Here's an open thread, all topics welcome.
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But to me, the really interesting thing was the tribe itself - among other things they had no numbers/did not count, and had no verb tenses (past/future) because they lived only in the present.
For example, I think they had a way of saying "a fish hook" but multiple hooks was "a few" or "a lot." Each family often had a whole bunch of kids, no one ever thought or said "I have 6 kids." Counting was a completely foreign concept to them.
And no verb tenses. No "I will fish tomorrow." or "I found some great fruit yesterday."
They lived their lives without ever making any plans, or thinking ahead.
Granted, they're in the Amazon, so it's not like they had to plan ahead to stock up food for winter or anything.
They just wake up and find food when they were hungry, chat with others, mess around with their kids, and pretty soon it was dark and they were tired so they went to sleep.
And did the same thing the next day.
Maybe the lack of needing to plan ahead is part of why they never found or learned the concept of counting?
Anyway, truly fascinating.
WWF:
Every year, over 250,000 km2 of Amazon floodplain forests are covered by water that overflows from rivers. This annual phenomenon forms the most extensive system of riverine flooded forests on Earth - a drastic revolution in the landscape that is vital for the efficient functioning of the Amazon River Basin.
This annual phenomenon forms the most extensive system of riverine flooded forests on Earth - a drastic revolution in the landscape that is vital for the efficient functioning of the Amazon River Basin.
That is about the size of Wyoming.
Anyways, as an accountant the concept of not counting is so insane, I can't even wrap my head around it. I would really like to check out how people do it and how something that seems almost instinctual, isn't. Parent
I think the guy tried to teach them how to count, because he was concerned that they were being cheated in trading with other tribes, but it was so foreign to them that after a number of months of trying they literally count not count to 10 or add 1 + 1 so he gave it up. Parent
Wild...O.G. Anarchists, if you will. Parent
I was looking up information on this weekend's Marine Corps Marathon as the runners literally (used in the correct way) run in front of my apartment (we are almost at mile 3, so the runners are still fairly fresh and energetic). We have gone out at 7:30 am the last three years and stood on the median to cheer people on. It's great fun, and many people dress up for the occasion, there's a guy who juggles the entire 26 miles, one guy ran in a tux and barefoot last year, etc. The folks who start the race are the wheelchair racers, which are so inspiring, and the folks who bring up the rear are amazing. Everyone stays to cheer those who are the last to pass by (and it takes a while for 30,000 racers to run by, and it really gives me a kick in the pants to see people in worse shape than I am running a marathon.
So, as I was looking on the official Marine Corps Marathon website, I pulled up a map of the route. Is there something that someone should have noticed about this map before posting it? (For the record, I called over several co-workers, did not say anything, and they all burst out laughing as soon as they saw it).
Or is it just me? :)
But that's because I sometimes have an inappropriate sense of humor...
Your plan for the day still sounds like a lot of fun, and the people running have got to appreciate being cheered on. Parent
FOUND IT Parent
Dame Judi Dench's M would never have put with that for a nanosecond. Parent
"I will not be a member of a party in which hate speech elevates candidates for higher office, rather than disqualifies them. [...] That is why I am announcing that I am now running for re-election as a Democratic candidate for County Court of Law 11 in the 2014 elections. My principles have led me to the Democratic Party. I can only hope that more people of principle will follow me."
Good for him. I hope so, too.
LINK
If ever a woman deserved some name-calling, it is Elisa. Moved right into the "C U Next Tuesday" club. Parent
Bloomberg and his mercs ain't f*cking around with this sugar crusade! No settlement is too large a price to pay to combat this menace.
Can't wait till Bloomy/Kelly are f8ckin' out...I just hope de Blasio/Bratton can change the police culture a little bit, but I'm probably pipe-dreaming. The good bad old days when you could buy candy and/or drugs in peace are never coming back...ploice state is here to stay, most we can hope for is a kinder gentler police state. Parent
Most of my childhood is gone, now they're working on my adolescence. Parent
On the roof of their dad's villa in Portofino, Italy. Noel is on the left strumming his guitar. (link) Parent
Harrison's fan site. Parent
Couldn't get my son to stop doing his math homework last night. He said he was having too much fun with it. He's a great student, and is in the highest level math class in his middle school (a high school-level Geometry class), but still...having fun with his math homework??? How long can this luck last?
Have a lovely Thursday, my friends.
Math skills came to me kind of late - I had a Geometry teacher in high school who told me and my parents I should never be allowed to take another math class. Algebra and Trig were never really a problem for me, so I think I just had a bad geometry teacher.
Was talking to a co-worker, though, about how they are teaching math now - Common Core, baby! - and it just makes no sense at all. An indication of how ridiculous it is? Pinterest has a "Teaching Common Core Math" board with links to a bazillion ways to help your kid learn this way.
With CC, it's not enough to know that 7 x 9 is 63 - kids have to explain why, draw pictures that illustrate it, and so on. So, kids who know what we used to call "math facts" are being stymied by having to get to the answers this way.
It's an abomination, as near as I can tell. Parent
I still can't figure out why we just can't have a world-class school in every neighborhood. Is this REALLY that hard to sell to the mass of the country who desperately want their children to have the best education possible? I don't think so. Again, a complete lack of imagination. And, of course, a healthy dose of good ol' American corruption. Parent
My undergrad degree was in mathematics. I am sure some of the TL readers remember the movie "A Beautiful Mind". Lots of folks who were math majors were in love with the discipline, I know I was. But sad to say I also had a poor algebra teacher in the ninth grade so I understand your point.
Maybe not on topic about common core but to me the real issue is how to eliminate bad teachers. Not just bad math teachers, but all bad teachers; even the bad sex education teachers. Parent
Honestly one of my most memorable teaching moments was the football coach, who was also the Health teacher, telling us about one of his star athletes.
