Archive for the Health Care Category

The Donald:  Enough; Bastante; Basta (April 4, 2016)

Posted in Education, Elections, Health Care, Voting, Wall Street, War on April 4, 2016 by e-commentary.org

. . .

X          “Dangerous.”

Y          “Enough.  Bastante.  Basta.  In any language, enough is now more than enough.”

X          “Danger has caught fire.  Those who kindled a small fire are fighting their fire with another fire.  Fighting fire with fire is more likely to create a great conflagration than to contain the fury.”

Y          “For a time, in his own twisted way, he challenged the war and Wall Street memes.  Now he is at war with decency and civility.  I have had enough, but his followers may have not gotten enough yet.”

. . .

X          “Both the Donald and the Cruz are dangerous, very dangerous.”

Y          “General elections are always about choosing between the lesser of two evils.  Primaries and caucuses are not supposed to present such a bleak choice between evil and vile.”

. . .

Y          “The current Senator and the former Senator are ratcheting up their spat.  However, the undemocratic process of the Democratic Party machine dooms Sanders.  Even their system is rigged.”

X          “Everything is rigged.  Sanders is proposing time-honored first-world public policies.  The country cannot afford a rational and efficient single payer health care system and cannot afford not to adopt a rational and efficient single payer health care system.  The country cannot afford a system of affordable education and cannot afford not to adopt a system of affordable education.  The country cannot afford to adopt what it cannot afford not to adopt.”

Y          “We could pay for it by paying for it the way we pay for war.”

. . .

[See “Physicians For A National Health Care Program” for some perspective on health insurance.]

Bumper sticker of the week:

“There is a cult of ignorance in the United States, and there always has been.  The strain of anti-intellectualism has been a constant thread winding its way through our political and cultural life, nurtured by the false notion that democracy means that ‘my ignorance is just as good as your knowledge.’”  Isaac Asimov, “A Cult of Ignorance”, Newsweek, January 21, 1980.  

“Romney – O’Bama Care” In Practice (February 9, 2015)

Posted in Bankruptcy, Congress, Federal Courts, Health Care, O'Bama, Romney, Supreme Court on February 9, 2015 by e-commentary.org

. . .

T1          “One of the biggest misrepresentations of our generation is the statement by President O’Bama that a person could keep his or her insurance policy.  That ‘executive summary’ of the legislation by the Chief Executive led me to believe that the legislation was at least neutral if not benign.”

T2          “The legislation moved so fast that only a few on the inside knew what would transpire.”

T1          “The Federal Courts uniformly reject the doctrine that there is estoppel against the President or any federal official.  One of the great things about being on the inside of the Federal Government, for Republicans and Democrats alike, is that lies are not actionable and are blessed by the Federal Courts.”

T2          “No one cares.  And everyone on the inside gets a regular paycheck and a gilded pension.  And free health care.”

. . .

T1          “It was X dollars last year and then 2X dollars in December and then 3X dollars in January.  February brings a new number and a new nightmare.”

T2          “Before passage, a citizen filed bankruptcy after receiving health care.  After passage, a citizen files bankruptcy before receiving health care.”

. . .

T1          “Boehner does not have to navigate the mine field of ‘Romney – O’Bama Care.’  Pelosi does not have to navigate the mine field of ‘Romney – O’Bama Care.’  McConnell does not have to navigate the mine field of ‘Romney – O’Bama Care.’  Reid does not have to navigate the mine field of ‘Romney – O’Bama Care.’  They are all covered at no cost.”

T2          “No one cares about health care for the people.”

T1          “The Republicans are wasting tremendous money with all the repeated and futile votes to repeal ‘Romney – O’Bama Care’ without providing any alternative legislation.  The Supreme Court is not the forum because bad policy is not necessarily unconstitutional, it is just bad policy.”

T2          “The doctors and nurses have the most insightful perspective and provided the answer years ago.  A single payer system would work for them and their patients.”

T1          “The Republic cannot afford a single payer system and cannot afford not to have a single payer system.  The current schemes are so grindingly inefficient and unfair and only enrich insurance companies.”

T2          “No one cares.”

. . .

