Dog Brothers Public Forum


Welcome, Guest. Please login or register.
March 23, 2017, 05:32:24 AM

Login with username, password and session length
Search:     Advanced search
Welcome to the Dog Brothers Public Forum.
101126 Posts in 2371 Topics by 1086 Members
Latest Member: ishankey
* Home Help Search Login Register
  Show Posts
Pages: 1 ... 62 63 [64] 65 66 ... 137
3151  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Like a bad nightmare that will not end on: February 11, 2014, 05:19:20 PM
"We could re-name this thread Clinton-fatigue right now.  That is what will bring them down, not their long, sordid, and often criminal history, true as that is.  A Hillary Presidency isn't exciting to anyone now and she won't be more exciting later when she's front and center on the news every hour."

Doug, your optimism is well received by me -  grin

I guess it is my problem but I won't sleep well until they are brought down once and for all.  Not until they leave the political stage and leave good decent Americans the hell alone.

And their crooked gang of sick twisted and depraved bullshit artists.

I wish I played golf and could do a round with Rush.  He too understands my pain.   He carried me through the 90's while having to endure the media love affair with their darling Bill.  God help me if she wins and something happens to Rush.  Then again I have people on the Forum.
3152  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Solution is not as hard as made out to be. on: February 11, 2014, 05:01:29 PM
There is just no political will.  The rest of us get screwed.  And I don't want to hear arguments how this benefits all of us.  So my Burger King fries are 10 cents lower. 

"Are we going to round them up and send them home as the law requires.  The answer is No."

No.  We simply don't allow people to be hired who are not here legally.  They will never be able to be citizens.  And they will never be able to get benefits.

As for their kids.  They can start taking responsibility for splitting up their families. 

They come here and have anchor babies.  Because they are born here they are in.  But those that brought them here are not or are never in unless they leave and get in line.

What is so hard about this?

3153  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: February 11, 2014, 08:12:06 AM
"She has a good resume - as to where she has been, not what she has accomplished."

Ah, but the Hillary makeover.  The incessant smiling. (She reminds me of the Joker) The reports of her sense of humor!   The reports of her being  so warm and cuddly! The reports she is so polite and friendly and kind!

I don't know if you saw Joe Schmo Scarborough even touting how nice she was to him.  He was "surprised".  They were such mortal political enemies and yet when they met she was so kind.   

I can't believe my ears.

Like I said with people in our party like this we have no chance.

OTOH Colin Powell pointed out the Republicans "need" him more than the Democrats after, again, highlighting how bigoted an "element" in the party is.   Small Colon I have news for you.  The Republican party not only doesn't need you we don't want you if this is what you stand for.  And BTW why do you still call yourself a Republican?  Are you fishing for some sort of deal?

But I digress...

Back to Hillary.  She is despised by half the country.  Yet she still seems to be able to get over 50% adoration.  I just don't understand how people can be so conned so often.
3154  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Shirley Temple on: February 11, 2014, 08:00:49 AM
She was active in Republican politics and liked military men.  I didn't know she was only 85.  She was history as long as I can remember.  She started so young:
3155  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Immigration issues on: February 10, 2014, 06:54:57 PM
Ingraham asks why have borders?

Good question.

Why bother?

Why have a defined "country"?

Why bother?

Why not just an open source country?

3156  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Hillbillary Clintons long, sordid, and often criminal history on: February 10, 2014, 06:32:41 PM
Doug I hear you.


The question is do enough people care?  If they did then why is Hillary ahead in polls.  Yes I know it way early but still..... Someone with her record of lying should be in the cellar.  Not in the penthouse.

I heard Rush for ten minutes today.  He more or less has stopped banging his head against the wall asking how such a person as Hillary is not in the garbage can like Nixon.
He just realized none of this seems to matter.

3157  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Media Issues on: February 10, 2014, 08:37:28 AM
"Obama Lied With Every Word"

Doesn't seem to matter much does it.

He is a Democrat after all. 
3158  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Politics of Health Care on: February 10, 2014, 08:35:00 AM
"If you think Humana is brutal, wait until the feds really run healthcare."

In my experience this is not true.   

I worked for Humana.  On one hand they paid the bills.  On the other, they never let anyone know otherwise.  It was literally a battle between the patients and the insurer over coverage.   Every day and all day.  One of Humana's medical directors said point blank,  they [patients] are the enemy.  It is us against them.  Another Humana administrator said with a smile about someone who would not accept to go into hospice,  "look your dead, your dead, your dead".

The Feds are not as brutal (at least yet). 

But, I choose a free marketplace.  I don't wish for a Federal politburo controlling the entire healthcare industry. 

That said I am a squirt.  My thoughts are worthless in the real world as they are against anyone with political or financial connections or anyone with real world power and know how.
3159  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: February 09, 2014, 07:55:39 PM
I just don't get it.  Do these ex military types really believe this?  Or are they anticipating big pay offs joining the Clinton industrial complex?  There is so much money to be made through supporting her me thinks.

****Ex-Gen. David Petraeus says Hillary Clinton would ‘make a tremendous President’

The former commander and CIA Director made the laudatory comments in the new book, ‘HRC: State Secrets and the Rebirth of Hillary Clinton,’ to be released Tuesday.
Comments (16)
By Adam Edelman  / NEW YORK DAILY NEWS

Sunday, February 9, 2014, 4:31 PM.

Former Gen. David Petraeus shakes hands with then-presidential candidate Hillary Clinton in 2008. The two grew close, a new book alleges, during Clinton’s time as Secretary of State.

Former Gen. David Petraeus shakes hands with then-presidential candidate Hillary Clinton in 2008. The two grew close, a new book alleges, during Clinton’s time as Secretary of State.

Former Army Gen. David Petraeus , who has traditionally stayed away from political endorsements, appears to be eager to support a Hillary Clinton candidacy, a new book alleges.

“She’d make a tremendous President,” the former commander and CIA director reportedly says in the new book “ HRC: State Secrets and the Rebirth of Hillary Clinton,” by Jonathan Allen and Amie Parnes.


“Like a lot of great leaders, her most impressive qualities were most visible during tough times,” Petraeus adds.

Former CIA director and retired four-star general David Petraeus has typically stayed away from praising or bashing political candidates and office-holders.
Kevork Djansezian/Getty Images

Former CIA director and retired four-star general David Petraeus has typically stayed away from praising or bashing political candidates and office-holders.

The comments mark an interesting departure for Petraeus, who, when it comes to politics, has typically remained quiet.

The book, to be released Tuesday, alleges that the unlikely pair forged a friendship while Clinton was Secretary of State.

According to excerpts of “HRC,” obtained by ABC News, Clinton, soon after taking office, invited Petraeus to her Washington home to drink wine and discuss Middle East issues. The night was so enjoyable that she invited him over again the next night to continue their chat****

Read more:
3160  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / from the heavens - six miles high on: February 09, 2014, 11:32:56 AM
I recommend the National Geographic magazine subscription;  they sent me this email:
3161  Politics, Religion, Science, Culture and Humanities / Politics & Religion / The politics of being offended on: February 09, 2014, 10:53:48 AM
Oh come on .  This guy is so insulted and humiliated.  Why does an amputee need a dog in the store with him?  Why was it wrong for an employee to enforce store policy by questioning this?   And then he got his apology.  IF the right is going to highlight this then we may as well give up on requiring photo IDs to collect tax payer funded benefits or for voting:
3162  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Way Forward for the American Creed on: February 09, 2014, 10:47:15 AM
"Tepid" "mild" applause - thus wrong message.  sad Perhaps he could say we will expand government to twice the give away rate and then would have had thundering applause.  angry
3163  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Perfect timing for a communist Pope for the left on: February 09, 2014, 10:30:38 AM
Now we have a socialist/communist Pope.