This kid apparently got so excited he went off before penetration, then of course got the girl pregnant. And we got the 10 mins version of how that derailed the promising athlete. Looking back I am sure the story was BS, but to this day I never have a leading up to sex moment without that story entering my head. It might be luck or chance, but I have never had a close call because that damn coach's story was so engrained into my head.
But overall that guy was not a good teacher, or rather I don't remember anything else about that class or that teacher. Which isn't true of some of the more remarkable ones. But I bet if you asked him and others if there was one thing to take away from that class it would be exactly what I took away. Parent
Plus of course math is the language of the cosmos, what is true here on Earth, is true throughout the the known universe.
Now English, man oh man, I have struggled with it since I can remember and still do, I absolutely hate it. And unlike math, what is true here in say Texas, isn't even in the same realm as what is true to 300 miles south in Mexico.
I don't think people who get math have the ability to stop understanding it even if they wanted to and everyone likes doing what they good at. Parent
http://www.youtube.com/watch?v=Mfz3kFNVopk Parent
They heard there was a great party over there. :) Parent
Bill Gates: I have just released the new Chicken 2000, which will not only cross roads, but will lay eggs, file your important documents, and balance your checkbook. Of course, you will have to purchase Microsoft Road. Gilligan: The traffic started getting rough; the chicken had to cross. If not for the plumage of its peerless tail, the chicken would be lost. The chicken would be lost! Johann Wolfgang von Goethe: The eternal hen-principle made it do it. Stephen Jay Gould: It is possible that there is a sociobiological explanation for it, but we have been deluged in recent years with sociobiological stories despite the fact that we have little direct evidence about the genetics of behavior, and we do not know how to obtain it for the specific behaviors that figure most prominently in sociobiological speculation. Grandpa: In my day, we didn't ask why the chicken crossed the road. Someone told us that the chicken had crossed the road, and that was good enough for us. H. R. Haldeman: I can't recall. Thomas Hardy: Some blessed hope, whereof it knew, and I was unaware. Werner Heisenberg: We are not sure which side of the road the chicken was on, but it was moving very fast. [...snip...] Martin Luther King: It had a dream. Martin Luther King: I envision a world where all chickens will be free to cross roads without having their motives called into question. James Tiberius Kirk: To boldly go where no chicken has gone before.
Gilligan: The traffic started getting rough; the chicken had to cross. If not for the plumage of its peerless tail, the chicken would be lost. The chicken would be lost!
Johann Wolfgang von Goethe: The eternal hen-principle made it do it.
Stephen Jay Gould: It is possible that there is a sociobiological explanation for it, but we have been deluged in recent years with sociobiological stories despite the fact that we have little direct evidence about the genetics of behavior, and we do not know how to obtain it for the specific behaviors that figure most prominently in sociobiological speculation.
Grandpa: In my day, we didn't ask why the chicken crossed the road. Someone told us that the chicken had crossed the road, and that was good enough for us.
H. R. Haldeman: I can't recall.
Thomas Hardy: Some blessed hope, whereof it knew, and I was unaware.
Werner Heisenberg: We are not sure which side of the road the chicken was on, but it was moving very fast. [...snip...] Martin Luther King: It had a dream.
Martin Luther King: I envision a world where all chickens will be free to cross roads without having their motives called into question.
James Tiberius Kirk: To boldly go where no chicken has gone before.
Who knew someone would put this much effort into answering the question, eh?
Personally, I think either Grandpa or H.R. Haldeman may have nailed it? But James Clapper may have a better answer: "Something was bugging it?" ;-) Parent
<ducks!> Parent
The really frightening thing about middle age is the knowledge that you'll grow out of it.
I don't know who is worse...Simon Malls or the Real Housewives of NJ who run from the Thanksgiving table to go shopping at Bath & Body Works. Symptoms of a diseased culture.
We are traveling to see them, and we don't get TG day with them because of this. Parent
I just freaking hate it and a wonderful family holiday and its traditions are in jeopardy. Parent
That's another thing...the pressure, real or imagined, the holidays put people of modest means under to give their kids all they are programmed to want. The spirit of the season is so polluted.
I remember when my old man refused to buy us a Nintendo for Christmas, making us pariahs amongst the kids in the neighborhood. He said it was because it would rot our brains and keep us pent up in the house when we should be outside playing, but I'm sure cashish was part of it too...oh how I despised him for it then, and oh I love him all the more for it now. He was so right...last thing we all need young and old is another screen to stare at instead of spending quality time with each other. Parent
I have yet to partake in Black Friday shopping thanks to my dislike of crowds and shopping. Every time I see the crowds on TV, I give thanks that I am nowhere near it!
He said it was because it would rot our brains and keep us pent up in the house when we should be outside playing, but I'm sure cashish was part of it too...oh how I despised him for it then, and oh I love him all the more for it now.
Your father was a wise man! Parent
(And as a former Kmart assistant manager, I can tell you that just because the store closes at say 9 pm [as we did on Thanksgiving night - even 20 years ago], that doesn't mean we got to leave at 9 pm. There were still customers in the store, things had to be straightened up, and we had to make sure all the Black Friday ad signs were up. I usually got out of there around 10 pm. The fun part was having to be at work again at 4:30 a.m. the next day because the store opened at 5 am on BF.)
You know what I do on Black Friday? Eat, visit with folks, and watch a LOT of college football. :) Parent
But, the stores get their Christmas merchandise starting in August (at Kmart, we got the Christmas trees at the end of July!). Can't keep all that stuff in the store room or receiving for long, as it gets very crowded, so it has to go to the sales floor.