[See the e-commentary at The “Contract with America”; The Congressional Reform Act of 2010 (March 29, 2010).]

Bumper sticker of the week:

Stay healthy then die quickly

Ebola: Doctors And Spin Doctors (October 20, 2014)

Posted in Ebola, Health Care, Insurance, O'Bama, Public Health on October 20, 2014 by e-commentary.org

. . .

L          “A spin doctor rather than a doctor.  One group of ‘D’ students was not doing us proud, so O’Bama turned to another group of ‘D’ students more familiar to him.  A JD is now nominally in charge of the MDs.”

D          “That will not end well.  By training, temperament and experience, lawyers are more effective playing spin doctors than doctors.”

L          “He is described as the ‘Ebola czar.’  When the government props up a ‘czar’ to address a problem, the government is tacitly admitting that everything undertaken to date by the government to address the problem has been a failure.”

D          “The Surgeon General is the one who should be overseeing the Ebola response.  The National Rifle Association will not allow the Senate to consider O’Bama’s nominee, Dr. Vivek Murthy, because he made some comments about guns and public health.  With time of the essence, the Acting Surgeon General Rear Admiral Boris Lushniak is a more appealing point person than a lawyer and Democratic political player.”

L          “By appointing an operative as the ‘czar,’ O’Bama is treating this matter as a public relations problem that can be managed by controlling the memes and dictating the themes.”

D          “Montesquieu’s discussion of the separation and balance of powers failed to acknowledge that Mother Nature has absolute veto power over the President and over Congress.  Of course, Montesquieu was a lawyer, not a doctor.”

L          “And she has veto power over the courts that will venture into this morass.  Judges will find their decisions automatically appealed and then likely reversed and remanded with much different instructions and consequences by Mother Nature, the Ultimate Judge.”

D          “Arrogance and its privileged cousin – hubris – are also mutating.”

. . .

D          “Those who test positive for the virus now are getting disproportionately expensive treatment and excessive attention.  The decision to fly the nurse Nina Pham from Texas to Maryland to an NIH facility that specializes in research and not treatment may prove to be exceptional.  No insurance company will provide for others to fly on a private jet to a national medical facility.  Insurance companies dictate health care policy in America and dictate that a person be treated locally and cheaply.”

L          “Some of those who were exposed have now gone 21 days without symptoms.  Conventional commentators are proclaiming victory.  I wonder if some tenacious ‘Type A personality’ virus will remain virulent for a longer period of time.”

D          “Some of the viruses will become benign in a fortnight and others will remain malignant for a month.  However, the amount and quality of care for each successive patient will decline exponentially at the same time that the virus is mutating exponentially.”

L          “When the celebrity patients are no longer on the screen, ordinary patients will be given numbers and partial bus fare with a substantial co-payment by the insurance companies and left to secure whatever medical care they can hustle.”

. . .

D          “Third world countries are often defined by their third world medical facilities and services.  Russia and China are each mutating into first-rate military powers, yet each country operates second world medical systems.  Someone who is able to obtain treatment from a Russian doctor – who is much more likely to be female than a doctor in America – must personally supply the medicines and medical supplies from black or brown market sources.”

L          “America is following that model.  So the first world and the second world and the third world are not prepared.”

. . .

Bumper stickers of the week:

“America’s health care system is neither healthy, caring, nor a system.” Walter Cronkite

Be prepared

Be calm and panic

Ebola: The Halcyon Days Of The Panic-demic In A “Peak” Health Care-less System (October 13, 2014)

Posted in Book Reference, Bureaucracy, Civil Rights/Civil Liberties, Ebola, Health Care, Military, Pogo Plight, Population, Privacy, Public Health on October 13, 2014 by e-commentary.org

. . .

1          “Who can you trust?  Events are moving so quickly.  Fraud and deception work effectively in finance and politics, but Mother Nature is indifferent to and immune from the shenanigans and machinations of mortals.”

2          “The government and the public are still mired at Stage 1.  The government is denying the threat because it has no plan.  The public is denying the threat because it has no idea.”

