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1  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Trade Issues / Freedom to Trade on: May 22, 2015, 09:36:54 AM
I can't imagine Obama would push for a trade deal unless it helps his party.  Our legislators expect us to just trust them?    cheesy

No public disclosure.   Even some who voted for it don't even know what's in it.   And of course the Cans will go along.  Sell us out again.  No party represents me.

http://www.nytimes.com/2015/05/23/upshot/but-what-does-the-trade-deal-mean-if-youre-not-a-cheesemaker.html?_r=0&abt=0002&abg=0
2  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: May 21, 2015, 11:59:50 AM
"Rush L had a long montage of msm reporting on how Hillary finally answered questions"

I heard part of it too.

She spoke and her supporters in the media had a crumb with which they could say,  "see she answered all questions" without adding now we can move on with a sigh of relief.

She's their girl.   That's it.   Nothing else will matter.   Interesting the Mika on Morning Joe said that Republicans will not vote for a less than conservative candidate while liberals will vote for one who (pretends) to be too far to the right.

While some Repubs will stay home as I might the libs will vote for their gal no matter what.

Some of the Dems interviewed state how the "alleged" email or Benghazi scandal sort of bothers them there are simply more important things going on.   First they absolutely hate to criticize her for any reason then rationalize even in the face of the obvious that it just isn't important enough.   It is always the big government crowd too.
3  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Benghazi and related matters on: May 19, 2015, 09:34:10 AM
A smoking gun about what we already know happened.

Nonetheless 45% of the country will ignore this:  So she lied.   So what.........  they all do.......  just right wing loons making a stink over a non scandal.......
                  we just need to know the real Hillary.....  what a really nice person she is.......

              yadda yadda.

Two decades of Democrats ignoring sliminess.   Only worse now.   Not better.   
4  Politics, Religion, Science, Culture and Humanities / Politics & Religion / depressing on: May 18, 2015, 10:23:07 AM
I have held out that Clinton the First was the worst President we ever had by dumbing down the integrity of the office of Presidency. 

Now Clinton the Second is even far worse.   What a criminal organization!

It's a total shake down of the entire business industry.

Reminiscent of minions laying tributes down at the feet of the emperors to gain favor or avoid their wrath.

This is exactly what our founders wanted to avoid.

The corruption is astounding and up front for all of us to behold what a terrible world we live in.

Very sad.   As GM says why bother to play by rules, be an honest person, or do good in the world.   A world that is ruled by such scum.

With all the immigrants invited in by the Democrat party and the inside Republicans for cheap labor or because they are afraid to offend them - as soon as they start voting - legally or illegally - the game will be over.

Almost there. 

And with the continued chip driven world controlled by select companies and the government cronies the future for freedom and liberty looks doomed.

Many people my age feel as I do.  Glad they will not be around much longer.

The newer generations have no clue.
5  Politics, Religion, Science, Culture and Humanities / Politics & Religion / A good indictment of progressivism - from a socialist! on: May 15, 2015, 09:06:26 AM
A patient of mine who is a socialist gave me a copy of Z magazine, a far left rag.

So I read the article on the "Triumph of Conservatism". 

It is actually an indictment of the lefts big governement's progressivise expansion.  It claims that progressivism has actually helped Wall Street and itself.

Isn't this fascism?

Obviously Obama and Clinton are prime examples of this.  While I would beg to differ about some of the conclusions it is quite interesting how this comes from an open socialist.  That an avowed socialist would criticize the progressive movement is amazing.  Reminds me of Lenin totally disillusioned with Communism while witnessing the growing power of Stalin prior to his death from multiple strokes.

 http://www.nytimes.com/2014/06/11/us/gabriel-kolko-left-leaning-historian-of-us-policy-dies-at-81.html?_r=0
6  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Senator Marco Rubio on: May 15, 2015, 08:53:36 AM
“That’s gonna be a pretty long confession.”

What a great answer!   grin

Reagan would have had this kind of quip!
7  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Cognitive Dissonance of the Republicans on: May 09, 2015, 06:38:46 PM
Bravo to Glenn Beck!   I am now a fan, again.
8  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Way Forward for the American Creed on: May 08, 2015, 03:28:35 PM
 "I am not renouncing my country, it is renouncing me and everything I have spent my adult life defending."

Yes and while the faux leader professes to represent us he promotes this trade agreement that is essentially a secret and expects us to trust him.  The Nike CEO expects us to believe her when she tells us how good it is for us and for lower consumer prices.   All the while farming jobs by the millions overseas.  Wow I can get my basketball shoes for a discount therefore I am thrilled.

And of course this Marxist who does everything he can to berate America stands in front of an American flag while giving us another con job.

Yep.  I feel the same way.

I feel sorry for the honest law enforcement officers who have spent years protecting us.


 
9  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: May 08, 2015, 10:32:30 AM
"This is becoming a country not worth bleeding for, much less dying for. I am not renouncing my country, it is renouncing me and everything I have spent my adult life defending.  If we continue down this path, then I am done. I went into law enforcement because I saw it as a sacred calling. I used to encourage talented people to consider it as a career or volunteer opportunity. I no longer do so."

I too am demoralized by Obama - the first Black President and what does he do - screw us all over.

I have been demoralized by what has and still is happening with the organized crime in the entertainment business and how nearly everyone can be bought to participate in robbing us with little apparent qualm

I have been further demoralized by the politicians so many of whom are outright corrupt.  Going all the way to the top.   I was not brought up to be dishonest.  Now even all my conceptions of people and the world and our country are being shattered.

