Thursday, February 25, 2010

Ron Wyden: Real Reform

In effect, changes the incentives that drive the system and empowers the consumer.

The idea : To hold insurance companies accountable and to fire them. If the interstate competition is done properly, increase choice and competition and costs transparency.


5% of all medicare patients uses 50% of all funds

That's....breathtaking. The 5% are chronically ill. Yikes. This is what Coburn may have been referring to when he was talking about when he was talking about managing the chronic illness fiscally.


They took a break, so I did, too and more thought son Tom Coburn

I went to the supermarket to some supplies and also to get in a bike ride that would ease some pressure.

The whole health reform summit has been crazy. The only Republican that was sane in that room was Dr. Tom Coburn ( I did not get his name earlier) He was right on a number of points that is not fully expressed in this bill:

1) We don't give incentives to doctors who successfuly manage chronic diseases; instead we do the medical route of prescribing as many pills as possible instead of preventive care. Coburn is right in point that out, and that is something that should be fixed- maybe in conjunction with the community health care centers?

2) Coburn is also right in saying that people on low income aid, like Food Assistance and subsidized School Lunch, often have chronic disease that is contributed by their diet, and that food assistance often supports a diet that will make people sick. Coburn is right- and WIC, School Lunch and Food Assistance does need to reflect a more nutritious and diverse diet that helps prevent chronic disease like diabetes, high blood pressure and some forms of digestive related disorders. I don't think that can be put in the Health Bills. But this is a serious issue that should be taken up in the next Farm Bill.

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9:52- Biden- You are either in or out

It really that simple,isn't it?


9:40: Eric Cantor: Mandates are awful and no one will pay for it?

Again, with step back and set this aside. Are we doomed to listening to Republicans spout off talking points and not contributing any ideas?


9.26- McCain- This legislation was produced behind closed doors.

People are angry because the process was....what? McCain seems to not read his own newspapers in his state- the states papers did report on the health care reform. And hey now, go back to and start over on legislation.

Now President Obama notes that this had the most hearings, longest markup on 22 years on a bill, and most meetings, so that is not behind the doors.


9:11- Again with the step back issue

Republicans, enough with the step back issue- this is happening NOW.

And moaning about paperwork, and lying again about mandates and the costs. Ugh. Any new ideas?


9:01: James Clyburn : Emergency Rooms activity has doubled

They were looking for grants to expand their size. 31% of the people they treat is not there for emergency procedures; but they are there for primarty care. Because these people have catastrophic insurance, they have something like 1500-2500 dedcutibles.

We must have expansion of community health care centers in order to take pressure off people who have these sorts of health insurance or have no insurance at all.


8:30- The Health exchange is like Expedia- shop around and get the best price!

Wow. Interestingly, that would make transparency a cornerstone of the pricing of insurance plans and would hopefully would help contain costs.


8:23- Thousands and Thousands of pages of Legislation

Um, excuse me, what is the point of mentioning thousands and thousands of pages of legislation. If that is the case, then it is your job to read it. Your job as Senator and House Rep is to read that legislation. If you cannot do that, maybe you should not be working as a People's rep.


8.19 : Public Option!

After about an hour and twenty minutes, the public option is finally mentioned- but almost as an aside to explain increased competition and lower costs. It's something.


8:07: Savings by cutting fraud, abuse and management of chronic disease

I missed the Doctor's (Tom Something) name here; he is talking about about prevention, tort reform ( which is related to medical malpractice insurance, needed for many doctors, nurses, and PAs) and incentivize the management of chronic diseases. But that is already in the health care bill.


Not factually accurate, Lamar- President Obama

7.58: Oh, Lamar Alexander,trying to interrupt the President. And with inaccurancies, mind.


Harry Reid: Kaiser Foundation says 58% of Citizens want HCR

Two snaps in Z formation: "Lamar, you are entitled to your own opinion, but not your own facts."


Health Care Summit

7.38: Nancy Pelosi is now speaking. She is relating anecdotes of health care costs, and is now noting that the upward spirals of costs is crippling the economy. Pelosi asks us to imagine an economy where people can take risks, start new enterprises and create art, without being shackled to a unfulfilling job, and where companies can reduce costs on their workplace.

Pelosi notes that this process started 6 weeks after Obama's inauguration.


Live Blogging: Health Care Summit:

7:33- Lamar Alexander is babbling along, but is hitting the Republican talking points: To not use reconcillation to pass the present HCR bills in the Senate, that their plan can save money without widescale, Federal reform.


Saturday, February 20, 2010

Catherine Breillat's Bluebeard

Saw Bluebeard at last night's PIFF showing. It showcased Catherine Breillat as being a excellent cinematographer and director of actors; her shots truly have that painterly quality, and her actors composed themselves beautifully. The girls cast in the roles have a fresh, sweet unDisney prettiness that played to the story beautifully.

But Ms. Breillat is not a good story teller. Her thesis of sibling jealousy and punishment of female curiosity falls flat. After a charming and smartly done first act, the movie starts to crack and fall apart, and is then imploded by the director in the last 10 minutes. The ending was supposed to be ironic; but it felt like a big "F--- you" to the audience.

There were some minor mistakes:

1) The editing loops in a couple of key scenes should have been smoother; Breillat has been at this for a while so to see those scenes badly done was jarring. VERY Strong words to her editor!

2) Her costume mistress and dance instructor needed to be fired. The costumes lacked consistency; I have seen better at a Ren Faire ( and actually, had Ms. Breillat hired Ren Faire people in France, they would have given her a superior level of costuming) and girls makeup should have been better. There is a scene where Lord Blackbeard gives a fete, and the people dance- badly. Any village member, whether the gentry or not, would have danced those country dances well. These actors should had have time to rehearse more.

Strangely enough, even with it's faults, this movie is the most accessible of Breillat's films, and the least cruel. I do hope this gets a good run here in the States and Canada.

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Wednesday, February 17, 2010

Keith Speaks the Obvious.


Wednesday, February 10, 2010

Republicans actually were never embarrassed


Saturday, February 6, 2010

Stop surfing at work

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