****Obama, Francis to meet amid shared economic view

Obama and Pope Francis to meet in the Vatican in March with focus on shared economic view

Associated Press
By Jim Kuhnhenn, Associated Press January 21, 2014 9:11 PM
Obama, Francis to meet amid shared economic view

WASHINGTON (AP) -- When President Barack Obama meets Pope Francis in the Vatican in March, both men will speak a common economic language rooted in similar views about poverty and income inequality, giving prominence to an issue that the U.S. president wants to be a central theme of his second term.

In the complicated relationship between the Obama administration and the Catholic Church, the White House sees the popular new pontiff and his emphasis on the plight of the poor as a form of moral validation of the president's economic agenda. When Obama delivered a major address on the economy last month, he cited the growth of inequality across the developed world and made sure to note that "the pope himself spoke about this at eloquent length."

The White House and the Vatican announced Tuesday that Obama will meet with the pope on March 27 during a four-day European trip that includes a nuclear security summit in the Netherlands and a U.S.-European Union summit in Brussels. The meeting is the first between the president and Pope Francis.

Obama had an audience with the previous pope, Benedict XVI, in July 2009. At the time, the Vatican underscored the deep disagreement between them on abortion. Benedict gave the president a copy of a Vatican document on bioethics that asserted the church's opposition to using embryos for stem cell research, cloning and in-vitro fertilization. Obama supports stem cell research.

Francis has made it clear that Catholic positions on homosexuality, same-sex marriage and abortion haven't changed.

"But in his view those issues which create conflict need to be deemphasized a bit," said John C. Green, a political scientist who specializes in religion and politics at the University of Akron.

The pope created a stir in November when he decried trickle-down theories that assert that economic growth can result in greater justice and inclusiveness as unproven. "The excluded are still waiting," he wrote.

Paul Begala, a former top aide to President Bill Clinton, said Obama can only benefit from Francis' emphasis on economic disparities.

"It becomes very difficult for conservatives to attack President Obama for being divisive, when the world's greatest figure for unity is saying pretty much the same thing," Begala said.

Still, Francis' attention to poverty has also captured the attention of Republicans, among them Rep. Paul Ryan, a devout Catholic and Mitt Romney's running mate in 2012. Other Republicans, such as Sens. Marco Rubio of Florida and Rand Paul of Kentucky have also staked out prominent anti-poverty positions.

The economic theme will be a centerpiece of Obama's State of the Union address next week. But his specific policies — a higher minimum wage, universal pre-school and ending loopholes for the wealthy — face difficulty in Congress in an election year.

"American Catholics as a whole don't tend to take specific policy guidance from the pope, whether it's Pope Benedict or Pope Francis," Green said. "But what the pope can do is to get them thinking about particular issues and thinking about them in distinctly Catholic ways. That kind of rethinking could very well be an advantage to President Obama."

The issue of health care has highlighted other disagreements between the administration and the Catholic Church. The U.S. Conference of Catholic Bishops has been a high-profile critic of a provision in Obama's health care law that requires employers to provide insurance coverage that includes birth control.

Churches and other houses of worship are exempt from the control requirement, but affiliated institutions that serve the general public are not. That includes charitable organizations, universities and hospitals, and critics say that violates religious liberty. The issue is now before the Supreme Court.


Follow Jim Kuhnhenn on Twitter:

3164  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Iran on: February 09, 2014, 10:21:56 AM
They will soon and as Bolton said you think they are a pain now wait till they get them.
3165  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Politics of Health Care on: February 09, 2014, 10:20:41 AM
Humana is extraordinarily brutal health insurer.  It is always about the bottom line for them.  They are moving into Jersey I am told in a big way by offering the best deals.  Sounds good now but once they gain market share they will start turning the screws not only on providers but patients too.   
3166  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Cognitive Dissonance of His Glibness on: February 09, 2014, 10:15:43 AM
looking at the picture posted he appears to have Bell's palsy.
3167  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Re: Music on: February 06, 2014, 11:54:49 AM
The only thing I remember about this when I was somewhere around the age of seven was my sister hogging the TV and sitting Indian style (I hope I didn't offend anyone) in front of our little black and white TV with the antennae (no remote back then) and giddily screaming and screeching over these guys.  I couldn't figure it out.  undecided

It was as though she was possessed.    My oldest sister felt that way about Elvis I think.
3168  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Political Rants & interesting thought pieces on: February 06, 2014, 11:46:36 AM
As for the angry left article the author seems to miss the point.  We have to look at the ultimate left's end game.  That is the only way to understand them.

They are not finished till there is ONE world government controlled by policy wonks who can control and dictate every aspect of the lives of every human being.

Concepts of country and religions are "mideavil".

THAT is the end game.  THAT is why they are never satisfied.  And we know the policy wonks all want perfect equality of opportunity and outcomes.  

The fact that they too are power and money hungry like almost all of humanity is not important.  

And now they can vocalize in public their dissatisfaction more now that Brock is safely elected for the second term.  No problem voicing any dissatisfaction with him now while cloaking as "the right" is simply in "his" way.  Their next champion is on deck.  
3169  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Political Rants & interesting thought pieces on: February 06, 2014, 11:38:11 AM
"When I wrote Brave New War back in 2006, I made this aggressive projection on how rapid technological change would change warfare:

    The threshold necessary for small groups to conduct global warfare has finally been breached, and we are only starting to feel its effects.  Over time, in as little as perhaps twenty years and as the leverage of technology increases, this threshold will finally reach its culmination — with the ability of one man to declare war on the world and win."

This is only true because the US military and/or the politicians have decided that conducting war in the modern era is a police action.  We could easily wipe out Irans nuclear facilities.  We choose not to.  We could easily put away that guy in N Korea - we choose not to.

As for Iraq and Syria etc.  They are not really enemies of the US but if they were we make them into parking lots.

We are too kind.
3170  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Fascism, liberal fascism, progressivism, socialism: on: February 06, 2014, 11:28:32 AM
Thank you for the reply.

I haven't seen David Horowitz around much the last few years.  He used to write columns and appear on cable broadcasts.

Have you seen him?

Should I read both?  I hesitate to spend a dime for some scumbag's book - Alinsky.
3171  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: February 05, 2014, 09:32:15 PM
We only had 3 million illegals now there are probably more than five times that.

"The America of Carter was a desperate place too, yet Reagan spoke of opportunity, growth, and how to get there."

Don't kid yourself.  The Clintons will use the same lines. 

So did and does the Brock.  And he won twice.
3172  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: We the Well-armed People (Gun rights stuff ) on: February 05, 2014, 09:25:44 PM
Does anyone know why all these government agencies are trying to buy up all the ammo?
3173  Politics, Religion, Science, Culture and Humanities / Politics & Religion / detectability of security breaches vel non on: February 05, 2014, 07:55:11 PM

Yet rep King asks who can show one shred of proof of NSA abuse.  Then I asked oh really?  How would any average person know?  How could any average person do anything about it?

Even the government doesn't even know when they are hacked.  So how the hell would we know?

And we have the FBI telling us the mafia is broken.  What a laugh.  Organized crime is bigger and more invisible then ever.