To have such liars and shameless people at the top of our government is just so sad.  I just don't know if anything can be done till the economy collapses.   Only then will people see the forest for the trees (chump change bribes).

 cry 

10  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: May 07, 2015, 01:49:51 PM
"The good news, as John Podhoretz lays out, is that with Hillary going all-in on leftism and opposing the rule of law, Americans will have a clear choice on the ballot."

Doug we have been dealing with these grifters for decades now.

There is no good news with them till they are GONE once and for all.

Till then we have to suffer.

As for clear choice I have to say I don't know what you mean.  The choice is the same.  Those who want government to pay for them and those who pay.
She along with the rest of the Dems are doing everything they can to expand the first group.   Of the 50 million  new people from other countries most will vote for her irregardless of concepts about Constitution, rule of law etc.   

11  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Kareem on Baltimore on: May 07, 2015, 10:44:59 AM
He doesn't come out and say it but this could mean only ONE thing:  reparations.

Well I got news for him.  I for one ain't paying another dime.  We have immigrants coming here by the tens of millions.  They are blowing right by the American Blacks.  No one is giving them special treatment.   they should be protesting the Democrat Party for doing essentially nothing for them.   Baltimore as noted by many TV talking heads has been controlled by that party.   We have a black President who opened up the immigrant flood gates driving down wages and increasing competition.   They should be outside the WH.  "White man" is not keeping them down anymore.

I am off my soapbox.

http://time.com/3848474/kareem-abdul-jabbar-baltimore-is-just-the-beginning/
12  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: May 07, 2015, 10:13:57 AM
Her pandering to illegals is just one more example of how she will sell out the country and citizens of the US to pander for votes for her own personal power.  It is not about serving us, it is about her.  Always has been.

Then again some of the Republicans are pandering for votes too in a similar way.

Who would have ever dreamed that we would have a President and Presidential candidates pandering to people here ILLegally for votes?

Just outrageous.  What about us?  What about citizens?

 angry

"If we get another marxist in the white house, I am getting out of law enforcement." 

I don't blame you.  If we get another marxist you would probably get a good job working for them as a brown shirt or a red military police officer suppressing the rest of us.  wink
13  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Free Speech vs. Islamic Fascism (formerly Buy DANISH!!!) on: May 06, 2015, 10:37:57 AM
She certainly has put a target on her back.

We'll see first hand if ISIS has reach here if they murder her.

14  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: US Economics, the stock market , and other investment/savings strategies on: April 29, 2015, 12:10:16 PM
People whom I respect are mentioning FireEye.

One of the Cabot newsletters recommended them about a year ago.  Supposedly they have some leading edge (for now) security system.  I never bought.  It crashed and Cabot finally said to cash out and take the losses.  I think it has recovered some.   I think one of the other email companies (Fool or other?) may be recommending it again.

Story stock.  Sounds good.  Could be big.   Could be a dead end.   
15  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: April 29, 2015, 12:03:27 PM
"C'mon Dems, are these really the best leaders you can find?"

Many liberals would prefer a candidate even  *farther* to the left.   huh
16  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: April 28, 2015, 01:03:31 PM
"Bozo at NYT (Dana Milbank)"

Doug thanks for clarifying who you were referring to.  A lot of Bozos on that side.
17  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Re: Race, religion, ethnic origin, LGBT, "discrimination", & discrimination. on: April 28, 2015, 12:59:39 PM
Phony science.    The new politically correct one sided racist rant.  I notice no mention of terms like gringo, honky or cracker:

The most racist places in America, according to Google

By Christopher Ingraham April 28 at 8:23 AM 
 
Where do America's most racist people live? "The rural Northeast and South," suggests a new study just published in PLOS ONE.

The paper introduces a novel but makes-tons-of-sense-when-you-think-about-it method for measuring the incidence of racist attitudes: Google search data. The methodology comes from data scientist Seth Stephens-Davidowitz. He's used it before to measure the effect of racist attitudes on Barack Obama's electoral prospects.

[Data suggest Republicans have a race problem]

"Google data, evidence suggests, are unlikely to suffer from major social censoring," Stephens-Davidowitz wrote in a previous paper. "Google searchers are online and likely alone, both of which make it easier to express socially taboo thoughts. Individuals, indeed, note that they are unusually forthcoming with Google." He also notes that the Google measure correlates strongly with other standard measures social science researchers have used to study racist attitudes.

This is important, because racism is a notoriously tricky thing to measure. Traditional survey methods don't really work -- if you flat-out ask someone if they're racist, they will simply tell you no. That's partly because most racism in society today operates at the subconscious level, or gets vented anonymously online.

For the PLOS ONE paper, researchers looked at searches containing the N-word. People search frequently for it, roughly as often as searches for  "migraine(s)," "economist," "sweater," "Daily Show," and "Lakers." (The authors attempted to control for variants of the N-word not necessarily intended as pejoratives, excluding the "a" version of the word that analysis revealed was often used "in different contexts compared to searches of the term ending in '-er'.")

It's also important to note that not all people searching for the N-word are motivated by racism, and that not all racists search for that word, either. But aggregated over several years and several million searches, the data give a pretty good approximation of where a particular type of racist attitude is the strongest.


Interestingly, on the map above the most concentrated cluster of racist searches happened not in the South, but rather along the spine of the Appalachians running from Georgia all the way up to New York and southern Vermont.

[Three quarters of whites don't have any non-white friends]

Other hotbeds of racist searches appear in areas of the Gulf Coast, Michigan's Upper Peninsula, and a large portion of Ohio. But the searches get rarer the further West you go. West of Texas, no region falls into the "much more than average" category. This map follows the general contours of a map of racist Tweets made by researchers at Humboldt State University.

