01-23-2019, 11:32 AM | #161 | |
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The VA, as a system, has implemented some very efficient and cost conscious measures that have really been able to deliver good care, overall. One of the best ones is the nationwide VA CPRS (Computerized Patient Records System) system. By linking the VA healthcare system together, nationally, with this computerized records system, Veterans are able to access their health care through any VA facility, nationally, no matter where they go. Because their records are accessible, procedures (x-rays, tests, labs, etc.) don't need to be repeated by practitioners outside of the Veteran's "home" area, should they relocate or travel to other areas in the nation. You'd be surprised at how very expensive it is to repeat tests, procedures, consults to specialists, etc., it can be for large groups of system beneficiaries, when they don't have access to data that has already been gathered and documented. When providers can communicate with each other over securely transmitted/encrypted data lines, care is greatly improved and consistent!! When I worked for the VA Health Care System, I accessed remote data constantly in the performance of my job. I was able to bring up records, diagnostics, sleep studies and treatment plans for Veterans who originated from cities and towns clear across the nation from where I was in Las Vegas. This improved care and consistency and saved money for the system. Another huge cost saving measure that the VA and military medical systems both use is the process of negotiation for large quantities of pharmaceuticals. I believe that Big Pharma could be reigned in by limiting what they can charge for medicines. What Big Pharma does to the American consumer/patient is nothing short of criminal!! Like I said, the VA system is not perfect, but it has some elements in it that could, reasonably, be implemented into a national health care system that would really "pop"!!! I still maintain that, in order to truly deliver top notch patient care, in any system, we desperately need to get the profit incentive out of medicine and health care. It's unethical and just shameful that gross, obscene profits are and have been made on the backs of a sick humanity. One last thing I'd like to put out here for contemplation is something that I heard a while ago, while discussing some of the economic issues of the healthcare system. It has to do with the inverse relationship of access vs. quality. In other words, when the system improves access to more population, quality goes down. In order for quality to improve, however, access must be restricted. Hmm....I've been rolling that concept around in my mind for several years now, and I've realized some truth to it. I'd like to put that thought out there for others to roll around in your minds, also. Sorry to derail here, but I did have to step in and say that I believe that there are many elements of the VA system that could be implemented into a single payer system that could treat the American population, as a whole. Back to your regularly scheduled program!! ~Theo~
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01-23-2019, 11:44 AM | #162 | |
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01-26-2019, 10:31 AM | #163 | |
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Socialism or no socialism, it should not take a genius to understand that the essentials of human life should be exempt from capitalism.
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01-26-2019, 11:04 AM | #164 | |
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Anyway, i feel like this lingering hatred is driving the tendency of outlets like Chapo Traphouse to mock and dismiss the Russia situation. If Russia delivered the election to Trump, Clinton's loss was not because of how badly she sucked. It was not because the Democrats failed to nominate Bernie. If Trump cheated, then Clinton didn't lose. Clinton's loss validates the idea that the Democrats need to move further left. If she didn't lose, some of that validation shift back to the center. We're not supposed to talk abut politics at work, but we have talked about the Russian meddling because it is relevant to our work. I have colleagues who feel like what Russia did was no big deal. If Russia changed votes by amplifying and promoting misinformation, they believe that's fair. Critical thinking is available to everyone, they say, and if people had used it, Russia's tricks wouldn't have worked. I guess that's what Chapo Traphouse thinks, too. But is critical thinking available to everyone? I don't feel that it is, and part of a librarian's job is to address that.
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01-26-2019, 08:01 PM | #165 |
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A lot of us on the left have a broader critique of mainstream Democrats than just our hatred of Clintons. Working people have been betrayed by corporatist Democrats, who contributed to our headlong rush into a society of extreme economic inequality. Without the challenge from the left, Democrats would still be singing their same old song.
There has not been any over correction. I was hearing that BS on NPR today. Today's left are espousing FDR brand policies. The world canted way to the right starting with Reagan. Sensible folk are pointing that out in order to create a more humane system. I do care about defeating Trump, but I also care about the truth. The idea that the Democratic Party is too far to the left is a joke. After Trump, these divisions will still be with us, and I am not going to pretend that the Dems have not massively betrayed this country for any single election, even 2020.
