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Picture
HEALTH  
CARE  DELIVERY  





ECONOMICS KNOWS NO BOUNDARIES
BUT ONE WAY OR ANOTHER 
EVERYTHING ANSWERS TO HEALTH



.







Opens 3 Soundbites
In Fun Format.
Individually C-P'able.
Underlying Addresses
Visible.
Much Saner Version




New

Basic Question
 About Oligopoly, 
With Comparison








New Explanations

1       2       3





More Assistance:




The Economics That's More
 Health-Centered
(Health Economics And
Applied Public Health
Are Intertwined)





With Other Sectors
(Health Care's Place
In The Macro Landscape)




The Choices



Pro-Active Style In
Health Information And
Health Education





With So Much Obfuscation In
Our Public Discourse, Even
Within Individual Sectors,
One Might Easily Need:

Understanding Priorities
(Everything Answers To
Health / Happiness)

And The Roadmap Of
Economics And
Nationwide, Community,
 And Environmental Health



Better Than The
Preceding Shellgame,
But Here's A Less
Flattering View
Of Where We Are





Risk Equalization,
Tiering,
And Other Thrills






About This Page





You Can Never Confuse
Existing U.S. Health Care,
Or ObamaCare, 
With Risk Equalization Any 
More Than You Can Confuse
A Corvette With A 
Buick Skylark


"Pretextual" Time-Bombs Run
Parallel To Look-Alike General 
Election Resolutions And Projects
Lacking Sense Of Mission (As
In Rapid Transit Minus The 
Accessible Parking Or 
Convenient Scheduling.)  
Aspects Of Potential-To-
Inevitable
Inefficient Support Of An
Oligopoly, By Virtue Of The
Enshrining Of The Oligopoly,
Such As Government Subsidy
Substituting For More Obvious
Discriminatory Pricing And
Risk Shifting, Exist.
.
The Ongoing Forcing Of Those 
Who Sold The Mortgage Bubble
 To "Hand It Over" And Their
 Concomitant Increasingly 
Damaged Ability To Clear
 The Market Is A Cross-Sector
 Parallel.

The Longer, The More 

Egregiously Monopolistic, The 
More Damage Will Be Done To A
 Sector In Terms Of
Efficiency And Effectiveness.
.
In The Context Of Oligopoly, 
Does The Very Presence Of
High Risk Exchanges Presage
The Endurance Of 
Just Go Away Deductibles?
How Particularly Vulnerable
Is This Sector To 
Regulatory Capture Absent
A Structure Instrinsically
Assuring Right Behavior,
Such As Risk Equalization
System-wide, Or At Least
Ending Immunity From The
Anti-Trust Laws, Or, For
That Matter, Something
Like California OneCare?

-----


Should The Ag Business Ever Get
Meaningfully Oligopolistic, Then
Food Stamps, Though Then Still

Essential, Still Becomes A Means Of
Clouding Discriminatory Pricing.

And If The Inefficiency Of 
Oligopoly Should Become Too
Expensive System-Wide, Then
The Food Stamps Recipients
Will Get Shafted. 





It's Still Important To 
Support Those Less Able To
Afford Goods Or Services, But
That Would Be Better Done 
In A Non-Monopolistic
Environment.   They'll Get
Shafted Incrementally
Though, As The Inefficiency
Dictates To The People
Setting Policy Currently.

What Should Not Be The
Policy:
Insulation From Competition 
And The Government's
Paying The Difference Vs.
Standard Discriminatory
Monopolistic Pricing And 
Assumption Of Risk Matters. 



With Real Competition, 
Pricing and Assumption
Of Risk Become A 
Different Story, With 
Financial Support Spread
Across A Rationalized,
More Efficient System.


It's Because Of The Nature
Of Medical Care, Though, As
I Indicate Elsewhere 
(Internet Stats Imply Few
Will Read A Full Page Through
In One Sitting), That Something
Like OneCare Would Not
Be Very Disparate In Terms
Of Rationalization.





Immunity From Anti-Trust
Is Little More Than An 

Entrenched  Oligopoly, And The 
Recent Supreme Court
Decision's Language As To 

The Mandate Being A Tax Looks
 Consistent With The Concept Of 
The Dominant Health 
Insurers Amounting To A 

Quasi-Monopoly-Utility, 
Government Protected.



I Support The Mandate,
However, As The Alternative
Is Ultimately Persons Getting
A Wrongful Free Ride, 
Because Of Cost Shifting.
.
 There is no credible evidence that
 high-risk people gaining insurance
 under health reform could justify the
 59-percent increase in rates
 proposed by Blue Shield, UCLA Health
Policy Research Center 
Associate Director Gerald F. Kominski 
said on the Today in LA program 
(link lost and substituted.)
  Shana Alex Lavarreda,
 Center research scientist and director 

of health insurance studies, also 
discussed the proposed rate hikes in
 an interview on KPCC-Southern 
California Public Radio.







Plus You're Paying For The
Gatekeeping And The Insurer's
Interference With Your Doctor'
Job.


.
 Removing Exlusions Means 
Infinitely More When Married With
 Removing Immunity From
The Anti-Trust Laws And The

Gaming Of Risk That
Discriminatory Monopolistic
Pricing Still Affords


Risk Equalization Combined 
With Repealing Immunity From
The Anti-Trust Laws Is Entirely
About Clinical Rationalization
Quality-Oriented Efficiency, 
Intrinsic Cost Containment, 
A Community Of Interests Freed
From Unfair Treatment Such 
That Incremental Cost Saving
Guidelines Are Easily Agreed To,
And Has Nothing To Do With 
Cost Plus Coverage.  High and
Low Risk Being Jumbled, 
Tiering (Quality Classing) 
Becomes Not Far From
 Non-Existent.

It Happens That California
OneCare Shares Most These
Advantages.   We All Have
Millions Of Homeostatic
Chemical Reactions And
Vulnerabilities To 
Accidents And Genetic
And Environmental 
Risks, None Of Which 
Bears A Demand / Price
Relation ("Elasticity")
In The Provision Of Health
 Care.


Where ObamaCare Includes
A Cost Plus Mechanism That's
Not A Plus For Trust, And It's 
Unhelpful In Terms Of Cost
Containment And Efficiency.


Whether It's Getting Help
 Wringing A Profit From Higher 
Risk Patients, Segregated Out,
Price-Gaming Those Not 
In High Risk Exchanges,
Applying Just Go Away
Deductibles To Those 
Destined For High Risk 
Exchanges, Which 
Defines The Exact Opposite
Of Clinical Rationalization
(And Medical Savings 
Accounts May Be Great 

For Banks But Discourage
Early Intervention,)
Getting State Help With 
Those Unable To Afford A 
Pricing Structure Reflecting 
Oligopoly, And Then Having
A Cartel's Free Hand With
The Easily Picked Fruit, 
The Healthy Customer, I
Don't Know About You, 
But To Me It Looks Like
The Triumph Of Oligopoly.


It's More Astounding In 
Health Care Than In
TBTF Banks Or Cable Cos.
Because It Games The 
Risk Of Getting Ill, Which,
I'm Sorry To Say, Is 
Nonetheless Universally
Going To Happen.  
.
Now, Considering The Above, And 
This   And

This ,

Citing the Urban Institute, And


This,    And    Also    This.

Particularly Egregious Under One 
Like Florida Gov. Rick Scott. 


"Florida turns down $4.9 
million from federal government 
designed to strengthen parenting"





Add It All Up And What Is It
But Taking Everyone For What
They're Worth Cartel-Stye, With
Some State Assistance For The
Risky The Cartel Doesn't Want,
But Only To A Point Where 
Shafting People Has To Happen
Lest The Banks Don't Enjoy
Loss Sharing And Near Free
Reserves On Your Nickel And
Lest The Billionaires Have To
Avoid Paying Taxes Less.
In Hindsight, Would This 
Congress Allow A Different Result?
The Program Actually Perfects, 
More Completely, And Universally,
A System Perfectly Meeting The
Definition of Discriminatory
Monopolistic Pricing.


(Except In Place Of
Lower Prices For
Lower Income Persons
The State Fills In.  
It's  Rightful For States To 
Do That, But It's Wrong In
The Context Of Supporting
An Oligopoly And Cost Plus
Coverage Outside High
Risk Exchanges.  It's Wrong
In Likely Leading To A Tiered
System.   The System Drops
People Altogether Where
Sustaining Them In Tandem
With Supporting The
Oligopoly, Or Basic Cartel,
Is Not Worthwhile To
The Monopolists.)

What CAN Be Said For It Is

It May Be Less Violent
(In The End, Depending
On The Results In Medicaid, As
It May Yet Prove More Violent,)
Than This.


I Strongly Advocate Risk
Equalization Instead, As I
Think People Have Routinely
Used The Demagogue's 
Idea Of Capitalism, Which
Is Monopoly And Controlling
Influence.   As I Indicate
With Links Above And Below,
Its Mechanics Actually 
Surprisingly Largely Overlap
Those Of California OneCare.
Risk Equalization Goes For 
Potential Additional Measures
In Cost Control And Efficiency
Entirely Through Clinical 
Rationalization, As Through
"Value-Basing," Though That
Is Where OneCare Also Shines,
By Way Of The Legitimate 
Competitive Mechanism That 
The Demagogues Falsely Claim
Exists In Their Programs.
Risk Equalization Means
Paying In/Receiving Out 
To/From A Risk Equalizer And
Letting A Rich Market, No 
Longer Immune From The
Anti-Trust Laws, Compete
Of Necessity On Clinically
Rational Terms, With Doctors
And Reimburses Matched
Through A Particularly
Vibrant Market Between 
Each Other.  
Physician-Owned HMO's Surely 
Would Of Course Be Readily
Made For Such An Environment.
The Clinic Already Insisting,
Already Known Successfully,
On Just Letting Doctors Call 
The Patient Management
Decisions May Well Form The

Core Of An Insurance 
Environment.  Earlier Experiences 
In Blue Cross/Blue Shield, From
Prior To The Greater Part 
Of The Art Learned In Weaning
Out Risky Patients, Would 
Likely Serve Well Again.
Because Financial Assistance
Is Applied Across The Risk
Equalized System, In What
I Advocate, My Plan May
Be The Best In Avoiding
Quality Classing (Tiering.)






So This Is 
Captive-Customers-Lite.

SEE



(The Low Risk Customers,
On The Other Hand Are
Headed For A Cost-Plus
Volume-Encouraged Space,
With Just Go Away Deductibles
Likely To Be The Only 
Affordable Premiums For
Those Getting Risky.)





"The Many Ways The
Emptying Of Your
Pocket Is  Protected"

.


A Note On Risk Adjustment 
Payments Already Made To Some
 Medicare Advantage Plans:

This Is Borderline Irrelevant To

 The Issue Of Risk Equalization
 Systemwide.

Taken As A Whole, Medicare Is

 National Health Insurance For 
Customers
 The Cartel Does Not Want.   

(A Real Life Analogy: When The 

Airlines Hit Their Original Growth 
Phase, The Railroads Only Wanted
 To Handle Freight, So Amtrak 
Was Born.   Later, That Was Too
 Much To Keep On Board For Some 
Billionaire-Types, John Birchers, Etc.,
 And So They’ve Wanted To Kill That
 The Same Way They Keep Trying
To Marginalize Medicare (Medical
 Savings Accounts Hand Your 
Medical Finances Over To The
 Banks, Including Your Favorite TBTF
Bank, And Create A Disincentive 

To See Your Doctor.)

Systemwide Risk Equalization
Entails Payments To / From A

 Central Risk / Funding Equalizer.
.
However, As You Can See From The
Above, After The Cartel Games The
Risk Such That The Easily Picked Fruit
Belongs To The Private Cartel And The
Troubled Fruit Becomes The Domain
Of The Taxpayer's Assistance, And In
This Case Risk, Not Simply Price, Is
Monopolistically Gamed, After That 
Stage Is Reached, We End Up With Not
Risk Equalization But Rather The Very 
Opposite:
Risk Subsidies Going Back To The Cartel.



SEE HOW THIS FITS 
WITH OTHER PARALLELS
.
This Proposal Establishes 
Capitalism For The First Time 
In This Sector By Replacing The 
Oligopolistic And Controlled
Asymmetric Apportionment Of Risk.

Ironically, The Foundational 

Weaknesses Of Capitalism, The
 Facts Of Imperfect Access To 
Information, And The Fact Of 
Theoretical Equal Information Access 
And Non-Existence Of Barriers To 
Entry Supposedly Which
 In Reality Would Predispose Profit,
 Or Else Functionally Worthwhile
Profit, In The First Place,

 Are Overcome.
Despite Its Being Our Most
Intricate Sector, Health Care's
Necessities Of Productive Efficiency
And Productive Effectiveness 
Mean It May Yet Be The Sector
Which Can Demonstrate How
Near-Theoretical Ideal 
Capitalism Can Actually Work
On A National Or Even World
Scale.
10 Kids Selling Lemonade As
The Parade Goes By Is
Near-Ideal Capitalism.
Health Care Is Not 
Selling Lemonade.

The Plan Requires (Near-)

Perfect Access To Information
 And Provides It.

It's The Nature Of Health Care That 
Discovery, While Making The 

Sector Sometimes More Difficult
 To Sustain In Terms Of Cost, Nonetheless
 Wears On Its Sleeve The Fact The
 Fact Of Discovery Expanding The
Size Of The Pie.

Some Discoveries Lower Cost.

  Others Make Us Richer, While 
Increasing Cost, Because It's 
The Purpose Of Medical Care

 To Sustain Human Capital.

If Our Society Finds Its Way

 Toward More Constructive, Less 
Divisive Discourse, Then 
People Can Be Better Educated,

 Healthier And Yes, Live Longer.