So some people are sitting at home by themselves, Googling a bunch of racist stuff. What does it matter? As it turns out, it matters quite a bit. The researchers on the PLOS ONE paper found that racist searches were correlated with higher mortality rates for blacks, even after controlling for a variety of racial and socio-economic variables.

"Results from our study indicate that living in an area characterized by a one standard deviation greater proportion of racist Google searches is associated with an 8.2% increase in the all-cause mortality rate among Blacks," the authors conclude. Now, of course, Google searches aren't directly leading to the deaths of African Americans. But previous research has shown that the prevalence of racist attitudes can contribute to poor health and economic outcomes among black residents.

"Racially motivated experiences of discrimination impact health via diminished socioeconomic attainment and by enforcing patterns in racial residential segregation, geographically isolating large segments of the Black population into worse neighborhood conditions," the authors write, summarizing existing research. "Racial discrimination in employment can also lead to lower income and greater financial strain, which in turn have been linked to worse mental and physical health outcomes."

[White people are winning the 'war on whites']
18  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: April 28, 2015, 11:01:56 AM
And not only this.  The Clinton machine is *boasting" how it plans to raise 2 to 2.5 BILLION more yet.

50 million immigrants in 8 years according to Drudge.  They vast majority are not going to be Republicans.  I wonder how many of them will vote.  Legal or not.

Tabloid says she had 2 strokes.  Remember I posted a picture of her cross eyed and questioned this.

Still she will run .  Still her identity politics groups will vote for her. 

   
19  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Articulating our cause/strategy against Islamic Fascism on: April 28, 2015, 09:24:06 AM
 “Killing Jews is worship that draws us closer to Allah,”

We should be marching in the streets.  We should vow never to support economically any entity that allows this to be posted.  We should withdraw all support of any politicians who will not voraciously speak out against this.

We should boycott all Muslim business that do not speak out against this.  We should demand Muslim academics speak out against this or public funding to the schools be stopped.

None of this will happen.  Because many Jews are too concerned with their beloved Democratic party to care.  Someone recently told me they are too busy fighting everyone's else's battles.   May be true. 

Also,
 Isn't this a verbal assault?  I thought the threats to cause bodily harm (killing) is an assault.

20  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The US Congress; Congressional races on: April 25, 2015, 08:22:56 AM
"The episode illustrates that the Senate’s advice and consent power offers political leverage that government shutdowns and impeachment do not. Jeb Bush is right that the Senate should in most cases defer to a President’s choices to run the executive branch. But as long as Messrs. Reid and Obama show willful disregard for Congress and the law, Republicans must use their legal powers to fight back."

I disagree.  My response is  names:

Meese  nominated atty gen

Bork  Supreme Court

I just don't get that Bush is who the Wash Repubs want.
21  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Re: Legal issues on: April 23, 2015, 08:26:06 AM
Back in the late 70s I learned that hair could be used as corroborative evidence but not proof.  One could say a hair was consistent with a defendent's or suspect's hair but could not unequivocally say it was a unique match.   That was before DNA analysis.   Since one could get DNA from a hair follicle and maybe even the shaft one would think that hair analysis can make more "unique" matches.   So I don't understand what happened here.   But I am glad this article points out that flawed DNA testing doesn't necessarily mean the suspect is innocent.  One would think after hearing some speak in the media that every time there is no match of DMA therefore the suspect must have been innocent.   

That said if people are convicted and jailed for poor or wrong science that is shocking unto itself.   

http://www.washingtonpost.com/local/crime/fbi-overstated-forensic-hair-matches-in-nearly-all-criminal-trials-for-decades/2015/04/18/39c8d8c6-e515-11e4-b510-962fcfabc310_story.html
22  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Immigration issues on: April 22, 2015, 07:26:33 PM
"It is odd, indeed, to see Republicans falling all over themselves to reward this president with more power while voluntarily reducing congressional oversight. At the very least, one would assume the TPP would give the GOP-led Congress bargaining power to force Obama to backtrack on amnesty for illegals and possibly on ObamaCare. But far from forcing concessions, Republicans are lining up in support of fast-track and, by implication, the TPP."

Not odd at all.  Jeb is no different.
23  Politics, Religion, Science, Culture and Humanities / Politics & Religion / This belongs in Ripley's believe it or not on: April 21, 2015, 09:50:42 PM
http://news.yahoo.com/judge-orders-york-transit-agency-run-pro-israel-164735981.html
24  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Lab wars will bring down prices on: April 21, 2015, 07:14:39 AM
Perhaps readers will recall a private held company called Theranos that I posted is a big threat to present entrenched lab companies like Quest and LabCorp.   Well this is LabCorps response:

http://www.msn.com/en-us/money/companies/the-doctor-is-out-labcorp-to-let-consumers-order-own-tests/ar-AAblxGC
25  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Islam, theocratic politics, & political freedom on: April 19, 2015, 09:27:10 AM
From Islam's greatest general who fought with Mohammed.  Indeed he was so revered he was asked to resign because it was felt he was overshadowing Allah.  It is estimated he fought over 100 battles and skirmishes never losing even one.   He used tactics that remind one of Hannibal's, but were thought of independently.   It is harder to fight an enemy that truly believes this statement he made to his Persian adversaries:

****Submit to Islam and be safe. Or agree to the payment of the Jizya(tax), and you and your people will be under our protection, else you will have only yourself to blame for the consequences, for I bring the men who desire death as ardently as you desire life.[53]

—Khalid ibn Walid****

I don't know how many Muslims believe this today but certainly enough do as we witness one suicide bombing after another.   