I was a "Softlines" Manager (if you've ever been in Kmart, "Softlines" includes all the clothes in all departments, infant furniture, formula, etc., jewelry, and "domestics" (towels, rugs, curtains, etc.). I would get Valentine's Day lingerie in right after Halloween! So I can tell you that it went out on the floor the day after Christmas Parent
I saw it last night and couldn't believe my ears. If you haven't seen it, go to comedy central's website.
Don't try to drive to Trader Joe's the morning of November 8. Parent
I just love it when the Cub fans root against the Cards...they always do sooooooo much better. Keep up the good work.
Parent
Feliz humpday, mi amigas y amigos.
"The things you own end up owning you."
- Chuck Palahniuk Parent
I don't understand how to use the AirDrop in the finder...will have to look that up. Parent
Sen. Joe Manchin (D-WV) is working on legislation to effectively delay Obamacare's individual mandate for one year, his office told TPM on Wednesday. link
I wonder how many others will come to this realization and do what I'm doing.
Either way, I believe the Exchange plans are going to ultimately fail. If you take a true, unbiased look at them, they are about a step above Medicaid (because the doctor networks only include half the providers of traditional plans). It's hard for me to believe that people will pay for that. Instead they'll elect officials who are in favor of repeal. Parent
This is probably the best move for me to see how all of this mess works out. Parent
In an open letter to President Obama, Shaheen says because of the problems affecting HealthCare.gov, the administration should push back the deadline and lift the penalty for those who are uninsured. The law currently stipulates that enrollment in the Obamacare insurance exchanges ends March 31, 2014, and that those who are uninsured after that point will be fined by the Internal Revenue Service. "As website glitches persist, we are losing valuable time to educate and enroll people in insurance plans," writes Shaheen. "I also fear that people that have tried, and failed, to enroll online may become frustrated and not return to the website to try again at a later date. ... Allowing extra time for consumers is critically important so they have the opportunity to become familiar with the website, survey their options and enroll." "If an individual is unable to purchase health insurance due to technical problems with enrollment, they should not be penalized because of lack of coverage."
"As website glitches persist, we are losing valuable time to educate and enroll people in insurance plans," writes Shaheen. "I also fear that people that have tried, and failed, to enroll online may become frustrated and not return to the website to try again at a later date. ... Allowing extra time for consumers is critically important so they have the opportunity to become familiar with the website, survey their options and enroll."
"If an individual is unable to purchase health insurance due to technical problems with enrollment, they should not be penalized because of lack of coverage."
NBC News reporting that the president will impose the delay - up to 6 weeks.
Details still developing. Parent
As for the rest of us, the "affordable" in ACA is under no deadline to take effect...maybe next year (lol). It's not like free market principles are in play here...no promises the rates go down if and when young adults can log on, that's just another theory yet to be proved. Oxford/Aetna/Blue Cross ain't running no charity. Parent
The Obama administration said Wednesday night that it will give Americans who buy health insurance through the new online marketplaces an extra six weeks to obtain coverage before they incur a penalty. The announcement means that those who buy coverage through the exchange will have until March 31 to sign up for a plan, according to an official with the Department of Health and Human Services. Administration officials said that the rejiggered deadline is unrelated to the many technical problems that have emerged with the Web site, HealthCare.gov, in its first three weeks. Instead, they said, it is designed to clear up a timing confusion about the 2010 law, which for the first time requires most Americans to buy health coverage or face a penalty. Under the law, health plans available through the new federal or state marketplaces will start Jan. 1, but the open enrollment period runs through the end of March. The law also says that people will be fined only if they do not have coverage for three months in a row. The question has been this: Do people need to be covered by March 31, or merely to have signed up by then, given that insurance policies have a brief lag before they take effect? The administration made clear Wednesday night that people who buy coverage at any point during the open enrollment period will not pay a penalty.
The announcement means that those who buy coverage through the exchange will have until March 31 to sign up for a plan, according to an official with the Department of Health and Human Services.
Administration officials said that the rejiggered deadline is unrelated to the many technical problems that have emerged with the Web site, HealthCare.gov, in its first three weeks. Instead, they said, it is designed to clear up a timing confusion about the 2010 law, which for the first time requires most Americans to buy health coverage or face a penalty.
Under the law, health plans available through the new federal or state marketplaces will start Jan. 1, but the open enrollment period runs through the end of March. The law also says that people will be fined only if they do not have coverage for three months in a row. The question has been this: Do people need to be covered by March 31, or merely to have signed up by then, given that insurance policies have a brief lag before they take effect?
The administration made clear Wednesday night that people who buy coverage at any point during the open enrollment period will not pay a penalty.
Are we a Banana Republic or not?? Parent
Oh, the inhumanity of it all! Parent
It doesn't get any more banana republic than throwing a tantrum and shutting down the government over legally passed legislation that was validated by the SCOTUS.
But damn Jim, seriously, you need to take some pills or something, sane people understand that extending a grace period does not a banana republic make, not even close. Parent
The other thing that bugged me was them trying him as an adult although he was just 15 at the time the crime took place.
And, I'm not being cute when I say that the best evidence the prosecutors had was Skakel's chubby face and pot belly. If he had looked like a Kennedy he wouldn't have even been indicted, IMO, of course. Parent
Any thoughts? Parent
But for this statement, might the court have reached a different result?
"He told a bar association meeting that he intended to have a lot of fun at that trial."
Isn't it pretty hard to prove "ineffective assistance"? And isn't what the defense argued here based more on Sherman's trial strategy of not trying to connect the murder to Skakel's brother Tommy (which is not ineffective assistance)? Parent
My mother's doctor billed her for the office visit at the time of service, she paid for it, the office submitted the Medicare forms and the reimbursement went directly to my mother instead of to the doctor.
As for restrictions on certain kinds of treatment, how is Medicare different from any other insurance company in that regard?
