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Messages - Kidnostad3

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1
Politics / Re: President Donald J. Trump
« on: Today at 09:54:49 AM »
Just learned Trump has been to the golf course 13 times from February 4th - March 26th.  Looks like he's the goofer, I mean, golfer, in chief.  Nobody knew that healthcare is so complicated! Kind of like a sandtrap on the back nine...

I will bet that Trump spends many more hours actually  on the job than did Obama .  As a matter of fact, Obama was known for his lax work habits and "not being available."

2
Politics / Re: President Donald J. Trump
« on: Today at 09:45:10 AM »
Re the high cost of US healthcare...

I think one example of what could be seen as an unnecessary test would be too frequent CT scans. Years ago, when CT scans were first used in hospitals they weren't seen as a routine test. The older scanners took forever and there's the issue of radiation exposure. Over the years as the scanners have become faster, they are often a quick way to get a definitive diagnosis. They aren't cheap, however, and require a reading by a radiologist, and there's still the issue of radiation exposure. I think most providers still rely on their clinical skills, and don't over-order CTs, but consider this...

ERs across the US are becoming increasingly populated with patients who are there because they're drunk. Typically when a drinker is found down at home or on the street, 911 is called and medics attempt to walk the patient. If they can't walk they are brought to the ER to sober up. Yes, ERs are modern day "drunk tanks". Alcoholism causes liver damage leading to clotting disorders, meaning they are prone to bleeding. So if they fall and hit their head, which they often do, the ER staff has to question if their reduced level of consciousness is due to being drunk, or having a head injury.

Conservative treatment would be to observe them in the ER on a gurney as they sleep it off for several hours, then "road test" them to see if they're safe for discharge. Sometimes our ERs are full of these "MTF" (metabolizing to freedom) patients, who can be belligerent and high-maintenance. Many sober up enough to slip out of the busy, over-crowded ER unnoticed. As you might imagine, these patients are considered high-liability cases. I've seen some providers order head CTs on all of their altered drunk patients because they are so high-risk. Some of our regular "frequent flyers" (weekly, even several times a week) have had dozens of head CTs.

When I see someone like Paul Ryan pontificating on America's healthcare problems it makes me crazy, as he's just another clueless politician who has no fucking idea what's happening on the front line of healthcare today. I'm sharing one real life example here to highlight the challenges we face. The example I used not only illustrates the high cost of chronic diseases such as alcoholism, but shows that something is seriously wrong with a govenment that is so out of touch with the physical, mental, and social health of the populace that the administration would attempt to cut the very services we so desperately need.

Point taken.  Unfortunately not many doctors or nurses get elected to congress and the lawyers (for the most part) who do can only be guided by input from medical professionals and other stakeholders. The same holds true for any other piece of legislation.  Not many truck drivers serve in congress either but that doesn't stop legislators from enacting laws effecting the way they do business. 

 Would you rather have Nancy Pelosi pontificate on health care?  We all know how that went. 


3
Politics / Re: President Donald J. Trump
« on: Yesterday at 07:56:19 PM »
Tort Reform
_________________________

So tort reform laws appear to have had some impact on the cost of medical malpractice in the US, but the effect is modest at best and they’re obviously not the only factor in reducing these costs. Also, even very strict laws aimed at reducing medical malpractice costs appear to be ineffective in certain States (e.g. Massachusetts, Louisiana). But most importantly, a 27% drop in medical malpractice costs in the US has coincided with a 64% rise in overall health care costs. Clearly, tort reform laws have done nothing to reduce overall health care costs and are only partly responsible for reducing medical malpractice costs in the US.

http://truecostofhealthcare.net/malpractice/
California was among the first states to implement effective tort reform (below link refers.). It's not surprising that the doctor is happy with what he is paying for malpractice insurance, but, as he concedes, there is considerable variance in the cost of malpractice insurance between states and the cost in certain states is exhorbatant.  Apart from the cost of insurance, doctors don't relish being sued for malpractice with all the inconvenience and damage to their professional reputation that a successful suit can bring.  My point in yesterday's post was not that higher insurance rates increase the cost of medical care but that the difference in laws between the states is bound to create an imbalance between the quality and availability of medical care among the states.

