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Comment Re:"The Stick" is typical in business (Score 1) 367

We actively advise our doctors to take any cash patient they can find and to be fair with them. Their fee schedules are controlled by the medicare allowables in most cases (other than state insurance like workers' comp -or- federal workers' comp) and by fair we mean for them to charge a little more than what they'd ultimately be reimbursed if it was billed to insurance.
They actually make out better this way as they don't have to pay us a percentage. That is going to be a larger part of their future income. They tend to agree mostly.
(Some, though we have no direct knowledge seem to treat that cash patient as their 'walking-around money' already... wink)

Comment Re:"The Stick" is typical in business (Score 2, Interesting) 367

Yes but, remember when you have a payor like the omnipresent federal government, they already use that 'stick' almost daily. Case in point, Medicare just waved a magic wand again with a doctor-friend of ours and instead being reimbursed 80% of the Medicare allowable and they lowered it to 62.5% with no explanation.

So, he gets to treat his patients but get less money for the same labor. I do know this: A lot of doctors will opt-out of Medicare/Medicaid patients altogether very soon. They know there will be a market for CASH patients who neither want their demographics or medical records stored remotely.

They seem to like to penalize doctors under the current system, it'll only get worse.

Comment Re:Cue the Hysteria... (Score 4, Insightful) 408

There's even more profit in REPLACING the now 'breached' current presidential helicopter fleet over these blueprints.
Don't even think that this has primary IT implications.
This is more about giving the polititians cover to continue the cost overruns.

Lockheed-Martin signed a contract four years ago to build 28 new helicopters for $6.1 billion. Numerous Pentagon-mandated changes have ballooned the price tag to $11.2 billion - meaning each of the new choppers would cost $400 million, or as much as Air Force One.

Marine One Upgrade Plan Stirs Debate

A helicopter (one) that costs as much as (one) Boeing 747!

Wow...

Earth

Zipingpu Dam May Have Triggered the Sichuan Quake 193

bfwebster writes "An article in the Telegraph (UK) raises an interesting question: was the massive (7.9) Sichuan earthquake that wracked China last year and left millions homeless caused by ground stresses following the completion of the Zipingpu dam? As the article notes, 'The 511-ft-high Zipingpu dam holds 315 million tonnes of water and lies just 550 yards from the fault line, and three miles from the epicenter, of the Sichuan earthquake. Now scientists in China and the United States believe the weight of water, and the effect of it penetrating into the rock, could have affected the pressure on the fault line underneath, possibly unleashing a chain of ruptures that led to the quake.'" The Sichuan region is earthquake-prone, but has not seen anything as large as the 7.9-magnitude quake for perhaps millions of years. The Chinese government denies any connection between the dam and the earthquake and seems to be actively obstructing the access of scientists who want to investigate. The article concludes, "There is a history of earthquakes triggered by dams, including several caused by the construction of the Hoover Dam in the US, but none of such a magnitude."

Comment Re:Heinlein, please? (Score 2, Funny) 585

I JUST got that message from Amazon today:

Hello from Amazon.com.
We're writing about the order you placed on January 27 2009 08:31 PST (Order# 003-4511132-3261008).
Delivery of your package has been delayed due to weather or a natural disaster. UPS will deliver the package as soon as possible. We apologize for this unavoidable delay and appreciate your patience. The items listed below are included in this shipment (Tracking Id '1Z415@@@@@@@@@@@'):

Comment Re:What a sad world (Score 1) 140

If that's true, then do you have a theory for why newspapers, which have been racking their brains non-stop regarding this crisis, haven't latched onto the local-coverage solution?

Yes. Where is the value in reporting? Maybe they should be aggregating local stuff too. My recommendation to include linked transcripts would be a start. Start thinking like an information repository and less like a tabloid. What the hell does BradGelina have to do with Memphis, Tennesee anyway?
The filtering they do now means that there is less, not more. Give us raw, give us unpolished. Let's see those notes the reporters used and while you're at it.

A case in point: A local doctor was falsely accused of drug dealing and distribution. The local persecutor went after him in a big way, notifying the newspapers and local news stations of the impending raid. They made a real show of it, a whole week of sensational coverage. After all, the persecutor was gonna be running again and they need access. They charged his wife with accessory charges too. He fought back hard and they would not tell his side of the story. They took all his stuff (cars, motorcycles, valuables, etc...) even though he and his wife's family had money and legitimately purchased all those items.
Eventually they wore him down so much he jumped off a building after his trial was almost complete. Afterwards, his attorney polled the jury and they said the persecutor had no case and they were not looking to convict him of anything. Sad yes, but his wife's trial was no longer an issue to them, and just try finding the story where she took a plea-deal to greatly reduced charges and simple probation for an unrelated process-crime. Sometimes the follow-ups can be just as important as the initial story.

Papers are also hurting baldy from the loss of classified ads, real estate listings, and car ads, all of which are migrating to the web (i.e., craigslist).

Maybe they need to affiliate with craigslist instead.

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