Until this country wakes up and realizes the terrorism is not just clowns with bombs (including you google facebook and the rest) then we are all screwed.
3174  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: February 05, 2014, 07:37:58 PM
"Again and again Reps (McCain, Romney, etc) flinch in front of race-baiting and class warfare."

So do the Bush's, so do the Boehner's, etc.

"I would focus our self-analysis on the courage of our convictions, vel non.  Again and again Reps (McCain, Romney, etc) flinch in front of race-baiting and class warfare.  In a very pleasant way (see Reagan, Dr. Ben Carson?) we need to forthrightly and aggressively assert what we are for."

The Clintons will pretend they are for the same convictions.  Remember "the era of big government is over?"

We have to explain why "they are wrong" why and how "they deceive us" and why "our way is better".

And We have to explain why we are not favoring the wealthy.  The wealthy don't deserve loopholes anymore then those at the bottom deserve a free ride.

Ideology alone will not trump cold hard cash when people are struggling.

3175  Politics, Religion, Science, Culture and Humanities / Politics & Religion / 3rd post of day on thread on: February 05, 2014, 10:08:21 AM
Yep.  Just when they are achieving success the African Americans are seemingly unwittingly giving their country away to the world.  Some I know from personal talks  do see this but....   


Republicans to rescue Dems, betray the nation

Thomas Sowell likens illegal aliens to embezzlers or burglars 'living in the shadows'
Thomas Sowell is a senior fellow at the Hoover Institution in Stanford, Calif. He is the author of 28 books, including "Dismantling America" and "Basic Economics: A Common Sense Guide to the Economy."   

Some supporters of President Obama may be worried about how he and the Democrats are going to fare politically, as the problems of Obamacare continue to escalate and it looks like the Republicans have a chance to win a majority in the Senate.

But Democrats may not need to worry so much. Republicans may once again come to the rescue of the Democrats, by discrediting themselves and snatching defeat from the very jaws of victory.

The latest bright idea among Republicans inside the Beltway is a new version of amnesty that is virtually certain to lose votes among the Republican base and is unlikely to gain many votes among the Hispanics the Republican leadership is courting.

One of the enduring political mysteries is how the Republicans can be so successful in winning governorships and control of state legislatures, while failing to make much headway in Washington. Maybe there are just too many clever GOP consultants inside the Beltway.

When it comes to national elections, just what principles do the Republicans stand for? It is hard to think of any, other than their hoping to win elections by converting themselves into Democrats lite. But voters who want what the Democrats offer can vote for the real thing, rather than Johnny-come-lately imitations.

Listening to discussions of immigration laws and proposals to reform them is like listening to something out of “Alice in Wonderland.”

Immigration laws are the only laws that are discussed in terms of how to help people who break them. One of the big problems that those who are pushing “comprehensive immigration reform” want solved is how to help people who came here illegally and are now “living in the shadows” as a result.

Is liberty on life support for good? There is hope … read Manny Edwards’ book “The Truth About Liberty: How the Tea Party Can Save America”

What about embezzlers or burglars who are “living in the shadows” in fear that someone will discover their crimes? Why not “reform” the laws against embezzlement or burglary, so that such people can also come out of the shadows?

Almost everyone seems to think that we need to solve the problem of the children of illegal immigrants, because these children are here “through no fault of their own.” Do people who say that have any idea how many millions of children are living in dire poverty in India, Africa or other places “through no fault of their own,” and would be better off living in the United States?

Do all children have some inherent right to live in America if they have done nothing wrong? If not, then why should the children of illegal immigrants have such a right?

More fundamentally, why do the American people not have a right to the protection that immigration laws provide people in other countries around the world – including Mexico, where illegal immigrants from other countries get no such special treatment as Mexico and its American supporters are demanding for illegal immigrants in the United States?

The very phrase “comprehensive” immigration reform is part of the bad faith that has surrounded immigration issues for decades. What “comprehensive” reform means is that border control and amnesty should be voted on together in Congress.

Why? Because that would be politically convenient for members of Congress, who like to be on both sides of issues, so as to minimize the backlash from the voting public. But what “comprehensive” immigration reform has always meant in practice is amnesty up front and a promise to control the border later – promises that have never been kept.

The new Republican proposal is to have some border-control criteria whose fulfillment will automatically serve as a “trigger” to let the legalizing of illegal immigrants proceed. But why set up some automatic triggering device to signal that the borders are secure, when the Obama administration is virtually guaranteed to game the system, so that amnesty can proceed?

What in the world is wrong with Congress taking up border security first, as a separate issue, and later taking responsibility in a congressional vote on whether the border has become secure? Congress at least should come out of the shadows.

The Republican plan for granting legalization up front, while withholding citizenship, is too clever by half. It is like saying that you can slide halfway down a slippery slope.

Republicans may yet rescue the Democrats, while demoralizing their own supporters and utterly failing the country.


3176  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / edema from Kwarhiakor or renal failure? on: February 05, 2014, 09:50:38 AM
I was astonished to read that anyone could survive 16 months at sea (the first report I read).  Now it is 13 or 14 months and I was even more astonished to see his picture a few days after he was rescued.  I don't recall ever seeing someone look so good after over a year at sea eating fish turtles and birds.

This is definitely a Ripley's believe it or not story:
3177  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / wanna guess who will be stuck paying for some of the child support benefits? on: February 05, 2014, 09:40:22 AM
Woman On The Rebound Wants Back In Ex's Court
By Abigail Van Buren 10 hours ago Dear Abby
DEAR ABBY: After a two-year relationship ended, I got pregnant on the rebound. I called my ex and told him I was having a baby with another man because I wanted to hurt him. Apparently it worked -- at least that's what his best friend told me.

Now that a few months have passed, I ran into him and all those loving feelings I had for him came rushing back. Should I tell him? The father of this baby is a good-for-nothing deadbeat. He wants to be father-of-the-year without helping me financially.

What should I do about my feelings for my ex, and what should I do about the father of my baby? -- CAN'T DECIDE IN NEW JERSEY

DEAR CAN'T DECIDE: It is time for you to grow up and accept responsibility for the situation you're in right now. Your behavior has been immature and irresponsible. The child you're carrying is going to need someone who can provide for him or her financially and emotionally.

Because you have feelings for your ex, contact him and let him know, but don't count on him wanting to reconcile. Then you should also contact a lawyer about ensuring that "Babydaddy" lives up to his financial responsibilities.

And in the future, when you decide to have sex with someone, recognize there could be consequences and use birth control. Every time!
3178  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: 2016 Presidential on: February 05, 2014, 09:32:51 AM
One major point on how Clintons always come away winning the media argument.  It is rather simple:

Their political people anticipate ahead of time the Repubs moves and have plans in place to rapidly hit the MSM willing airways to swipe away the "right's jump shot" before it even goes to a downward trajectory.

The right NEVER from what I have witnessed since following politics (at least since we were stuck with the Bushes) ever does the same.  The repubs are always flat footed, too late, and too little.  Always.  Only Reagan in my lifetime was able to control this.  Yet he made mistakes too.  Witness immigration.  The debt exploded under him too.
3179  Politics, Religion, Science, Culture and Humanities / Politics & Religion / pessimistic on: February 05, 2014, 09:09:07 AM
"Don't think Hillary will try to have it both ways.  She will position herself as a champion to all these interest groups while trying to distance herself from the Brock as someone who is a champion for America."