So This Ultimately Connects 

With Everything That Can Be Treated
 Either Fairly Or Unfairly, Including
 Education, And Including Such 
Things As Dynamic Comparative

 Advantage.   Ideally, Those Living
 Longer And The Disadvantaged
Young Can Discover Engagement

 Together And Help Show 
Us Our Future.

And As To Discovery, By Ending

 The Preposterous Role Of  
Insurance Agent As Physician
 Co-Pilot Risk Equalization Enables 
Vastly More, Better Returning The
 Clinic To Its Traditional 
Vanguard Role.




The Health Care Sector Has
Followed In The Footsteps
Of Other Sectors Where 
The Role Of The Corporation
Was Earlier Turned Crazy-
Eyed.   LBO's, Likewise, Should
Be Allowed To Exist, Of Course,
As Being Part Of A Natural 
Process Of Continuous Economic
Renewal, But They Too Could
Be Put In A Box That Prevents
Them From Engaging In 
Behavior That's Only
Extractive, Not Constructive.


Perhaps More Logically
In The Democratic Party,
Such Reforms Should Be
Demanded By A New 
Coalition, Though, I
Believe, Enterprise Zones,
A Success Story, 
Emanated From The 
Republican Party During
Better Times.

Doctors And Patients Have
Had Nothing To Do With It,
And Actually, The Blue Cross
And Blue Shield Pre-Dating
The Familiar Present 
Experience Took Less
Advantage Of Their 
Monopolistic Positions Than
Does The Present Cartel.
Just The Same, Risk
Equalization Aims To 
Blow Out The Limitations
On Competition.




NEW



NEW TOO 







Pre-Obamacare


Existing Replacement


My Replacement


More As To Comparisons


Better To Understand With, 

Nothing Complicated 
In The First Place



More Basically



A Cartel Taking Advantage Of 

Your Own Ponzi-Like Instinct
And Effectively Shunning The Very 

Business Of Insuring Against
The Unexpected While Gaming 

Covering The Expected




OF SPECIAL INTEREST
CURRENTLY





CARE TO RECOMMEND?
(also)


.
Here's Some Of The Latest In Cost 
Control From Some Of 

The Sectors' Titans.

1               2      
 
I Propose Instead Of Enshrining 

And Entrenching An Oligopoly or De 
Facto New Utility Sector,
Telling It They Can Add Variously

 15% Or 20% To Their Cost, Which 
Volume Is Incentivized For Being 
Increased, And Still Allowing Ample
Room For Gaming Risk, 
Simply:


End The Immunity From 

The Anti-Trust Laws

Equalize Risk (Risk Equalization.)

(Simple In Concept, Quite Difficult, 
Admittedly, In Practice.  And, 

The Greatest Stumbling Block: 
Entrenched Monopolies Don't
Go Quietly.  I'm Here To Say 
Precious Little Worthwhile In Life 
Comes Easy, And No Matter
What The Demagogue Or His 

Mouthpiece Says, There's Nothing 
Capitalist About Monopoly.)


I Certainly Think People
Currently In Premium
Death Spirals Still Have
Something To Worry About.

I Think Doctors Are Still
Looking At Insurance
Agents Interfering With
Everything They Expected
From Life When They Were
In Medical School Planning
To Provide Rational, Capable
Care, And, For Many, 
Unbridled Integration With
Clinical Advancement Of
The Science.

I Think Patients Are Still
Looking At Whether All
Their Future Med Tests
Will Be Appropriate
(I Want The Reader To
Trust Their Doctor, And
I Think They Should
Do That Today, But, 
Generally, We're Still Not

Creating A System That
Makes That Process 
A Given.)

Here's A Little As To The
 Architect's Earlier Policies
(Offered As To Policy
Specifics, Not As To Signing
On To The Author's Titled
View Generally)
Walter To Jack, “Cocoon,”  

(~) “Sometimes It’s Hard
 To Know Whom To 
Trust, Isn’t It Jack?”

This Checklist Thing, Long 

Ago Proposed By Capt. Sullenberger,
 Who Besides Being The Pilot Who 
Saved USAir Flight 1167, Is Also
An Industrial Psychologist, Is 
Now Empirically A Right Thing
 To Implement.
Voici
.
I Think The Pressuring Of 
Persons With Risk Factor(s)
Into Just-Go-Away Deductibles
Is Conceivably The Very Most 
Horribly Worst State Of Affairs
A Medical System Can Create; And,
Many Of These People Will Not 
Qualify For Financial Support.

Now, Consider This.
Get Soc. Sec. Privatized.
Live By Annuities Alone.

Let TBTF Banks Kite Mortgage 
Bubbles.
Let The "Central Bank" Give 
Them Near Free Reserves And 
Buy Their Value-Immensely-Overstated
Assets, Such That Those Who 
Made RIGHT Decisions Get Savings
Income Bled Dry, Capital Formation-
Derailed, And Forced To Pay For 
"Loss-Sharing" Against Their Own 
Interest.

Let Those Living On The Annuities
See Their Interest Income Flattened
By The Same Process.  Let Them Feel
Locked In Lest They Sell Out But
Then Pay On Deferred Taxes, Such That
They Can Then Afford Little Else But
Selling Chestnuts On The Street.

Now, Guy/Gal, You See, As I Do, How 
Monopoly Can Ruin Your Day.



But Lobbying Isn't Simply
 About Perfecting Discriminatory 
Monopolistic Pricing In The 
Utmost Sneaky Ways
(Actually, I Think Monopolistic
Abuse Is Rather Blatant In
The Communication Piping
Sector,) But All Kinds Of 
Things.
Rubber Stamping Cost Overruns,
Shafting The Environment, 
Gatekeeping To Advantage
Extractively, Etc.
The Opposite Is Very Easily
Undersood.
.
Post-Monopoly, The Carriers Would 
ONLY Have Clinical Rationalization And
"Value-Basing," The Precise Opposite
Of Just-Go-Away Deductibles, To Work
With.
That.  And A Lavish Market Between
Providers And Carriers.
Define Cost Containment In Risk
Equalization As I Envision It.
The Very Occassional Super-Clinic
Already Engages In Just-Do-The
Right-Thing Practice To The
Benefit Of The Patient And 
Economic Efficiency.


Remember: Unreimbursed Costs
Are Already, And Always Have
Been, Passed Through
The System ("Cost Shifting.")
If The Above Structure
Provides Insufficienct 
Efficiency (Bang For The
Buck Meaning Quality Of
Health Maintenance For 
The Price) In Terms Of 
Cost Containment, Then I
Think The Structure Itself
Creates A Community Of
Interest Among Carriers,
Providers And Patient
Organizations Such That They 
Can Calmly Agree On 
Incremental Guidelines.
The Idea Is If Everyone
Is In A System Structured
Such That Everyone Is
Being Fair With Everyone
Else (No One's Gaming 
Risk,) Then These 
Adjustments Can Be
Easily Reached.


I Happen To Think The High
Risk Exchanges, Substantially
Taxpayer Subsidized--
Remember, Medicare Is 
National Health Insurance For
Patients The Carriers Don't 
Want--Are Gamable Particularly
In Some States, Where There's
Less Sunshine.


-----


-----


-----

I Think One Of Risk 
Equalization's Greatest
Strengths Is Minimizing 
"Tiering" (Quality Classing.)

As Structured, And With 
Information Made Widely
Available As To Carrier
Coverage Comparisons, And
With Physician and Carrier
Comparisons Richly 
Available Between Each Other,
Any Clinical Efficiencies To
Be Had Should Be Had.


However, I'd Be Happy
Seeing California OneCare
Implemented Should That
Happen.  


I Could Be Happy 
With A French-Style
System.  


1       2   
   
All Systems Have To 
Contend With The 
Challenges Enumerated
Though.



I Prefer Risk Equalization.


How It Can Be Risk
Equalization, Or Leveling
The Risk-Concerned 
Playing Field, And The
Above Plans Can Be
Similar




But Recall.
And Remember:
All Reimbursed Costs Have
Been, And Are, Fully 
Passed Through The 
System.


And I Happen To Be 
Quite Concerned That 
Over Time The High Risk
Exchanges In 
ObamaCare Can End Up
Living Largely Tier-
Disadvantaged.


Risk Equalization
Mish-Mashes The Risk.
It, However, Assures
That Risk Is Played On
A Level Playing Field.
ObamaCare Supports

Discriminatory Monopolistic
Pricing By Subsidizing Risk
Separately.

Pre-Textual Failure Runs 
Parallel To The 
Close-But-Doesn't-Make-It
Deceptive Look-Alike But
Not-The-Same Public
Ballot Resolutions Put Forth
By Industry Aimed At
Frustrating Rationalization
Initiatives.


Our Lobby Industry Has 
Become A Mastery Of 
Deception.
Their People In Office
Reflect That.
.
Medicareadvocacy Chart
(Which Has Bearing
Beyond Medicare And
In Which The Ryan
Competition-Related 
Assertions Bear No 
Relation To A World
Post-Immunity From
The Anti-Trust Laws)


Risk Equalization Envisions
Eliminating Immunity From
The Anti-Trust Laws And 
Replacing Just-Go-Away
Deductibles With 
Value-Based Policies; And,
It Then Becomes Surprisingly
Similar To California OneCare
And The European Plans



RECALL
.
I’ve proposed a bi-directional 
double-pyramided health education / 
health information system 
applying the record-keeping of 

the likes of MSN Health Vault, the 
architecture of Google Docs, 
and 2 way filtering down from 
providers and up from receivers,
 applying to individuals, subsets, 
and the general population, on the 
one hand, and providers: 
individual, subsets, and 
generally on the other hand.


The Idea Is Not Creating The
Health Care Equivalent Of
Big Brother But Nonetheless Not
Leaving People Walking Around
With Unmet Physical And Emotional
Needs.
Even People With Coverage
Today Can Feel Lacking In
Direction As To Ill-Defined Need.
Though An Architecture Like
OneCare May Be The Ideal
Receptacle, The Existing
Patchwork Is Really No Problem
At All, Allowing For Purpose-Based
Google Docs-Like Permissioning,
Combined With A 007-Style
Need-To-Know Policy.



Data Bases Can Be Merged
For Consolidated Predictive
Modeling, Proximately Useful
Algorithms Can Be Outsourced
Through Permissioning.


Even Centralized 
Organizational Assistance
And Outsourcing Can
Be Facilitated.


Independently
Permissioned Systems
Can Be Linked Vertically
And Horizontally.  With
All Gateways Anticipated,
It Becomes 2 Clicks
For The User.


Most Of What This Is About Is
Addressing Group Education,
But Not Just As To Disease
Management On Up To Broader
Or Down To Personal Advice,
But Teaching When To Know
To Seek Help And How To
Obtain It.
It Becomes A Conduit For
Anything.

Ex. 1

Ex. 2


The aim is health maintenance 
with 
education and information tailored 
to the particular 
population, group and individuals.

The system allows for an infinity

 of “tributaries,” reflecting 
policy aims, as also here suggested.


A state marijuana user
fee-funded usage monitoring
system is one logical starting
point.   A central virtual
commons can include 
commercial interaction and
ad-based funding.   States can
electively outsource system
 management.

All health
providers
 can make good use of 
such a system.  Personally mindful 
of the common problem of people 
simply not having loved ones 
available to drive them home from 
clinical visits rendering them groggy, 
social workers and family therapists,
 for instance, can, on a population-
staged basis, address such issues

 as spouses caught up in the 
blame game.  On many levels,
 the success of mate-hood is critical 
to successful health maintenance.


This Is An Ever Present Concern.



------

 ------ 

------ 



------


------


Thus This Is An Incremental Concept
As Epidemiologics And Data Collection
Go, Though, Frankly, Existing Systems
May Well Need An Efficient Super-Structure
Even Absent Concern For Finding
The Unmet Need And Eliciting New
Patient Self-Awareness.



.
Health System Data Collection
 And Analysis, Pertaining Anything, 
From Quality Measures To Needs 
Measures, Is A Massive Topic 
Easily Searched.  I Propose, 

Additionally, An Interactive Double-
Pyramided, Base To Base Information
 System, With Health Education,
Clinical Advice, And Physicians'

 Patient-Tailored Guidelines Flowing
 One Way, Community, Sub-Group,
Specially Targeted Group, And

 Individual Patients' Data
 Flowing Another.  

This Can Serve Any Health Purpose,

 Including Those Impacting On Regional
 Administrative Policy, Such As
A Program Defusing Marijuana 

Criminality, Collecting Public For Public
 Rather Than Nefarious Purposes, 
While Actually Keeping In Touch

 With What People Are Wisely Or
 Unwisely Doing With Their Stuff.
My Interest Is In Protecting Their
Families As Much As Themselves.
Their Health Status Is Intertwined.

"How a Squirt of Oxytocin Could
 Ease Marital Spats and Boos
t Social Sensitivity Oxytocin focuses
 our eyes—and our brains—on love. 
It could help troubled couples
 as well as autistic people"


The Effect, Though, Would I Think
Only Be To Send MORE People
Looking At Initiatives Like 
(Website Will Never
Contain Infomercials)
This One.
.




Mayor 

Default 

Judgement
Has Arrested Nurses
Rendering Care 




It's Precisely The
People He Arrested
Who Belong In Office



.
For Me, If A Mandate Is Held 
Valid By Reason Or Its Being A 
Tax, Then The Oligopoly's 
Statutory Immunity From The 

Anti-Trust Laws And The Concomitant
 Arrangement Whereby High
Risk Customers Reasonably Expected 

To Be Priced Out And Thus Covered By 
The Tax-Subsidized High Risk 
Exchanges, Imply, Though 
This Is NOT Legal Advice, That
There Exists A State Authorized,
State Protected, Oligopoly.