More on one of history's most brilliant generals who would also fight duels with opponent leaders and win them all:

http://en.wikipedia.org/wiki/Khalid_ibn_al-Walid

He would have been a formidable stick fighter.
26  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / This is a big deal on: April 18, 2015, 11:41:49 AM
I have started warning patients of this probable though not yet definite risk. 

http://news.health.com/2015/03/04/statins-linked-to-raised-risk-of-type-2-diabetes/
27  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / The 1933 Double Eagles on: April 18, 2015, 11:37:22 AM
As a coin collector when I was 8 I read this with interest.   I am ambivalent about the decision and note it reverses a jury decision.  Off the top of my head I am not aware of clearly stolen items being allowed to stay with the descendants of the thief.    On the other hand one could argue he did the world a favor by preserving 10 examples of what are now considered treasures and works of art:

http://www.stuff.co.nz/world/americas/67853550/Rare-Double-Eagle-gold-coins-worth-104m-returned-to-family
28  Politics, Religion, Science, Culture and Humanities / Politics & Religion / More warped stats on: April 18, 2015, 11:14:25 AM
It is amazing how people use statistics in a way that distorts reality to conform with whatever their agenda is.   Take this news item today obviously being used as evidence of the great benefits of illegals to all of us:

http://finance.yahoo.com/news/study-finds-illegal-immigrants-pay-221800279.html

Then go here and one can easily erase these supposed benefits to the legal residents of America.   The revolving doors of OB wards are spinning as fast as illegals can walk through them with anchor babies.  Who pays for this?    What about them going to our schools?  I suppose sales taxes is covering this?

http://www.nysenate.gov/report/what-benefits-can-illegal-aliens-receive
29  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: April 18, 2015, 12:42:11 AM
"She is running for President (?) and has, in fact, declared for all to hear that she has absolutely no intention of ever being subject to any congressional oversight whatsoever over anything that she does!  Unbelievable."

Yup.  "No controlling legal authority".   No one can (Republicans) or no one will (Democrats) do anything about it.  Thumb her nose at the law and move on.

Dick Morris take on why she made it official.   For legal reasons.   So she can pay her mob:

http://www.dickmorris.com/why-did-hillary-announce/#more-15393
30  Politics, Religion, Science, Culture and Humanities / Politics & Religion / online voting on: April 17, 2015, 10:31:53 AM
The Democrats and Bush Republicans will not even have to import them from around the world to increase the Democrat voter rolls.   Just let them do it online from other countries.

One can easily predict the fraud this will allow in multiple scenerios.   Our sovereignty is being thrown out the window.   I am not optimistic.   Only a catastrophe will turn this back I fear.

http://www.mcclatchydc.com/2015/04/16/263477/as-states-warm-to-online-voting.html
31  Politics, Religion, Science, Culture and Humanities / Politics & Religion / It all depends on who is doing the talking on: April 14, 2015, 08:18:22 PM
The million dollar question:

"But Mr. Chicotel of the California advocacy group said the Kaiser example pointed to a broader tension within the quickly changing health care world: At what point does a desire to keep costs low trump concerns for quality?"

---------------------

As Nursing Homes Chase Lucrative Patients, Quality of Care Is Said to Lag


****The New York TimesThe New York Times   
The New York Times

By KATIE THOMAS8 hrs ago

A USS Arizona survivor salutes the remembrance wall of the USS Arizona during a memorial service for the 73rd anniversary of the attack on the US naval base at Pearl harbor, on December 7, 2014, in Pearl Harbor, Hawaii

  Dr. Lois Johnson-Hamerman, a retired neonatologist, entered a Philadelphia nursing facility for short-term rehabilitation of an injured foot. She later required hospitalization for an infected bedsore.   © Jessica Kourkounis for The New York Times Dr. Lois Johnson-Hamerman, a retired neonatologist, entered a Philadelphia nursing facility for short-term rehabilitation of an injured foot. She later required hospitalization for an infected bedsore. 
Promises of “decadent” hot baths on demand, putting greens and gurgling waterfalls to calm the mind: These luxurious touches rarely conjure images of a stay in a nursing home.

But in a cutthroat race for Medicare dollars, nursing homes are turning to amenities like those to lure patients who are leaving a hospital and need short-term rehabilitation after an injury or illness, rather than long-term care at the end of life.

Even as nursing homes are busily investing in luxury living quarters, however, the quality of care is strikingly uneven. And it is clear that many of the homes are not up to the challenge of providing the intensive medical care that rehabilitation requires. Many are often short on nurses and aides and do not have doctors on staff.

A report released in 2014 by the Department of Health and Human Services’ Office of the Inspector General found that 22 percent of Medicare patients who stayed in a nursing facility for 35 days or less experienced harm as a result of their medical care. An additional 11 percent suffered temporary injury. The report estimated that Medicare spent $2.8 billion on hospital treatment in 2011 because of harm experienced in nursing facilities.

“These nursing homes were not built for this purpose,” said Dr. Arif Nazir, an associate professor of clinical medicine at Indiana University who studies geriatrics. He said many patients leave hospitals with acute medical needs, before infections have been fully treated, or as they adjust to new medications.

“These patients are leaving the hospital half-cooked, and believe me, the latter part of the cooking is the hardest part,” he said.

Competition for these patients has become intense because Medicare, the health insurance program for older adults, pays 84 percent more for short-term patients than nursing homes typically get from Medicaid, the health insurance program for the poor, for long-term residents.

At the same time, hospitals are trying to cut costs by pushing some patients out early — like those who have had hip replacement or heart surgery, for example. Not quite ready to go home, they need continuing care somewhere. And for older adults, Medicare usually pays the bill.

The combination of factors has created a bull market in the once-struggling industry as investors clamor to snatch up homes with the most potential to bring in short-term patients. Sale prices of nursing homes averaged $76,500 per bed last year — the second consecutive year of record-breaking prices, according to Irving Levin Associates, which analyzes the senior housing market.