I meant don't think Hillary will *not* try to have it both ways.  I can see her outrunning the stupid ass Republicans even now.  The repubs will be claiming her policies will be a threat to America.   She will be way ahead of them and play she is the champion of American not this globalization thing.  But a version of  American that plays into all the lefts identity politics thing where women of people of color sexual orientation, religion can have equal opportunity etc., etc.   

She will outrun the Republicans.  The repubs always play chess with the Clintons one step behind.  They will criticize them for something and the next day the Clintons have their media machine out in public twisting it all around to negate or neutralize the opposition.  And the adoring media allows them to do this.  And the Repubs just look stupid.

We right just doesn't have the wise political strategists the left does. 

I can already see the RNC failing to really prepare for this. 

Folks it is hopeless unless some unexpected event occurs to change the dynamic.

And Christie was never the answer.   We don't have one so far. 
3180  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Immigration issues on: February 05, 2014, 09:00:03 AM
"Don't think Hillary will try to have it both ways.  She will position herself as a champion to all these interest groups while trying to distance herself from the Brock as someone who is a champion for America."

Allow me to clarify this on the 16 thread.
3181  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Re: Pathological Science on: February 05, 2014, 08:56:48 AM
Thank you BBG.

This clarifies my latest confusion about the right's claims temperatures in the US fall but the left's claims global temps are nearly highest recorded.
Like I have questioned before I don't know what to think or believe because we are rarely getting unbiased balanced views.  This article indeed does address this:

*******Global Temperatures

And we’d be remiss not to review the global temperature for 2013.

The liberal-leaning press reports the 2013 global temperature as the seventh (or fourth) highest on record, while the conservative-leaning press reports it as another year in which the global temperature has refused to rise (Figure 4).

Figure 4. TOP: Annual global surface temperature history, 1880-2013, as compiled by NOAA (blue) and NASA (red) (figure source, NOAA/NASA Joint Briefing). BOTTOM: Monthly global surface temperature anomalies, 1997-2013 (source: U.K. Hadley Center).

But all can agree that the temperatures in 2013 further extended the “pause” in the global surface temperature record-which now stands at some 17 years. A lot of people are at work trying to explain what’s behind the “pause,” but no matter the cause the longer that it continues, the further from reality climate model projections become (Figure 5).

Figure 5. Observed (blue) and projected (red) temperatures, 1980-2013. The projected temperatures are the annual mean of 106 climate runs (data source, Climate Explorer).

The most viable explanation that ties everything together is that the climate sensitivity-that is, how much the earth will warm in response to a doubling of the effective carbon dioxide concentration-is much larger in the climate models than it is in reality.

If this is indeed the case, and there is plenty of evidence to suggest that it is, than the urgency to “do something” about climate change is reduced and so too the level of support for federal regulations aimed at limiting carbon dioxide and thus limiting our energy choices.*******
3182  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Immigration issues on: February 05, 2014, 08:52:52 AM
"'Only 17.9 percent of Hispanics responded "the less government the better," and 85.3 percent said "a strong government involvement is required to handle economic problems."' This is not the profile of a future Republican voter."

This is the dilemma in a nutshell.  The immigration thing is important but compared to above stated fact it is only a sideshow.

The Latinos who are here legally as well as the ones who are coming here illegally are overwhelming supporters of big social welfare programs.  Why?

Simple.  They receive these benefits by huge margins.

"Republicans have convinced themselves that Hispanics are a 'natural' constituency for their party because they are hard workers, religious and family-oriented"

I have been posting more or less this for years.  Only an idiot can think ideology will trump cold hard cash.

It is not just the Latinos either.  It is also Asians and Africans and Carribbeans.   Even many western Europeans.  Anyone do a poll of the 50,000 illegal Irish in the NY met area?

The Eastern Europeans may be the only group who might swing more towards Republicans. 

One would think Chinese would also be Republicans but they are by majority not.

We will have to have a giant crash for these people to change their minds.  No other way I see.

Jews are some sort of exception.  They are and always have been different.  They vote Dem not so much for benefits (IMO) but because of some warped ideology.
Their beloved Democratic party.  As we can see these liberal Jews will even sell out Israel for their beloved party.

They also participate tooth and nail to give the country away to the world.  The country that they as a group have done so well in.  Despite discrimination.  I read once only those of the Lutheran religion have done better.

What else is there to say?

It is nearly check mate.

Don't think Hillary will try to have it both ways.  She will position herself as a champion to all these interest groups while trying to distance herself from the Brock as someone who is a champion for America.

I don't see anything other than a crash that might, might wake people up to the dangers of the expanding state.

I do give Cal credit for saying the obvious.   

3183  Politics, Religion, Science, Culture and Humanities / Politics & Religion / second post of day on: February 02, 2014, 12:43:22 PM
I would be curious to also find out if the hospitals that encouraged admission to be able to bill also encourages rapid as possible discharge to avoid accumulating costs vs. the fixed reimbursements.  The latter happens all the time not always unethical or wrong but the other end of the same coin I guess:

******Suits: How a Hospital Chain Schemed to Boost Profits

'NYT' looks at lawsuits against Health Management Associates

By Arden Dier,  Newser Staff

Posted Jan 24, 2014 9:41 AM CST

 (Newser)  – The New York Times today takes a look at whistle-blower lawsuits claiming for-profit hospital chain Health Management Associates employed a strategy to up admission—whether or not patients needed care—in order to boost Medicare and Medicaid payments. The paper shares one tactic, in which ER scorecards were posted daily, showing doctors who met an admission target in green. Doctors who were close to the figure were in yellow, and failing doctors in red. That target? Admitting at least half of patients over 65 who visited the emergency room. In another case, a baby was admitted with a "fever" despite a normal temperature of 98.7 degrees.

When the CEO of an HMA-owned North Carolina hospital reported that his doctors wouldn't go along with the revenue-boosting policies, former HMA chief exec Gary Newsome—who made $22 million in three years—allegedly replied, "Do it anyway." Threats and financial incentives were also allegedly used, while execs who questioned the policies were often fired and reports on admission rates were burned, the Times adds. So far eight whistle-blower lawsuits have been filed against HMA in six states; last month, the Justice Department joined in, but one expert says typical penalties number in the 8-figure-range—pennies compared to the profits. She predicts it would take a settlement of at least $500 million to make an impact. To wit, the Times reports that when HMA revealed the DOJ was stepping into the lawsuits, its stock hardly moved.*****
3184  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Does this help? From Dick Morris on: February 02, 2014, 12:12:34 PM
Hillary's Benghazi Cover-Up

By Dick Morris - January 29, 2014

By saying that her main regret during her years as secretary of state is the terror attack on the Benghazi consulate and the deaths of four Americans, Hillary Clinton continues her cover-up.

Even as she expresses her regrets, she pretends that the reason she did not act to beef up security at the compound and that she lied afterwards, blaming the attack on the Internet video, was "imperfect" intelligence information.

In fact, as the records released by the bi-partisan Senate Intelligence Committee make clear, she had all the relevant facts before her and just ignored them

This is highlighted in the text of a recent interview.

"Oh, sure. My biggest, you know, regret is what happened in Benghazi," said Clinton. "I mean, you know, you make these choices based on imperfect information. And you make them to -- as we say, the best of your ability. But that doesn't mean that there's not going to be unforeseen consequences, unpredictable twists and turns."