https://en.m.wikipedia.org/wiki/Medical_Injury_Compensation_Reform_Act

I think the Doctor is being just a bit cavalier in dismissing the cost of defensive diagnostics.  He tells us that the actual cost is difficult to determine but even if the estimated cost of $650-$850 billion a year is accepted it only represents a small percentage of the total cost for healthcare.  Really?  If that cost was eliminated and the savings passed on to consumers of medical care or used to insure more Medicare patients would that not be a good thing? 

As you probably have already found, there is a lot of opinion available on the internet in favor of tort reform.  Why would you not be in favor of it if only to foreclose on ridiculously high punitive awards and to discourage frivolous suits.  Doesn't fairness enter into the equation in your thinking or is the sky the limit?
 

4
Politics / Re: President Donald J. Trump
« on: Yesterday at 04:54:21 PM »
Oh ffs, don't flatter yourself. Bonkers? You're just not worth it. Spending your days typing different versions of the same "Its all about me, fuck everyone else".

What PB consistently does very well is is provide a clear statement of his position on a matter and back it up with solid reasoning and argumentation.  He also readily provides amplifying information and expanded rationale in rebuttal to counter arguments. What you regard as merely a rewording of his original argument any objective observer would recognize as his offering a different slant on the matter to foster a better understanding on your part of the point he is making.
 
When engaging in a discussion of issues with you and like minded individuals who frequent this forum, those of us who offer an opposing view too often are met with a refusal on your part to respond to fair questions when your argument begins to sputter.  We either get an unresponsive post that is loaded with sarcasm and attempts to change the subject or you go dark for a period of time and the question is left dangling.  It is more than just a little ironic that the very next time the issue arises you trot out the same argument that you abandoned by leaving a key question unanswered.  As has happened in this instance, you then accuse us of being rigid, unimaginative and boaringly repetitive. 

 I fully understand PB'sfrustration?  How many times must we walk the same people through the same issue only to have them bail out with the ball remaining in their court.  It would be refreshing if the point of departure for old subjects that have already been hashed out numerous times on this thread could be somewhere other than ground zero for the the benefit of a few.  This tactic is taxing our collective patience. 

5
Politics / Re: President Donald J. Trump
« on: Yesterday at 09:30:10 AM »


Yeah, I know, I must be a racist and probably hate sick people.


And you probably kick little chickens into the creek.

6
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 10:08:35 PM »
Although many of the "squared circle" did the carnival circuit, unfortunately bear wrestling like in the old days has been banned.  :( Though, honestly, it was sort of abusive and I would dare, even an WWF guy, to REALLY, fight a bear (Davy Crockett excepted, of course! He killed his at 5, as I recall, so not allowed per rule; child labor, child welfare, etc.)

Gorgeous George and "Wild" Red Barry were family favorites of ours as we sat around the old 19" black and white Philco on Saturday nights.  Of course on Friday nights we tuned into the Gillette Cavalcade of Sports for a couple of 3 round preliminary bouts and a 10 round Main Event.

7
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 09:48:18 PM »
Silly people do silly things. Like thinking that cutting lights off for a day to celebrate WWF Wrestlers will help the world. Strange people. I wonder how much better it would be if they cut the POWER-OFF for the night to celebrate those in the "squared circle" instead? That would be fun. To see how much looting and what-not...

That reminds me, we're going North for few days and I have to get my panda skin stadium coat out of cold storage. 

8
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 08:57:19 PM »
FYI: 10th annual "Earth Hour" (global Lights Out -- in support of Climate Change Fact) is TONIGHT Sat March 25th at 8.30 pm your local time till 9:30 pm. (as in started half-hour ago on East Coast USA/Canada etc.)

