If we had decent public transportation. I would be all for making any alcohol consumption before driving illegal. But we don't live in a world where that is possible. But the truth is, DUI or no, public transportation saves lives. Getting in your car, even sober, is the most dangerous thing you do each day. And even if you are the safest driver on the planet, the other guy who t-bones you in an intersection isn't. Building a rich public transportation system will save countless live from just everyday traffic accidents, not just DUI related accidents. And it would facilitate stricter driving laws.
Absolutely not. No state should be able to withhold civil rights. Especially when other states grant full rights. Further, Civil Rights shouldn't be up for ballot measures or public vote. If Jim Crow laws and black Civil Rights had been up for public vote, we wouldn't be where we are now. We would still be segregated. In case many forget, the government had to send in the military to enforce school de-segregation. And I fully support that. No state or city or any sort of municipality should have any right to deny civil rights. And if it takes the military to force it, then so be it. I want to see the day the military is sent to enforce equal marriage rights. Then, perhaps people will understand that we are in a Civil Rights battle that is no different from that of the 1960s.
And apparently the poster that you are replying to doesn't understand how the US Constitution works.
States can makes what laws they like, as long as they don't interfere with Federal law, or the US Constitution. Put simply, a state cannot make a law that violates Federal Law. And the SCOTUS has the authority, granted by the US Constitution, to rule on such matters.
Trying to reach your loved one who might be in the path of the storm, and one of you uses Nextel? Forget about it. You're not getting through.
I'm also going to echo others here and say that the loss of pay phones is seriously problematic, especially for disaster/emergency situations.
It's anywhere from $60,000 - $100,000 for an EMR system. And if your EMR of choice doesn't do practice management, you have to spend another $10,000 - $20,000 for that.
The big promise of EMR is data portability. And here's the big secret that no one seems to be talking about: the data *is not portable*.
If I have ABC Company's EMR and you have DEF Company's EMR, I cannot export a patient chart, send it to you and then you import it. You cannot connect to my EMR and get charts for patients I refer to your clinic. So there is no universal patient chart that follows you where ever you go.
Plus, if you *do* have some other electronic system that has to interact with your EMR (say a pathology system or a perscriptions system) you have to pay *both* companies typically $10,000 *each* to do an HL7 link between to two systems. And even then, the link between the systems is spotty at best and half the time doesn't work.
A company that has very little in the way of technology wants to transition to EMR. So they have to spend $30,000 - $40,000 just for the computer hardware (workstations, servers, printers, scanners, routers, switches, etc.) and then another $60,000 - $100,000 for their EMR and practice management needs. THEN, the users have to be trained. I do IT and primarily work with medical offices and sugrical centers. I can tell you that doctors *do not want* to learn how to use computers and software. The office employees fight it, everyone fights it. Eventually they give up and don't use it and let $100,000 worth of hardware and software go to waste because they become too frustrated to use it, it slows them down exponentially and it hasn't made anything easier or more portable. I have seen so many offices basically throw money down the toilet on these EMRs. They get them, and within a month they can't stand them and just go back to paper charts. Not to mention how much they get in the way of patient care. My wife recently went to see the doctor. The doctor was hunched over her computer the whole time and seemed more concerned with making a typo than with paying attention to my wife. Paitent care is suffering greatly.
THEN, the EMR companies want to hold back common sense features and charge you tens of thousands of dollars to implement them. One office I worked with had a web-based EMR and the doctor wanted to be able to recieve faxes right into the EMR. They said sure, you can do that. She asked if they could download and print out the faxes if they needed to. The company told them that yes, they could, but that was an extra feature that would cost $10,000.
Vendor Lock-in is not just something that they strive for, it is the very *core* of the EMR landscape right now.
EMR is a complete and total failure and you can lay that failure squarely at the feet of the greedy bastards who sell it.
When DRM goes away and we can use our books as we see fit, and a court has ruled that no company can delete your books because they fucked up some publishing deal, or becuase they think your accout is "suspicious," then ebooks will be viable. Until then, physical books will be the only way to go.
Then you had that ridiculous Windows 7 Starter edition that was extremely crippled as an operating system. Pick any Linux distro and it was far superior to Windows on netbooks by miles.
Now you have these companies who didn't market and didn't properly build netbooks trying to go the other direction with Ultrabooks, which aren't much more powerful than netbooks, but cost 4 times as much. I simply will not pay $1,000+ for a machine with a 1.5 Ghz processor and 2 GB of RAM just because it's slim and pretty.