However, "unforeseen consequences and unpredictable twists and turns" had nothing to do with her failure to secure the compound or to send adequate security to protect it. Rather, she got every sort of warning from her own ambassador, the State Department, the CIA, and the Defense Department. She just failed to act on them.

When you read the various pieces and bits of information she received in the weeks and months prior to the attack, it is hard to see how they could have been any more blunt or explicit in warning of the likelihood of future terror attacks in Benghazi:

According to the Senate Intelligence Committee:

On June 12, 2012, the Defense Intelligence Agency authored a report entitled: "Libya: Terrorists Now Targeting U.S. and Western Interests."

The report cited "growing ties between al-Qaeda regional nodes and Libya-based terrorists."

The DIA report said: "We expect more anti-U.S. terrorist attacks in eastern Libya [redacted], due to the terrorists greater presence there."

Six days later, according to the committee report, the Pentagon's Joint Staff daily intelligence report included a slide entitled: "Terrorism: Conditions Ripe for More Attacks, Terrorist Safe Haven in Libya."

It said: "[Redacted] support will increase Libyan terrorist capability in the permissive post-revolution security environment. Attacks will also increase in number and lethality as terrorists connect with AQ associates in Libya. Areas of eastern Libya will likely become a safe haven by the end of 2012."

A CIA report issued on July 6, 2012 -- "Libya: Al-Qaeda Establishing Sanctuary" -- was more declarative.

"Al-Qaeda-affiliated groups and associates are exploiting the permissive security environment in Libya to enhance their capabilities and expand their operational reach," said this CIA report.

Two months before Sept. 11, 2012 the CIA was already reporting that al-Qaida-affiliated terrorists had made parts of eastern Libya "their safe haven."

Soon after that, a CIA officer told State Department officials that al-Qaida-affiliated terrorists had training camps "within Benghazi."

On Aug. 15, 2012, the State Department's principal officer in Benghazi called together an "Emergency Action Committee" to discuss "the deteriorating security situation in Benghazi."

The next day, Ambassador Chris Stevens sent a cable to State Department headquarters in Washington, D.C., summarizing the points made at this meeting.

Stevens' cable said a CIA officer had "briefed the EAC on the location of approximately ten Islamist militias and AQ training camps within Benghazi."

For Hillary now to say that she did the best she could on the basis of "imperfect information" and to blame the tragic outcome on "unforeseen consequences and unpredictable twists and turns" is such an act of distortion of the record that it takes one's breath away.

The plan fact is that this possible future president failed miserably in her first major administrative assignment: Running the embassies and consulates under her jurisdiction as secretary.

Morris, a former political adviser to Sen. Trent Lott (R-Miss.) and President Bill Clinton, is the author of "Outrage." To get all of Dick Morris’s and Eileen McGann’s columns for free by email, go to

3185  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Samadi on: February 02, 2014, 11:58:52 AM
***What Dr. Samadi fails to say is that only 1 in 36 men actually die of it****  Please see yahoo post response to this article included below.  Autopsy studies suggest that 75% of men have microscopic prostate cancer in their gland when they died.  Proportionately few will even know much less even die of it.  Not to say prostate cancer can be ignored - 25 000 die of it every year in the US.  So it is very serious.  I don't like this guy promoting a procedure he and probably the institution he works with both making a mint from this touting it as the greatest thing since sliced bread.  We see this a lot in the medical field.  Conflict of interests are Everywhere.  And they are not readily reported as pretended by publications like the New England Journal of Medicine.  That is not to say there are not very ethical men and women who ARE doing the best they can for humanity and if they can make money from it that is fine.  But I am very skeptical this guy is one of them.

******For Prostate Cancer, Radiation Complications May Outweigh Risks
By Dr. David Samadi, Lenox Hill Hospital in New York City January 31, 2014 7:36 PM
Dr. David Samadi is the chairman of urology and chief of robotic surgery at Lenox Hill Hospital in New York City and is a board-certified urologist and oncologist specializing in the diagnosis and treatment of urologic diseases, kidney cancer, bladder cancer and prostate cancer. Samadi also specializes in many advanced, minimally invasive treatments for prostate cancer; is one of the few urologic surgeons in the United States trained in oncology, open-, laparoscopic- and robotic-surgery; and was the first surgeon in the nation to successfully perform a robotic surgery redo. He contributed this article to LiveScience's Expert Voices: Op-Ed & Insights.

Radiation for prostate cancer has shown once again that it leads to more complications than surgery. For men with prostate cancer, deciding whether to opt for radiation or surgical removal of the gland can be overwhelming. How does one decide with the risks, such as the unpleasant side-effects of erectile dysfunction and incontinence?

Prostate cancer is the second most common malignancy, second only to skin cancer. Unfortunately, doctors diagnose more than 240,000 men in the United States with the disease every year, which translates into 1 in every 6 men being affected by prostate cancer. A new study published last Thursday in the Lancet Oncology Journal found that "men treated with radiotherapy had fewer minimally invasive urological procedures compared to those who chose surgery." However, over time, "the radiation group had a higher proportion of hospital admissions, rectal or anal procedures, related surgeries and secondary cancers."

Men need to take the time to do their research on how "radiation" really works and what side effects they will have to live with. There are two kinds of radiation, external beam and brachytherapy, which involves radioactive material inside the prostate. We as men have all the control in the world to decide what form of treatment is best for us. Do you just want a quick fix that will sometimes show you upfront results from radiation, but will cause you to suffer from side effects in the long run or would you rather choose robotic prostatectomy with minimal bleeding, 95 percent to 97 percent continence rate, and an overall better quality of life? Put aside the temporary leakage and erectile dysfunction that you may receive from robotic prostatectomy, because a year from your surgery those minimal side effects will dissipate.

The questions I suggest my patients ask themselves are:
Do you want to be admitted to the hospital more frequently?
Do you want to likely bleed from your bladder or rectum?
Do you want to risk a second cancer?

This can be the reality for patients who undergo radiation treatments and how it can decrease your confidence and overall quality of life. In the recent study, radiotherapy complication rates were 2- to 10-times higher than complication rates in men who were treated with robotic prostatectomy. Choosing surgery after radiation makes the surgery more complicated. Radiation destroys the surrounding healthy tissue causing the prostate to be embedded in scar tissue. This makes the surgery more complex than operating on tissue that has not been affected by radiation.

Once the prostate is removed, surgeons like myself monitor the prostate-specific antigen (PSA) levels to ensure that the cancer doesn't come back. If radiotherapy is performed prior to the surgery, the PSA will fluctuate due to radiotherapy and pieces of the prostate that are left behind, confusing that monitoring process.