1          “I am collecting the quotations of the major players to document the response in real time.  Dr. Frieden with the CDCE and Dr. Fauci with NIAID/NIH are not prepared and have not been candid.  A test patient, Dr. Nancy Snyderman with NBC, agrees to a voluntary quarantine and then brazenly violates the quarantine, refuses to accept responsibility and escapes accountability.”

2          “We as a society need to move through the stages from denial to anger to bargaining to depression to acceptance of a plan more quickly than the virus is moving.”

1          “The health care-less system will peak after it fills the nineteen available beds.”

. . .

2          “Easy to say that everything reasonable must be done to contain and eliminate the menace in West Africa.”

. . .

2          “Viewers of Fox tv are yelling at the tube for the government to do something.  The Republicans who advertise on the network cut funding to the CDCE and other programs.”

1          “If the Democrats had provided an additional five billion dollars in funding to the CDCE, what would have happened?”

2          “The CDCE would have lobbied for another five billion dollars.”

1          “Or ten.  And yet the Democrats cut funding, as if any amount of funding matters.  Some researcher who sent repeated e-mails to those in power warning of the dangers of Ebola is not happy.”

2          “I can forward some of the e-mails.”

. . .

2          “A communicable disease is communicated by public transportation.  Even if the disease is not transmitted at this time via air, the public is transmitted via air.  Ebola is small enough to fit in a ‘carry on’ bag.  Ebola will hitchhike and stow away.  Air travel must be purposefully restricted.  Restrictions are costly, but the costs of limiting air travel must be weighed against the costs of not limiting air travel.”

1          “All costs should be calculated.  We need to address the resulting deprivations of privacy and limitations on constitutional rights before the public is too terrified to think.”

. . .

2          “One of the bench marks will be bleach sales.”

1          “Or overflow patients camping in tents in parking lots.”

. . .

1          “The female RNs are underpaid to do the work while the male MBAs who make the decisions take almost all the profits.  The RNs are underpaid to care for the sick and the dying and are not paid anything to get sick and to die in the process.  When a nurse is called in to care for someone sick with Ebola at an institution unprepared for the challenge, she or he should in good conscience call in sick.”

2          “She or he will get there and then be blamed for the negligence of the hospital.”

1          “The American military personnel being deployed to Africa are not being provided combat pay.  The ‘charge of the blight brigade’ should occasion charges against those giving the orders.”

2          “No one gets it.”

1          “Everyone will get it unless all of us get it.”

. . .

[See http://prosperouswaydown.com/category/subtopics/healthcare-subsystems/ebola-healthcare-subsystems/  Five stages of grief and five stages of collapse in a dire scenario.  http://cluborlov.blogspot.com/2014/10/ebola-and-five-stages-of-collapse.html#more.  Consider Earth Abides by George R. Stewart.]

Bumper stickers of the week:

Be clean

Get a flu shot

Wash your hands

Take your kids to the park

Prepare to hunker down

Be calm and panic (but do so with poise and dignity)

e-bola: Goin’ Internet-y (September 22, 2014)

Posted in Ebola, Health Care, Public Health on September 22, 2014 by e-commentary.org

. . .

C          “Some Internet postings go viral; some viruses go Internet-y.  e-bola is spreading as quickly as an e-mail attachment or a YouTube video.”

Doc     “Scary.”

C          “When a small minor localized flu outbreak occurs even in a large major metropolitan region with a variety of medical facilities, the health care system quickly borders on collapse.”

Doc     “Scary.”

C          “e-bola has hit the ‘Reply All’ button rather than the ‘Reply’ button.” Continue reading

The Minimum Wage: The Market Solution (May 5, 2015)

Posted in Awards / Incentives, Economics, Economics Nobel, Health Care, Less Government Regulation Series, Market Solutions, Minimum Wage on May 5, 2014 by e-commentary.org

. . .

1          “And the private sector solution.”

2          “Without a minimum wage, the government is providing massive subsidies for the workers laboring at major corporations that only provide sixty or seventy percent of the minimum livable wage.  The employees are required to subsist on food stamps and other government subsidies and programs.  If the minimum wage is instituted, more of the cost of production is internalized by the corporation rather subsidized by the tax payer.”

