revolver maps
Thursday, July 16, 2009
Wednesday, July 15, 2009
DAN SAVAGE IS SOOOOO ON IT!!
AHHHH BARB--ITS BRUNO--ITS SUPPOSED TO BE FILLED WITH BIG PENISES
If poor Barbara or anybody for that matter is offended--its your fault for allowing your prurient curiosity to overpower your more saintly attributes.
give me a break--watching this movie will not make anyone homophobic any more than me watching Brad(who i think is way sexy) and Angie doing the dirty make me wanna bong Angie or any other raving female beauty. If your a hater, it just gives you another EXCUSE as to why you wanna bash my head in.
LEST WE FORGET
MAYBE ITS JUST THAT IN THE END--ITS JUST ABOUT POWER AND MAINTAINING IT AND DOING WHATEVER IT TAKES TO KEEP IT. WHATS THE SAYING--"POWER CORRUPTS....?"
Next time your walking down the street and someone looks at you funny or a police stops you and issues you a citation, be happy that for the most part, you are not automatically dragged out of your car, beat to a hairs breath of death, hauled off to some unknown prison where you are tortured and made to confess and then shot, raped, stabbed, or just plain tortured to death and then have them blame your parents for all the trouble you caused and if it would not have been for you jaywalking or going 52 in a 55mph zone--you wouldn't be dead--always the trouble maker.
Sunday, July 12, 2009
THE BIG KAHUNA--
Saturday, July 11, 2009
STOP ALL THE B.S. AND GIVE AMERICANS HEALTH CARE
Let's start with the Health Affairs article Toward Higher-Performance Health Systems: Adults' Health Care Experiences In Seven Countries, 2007[1], a survey on healthcare experiences in the US, versus the universal healthcare systems in the UK, the Netherlands, Germany, Australia, New Zealand and Canada. These systems are highly varied, and I hope to write about their benefits and drawbacks in the next few days. But briefly,
- the US is a non-universal patchwork of public and private spending, drugs and procedures may be subsidized by insurance
- the UK is completely single-payer with private care as an option, all drugs and procedures are paid for
- Canada is single-payer with provinces deciding how health care is spent and strict limits on private care, prescription drugs are heavily subsidized,
- Australia has a public baseline access to physicians with subsidization of private insurance and option of private care, prescription drugs are heavily subsidized,
- New Zealand has universal public health care, primary care and prescription drugs are subsidized with some cost sharing, and private care is an option
- the Netherlands has a system of obligatory private health insurance (like a nationwide Massachusetts system), premiums have a flat rate for all citizens, with subsidies for poorer people who can't afford insurance premiums. Individuals pay for about half, and employers pay for about half, with government making up the difference.
- Germany has a system of mandatory insurance with purchase of access to one of several hundred "sickness funds" paid for by employers, there is a private option for those who afford it, and those who cannot or are unemployed are subsidized by government.
Each of these systems is very complex, most are a mixture of public and private hospitals, and public and private insurance. Universal health insurance, it should be clear does not mean we have to have a single-payer system like Canada, or like Britain as the anti-reform ads would suggest.
In their first figure, this table is a comparison of the per-capita costs of the different healthcare systems.
Note the United States spends more per capita than any other system and not by a small amount. We spend almost twice as much as the next nearest spender, Canada, and this without covering all of our citizens. We also spend more of our GDP than any other country, almost twice as much as any other country. Note, most other countries have a high percentage of patients enrolled with electronic medical records, a system that makes sharing of information between facilities (currently a major cause of redundancy in expenses) more efficient. Note also that universal doesn't require primary care providers be the gatekeepers. Other systems exist that allow self-referral to specialists.
The Commonwealth Fund, which sponsored this study, has a figure in one of their online chartbooks of health data that summarizes how we spend nicely.
The entire presentation is fascinating and worth a look if you have time. Almost universally we pay more for less. We pay more per capita for fewer hospital beds, we pay more per capita for fewer ICU beds, and pay more for ICU stays despite patients staying for fewer days, we have far fewer long term stay facilities, we spend more on fewer practicing physicians per capita, and for all that we perform worse in indices of mortality, and control of chronic disease.
But are people happy with these systems? Not surprisingly, no one is ever really happy with their healthcare:
Almost all systems have a high number of citizens who think it needs significant changes, although only the US system has a 34% rate of people desiring it to be completely rebuilt, almost twice that of any other country. For the most part, the belief that their medical systems will provide high-quality, expert care, is similar across these countries. This table addresses another critic complaint though. What about wait times? Some countries do have a clear problem with elective wait times for surgery. Canada and the UK are the worst in this regard, but several universal systems have wait times that appear to rival or surpass those in the US. Worse, US citizens complain more of access problems than any other country, with 37% of respondents forgoing care, not seeing the doctor or filling prescription because of issues of cost
Now, on the issue of access, despite claims to the contrary, in most of these systems access to a doctor is rapid, with appointments available in the same day:
In fact, aside from Canada, we were least likely to be able to get an appointment on the same day, and most places could provide access to a doctor in an ER faster than in the US. So is access really worse in universal systems? It would appear that in most universal systems, doctors in clinics and the ER are more available than in the US.