BREAKING NEWS---CNN just announced that the blackouts are in reality a brilliantly timed and executed cyber attack by Putin on the power grids of western nations.  Reportedly he was overheard laughing maniacally and saying in Russian what roughly translates to "Wait 'til those limp wristed tree huggers try to turn the lights back on!!!!!

9
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 07:27:53 PM »
And I have a White Russian in mind.

Not this one:



But, this one:



Kailua, vodka and cream.  What's not to like?

10
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 07:13:28 PM »
I think a good idea would be some kind of division between the various damages awarded. You have been damaged by malpractice but the award is "capped" to some point, to be determined, so that your healthcare if provided, you are compensated for your damage, legals fees plus a profit to the lawyers (but maybe a cost-plus arrangement defined by law) but the punitive portion of the award (which isn't to benefit the plantiff but to punish the doctor/company/etc) would go into some kind of fund to help out others indigent, without insurance, etc? And not go to the lawyers or the victim. No "Lottery" lawsuits, in other words, but relief to the victim and punishment to the perpetrator but the punishment part goes to society in general. Just a random thought.

Good idea. 

11
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 06:53:16 PM »
Tort reform has been tried at the state level for at least 40-years. The English common law system was refined over 800- years to be fair to both parties. Beginning in the late 70s the insurance companies repeatedly pressed the legislatures for tort reform. Just about every change resulted in disaster for the insurance companies because of unintended consequences. I see no reason future changes would be any better.

There are a number of states that have enacted some measure of medical tort reform with varying  outcomes.  You can find as much pro as you can con on the subject.  Congress has shied away from enacting any federal legislation since 1970.  Obama Care included nothing in the way of limitation on future damages for patients injured by medical negligence which the medical community and many in congress regarded as being of key importance.

If the federal government is going to undertake the managements of health care then it had better establish effective measures to limit awards and combat frivolous lawsuits in the form of laws that are uniformly applied throughout the country.  Doctors are already gravitating to states like Texas and Mississippi that are rated among the top states in which to practice medicine because of tort reforms that have resulted in fewer suits and lower payouts with attendant lower malpractice insurance rates.  What does an imbalance in both availability and quality of health care from state to state created by an exodus of MDs from states more congenial to malpractice suits to those that have set limits bode for the success of any Federalized health care system.  I believe enactment of tort reform at the federal level is an essential precursor.

12
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 04:36:41 PM »
I don't like the idea of government controlling healthcare but you make a lot of excellent points regarding why our healthcare is so expensive and I completely agree.  The litigious nature of our society particularly over the last 50 years has been one of the key reasons why the cost of our healthcare has skyrocketed.


Tort reform is key to the success of any medical plan but both parties have studiously avoided the issue for years.  It must have something to do with the fact that most politicians are lawyers. 






13
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 12:27:04 PM »
Excellence TL.


WHAT WOULD THE COST BE FOR SOCIALIZED MEDICINE-- ANY IDEA?

14
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 10:41:44 AM »
I'll have a '59.  ;D



What I had in mind was a Grey Goose Gibson:


15
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 09:19:54 AM »
Furthermore, to the repeated bitching and whining from Rs about the ACA forcing people to change insurers and doctors--these changes of insurers has been going on for years, long before the ACA. I can't ever remember a time when there weren't changes.

I've been with the same employer for over two decades and I can't count the number of times our health insurance has changed hands. Over the years premiums have steadily grown, provider groups reconfigured, certain benefits given, then taken away. In one case, our insurer packed up and left in the middle of the night, stiffing us with unpaid bills. This is how insurance companies operate, people. They are not in business to see that we "keep our same doctor". Their primary objective is feeding their profit margin with our money, while providing a minimum of services.

It would seem that you favor a single payer system?  Has anyone really costed that out and if so what is the price tag?




