Back from vacation
Labels: personal
Labels: personal
Labels: 2012 presidential election
Labels: This day in music
There was a time -- not so long ago -- when each of us could walk a little taller and stand a little straighter because we had a gift that no one else in the world shared. We were Americans.
Let me tell you what would happen if there was a Republican incumbent president and a Democratic candidate said this: we'd spend the next several months talking about why the Democrat no longer believes Americans should take pride in their country. The candidate's patriotism would be routinely questioned and he'd be asked repeatedly why he thinks it is no longer true the American people should hold their heads high.
And yet there was Mitt Romney, effectively arguing that the only way to have national pride is to give him power.
Labels: 2012 presidential election
Steinbeck did not report 'straight news', as he put it: he did not cover battles, or interview national or military leaders. As befitted the author of The Grapes of Wrath, Steinbeck wrote about the experiences of the ordinary people, those who were doing the actual fighting, and those who did the vast number of unglamorous but vital support jobs which kept the armed forces operating.
Steinbeck's articles include descriptions of life on a troop transporter, an account of the liberation of a small Sicilian town, a description of how homesick US soldiers tried to grow their native vegetables in the English garden where they billeted, and an account of how a detachment of US paratroopers tricked the German garrison at Ventotene into surrendering.
Labels: John Steinbeck, literature, war
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Richard Carmona |
The eventual outcome also may be dependent on whether former Surgeon General Richard Carmona can mount a vigorous campaign for retiring Sen. John Kyl's seat, a campaign that would stimulate turnout in the Hispanic community. While I think if the election were held today Romney probably would win, it appears Obama can mount a competitive campaign in Arizona.
Labels: 2012 presidential election, Arizona
Labels: 2012 presidential election
North Korea is boasting of “powerful, modern weapons” that can defeat in a single blow the United States, which it accuses of plotting a war against it.
Chief of general staff, Ri Yong Ho, gave no further details about the weaponry in his speech to mark the North Korean army's 80th anniversary.
Labels: baseball
Labels: media
The agreement required the companies to finance an objective database of doctors’ fees that patients and insurers nationally could rely on. Gov. Andrew M. Cuomo, then the attorney general, said it would increase reimbursements by as much as 28 percent.
It has not turned out that way. Though the settlement required the companies to underwrite the new database with $95 million, it did not obligate them to use it. So by the time the database was finally up and running last year, the same companies, across the country, were rapidly shifting to another calculation method, based on Medicare rates, that usually reduces reimbursement substantially.
“It’s deplorable,” said Chad Glaser, a sales manager for a seafood company near Buffalo, who learned that he was facing hundreds of dollars more in out-of-pocket costs for his son’s checkups with a specialist who had performed a lifesaving liver transplant. “I could get balance-billed hundreds of thousands of dollars, and I have no protection.”
So what started out with good intentions on the part of Governor Andrew Cuomo (D-bag, NY) ends up actually injuring or worse those it was intended to help.
As the opening graf of that clipped quote implies, prior to this settlement insurers were using several arbitrary means of determining who got paid and what. It is certainly fair to say that the primary concern those HMOs and other companies had was their bottom line under the guise of controlling costs, whatever that means.
The idea behind an objective database was that doctors and hospitals nationwide could refer to the database to determine what they might expect as a reimbursement. No surprises. Under the old database, called "Ingenix" and owned by insurance giant United Healthcare, rates were tallied and supposedly adjusted by the term of art "usual and customary rates," (UCR) to reflect regional differences in costs of living and doing business.
In other words, rents in rural Kansas being lower than in midtown Manhattan, Manhattan doctors would receive a higher reimbursement to help keep their practices going.
You can sort of see where this morphs: indeed, even 25 years ago, I was battling my HMO to increase the settlement paid to an orthopedic surgeon based in New York who was paid a ridiculously low fee for surgery he performed on me. I can't imagine it has gotten any better. The insurer would undercut the UCR, and hope no one would notice. Indeed, cottage industries sprung up to appeal insurance decisions on UCRs alone.
Eventually, the insurer would pay out and everyone went about their business. The establishment in 2009 of the FAIR Health database was supposed to cut out the nonsense: One fee, adjusted by a percentage to recognize the UCR (60% to 80% of the UCR fee-- previously, it was 80% of the UCR but the UCR could fluctuate.) The patient is then responsible for payments above and beyond that reimbursement.
$95 million to estalbish this database, and then the insurance companies pull a fast one: they switch to Medicare rate-based reimbursements, using the base Medicare reimbursement and upgrading it by 140% to 250%, which would be fine if the Medicare reimbursement wasn't so damned low in the first place:
[A]t 150 percent of Medicare rates, it fell far short. In the case of a $275 liver checkup, for example, the balance due was $175, almost three times the patient share under FAIR Health’s customary rate, and three and a half times what it was five years ago under Ingenix.
I've known loan sharks who were more generous.
In an informal survey of more than half of the Republican State Chairmen and national committee people at this weekend’s State Chairman meeting at a resort here (Scottsdale, Arizona), two-thirds said they believe Portman is the most-likely and best-qualified running-mate for Mitt Romney.
“He’s not going to be Palin — he’s not going to be fighting to get in front of cameras, [Portman] knows his place,” said one Midwestern committeeman.
“He was born to be the guy standing next to the guy,” said another member. “He’s the type of guy who ran for vice president of his high school student council.”
I'm enjoying not being involved in the nastiness of campaigning in America these days. I think this year, when it comes to the presidential election, I'm just going to do what most Americans do: go in the voting booth on election day and in the privacy of the booth cast my vote.
Labels: 2012 presidential election
Their songs have been covered by a variety of artists including Maria Mulduar, Nana Mouskouri, Linda Ronstadt, Emmylou Harris, Bill Bragg, Chloe Saint-Marie, Judy Collins, Anne Sofie von Otter, and others. The covers of their songs by well known artists led to the McGarrigles getting their first recording contract in 1974. They created ten albums from 1975 through 2008.
Following all-star salutes in London and New York, Luminato brings together singer-songwriter legend Kate McGarrigle’s family and friends to celebrate her inspiring life and work. Kate’s sisters, Anna and Jane, her children, Rufus and Martha Wainwright, and her niece and nephew, Lily and Sylvan Lanken, and Anna’s husband, Dane Lanken, will be joined by Emmylou Harris, Bruce Cockburn, Peggy Seeger, and more than a dozen others. Additional performers to be added, stay tuned to this web page for more details.
Labels: From My Collection
Labels: 2012 presidential election, Mitt Romney, The NRA
Liberals got women the right to vote. Liberals got African-Americans the right to vote. Liberals created Social Security and lifted millions of elderly people out of poverty. Liberals ended segregation. Liberals passed the Civil Rights Act, the Voting Rights Act. Liberals created Medicare. Liberals passed the Clean Air Act, the Clean Water Act. What did Conservatives do? They opposed them on every one of those things...every one! So when you try to hurl that label at my feet, 'Liberal,' as if it were something to be ashamed of, something dirty, something to run away from, it won't work, Senator, because I will pick up that label and I will wear it as a badge of honor.
Jimmy Smits as Matt Santos
Labels: Ann Romney, conservatives, Liberals, Phyllis Schlafly, The West Wing. Hilary Rosen
Labels: 2012 presidential election
George Clooney is doing his part to help re-elect the President, but he knows that it's grassroots supporters like you who will decide this election. Support the campaign with a donation, and throw your name in the hat today.
Labels: fundraising, George Clooney, President Barack Obama
Labels: baseball