Though  Obamacare Guarantees a

 Large, Easily Gamed Cost-Plus-Based 
Profit And Fosters A High-Volume-
Encouraged Gameplan, And  May Well
Engender The Emergence Of A 
Second Tier, At Least It's Better Than 
What For Many Sooner Or Later 
Amounted Hearing From Their Insurer, 
Seeing A Known Risk Factor,
"I'm Going To Make You An 
Offer You Can't Refuse."


A Plus, It Likely Will Accelerate
The Emergence Of "Value
Based Insurance Design," That
Is, Clinically More Rational 
Cost Of Service Structure, 
Particularly, I Would Say, vs.
"Just Go Away" Deductibles.

The Great Many Americans Who've 

Been Traveling Outside The U.S. 
 For Medical Care And
Pharmaceuticals Have Surely 

Known Something
Has Been Irrational And Unfair.
.
I very much welcome ideas for 
breaking down the structures of 
polarization, be they by way of 
“The Righteous Mind” or other.

As to fairness, I believe known risk is

 unfairly gamed.  I believe that when
 the cartel prefers attempting to shoot
 down any program that supplants simple
 cherry picking of risk-free or low-risk
 customers, they then take advantage of
 people’s not having considered simple
 chance, or “fat tails” (taken to the
 extreme) as economists would 
call it, this even though the cartel know

 better than anyone that in health
 care there’s really no such thing
 as “chance:” 
you will all need major medical
 intervention sooner or later.



1



2:
(Fat Tails / It’s One Thing To Game

 Known Risk, It’s Another To Game The
 Wide Universe Of Chance And Tell
 You That’s  What You Should Want.



(I Suggest Right 

Treatment of Risk.
The Health Cartel's
Treatment Of Risk And
Even Broader Treatment
Of Wider Risk ("Fat Tails")
Bears A Parallel To The
Banking Crisis: 
Bet On Derivatives, 
Amounting To 30X Bank Equity,
 Based On A Self-Created 
Mortgage Bubble, And
Make All Who SOLD The
Bubble Pay For Bailing
The Banks.   Then, Too,
The Former Gets Zilch
On The Income From Their
Proceeds Or Savings Otherwise,
The Banks Getting $Trillions
In Near Free Reserves.
What Will Result From That
Besides The Current Unspoken
But Obvious Policy of Erring
On The Side Of High
Unemployment, Are The 
"Fat Tails" YOU Have 
To Deal With.




I call this Ponzi / Jaws health care,

and when it's presented in this
manner so as to perpetuate a
system that treats risk unfairly
while being clinically irrational
and often devastating to famlies,
it reminds me of this.


The payoff side of this duplicitous
arguing on behalf of the cartel
has included assertions about
"right-shifting" of co-morbidities
negating the value of preventionism.


Their own admissions as to what
is / is not "right-shifted" suffices to
render these assertions much 
less relevant.


The very idea of opposing 
preventionism, whether or not
that includes arguments
pertaining early intervention,
cohesive health education, or 
whatever, it:

implies health status-now
 is devalued as a measure of
 objectives achieved;


makes brash assumptions
as to the overall cost of
morbidities addressed 
lengthily vs. co-morbidities
addressed right-shifted
scrunched together;


And, it just lets people progress
absent preventionism and
writes them off when 
their morbidities accumulate?


In other words, it's not the
progressives who want
to pull the plug on grandma,
it's the cartel.  
 

Morbidities should be 
avoided near-term with
preventionism, without
regard to right-shifting,
because it's the very 
purpose of medicine
to keep people healthy.

.
As To "Engagement"
And Actual, Innovative
Public Health Measures
And Health Education,
See:



Ostrich Index

Vulnerability Index

Health Engagement Management
 




The Buzz: Social Interactions
Healing Older Brains
(Me: And Then, Mind To Body,
Body To Mind, Would Imply
Physical Health--By The Way,
It's Anecdotally Well Known
Computer Usage Aids Older
Persons Tremendously--
A Sea Change)




Health Information And 
Health Education Systems
Are Connected Respectively 
With Separate Proposals But
Are Somewhat Clumped
Here




Formally Integrating Formal 
Communications Skillsets Into 
Health Information And Health
Education Systems May Have 
Another Model 






My Plan, A Variation, Generally, Of
What's Existed In Europe For A 
Long Time, Established Capitalism
For The First Time In A Long Time
In U.S. Healthcare, Though Many
In The Cartel Leadership Have
Been Quick To Apply The Word
Socialist To Others.



The Fact Is, And This Is Not
As To My Plan, Only A Single-
Provider System Entirely
Eliminates "Gatekeeping."
Imagine That One Internet
Utility Is Free And A Look-Alike
Is For-Fee.   Imagine The Latter
Requires You To Invest Lots Of
Time Satisfying That Provider's
Gatekeeping Needs.
Imagine To That The Gatekeeping
In And Of Itself Boosts the 
Cost Of That Service.



(My Plan, Of Course, Is
NOT Single-Payer Based.
It Simply Makes Fair
The Treatment Of Risk.)



Of course, I know every reader
is on my side.
Because I believe in every
person happy / healthy.
ENEN reverse-engineers
from every person happy / healthy.
I see no conflict with
Adam Smith NOT-slandered. 




This Section Works 
In Tandem With The
Ideas Offered Here
.




THE ECONOMICS 
OF   NO
PERSON
ALONE 

.


WHEN YOU SAY YOU DON'T
WANT TO HAVE TO BUY HEALTH
INSURANCE, YOU'RE BEING EXACTLY
LIKE ANY PONZI ARTIST -- SELF-
DECEPTIVELY MAKING A DUBIOUS
BET THAT OTHERS WILL PAY FOR.
YOUR COST WILL BE SHIFTED INTO
EVERYONE ELSE'S PREMIUMS, THE
CARRIERS NOT CARING, AS THEY
HAVE A PRE-DEFINED, SELF-
DETERMINED, PRIVILEGED CAN'T
LOSE LIMITED RISK.


TO SAY YOU'LL SIMPLY BUY
INTO A GUARANTEED AVAILABLE 
POOL ONLY WHEN YOU NEED IT
URGENTLY IS TO BE A THIEF
(IT'S ALSO CLINICALLY FOOLISH.)




To Explain That "Talking 
Point" Style:

A Cartel Taking Advantage Of Your 

Own Ponzi-Like Instinct
And Effectively Shunning The Very 

Business Of Insuring Against
The Unexpected While Gaming 

Covering The Expected







The needs of health care cannot wait 
(do the link-loops; get curious:  known
risk co-opted; happenstance co-opted)

Go Full Circle And Understand

long for people to break free from 
false blame defending demagoguery 
and high principles held in your
face but not practiced by the 
demagogues.  This was their first
secret.










**CORE**


Absent Something 
Like That, THEN 
Something Like 
This Works For Me 
(now commenting
on points there)



TALKING 



POINTS








NHS Reforms Will Betray 
Generations To Come




USDA Confirms
California Mad Cow Case

(Vectors Fanning Out, Magnitude of 
Change  Deepening, Those Two 
Things Only Compounding, In Terms of 
Opportunistic Range, and Issues of 
Local Opportunity, Changes in 

Virulence, Etc., Are All Potential 
Influencers In Disease Incidence)  
Self-Destruction For Profit Is 

Economically and Clinically 
Going The Wrong Way

Use that apparently isolated case as
a mind experiment--commonplace 
disruption to our adaptability.


New Questions As To 
Mad Cow Vectoring
Basis Related Pathogens



Changes in organisms'
ecological ranges, relative
virulence, and all manner of 
environmentally induced / 

accelerated genetic changes, 
those all reverberating 
back on all these factors, and 
concomitant new organisms'  
"opportunities," 
all relate to any given existing or 
de novo infection.

With growing concern
(SEE)
about increased radiation detected,
U.S. West Coast:
Iodine loading of the thyroid for 
preventing radiation absorption is 
obviously somthing consumers 
shouldn't  do absent supervision. 

   WHY
The lower in the food chain your
food comes from, the less
concentrated will be the radiation. 
.


In health care, insurance has been 
sold for coverage against the unlikely, 
and it's  been sold as if it would 
cover the likely.

It has in reality been aimed at not 
covering the likely,  and when the likely
has become apparent,  its coverage has 
been in a feudal-imitative manner 

(men (and women)  owning men 
(and women.)) 



Understand simply, Medicare exists
because a health insurance cartel
didn't want to cover older persons.
It's national health insurance for 
unwanted customers.
Rather than a "public option,"
ObamaCare replaces this with
the Government paying for most 
others the cartel doesn't care to 
cover, actually incentivizing having
MORE volume by way of the 

guaranteed large profit margin 
(particularly when placed on top 
of an easily fudged, large
admin cost figure.) 

Even after 2014 there arises
a strong incentive to continue
the choice of "premium death
spiral" or "go naked," especially
relying on devices like
"Just Go Away" deductibles,
but with the premium marching
upward quickly anyway, because,
though Obamacare guarantees 
them cost-plus, the mix-bag 
of coverages offered lower
risk patients is easily skewed
to gain a larger customer base,
offering premiums to low
risk customers subsidized by
high risk customers, the latter
ultimatedly, as explained,
ultimately going to the 
high risk exchanges, taxpayer
subsidized, and very possibly
en route to 2d tier status,
even thought the government
will surely be more determined
to institute rationalization 
devices, such as "value
based insurance design."



SEE MORE AS TO SUCH
THINGS AS VALUE BASED
INSURANCE DESIGN (A PLUS)
AND POTENTIAL TIERING OF 
HEALTH CARE OVERALL 
AS TO OBAMACARE, AS 
WELL AS TO UNFAIR
TREATMENT OF RISK.





The Medical Loss Ratio Being
Company-Wide, The Cartel Can
Still, Even After The 2014 Ban On
Exclusions, Price Out Risky
Customers. 

Aside From The "MLR" Being
Easily Gamed, Pricing Out
Risk Affords A More Competitive
Presentation To Healthier
Customers


(MY IDEA) 







However, a system that is not

based on heads I win, tails
you lose,  in that manner is
otherwise easily created.

More Formally Here

The closest parallel to this would 
be Amtrak.  Passenger car travel is far 
more costly than is mass transit, in 
many/most instances (the exceptions
are where mass transit programs are 

"pre-textually"  created for self-failure 
or for purposes of "pork,") measured 
in cost per passenger-mile, but it wasn't
profitable enough or profitable at all, 

particularly,  by historic chance, when 
air travel became popular.   So, 
naturally, rail had the   Government 
take it.   That's rather heads I win, 
tails you lose, too, wouldn't you say?

This can be returned to a  
don't con 
me state  by indexing need of application 
vs. volume  disadvantage, followed by a 
mechanism for  compensating for the  
private entity's involvement in a 
less inviting market segment.

However, in the case of 

mass transit, the roll 
out of all the flex tech, combined 
with IT, and the integration 
of different systems may actually 
be  better done by government, 
so long as government's goal is 
serving communities, 
not sellers of hardware.
.


Obamacare, Legal Issues, And More
(Find evernewecon 
at Wharton Knowledge
(3 comments to accomodate the volume))




Major Legal Development
(Harvard Law column)



This
part means, in essence, you are already 
paying  against your own volition for the 
uninsured's coverage,  though your carrier's 
pre-defined,limited risk means it gets a "Go 
To Pre-Defined Profit, Do Pass Go" pass. 


WHY EDUCATION IS OUR MOST

IMPORTANT JOB, AND HOW
THAT RELATES TO TODAY'S
ISSUES
(find evernewecon)  





New Reason Why 
PTA's Are Important


Just removing the heads 

I win, tails you lose
element isn't such a chore.
Some Basic Aims, Here With An 

Application Modeled on a 
Modified Carbon
Tax Scheme
in application, incremental from this
(no connection to ENEN)



2 MORE COMMENTS, THIS PAGE 








COMMENT / HEALTH POLICY,
EMPLOYMENT, INTERSTATE COMMERCE







You've been in a health casino

all along.   It's simply been
a game where the carrier can't
lose and you've been served
at sufference.


The only limitation to how 
climate change can affect 
human "epidemiologics" is
the infinity of space beyond
the ignorance contained in 
our arrogance.


Lettin' Off Steam Time

Just Being Happy Matters
(Body to Mind, Mind to Body,
The Chemistry Increasingly
Citable)



Actually, I Don't Believe The 
Unhappy Person Is A Healthy 
Person, So, Looking Beyond The 
Normal Recuperative Roles Of The 
Like Of Grief, And Mindful Of The 
Natural Roles Of Things Like 
Anandamide (Human Endorphin 
Helps You Forget--Is Very Similar 
To THC, The Active Chemical 
In Marijuana)
 I'm Proposing More Formal 
Public Health Intervention In 
Emotional And Social Inputs,
In Terms Of Generic Health
Education Generally, But 
Also Researching Contravening
In Such Issues As Bullying.




(I Also Don't Believe The 
Unfortunate Person Should
Be Scapegoated For His/Her
Misfortune.  I Also Believe That
Given Well-Intention-ed Structure
And Process No Individual Lacks
For Gainful Purpose.   I Also Believe
Those Complaining About "A Fiscal
Cliff" Should Look At The Prior
Policies Penalizing All But 
The Billionaires.)
.
The Framers Mandated Health 
Coverage for Employees AND 
Employee Acquisition
of Hospital Coverage 

(Federal Statutes.   Why Special?
Some of the Authors 

WROTE THE CONSTITUTION)





Obama's Markedly 
Unimpressive
Replacement 
(Thereafter)




This Website Proposes, Otherwise

Chances are excellent, prior to
your reaching eligibility for Medicare,
should that program not be shafted
to compensate for heads I win 
tails you lose based inefficiencies in 
health care and other major sectors, 
 and Medicare is simply National Health 
Insurance for people the cartel does 
not want,  that you will be handed 
a choice of: "go naked" or "premium 
death spiral."
The basis for it will be 
demagoguery--hot

air.