Following a prostate cancer diagnosis, men are flooded with tons of informationand must try to make sense of the different treatment options — it can make even the most educated patient uncertain. [Prostate Cancer Screening Test May Prevent 17,000 Advanced Cases Yearly]

Do your homework and really look at the outcomes one month to one year to a lifetime from now and ask yourself: "Will I be happy with these results?" As the numbers point to robotic prostatectomy, the decision lies in your hands.*****

A very good reply from someone in the same specialty who has no financial conflict of interests very unlike this Fox news guy who for quite sometime now has lost my respect as not much more than a self serving charlatan:

****This is a very self-serving & misleading piece of pro-surgery propaganda. Full disclosure: I'm a retired urologist who practiced 20 years privately and was also a clinical prof. at the local medical school. The first item is that the DaVinci robot is currently under multiple suits over its design and propensity to cause serious injuries at surgery leading to major complications, reoperations, permanent urinary incontinence, permanent impotence (erectile dysfunction), and death. It is true that radiation therapy (XRT) has a higher incidence of 'radiation proctitis' (inflammation & bleeding of & from the rectal blood vessels)... since surgical prostatectomy, done correctly, doesn't affect the rectum, that's not surprising since radiation is less precise; although brachytherapy ('seeds') has a far lower incidence. It is also important to understand that all urologists have a vested interest in treating prostate cancer aggressively since the advent of effective medical treatment for benign enlargement of the prostate ('BPH') has rendered the prior 'bread & butter' operation for it (TURP) infrequent. What Dr. Samadi does by waving the scare statistic of 1 in 6 men getting prostate cancer (ACP) is to try and create a stampede of fearful men seeking any means of not dying of prostate cancer. What Dr. Samadi fails to say is that only 1 in 36 men actually die of it (Google: What are the key statistics about prostate cancer?) and that dying of ACP is more a function of the aggressiveness of the cancer than of its treatment - that is; men with aggressive prostate cancers die of it more often than men with less aggressive tumors regardless of how early it's detected or how it's treated. Lastly, the vast majority of men's prostate cancers are detected within the last decade or two of their lives and, if followed until evidence of local growth is note, and XRT given then (followed by hormonal therapy for those rare progressions after XRT) most can live very comfortably and without complications of treatment until their other disease processes take them away... and in my book, even if there's evidence of active prostate cancer, that's effectively a 'cure'.

Expand Replies (1)  Reply 
3186  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Alinsky's Rules for Radicals on: February 02, 2014, 11:18:22 AM
From a poster on a yahoo board.  Has anyone here read rules for radicals?  Is this actually what is in it?

Saul David Alinsky (January 30, 1909 – June 12, 1972) was an American community organizer and writer. He is generally considered to be the founder of modern community organizing. He is often noted for his book Rules for Radicals.
 There are 8 levels of control that must be obtained before you are able to create a social state.
 The first is the most important.
 1) Healthcare – Control healthcare and you control the people
 2) Poverty – Increase the Poverty
 level as high as possible, poor people are easier to control and will not fight
 back if you are providing everything for them to live.
 3) Debt – Increase the debt to an
 unsustainable level. That way you are able to increase taxes, and this will
 produce more poverty.
 4) Gun Control – Remove the ability
 to defend themselves from the Government. That way you are able to create a
 police state.
 5) Welfare – Take control of every
 aspect of their lives (Food, Housing, and
 6) Education – Take control of what
 people read and listen to – take control of what children learn in
 7) Religion – Remove the belief in
 the God from the Government and
 Cool Class Warfare – Divide the people
 into the wealthy and the poor. This will cause more discontent and it will be
 easier to take (Tax) the wealthy with the support of the
 Does any of this sound familiar???
3187  Politics, Religion, Science, Culture and Humanities / Politics & Religion / The eye scorching glare of hypocracy on: February 02, 2014, 11:11:28 AM
Though they try Fox cable and talk radio simply cannot balance the liberal media bias.

I think it clear Christie knew of the bridge closings.  I do believe there is a chance he may have been told the reason was for a "traffic study" and did not know the real reason for the closing, but on the face of it, is certainly stretches reasonable credibility. 

As one who "leans Republican", though I no longer call myself one, I certainly do find it disheartening how the national candidate Democrats always seem to slip out of any SIMILAR scrutiny when they are caught red handed.  Even OBVIOUS lying before an election does not bring the same media outrage.  A simple stupid email is all it takes it appears to bring someone down but months of making up fabricated stories and lies and obvious cover-ups means nothing.   cry
The left controls 90% of the media. 

And most people either don't keep up with the news, don't care or just want the paychecks I guess.  It really is astonishing when we see the occasional reporter going onto the street and asking random people what they think about certain current events or history etc and not only do they not have a clue they make up answers.  To think people like this vote.....

It really is who controls the hearts and minds (and pocketbooks) of many of the people that makes all the difference.   No Republican is on the national scene as yet who can do this.  Walker sounded good.   The Ex Senator from Mass. who lost to Warren was good a few night ago.  I agree with Crafty Huckabee is worth another look.  Walker from Wisconsin was good recently.  Maybe Jindal?  My nephew works very closely with him.

*****Christie going on offensive about accusation
Associated Press
TRENTON, N.J. (AP) — New Jersey Gov. Chris Christie is going on the offensive after a former loyalist said he has evidence the Republican governor knew more than he has admitted about an apparently politically motivated traffic jam ordered by one of his staffers last year.

GOP ponders scandal's toll on Christie's future Associated Press
NJ Democrats combine traffic jam probes Associated Press
Lawyer: Evidence contradicts Christie on closures Associated Press
Lawyer: NJ probe of Christie office can proceed Associated Press
10 things you need to know today: February 1, 2014 The Week (RSS)

The governor's political team sent an email Saturday to donors, along with columnists and pundits who might be in a position to defend Christie, bashing the man Christie put in a top post at the Port Authority of New York and New Jersey and the accusations the man's lawyer made in a letter Friday.

The email says the former Port Authority official, David Wildstein, "will do and say anything to save David Wildstein."

The action from Christie's supporters comes as Republicans are debating the implications of the scandal that this year has surrounded the administration of the possible 2016 presidential contender. It was sent at a moment when Christie is in the spotlight with his state hosting Sunday's Super Bowl.

Christie's team criticizes the initial report Friday about lawyer Alan Zegas' letter as "sloppy reporting," noting that Wildstein did not present any proof to back up the claims that his lawyer made. The note also denies that Christie knew about the traffic jam or its political motive until after it was over and bashes Wildstein on a variety of fronts, characterizing him as a litigious teenager, a controversial mayor and for his past career as an anonymous political blogger.

The email, headlined "5 Things You Should Know about the Bombshell That's Not a Bombshell" was obtained by The Associated Press and confirmed by Christie's office. It was first reported by Politico.

A lawyer for Wildstein, who was the first of four people with Christie connections to lose a job because of the scandal, did not immediately respond to emails from The Associated Press on Saturday.

The implications of the scandal for Christie have become a source of debate not just for Democrats but also for Republicans.

Some said the accusations could derail hopes of Christie running for president if he can't shake the scandal soon, while others were quick to express faith in the governor while discrediting his accuser and questioning his motives.

"It's not good for him," said Matt Beynon, a Republican operative who worked on former Sen. Rick Santorum's 2012 presidential campaign and still has him as a client. "The longer the story goes on, the worse it gets for him. If this is still an issue a year from now, he's going to have trouble pulling the trigger. ... Gov. Christie will have to think long and hard about running."

But Ken Langone, a co-founder of Atlanta-based Home Depot Inc. and a staunch Christie supporter, expressed no such reservations.

"I have complete faith and trust that the governor is telling the truth, and I continue to believe that he would be a superb president if he were elected in the future," Langone said.

Matt Mackowiak, a Texas-based Republican consultant, agreed that Christie's chances on a national stage won't be harmed so long as he has been honest about what he knew.

"As long as he was telling the truth, he is fine," Mackowiak said. "But if he knew about this, it brings him in directly and adds — potentially — dishonesty to the charges."

Christie, who has kept mostly to the sidelines during the run-up to this year's Super Bowl, which his state is hosting, received a smattering of boos and some cheers during a pre-game ceremony in New York on Saturday. He didn't appear affected by the crowd's reaction during the Times Square ceremony.