1          “There may be some lost jobs.  However, all the large corporations have deployed their most cunning technicians to find ways to eliminate as many human jobs as possible already.”

2          “Reducing monthly government payments requires some foresighted policy at the outset.  It is a no-brainer, but it requires an extraordinary brainer to understand.”

. . .

1          “The great debate over national health care fails to acknowledge that the United States has implemented the most inefficient national health insurance program in the history of human kind in Title 11, the Bankruptcy Code, rather than in Title 42, governing Public Health and Welfare.”
2          “The solution is simple.  The public shall receive the same health care coverage as the Congress.”

. . .

1          “The Norwegians will not reward that notion with their Nobel in E-con-omics.  If they do not reward that notion, the professional e-con-omists will not propound the notion.”

2          “We should go to the International Court of Justice and seek an injunction against the Norwegians and use the Nobel money for some other virtuous public purpose.”

1          “I am on board.  How could a concerned member of the public organize a public boycott?”

. . .

Bumper sticker of the week:

The Minimum Wage:  The Market Solution And The Private Sector Solution

The American Menu: Three Food Groups (January 6, 2014)

Posted in Consumerism, Food, Health Care, Market Solutions, Plastic, Pogo Plight on January 6, 2014 by e-commentary.org

. . .

The Gyre of Death:

Breakfast:     Sugar, Fat, Salt

Lunch:            Fat, Salt, Sugar

Dinner:           Salt, Sugar, Fat

Rinse and repeat and repeat and repeat.

. . .

A          “New Year’s resolutions are one of the earliest examples of recycling.  The list of resolutions could be stored with the holiday decorations and reused each year.”

B          “We need to reduce.  Hope springs eternal, particularly in the winter.  Better to have propounded New Year’s resolutions and lost than never to have propounded them at all.”

A          “We need to resolve to shed calories responsibly all year.”

B          “Better to have lost pounds.”

. . .

A          “Disregard the class and cultural arrogance and condescension that underlies the discussion and the problem still weighs on us.  We as a people are too chunky.”

B          “Too many Americans drive around all day poisoning themselves at the food shacks that litter the highways and byways and then drive to a bar and poison themselves with liquid intoxicants before taking that last drive of the day late at night back home.  We need to change our life style.”

A          “Obesity imposes a staggering additional tax on health care costs.  If the government chimes in and proposes something, someone whines about the ‘nanny state’ interfering in our lives.”  

B          “Granny may have been right about these things.  Moderation always in all things.”

. . .

A          “Beer companies seek to decant 11 rather than 12 ounces into a bottle and grocers now package five rather than six avocados in the bag.  How do you create the market conditions so that a sugar water company reduces the ounces in the bottle and the purveyor of French fries puts fewer spuds in the bag?”

B          “And change our life style so that no uses plastic bottles.”

. . .    

[See the “e-ssay” titled Back Door Inflation (July 16, 2007).]

Bumper sticker of the week:

Reduce, Reuse, Recycle

‘Romney – Negro Care’ Is Back In The News. Again. (September 30, 2013)

Posted in Health Care, O'Bama, Race, Tea Party on September 30, 2013 by e-commentary.org

. . .

1          “The hatred is so virulent.”

2          “And all because a Black guy is trying to stay the impact of viruses.”

1          “Hate and fear; hate and fear; hate and fear; hate and fear.  The overriding fear is that ‘Romney – O’Bama Care’ will work.”

2          “The hatred and fear is implicitly endorsed by so many of the folks described as mainstream commentators who do not discuss what is really at play.”

1          “Life is usually just high school writ large.  The Tea Party types and their ilk in the Republican Party have regressed through high school back to kindergarten.  Kindergarten writ small.  Spoiled little children who need to be spanked lovingly and sent to the time out room.”

2          “The Constitution does establish minimum age requirements to serve in the House and the Senate.”

1          “They only look at the date of birth rather than intellectual and emotional maturity.  When it is called ‘Obamacare,’ there is some resistance, but when it is called the ‘Affordable Care Act,’ there is great interest.”

2          “That is why the Tea Partiers would like to call it ‘N-word Care.’”

. . .