80/85% MLR (medical loss ratio, 
or 15/20% operational profit,) by
statute under ObamaCare, the
profit only limited by volume,
preventionism thus dis-
incentivized (which is also the 
case with medical service accounts,
which is not something asserted 
out by many people, except I do,)
is not sufficient for the Texas 
Legislature, where punishing 
premiums surpass that profit
rate.   They will not rebate the
difference to their constituents
in Texas, though one State
Senator has tried changing that.








This (referral networks)
entails many issues.
At ProPublica--An Issue
Particularly With Obama's
Plan Encouraging High
Volume, Though ENEN
Considers Provider Abuses
Being Very Rare (<3%)
Frankly, what I really care 
about, is someone should be 
policing whether people are
getting referrals suspiciously
often, though profitably, from
particular practitioners.
And, also frankly, I would 
want to see this simply tested
in the area of general dentistry,
where (a tiny minority 
of...) dentists may produce
an inordinate number of 
patients needing getting rescued.
If I can think of a nicer way of 
putting that, I'll use it. 

Q.  (Don't Peek At The Answ. Too Soon)
Why would the Alaska Legislature 
love it in my dental clinic?







A.   Cause it's drill drill drill.







Actually, dental care goes forex
today.   If you need a gold crown,
it's that gold that today will easily 
constitute the larger portion of your 
expense, and that's because people
worry about 
this

and
this,

which does not really bear on

any monetary vs. fiscal policy 
approach argument, such as where
Prof. Meltzer is addressing
monetary policy, and where Richard
Koo would say it's pushing on a 
string after a debt bubble.
That approach provides I.V. feeding

to the TBTF banks in a manner
requiring monumental amounts
 of near free reserves and an 
environment of nominal interest rates.
   That it would be so 
disruptive to both dentist and patient
is something not to be missed and, 
at least now it's noted by little ole moi.






Earliest Findings:
Broader Coverage
Yields Less Emergency 
Room Use









Why Large Banks Love Your

Having a Choice of "Go Naked"
Or "Premium Death Spirals"

.
As physicians are cited
responding to this, it must be true
the proposal was actually made.
Though personally familiar with
the American and Canadian tourist 

occasionally buying some popular 
prescription drugs for him / her self 
at places such as this (Puerto 
Vallarta, pharmacy in the back,) at least
for me I consider this proposal as
actually sending a dangerous message;

and if it were effectuated, likely
to add to cost.
Analogize: you test-apply carpet 
cleaner before you actually use it.
Many / most drugs, even sporting
the most innocuous images, carry 
the sorts of risks any poison carries, 
each drug being a  +  vs.  -  decision.
Liver and psych alterations are 2
obvious first concerns, but should a
patient actually present an issue 
during physical I don't think there's
such a thing as a LabCorp test-for-
what's-been-popped test, and so one
can imagine doctors asking themselves
if they need re-visits simply after saying
come back after discontinuing 
whatever you've been taking. 

Obviously pharma hasn't figured out
how to make O-T-C tiering work.


But removing fear of cost and
reinstating trust of the provider 
system constitute 50% of what 
this page is about.
25%:  lookin' at what you get
(nurses (lookin' in a nice way,)
 medical social workers)
25%: marrying health maintenance
and preventionism with
regional policy making, with an
eye toward coordinating 
improved health resources
(for instance assisted living 
with this.)





When A Drug Is Legally On 
The Market, And Will Likely 
Help You, But It's Not FDA
Approved For Your Application,
Should Your Carrier Help Out
If Your Doctor Wants To Use It?





Stanford Genome Technology Center:
Predictions Made As To An Individual's
Genetic Risk of Developing Specific
Diseases, Using Commercial SNP
(Single Nucleotide Polymorphisms,)
May Vary From Those From Next
Generation Sequencing
 (That Means They 
May Be Wrong) 







Application For Labeling
OxyContin For Kids
(Not Independently Verified)
.
With THIS, I Issue The
Call:
1:   
Dental Hygiene 
Integrated Into Medically
Based Health Education.
(Of Course, First One Needs
Health Education At All,
And Carrier Rationalizations
Can Improve That Beyond
The Piecemeal (Some
Organizations Are Effective
Already, Of Course)) 
2:  
For Those With Access Issues
(Location, Financial,) 
Inventing Degrees Of Access,
Including With Help In Terms
Of Provider Financial Incentives,  
.
But I Realize The Middle Class
Is Finding Dental Hygiene
Ever More Difficult To Pursue
(That's Obviously A Matter Of
Not Getting Shafted On Policy,)


APPROPOS


ALSO


But Y'all Come Back Here Now



But Carriers In A "Rationalized" 

Health Coverage System Can Better
See Their Own Purpose In  
Providing Realistic Dental
Coverage
Serves:
A)  The Access, Of Course
B) Creates Health Consciousness
And A Cross-Vehicle For Other
Health Education Efforts
C) Inspires, Maybe Even Fear-
Motivates (With Gums, That
Works For Me) Better 
Health Behavior
D) Motivates Democratic Self-
Help, Which Helps Everyone.
Virtually All Uncovered Cost,
You Should Know, Is 
"Shifted," In Any Event,
The Carriers Simply Having
Carved Out A Profit Niche
Or Next Seeing Cost-Plus,
You Paying For Whatever
Volume Passed Through.
People Seeing A Positive
Future Are Better Custodians
Of Their Own Health.








Technology Re-purposed
For Removing Radiation
From Your Morning
Coffee or 
Chocolate Malted
Smoothie
(W/W-O Dash
of Kahlua)








Radiation App 








As Disdainful As 
((Alleged) Leaked) 
Administration Efforts 
To  Support Monopolistic 
Pricing of Drugs Are, 

THIS
Most Threatens Your 
Future Ability To Recover
From Illness By Slowing
The Discovery Process.
You Can Lose A Loved
One Some Years From
Now Quite Easily 
Entirely Because Of That.



ENEN:
Property Content In Process 
Should Have Protected Value
Where Administrative 
Authorities Deem It Suited.
(Not Legal Advice)
The Scientific Knowledge Gained,
Whatever the Source, Obviously
Has A Brainstorming  Value.
 Scientific Progress 
Should Not Be Conducted
Absent Greater Visibility.


Certainly Where Any 
Component Of Clinical
Studies Involves Public
Funds, The Public Should
Be Able To Require That.


That Has Been A Cornerstone
Of National Scientific Advance
Through The Ages And 
The Opposite, To Me,
Represents A Fundamental,
Societal, Failure.   
That Degree Of Structured
Anti-Social-Style Economic
Conduct In A Scientific 
Sector Actually Strikes Me
As Raising Anthropologic
Questions, And I'm Carefully
Trying To Avoid Sounding
Melodramatic.   It Runs
Counter To The Presumed 
Natural Common Aim For
Common Community 
Survival, N'Est-Ce Pas?





Are Drones 

Transponder-Visible,
Or Visible At All,
To Air Traffic
Controllers?




Meta-Analysis Using Partly 
Data Obtained By Legal 
Process Indicates Kidneys
Particularly Affected In Men,
Livers In Women, By GMO
Corn, GMO Soy






The Revolving Door in Federal 
Agencies and Corporate Control
of Congress Produce 
This Item:
Public Health Programs, Even
Ones Supportive of Privatized
Profits and Socialized Cost,
Get the Heave-Ho 

.
For Each Special Tree That Grows
 In A Poorly Governed Community
 There Could Be A Thousand.  While 
Addressing Medical Care
Organization Specifically, This Page

 Also Reflects That One Might Quickly
 Realize Economics Interfaces Matters
 Of Community And Personal Health
 In Many Ways.  No Wonder It Is
 
That “Place” Itself


 Is Today
Understood As Being A Common
 Denominator.  
(In Real Life)

A Place Can Be Wealthy But

 Lacking In Priorities.  Birds Can’t
 Fly Unless Their Community
 Is Healthy.


Democracy, Free Enterprise
Practiced Legitimately, And 
Health And Happiness 
Depend On A Strong Depth
And Breadth Of Education.

In The Land Created On The 

Basis Of All Men And Women 
Being Equal By
Birthright There Is No Semblance
Of Equal Opportunity.  
The Sapping Of Public School 

Resources Aggravates That.

"Bill Gates Admits He Was 

Wrong (Bloomberg Doesn't)"
HuffPo


Unionized Schools Afford Superior 
Performance Despite The Childish
Denial By Way Of Reliance On 
Misinformation Of That By The 
Mouthpieces Of Demagogues 

Profiting At Everyone 
Else's Expense.

If There Should Be Self-
Serving Demagogues Of 
Dubious Feelings Toward Other 
People With Billions Of Dollars, 
Why Would They Want
People To Have Any Opportunity
But To Do Whatever Work 

They Have For Them? 


The Poorer You Are The
More Willing To Help
Perform An Extractive
Job?   Apply Force For Pay?

When That Self-Centeredness

 Crashes A System, Along 
With Duplicitous Banking And
 Monopolies, There's Always 
Shafting The Vulnerable, Eh?

Why Would They Want Them

 To Have Time For Writing Blogs
 Like This One?



This Being A Blog, Not A 
Textbook, Some Free-Hand
Exists


  -1-       -2-  (Re-Written)

.
But Place Matters In Many Ways,
 Cause The Health And Economics
 Of The Individual And The 
Community Are Connected.

It’s In Everyone’s Interest.   An 

Engine Runs Better With All 
Its Cylinders Working. 


Ejection 



Fraction  

.
In Public Health, Economics,  
Bio-Medical Informatics,  Both Clinical 
And Epidemiologic, The Latter 
Incorporating Your Environment, 
Are All Part Of A Single Area Of Interest 
In Promoting Health And Happiness.   
I Present Economic, Health Information
And Health Education Issues,  And 
Daily Health Issues In Close Alternating
 Relation To Each Other.

The Macro Issues



 Impacting Every  Element, Habitat

Destruction Is Everything Defining
 The Wrong Way To Go.

Also Health Maintenance 
Related, Among Other Locations


Economics Per Se Include, 
Among Other Locations:


   -1-     -2-    -3- 

    -4-      -5-      -6-

       -7-        -8-       

 
    -9-      -10-      -11- 

.




Hands-On Community 
As Patient
(Many Other Locations 
Pertain, Including; Also)










"Merging the biological,
 electronic Researchers grow
 cyborg tissues with embedded
 nanoelectronics”
Harvard/Boston 
Childrern's Hospital






Nanoscale Scaffolds, Stem

 Cells And Cartilage Repair
Johns Hopkins






Stunning New Patient 
Support Service:
BFFL
 (Best Friends For Life)






The p53 Gene Involves DNA
Repair And Inducing Errant
(Cancerous) Cell Self-
Destruction.
Researchers At Moffitt
(UCSF Teaching Hospital)
Have Identified A 
p53 Regulator (PHF20)





Doctors--And Patients--
Get Electronic Glove For
Sub-Dermal Diagnostics
(Doctors To Get 
Ultrasound Pads Also)




Watch This.




An Artificial Retina 
With The Capacity To
Restore Normal Vision
Dr. Sheila Nirenberg
Weill Cornell Medical College
 
 






Music Training Has 
Biological Impact on 
Aging Process 
Aging-related hearing loss 
is not set in stone, study finds







Egg Yolks Not Far Behind
Smoking In Taking You 
To Angioplasty-ville

U. W. Ontario





Antibacterial Soap Compound
Impairs Muscle Function
At The Cellular Level

UC, Davis; U. Colorado




“If we can identify genetic

 biomarkers influenced by dietary
 factors or environmental
 toxins that are involved in the
 fetal origins of adult disease,” says
 Dolinoy, “then we might be
 able to nutritionally supplement
 mothers to change their child’s
 genetic fate and prevent
 diseases that occur when their
 child reaches adulthood.” 

Dana Dolinoy, Univ. of Michigan
 School of Public Health
 






Exercise Reduces Breast
Cancer Risk, Weight Gain
Negates The Benefit
Lauren E. McCullough And Marilie E. Gammon,
UNC School of Public Health; Alfred I. Neugut,

Columbia Mailman Sch. of Public Health, Med. Sch.:
Rebecca J. Cleveland, NC Thurston Arthritis Res. Ctr.;
Susan I. Teitelbaum, Comm.Med., Mt. Sinai Sch. of Med.;
Sybil M. Eng, Sen. Dir. Epidemiology, Pfizer








Programmable Single Cell
Biocomputers Can
(Ultimately) Self-Activate
In Response To A 
Bodily Systemic Need






Optogenetics And 
Psychiatric Disease
Neutralization
discovermagazine.com







Carbon Monoxide / Heart
Beat Problem Method Of
Connection Discovered



Low Levels Of CO, As

From Heavy Traffic,
May Damage The Heart






Air Pollution:
 Stroke, Memory Loss Risks
(adds to a tremendous laundry 
list of increased morbidity risks, 
including cardiovascular, carcinogenic)
SEE BROADER IDEA AS TO THIS






Flaws In Compact Fluorescent
Bulbs Allowing UV Light
Escape (Skin Cancer Risk) 





Neighboring Normal-Cell
Carcinogenic
Response To Chemo Leads
To New Strategy


ENEN:
Undoubtedly, This Will
Be Reported With The 
"Backfire" Word In Many 
Places.    Cancer Staging, 
Risk / Reward (Risk 
Very Particularly Managed 
And Reduced Substantially)
 Are Ever More Informed 
Processes.  Your Doctor's 
Obviously Better Informed
 As To Staging, Prognosis, 
Immune Capacity, Etc., 
And Has The Patient-By-
Patient Clinical Experience.
The Uncooperative Patient
Is An Often-Voiced 
Recurrent Problem In 
Patient Management, And
Doctors Simultaneously
Have To Judge A Patient's
 Ability To Cope.
It's Sometimes The Drugs
Given, Out Of Sheer Necessity
Of Life, To Compensate
For The Complications From
Lack Of Cooperation, That Go

On To Compromise Additional
Systems.