I think fishcamp's comment was speaking more to the ease with which Medicare works: one insurance company, one central clearinghouse for claims, and for the majority of Medicare enrollees, the same premium for everyone - and for most people, it gets zapped right out of their Social Security check, so there aren't 50 million premium checks having to be processed every month. Parent
IMO, the transition from administering the handling of 50 million Medicare subscribers to handling everyone in the country would not be a quantum leap. Paying for it is another story. Parent
You could exempt unprepared food and certain other items if you think "fairness" is an issue. Parent
Prior to going on Medicare, my doctors wanted me to participate in a clinical trial but the employee insurance I had would not cover any aspect of my cancer treatment if I chose to participate. My doctors appealed the decision several times but to no avail. If I participated in the trial, the insurance would not even pay for the standard and ordinary treatment. The trial would have picked up all the expenses for anything that was even slightly different.
People who were on Medicare had no problem participating in the trial.
Of course there won't be any death panels under Obamacare.
;-) Parent
If conservatives like you wanted something other than an insurance based system, why didn't you demand the Republicans provide it when they were in power. How about the year or so when the Republicans were in negotiations with the Democrats over this system. Don't recall you and your tea party friends demanding a single payer system. No rather than advocating for a single payer system, you and your friends made up myths about death panels. Parent
lol
Now the question,
Are you paying any attention or do you just want to protect Your Dear Leader no matter what the cost??? Parent
Now, the problem was - and still is - that generic drugs are NOT "the same as" their non-generic version, and the reason doctors would and do prescribe the non-generic version is because their patients need drugs that actually, you know, work. Problem is that in a lot of plans, you automatically agree to the generics regardless of what you've been prescribed - as if, well, maybe the doctor doesn't know why he's prescribing Synthroid, so the insurance company, in its infinite wisdom, will save him from this costly - to them - mistake, and substitute a generic version.
It's about the money, jim, it always has been - this is not about your health and well-being. Parent
Now they are moving generics into higher tiers so that they do not have to pay any of the cost of the drug and it all comes out of your pocket.
A generic that in 2012 cost me $5.00 was moved from tier 1 to tier 3 or 4. With that little slight of hand, the insurance company paid nothing and I had to pay $29.00 the entire cost of the drug. BTW, I have one of the higher cost Medicare Part D plans. Parent
I understand that the active ingredients are the same but the non-active may be different.
So you can have a problem with the non-active.
My wife has one drug that she cannot use the generic on.
Walmart's Allegra gives me an upset stomach.
You pays your money and takes your chances. Parent
And they will expand it in the future. That's what bureaucracies do.
Most folks can see the Death Panels coming.
BTW - Why do you always try to act as if you are the only person in the world who know and understand very basic facts?? Parent
Most folks can see them coming. Parent
That is the actions of a Death Panel. Parent
Critics who want radical changes in Medicare, the public insurance program for the elderly and disabled, often allege that the program is heading for disaster because stingy payments from the government are causing a rising number of doctors to refuse to serve Medicare patients... The analysts looked at seven years of federal survey data and found that doctors are not fleeing Medicare in droves; in fact, the percentage of doctors accepting new Medicare patients actually rose to 90.7 percent in 2012 from 87.9 percent in 2005. They are not shunning Medicare patients for better-paying private patients, either; the percentage of doctors accepting new Medicare patients in recent years was slightly higher than the percentage accepting new privately insured patients...
The analysts looked at seven years of federal survey data and found that doctors are not fleeing Medicare in droves; in fact, the percentage of doctors accepting new Medicare patients actually rose to 90.7 percent in 2012 from 87.9 percent in 2005. They are not shunning Medicare patients for better-paying private patients, either; the percentage of doctors accepting new Medicare patients in recent years was slightly higher than the percentage accepting new privately insured patients...
Link
As far as experimental treatments, how many private plans do you know that cover these? Parent
http://cei.org/halbig-v-sebelius
As technical failures bedevil the rollout of President Obama's health care law, evidence is emerging that one of the program's loftiest goals -- to encourage competition among insurers in an effort to keep costs low -- is falling short for many rural Americans. While competition is intense in many populous regions, rural areas and small towns have far fewer carriers offering plans in the law's online exchanges. Those places, many of them poor, are being asked to choose from some of the highest-priced plans in the 34 states where the federal government is running the health insurance marketplaces, a review by The New York Times has found. Of the roughly 2,500 counties served by the federal exchanges, more than half, or 58 percent, have plans offered by just one or two insurance carriers, according to an analysis by The Times of county-level data provided by the Department of Health and Human Services. In about 530 counties, only a single insurer is participating. The analysis suggests that the ambitions of the Affordable Care Act to increase competition have unfolded unevenly, at least in the early going, and have not addressed many of the factors that contribute to high prices. Insurance companies are reluctant to enter challenging new markets, experts say, because medical costs are high, dominant insurers are difficult to unseat, and powerful hospital systems resist efforts to lower rates. "There's nothing in the structure of the Affordable Care Act which really deals with that problem," said John Holahan, a fellow at the Urban Institute, who noted that many factors determine costs in a given market. "I think that all else being equal, premiums will clearly be higher when there's not that competition." The Obama administration has said 95 percent of Americans live in areas where there are at least two insurers in the exchanges. But many experts say two might not be enough to create competition that would help lower prices.
While competition is intense in many populous regions, rural areas and small towns have far fewer carriers offering plans in the law's online exchanges. Those places, many of them poor, are being asked to choose from some of the highest-priced plans in the 34 states where the federal government is running the health insurance marketplaces, a review by The New York Times has found.
Of the roughly 2,500 counties served by the federal exchanges, more than half, or 58 percent, have plans offered by just one or two insurance carriers, according to an analysis by The Times of county-level data provided by the Department of Health and Human Services. In about 530 counties, only a single insurer is participating.
