The Goat Pen

bluetick wrote:IB, insurance is my life and livlihood going on 27 years, so I make it my business to know what I'm talking about. You made an incorrect assertion about interstate health insurance commerce and I was happy to set you straight.

you are high on crack if you think for one minute the economics of AFA works if health insurance companies are allowed to sell policies interstate. I'm not saying that it doesn't happen. Some states can do this. But the Federal government must crush this Federalist interstate policy utterly and completely or AFA is doomed.

you said insurance is your livlihood. Do you even understand the basic "math" of the AFA and why there needs to be 2000 pages to that tax (as defined by Chief Justice Roberts) to carefully define how health insurance must be managed at the federal level? For someone who has been in this business for 27 years, you sure don't act like you know anything about risk pools.

Why did "math" have to be in quotation marks?

IB = Batman of everything.

innocentbystander wrote:

bluetick wrote:IB, insurance is my life and livlihood going on 27 years, so I make it my business to know what I'm talking about. You made an incorrect assertion about interstate health insurance commerce and I was happy to set you straight.

you are high on crack if you think for one minute the economics of AFA works if health insurance companies are allowed to sell policies interstate. I'm not saying that it doesn't happen. Some states can do this.

I AM high on crack, but I can read. You claimed earlier that the dems would never allow interstate sales. Ever. In your iniminitable bombastic style. When in fact the dems have, and do. And now you know it for yourself ("I'm not saying that it doesn't happen. Some states can do this."). heh..baby steps

innocentbysander, who alternates between tales of his Christian marriage therapy expertise and dropping F bombs, and ends every post with "Ever" never ceases to entertain.

In other news,

Ex-LA cop believed barricaded in S. Calif. cabin

http://news.msn.com/us/ex-cop-exchanges ... uthorities

If LAPD is involved, they will shoot 10,000 rounds at point blank range and the suspect will be unhurt.

Professor Tiger wrote:In other news,

Ex-LA cop believed barricaded in S. Calif. cabin

http://news.msn.com/us/ex-cop-exchanges ... uthorities

If LAPD is involved, they will shoot 10,000 rounds at point blank range and the suspect will be unhurt.

so they just set him on fire.

Why not?

Johnette's Daddy wrote:Few doctors make it through their training without being involved in at least one case that goes awry. I was no exception.

As an intern, I was assisting in a routine hernia operation when the attending surgeon cut the vas deferens, the tube that transports sperm from the testicle. I expected to be grilled by my colleagues afterward on the details, pressed to explain how this largely avoidable mistake possibly could have been made. That didn't happen.

Everyone already suspected what had gone wrong and who was responsible — the attending surgeon was notorious for his careless surgical technique — and they were simply willing to let it pass.

The surgeon's technical error was the first of two mistakes made in this case. The surgeon's colleagues committed the second error post-operatively: They chose to overlook a pattern of seemingly suboptimal care...........................................................

Ulene is a board-certified specialist in preventive medicine practicing in Los Angeles. The M.D. appears once a month.

My BS meter is going off on this one for a couple of reasons.

First if he was only aware of ONE mishap during his training, or even in his own practice then he isn't paying attention or isn't very good him/herself. Complications happen to everyone that is in medicine. Nobody is perfect.

Cutting the Vas is a big deal, but it can happen, to any surgen competent or not.

The next thing is he says he was assisting with a surgery as an intern, but he is not a surgeon, he is in preventative medicine. This means that he was doing a surgery rotation, which he wasn't likely fully participating. Our "guest" residents who were required to rotate through surgery (Family practice, some OB etc) participated at different levels based on their intrest but they missed one HUGE thing. Some little thing called M&M. Morbidity and Mortality conference is a huge part of surgery and I can dang well promise you cutting the Vas isn't overlooked in M&M and you better dang well know your stuff including why it happened, what could have prevented it or if it could have been prevented, the incidence of that complication and what you can do in the future to prevent it happening agian. It is brutal and there are no punches pulled. That is why outsiders are not allowed in to M&M, not even our FP and OB residents that rotate through.

I am betting he missed that and that somebody did indeed get grilled about it.

Aside from that I do see his point and it can be a problem because there is more than one way to skin a cat and lots of those differences depend on what level of training you had. If you don't have a tool in your toolbox you don't know how to use it and to someone that does have that tool it can look like incompetence.

And there is some incompetence too and that is hard to deal with because unless you were there in the room it's hard to know if the complication is due to negligence, incompetence unaviodable or even due to the patient themselves (in the case of them witholding information leading to a missed diagnosis etc).

I get what the article is saying, just think that he/she likely missed some of the repercussions of the conplication due to being a guest. Maybe not, I am sure there are some programs that would let it go, I would think it would be extremely rare.

Nobody cares about your $9.95 job right now BOJ. You've got 2 brothers topping the news right now. Clean that bedpan already.

I guess shovel ready was a bust, new wording, same degree of lameness.


Creating a $40 billion “Fix-It-First” program to put people to work on urgent infrastructure repairs...



4 MORE YEARZZZZZ11!!!

Fact-checking the president's State of the Union speech. Some typical turd-polishing and stretching.

http://news.msn.com/politics/factchecki ... -the-union

Obama: "Already the Affordable Care Act is helping to slow the growth of healthcare costs."

FC.org: The New York Times reported this week that the slower growth meant lower deficits, as federal spending also eased. The Congressional Budget Office reduced its projected Medicare and Medicaid spending for 2020 by 15 percent. The federal healthcare law may be affecting spending, but it's unclear how much. As the Times said, "Health experts say they do not yet fully understand what is driving the lower spending trajectory." The economy is part of the reason, said CBO Director Douglas Elmendorf. But the way doctors and hospitals deliver care may be another."

So the healthcare law gets some credit. It's "helping" to slow the growth of costs, as Obama said. But the reduced growth began before the law was enacted and is due to forces - such as the economy- beyond the control of the legislation.

Raise taxes and the minimum wage, good times just around the corner.

In retrospect, the peanut butter sandwich right before the speech was a bad idea

[youtube]19ZxJVnM5Gs[/youtube]

I hear some R's talk as if Marco Rubio is their savior. "He's smart! He's articulate! And he's HISPANIC!"

The last GOP convention paraded a lot of smart, articulate, accomplished women and minorities on the TV screen. It did not have any impact. Plus, if he is ever perceived as a threat to the Dems', Rubio will be targeted for destruction. The Dem's and the media will dig up something - anything - to unfairly slime him. They will create another "pubic hair in my coke" or "I was Rubio's adulteress for many years" moment like they do with any woman or minority that dares to wander off the liberal plantation. And the slimefest will work.

It didn't work with Clarence "Uncle" Thomas...

Rubio looked like he had done some blow...

hedge wrote:It didn't work with Clarence "Uncle" Thomas...

That was 20 years ago. Times have changed. The worst accusation against Thomas was that he talked a little dirty to a staffer (who followed him to bigger jobs after the alleged event, BTW). For mentioning a pubic hair in his coke, he was almost rejected as a SCOTUS justice.

Not long after that, Bill Clinton was being serviced by an intern in the Oval Office, and it was considered no big deal. In fact, his poll numbers went up.

Like I said, times have changed.

hedge wrote:Rubio looked like he had done some blow...

That will be one of the accusations against him... Florida... Hispanic... you know how it goes.

Just like Herman Cain... black man... white women accusing him sexual improprieties... you know how it goes...