While Communication Is
Universally Encouraged,
The Doctor Has To Be The
Better Informed Decision-
Maker.   
The Reader's Gaining Of The
Fuller Sense Of The Clinical
Decision -MakingProcess, The
Necessity Of Trust, The
Importance Of Early Detection 
(Often Allows Quick-Surg
Resolution,)  The Absense Of
Structures In Our System That Are
Cost-Plus/Volume-Encouraged
In Favor Of Measures Of Outcomes
And Of Such Things As Proper
Risk Apportionment, By Way
Of This Become Major Pluses.
 I Happen To Believe Risk Equalization
And Value-Basing Of Coverage
(The Opposite Of "Just-Go-Away"
Deductibles)Are The Best Paths To
These Ends.




(Purposely Entered In 
2 Locations, In View Of
The Above)
Karli Rosner, MD, PHD 
 Wayne State Sch. of Medicine 
Using DNASE1 As A 

Computer Virus 
(Treating DNA As A Computer)
So As To Blue Screen

(As In Computer's
Screen Of Death)

 Melanoma Cells 






Hiding Drugs In DNA 
Origami
Baoquan Ding, National 
Center for Nanoscience and
 Technology (Beijing)






(At) "about $1,000 (apiece...)
 human  genome sequences could
 'be used widely in health care.'
 Patients could be tested years in
 advance to begin preventive treatment
 of diseases before they occur.
 (Parentheticals Added)






"Are DNA testing services like 
23andMe something good to 
do and show your doctor 
for preventive reasons?
 What are the downsides?"

(Neurologist Answers

--Forum Format)






Columbia Univ. Medical Center

(Lead: Domenico Accili, MD:)
Sirtuin Agonists Turn White Fat
Cells Into Energy Burning 
Brown Fat Cells 

(Increasing Sensitivity To
Insulin Helped Also)

Sirtuins

-----

-----







Obesity Slams Sex


-----

-----


-----






It's Not Too Late To 
Do The Right Things




LAUGHTER


-----



There Is Virtually No
Part Of This Website
That Doesn't Bear On
Reducing Stress
That Will Always Come
From Prioritizing Health.

-----

-----

-----


C  B4 The Next Link
-----





007, "Never Say 
Never Again:"  "One
Should Always Be Relaxed."
ENEN:
A Health Care System 
Should Not Add To The
Stress Level Of A 
Cancer Patient

(Just Pre-Diving Scene, 
With Fatima Blush)





Crowdsourcing And Diagnosing
Disease, Shows Positive Effect.
Particularly, From Work Of
 Aydogan Ozcan, UCLA






Does Testing For

Congenital Defects
Devalue Those Already
Living With Them?




First Pill To Prevent

HIV Transmission
(Incl. Whether Insurers 
Will Pay For It)






UN Sets Limit On
Ractopamine

A Growth Hormone Feared
Potentially Related To Human
Obesity, Is  In The U.S. Fed To, 
Pigs, Cattle And Turkeys In
 The Last Weeks Of Life
And Not Withdrawn Prior
To Slaughter

(Per Sources--Not 
Independently Verified)


U.S. Pushes Trade Partners
To Lift Ractopamine Ban






Irisin, Exercise, And Turning 
Into A Lean, Mean Fat-Eating 
Machine Explained Further




If You Don't Have A Job,

Go For The Bad Dancer







First Study to Show Early
 Brain Changes Predict Which 
Patients Develop Chronic Pain





The Only Really Practical Means 
Of Minimizing Exposure To

Radiation-Contaminated /
Genetically Adulterated Foods,
As I Happen To See It:

Eat Low On The Food Chain,

And Where Worried (Justifiably) 
About Soy / Corn Content, There 
Are Legume Seed Pools That Have 
Not Been Adulterated, At Least Not In
Widespread Or Universal Manner,
And To Trust The Sourcing,
Try Utilizing Sources 
Such As


THIS

Helen Caldicott, Including

On What Food From
Europe She Wouldn't Eat
And What Foods From The
U.S. Europeans Wouldn't Eat








“Prunes pass” 









Man,  It  Is 

Definitely

Beddy-By  

Time








 Physical MO (Apart From 
Outside Inputs--My Add)

 of Dumbing Down Found



(Website Has No Infomercial)

for integrating with this
and this, 

(AND OVERALL WITH THIS)

including interfaces
with car-oriented GPS, mass
transit apps, commercial establishment
interfaces, and civic destination 
interfaces,

this, this, this, this.


You can get a chicken 
salad at Burger King now.



Studies as to common anti-
inflammatories' benefits are obviously
 piling higher and higher,
but doctors would want patients
 to be aware of their infinite
variability to being susceptible in are
 hardly limited number ways
to potential side effects.  Some
 patients wil l have quite syndrome
 specific risks.    Others will present
 reason for concern as to other
 common side effects.  A more
 comprehensive Health Education
 regimen can

1) 
incorporate more meaning guidelines,
 and most these compounds are available 
over the counter.

2)
 a program like this can readily use
 its per-patient risk assessment as
 a two-way street, such as feeding
 a patient's health information resource,
 be it MSN Health Vault, or other, with
 more individually suited guidelines.
These guidelines can be set in 
increasing details going from
 the top to the bottom of a pyramid,
 the bottom being closest to the
 individual patient.




(TIES MANY ELEMENTS)




The "why the doctor" 
proviso can be established every
 step of the way with
 coordinating detail.




This Pertains Horsies But
Has Proxy Value As To

Human Epidemiologics
(Vectors' Relative
Strengths and Ranges; Pathogen
Threshold Populations and
Virulence; Infinity of Genetic 
Adaptations Accelerated; 
New Paradigms Across All That,
the "Opportunism" And The 

Changing Individual And
Group Biologies Being
Interactive) 




An insect-borne disease many 
people have never heard of is 
quickly becoming the "new AIDS 
of the Americas," researchers warn. 


.
“When you combine this
 study with other studies 
on California law, the body of 
evidence suggests the
 schools in California really 

have made healthier changes
 by getting rid of things like 
sweets and candy bars.”
Taber / Univ. Of Illinois, Chicago


It appears a meaningful impact

 requires  a concerted approach,
 likely (my add)
 involving parents.




Kaiser Permanente Work
Seconds That Emotion


(health ed. costs a nickel, saves a dollar)



more



Better Meals For 
Rushed Students



----- 



Karli Rosner, MD, PHD 

 Wayne State Sch. of Medicine 
Using DNASE1 As A 

Computer Virus 
(Treating DNA As A Computer)
So As To Blue Screen

(As In Computer's
Screen Of Death)
 Melanoma Cells









Neurology Yet Again: 




UC Berkeley

(Collaboration:
Univ. of Munich,
Univ. of Washington)

Chemical Makes 
Blind Mice See 



Open Letter To The
Braille Institute:
After Achieving Success In
Its Aim, The March Of Dimes
Embarked On Overcoming 
Even Greater Maladies Of
Mankind.





From Neurology Again:





Northwestern Team Purports
Breaking The Inflammation - 
Beta Amyloid Link, 
Addressing Alzheimer's,
Parkinson's, And
Multiple Sclerosis 




Bionic Eye Developed

At The Univ. Of 
New South Wales




From Stanford: Photovoltaic
Retinal Implant, Which, Step
by Step, Restores Increasing
Degrees of Vision 





A grateful world is obviously
witnessing its being on the
 cusp of seeing spectacular 
applications in neurology.  






Can You Help Him Yet?

FutureMed Track, 
Singularity University




Visual Function By Way of
Sound-Based Algorithmic
Transcription, But ALSO With
Surprising Visual Nerve
Activation--Much Like As
In Star Trek



Silk-Based Shrink Wrap 
Treats Epileptic, Spinal, Other
Neurologic Disorders
(U. Penn.)




Broad Spectrum Brain Cell
Death Stopped




Neuromuscular
Re-establishment



(UPDATED)



Poof!  New Nerve Cells




Vision Restored  





Vision Restored - II
First Successful Restoration
Of Vision With Artificial
Retina




Further Update--
Regrowth and Restoration
of Function of SEVERELY
Damaged Nerves


Spinal Cord Bypassed
To Move Paralyzed Hand


Computer Generated Implants
Allow Damaged Nerves
To Regrow



2 comments here
(at evernewecon)




Here's the N.I.H. close to saying
hey, you've free clinics, what else
do you want? 


But, the high risk exchanges aren't effective /
palmed off onto the taxpayer until 2014.
Until then, it's still go naked or premium
death spirals for those the carriers
don't want. 

So, by all means, support  this, eh? 





the next 2 paragraphs are recently
re-worded (microblogger with a day job)

The Current (Anticipated) Regime,
Replacing the Existing Manner Of
Getting Eaten by the Cartel,
 Subsidizes the
Losing Part of the Business (Taxpayers
By Law Literally Guaranteeing a Low
Medical Loss Ratio, Despite Much Higher
Admin Costs Than Exist Even In Medicare,
With No Attention Paid To Preventionism.)
This Parallels Bank "Haircuts"
With The Taxpayer (Unaware) "Sharing" 

The Losses,  With The 
Banks Able To Buy Back Cheaply,

along with programs ostensibly
helping borrowers who already
know they'll never see their
equities again constituting nothing
people paying large banks for the
privilege of those banks assuming
ownership of those good decisions
and depriving the good decision-
makers of the rightly earned market
advantage.




Meanwhile, back at the farm, all that is
a by-law huge gross (business margin on
top of out-sized admin cost) based on
cost-plus: the incentive is to INCREASE
the health care cost, which is rather like 
privatized prisons: the more incarceration
instead of education, the better the 
purveyor makes out. 







While developed nations with better
rationalized systems routinely account
for time off from work due to illness
or injury, that's a major chunk of health
cost that's invisible in the U.S.
First, off, it's not simply that 40,000 
persons die prematurely due to inadequate 
access, but a large multiple of that
suffers much more severe, longer lasting,
or permanent disability also owing to
delayed access.   
But fear of engaging and disincentives to 
engage medical intervention costs
increased time off for disability for
millions of Ameicans.








As exciting as THIS  looks 
(and it's ideally aimed)in the Wide 

World of Rationalization In Bio-Medicine 
and Economics,  There's a Potential 
Triangulation of Interests
That Can Arise,  The "Triangulation"
 Is the Alleged Incentive Toward
 "Underutilization" On the Part Of 
(Fully) Pre-Paid / Wellness
Programs Vs. Not Simply The Possibility
of Excessive Testing In Fee-For-Service
Settings, But Now Potentially Even
Underutilization  So As To Perpetuate
An Asymmetric System.
That's simply parallel to the 
question of whether policies are
aimed at adapting to this
or correcting for "heads I win,

tails you lose" altogether.
 Of Course, The Aims Could 

Entail A Duality Of
Purposes:  Good Science, With 

Extending
"Heads I Win, Tails You Lose" 

Being Welcome
To Understand The Bio-Medical 

Abilities We Need To Make Available 
(and Room For Economically,)
Simply Visit any Major 
Bio-Medical 
Website.  But We Have To Make 
That Happen When People Really Can't 
Afford Their Health Insurance As It Is.   
Those Not Interested In 
"Rationalization" Obviously Don't 
Actually Prepare Household Budgets
The Problem Is 
"Heads I Win, 
Tails You Lose."The Solution Is 
Preventionism.  We're Heading In 
The Wrong Direction When We 
Destroy Our Habitats.







Medicaid cuts in Ryan budget 
would cost jobs in every state

 Heads I win, tails 
you lose is today insufficient for 

people serving lobbyists and monopolists.
Because of the aging baby boomers,
Medicare, which has been National Health
Insurance for people the health cartel has
not cared to cover, and Social Security,
which competes with private retirement
security sales, are no longer things the
billionaires care to see as it may be too
expensive to work with policy-by-
lobbying and policy-by-monopoly.

You can ask today's retirees whose
retirement securities have been
income-flattened for the sake of 
near free reserves for the TBTF banks

how their dependence on 
banking giant roll-ups has been
 working out for them. 





from the Wide World of C-Sections 




Where Do You Live? 




Removing asymmetry utterly 
eliminates THIS issue.



Obama (empty) promise as to GMO 
labeling;  Gates  / Monsanto 

(NOTHING INDEPENDENTLY VERIFIED)
ENEN:
Gates, of course, could
simply really believe in GMO's, 
exactly as he purports.
However, 
SEE


THIS  TOO.






Obama Blocking Release
Of 
(Purported--Not 
Independently Verified)

Monsanto Lobbyist /
Obama Emails Sought By
PEER Under The Freedom
Of Information Act 







The Keck Foundation Adopts
The Center for Food Safety Imploring
Stringent GMO Controls
It Also Extends a New $150MM Gift 
To USC's Medical Center
(yikes)
.
       

Even people reporting THIS (universal 
coverage improves health status--

now measured) simply
don't GET IT yet.
You have all been paying for the 
uninsured all along.   Their cost has 

been  built into your premiums by way of 
"cost shifting."  It  simply has been the case 
they've arrived at the hospitals and
clinics way late, and the health carriers have 
simply carved out for themselves their own

pre-defined happy-low measures of risk.






Stonewalling Generics




THIS
is about going beyond not simply

risk / Government, risk - free / cartel,
but it actually says: we can't take any 
chances.   No surprises allowed / 
risk - free / cartel.

