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06-20-2017, 08:41 PM
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#796
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Proud Holder-Post 200,000
Join Date: Sep 2003
Location: Corner Office
Posts: 86,041
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Re: Mother, mother, mother - there's too many of you crying.
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Originally Posted by Tyrone Slothrop
I do get that, but not why you think it has something to do with what I said.
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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?
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I will not suffer a fool- but I do seem to read a lot of their posts
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06-20-2017, 08:43 PM
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#797
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Proud Holder-Post 200,000
Join Date: Sep 2003
Location: Corner Office
Posts: 86,041
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Re: trifecta
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Originally Posted by Tyrone Slothrop
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I assume Macomb County? Post the link? I invented posting about Macomb here. It is where I grew up.
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I will not suffer a fool- but I do seem to read a lot of their posts
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06-20-2017, 11:28 PM
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#798
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Moderasaurus Rex
Join Date: May 2004
Posts: 32,939
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Re: trifecta
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Originally Posted by Hank Chinaski
I assume Macomb County? Post the link? I invented posting about Macomb here. It is where I grew up.
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https://www.theatlantic.com/magazine...ocrats/528696/
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“It was fortunate that so few men acted according to moral principle, because it was so easy to get principles wrong, and a determined person acting on mistaken principles could really do some damage." - Larissa MacFarquhar
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06-20-2017, 11:28 PM
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#799
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Moderasaurus Rex
Join Date: May 2004
Posts: 32,939
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Re: Mother, mother, mother - there's too many of you crying.
Quote:
Originally Posted by hank chinaski
huh? So you have heard people say aca helped no one? That's absurd.
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2
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“It was fortunate that so few men acted according to moral principle, because it was so easy to get principles wrong, and a determined person acting on mistaken principles could really do some damage." - Larissa MacFarquhar
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06-21-2017, 09:46 AM
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#800
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Moderator
Join Date: Mar 2003
Location: Monty Capuletti's gazebo
Posts: 26,077
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Re: Mother, mother, mother - there's too many of you crying.
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Again, this is fundamentally untrue. You have personally argued on moral terms against mass incarceration, the war on drugs and overt racial discrimination. Are you unenlightened?
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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.
Quote:
And I actually agree with Ty's article that the center left fails politically when it can't communicate the morality of its policies. Humans get right and wrong. Many of them don't get cost benefit balancing.
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Agreed. And this is kind of sad. How many years of evolution, and we still make "gut" calls using relative notions?
__________________
All is for the best in the best of all possible worlds.
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06-21-2017, 10:00 AM
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#801
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Moderator
Join Date: Mar 2003
Location: Monty Capuletti's gazebo
Posts: 26,077
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Re: trifecta
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Originally Posted by Tyrone Slothrop
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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."
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All is for the best in the best of all possible worlds.
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06-21-2017, 10:43 AM
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#802
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Random Syndicate (admin)
Join Date: Mar 2003
Location: Romantically enfranchised
Posts: 14,251
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Re: Mother, mother, mother - there's too many of you crying.
Quote:
Originally Posted by Tyrone Slothrop
I see a lot about coverage there, but at first glance wasn't seeing much about outcomes. Did I miss it?
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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.
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"In the olden days before the internet, you'd take this sort of person for a ride out into the woods and shoot them, as Darwin intended, before he could spawn."--Will the Vampire People Leave the Lobby? pg 79
Last edited by Replaced_Texan; 06-21-2017 at 10:46 AM..
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06-21-2017, 10:54 AM
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#803
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I am beyond a rank!
Join Date: Mar 2003
Posts: 17,113
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Re: Mother, mother, mother - there's too many of you crying.
Quote:
Originally Posted by sebastian_dangerfield
How many years of evolution, and we still make "gut" calls using relative notions?
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It's what we evolved to do. Insert another plug for Think, Fast and Slow here.
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06-21-2017, 11:15 AM
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#804
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Moderator
Join Date: Mar 2003
Location: Monty Capuletti's gazebo
Posts: 26,077
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Re: Mother, mother, mother - there's too many of you crying.
Quote:
Originally Posted by Adder
It's what we evolved to do. Insert another plug for Think, Fast and Slow here.
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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.
__________________
All is for the best in the best of all possible worlds.
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06-21-2017, 11:43 AM
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#805
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I am beyond a rank!
Join Date: Mar 2003
Posts: 17,113
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Re: Mother, mother, mother - there's too many of you crying.
Quote:
Originally Posted by sebastian_dangerfield
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.
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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.
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06-21-2017, 03:45 PM
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#806
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Moderator
Join Date: Apr 2003
Location: Flower
Posts: 8,434
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Re: You've got no love for the underdog/That's why you will not survive...
Quote:
Originally Posted by Adder
Once Yanez testified that he saw a gun, it was going to be really hard to get a conviction.
And heck, he probably believes he saw a gun (now), because that's how memory works - I must a seen a gun or I wouldn't have shot morphs to certainty I saw a gun - but yeah, I don't believe him.
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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
__________________
Inside every man lives the seed of a flower.
If he looks within he finds beauty and power.
I am not sorry.
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06-21-2017, 05:35 PM
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#807
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Moderator
Join Date: Apr 2003
Location: Flower
Posts: 8,434
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Re: You've got no love for the underdog/That's why you will not survive...
Quote:
Originally Posted by Pretty Little Flower
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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.
__________________
Inside every man lives the seed of a flower.
If he looks within he finds beauty and power.
I am not sorry.
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06-21-2017, 07:30 PM
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#808
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Moderasaurus Rex
Join Date: May 2004
Posts: 32,939
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Re: Mother, mother, mother - there's too many of you crying.
__________________
“It was fortunate that so few men acted according to moral principle, because it was so easy to get principles wrong, and a determined person acting on mistaken principles could really do some damage." - Larissa MacFarquhar
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06-21-2017, 07:32 PM
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#809
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Moderator
Join Date: Mar 2003
Location: Monty Capuletti's gazebo
Posts: 26,077
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More fault lines
__________________
All is for the best in the best of all possible worlds.
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06-21-2017, 08:41 PM
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#810
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Proud Holder-Post 200,000
Join Date: Sep 2003
Location: Corner Office
Posts: 86,041
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Re: More fault lines
Quote:
Originally Posted by sebastian_dangerfield
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this is a blog post. it really says little. other than maybe showing what you read to inform your word view?
__________________
I will not suffer a fool- but I do seem to read a lot of their posts
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