The remainder of the data compares perceived quality of care, and coordination of care between primary care and specialists, and for the most part, the systems are equivalent according to the subjective experience of those surveyed. In the US, there were more complaints about expense of prescription medications, and poor coordination of care - I suspect due to poor penetrance of the electronic medical record.
So, after seeing some data on more than the few horror stories from health systems around the world, are you convinced that universal systems will mean longer wait times? Poorer care? More expensive care? I believe the data suggests more people around the world in these systems experience less of these problems than those of us in the US. We spend more, almost twice as much as any other country. Despite that, our wait times for physicians are worse, we pay far more out of pocket for prescriptions and copays than any other system, we spend more on administration of health care than any other country, we have more people who avoid seeing the doctor for fear of costs, and we are more likely to say we want our system scrapped. In anupdate to this analysis [2] the Commonwealth fund found that in deaths which were amenable to health care interventions the US performed worse than the other 18 industrialized countries to which it was compared. If we performed as well as one of the top three countries, we would eliminate about 100,000 excess deaths a year. Which is the real horror story?
THE 3 MUSKATEERS
THE 3RD MUSKATEER
Thursday, July 9, 2009
MY DEARLY DEPARTED DOXY
my gentle HONEYBUN--she battled kennel cough from the day she came home.
my doxies have always been my best and most loving companions. i have had them since being a child. they are the most silly, playful, energetic, pushy, inquisitive, and just plain all-around hooby-doobies on the planet.
they can also be extremely aggressive and fearless as i experienced many years ago with my BooBoo on a hunting trip in new mexico shooting rabbits. short legs or not she would give chase and once caught a large rabbit and that was the end of that rabbits time. it was an amazing experience-nature at its most raw. many years later, BooBoo went lame in the back legs and i built her a little wheel chair and massaged her back legs nightly and one day bout 2 months later she slittered out of the chair and walked--a bit funny--but continued to walk her funny walk till the day she left us. since then i have built wheel chairs for a large 80 pound basset hound--Sir Luke Skywalker-Champion and for my present DeeDee. You do what you have to do for your babes.
Wednesday, July 8, 2009
OBAMA-GAY FRIEND OR VOTE SUCKING LEACH?
So I'm sitting here at my desk and wondering if our Prez really cares about gay rights or is just romancing us for our money and votes. I remember during the campaign, Barack would go out of his way to include "gay" in many of his speeches and actively courted our vote. He told us about how he would do away with DADT and that even though he did not personally agree with gays and marriage, he stated that we should have all the legal rights and obligations that all Americans have.
Well, do date, i haven't seen much in the way of action in any of the pressing issues affecting the gay community.
my nephew, a drill Sergeant with the marines down in san diego, tells me stories of him having to tell his recruits that he cannot help them with their problems because like it or not- if they utter the word gay, homosexual or infer that they have engaged in or have feelings for another man or woman if its a woman-he will have to report it to his superiors and they will be discharged. he goes on to state that these young recruits are as patriotic, as able bodied, as gun-ho as the rest of the group and it pisses him off that he stands the chance of loosing any of them if they so much as verbally hint of any gayness. like it or not, gay people have been in the armed forces of this nation for as long as its been a nation and gays will continue to be a part of the armed forces in spite of these homophobic and discriminatory laws. i am a Vietnam Ear Vet; 1971-73.
my question to President Obama is this--if President Truman was able to sign executive orders #9980 & #9981 back on July 26, 1948-(soon to be 51 years ago) to begin the process of eliminating racial discrimination in federal employment-- why Mr. President, have you not issued an executive order to at least stop the continued implementation of DADT until further review? when for the first time, support for this is growing across America and even Colin Powell and senator Sam Nunn are coming around--why is the Obama administration hiding in the closet and so afraid to step on some toes?
ITS A BEAUTIFUL DAY IN THE NEIGHBORHOOD
morning, its a beautiful afternoon, suns out, birds are chirping-haven't seen any but I'm sure their chirping somewhere. I'm gonnna take a trip north to the Montana area for some rest and relaxation combined with lots of hiking, fishing, maybe hunting, biking, jogging, etc--DID I SAY REST AND RELAXATION??!!! Hopefully, I'll be keeping you guys updated with pics and things.
Here is the link for the cabin if your curious:
http://www.homeaway.com/vacation-rental/p212693
As for today, not much has passed through my noggin to stir my loins to make me write it down on this jog. Haven't heard any MJ music-haven't seen any MJ FAM MEMBERS parading on the telly and that's a nice change. Somehow or nother i miss my Sarah Palin and her amazing ability to pull complete b.s. from places unknown and present it as intelligent thought.