And this is so preposterously 
transparent it's the easiest 

thing I've ever done.







Now Hear This.





Maybe an inch closer? (getting 
the FDA to examine the 
safety of animal antibiotics and growth
promoters.)
or here




Kids missing decent nutrition--
life primes ripped off
...it gets worse,
which can get darn expensive
for everyone on top of 
wasting the poorly fed 
kid's life



Study Linking Diesel Exhaust And Cancer
Finally Sees The Light Of Day




  Here is an improvement in technology that 
does more than extend life by 3 months 
at spectacular expense.
What can be done about those that don't?
Incremental effectiveness is important, but 
how can we reward that without blowing all
our resources on applying technology of 
dubious real impact?


This looks generally like a good thing.
ENEN:
But, there's a slippery slope as to imposing
personal impressions.    The aim:
1)  not getting too hung up on the issue
2) realizing that white fat particularly really
is deadly, but involves an issue with depth.
.

SURPRISE!   Now the military has
 learned what a premium 
death spiral is.

THIS to  ENEN  is nothing more 
or less than shifting the cost of 
health care for the military from the 
military budget to the taxpayer outside 
that budget inasmuch as any risk 
factor will induce customers in
 uniform to go to the taxpayer-subsidized
high risk health exhanges.    
The health cartel,  a cartel by law, 
their being expressly immune from the 
anti-trust laws, is by law also
 guaranteed an extravagenet gross 
margin on top of an extravagent 
administrative cost structure, 
one which is far 
greater than Medicare's or the VA's.


.
ObamaCare replaces a choice from 
a rigidly protected health cartel of 
"going naked" or
 "premium death spirals," and cherry-

picking but with cost-shifting but with
the carriers enjoying a pre-defined 
risk with a cost-plus based system 
incentivizing MORE  cost, not 
incentivizing clinical rationalization 
and preventionism anywhere 
near as can otherwise be done, 
if at all, as the health cartel 
members benefit from higher 
volume.
All elements of the care
chain are thus encouraged
to bilk taxpayer / patient.

At ProPublica (Especially as
to Prescribing--) 
One of Many Issues
Particularly With Obama's
Plan Encouraging High
Volume, Though ENEN
Considers Provider Abuses
Being Very Rare (<3%) 

The cartel gets a pre-defined 
high margin return (multi-tier 
medical loss ratio) easily fudged with 
admin costs, with particularly costly
 patients participating in government
sponsored high risk exchanges.
To those with IQ's over 100 
(definitionally half the population) 
that is a profoundly
 inefficient  system,
though it's
entirely assuring to the cartel.

SEE

ALSO THIS
(probably ties more 

elements together,
 and quickly) 





SEE MORE AS TO SUCH
THINGS AS VALUE BASED
INSURANCE DESIGN (A PLUS)
AND POTENTIAL TIERING OF 
HEALTH CARE OVERALL 
AS TO OBAMACARE, AS 
WELL AS TO UNFAIR
TREATMENT OF RISK


(MY IDEA)



.

Though Neither Accidents Nor
Pathogenic Microbes Respond
To "Price Elasticities" In The
Demand For Hospital / Doctors'
Services,

And Though I Might
Be Considered, In Terms Of
Overall Objectives, Being A
Millimeter From 
California OneCare,
I Personally Care Mainly
About Legitimizing The Market
And Getting The Insurance
Agents Out Of The Physician's
Judgement / Treatment
-Making.

Free Up The Market And
Let Doctors And Insurers
More Freely Judge Each
 Other.   Real Competition
 And Capitation
Without Fee-For-Service 
Removes Gatekeeping 
Substantially, But There's A
Role For Fee-For-Service Care 
And Love Affairs With High
Power Medical Clinics, Especially
Considering They're The 
Prime Advancers Of 
Procedure And Technique, Along
With Being New Product Proving
Grounds--
Across A Fair, Risk-Apportioned
 Market, One Without Tiers, But,
Just The Same, Preferably With
Diagnoses / Work /
 Outcomes Transparent To
 Insurers Just As Insurers' Practices
 Are Transparent To Doctors
 And Patients.
.
But Grants And Royalties Can Be 
Flexed In A Manner Encouraging 
Sharing Basic Science.   If That
Creates The Faster Sprint To The
Market With Products, All The Better.
Opaque Science Logically Must Be
Privileged, Slower-Producing.
The Process Should Involve
Ongoing Review In Each Case
Anyway.


(Parallels In Economic Relationships
Run Across Most Things.   The Real
Curiosity Is Homeostasis Defining
Both Body Chemistry And Economics.)



I Offer Sliding-Scale Netback Based
On The Mix of Oil / Nat Gas in 
Offshore Drilling In Parallel As To 
How to Manipulate The Incentives

And Pace Of Drilling For Those 
Products.



The Smaller Biotech Can Take More
Grants And Pay No Royalties
Particularly If It Is Reviewed As
Sharing Basic Elements Of New 
Science.
 





Matt Taibbi On Obama's
"Investonawhim-" Promoting
"Jumpstart Our Business Startups
 ("JOBS") Act."
Will It Reduce Productive 
Investment And Boost The
Taking In Of Suckers?
The Trillions Bernanke 
Extended To The TBTF Banks 
So They Could Live On Treasuries
Rather Than Take Losses,
Which They Now Don't Want
To Sell Back, Could Instead Have
Been Invested In College Tuition
And Grants To College Labs And
Legitimate, Promising, Reviewed
Corporate Upstarts.



-----


As It Stands Now, Giant Pharma
Need Only Glance At An Ocean
Of Fledgling Upstarts, Presenting
All Degrees Of Merit, And Use 
Their Own Monopolistic Pricing
To Cherry-Pick, Taking
Back Warrants Signing Over 
Most Potential.   
Sometimes, The Arrangement 
Is Little More Than The Kiss
Of Death:  A Cooperation 
Agreement Braked Until The Giant 
Firm's In-House
Alternative Is Ready For Market.
 Admittedly A Generalization,
Allowing For Joint Ventures And
Mid-Size Firms, The Point Is
The Process Should Favor
Diversity, Not Limitation, Just
As In Any Sector.
.
a nation firing on half
its cylinders is like a
heart with a lousy
ejection fraction

Is The Human Body 

An Economic System?

(Homeostasis Defines Each.)

(Public Health Marries Economics With
Epidemiologics, Looking At Both The
Individual And The Community.   This
Will Explore Whether The Human Body
Is More LITERALLY Part Of The Greater
Economy, And Whether The Economy
Is More LITERALLY A Living System)  


I Think The Fact Of The
Crescendo Construction But
Especially The Final Addition
Of The Jingling Of The Chimes
By The Young Women Dressed
Fully In White At The End
Reflects A Sensing That The
Community's Health And The
Individual's Health Are 
Intertwined. 


------


I Think A Progressive Can 
Happily Mind His Taylor Rule As 
Well As Watch His Calories
So Long As The Markets Are
Fair And Not Based On
Entrenched Monopolies. 



Absolutely I Think It's A 
Slam Dunk That The Human
Body Is An Economic System.
It's Not Because You Can Place
Cells From Larry Summers In
A Test Tube And Mix Them
With A Printed Chart, But 
Rather The Same Equations
Using Economic Variables Will
Work With Calories, Exercise,
And, With Additional Factoring,
Education, Culture And The Like.


Vice Versa?
Community Lives?
The Question Helps Explain
The Maladies.
Incarcerate.  Don't Educate.
Control.  Monopoly.  Sick.

Sick Community.   Sick Up Close.


Of Course, You Do Realize
This Joins Everything Concerning
Our Existence.   That's Why I 
Place Health (/Happiness)

It's Well Known Very Many
Performers Use Some Substance-
Based Help For Letting Go For
Their Audiences.   For Some,
It's Tantamount To Being An 
Occupational Hazard.  For Others,
It's Bringing A Bad Habit Already
Present.
In Bob Marley's Case, I'm Guessing
It Probably Played Some Role,
Though I'm Also Just Guessing
It Was Somewhat Controlled And
Modest.  But I Don't Think, If It
Existed, It Was Simply For
The Performance.  It Would Have
Been For His Sense Of Purpose
And Mission.  You Can Obviously 
See It And Hear It.
Even With That, I Cannot Condone It
In Any Health Maintenance Regard.
However, It Serves This Section.
His Investment, In His Actions And
That Sense Of Purpose And Mission,
I Believe Contributed To The Health
Of The Community.  Immensely.
He Was Almost Like A Calming
Serving Of Sangria For The 
Community.  Partly Showing The
Advantage Of Diversity, And Not
Getting Slammed Into Narrow 
Community Discourse, He Was
A Reminder Of What Makes A 
Community Happy And Healthy.
"Let's Get Together And Feel Alright."
Our Losing Him Is Alarming. 

I Think Progressives Are MORE 
Protective Of Not Simply Access 
To Health Care But Most Things
Contributing To Health Maintenance.

As The Top Priority.  That's 
Our World's Blood Pressure.
If We’re Rightful By Each Other 
We Should Prosper.
If We’re Not Nuts (When People 
 
Don’t Treat Each Other 
Rightfully It’s Generally Cause 
They’re At Least To Some/Any
Degree Impacted By Emotional 
Issues) We Should Prosper.
        If We’re Wrongly Controlled
 How Can We Trust That 
International Disagreements Are 
Anything More Than The Clash 
Of The Ponzi Schemes?


It's A Lie That Competition
Means Go To Hell.
But How Would We Know?
We've Almost Never Had It.
Monopoly And Control
Is Not Competition.
It's Foundations, A Matter Of
What Some Call "Structure
and Process," Can Be
Entirely Constructive.
Enterprise Zones Are 
Successful In The U.S.
China's / Israel's Capitalist
Economies Are Grounded
In Town And Enterprise
Villages And Kibbutzim.
Most "Predatory" Practices
In The Market Run 
Dangerously Close To 
Violating Various Elements
Of The Law, Though That
Of Course Becomes 
Useless Where It's Not
Enforced.
From That, And War, I
Think The Community IS
Some Kind Of Living System.
War Is, At A Homicidal Level,
One Party, The Other Party,
Or Both Parties, Not
Behaving.   Like Kids In The
Back Seat.  Lack Of Trust,
Perhaps Cause Of One Kid
Needing To Pick On The Other.
So That's Simply Maturing, 
Not Being Selfish, Not Looking
To Falsely Blame, Letting 
People Be, And Finally 
Forming A Basis Of Trust.
Those Things Require
Leaders With Good
Intentions, Of Course.
It's The Fact That Homicide

Is Definitionally Health-Based
That I Think It's Meaningful
To Say Our World IS Some 
Kind Of Living System.
But Everything Pertaining
The Economic Life Of Our
Planet Is Caught Up In 
These Issues.    No One
Makes Any Money If 
Our Habitat Is Destroyed.
We'll Need Cops I Guess.

Capt. Picard Had Security
Teams.
There ARE Biologic Changes
That Cause Insanity.
But Otherwise, Guess What?
When Soldiers Are Sent Off,
That's Public Health, For 
Both Sides.  Then, Of Course,
There's The "Collateral Damage,"
The "Bombing Into Submission."
Ronnie Kovic Played With War
Toys As A Kid, As Did I.
They Should Be Replaced With
This.
Those Who Would Destroy Our
 Habitat Force Everyone Else To 
Be The Super-Soldier Doomed
 To Lose, And Those Who Would
Do That Are Thus Definitionally
Cowards.

------
------



.
In Homeostatic Systems, 
Positive Feedback Is Bad.  
It Means A System Is Going 
Further Out Of Whack,

Responding In A Manner
Encouraging Increasing
Divergence From The 
Normal, Or Prior, State.

I Think Notional Investing 

That's Regulated As Needed
 And Not Secretly Duplicitous 
(Generic Reference)
Can Be Something In Between 

A Useful And Necessary Part 
Of A Monopoly-Free Capitalist 
Economy.  But If The Adversities,

And Their Causes,
That Are Played Are AGGRAVATED
 By Leaders' Actions Instead Of 
Addressed For Purposes Of Repair,
 Then That's A Sick System.  


Also


And




Profiting From Adversity--
Political Level
(My Usage)



"Internet Tax: FCC 
Considers Proposal
 To Tax Broadband Service"
HuffPo 


(Taking Advantage 
Of The Abuse Of Those
Less Influential?
Further Aggravating
The Inefficiency And
Abuse Caused By A
System In Ill Health)


-----
-----

Steven Landsburg’s 
(Univ. of Rochester) 
Talk (C-SPAN) Happened Along

 At A Good Time For This
Session on Economic Freedom




Even Mild Depression 
Shortens Lifespan



This Is Part Of How
Monopoly Kills 
The Abused




I'm Now Also Asking
 If Our Planet Is An 
Economic System.

Uh Oh, I Guess Next Is:
Is Our Universe An 
Economic System?


Uh Oh, Spaghetti-O 

.
Actually, Er, Near What-If’s, 
And Far What-If’s, Appear To Me 
To Mirror Quantum Mechanics:
The Forest Of Possibilities 

Converge At The Point Of Viewing



(Outreach)

Just As A Family Needs To Ask The
 What-If's, So Should Economic
 Policy-Makers. That All That Gets
 Chucked Out The Window So Those Who
 Made Right Decisions Can Underwrite 
Near Free Reserves And All Manner 
Of Loss Sharing For Those Who 
Made Bad Ones Is Suggestive Of
A "Let's Make It Work For Us" Policy,
Not One Based On Health, Happiness,
Efficiency, Effectiveness, Access
To Health Maintenance, Growth Of
Human Capital, Etc.

Dare I Say, The Health Insurance

Sector Resembles The Ills Of
The Banking Sector, Except The 
Inability For It To Sustain A 
Constructive National Purpose
Is Taking Longer To Show. 