1          “No Republican voted for the Affordable Care Act.  Their votes were recorded and given full force and effect.  They lost.  The Act passed muster before the Republican-controlled Supreme Court.  The Republican members of the House have taken more that forty votes to repeal the legislation.  The Senate provides the mature insight.  It is settled for now.”

2          “The Republicans condemned the employer mandate and then condemned O’Bama for deferring the employer mandate for a year.  Dishonest or hypocritical?”

1          “And the Republican commentators who are now condemning O’Bama for exercising too much power reversed their notions of constitutional law and presidential power the day O’Bama was inaugurated.  Seems dishonest and hypocritical to me.”

. . .

Bumper stickers of the week:

Bark more, Wag less.  Right?

Destroying the Republic to save the Republic.

If O’Bama proposed a bill to advance motherhood, the Tea Party would attack it.

Foot Longs and Football (September 2, 2013)

Posted in Football, Fracking, Health Care, Perjury, Perjury/Dishonesty, Pogo Plight, Society, Sports on September 2, 2013 by e-commentary.org

. . .

F1        “One is bad for us and the other is bad for them.”

F2        “How about hot dog buns and pig skin antics.  Today’s version of bread and circuses.”

F1        “The fans poison themselves in the stands while the combatants bang their heads on the field.”

F2        “And on the heads of their opponents.”

F1       “Those who make it to the top have been pummeled for years if not decades and performed on Friday nights and then Saturday afternoons and then all day on Sunday.”

F2         “And on Monday and Thursday and Wednesday and Tuesday.”

. . .

F1       “America was about education, now it is about revenue sports.  Two sports are the revenue sports in high school, in college and in the prose.”

F2        “College combatants do not even receive workmens’ compensation insurance coverage while on the job let alone a share of the profits.  We celebrate Labor Day but do not reward them for their labor.”

. . .

F2        “The NFL executives testified before Congress in 2009, under oath as always, that repeated head contact by players has not been shown to lead to brain injury.  One representative, Linda Sánchez, noted that their testimony is the same as the tobacco company executives denying the link between smoking and lung disease.”

F1        “Every generation can be defined by its Big Lie.”

F2        “The danger from fracking also may be our generations’ Big Lie.” 

. . .

F1        “There are rumors of a legal settlement with a gang of retired gladiators who are suffering all manner of predictable maladies.  Most settlements include a provision enjoining future violations, but the games go on.” 

. . .

[See the article at http://www.nytimes.com/2009/10/29/sports/football/29hearing.html.] 

[See the “e-ssay” titled Gettin’ Health Risks Right (June 25, 2012) discussing the Big Lies of past generations.]

Bumper sticker of the week:

Play ball

Running From Cancer Runs (May 6, 2013)

Posted in Fracking, Health Care, Population, Water on May 6, 2013 by e-commentary.org

. . .

_          “Seems that everyone would be better off not running for the cure to cancer but rather reflecting on ways to prevent cancer.”

. . .

_          “The only available water was encapsulated in cancerous plastic bottles provided by a sponsor.  I went to the water fountain; the fountain was disconnected and just hung off the wall like a sconce.  I went to the bathroom faucet; the faucet is now laser controlled and premixed the water to a tepid temperature.  A cupped hand of tepid water was the only alternative to the plastic product.”

_          “Or go thirsty.”

. . .

_          “The name CDC – Center for Disease Control – has a pleasing symmetry and cadence.  Adding ‘Prevention’ to the mix is prescient, prudent and proper.  Resources should be focused on preventing cancer not just curing cancer.  If it is prevented, it does not need to be cured.”

. . .

_          “In the near future, we will be fighting wars for water and rare earths on this beleaguered Earth.”

_          “And expressing regret that we ever allowed fracking to destroy the precious water supply.”

_          “We also would prevent some cancers if there were fewer mouths to water.”

. . .

_          “I’m already signed up.”

_          “I’ll go, but I’ll run under quiet protest.”

. . .

[See the “e-ssay” titled Gettin’ Health Risks Right (June 25, 2012).]

Bumper stickers of the week:

Everyone has an equal right to water, so no one has exclusive water rights.

Run for the cure?  Live for prevention.