So lucrative are Medicare payments that some homes have decided not to take lower-paying Medicaid patients at all.

The shifting landscape, some say, marginalizes poor long-term residents with extensive medical needs. “This focus on Medicare, Medicare, Medicare has pushed out people in the custodial care world,” said Anthony Chicotel, a staff lawyer at California Advocates for Nursing Home Reform, who says he fields calls at least once a week from residents who are being evicted because their Medicare coverage, which lasts 100 days, is expiring and the residents will transition to lower-paying Medicaid insurance. “They’re being pushed out, and they don’t have anywhere to go, really, that can take care of them.”

Representatives of nursing homes acknowledge that the challenges are substantial, but they are optimistic about the progress they are making.

“It’s uneven, but I think, that said, we’re trending in the right direction,” said Dr. David Gifford, the senior vice president of quality and regulatory affairs at the American Health Care Association, an industry trade group. “I think you’re seeing a much greater linking of quality, and an emphasis on it,” he added.

Dr. Gifford and others say they are paying close attention to quality — not only because it is the right thing to do, but because hospitals and large health systems are beginning to demand it. Under the new health care law, hospitals may be penalized if too many of their patients are readmitted within a certain time.

“Hospitals are starting to get really worried, and when hospitals are worried, skilled nursing facilities are worried, because they are their sources of patients,” said David Grabowski, a professor of health care policy at the Harvard Medical School.

Promises of Care

Dr. Lois Johnson-Hamerman, a retired neonatologist, said she thought she had done her homework when she checked into the Watermark at Logan Square, a nursing facility in Philadelphia.

The home had a reputation for quality and got high marks from the federal government. Until a recent revision, its website promised “top-notch health care” with amenities including a staff willing to administer a “decadent hot bath” at any hour of the day.

But just one month after arriving at Watermark for short-term rehabilitation of an injured foot in 2012, Dr. Johnson-Hamerman ended up in the emergency room with a severe bedsore that had become dangerously infected. Far from the service she said she had been promised, she said the workers never gave her a full bath or shower, were slow to respond to her requests to have her diaper changed and did not turn her every few hours, a crucial step in preventing bedsores.

She said she left the facility only after friends, including doctors and nurses, became so horrified by her care that they insisted that she be taken to a hospital.

Geriatric researchers call this disconnect the “chandelier effect.” Attractive lobbies and enticing amenities do not always mean that a home provides good medical care.

In reality, said Dr. Steven Handler, a geriatrician and assistant professor at the University of Pittsburgh School of Medicine, many nursing homes are struggling to provide consistent, quality care despite genuine efforts. “The nursing homes are kind of stuck in an older model that is based on a very small operating margin, low-staffing model and low physician presence,” he said.

Dr. Johnson-Hamerman, who is 87, is suing Watermark over what she describes as negligent care.

“At least I’m still here,” she said recently at her home. “But where would I be if I didn’t have the friends and resources to do something about it?”

C. Jill Hofer, a spokeswoman for Watermark, said that the home was committed to providing quality care and that it denied the allegations in the lawsuit.

Bull Market for Short-Term Homes

The nursing home industry has long argued that it relies on higher Medicare payments to offset the rates it receives from Medicaid, which usually pays for the care of long-term residents.

And indeed, even though facilities earned a 2 percent overall profit in 2013, they lost about 2 percent on non-Medicare patients, according to the Medicare Payment Advisory Commission, or Medpac, an agency of Congress.

But in recent years, that focus on Medicare patients has intensified as many long-term residents have moved to assisted-living facilities and hospitals have sought to discharge patients earlier. On a typical day in 2000, about 9 percent of residents in an average nursing home were covered by Medicare, according to federal data. By 2014, that had risen to 15 percent.

Some companies are now eliminating Medicaid payments entirely by building homes solely for the more lucrative short-term patients.

Santé Partners, a developer in Arizona, recently opened four nursing homes that do not accept any long-term residents. A fifth is set to break ground this summer.

The buildings resemble hotels, with high-quality restaurants and private rooms that have kitchenettes. Developers say their singular focus allows them to provide better care.

“I think pretty much every company now is going in this direction,” said C. Mark Hansen, the president and chief executive of Santé Partners.

Some for-profit chains have aggressively increased their numbers of Medicare patients. In California, the share of Medicare patients at several large chains has far outpaced the state average, according to an analysis of state nursing home data by The New York Times.

On a typical day in 2012, about 11 percent of beds in California nursing homes were occupied by Medicare patients, The Times’s analysis showed.

But at HCR ManorCare, one of the nation’s largest chains, 32 percent were Medicare patients at its California nursing homes. At the Ensign Group, a large chain based in California, Medicare covered 20 percent of patients on a typical day in 2012.

HCR ManorCare said that it had invested in treating patients with complex medical needs and that that helped explain why its percentage of Medicare patients was higher than the state average. A spokeswoman for Ensign declined to comment.

Ensign is one of several chains that has recently paid federal fines to settle charges that they exaggerated the therapy needs of patients to increase Medicare payments. The company paid $48 million in 2013 to settle such claims. In October, a large Canadian company, Extendicare Health Services, paid $38 million in a similar case.

Even homes with a history of poor care are marketing their high-end amenities. The Medford Multicare Center for Living on Long Island recently opened a wing intended for short-term care known as “The Lux at Medford.” Guests have access to a putting green, a model apartment and a parked PT Cruiser to teach them how to resume their day-to-day activities.

