Thứ Hai, 31 tháng 7, 2017

NPR News: A Hospital CEO Watches Washington Struggle Over Health Care

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A Hospital CEO Watches Washington Struggle Over Health Care
As a provider of both a health care and insurance, Northwell Health has a huge stake in what health care legislation Congress proposes. CEO Michael Dowling says it's time for Democrats and health care professionals to come to the table.

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Chủ Nhật, 30 tháng 7, 2017

NPR News: Barbershop: Changes At The White House And What The GOP Does Next

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Barbershop: Changes At The White House And What The GOP Does Next
Columnist and former speechwriter Mary Kate Cary, political strategist Ron Christie and public affairs strategist Brian Wise discuss the week's White House shake-up, as well as the health care debate.

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Shops in Penang, Malaysia

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Does anyone have suggestions on where to go in Penang to buy natural soaps and other toiletry products? Preferably something like castille or oil based soaps. I would usually order something online but don't have a shipping address to send to. Bonus if they also sell shampoo/conditioner. Thanks for your help.



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Thứ Bảy, 29 tháng 7, 2017

NPR News: For Some, GOP Women Deserve Slow Clap Ending After Killing 'Skinny Repeal' Bill

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For Some, GOP Women Deserve Slow Clap Ending After Killing 'Skinny Repeal' Bill
The drama on the Senate floor early Friday morning was the culmination of months of opposition — and concerns expressed — by moderate Sens. Susan Collins, R-Maine, and Lisa Murkowski, R-Alaska.

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NPR News: What Happens Next With Obamacare Repeal

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What Happens Next With Obamacare Repeal
The Senate effort to undo the Affordable Care Act failed dramatically early Friday morning, with Sen. John McCain casting a deciding "no" vote. The promise of repeal has animated the Republican party for seven years and the defeat last night was a devastating loss for the party and the President.

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NPR News: Congress Emerges From Another Health Care Failure Without A Clear Path Forward

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Congress Emerges From Another Health Care Failure Without A Clear Path Forward
Whether Republicans will try to resurrect health care efforts — again — is uncertain. Republican Sen. John McCain, who cast the decisive no vote, said the bill's defeat is a chance to "start fresh."

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Thứ Sáu, 28 tháng 7, 2017

Fixing Health Care is not that difficult but will take at least a decade - Here is how

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There are quite a few measures to take but will work.

1) Have individual hospitals and providers set fixed price per code for all (cash, insurance etc.) and for insurance add fixed or xx% over the fixed cost for the paperwork to be done. If the bill has to go through collections add xx% for the process cost. In effect separate actual cost from process cost of collections.

  • What does this do ? Right now the market is a scam. If you go to hospital for a procedure and let's say they charge you $100. But hospitals have to give discounted price on their lowest cost to insurance let's say $60. Hospitals are not allowed to discount you if you don't have insurance as the insurance companies negotiated on the lowest price. So if hospital charge you $60 then next time insurance will pay only $36 (60% of $60) so it's a losing proposition to the Hospital. By not allowing this practice same lower rates will be applied to everyone. This scenario allows premium doctors/hospitals set their premium pricing but will be same for all. Naturally insurance will steer patients to lower cost hospitals reducing the overall pricing in the market. Those how are willing still can get to premium services.

2) Drug pricing must be same in all regions of similar per capita income. Allow standard tier pricing.

  • What this does is if Canada or UK negotiates a better price then US will get the same pricing. Some medicines are 1000% more expensive in US than in Canada. By allowing standard tier pricing hospitals do not need to engage in negotiations and also will eliminate the added group purchasing/negotiation process cost out of system.

3) Increase number of medical schools in US.

  • At present we have very low number of US medical graduates per population than several other countries, rather than trying to use existing doctors efficiently to the point the quality degrades increase the supply.

4) Take out the bureaucracy of individual states. An MD/RN license should be valid across the US.

  • Providers have to spend upwards of $2K to $5K just to maintain the multiple licenses and added AMA/Board unnecessary bureaucracy. Which allows providers to see patients across state lines.

5) Allow individual market to purchase insurance across state lines but not for group/employer purchasing.

  • Allows individual users to pick the best plan for them. On the other hand if group/employer purchasing allowed there is a danger of employers picking least cost, effective insurance for employees.

6) Have Federal Government Properly reimburse for uninsured emergency patients.

  • They put the rule that hospitals can not refuse service for emergency patients but with no strings attached to them. This cost is being added to other paying patients.

7) Last but not least, legal issues

  • It costs $10 to file a lawsuit but 100's of 1000's to defend it. If the case will get tossed then make filer responsible for legal cost of defendants. Limit Punitive awards to 50 times current yearly income of the patient (consider any potential increase in earning if the patient is in school or on path to a better career) + Any medical/care expenses. This will reduce the overall cost of malpractice insurance that can run from $30K to upwards of 200K for individual providers and into millions for hospitals.

8) Have MD residents commit 5 years of public service (VA, Public hospitals etc.) in exchange for removing student loans. Apply at least 1 year of public service to get into highly desired specialities.



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"Affordable Health Care"

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None of these idiots get that we shouldn't have to "afford" anything. Payment shouldn't be involved and the elephant in the room is the required elimination of the health insurance companies that are reaping profits off your death.