The analysis suggests that the ambitions of the Affordable Care Act to increase competition have unfolded unevenly, at least in the early going, and have not addressed many of the factors that contribute to high prices. Insurance companies are reluctant to enter challenging new markets, experts say, because medical costs are high, dominant insurers are difficult to unseat, and powerful hospital systems resist efforts to lower rates.
"There's nothing in the structure of the Affordable Care Act which really deals with that problem," said John Holahan, a fellow at the Urban Institute, who noted that many factors determine costs in a given market. "I think that all else being equal, premiums will clearly be higher when there's not that competition."
The Obama administration has said 95 percent of Americans live in areas where there are at least two insurers in the exchanges. But many experts say two might not be enough to create competition that would help lower prices.
http://www.washingtonpost.com/world/national-security/top-pakistani-leaders-secretly-backed-cia-dron e-campaign-secret-documents-show/2013/10/23/15e6b0d8-3beb-11e3-b6a9-da62c264f40e_story_3.html
Sorry, but my link function is not working on TL right now.
And I just found a free view of the whole movie. (link)
This is dark, brilliant, incomparable sh*t. Enjoy.
There is no perfect technical solution and it's always a game of playing catchup to the spammers, but it can be reduced dramatically.
July 2009: Mollom Blocks Its 100 Millionth Spam Message
Unfortunately I don't think there is an existing Mollom plugin for Scoop. Yet... Parent
Very high stakes motion to suppress hearing going on right now. Jeralyn's absence of analysis kinda sucks right now.
http://www.denverpost.com/breakingnews/ci_24370980/bomb-tech-devices-james-holmes-apartment-would-ha ve
Subsidizing McDonalds 5 billion dollar yearly profits..not lovin' it.
The Food and Drug Administration on Thursday recommended tighter controls on how doctors prescribe the most commonly used narcotic painkillers. The move, which represents a major policy shift, follows a decade-long debate over whether the widely abused drugs, which contain the narcotic hydrocodone, should be controlled as tightly as more powerful painkillers such as OxyContin. The drugs at issue contain a combination of hydrocodone and an over-the-counter painkiller like acetaminophen or aspirin and are sold either as generics or under brand names like Vicodin or Lortab. Doctors use the medications to treat pain from injuries, arthritis, dental extractions and other problems. The change would reduce the number of refills patients could get before going back to see their doctor. Patients would also be required to take a prescription to a pharmacy, rather than have a doctor call it in.
The move, which represents a major policy shift, follows a decade-long debate over whether the widely abused drugs, which contain the narcotic hydrocodone, should be controlled as tightly as more powerful painkillers such as OxyContin.
The drugs at issue contain a combination of hydrocodone and an over-the-counter painkiller like acetaminophen or aspirin and are sold either as generics or under brand names like Vicodin or Lortab. Doctors use the medications to treat pain from injuries, arthritis, dental extractions and other problems.
The change would reduce the number of refills patients could get before going back to see their doctor. Patients would also be required to take a prescription to a pharmacy, rather than have a doctor call it in.
My aunt subsequently called my mother on the phone to plead with her brother and get him to relent. Mom immediately drove down to San Diego with my sister, where she confronted her older brother about mistreating his dying wife. When he got defensive and noted his concerns about possible addiction, she said so what, and proceeded to chastise him for denying aid and comfort to the woman he loved in her final days.
My sister later told me it was one of the most painful family scenes she's ever witnessed, and she wished was hadn't been there to see it. My uncle is very hardheaded and set in his ways, while my mother can prove herself equally unyielding if she feels she's in the right.
It reached a point where my mother phoned her sister-in-law's doctor, who came over to the house in person to reassure my uncle that his wife's case was indeed terminal. In denial, he instead got angry and stormed off, yelling at my mother to "do whatever the hell you want."
He returned to the house a short time later, tearfully apologized for his abusive behavior, and agreed to allow my aunt her morphine. She died one month later at home.
I'm sharing this story because there are many people amongst us -- and we know who we are -- who neither work in regulatory agencies or law enforcement, but who nevertheless really need to purge themselves of some preconceived but ridiculously outdated notions about the use and misuse of narcotic medications.
Further, each of us should educate ourselves about the issue of pain management therapies and regimens in the treatment of the chronically and terminally ill, in anticipation of the possible day when that could be one of us pleading for relief from our suffering. Otherwise, our old wives' tales about drugs will remain with us for the foreseeable future.
Aloha. Parent
My mother and you should never have had to browbeat loved ones and disabuse them of misinformation and fallacy about drugs, pain management and end of life care. Such times are difficult enough as it is, without the extraneous drama. And you're right, these sorts of decisions should really be no-brainers -- and they would be, but for the decades' worth of exposure to propaganda emanating from the "War on Drugs."
Oh well, there's always the street corner pharmacy to get what ya need...thank goodness. Parent
Idiots, all they ever accomplish is hassling people who legally have a need for the medication.
"We're now seeing reports from across the country of large quantities of heroin appearing in rural and suburban areas," Dr. Theodore J. Cicero, vice chair of research at Washington University's department of psychiatry, told the Los Angeles Times. "Unable to use OxyContin easily, which was a very popular drug in rural and suburban areas, drug abusers who prefer snorting or IV drug administration now have shifted to more potent opioids if they can find them, or to heroin."
But this seems to be the way the DEA operates, the solution invariably becomes worse than the original problem. When will they figure out it is impossible to stop Americans from using drugs. Parent
Mesin Jahit
You'll loose your health plan
"If you have insurance, you can keep it".
Not so much.
Only the sick will sign up
Doctors will drop patients
When do dems admit this is a miserable failure?
Everyone beotchs about Microsoft when they have a failure that they have to fix, Windows 8.1 for example, and they have some pretty good people working on theirs. Parent
That is just unfair yet the Demos and Left is defending it. Parent
#FAIL.