The New York State attorney general sued the facility last year over issues of quality, and seven employees were indicted on a range of charges related to the death of Aurelia Rios, a patient in the facility’s ventilator unit. Federal officials recently placed the home on a watch list of the nation’s poorest-performing facilities.

Jason Newman, a spokesman for the home, says the owners of Medford dispute the charges. “The owners of this facility care very, very much about this place,” he said.

Claims of Lapses, and Death

Deaths attributed to lapses in care are not uncommon. In 2010, Mary Dwyer checked into Harborview Healthcare Center in Jersey City to recuperate after dislocating her shoulder in a fall.

Ms. Dwyer, who was 87, planned to return home, but her condition deteriorated rapidly because of what her family described as negligent care. Staff members were so overworked that Ms. Dwyer was not fed properly and not repositioned frequently in her bed, according to a lawsuit the family later filed in New Jersey state court alleging negligence and wrongful death.

In a month, Ms. Dwyer lost 20 pounds and developed a bedsore so severe that it exposed her bone.

She was treated at a hospital for her injury, and she died about a month later. Last year, a jury awarded her family more than $13 million.

The amount has since been reduced to $4.75 million and the case is being appealed by the nursing home. A spokeswoman for Harborview said the company denied the charges and maintained an outstanding record for quality.

“Nobody really took responsibility,” Ms. Dwyer’s daughter, Henrietta Dwyer, said recently. “It seemed nobody was accountable for anything.”

Industry specialists say that competition is so intense that eventually quality will prevail, as hospitals and insurers, who cover some Medicare patients, will balk at sending patients to homes that perform poorly.
Siblings Georgette Dwyer, left, Henrietta Dwyer and James Dwyer. Within a month of checking into a nursing home after dislocating her shoulder, their mother lost 20 pounds and developed a severe bedsore. She died a month later.   © Bryan Anselm for The New York Times Siblings Georgette Dwyer, left, Henrietta Dwyer and James Dwyer. Within a month of checking into a nursing home after dislocating her shoulder, their mother lost 20 pounds and developed a severe bedsore…
Hospitals now pay penalties if too many patients are readmitted.

And under new payment models, health systems are beginning to coordinate the care of patients even after they leave the hospital. They are rewarded for keeping costs low, but they also must prove that certain quality goals are met.
The Medford Multicare Center for Living on Long Island has a wing for short-term care known as “The Lux at Medford.” It includes a parked car so residents can practice getting in and out.   © Kirsten Luce for The New York Times The Medford Multicare Center for Living on Long Island has a wing for short-term care known as “The Lux at Medford.” It includes a parked car so residents can practice getting in and out. 
“It’s happening at a head-spinning rate,” said Dr. Nazir of Indiana University. “It has been a very positive thing.”

Dr. Gifford of the industry trade group said his group’s members had reduced re-hospitalization rates by 14 percent. And the group has supported other measures to improve quality, he said, including one passed by Congress last year that will withhold a percentage of Medicare payments from facilities, who can then earn back some of the money if they meet certain standards.

Mr. Hansen, the chief executive of Santé Partners, said his facilities did not bring in high profits because the company invests heavily in quality. That investment pays off, he said, because he can demonstrate that his facilities provide good care at a lower cost than, say, a hospital.

“It’s bringing down the total cost of the health care spend,” Mr. Hansen said.

Still, some insurers and hospitals continue to send patients to homes with poor records.

Kaiser Permanente, which combines a nonprofit insurance plan with its own hospitals and clinics, sends patients to a network of outside nursing homes in Maryland and Virginia that the organization says meet its “high standards of care.” However, of the 12 so-called core nursing homes in Kaiser’s network, four held a one-star rating for their health inspection. One was ranked five stars, the highest score.

After The New York Times contacted Kaiser, a spokesman said it would end its association with one of the poorly rated homes, Commonwealth Health & Rehab Center in Fairfax, Va.

The spokesman said that the company sends Kaiser doctors and staff members to the facilities to treat its patients, and that most of them are placed in homes with the higher ratings. He said Kaiser was working with the low-rated homes to improve their conditions.

“The care and safety of our members and patients are our top priorities,” said the spokesman, Marc Brown.

But Mr. Chicotel of the California advocacy group said the Kaiser example pointed to a broader tension within the quickly changing health care world: At what point does a desire to keep costs low trump concerns for quality?

“I think a lot of the time when it comes to managed care, it’s a race to the
bottom"
32  Politics, Religion, Science, Culture and Humanities / Politics & Religion / So what are we waiting for? on: April 11, 2015, 09:51:59 PM
Anyone else see this?:

*****Saturday April 11, 2015

The United States has bunker-busting bombs that can "shut down, set back and destroy" Iran's nuclear program, and the military option has not been taken off the table when it comes to the ongoing negotiations with that country, according to Defense Secretary Ashton Carter.

 "I believe the Iranians know that and understand that," Carter told CNN Friday, stressing that the Obama administration prefers handling the issue of Iran's nuclear weapons potential diplomatically, rather than through military means, "because military action is reversible over time."

 The technical name for the powerful weapons Carter referenced is the Massive Ordnance Penetrator (MOP), which can explode 20 feet underground and destroy deeply buried and fortified targets, and those weapons are ready for use, he said.

Carter's reference to MOPS is the first made about specific military planning against Iran's fortified underground facilities, reports The Jerusalem Post.

 At one of the facilities, Fordow, 20 percent enriched medium-grade uranium is produced, and Iran's government insists it will only be used for civilian purposes. However, other countries fear that the uranium could be further enriched to 90 percent, The Post reports, which would be the amount needed to make material that can be weaponized.

 Meanwhile, Carter also told CNN on Friday that any deal the United States and its allies make with Iran will include direct inspection of the country's nuclear facilities, as it must be based on verification and not trust.

