Weblog

Tuesday, 31 March 2009

  • My Universal Healthcare Gripe

    I haven't been on in a while, but I've been busy. Frankly I don't care who, if anyone, reads this but I do feel like I want to write; correction type, something. I've been getting the itch to write again and so I guess now is as good a time as ever to start.

    We all, well most of us, have jobs. At these jobs, we make errors all the time. Many of these mistakes are small: serving regular coke instead of diet coke, filing Greene in front of Garcia, switching two numbers in a figure, placing the wrong grade in the gradebook for a different student, shipping something to Columbus, Georgia, instead of Columbus, Mississippi. These gaffes usually don't crush us but they can cost us time and money.

    If someone is a doctor these tiny mistakes are a little more serious; they can be fatal. Because doctors are humans just like you and me, they can, and will, make mistakes. These mistakes can be tiny, but they can lead to devistating consequences. We are also living in the sue-happy age when lawyers rule the world. When anyone with a gripe about anyone else can sue them, doctors need to be protected when they do make a boo-boo. Therefore doctors subscribe to what is called malpractice insurance. This insurance is offered by just a few large insurance agencies that few people outside of the medical field have ever heard of. If one is a yoga therapist or a phlebotomist, the risk of death of a patient from a mistake is rare so the liability is low. The yoga therapist can therefore afford liability insurance for $130 bucks a month.

    If you are a surgeon, pediatrician, or OB/GYN, the chances are greater that what you encounter could be life or death; therefore, the liability is higher, and the chances of being sued is higher. This then makes a surgeon's malpractice insurance premiums higher. Hospitals know that these doctors have to pay this insurance and so some medical facilities will pay some or all of the insurance. Others will try to encourage doctors to work at their hospital by paying them more in general so that the insurance premiums will be covered.

    These premiums used to be fairly reasonable until the CEOs of these insurance companies looked more toward making money instead of just making sure that the doctors are covered. These companies stressed profit margins more than they did service or customer satisfaction. With many of these insurance agencies going public, investors jumped to invest in companies that made a healthy profit. These insurance companies pushed their premiums up to make more money and then the doctor or hospital is forced to pay these higher premiums. This money doesn't just come from the sky, it comes from the patients. This is the reason why a Tylenol is twelve bucks at a hospital. This is why this procedure or that costs eighteen thousand dollars. This is also why we as consumers can't afford any procedure without insurance today. The insurance that we pay goes to cover someone else's surgery that is also a customer of the same provider.

    The idea of universal healthcare is a great idea. We would have a healthier, happier America if everyone was covered by the government. Sadly, I fear that as soon as the government begins to cover the average American, large companies will begin to drop high-risk clients (those that cost the insurance company a lot of money). The problem isn't that we shouldn't better American lives, it's that regulation has been lacking in the areas of keeping insurance companies competitive and viable. Regulation, or lack thereof, has led to the economic crisis and it is what makes the cost of healthcare so ridiculous today.                

     

    Currently
    ER: The Complete Tenth Season
    By Maura Tierney, Noah Wyle, Laura Innes, Parminder Nagra
    see related

Tuesday, 30 September 2008

  • Retention

    Of the last few schools I have been associated with, two of them are pressing something that is truly troubling me. See like high schools and the like, they want big numbers because: 1. it looks good to have big numbers and 2. more people equals more paying customers. Because of this, these two schools are trying their best to improve retention. One school is looking at eliminating so called "killer classes", also known as strainer classes. These are classes that everyone in a major has to take, but few pass. It separates the haves from the have nots, the dreamers from the determined. The other school has asked teachers not to give exams, especially in the tough classes, until after the date to drop class. The key is that they want to make sure that they get paid before the student can bail out.

    This is not what a college is supposed to be. It shouldn't be a place that just takes in everyone, takes their money, and makes classes easy for them. I want to make sure that engineers know how to build bridges. I want teachers who are certified. I want doctors who know where my ulna is. I don't want people who have just attended class and received a grade. I think these schools have lost focus. They are no longer institutions of higher learning, they are now corporations. What a sad state we live in.

Thursday, 28 August 2008

  • So the olympics are over and I kinda miss them. Since we live in the boonies we have no cable so we are stuck with 2 channels. And now the presidential conventions are on.... needless to say I'm happy we have new kittens to play with instead because there is nothing on TV.

Monday, 28 July 2008

  • A Lost Art

    For the past few weeks I have been very lacking in the internet department. Since we moved into the new house, we do not have internet. This means that the only internet access I get is at work. I have also felt somewhat uninspired to write, but now inspiration has arrived.

    The New Yorker Magazine did what it was supposed to do as a magazine. It sold copies and got people talking. See, the New Yorker published a cover in which Barak Obama was caricatured as a man in full Muslim regalia in the Oval Office. In the picture, Barak is giving his militant-looking “pseudo-Foxy Brown” wife some dap (a fist pound). In the background the Constitution is burning and there is a portrait of Osama bin Laden on the wall. When it was published, some media outlets howled in outrage at the content of the cartoon, saying that it was mean, cruel, and wrong. Both major presidential candidates stood up to say that they were highly opposed to the cartoon; that it played on false stereotypes.

    Now I’m not going to get on a soapbox about Republicans or Democrats or who is right or wrong, but over something that most people missed. It’s not that fact that the word “lampoon” has been revived in the current vernacular for the first time since Chevy Chase took his family to Wally World. It’s the fact that we as Americans can’t get a joke. We have been so spoon fed by media that we suffer the inability to think for ourselves. When I saw the cartoon, I got it. I thought it was funny because there are so many rumors that have swirled around about Obama that people actually believed some of them. This magazine has proven a very deep point, deeper than I believe it intended to prove: the fact that we have lost to ability to understand a political cartoon. Cartoons are supposed to make fun of people (with actual traits or presuppositions.) Impersonators for years have done this with great efficiency. Dana Carvey was one of the greatest Bush impersonators and created little funny vignettes with Bush #41 stating words like “nagonna doit, wouldn’t be prudent.” Bush 41 didn’t really get that sloppy with his words and even appeared on an episode of Saturday Night Live to set the record straight. Comedians and cartoonist have for a long time made fun of famous people, sadly we as Americans have lost the ability to “get it” with the comedic genius of what the New Yorker did.  

    The truth is that we as Americans have several things going against us.

    1. We are so spoon fed what is supposed to be funny or hip or trendy, that we lose to ability to act as an individual. We do whatever businesses, advertising, and entertainment say we need to do.
    2. We have lost interest in who is going to be the next leader of the free world. Voter apathy is very high. We just don’t care because we know that the little guy doesn’t matter to anybody in government.
    3. We have media overkill. At any point in time there are at least 4 major all-news channels on cable. There should be no need for that much news. Unless these news channels are covering the local fire department’s rescue of Fluffy out of Mrs. Johnson’s apple tree, I don’t care.
    4. We will believe anything for a minute. We love a rumor better than anything. There are dozens of shows and websites dedicated to just rumors. Chat rooms and message boards are just full of fluff.    

Tuesday, 08 July 2008

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splankna

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  • I love God, He is more than I realize. I'm married and I love it.

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