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01-27-2019, 08:56 AM | #166 |
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I love the debates in here and I read them avidly. I often read them over and over and over till I understand the point.
Would it be possible to have a rule that a writer not use any "double negatives", surely not use more than one, and just stick to simple declarative sentences. I figure you'd save time and space and even a simpleton like me would understand what you are saying in half the time. Just a thought.
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01-28-2019, 05:59 AM | #167 | |
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There are a lot of things on the table for 2020 that would not even be in the air if Clinton had won. We would be looking at Obamacare-with-lipstick-on for health care, rather than having a primary field where you have to support some form of single-payer. We would not even be talking about 70% tax rates on the wealthy. We would not be talking about redistribution at all. I think all critiques of the yuppie wing of the Democratic party are valid. I think those critiques are weakened when people are so invested in them that they ignore crimes just because the existence of those crimes challenges the critique narrative. That is what i see happening on Chapo Traphouse. It's like the "tankie" (Tankie = member of a communist group or a "fellow traveller" (sympathiser) who believes fully in the political system of the Soviet Union and defends/defended the actions of the Soviet Union) phenomenon: tankies are so committed to communism that they ignore or defend atrocities because the existence of Soviet history puts a question mark on communism's virtues. Anyway i was listening to Chapo Traphouse again this morning and they were having a lot of fun with the arrest of Roger Stone, so maybe their position is more nuanced that it seemed when i first heard them discuss it. Also i do not know if i can promise to write in short declarative sentences. Brevity has never been a strength of mine.
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01-28-2019, 10:03 AM | #168 |
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The word "short" was never mine. I asked for "simple" declarative and fewer double negatives which bog me down. lol.
There's the line that Einstein probably never really uttered: " If you can't explain it simply, you probably don't understand it ". On the other hand, one Nobel winner probably did say" "If it was simple to explain, I wouldn't have won a Nobel prize for it ".
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01-29-2019, 11:21 AM | #169 |
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Howard Schultz, Please Don’t Run for President...........
Really, what qualifications do you have besides being a decent businessman??????? |
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01-29-2019, 05:49 PM | #170 |
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Seriously, wasn't that out of left field? I wish he'd run in the Republican primary.
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01-29-2019, 09:26 PM | #171 |
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My thoughts, exactly. Besides that he's a criminal and a traitor, Trump has proven beyond a shadow of a doubt that a political neophyte has no place occupying the most powerful office in the world. A person needs to have some ideas about how our political system does and doesn't work. There's no room to learn as you go.
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01-31-2019, 08:10 AM | #172 |
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I thought this was an excellent article. I wish that last sentence could be shouted from every rooftop.
Bernie’s Likely 2020 Bid Could Transform the Political Landscape, by Norman Solomon, Truthout The likely Bernie Sanders campaign for president offers a boost and a challenge to progressives. From the outset, the campaign’s strength would largely depend on how much synergy develops with social movements on the ground. Much more than the presidency is at stake. A powerful mix of grassroots activism and electoral work could transform the country’s political landscape.
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01-31-2019, 10:30 AM | #173 |
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Any opinions on Marianne Williamson running?
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01-31-2019, 11:52 AM | #174 |
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01-31-2019, 04:41 PM | #175 | |
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(just kidding) Wikipedia says
Anyway, she's toast lol
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02-01-2019, 07:52 AM | #176 |
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It's Official.........
..
Cory Booker jumped in this morning..... |
02-02-2019, 09:39 AM | #177 |
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Schultz was faced by protesters here in his home town of Seattle, with signs that said "Grande Ego" & "Venti Mistake" in regards to his possible run for president,while promoting his new book.
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02-02-2019, 09:45 AM | #178 |
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Yep. He's one I would not vote for should he get the nomination. Corporate shill.
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02-02-2019, 10:00 AM | #179 |
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Oprah is going to be between a rock and a hard place!
She & Gail are friends HUGE BUDS with Cory yet with Harris in the running who knows! She could even possibly back someone other than those two! It's going to interesting....... |
02-02-2019, 05:58 PM | #180 |
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I don't think Gail can officially endorse a candidate. She's co-anchor of a news show, which will certainly be covering the election.
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