.

I Placed The Following Here
On 8/19/2012 And Concurrently
Elsewhere On The Web.

On 8/20/2012   I
Discovered This.


As Far As I Can Tell
The Following Is Entirely
Original Apart From The Idea
Of There Existing An Economics
Of Intuition



(I Use This, Which Is A
2-Sided Coin.  Please Cite
Me When Applying My Ideas.)

Who Will Be No. 1 In College 
Football And Basketball This Year?

Look To AP?   UPI?     


Steven B. Caudill, Rhodes College
(from earlier, in this section)
Franklin G. Mixon, Jr.,
Columbus State Univ., Believed Now
Univ. of So. Mississippi


Steven B. Caudill, Rhodes College 
Thomas Randolph Beard,
Auburn Univ.


Dear Professors:

Next Up?   

 The Economics Of Crowdsourcing
And Its Surprising Validity?

The Economics Of Intuition:

The Authors Confirm
A Relation Between Pairings
Of Coach Performances
And Team Rankings.

This, I Presume, Was
In Effect Economics' First
Analysis Of Gaming.

Bookmakers In Vegas
Legally Assign Dollar Values
To Game Result Expectations.

Those Can Be Compared With
Actual Results, Of Course.

It Would Seem To Me

The Numbers Of Respective
Betters Per Contest And 
The Spreads Of Dollar
Amount Bets Placed
Provide A Dollar Value
To Variation From What
One Might Expect 
Precisely From Your
Empirical Win-Loss
Information From
Pairwise Matchups.

One Would Anticipate
A Set Of Games, Apply
The Formula To The 
Anticipated Match-Ups,

And Ask A Hotel For A
Copy Of Its Book.
(Play-Betting In Class
Would Not Yield The
Same Credibility To The
Dollar Values.   There's
A Difference Between
Play-Chance And Real-
Chance.)

Superior Selection By The
Group Would Be A
Priced-Out Measurement
Of Intuition, Measurable
Along Time.

In Clinical Practice, The 
Placebo Effect Is A Real,

Tangible Effect, Reflecting
Some Elusive Hormonal 
Influence.

If It Should Be The Case 
There Are Superior Results
From Group Intuition Than 
From Using Pairings
Of Coach Performances
And Team Rankings

Alone, I Would Ask:

Are Formuli, For Forecasting,
Algorithmic Mindmaps That
Fall Short Of The Full Spread
Of Variables Sensed By
Human Judgement?



This Would Be Why Capt.
Kirk Could Be Right Where
Mr. Spock Would Be Wrong.
This Is How A Coach Could
Look Like A Bonehead One
Minute And A Genius 
Five Minutes Later.
This Is Not Simply The
Contradiction In The Red 
October Crew's High Regard
For Capt. Ramius One
Minute, And Their Doubts 
About His Tactics Later,
But It's The Price That
Would Have Been Paid
If He Were Overruled.


The Uncooperative 
Patient Is Making An 
Independent Risk/Reward
Guess As To Medications
Or Procedures And, While
Not Doubting The Doctor's
Knowledge, Devaluing The 
Doctor's Judgement.
(Besides Trust-Engendering,
What This Page Is 
Substantially About, New 
Ways Of Explaining 
Monitoring And "Very Bad"
Risks Of Inaction, Without
Worsening The Patient's
Emotional State, Can Help.)



The Placebo Effect, On The
Other Hand, Is The Brain
Making Something Happen.
It's Wanting A Hormone
To Do Something, And 
Getting It.



Does Betting On Sports
Reflect Poor Judgement,
Or Does It Hone Judgement
Skills, Or Are Both Correct?




Our Monopolists Aren't
Really Expert At Gaming,
It Just Looks That Way.


The Answer Is Out There.


Crowdsourcing And Diagnosing
Disease, Shows Positive Effect.

Particularly, From Work Of
 Aydogan Ozcan, UCLA 





Risk Equalization
(2-Way: Pay A Central Fund
For Excessive Cherry Picking / 
Collect From A Fund For 
Taking On >Mean Risk)


Doctors / Insurers 
Naked To Each Other


Introduce Competition / 
End Immunity From The
Anti-Trust Laws  

.
I Happen To Consider Medical 
Savings Accounts A Preposterous Idea.
  They Incentivize Not Seeing The Doctor.
You Ought To Be Getting Regular Physicals,

 And, Depending On Your Family / Own
 History/ies,  Every So Many Years
Having Cameras Run Variously

 From One End Of Your Body To Another.
     This Is Though Health Insurance
Has Offered Present-Risk Protection

 On A Risk-Averse Basis And The Industry
 Has Known All Its Customers
Will Require Expensive Care But

 In The Meanwhile
Collect No Cash Surrender Value.  



I Still Don't Like Medical Savings
 Accounts (Same Reason.)


Shift The Risk, And You Have

 Risk Gamed.  Have People Less Capable
 Of Paying Prices Presented
By An Oligopoly Helped Publicly, And You

 Have Discriminatory
Monopolistic Pricing.

Offhand I Can't Think Of
A More Carefully Crafted Example
Of It, Let Alone With The 
Assistance Of Government, 
Let Alone X2 Combined With
The Assisted Gaming Of Risk.


Is The Government Supporting Monopoly?
   Yes.
Is It Aiding In The Gaming Of Risk? 

  Yes.
(Neither Is Legal Advice.)

(They're Immune From
Anti-Trust Anyway.  Again.)

If You're Still Good With That,
 Brother, I Hope You Only
Visit Vegas For The Entertainment.



I Think The New Rules As To

Exclusions Make It Less Obvious,
But I Also Think The Monopolistic
Pricing Assures It.
I Can Only Imagine The
Middle-Ager Who's Surely
Presented / Presenting With
Risk Who's Already Had A 
Choice Of Go Naked Or
Premium Death Spiral Is
Not Much Less Scared Today.
At Least This Week, It's A 
Foregone Conclusion He Has
A "Just Go Away" Deductible
And Dreads Going To The
Doctor Because Of It.


How Much ObamaCare Changes
That Is Questionable, To Me,
But Probably It's Very Little,
Though The Construction Of
Coverages And Premiums Can
Make It Cloudy, Even Coming
From A Fully Preserved
Oligopoly.
With Cable, It's Generally
Pay More / Get Less With
Minimal Alternative, But
With The Pickings 
Monopolistically Created.
The Currency Becomes A
Monopoly If It's Controlled
By A Handful Of Banks.
Colonialism Past Could Be
Egregious Multiple Ways, 
With Monopoly Control 
Of Income Sources Being

One Of Them.
Sounds About Right, Here Too.


Some Comparisons
Made Long Ago:
Krugman As To Ryan
Obama's Surprising Resemblance
Ooh.   This Too.


More.


-----
 ----- 




Air Pollution: Stroke, Memory Loss Risks
(adds to a tremendous laundry 
list of increased morbidity risks, 
including cardiovascular, carcinogenic)
SEE BROADER IDEA AS TO THIS





Whitney's death is a failure.
I address the issue of 
"mental health parity" below; but,
that's a pharma and sector structure
issue apart from obvious need.
Many people are impacted 
with "this or that" from time to time--
if it should be Whitney despaired, 
she should have been able to contemplate
only straightforward analysis and no
reason for shame.  
Having to lose Whitney is a poor measure.

Although there are very many people in 
health care who are very special, in many
dedicated settings, on the broader scale our
system is wanton in:
TRUST.   WARMTH.  
DISPELLING FEAR.

Instead of:

--you're just there
--you're sort of covered, at extravagent cost

--costs will be shifted to you from people
you thought you could ignore but who
instead simply arrive in the system
desparately late, but we're good with
it cause our risk is pre-defined (-or-)
same but with: we're good with MORE
volume because our profit is 
volume-based

it should be:

--you're covered

--we will help you avoid the fear, 
lack of trust, and even number
of times you feel less whole
from experiencing debility

--Oh, and by the way, Earth's ills
have already been, and will at
an accelerating rate become 
your (clinical) ills, and now that we're
all on board this sector's preventionism
(all the while drippingly capitalist)
that is fair to you, it will also be 

your partner in keeping not only your
family and community healthy
but your planet survivable and 
preferably as close to human-ideal
as possible.
ObamaCare is not Prevention-Oriented,
 but rather is cost-plus based,
 carriers guaranteed high margins
 on volume, risk beyond that subsidized
 by way of high risk exchanges.

BUT, it IS an 
improvement from this.



There Is A Certain Irony In That Though
ObamaCare May Very Well Engender
"Tiering," The Publicly-Supported 
High Risk Pools Will Likelier Much
Better Rationalize In A Fashion
Engendering More Trust.
However, Simply Apportioning
Risk Fairly System-Wide Would
Instill Very High Trust, High 
Efficiency, Essentially Complete
Fairness, Particularly If The Immunity
Of The Health Cartel From the Anti-
Trust Laws Were Repealed.
That Would Also Remove Any
Systemic "Weak Links."



Non-Whole-Food Food In Your Gut







The Keck Foundation Adopts
The Center for Food Safety Imploring
For Stringent GMO Controls
It Also Extends a New $150 Gift 
To USC's Medical Center

(yikes)







This Is What Privatizing Revenue,
 Socializing Cost Looks Like 




L.A. schoolkids get shafted on food
 preparation and the food industry uses 
that as a pretense for shafting them
on nutrition.


I LOVE THE SMELL OF
 FALSE PRETENSES 
IN THE MORNING





CU On GE Food  






ENEN:
Simply ending the cartel (immunity from
 the anti-trust laws) and further removing 
the funnel assuring the current cartel receive
 mainly risk-free customers and the government everyone else (except the multiple flavors of
 make-it-up conservatism want to end even
 that part of the sector, leaving you with only 
"go to Hxxx,") would enable the HMO's to

 better fulfill their original promise, because
 currently they compete with monopolists
 only responsible for mostly risk-free people.
 Change that and the public option becomes
 less relevant.  The original HMO concept
 married sensible incentives, including high
 professional and financial incentives with
 ambition, but better aligned that ambition
 with health maintenance on top of helping
avoid monopolistic entrapment.
So this whole sector's issue is about a simple
 adjustment of  "structure and process"
 such that we eliminate the charade element.
Updated position as to banking reform.








Sicko
Mr. Moore should simply indicate that persons

 from across the political spectrum have
 been confusing crony capitalislm with capitalism.
Adam Smith in reality.


  The reference by one person

(NO connection to ENEN
 with the creator of the video or the
intermediary - website sourcing it)

 to the dramatically
higher risk from car accidents than
 from the disease addressed by the
 vaccine discussed 
plays into a theme: connecting the
disciplines: IT, engineering generally, 
transporation, education,
elder care, health maintenance.

Further computerization of cars
 themselves should  be coordinated with
 new flex-tech  transportation.



"structure and process-" aligned with
 efficient returns but along with protection
 of the commons from excessive corporate,
 or spill-over wrongful
corporate influence, that all still drippingly 
capitalist



The Failure of A System,  A National Disgrace,
Nothing Desired by the American People, Just
Something Their Creepy Leaders Are
Really O.K. With





Our cities should be more 
accomodative of this.





Making Car Accidents Invisible 
Supports The Over-Reliance on Cars





These calculations as to the 
project envisioned
 pursuant to Georgia's Transportation 
Investment
are applicable generally.


Simply Removing the Aspect
of Heads I Win, Tails You Lose

(
e.g.,)
and Simply 
Making Policy, Fully Conforming
With Free Enterprise Incentivization,
Including Caring About Opportunity,
Growth For All, and Health and
Happiness, Actually Can Obviate
Confronting the Specific Choices
Mentioned
Here For Many Many
Years, Most Likely, ENEN feels.


The Department of Transportation 

should be folded into the Department 
of Health and Human Services.   
(WHY)
   Efforts in transportation should bear
 on efficiency and quality of life.
A nation can park armed forces 

overseas ostensibly for the protection 
of that nation, but it would then 
make no sense to let wanting 
alignment of purpose and structure 
needlessly perennially
 cost many thousands of lives
and hundreds of thousands 

of serious injuries.


As the site gets more seasoned
and the monopolies become 
more obvious I'll take advantage
of phone videos of accidents
as they happen and 
families emotionally 
devastated from this.

(more as to my own attitude on this)




Transportation Is Not Only 
Transportation.
   It’s Health Care. 
   It’s Families. 







This Is Jackpot 
Helpful; However,
It Places Our Health
And Happiness
Subordinate To
Creative Engineering, 
Rather Than Creative
Engineering Subordinate
To Our Health And Happiness.



Pushiness Is Sometimes Needed
 In Health Care Delivery.   For 
What It's Worth, I Personally
 Would Insist On Measuring The
Compassion-Oriented Readiness
 Of Emergency Care Workers,
 As, Especially Today, Some 
Of These People Arrive From 
Mid-Life Career Changes, And Then
 Sometimes Not Because Of Innately
Compassionate Natures.  It's
Because So Many People In Today's
 World Are Dispassionate That I
 Relish The Opportunity To 
Make The Point.




Simply Fix That And Our Public
 Schools Will Easily Afford This.




We Can’t Tackle Heart Disease

 Without Making Pedestrians Safe

When We Make Walking Anywhere

 In Our Cities Fun We’ll
 Have Glorious Cities.



Obviously, My Readers 

Understand
THIS
Is Part And Parcel To 
Health Status.
But Now They Have
THIS 
Too.






I Can't Now Fully Trust 
Administrators Regulating
Engineers Testing The Edge
Of Efficiency / Safety In Such
Things As Air Safety, And It
Doesn't Help When 
TSA Does This:
Letter from Faculty of the 
University of California,

 San Francisco ,
  
So, That Now Has To 
Include Airframe Design.