16
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 01:00:39 AM »
Everyone wants it all done in the honeymoon - first 100 days... Well there is no Fucking Honeymoon!! Things will happen when they happen. So, I also find it baffling the attitude some are taking. Trump is not about over. Ryan is fine, and he'll be back to work Monday, or whatever day the House begins it's workweek. This is a Marathon, Trump knows it, and everyone else thinks it's a 100 yard dash...  :D


Get Over It Y'all !!

I haven't given up on Trump.  I just think it's going to be damn near impossible to put the tooth paste back in the tube when it comes to healthcare. Once enacted entitlements never really go away.  It will take a seismic shift in all areas of healthcare and in the health insurance industry in order for any free market based plan to work and I just don't see the impetus for that to happen.

17
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 12:32:30 AM »

Greetings, Starfighter. I see you've made it through the obstacle course. Care for a crumpet? It's tea-time.

Fuck tea and crumpets.  I'll have a Gibson straight up.

18
Politics / Re: President Donald J. Trump
« on: March 25, 2017, 12:20:10 AM »
Now... they can work on it in earnest, behind the scenes, to get an acceptable bill.

Good Affordable (Fir the Govt. and for the People) Healthcare is quite the complicated souffle to pull off in the US system...

I don't think we can get there from here.  As much as I hate the idea of socialized medicine, Obama Care has conditioned Americans to the idea and many now see universal health care as a civil right. The ACA was fatally flawed from the jump and I truly believe that those who promoted it saw it as nothing more than an intermediate step towards a single payer plan funded by taxpayers. 

19
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 11:19:53 PM »
High IQ test scores showing a large measure of success for a society, culture, race, or individual is flawed. Even highly educated professors who possess these vaunted high IQ test scores have a hard time quantifying exactly what intelligence is, much less how to test for it in a meaningful way. High, average, or low IQ test scores don't always correlate into real world success or failure of an individual; much less society as a whole. At best IQ testing can give a limited insight into an individuals potential, but a high IQ alone doesn't guarantee an individuals success in the world; much less the success of a society, culture, or race as a whole. Causation and correlation hinge upon a multitude of factors, some of which may not be obvious from a cursory glance.

Guns Germs And Steel was a good book by Jared Diamond, which was adapted into 3 part documentary. His quest seeks out possible explanations into how winners of the vagina lottery born in the West, rose to dominate the world and decree themselves the apex of civilization; as other cultures languish. He offers a compelling even handed in-depth explanation, that holds up well against the other competing theories on the subject.


No doubt that the success of an individual in our society is not entirely dependent on IQ.  However, since Binet developed the concept and means for determining IQ 100 years ago it has proven to be a reliable predictor of an individual's potential for achieving success.

There have been many theories as to why races have different physical characteristics, abilities and traits and why some have progressed and others have not.  Most convincing to me is discoveries brought about by the mapping of the genome and subsequent worldwide sampling of DNA which has proven that certain gene mutations occurred in some races and not in others and that this likely accounts for differing levels of intelligence

If you take a look at some recent scholarly literature on the subject you will find that there is a proven correlation between average IQ and the health and prosperity of a people or nation.  There are multiple studies conducted my credentialed professionals and academics in disciplines, such as genetics, paleontology, psychology, economics, sociology and statistics that confirm this. You will also find that the flaws in IQ measurement you elude to have been addressed by improvements in testing methodology and analysis.   I have posted information on several of these studies.

You don't have to rely on the analysis of others if you are not persuaded. For instance, can you tell me what contributions to the advancement of mankind has come out of sub-Sharan Africa?  Can you name one city that could be considered as such present in this region prior to the Europeans arriving.  There was no writing and no system of numbers.   There were no words in the various dialects to describe numbers beyond one, two and many.  How is South Africa doing since the beginning of black rule and whites leaving the country in large numbers. How about Zimbabwe. The average IQ among blacks in this region is 70.  Northern Africans/Arabs have an average IQ of 85. 