Insurance...can't live without it or subject yourself to teaching/University hospitals.
It is how they cover expenses of others. Not unlike liability insurance for automobiles even if you have never had a wreck. Parent
ANYONE who bothered to think would know the costs would be more when everyone had the same coverage, people were added and we included preexisting conditions.
But it appears that the Low Information Voter didn't bother to think.
Sad. Now they're stuck. Parent
It's all very upsidedownish anyway. In other industries it would be called what it is. False advertising. And could get people pushing it arrested. Parent
It is absolutely true that people are being notified by their insurance companies that their current policies are being discontinued because they are not ACA-compliant, and are being told that if they want to stay with that company, they will need to reapply.
And what they are finding is that the networks are thinner, participating providers are fewer, and if they want a premium that is equivalent to what they were paying before, it comes with higher deductibles and co-pays.
That is happening all over the country - and for sure it is happening to CareFirst subscribers here in MD, because my son-in-law got just such a letter.
It's probably also not correct to declare the ACA a failure, since no one has officially used any ACA-compliant plan yet, and it may be reasonable to expect those who need insurance the most to be the first in line to enroll, but the success of this new system is going to depend on there being more healthy people in the pool than sick ones - and so far, that's not how the numbers are skewing.
And, if those who qualify for Medicaid via the exchange far outnumber those who don't, that's going to place an additional burden on the system that wasn't planned for.
All of this, in my opinion, is not a function of a poorly-designed website, but of a private insurance platform that has and will continue to maintain barriers to affordable, accessible care. Parent
My own criticisms of the ACA align with your last statement - it's propping up an inefficient, private insurance system that is wasteful and unsustainable, and the ACA simply puts a bandaid on it. I think it kicks the can down the road for a few years. The question becomes whether the next health insurance crisis is blamed on the unsustainable private system or the ACA.
That being said, my point was Slado's mischaracterization of his links, not to mention his claim that conservatives have been vindicated in their predictions. Parent
What i find amusing is that media 3 years later is now finally reporting what conservatives warned about for year.
Also the idea that this policy or plan is going to pay for itself or bend the cost curve is laughable and always was.
It is impossible to cover more people for less or the same money. The peple that weren't covered were sick or couldn't afford insurance in the first place. To cover them was always going to be an extra cost and quite frankly a cost worth paying.
instead of figuring out a way to expand Medicare or Medicaid or create a new safety net the president pretended economic realities didn't exisit and mucked up medical insurance for the rest of us that already had it.
Cost are going up, this program is going to get way more expensive and people aren't going to like it.
Maybe in 20 years we'll be able to rationalize away this current debacle because we'll get to a better place but it will be despite this terrible initiative instead of because of it. Parent
The fact of the matter is you are never going to be able to keep your plan if your company decides to switch plans. I don't remember conservatives stating that fact. That happens regardless of the ACA and it happens all the time.
Conservatives squealing about the ACA had six years to do something about the problems with healthcare in this country. These problems are not new problems. They are existing problems. Conservatives have no solutions and the ACA is the solution that they had back in the 90's. Now they are saying sell insurance across state lines--that's a joke. If you live in GA are you going to go to WI to see the doctor? Of course not. The thing that annoys me is conservatives seemed to think that everything was fine with our healthcare system until the ACA came along. Newsflash: everybody was going to lose insurance eventually under the old system simply because of cost shifting.
Healthcare was one of the reasons why I didn't support Obama back in the primaries in 2008. And the reason why he didn't do a public option was because the GOP was screaming that it everybody was going to end up on a public plan if he did that and they would not go along. Now do I think he should have cared what they said? No, I don't and they would not even go along with a trigger that would start a public option.
This is why Hillary's plan was much better because she was going to let people buy into Medicare which would have cost a heck of a lot less.
Let's face it: The for profit insurance model is something that cannot survive. For insurance companies to survive they are going to have to return to nonprofits and start acting like nonprofits. Parent
The problem is that Obama is as conservative as his signature plan, but if it had been signed into law by President Romney, I suspect you'd be defending it.
Meanwhile, many of us liberals have been opposed from Day One to this entire exercise that further entrenches private insurance into a system where it can continue to serve as a barrier to care.
So please, stop saying that "Obamacare" has vindicated conservatives; all it's done - at least as much as we can tell so far - is vindicate Democrats/liberals/progressives who believed that even if you had a nominal Democrat offer a Republican plan, it would still be a Republican plan, and it would just make whatever it was supposed to fix more broken. Parent
CareFirst BlueCross BlueShield is being forced to cancel plans that currently cover 76,000 individuals in Virginia, Maryland, and Washington, D.C., due to changes made by President Obama's health care law, the company told the Washington Examiner today. That represents more than 40 percent of the 177,000 individuals covered by CareFirst in those states.
That represents more than 40 percent of the 177,000 individuals covered by CareFirst in those states.
