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Though I saw it all around
Never thought I could be affected
Thought that we'd be the last to go
It is so strange the way things turn

Sunday, May 21, 2017

Linkee-poo meet you anytime you want at our Italian Restaurant

"Basically, how do we even know what reality IS any more?" The Note to Self podcast on the election, living in different realities, the power of substitute world views, and the reinforcing values of social media (and the dark side of disparate groups finding home and support through long distance connections). :: waives "hi" from our shared delusion ::

"As the debate over health care continues in Washington, one thing not in dispute is that health care industry employment has been going up steadily over the past decade. In Ohio, health care industry jobs now outnumber those in manufacturing. The jobs are good news to state and local economies, but some analysts also say it's a reflection of the high costs and complexity of health care." Okay, yes, it's true that healthcare has some baggage, but it's not at the bottom. It's at the top. The number of VPs at a hospital is in direct proportion to their cost and in inverse proportion to the quality of care. You want to cut people out of the system? Great. Two words. Single. Payer. So many of those jobs in "administration" are there to handle health insurance coding, payments, wrangling, and pre-certification. Get to 1 form, 1 unified coding system (ICD-10 for instance), and standardize the scope of care and you can eliminate about 25% of jobs and increase the quality of care. As for the people involved with directly caring for patients, yeah, we need to up those numbers. Look at every quality of care survey and you'll find the thing everyone gets dinged on is not having enough staff to handle all the jobs. That and "call button wait times", which, again, is a staffing issue. In x-ray, our base mark is 10 minutes or less per exam (note, this is general x-ray, not CT and definitely not MRI). Why? Because we have too many people to x-ray and if we take longer, we push back all the appointment times.

The 10 ways the GOP has been sabotaging Obamacare. Note, most of the horror stories are from states that didn't expand Medicaid and had leadership in government actively trying to sabotage Obamacare. In the rest of the country, things aren't all that bad. (Grokked from Xeni Jardin)

While it appears that since 2015 people who have switched parties is roughly even (percentage wise) between GOP and Democratic Parties, there's a trend among younger voters to switch from GOP to Democrat and remain there. Not really unexpected (hell, that's when I left the GOP). But there are more young people switching from the GOP to Democrat than there are old Democrats switching to the GOP. And as the data shows, the older one gets, the less likely they will switch parties.

"Many I spoke with said they had made a fundamental mistake of viewing Trump primarily as an ideologue with whom they disagreed rather than what he increasingly appears to be: an ill-prepared newcomer to the world stage, with uninformed views and a largely untested team that will now be sorely tried by a 9-day, 5-stop world tour that would be wildly ambitious even for a seasoned global leader." Our European allies are increasing viewing Trump as incompetent and a clown. Ever see a clown get angry? (Grokked from Laura J Mixon)

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