As the new head of the Republican Governors Association, Christie's priority this year is raising money for the party's gubernatorial candidates around the country. Republicans maintain that donors are staying loyal to Christie so far.

"My donors are saying they believe what Gov. Christie is saying. They're giving him a lot of rope," said Ray Washburne, who leads the Republican National Committee's fundraising effort.

"He's not raising money for himself," Beynon added. "If you're a donor in Cleveland, you're thinking about (Ohio Gov.) John Kasich and not Chris Christie."

Also Saturday, the lawyer for a state legislative panel investigating the traffic jams said he was confident the probe can continue without impeding a federal criminal investigation.

Reid Schar, special counsel to the panel, said he had discussed the parallel probes with officials from the U.S. Attorney's office Friday and said the committee "would be mindful" not to interfere with the ongoing criminal investigation.

The lawmaker who chairs that panel said Wildstein's new allegations validate the skepticism committee members have expressed throughout the probe, an investigation Christie once referred to as the Democrats' obsession and some state Republicans have called "a witch hunt."
3188  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Politics of Health Care on: February 02, 2014, 10:47:11 AM
*****For example, at present I have:

a) greater competition through a unified national market, instead of 50 separate markets
b) greater transparency as to what policies do and do not cover; analogous to the list of contents on a package of food; 
c) greater freedom of choice as to what coverage you buy;
d) transparency as to prices so as to enable competition via price.*****

You have just described the reason for the single payer system. cry

3189  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Politics of Health Care on: February 01, 2014, 09:56:26 PM
This is interesting as I had patients coming in reporting they did not want drugs I prescribed because they were too expensive.  I was shocked since these were drugs that should have been quite inexpensive. 

Now I connect the dots.

Thanks again Brock and your liberal revolutionaries:

What a great well meaning guy he is..... tongue
3190  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: US Economics, the stock market , and other investment/savings strategies on: February 01, 2014, 08:47:45 AM
****Isolating the part I disagree with   grin 

"Wesbury knows he can make far more money giving advice than following it."

Exactly.  And all of us I suspect, and certainly me, would be wealthier if we had followed it.****

What in here do you not agree with?
3191  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Tea Party, Glen Beck and related matters on: February 01, 2014, 08:44:19 AM
The person who asked me thought something was pressuring Beck.  Like the IRS, he was caught with a hooker, smoking something, I dunno.

I guess he was suspicious that the left was had something on him.  It really is remarkable how we keep seeing those who go after Obama being targeted.

The pattern is obvious.   
3192  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Way Forward for the American Creed on: February 01, 2014, 08:40:18 AM
"We're sending a message to the Democrats, going after seven of their vulnerable seats with an eye towards picking up Senator Mark Warner's seat in Virginia as well"

And what is Warner's response?   He just came out in support of the Democratic candidate.  These establishment guys just think too much of themselves not Americans.
3193  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: The Politics of Health Care on: February 01, 2014, 08:35:50 AM
One politburo member's answer. 

****Why Does Health Care Cost so Much in America? Ask Harvard’s David Cutler

BY Paul Solman  November 19, 2013 at 5:23 PM EST

By David Cutler

The American health care system is structured differently from systems in other countries, making it more expensive. Photo courtesy of Joe Raedle/Getty Images.

Paul Solman: Harvard’s David Cutler is among the country’s foremost health economists, famous for — among other research — a controversial paper arguing that even our exorbitant health care industry, in terms of increased productivity and life span outcomes, delivers more than what we pay for it.

Cutler, who was profiled by Roger Lowenstein in the New York Times Magazine in 2005, subsequently worked for President Barack Obama on health care issues, and talked to us recently for a story about cost savings. But far more of what he had to say seemed worthwhile than what we have time to air. Here is some of it.

Paul Solman: Why does health care cost so much in America?

David Cutler: Let me give you three reasons why. The first one is because the administrative costs of running our health care system are astronomical. About one quarter of health care cost is associated with administration, which is far higher than in any other country.

Paul Solman: What’s the next highest?


Harvard’s David Cutler on How to Cut Health Care Costs

David Cutler: About 10, 15 percent. Just to give you one example, Duke University Hospital has 900 hospital beds and 1,300 billing clerks. The typical Canadian hospital has a handful of billing clerks. Single-payer systems have fewer administrative needs. That’s not to say they’re better, but that’s just on one dimension that they clearly cost less. What a lot of those people are doing in America is they are figuring out how to bill different insurers for different systems, figuring out how to collect money from people, all of that sort of stuff.

The second reason health care costs so much in America is that the U.S. spends more than other countries do on many of the same things. Drugs are the most commonly noted item, where a branded drug will cost much more in the U.S. than in other countries. But, for example, doctors also earn more for doing the same thing in the U.S. than they do in other countries, and a lot of suppliers charge more for things like durable medical equipment in the U.S. than in other countries.

Paul Solman: And that’s not only doctors being paid more in this country, but the United States making the decision as a government not to buy drugs in bulk and therefore to bid down the price that pharmaceutical companies can charge.

David Cutler: The lowest prices for pharmaceuticals, and a variety of other medical devices and payments to physicians, are in government plans. So Medicaid gets the best prices on pharmaceuticals. In terms of physician payments, Medicaid payments are the lowest. Medicare payments are above that and private payments are above that. The more leverage the buyer has, the lower the price they get. That’s true in every industry. In health care, the United States doesn’t utilize that leverage as much as other countries do.

Paul Solman: Okay, so that’s two and what’s the third reason?

David Cutler: The third one is Americans receive more medical care than people do in other countries, not so much in terms of doctor visits, but if a person has a heart attack in the United States, they’re much more likely to get open heart surgery than they are in most other countries.

Go back to Canada. In all of Ontario there are 11 hospitals that can do open heart surgery. Pennsylvania has roughly the population of Ontario and it has a bit over 60 hospitals that can do open heart surgery. So there’s no way you can operate on as many people in Ontario as you can in Pennsylvania even if you operated around the clock.

Paul Solman: But that means that the people in Canada or in Ontario have to wait longer right?

David Cutler: Sometimes they wait longer. What’s much more common is that there’s a lot of gray area where it’s not clear if you need the open heart surgery or not, and in the U.S., people will get it and in Canada, they don’t. The interesting thing about it is that life expectancy or one-year mortality after a heart attack is the same in the two countries.

Is The Rise of Costs Inevitable?

Paul Solman: Are medical costs going to inevitably go up because there will always be new technologies and new technologies are always expensive?

David Cutler: Technology is the underlying driver and there will always be some of that, which is why health care will not be like other industries in terms of always, always going down in price.

On the other hand, there’s so much waste in the system — our best guess is that about a third of medical spending is not associated with improved outcomes — that for the next 15 to 20 years people believe that costs could be stable or falling as a share of the economy without cutting into necessary services — just by eliminating the things that are not necessary…

What we’ve done in Massachusetts is we’ve said, don’t just give people very high cost-sharing in general; do what’s called tiering it — that is, tell people that if you look for basic levels of care, you’re not going to face very high costs, but if you want to go to the teaching hospital for the routine procedure, you’re going to have to pay a lot for that. And we mandate that insurance companies have to tell people the price of any service. So if your doctor says you need an MRI, you can go on the computer and your insurance company’s website and figure out exactly your cost sharing at each place where they would do the MRI.

Paul Solman: So that will provide comparison shopping.