I don't know what's going on in other states, but with regards to CareFirst, I'm one of the folks losing my plan, which is actually a pretty good plan - it's only not compliant just because it is a high deductible plan, so it's not just "low quality" and "mini-med" plans that are affected. Parent
Now I'll be back to a lower deductible with a higher price tag, so I guess they are getting me where they wanted me to begin with. Parent
No idea why the Carefirst plan is not being grandfathered (Carefirst doesn't say), but my response was that I wasn't sure about the claim that people are "finding is that the networks are thinner, participating providers are fewer, and if they want a premium that is equivalent to what they were paying before, it comes with higher deductibles and co-pays." In the case of Carefirst, the deductibles will certainly be lower - no idea whether the premiums will be more or not under an exchange plan, which would also depend upon the applicant's income and how much of a subsidy they qualify for, if any. Parent
Adam Weldzius, a nurse practitioner, considers himself better informed than most when it comes to the inner workings of health insurance. But even he wasn't prepared for the pocketbook hit he'll face next year under President Barack Obama's health care overhaul. If the 33-year-old single father wants the same level of coverage next year as what he has now with the same insurer and the same network of doctors and hospitals, his monthly premium of $233 will more than double. If he wants to keep his monthly payments in check, the Carpentersville resident is looking at an annual deductible for himself and his 7-year-old daughter of $12,700, a more than threefold increase from $3,500 today. [snip] To promote the Oct. 1 debut of the exchanges, the online marketplaces where consumers can shop and buy insurance, Obama administration and Illinois officials touted the lower-than-expected monthly premiums that would make insurance more affordable for millions of Americans. But a Tribune analysis shows that 21 of the 22 lowest-priced plans offered on the Illinois health insurance exchange for Cook County have annual deductibles of more than $4,000 for an individual and $8,000 for family coverage. Those deductibles, which represent the out-of-pocket money consumers must spend on health care before most insurance benefits kick in, are higher than what many consumers expected or may be able to stomach, benefit experts said. By comparison, people who buy health insurance through their employer have an average individual deductible of just more than $1,100, according to the Kaiser Family Foundation.
If the 33-year-old single father wants the same level of coverage next year as what he has now with the same insurer and the same network of doctors and hospitals, his monthly premium of $233 will more than double. If he wants to keep his monthly payments in check, the Carpentersville resident is looking at an annual deductible for himself and his 7-year-old daughter of $12,700, a more than threefold increase from $3,500 today.
[snip]
To promote the Oct. 1 debut of the exchanges, the online marketplaces where consumers can shop and buy insurance, Obama administration and Illinois officials touted the lower-than-expected monthly premiums that would make insurance more affordable for millions of Americans. But a Tribune analysis shows that 21 of the 22 lowest-priced plans offered on the Illinois health insurance exchange for Cook County have annual deductibles of more than $4,000 for an individual and $8,000 for family coverage.
Those deductibles, which represent the out-of-pocket money consumers must spend on health care before most insurance benefits kick in, are higher than what many consumers expected or may be able to stomach, benefit experts said.
By comparison, people who buy health insurance through their employer have an average individual deductible of just more than $1,100, according to the Kaiser Family Foundation.
Margaret Flowers:
Insurance companies have a long history in the US of skirting regulations that interfere with profits. So, while insurers can't exclude sick people, they can avoid areas where there are sick people. For example, several of the large insurance companies are selling plans on only a small number of exchanges, preferring to sell plans mostly to businesses instead. And companies that sell plans on the exchanges are restricting their networks. They avoid hospitals that care for complicated patients and keep the number of doctors in their plans low, making it more likely that people will have to go out of network and pay more of the costs of care. And while companies can't charge more to people with health problems as individuals, they can charge up to three times more based on age and can charge more in geographic areas where the population has more health problems or the costs of care are higher. It is expected that if a company finds they can't make enough profit in a particular area, they can just pull their plans from that area. These are some of the most obvious ways that insurers will game the system. The largest insurance companies assisted with writing the law and then with the regulations that accompanied it, so we will see what other tactics they employ as time goes on.
And while companies can't charge more to people with health problems as individuals, they can charge up to three times more based on age and can charge more in geographic areas where the population has more health problems or the costs of care are higher. It is expected that if a company finds they can't make enough profit in a particular area, they can just pull their plans from that area. These are some of the most obvious ways that insurers will game the system. The largest insurance companies assisted with writing the law and then with the regulations that accompanied it, so we will see what other tactics they employ as time goes on.
All of the above notwithstanding, does it make sense in any universe you're familiar with that insurance companies would cancel plans so they could offer better coverage for less money? Parent
No idea about Weldzius's situation other than what's stated in the article. it doesn't indicate whether he would qualify for a subsidy or what other plans would be available at what costs to him through the exchanges. There are people who are getting better plans for less money (including lower deductibles) than their present plans:
Bryan Tackett, 33, was amazed at the choice of policies on the Washington, D.C., exchange. A contractor at a government relations firm, Tackett has been paying just under $400 a month for a Blue Cross Blue Shield plan with "not terrible, not great" coverage and a $1,500 deductible. But he enrolled in a gold Kaiser Permanente plan on the exchange that has no deductible and "good" co-pays. It includes dental benefits and an annual eye exam -- all for about $270 a month.
Another one.
Butch Matthews is a 61-year-old former small business owner from Little Rock, Arkansas who used to wake up every morning at 4 A.M. to deliver canned beverages to retailers before retiring in 2010. A lifelong Republican, he was heavily skeptical of the Affordable Care Act when it first passed. "I did not think that Obamacare was going to be a good plan, I did not think that it was going to help me at all," he told ThinkProgress over the phone. But after doing a little research, Matthews eventually realized how much the law could help him. And on Tuesday, his local Blue Cross Blue Shield (BCBS) provider confirmed that he would be able to buy a far better plan than his current policy while saving at least $13,000 per year through Arkansas' Obamacare marketplace.
But after doing a little research, Matthews eventually realized how much the law could help him. And on Tuesday, his local Blue Cross Blue Shield (BCBS) provider confirmed that he would be able to buy a far better plan than his current policy while saving at least $13,000 per year through Arkansas' Obamacare marketplace.
Former Fox News contributor Sally Kohn.
I live in New York State -- which for several decades has had the highest individual insurance premiums in the nation. For the past three years, since leaving a job at a non-profit organization and then exhausting my COBRA, I have relied on the individual insurance market to get coverage for myself, my partner and our daughter.
Three years ago when I was shopping for insurance, there weren't that many options to choose from. And the plan I ended up with is expensive and, to put it bluntly, crappy
[...]