 On Thursday, though, Iran's Supreme Leader Ayatollah Ali Khameni said through Twitter that "unconventional inspection" would not be an acceptable part of the deal:

He also tweeted that he is "neither for nor against the deal."

 Carter also indicated in Friday's interview that Iran and North Korea could be working together, as they have collaborated in the past.

 "In fact, North Korea worked with Syria, helped it build a reactor... North Korea is a welcome all-comers kind of proliferator," Carter said.

 However, he said that Iran doesn't need North Korea "to teach them nuclear physics. They know plenty of it in Iran."

 Carter also discussed another U.S. priority in the Middle East: the ongoing fight to contain and control the Islamic State, and said he "would not hesitate" to advise putting putting boots on the ground, but "we are not at that point yet."

 President Barack Obama is open to advice and analysis, Carter said, but that does not mean "when any of us makes a recommendation, he will accept."

 But ISIS and al-Qaida are still threats to the United States, said Carter.

 "If al-Qaida was the Internet terrorists, these guys (ISIS) are the social media terrorists," he said.

 Al-Qaida has been weakened through the past decade of "pounding" by U.S. forces, said Carter, but "they still have a serious preoccupation with direct attacks on the United States."

33  Politics, Religion, Science, Culture and Humanities / Politics & Religion / The Clinton nation: a nation not of laws but of lawyers. on: April 11, 2015, 09:35:53 PM
*****If we can't find one of 16 or 20 qualified candidates who can beat this known, flawed, dishonest candidate of failed poicies and energize behind them, then I suppose we will deserve the disgusting, corrupt, socialist, dismal future that is coming to us, our children and our country*******

Doug, I couldn't agree more.   Indeed.

That was more or less my exact thoughts when I get on the internet tonight and one of the first things I see is this:

http://www.msn.com/en-us/entertainment/celebrity/chelsea-clinton-stuns-on-cover-of-elle-talks-perfect-baby-daughter-and-coincidence-importance-of-having-a-female-president/ar-AAaJup6

Here we go.   Another makeover.  Getting to know you, getting to know you, people who know you say you are so nice blah blah blah.

Usually I stay away from being critical of pols' family members but if they throw up their kids and use them as props as the Clintons do, well, all I can say is this girl is just so F'ing ugly she couldn't possibly "stun" anyone.

We are supposed to live in a nation of laws.  But with the Clintons we live in a nation of lawyers.   Think about that.

34  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: April 10, 2015, 07:19:08 AM
" I can picture her as a VP candidate; she'd make a very good "pit bull with lipstick" going after Hillary"

She would be better than Palin who has no depth beyond what we saw in her Republican Convention speech.
35  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Media Issues on: April 09, 2015, 10:21:46 AM
Geraldo just contradicted himself.

On Fox I heard him call himself a "Republican".   I suspected he is saying that to humor the audience but that he is not telling the truth.

On his radio show this AM he stated how he hopes that Hillary "wins".   He ain't no Republican.     You cannot be for Hillary and be Republican.

The two cancel each other out.

I thought he was a straight shooter but I guess not.

 
36  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Most if not all medical studies are now in question on: April 05, 2015, 06:50:22 PM
BG,

Thanks for the post.

I am glad some one like Arthur Caplan is sounding the alarm besides me.  At least in journals with "peer review" there would be some checks and balances.  But this does not guarantee truth and veracity.   Who is checking the data that is collected much less the evaluation of data.   

Excerpt from my post #1261 01/03/14 under the politics of healthcare thread.  I warned to beware of the proliferation of "studies".   I am concluding more and more there is at least as much fraud in medical studies as there is in the entertainment industry, or say in our government.    I've talked to people in academia.   Some have great integrity.   But there are many stories of petty, crooked, selfish, phony, shenanigans as well.   And now with THIS WH and its Democrat Party machine I am certain much of what is published is pure politics.   For Gods sake the new Surgeon General's only claim to fame is he is a cheerleader for Obamacare.   

I couldn't agree more with Arthur Caplan a famous medical ethicist from University of Penn (I believe):

**********From the education thread is my proposal to beware the academic industrial government complex.

OF course there is much to learn from our scientific community.  But much harm can come from it too.

We are seeing an infinite exponential rise in "studies" and experiments the vast majority of which are total BS.  We see it in the health field ALL the time.  If one or two percent of all the research done actually gives us new meaningful information that changes the way we practice medicine that is a lot.

Indeed look at how many times over the last decade we in the medical community have kept changing our recommendations.

For example I just read online that Vit E supposedly helps delay Alzheimer's ( a tad by maybe six months - at best).  In the nineties this was claimed too until additional tests suggested it might worsen or not help.  So which the "f" is it?   I would not recommend anyone waste their money on high doses of Vit E (2,000 IU per day).

I guarantee one thing.  We will hear over the radio, the cable, the online airwaves many shysters selling us their Vit E promoting with this study as the evidence that it is real.

I do question whether these professors have already cut deals with the promoters of these products to cash in.   They are supposed to report "conflict of interests".  Don't count on it.  And don't think for one second this doesn't happen either.  

There are many great men and women in academia.  But there are just as many scum bags as every other sector of society.  So GM is absolutely correct in taking academic's claims with some skepticism.  

The spread of controlled trials into economics is just another example of the tumbleweed spreading of "science".  Also I have shown in posts years past how anyone can often juggle the data to suggest any outcome best for their cause.  

The academic industrial government complex.  To all of us - BEWARE.**********

37  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: April 05, 2015, 06:34:40 PM
"No controlling legal authority"

Worst case for her is she is disbarred.