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Stephen Colbert Can't Believe The Actual Words That The White House Communications Person Actually Said To A Reporter

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Stephen Colbert Can't Believe The Actual Words That The White House Communications Person Actually Said To A Reporter
The new White House communications director Anthony Scaramucci called The New Yorker's Ryan Lizza on the record and what he had to say was fairly shocking.

July 28, 2017 at 08:09PM
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Why Hollywood Is Trying To Turn Everything Into Movies — Even Mindless Games Like 'Fruit Ninja'

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Why Hollywood Is Trying To Turn Everything Into Movies — Even Mindless Games Like 'Fruit Ninja'
Hollywood is aggressively adapting material that doesn't have a narrative or even any characters. But not all intellectual property is created equal.

July 28, 2017 at 06:32PM
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NPR News: For Decades These Caregivers Helped Patients, Families Through Illness And Death

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For Decades These Caregivers Helped Patients, Families Through Illness And Death
When the Rev. Noel Hickie and Marcia Hilton began working in hospice care, neither was sure they were cut out for the job. But they realized they could help families process grief and make things OK.

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Helping My Son Choose Between the Cub Scouts and His Beliefs about God

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Helping My Son Choose Between the Cub Scouts and His Beliefs about God
Kate Abbott thought the Cub Scouts would be a great place for her son to make friends. Then they came across the "Duty to God" requirements.

July 28, 2017 at 10:08AM
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Who the drugs kill

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Who the drugs kill
Southern California's MDMA- and ecstasy-filled rave and festival circuit is affecting young Asian-Americans the most.

July 28, 2017 at 10:08AM
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Inflategate

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Inflategate
Don't believe the pumped-up headlines. The latest study on CTE in the NFL doesn't tell us anything we didn't already know.

July 28, 2017 at 07:22AM
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Going Nude Isn't That Weird, And Other Facts

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Going Nude Isn't That Weird, And Other Facts
​Welcome to What We Learned This Week, a digest of the most curiously important facts from the past few days. This week: A week at a nudist retreat, the slow decline of the American college and the incredible cost of fixing an old, cheap truck.

July 28, 2017 at 06:54AM
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NPR News: 'An Inconvenient Sequel' Is An Effective, Cautiously Optimistic, 'I Told You So'

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'An Inconvenient Sequel' Is An Effective, Cautiously Optimistic, 'I Told You So'
In 2006, Al Gore issued a forceful warning about the threat of climate change in An Inconvenient Truth. He's followed it up with a sequel that shows how far we've come — but with plenty of caveats.

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Enthusiastic, prolific, simplistic Chris Cillizza reaches new heights

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Enthusiastic, prolific, simplistic Chris Cillizza reaches new heights
The CNN political analyst's everyman style of punditry is agonizingly successful, but is the once-failed novelist oversimplifying things?

July 28, 2017 at 03:05AM
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Why 'Valerian' Was Such A Massive Box Office Flop

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Why 'Valerian' Was Such A Massive Box Office Flop
Though we don't know exactly how much Luc Besson's sci-fi epic must have cost the studio but, as the most expensive French production ever, we know it was quite a lot — so why was it such an epic bomb?

July 28, 2017 at 02:34AM
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Thứ Năm, 27 tháng 7, 2017

Is 'Atomic Blonde' Any Good? Here's What The Reviews Say

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Is 'Atomic Blonde' Any Good? Here's What The Reviews Say
Charlize Theron and James McAvoy star in this over-the-top Cold War action film, directed by one half of the duo that brought us "John Wick." Does it deliver on the beat-downs without being dumbed-down? Here's what the reviews have to say.

July 27, 2017 at 10:05PM
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Obamacare: what happens in countys where insurers pull out?

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Under the ACA, what happens if you live in a county where all insurers have stopped operating in, but are required to purchase insurance? You would think that at least one insurer would come in and just charge a high rate....



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Samantha Bee Is Not A Fan Of The Corruption Sprawling Out Of The Trump Campaign

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Samantha Bee Is Not A Fan Of The Corruption Sprawling Out Of The Trump Campaign
To keep it mild, Sam Bee seems quite tickled at the idea that everyone who's worked with President Trump over the last year has ended up in hot legal water.

July 27, 2017 at 08:44PM
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Seth Meyers' Female Writers Weigh In On Trump's Transgender Ban

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Seth Meyers' Female Writers Weigh In On Trump's Transgender Ban
Aside from everything else, this segment is a shining example of why late night talk shows should hire women writers — so they can roast the news all together, female firing squad style.

July 27, 2017 at 08:44PM
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What Would Happen If You 

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What Would Happen If You 
We can't stress enough that you should never, ever try this for yourself. But if you're really curious, well, don't expect to be shocked.

July 27, 2017 at 06:53PM
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To the Left of Normal

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To the Left of Normal
"It was a constant state of a really bad state. There’d be objectively good days, where from the outside, you’d think good things were happening, but it wouldn’t even register with me."

July 27, 2017 at 06:46PM
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Why Are Opioid Users Overdosing in Libraries, and How Should Librarians Respond? | Samantha Sanders

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Why Are Opioid Users Overdosing in Libraries, and How Should Librarians Respond? | Samantha Sanders
Librarians across the country are witnessing opioid overdoses on the job. Here's how some library systems are choosing to respond.

July 27, 2017 at 11:48AM
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