Historically, the vast majority of immigrants to the U.S have been from Europe and north Asia and not from Africa, the Middle East or South Asia. (The Chinese and other north Asian peoples have a slightly higher average IQ than North American and European caucazoids, e.g 100 vs.103) I am pointing this out not to denegrate any particular race but simply to say that we should be cautious about bringing into our country large numbers of people who do not possess the intelligence to compete successfully and contribute positively in our country and/or who are unlikely to adapt to our culture.

20
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 06:19:54 PM »
I don't know why you think I take you seriously anymore but I have a few minutes to kill. No. I do not think blacks are better basketball players than whites. Do you think whites are better at golf and tennis than blacks?

For decades athletics has been a way to improve ones socio-economic standing. Think all the Irish and Italian boxers from days past

How do you account for the fact that only 18.3% of NBA players are white?  Does that not suggest to you that blacks are superior in the skills required to make it in the NBA? 

21
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 05:05:10 PM »
Damn, KKKid. Don't get your panties in a twist. I'm not here 24/7 like some people. I judge people as individuals based on their actions. You are the one that came out of the closet. Be Out Be Proud! Just be careful playing with fire

I judge people as individuals too but I don't ignore facts. You still haven't answered the question. 

22
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 03:42:28 PM »

23
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 03:32:25 PM »
Generally speaking do you believe that blacks are better basketball players than whites?

It's a simple yes or no question?  Are you afraid of the answer?

I never have thought of myself as, nor have I ever been accussed of being a racist.  Howver, attitudes such as yours and the behavior of black race baiters and thuggish black militants would give me a very good excuse for becoming one.

24
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 03:17:48 PM »
There will be no vote now.  You read it here first.

Beautiful!   Now Obama Care will crash and burn and the Dems and RINOs will take the hit.

25
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 02:33:39 PM »
Racism
1. a belief or doctrine that inherent differences among the various human racial groups determine cultural or individual achievement, usually involving the idea that one's own race is superior and has the right to dominate others or that a particular racial group is inferior to the others.

Racist
1. a person who believes in racism, the doctrine that one's own racial group is superior or that a particular racial group is inferior to the others.

Generally speaking do you believe that blacks are better basketball players than whites?

26
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 12:58:20 PM »
BREAKING: Chairman Nunes just cancelled next Tuesday's open Intelligence Committee Hearing (on TrumpRussia) with:

James Clapper
-  former Director of National Intelligence (2010–2017)

John Brennan - former CIA Director

Sally Yates - former Acting Attorney General

in attempt to choke-off public info.


[Edit: and Reuters says: "House of Representatives Intelligence Committee will (instead) ask the directors of FBI and the National Security agency to appear in a Closed Session in its probe of allegations of Russian interference in U.S. elections and U.S. spy agency surveillance of President Donald Trump's team, the head of the panel (Nunes) said on Friday."]

It has to do with protection of classified material and Schiff knows that.  It's only mental midgets like you that buy into horseshit like this. 

27
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 12:51:40 PM »
Indeed. Nunes is (also) becoming unhinged generally (TWO impromptu press confs, plus possible illegal reveals himelf during same, plus not informing any other commitee member GOP or DEM of what's going on, plus as you say at minimum he has no buisness  being on that commitee in ANY capacity now -- he's so compromised). And Special Prosecutor becomes essentially manditory now.

Asside: Ryan just made dash to the WH to see Trump -- things aren't looking good (for their vote, it's assumed ;-).

Does anyone know WTF she is talking about here?  Shouldn't there be some sort of literacy test for BelGab membership.

28
Politics / Re: The Refugees
« on: March 24, 2017, 12:41:30 PM »

29
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 12:40:10 PM »

30
Politics / Re: President Donald J. Trump
« on: March 24, 2017, 12:11:29 PM »
And where did your parents mass migrate from, Racist?

How is it racist to point out the difference between races? 

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