA and has been featured in Fine Woodworking Magazine. He is the best character on that show, and perhaps all of TV...

Lol, he gets that way, huh? I will have to PM him.

so do you woodwork as juts a hobby? are you a turner of funiture builder? I agree, my wife and I go to Walgreen fro Flu Shots every year even though I get them here at my job... they are 24 hour, takes 15 minutes, in and out- at work it is a 2 hour session where I wait in line forever, they only have flue shot session at certain times.. pain in the ass. I would agree most people just assume the PCP has all their records from every provider they have seen since birth, that every specilist sends a consutl report back to that MD, etc. But I do believe most people are also cheap and do path of least resistence... that is why I htink the CVS outlet strategy is so damn good- most people will opt for easy rather than hard. There are some people who insist on seeing an MD for a hangnail (cliche, I know) and get pissed when they cannot see their MD every time- but I get the sense those people represen the minority as well. Everybody (ideally) covered now have deductibles. It will nto take people long to realize a visit to my hospital will run them 250+ for a sore throat, a trip to a Little Clinic will be drastically less- they already have the physcial space and are on every corner so no addtioanl overhead cost other than an NP and liability. When you have a 3,000 deductible, all of the sudden people talk to each other and become savvy consumers.. well, maybe savvy is overshooting... lol

But Dog, you of all people should realize you want 10 higher acuity people on your afternoon schedule, rather than 10 low acuity people who really don't need to to see you and access your training and expertise. People will, in theory still visit you for their Annual Exam, where you will order the Scope, Mammograms, and other age based screenings- that doesn't change, and you will be the medical home for these folks. But CVS can offer walk in, high quality treatment of that cough or allergies, and you can see the really sick people. We did a study and of the 60K visits in our Internal Medicine practice, 30% could have been handled either over the phone or by a provider like and NP or PA and have reduction in outcome or quality. 30%. Some of that is poor triage by staff, but if you could cut that in half, in every practice across the Nation... I can't fathom the savings.

CVS is spending its time preparing for the future rather than whine about the ACA. http://www.cnn.com/2014/02/05/health/cvs-cigarettes/ they'll have a high profitable, high convenient, high quality "Little Clinic" in each and every store on every corner in Amercia in a few years. The ACA is a go send for these retail Rx filler and convenience grocers. !@#$ing brilliant.

Cable News... lol.... so entertaining.

The working theory is that John Fox didn't not run the team practices with crowd noise because i his experience Super Bowls were not loud. Maning reverted to hand signals unexpectedly and they were the same signals used in prior games due to the fact they didn't think they would use them.

I love MSNBC- they have side by side with Fox News when I am at the gym in the afternoons- nothing more entertaining than cable news. My favorite segment has to be Al Sharpton's program... truly priceless tripe

My in-laws won't like that- those uppity blacks might past muster, but no gaurantees... the darker they are, typically the worse they are... lol What Republican watches MSNBC anyway?

Income inequality is a stupid term

We're Queer, but Not Here Sochi, 2014

can you read- 4% adminstrative overhead in Medicare versus 20%

Why does a TPA take a 20% cut of every premium dollar? And remember, it was more prior to 2010 and the passage of the ACA- 25-30%? you can't tell me that 20% versus a State Run risk pool such as Medicare, 4% is a better deal, not matter what scale you get. out of 1 Trillion dollar of healthcare premium dollars, 200 Billion go to something that doesn't involve care.... that's a racket of epic proporations. As for competition, who cares who back up the big payment form the risk pool- you have a each American cover large deductibles and that is where your competition lies, in hospital and provider to attract and retain loyal patients. Insurance compaines don't care so much about cost as long as the cover they loss spread and make money.... you still have no explained (as has anybody who ever utter the phrase) why selling Policies across State Lines is anyting other that comepletely empty notion- you cede regulatory control of the health insurance to the Federal Government when they sell nationally rather than the State. The Fed gets control of what can be sold, how much, and they set-up the guidelines. Also, Aetna can sell policies in any State they wish- and I am sure Rocky Mountain Health PLans does not want to sell policies to fatties Mississippi- so the State Line argument is wihtout merit- it makes no difference until you prove clearly otherwise.

So called "side-payments" have existed since the beginning of time, I am not sure the point you're trying to make- I have said time and time again to people who are worried about lines or rationing- make a large donation to a hospital, you walk to the front of the line to see providers other wait 6 months to see. the ACA hasn't changed that one bit. Most people don't know how to game the system or simple don't have the resources to do so, too bad for them. I don't think anyone said there would not be unintended conequences of the expansion of Medicaid. People with new coverage go to the ED when they get sick because it takes weeks and not months to get in with a PCP in many cases. the belief is once someone with Medicaid has established care with a Doctor, they will go back to that office/ call that office when they get sick. Time will tell if the predicted behavior comes to pass. You will also see more hospital operate urgent care clinics as they become more in demand.

I do think there are exceptions of course- logically is makes sense for government to intervene where Markets to provide essential products/services for its people do no exist. the question is did have to be the Federal Government? Massachusetts and Vermont achieved a plan to offer coverage to its citizenry, you're telling me that Colorado couldn't? Healthcare unlike many other product and services markets affects everybody, everybody end up paying one way or another- so the Government wrote laws that private insurers had to coevr people, and people have to carry coverage... in the ideal world people could afford to pay for healthcare like they do Direct TV, but we all know that is not the case and share of risk is what we have decided to be best in this country. I have been specific about my outlines for an effective health plan in this country, it is the one place I believe Government should play a role outside of roads, bridges, defense, protecting borders and protecting individual liberties. I do think there are exceptions of course- logically is makes sense for government to intervene where Markets to provide essential products/services for its people do no exist. the question is did have to be the Federal Government? Massachusetts and Vermont achieved a plan to offer coverage to its citizenry, you're telling me that Colorado couldn't? Healthcare unlike many other product and services markets affects everybody, everybody end up paying one way or another- so the Government wrote laws that private insurers had to coevr people, and people have to carry coverage... in the ideal world people could afford to pay for healthcare like they do Direct TV, but we all know that is not the case and share of risk is what we have decided to be best in this country. I have been specific about my outlines for an effective health plan in this country, it is the one place I believe Government should play a role outside of roads, bridges, defense, protecting borders and protecting individual liberties.

you sound like a Power Bottom....

"People of reason, tired of failed government intervention into private lives are realizing that governments were only designed to do collectively that which people cannot accomplish as individuals,,,,like fight wars and build roads. When government gets into the arena of the what people were designed to do for themselves, then dependency and failure grow and freedom and individual successes diminish. Power of THE PEOPLE fades at the expense of the growing power of government collectives who collect and redistribute your money and resoureces at an ever increasing pace which accelerates up as your freedoms and individual success accelerates down." I thought this commentor on the article put it quite succinctly.

you'd have been better served designating a B word at the beginning of a month. On Janurary 23rd, you get a B word on for 8 more days. What good is a B word for 8 days?

Its not a campaign add, or a gear up for a campaign. I think the Romney story is one people would like to know more about, was he really a capitalist vampire, or just another business guy? Was his cold personal label warranted or manufactured? What we see of these folks is swayed by the add and cable news you watch- but what are they really like and all about?

damnit B- i needed a win today, looks like I will have to search elsewhere!

Tea Baggers What do I win?