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Re: trifecta
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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.
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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.
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Re: Mother, mother, mother - there's too many of you crying.
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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.
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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...
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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...
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Re: Mother, mother, mother - there's too many of you crying.
This!
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Re: Mother, mother, mother - there's too many of you crying.
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Re: You've got no love for the underdog/That's why you will not survive...
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The 74 Seconds treatment of the video was pretty good. In addition to talking to a former MPD trainer who says Yanez failed completely - not shocking - it goes through the audio of Yanez's very first explanation of what happened. Between him saying he didn't know where the gun was and that Castile's grip looked wider than a wallet, I don't know how he could credibly testify that he saw a gun. He heard "gun" and then assumed it's presence in Castile's hand. |
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ETA: Btw, my favorite lefty "antitrust" freakout over the deal is "Amazon's going to get 451 locations they can use as distribution centers." Because, right, the expensive real estate that Whole Foods uses for super fancy and expensive grocery stores is perfectly suited to use as a logistics hub and can totally handle hundreds of trucks coming and going every day and Amazon certainly couldn't comparable industrial space for way cheaper than it's paying for Whole Foods. EATA: Not sure I can finish that article. She's wrong a lot. What she describes as narrowing is actually having to articulate the actual harm. Vertical theories are certainly still viable, just rare, as they should be because the harm is rare. Economies of scale and scope are absolutely barriers to entry under the "Chicago School." Market power is, in fact, often fleeting. EATA: I really could not care less about the original intent behind 100 year old statutes. Indeed, much of the what motivated the Sherman, Clayton and Robinson-Patman was wrong. |
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I mean, how is the higher-cost, lower-service incumbent electronics retailer going to survive? And what's going to happen once it's gone? But sarcasm aside, not unlike Walmart, I could see potential monopsony issues in theory, but most of what people complain about for both retailers is competition on the merits. It's supposed to be entirely legal to build a monopoly that way. Nonetheless, get big and successful enough and you're eventually going to get into some antitrust trouble. As usual, I'd expect it from the EU first, but the US agencies will probably come up with a theory right about the time Amazon's being overtaken by whatever's next. |
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The sole effective change would be to bar predatory pricing of the kind in which Amazon engages. I'm not even remotely close to qualified to comment on the acceptable breadth of antitrust law, but that sounds like outlawing loss leading as a business practice. That seems extreme. I only offered the article because you asked the question. I was more interested in the question of how people like Bezos view the world (the bit in the editorial I posted earlier, where the author described tech oligarchs as believing they were entitled to outsize influence, as they were emerging as masters, with superfluous labor serfs below). |
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I don't think Amazon engages in predatory pricing. To the contrary, Amazon often offers pricing that is no better than the competition, but gets business from consumers who like the convenience, who can't be bothered to shop around, or who think it's too déclassé to shop at eBay or Walmart. What Amazon does ruthlessly is try to reduce its costs, and keep its margins low. That's hard for traditional retailers to compete with. |
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Of course, that's not at all Amazon. |
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eta: I've been both attracted and repelled by the prospect of working for Amazon. It sounds like a well-run company that knows how to execute, and gets things right. But it also sounds like it can be miserable. eta: To avoid confusion, I'm not working for Amazon, but I've thought about it. |
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Amazon hasn't done that for anything I bought. Generally, AMZN prices low and keep them low. |
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Re: Mother, mother, mother - there's too many of you crying.
Republican moderates ("moderates") always cave.
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Something that Trump should have learned shortly after taking office, like before he fired Comey and invited the foreign minister & ambassador into the Oval Office without the US press and told them that he fired Comey to take the heat off. If the GOP functioned or cared at all about this country, pre-election collusion would be irrelevant. The way this administration has conducted itself toward Russia and its election interference after taking office is borderline treason. |
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I can't help thinking a lot of this dimwitted tone deafness to irony accrues from people communicating more over disconnected tech mediums than in person. They learn sarcasm late, and badly. I've no doubt 7 out of 10 millennials would recoil at Jello Biafra's lyrics. Yes, with the surf guitar, the affected lisp, the sneering delivery, and with that band name, Biafra is, of course, an earnest bigot. Oh, and there's nothing funny about assassinations! |
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I have no problem with anyone hacking either political party and leaking internal communications to sway public sentiment. The more dirt exposed on the rot within the parties, the better. But I do wish it would be done to both parties as equally as possible (imagine what the RNC said about Trump, and how it attempted to fix things for Jeb, behind the scenes). Trump doing nothing about the former is a gross abrogation of duty. Doing nothing about the latter is also an abrogation, but a much smaller one, and one that doesn't very much bother me, or anyone else who wishes to see the two parties discredited (read: most of the country). |
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Especially when it's not the dirt that makes a difference but rather the continual coverage of exposure as though the dirt amounted to something (case in point, you still think something shady happened at the DNC, when there's no evidence of that). |
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