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unless we start turning people away at the emergency room door, where they can bleed to death or otherwise die in the alley way adjacent to the for profit hospital, we have some serious thinking to do. as a Christian nation we are simply not going to boot you from trauma because your chase card maxed out. do I hear ANYONE arguing this point?? walk into any hospital in the country and you will get treatment regardless if you can pay or not, Oh, and as it turns out -- its WAY less cost effective and does not provide the best care, and more importantly -- results. (think ER doc treating your torn ACL.....you need a specialist for a lot of things. the ER doc's are amazing, but specialists are there for a reason,) But we have to STOP treating people for the first time in the ER, we can't afford it anymore. its SO much more affordable - with far better results - to see a GP on a somewhat regular basis, and did I mention that its FAR less expensive then the current way we do things,
One small example on how we figure this thing out, There's a long way to go. It is clearly desperate that we need to start saving money on healthcare - due to the overall and trending -- shift in population dynamics -- over the next 30+ years we are going to have to be pretty danm streamlined and efficient due to the aging population. And sure we could make an other dent by taking away food programs that make sure desperately poor kids get a decent nutritional meal during school. And we can roll back consumer protections
I read in the new York times that there is 30-40% "fluff: in the system right...doctors getting paid by procedure, healthcare insurance execs, [and I don't just mean the upper tier, lots of money circulating] - a lot of it is commission (sad, if you think that one through) and pays phenomenally well for the performers in the commission contest - you know that one who saves the insurance company the most money ,, meanwhile a family just holding on has to go the bankruptcy route, and a lot of people who get screwed by the insurance industry are older! bankruptcy takes something like over 10 years to clear your record what if you are 64 and had a major hop issue. could easily lead to bankruptcy. very little in the way of new prospects that don't pay #8/hr....... ah, sleepin' in the old impala ain't so bad....
the 30-40% fluff has got you go. it is simply unsustainable, just look at the numbers and I believe you will see I see the truth # >stock price / other equity positions in the dark market. >dividends >executive pay from obviously the absolute top tier down -- but also many rungs down the ladder too, > plenty of :bonuses" to go around also...and, sweetheart (collusion in instances) relationships within the industry - a nexus of golf playing good old boys and gals "just trying to survive" and to make a few bucks. well, more then a few, a ton. but that's how people inherently work.
“If ultimately this happened, this is effectively 'Atlas Shrugged.' This becomes a Mecca for entrepreneurs from all over America,” he said.....the sad thing is I think he actually believes this! what a joke
“If ultimately this happened, this is effectively 'Atlas Shrugged.' This becomes a Mecca for entrepreneurs from all over America,” he said.....the sad thing is I think he actually believe this! what a joke
........Supereruptions are extremely rare, with recurrence intervals of 100,000–200,000 years; none have occurred historically, the most recent examples being Indonesia’s Toba volcano, which erupted 74,000 years ago, and the United States’ Yellowstone caldera, which erupted 2 million years ago. Interestingly, these calculations strongly suggest that present-day annual anthropogenic CO2 emissions may exceed the CO2 output of one or more supereruptions every year.
Supereruptions are a significant contributor to adding CO2 to the atmosphere on geologic time scales. Yet they pale by comparison to human emissions. Yes, you read that right — while supereruptions only happen every 100,000 to 200,000 years or so, we’re presently adding CO2 to the atmosphere at a rate of one or more supereruptions every year.
Those who continue to claim that volcanic activity puts more CO2 into the atmosphere than human activity (including Ian Plimer) have been corrected — many times — by those who actually do the research. Yet the claim, like a zombie, refuses to die. Those who cling to it do so, not just out of ignorance, but out of willful ignorance.
Which emits more carbon dioxide (CO2): Earth’s volcanoes or human activities? Research findings indicate unequivocally that the answer to this frequently asked question is human activities. However, most people, including some Earth scientists working in fields outside volcanology, are surprised by this answer. The climate change debate has revived and reinforced the belief, widespread among climate skeptics, that volcanoes emit more CO2 than human activities [Gerlach, 2010; Plimer, 2009]. In fact, present-day volcanoes emit relatively modest amounts of CO2, about as much annually as states like Florida, Michigan, and Ohio.
Gerlach surveys the literature and reports the scientific findings:
Global estimates of the annual present-day CO2 output of the Earth’s degassing subaerial and submarine volcanoes range from 0.13 to 0.44 billion metric tons (gigatons) per year [Gerlach, 1991; Allard, 1992; Varekamp et al., 1992; Sano and Williams, 1996; Marty and Tolstikhin, 1998]; the preferred global estimates of the authors of these studies range from 0.15 to 0.26 gigaton per year. Other aggregated volcanic CO2 emission rate estimates — published in 18 studies since 1979 as subaerial, arc, and mid-oceanic ridge estimates — are consistent with the global estimates.
Considering that human activity released some 30 Gt CO2 into the atmosphere last year, human emissions are likely 100 (or more) times as large as volcanic emissions. Those who make claims about the Mt. Pinatubo explosion emitting more CO2 than all of human activity for all time, should be made aware that the estimated CO2 emissions from Mt. Pinatubo are 0.05 Gt CO2, about the amount released by human activity in half a day, not our entire history. In fact, in less than 3 days we outstrip the volcanic emissions for an entire year:
On average, humanity’s ceaseless emissions release an amount of CO2 comparable to the 0.01 gigaton of the 1980 Mount St. Helens paroxysm every 2.5 hours and the 0.05 gigaton of the 1991 Mount Pinatubo paroxysm every 12.5 hours. Every 2.7 days, they emit an amount comparable to the 0.26 gigaton preferred estimate for annual global volcanic CO2 emissions.
Annual CO2 emissions from human activity are greater even than what results from supereruptions, volcanic events which spew forth more than 450 cubic kilometers of magma......
Sadly Mark is one of those individuals that will in all likelihood spend the rest of his life living with a very treatable disorder - one that has quite a good prognosis when medication and cognitive-behavioral therapy are used concurrently. However, Mark's extreme paranoia combined with a somewhat phobic view of psychotropic medications in general makes the likelihood of Mark actually getting adequate treatment very unlikely. However, considering his dial diagnosis - with a secondary personality disorder no less - it's not exactly like therapy would be a cake walk. In general personality disorders can be quite thorny to deal with, and when considering his prognosis "globally", if you will, either way we'd be fighting an uphill battle. So, best to just let him keep making lots of noise. In a perverse way, it's in everyone's best interest.
But at the preliminary hearing, only the prosecution is allowed to call witnesses And so, the witnesses that are not called are not available for cross examination..... Bingo
Now, what would this have meant for SB700... - huh?
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