David Cutler: That’s on the demand side. Give people more skin in the game and give them the information so they can do real shopping.

Paul Solman: More skin in the game, meaning higher co-pays?

David Cutler: Higher co-pays. We know that people respond to co-payments and they like cheaper care. So the hope is to steer people to less expensive sites. We’ve also pushed very strongly that insurance payments to doctors and hospitals and other care providers not be based on volume (so-called “fee for service”), but instead be value-based payments.

So say, here’s a person with coronary artery disease. Pay a fixed amount for that person and let the medical professionals figure out how to treat that person, not with the incentive to do more and earn more, but with the incentive to figure out how to do what’s right and keep them from using very expensive services.

Paul Solman: But doesn’t that provide an incentive or a prod to the provider to stint on the services, stint on the MRI, say, that I might otherwise get?

David Cutler: What that’s being coupled with is a very aggressive approach to measuring quality. … Really what we’re doing is two things: one is on the demand side trying to make people smarter consumers, and the second is on the provider side, eliminating the monetary incentives to do more testing and procedures. Instead, let’s move to a system that says, “do what’s appropriate, make the patients better and you’ll get rewarded for it.”

What If I Want a Certain Procedure?

Paul Solman: Well it sounds ideal, but I just keep thinking that I’d want to go to the dermatologist every six months, say, just to check out every possible discoloration. I’m a little crazy that way, but also, I feel, maximally prudent.

David Cutler: A lot of provider organizations are putting the doctors on a salary basis. Let’s gather our doctors together to figure out what the evidence says is right. If the literature is clear, let’s make sure we do that 100 percent of the time. If the literature is not clear, let’s go through our records and see how we can do better. If the patient then wants more, then say, “Okay, fine, you can have that, but you’re going to pay a little more because that’s not what the literature says is necessary in your case.”

Paul Solman: Well, of course, presumably my insurance company is already trying to do that.

David Cutler: Typically they’re very bad at it though, and when they tell the doctors they’ve imposed this, it goes poorly.

Paul Solman: So right now, I go to a dermatologist on a regular basis — I’ve always had some skin difficulties, but I’ve never had a melanoma — and that’s covered by my insurance. You’re saying, hey, if I’m a little paranoid with regard to discolorations, fine, let me go, but then I ought to pay to do that?

David Cutler: Increasingly, I believe insurers will make you pay more for care that you want to do that’s not medically necessary.

Paul Solman: Well medically necessary by what standards?

David Cutler: Care that’s ordered; that’s not following some accepted standard. You see this in certain parts of the country where the insurers say, “We’ll pay only a fixed amount for a knee replacement. We’ve determined that high quality knee replacement can be had for $8,000 nearby you. So we’ll give you $8,000. Now if you want to go to someone else who charges $20,000, fine, but you’re gonna pay the extra $12,000.”

Paul Solman: And my insurer did that recently with regard to a bronchial inhaler and said, “No, you can’t get that one; you can only get this cheaper one.”

David Cutler: Exactly, it’s what they’ve been doing with drugs for quite a long time. The generic version is very cheap; the branded drug is much more expensive.

In a lot of parts of the country, they’re just saying, “Look, if you want this service at all, you’re going to pay a lot of money.” The trend in health care nationally is to put more and more on the patient.****
3194  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Tea Party, Glen Beck and related matters on: January 31, 2014, 08:16:23 PM
Crafty what is your take on the Beck mea culpa on Megan Kelly recently?  Someone asked me this and I said I have no idea.
3195  Politics, Religion, Science, Culture and Humanities / Politics & Religion / expanding on GMs post on: January 31, 2014, 08:47:54 AM

Yes the economy is improving for the few, and not the wealthy.  Like Forbes said, my father taught me one can make far more money recommending stocks than investing in them.  Wesbury knows he can make far more money giving advice than following it.

In health care the big businesses are getting wealthy.  There is huge consolidation, huge squeezing of smaller guys and increased demands on all the workers.  I believe it is the same every other segments of the economy.  I don't recall in my lifetime seeing the gap from the very rich to the vast majority of Americans expanding any faster as it has under this President.

Yet the Republicans seem totally unable to articulate any consistent messages to reach those same "vast majority of Americans".   The ineptitude of the Republican leadership (in what is not any longer my party) is breathtaking.

I have no motivation to vote.  Why bother?  Should I vote for the big government Republican or the outright liberal?  Little difference.  They are all giving the citizens country away.

Victor David Hanson was on Marc Levin last PM.  He more or less agreed the immigration cave in is quite likely the end of the ball game for America as we knew it.  He doesn't understand why Republicans cannot reach out to the  majority of citizens and connect. 

All I can say is many talk show hosts blow away any political articulators in the repub leadership.

As of now I will stay home and not vote period.  I didn't bother to vote for Christie either.  I don't like him and he has done nothing for me or the bill payers in NJ - nothing.

3196  Politics, Religion, Science, Culture and Humanities / Politics & Religion / The top headline news "search" on Yahoo news. on: January 31, 2014, 08:34:56 AM
Does anyone actually believe this is the top news search on Yahoo at this time.  There has to be some computer generated volley of contrived searches to get this promoted to the top so people will read this.  A form of advertising.  Does anyone believe anyone would otherwise care about this persons appearance on some up coming program?  I wonder how many other things we read on news is similarly so.  I wonder if Yahoo is paid for this or just the financiers behind this person have paid people to generate hits to promote this to the top:;_ylt=A0LEVw1gs.tSP0IAU5lXNyoA;_ylu=X3oDMTB0NTc0NGpzBHNlYwNzYwRjb2xvA2JmMQR2dGlkA1ZJUDMyMl8x?p=Dianne%20Wiest&fr2=cosmos
3197  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / A short synopsis of Gandhi's main ideology on: January 31, 2014, 08:18:13 AM
3198  Politics, Religion, Science, Culture and Humanities / Science, Culture, & Humanities / Quote on Gandhi by Einstein on: January 31, 2014, 08:14:26 AM
“On the occasion of Mahatma Gandhi's 70th birthday. "Generations to come, it may well be, will scarce believe that such a man as this one ever in flesh and blood walked upon this Earth.”

― Albert Einstein

Gandhi was murdered by Hindu extremists.

Gandhi - one of the greatest human beings to have walked the Earth.

(I will add we do not see anything like it today in American leaders.)
3199  Politics, Religion, Science, Culture and Humanities / Politics & Religion / $1.49 on January 6, 2003 on: January 31, 2014, 08:03:33 AM
Now near $1200.   I wonder if even one person bought then and still owns now?   Lets see $1000 then now ~ $775,000 now.   The dreams stock markets are made of:;range=my;compare=;indicator=volume;charttype=area;crosshair=on;ohlcvalues=0;logscale=off;source=;
3200  Politics, Religion, Science, Culture and Humanities / Politics & Religion / Re: Tea Party, Glen Beck and related matters on: January 30, 2014, 11:45:19 AM
"“It’s been frustrating because of the extremism of Tea Party Republicans,” Mr. Waxman said in an interview on Wednesday."

Yes.  A scumbag to the very end.   His beloved Democrat party.  Good riddance.  But as Levin says, there is no end to those right behind him ready to fill in and reclose ranks as the Socialist movement "marches forward".
Pages: 1 ... 62 63 [64] 65 66 ... 137
Powered by MySQL Powered by PHP Powered by SMF 1.1.21 | SMF © 2015, Simple Machines Valid XHTML 1.0! Valid CSS!