There were literally 50 plans that were better than my current insurance -- both with lower premiums, lower out-of-pocket costs and better coverage. And there were ten plans with a higher premium than my current insurance, but with lower deductibles.
Retired engineer in California gets much better coverage for $8,000/year less.
All of the above notwithstanding, does it make sense in any universe you're familiar with that insurance companies would cancel plans so they could offer better coverage for less money?
Not really. But I can see a lot of circumstances under which people will be able to get better coverage for less money when purchasing it through an exchange, with or without a subsidy. But i think it's hard to draw general conclusions based on a few, individual cases. Parent
Do you lack the courage to come out from behind these kinds of coy, coded comments, or are they supposed to be part of your charm?
Here's a question for you: what is the goal of the ACA? What is the end-game here? Is it for "everyone" to have insurance, or for everyone to have access to affordable care?
Well, it can't be for everyone to have insurance, because it is estimated that some 30 million people will still be left out. And it can't be for everyone to have affordable access to care, because we are seeing that for many people, the cost-sharing and premiums will make that difficult if not impossible.
So, if millions still won't have insurance, and many still won't be able to afford the actual care they need, how is the current state of the system vastly improved from the one it is supposed to be "reforming?" If I have my current policy canceled, if the same coverage costs more either through another private plan or one obtained via the exchange, if the providers available to me under a new plan are more limited than what I had to choose from before, if I risk financial ruin in the event I receive care from a provider not in my network, how am I better off?
So, it seems "Affordable Care Act" was named by the same people who came up with "Healthy Forests Initiative" and the "Clear Skies Act."
I think I and others have been careful in our comments to point out that there will be people helped by the ACA - and that is a good thing. And since no one has a federal or state exchange-purchased plan that is in effect yet, we haven't been able to see the full effect of what obtaining and paying for care is like under these metallic plans.
But those who have been researching the fine print, who have been able to explore the details of networks and caps and such, want people to know there may be some expensive pitfalls they need to be mindful of - and somehow that is seen by people like you as being unfair and biased.
If you are as passionate about the issue of health care in this country as you claim to be, it should not be your mission to debunk and deride either the anecdotal reports or the hidden costs and finer points of these plans so as not to bruise the apparently tender feelings of our president, should it? Shouldn't someone passionate about affordable, accessible health care want those who need it most to be as educated as possible, as savvy as possible, as cautious as possible for their own protection?
Oh, right - your passion can be summed up as, "well, we may have all wanted something better, but we didn't get it, and now we just have to be patient, suck it up and make the best of it."
Yeesh. Parent
It's just not problems with the website
President Barack Obama has said it again and again: Obamacare is more than just a website. And he's right -- the Affordable Care Act's benefits aren't limited to healthcare.gov. Neither are its hangups. The range of issues and potential issues runs the gamut, from the truly glitchy -- the small and likely solvable -- to much more serious threats to the viability of the health exchanges at the heart of Obamacare. White House officials insist all will work once the website is up, running and easy to use. But the intensity of the national focus on the website has saved them from having to answer questions about other potentially damaging issues that have arisen either outside the virtual confines of healthcare.gov or in conjunction with troubled portal. Mostly, those problems are a matter of pocketbooks and politics. Consumers are suffering from sticker shock; a major cross-section of previously insured Americans are finding out that their plans are changing to conform with Obamacare even though the president promised they wouldn't; evidence of customer satisfaction is anecdotal; and there's still no guarantee that the young "invincibles," who must make up 20 percent to 30 percent of the pool to make the exchanges work, will actually enroll.
Neither are its hangups.
The range of issues and potential issues runs the gamut, from the truly glitchy -- the small and likely solvable -- to much more serious threats to the viability of the health exchanges at the heart of Obamacare.
White House officials insist all will work once the website is up, running and easy to use. But the intensity of the national focus on the website has saved them from having to answer questions about other potentially damaging issues that have arisen either outside the virtual confines of healthcare.gov or in conjunction with troubled portal.
Mostly, those problems are a matter of pocketbooks and politics.
Consumers are suffering from sticker shock; a major cross-section of previously insured Americans are finding out that their plans are changing to conform with Obamacare even though the president promised they wouldn't; evidence of customer satisfaction is anecdotal; and there's still no guarantee that the young "invincibles," who must make up 20 percent to 30 percent of the pool to make the exchanges work, will actually enroll.
SNIP
And while subsidies are available to offset the costs to lower income people, individuals making more than $46,000 or a family of four bringing home $94,000, bear the full brunt of the new prices. The big reveal has shocked some consumers, especially the healthy ones who had relatively affordable insurance before and make too much money to get subsidized coverage next year. The White House has put out a report on premiums that found 60 percent of people getting coverage under Obamacare next year will pay premiums of less than $100 per month. That includes those who enroll in Medicaid - the health program for the poor -- and pay very little. The premiums came in "lower than expected," beating earlier government projections, which the administration welcomed. But that doesn't necessarily mean they're low. Some consumers who don't have insurance are just finding out now that the fine will pale in comparison to the hundreds of dollars a month they would have to pay to buy coverage and deductible thresholds in the thousands of dollars. And others are discovering that they make too much money to qualify for subsidies.
The White House has put out a report on premiums that found 60 percent of people getting coverage under Obamacare next year will pay premiums of less than $100 per month. That includes those who enroll in Medicaid - the health program for the poor -- and pay very little.
The premiums came in "lower than expected," beating earlier government projections, which the administration welcomed. But that doesn't necessarily mean they're low.
Some consumers who don't have insurance are just finding out now that the fine will pale in comparison to the hundreds of dollars a month they would have to pay to buy coverage and deductible thresholds in the thousands of dollars. And others are discovering that they make too much money to qualify for subsidies.
Rah-rah, sis boom bah! Parent
And no, I will not qualify for any subsidy or tax credit, so that doesn't even figure into any equation. Parent