Re: Mother, mother, mother - there's too many of you crying.
 

Huh? So you have heard people say ACA helped no one? That's absurd. People w/o HC got some, of course it helped them. Everyone at my law firm has crappier HC though. Maybe so if the people you hear know me, or someone like me, like the majority of the country who was covered?

Re: trifecta
 

I assume Macomb County? Post the link? I invented posting about Macomb here. It is where I grew up.

Re: trifecta
 

Re: Mother, mother, mother - there's too many of you crying.
 

2

Re: Mother, mother, mother - there's too many of you crying.
 

I wouldn't call it traditional morality. More an understanding that persecution of individuals with X power by entities/majorities with XXXXXXXXXX power is simply bad policy all around.

Those things are also facially absurd. The prison system is insanely wasteful, and determining how to treat a person based on his genetic background is simply asinine.

Anywhere you can get with simplistic notions of morality you can also get to with elementary logic.

Agreed. And this is kind of sad. How many years of evolution, and we still make "gut" calls using relative notions?

Re: trifecta
 

Who doesn't want a third party? It's been the white whale for how long now?

I think sometimes we'll one day see a minimally administered/low cost/low spending/free trade/socially tolerant/uninfected with religion/smart on immigration party emerge.

Then I wake up and realize, "America... shit; I'm still only in America... " And up the river the Republic continues, riding "a main circuit cable plugged straight into... Trump."

Re: Mother, mother, mother - there's too many of you crying.
 

It takes a few years to get the data. We started getting it in bits and pieces in 2011, but it didn't really start rolling in until 2014 or so.

What you might have been hearing about is that in the last three or four years, payment models have moved from volume based to value based, which takes into account outcomes, so there is a dollar amount associated with good results. Hospital program started in 2013 and the physician side started in 2015. I haven't been to a health care seminar in the last two years that hasn't spent a lot of time on MACRA and it seems that the insurance companies are following suit. Even if the ACA goes away, I think this model probably is here to stay. On a personal note, I've been working on a lot more data projects in the last 18 months or so many of which involve outcomes research and a ton of quality assessment and review.

The first MACRA annual report came out earlier this month.

Also, the ACA created the Patient Centered Outcomes Research Institute, which is sort of like the National Academies or the Institute of Medicine, a non governmental research oriented body.

Re: Mother, mother, mother - there's too many of you crying.
 

It's what we evolved to do. Insert another plug for Think, Fast and Slow here.

Re: Mother, mother, mother - there's too many of you crying.
 

Is that book really as good as so many people have advised? I've almost bought it a few times, but the prose struck me a bit dry, even for that sort of topic.

I'm thinking audiobook might be the best course with it. Strikes me as possibly a good driving book.

Re: Mother, mother, mother - there's too many of you crying.
 

I favor audibooks for most things.

I think the ideas in it are interesting and worth knowing about, which is enough to make it a good book to me, although you can get shorter treatments of many those ideas elsewhere.

Re: You've got no love for the underdog/That's why you will not survive...
 

National Review article (David French) on the Castile verdict. The dashcam video is just plain disturbing.

http://www.nationalreview.com/corner...rriage-justice

The Daily Dose is the Universals with some laid back soul-funk. "New Generation":

https://www.youtube.com/watch?v=cmYvlrX2g4M

Re: You've got no love for the underdog/That's why you will not survive...
 

And this just in from Milwaukee -- if you are a black man and you are being chased by police, throw your gun away (so you no longer have access to it), are shot and lying wounded on the ground with your hands up, that does not mean the police do not have the authority to finish you off at point blank range. Because who knows, you might have another gun. So you die. And the police officer walks.

Re: Mother, mother, mother - there's too many of you crying.
 

This!

More fault lines
 

Re: More fault lines
 

this is a blog post. it really says little. other than maybe showing what you read to inform your word view?