No biggy.  She would still be qualified to run for the highest office on the planet.

38  Politics, Religion, Science, Culture and Humanities / Politics & Religion / What do others think of this? on: April 05, 2015, 11:49:12 AM
I don't know which thread this should go under.   Recognizing past discriminations is fine but I don't get apologizing for the discriminations done by others.  In all my life I cannot recall any significant discrimination because I am Jewish.  Not one time.   Of course if this guy wants to pay me some reparations because of abuse of Jews by other people to other people I guess I could accept a check:

http://www.huffingtonpost.com/bill-quigley/a-christian-apology-to-je_b_7003756.html
39  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Arnold on: April 05, 2015, 11:43:31 AM
1)  I didn't know he still calls himself a Republican
2)  I didn't know anyone still cares what he thinks
3)  Is he trying to get back into the political game?

http://www.huffingtonpost.com/2015/04/03/arnold-schawrzenegger-indiana_n_6999766.html?utm_hp_ref=politics
40  Politics, Religion, Science, Culture and Humanities / Politics & Religion / amazing. all over a cake on: April 05, 2015, 11:31:52 AM
Think of the tragedy of it all.  Not getting your cake to your specifications.   Reason to be ashamed.    rolleyes

http://www.huffingtonpost.com/2015/04/01/brittant-mason-religious-freedom_n_6985892.html?cps=gravity_2429_5854777052914304546
41  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Apparantly EMP weapons are in multiple arsenals on: April 05, 2015, 10:30:27 AM
http://modernsurvivalblog.com/current-events-economics-politics/emp-weapons/
42  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Anti-semitism & Jews on: April 04, 2015, 01:56:41 PM
"Who are committing these acts? While some are nativists, neo-Nazis and skinheads, many others are religious extremists radicalized by those who distort Islam to fit their intolerant agendas. All are deeply hostile to pluralism and democratic liberties."

No rocket science here.  Muslims around the world hate Jews.  More Muslims in Europe.   More Jew haters in Europe.

Lets see the last time I thought about it 1 + 1 = 2.

"radicalized by those who distort Islam."  What is this BS?  It IS right in the Koran to kill or convert infadels.  This is not a distortion of Islam.  It is Islam.

For God's sake.  Stop the ridiculous dance around the truth.   They want to 'f' kill us.

43  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Morgellons on: April 03, 2015, 05:11:44 PM
In Yiddish we call this disease meshugganosis.  I had two people over the years who were convinced beyond comprehension that fibers were coming out of their skin.  They would come into the office and insist that what appeared to be a fiber possibly from a carpet or upholstery of some sort on their hand or finger actually was growing out of their skin.  They would go from doctor to doctor insisting this.
 
I would give them the benefit of the doubt and send to infectious disease or skin specialists etc.  Nothing was ever confirmed.

 I don't know if Joni Mitchell (who I never listened to growing up) did too much LSD or what:

http://news.yahoo.com/joni-mitchells-mysterious-skin-disease-causes-morgellons-203447248.html
44  Politics, Religion, Science, Culture and Humanities / Politics & Religion / The NJ number is probably about right on: March 28, 2015, 06:06:44 PM
http://www.slate.com/articles/news_and_politics/map_of_the_week/2013/02/map_illegal_immigrant_population_by_state.html
45  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Israel, and its neighbors on: March 28, 2015, 10:36:52 AM
thanks obj.  I typed just as you posted.  Charles stated the same in his most recent column where he handicaps the Republican hopefuls for '16.
46  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Israel, and its neighbors on: March 28, 2015, 10:35:34 AM
Never mind I found Charle's comparison that you speak of.

I agree he is totally off the mark.  

The implication is that Obama is not qualified or stupid, or not able to see what he is doing.   Again like everyone who concludes this continues to misread Obama.   I believe he knows exactly what he is doing and doing so quite purposely.

If only we could get a conservative who is as effective at rebuilding and undoing damage as Obama and his mob are at destroying the US we would be quite lucky.

Obama the "one term" senator has, with his master planners, done quite a job at advancing their agenda.
If only Rubio, Cruz or someone from the right do the same thing.....  Not holding my breath.  

I believe it is over for the conservatives.

But I hold out hope.   (I am wrong)
47  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Israel, and its neighbors on: March 28, 2015, 09:51:29 AM
"For someone as intelligent as Charles Krauthammer to make such an idiotic comparison based on Obama being a "one-term Senator" is beyond stupid."

What did Krauthammer say?

I didn't hear this.
48  Politics, Religion, Science, Culture and Humanities / Politics & Religion / So what is anybody going to do about this? on: March 28, 2015, 09:50:02 AM
Answer:

Nothing.   Clinton has obstructed justice for decades.   Now she is the Democrat Party's premiere candidate.   Unless we have an O'Malley/Warren ticket challenge.

http://www.msn.com/en-us/news/politics/benghazi-chairman-clinton-wiped-private-email-server-%e2%80%98clean%e2%80%99/ar-AAa7d9t

Could anyone imagine if a lower level government employee did this?
49  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: March 26, 2015, 01:21:23 PM
None of this stuff will stop the Clinton machine.  No matter what we hear the first response is, "no laws were broken".  Every single time and the machine rolls ahead.

The MSM fawns and the opposition just twists and wrings our hands in frustration.   

50  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Saudi Arabia & the Arabian Peninsula on: March 25, 2015, 01:22:23 PM
http://www.i24news.tv/en/news/international/middle-east/63570-150308-saudi-arabia-becomes-world-s-biggest-arms-importer-amid-regional-concerns

I posted on the Middle East thread that I would bet Saudis are already working on nuclear weapons.   They are proactive not reactive in general.
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