The Influence Runs 
To Transportation 
And Energy.






Needs Explicit Explanation 
For When You Reach
"Possibilities."
(Theoretical:)
Oil:   Lend To One's Would-Be 
Competitors Knowing You Have 
Command Of Market Product
Supply; Flood The Market; 
Claim Your Sharecroppers.


The Mortgage Parallel:  
Lend To Unqualified's.  
Insure For A Fee.   
Short And Sell Shorts
 For A Fee.








And Water.






It's Simple:
Restore Democracy.
Prioritize Health and 
Happiness.







For Each Sector With
Monopoly Value Taken,
There Is Someone,
Quite Possibly Browbeatin',
Paying For It.
I'm For The Fair Treatment.
You Do The Running Over.







Health Insurers Are 
Playing Monopoly
Exactly In The Manner Of Any
Other Monopolists.
Major ISP's Are In.
The Large Banks Are Entrenched.
Near Free Reserves For The
People Who Brought Down
The Economy.
Nothing For You On Your
Savings.



The Banks Can Pay
Windfall Profits Taxes.
You Can Insist On Fair

Treatment Of Risk Across
The Full Health Care
System.




So, Everything Pertains
The Whole Person.


Health / Happiness Being
Foundational Is Not A
Platitude.
Get That Down, 
Then Have This.


Having Now Used The
 Work Of Multiple Health
 Professions,
.
I Propose
THESE Groups
Circulate People 
To Explore Assisting 
Our Police Departments
In Better Assessing Their
Employment Candidates.
That Capt. Picard Frequently
Turned To Diana Troy For
Assistance Appears Having
Been Visionary.

------


Coming From Public Health
I Can Only Wonder What's 
The Point If This Can Happen
Inside A U-C Quad.



(Just Betw U And Me:  
I Was A Youngster In 1970
 When Collegians Peaceably 
Demonstrating Were Routed At 
One Of The Colleges I 
Would Very Soon 

Thereafter Attend.
(Ronnie Kovic was
in the house.))

 
.
          Whether It's The Chronic Bully Or 
The Participant  In This, The Same 
Health Ed / Health Info System
I Propose Can "Place On The 
Radar" Individuals Who Are 
Displacing Personal Insecurities / 
Issues.   These
Persons
(Clearly Written So As To Make
"Grandpa" Look Likeably Silly
Where He's Insecurely Prejudiced)




Endanger
Us All


This Is About A 
Few Bad Apples But
We Can't Have A 
Population Afraid Of
Its Own Police.
This Is About 
Health Centrally For
Both, The Public 
And The Police With
Issues

------

(includes this, potentially,
for instance)

------

------ 




------


Besides Flashing On The
Radar Screens Of A 
Health Information System
Indications Of Problems, 
Frankly This Suggests That
There's Something Falling
Short In Training.   
Admittedly Hindsight Is 
Always 20-20, And Cops
Know Their Families Depend
On Their Staying Safe, Which
I Would Not Want Them To
Forget, But Here The Course
 Of Action Should Have Been
 Calling Animal Control So The 
Disabled Person Could
Be Helped Quickly.  
This Dog Was Obviously
Just Being Defensive
Until Provoked, So It Simply
Looks Like An Attitude Of 
I Can Handle This Cause 
I Have A Gun.  
It Seems 
Obvious The Poor Fella With
 The Seizure Had  The Dog 
Trained Precisely For The 
Protection Demonstrated For 
When He Passes Out.
The Dog Nipped At, Yet Did
Not Bite,  One Woman When 
She Got A Little Too Close,
Obviously Hoping To Help
The Guy On The Ground.
Notwithstanding That The
Shooter Can Be Seen 
Approaching The Dog,
Ready To Shoot.
My Guess Would Be That
Dog Was Remarkably Well
Trained--Possibly TV/Film 
Production Quality. 
In View Of The Patient's
Special Needs, I Wonder
If That Was A Service
Dog.  

If So, It Likely 
Would Have Already
Changed Lives Even
Prior To Helping The
Patient In The Video.
Its Death Will Shatter Its
Owner, Now To Have 
Seizures At Sufferance To 
Any Passer-By.

-----

I Occassionally Share, With
Others, Pizza Slices And Beer 
With Officers From A Precinct 
Bordering A Health Club I Attend.  
The Creator Of Star Trek, I 
Believe, Was LAPD For A Time.  
The Police Are A Cornerstone 
Of Public Safety.  There Are
Very Very Many Selfless 
Thoughtful Officers,  But These 
Shortcomings Have To Be 
Fixed Pronto.   
How Can We Possibly Let
It Be That The People We
Need To Trust Are Also 
The People We Now Have
To Be Apprehensive About?
Despite There Existing 
Innumerable Input
Sources In The Area Of 
Health Policy And Medical Care 
Organization And Management,
I Obviously Don't Believe In 

Being Transfixed When The Goals 
As To Access, Quality, Trust,
Efficiency, Effectiveness, Clinically

 Rational And Thereby Intrinsic
 Cost Control Are
Really Not Difficult To Focus On.

If We Had Been Doing Better

 Along All Those Lines We'd 
Already Have A Far Better Health 
Education Infrastructure 
Than We Have.

I've Proposed Health Information

 Systems Proactively Going Beyond
 Data Collection And Quality, Outcomes 
And Access Measures.  Happily, As I've
 Cited, This Additional Approach Is 
Already A Reality For Some.

Now, It's Time Someone Informed

 The Leaderships Of The American
 Psychiatric And Psychology 
Associations That They  Might Be
 Less Transfixed,  More Proactive
 In This Area.

Even
Mild Depression 
Shortens Lifespan



As To Persons Who Would Become
 More Volatile Upon Dwelling On
 Unsettled Issues, Education 
Initiatives Can Generically Portray
 The Wipe-out
 They May Be Causing
On Loved-Ones Beach.

(Or, They Can Share

Their Secret Pains With
Sybok So He Can Lift
Them Off)

As To Those With Insecurities, 

Confusion, Or Other Fundamental
 Syndromes Who Are Not At Risk 
From More Awareness Absent
Supervision, Doctors Can Decide

 Where More Self-Identification 
Might Be Safe And Appropriate.


The Health Education Function

 Might Have An Assuring Dimension:
 The Obnoxiousness Stops With
 The Obnoxious.   

I'm Personally Tired Of 

Seeing People Dump On People
 Who Entrusted Their Lives With
 Overgrown Unsettled Children.


A Couple Ways By Which
The Mental Health Professions
Can Work At Being Less
Transfixed:  Look At Reverse 
ETF's When The VIX' Beta Swings.
  Play A Card Game At The
MGM Grand Las Vegas And
 Know When To Fold.


Other Health Information / 
Health Education Related
Sections:



-1-      -2-      -3-


The Sooner Our Mental
Health Professionals 
Can Impact Our Control
Freaks, Be They In An
Alley Around The Corner,
In Congress, Or At A Meeting
At A Political Organization
That's A Glorified Gang
Of Angry People, The 
Sooner Persons Such As
Myself Would Ever So 
Much As Begin Thinking
About Political Life.  
The Professions Appear
To Be Losing Ground, Not
Gaining It.
Eliciting The Angers And
Deprivations, One Shrink,
With One Of Her Patients
At A Time, Is Too Slow.
.
 Most basic aspects
of growing human capital, such as
education, relate to health
outlook.  Anything of positive affect
 as to body to mind, mind to body
(think: happy neuropeptides)
matter to the filling of a void
that should not have taken
so long to prioritize:
  setting goals, 
particularly health / happiness.

Basic recreational opportunities, 
as well as cultural ones, are 
core elements, along with a 
diverse educational
inspiration.
That, transportation, and the
environment, all share
that common denominator.

They should structurally feed
into HHS.


Our cities should be more 
accomodative of this.


++++++  



Here's one thing very
right Mr. Chavez accomplished.
*
If her father  

(see this analogy)

(also, Adara's father
wanted to avoid this)


...had been admitted to the hospital,
 had gone medically bankrupt, and had
bankrupted his family, his bill would have
still been run up.
  His unpaid cost would have been, as it has
always been,  built into your health insurance
premiums because of the  "cost shifting."
   So, you've been paying for unreimbursed care
 all along, though the medically financially
reluctant patient is on the receiving
end of a violently anti-social
health care delivery system.   The health
insurance cartel leaves you with only
two things:   stupid system they can't lose




Of course, the monetary and banking 
regulatory policies have been based
on the same two things, which has 
nothing whatsoever to do with the 
choice of capitalism or not.   
Monopoly, bribery, control and old men
full of hot air have nothing
 to do with free enterprise.





Vermont's Universal Health

System To Significantly 
Slow Health Care Spending


.
Mental Health Parity (Lobby 
Government  Approved Insurance 
Mandate) at 45:00
It's not really as bad as that 

and related videos would make it out.  
Overwhelmingly providers do all 
they can to make patients
NOT dependent on anything.
However, the corrupting of 

practice by such things
as not reimbursing absent the 

writing of prescriptions is a 
preposterous situation.

This is a challenging topic

inasmuch as I personally have
never met a health professional
who was also a control freak,
though on the radio 
a faux-professional
 might make a business

 out of that.
Tout de même.


I'm Guessing Part Of What
Goes On Is People Listen
To Would-Be/Sort-Of Psychologists
On The Radio, Who Accidentally
Let On Being Control Freaks, 
And Then Paint A Broader Picture
From That.

Of Course, We Profit From Diversity
And Not Being Cookie-Cutter When
Those Advantages Aren't Held Under
A Thumb.




States Crack Down On 
Mental Health Prescriptions





Former U.S. Representative 
Patricia Schroeder 





From The U.C. Davis
Pepper Spraying
Incident, Don't Doubt
The Need





I'm Actually Interested In
Giving Our Mental Health
Professionals Some Additional
Tasks, However:
.

Now To Raid Some People’s Territory:


That Emotional Unhappiness Is 

Emotional Unhealthfulness Has 
Been  Appreciated For 
Generations.  

Tranq’s Have Been Around For 

Generations.   I Think It’s Time 
To See The Unhappy Person’s 
Being Plainly An Unhealthy 
Person As A Public Health Issue.

Health Education On Levels 

Generically Addressing Relevant 
Issues, Such As Advising To Not 
Compensate For Personal Issues At 
Others’ Expense, Might Be Jointly 
Considered On

 The Academic Level By Those In 
Public Health Per Se And Those In 
Mental Health And Social Work 
Together.


I Actually See That As The
Operative Core, Though 
Educators Especially, And 
Lawyers, Will Be Interested.
                                   
        Public Health Should 
         Research “The Bully” And Consider 
          Interventional Protocols.
 




Some Readers Came Here
From
THIS Point
.
Now Seeing THIS 


(I'm Guessing That 
Would NOT Involve 
Radiation Exposure, 
Though, If It Does,
People Should Be
Aware Of Its Use)


I Propose 
It’s Time Health
Planners Consider Nationwide
Personal Radiation Exposure 

Totalling Systems.  Each X-Ray.   
Each CAT Scan.   Each Panoramic
X-Ray For Dental Implants.  Each Trip

 Through TSA / Your  Local Airport.   
A Place For Adding An Estimate
Of Height of Day Sun Exposure.  

A Place For Estimating Hours Flown, 
Except At Night (Your Airplane 
Isn't Made Of Kryptonite Cause 
It Has To Be Light Enough To Fly; 
However, At Night, Earth Likely Shields
You From Radiation;
A Place For Estimating Hours Of Close
Cell Phone Operative Proximity.

Radiotraces Are Improving 
Dramatically But Doctors 
Can Enter Values.
Ditto Radiotherapeutics.
For This Doctors Will 
Have To Invent A 
Mapping Strategy
I Think Alternatives Should
Still Be Sought.


An Approximate Picture Is The Goal. 

  At Some Point This Becomes A 
Judgement Issue For The Doctor And
A Wake-Up Call To The Community.



This Sector Remembers Its Oath
Regardless Of Whether Our Leaders
Do Or Even Whether 
All Our TBTF Banks Should Even
Retain Their Corporate Charters.





Concern For Dental X-Rays Clearly 

Means Less Without Being Placed In The
Context Of Prior Radiation Exposures.
There’s Seeing The Forest For The Trees.

   Then There’s Getting Lost In The 
Midst Of Oceans Of Forest. 

I Try Prioritizing As To Anti-Monopolistic

 Influence And Basic Desired Goals 
Economically And In Terms Of
Health Information, Health Education, 

Strategically, And Public Health In 
The Sensibly Achieved End.


As Forests Go, Health Care
Might As Well Be The Amazon,
So Don't Be Surprised If
I Type This Elsewhere.


Modest Innovations In Health Ed/

Health Info Are Sprinkled
Across Multiple Locations, But
Generally Linked From HERE.  
This Can Be Another “Tributary.”


Of Course I’ve No Idea If There’s
The Slightest Truth To Any
“Chemtrails” Rumors.  If Any,
And If Involving Microscopically
Shredded Metal, And Particularly
If Over The Heads Of People,
Then I Would Think Whoever’s
Doing It Warrants THIS.




-----
.


ORIGINAL

ENEN    on 

  Mr. Obama's
offer to allow the U.S. Government to accept competitive bids from pharma cos. in
 exchange allowing some of the huge tax
 breaks running to the uber-wealthy,
 borrowed from China, and financed by
 the middle class and its children
 and grandchildren to lapse.
(Hint:  It's not a real quid pro quo.
   Bad people prefer
the middle class bestowing advantages

 to the wealthiest; and,
they actually do NOT want the U.S.

 Government to be able
to accept competitive bids from pharma.
So, this looks like a cynical offer worth little
more than gag value.)


Reformers are entirely capitalist but oppose
 deceit and arrogance,  especially

 when it has variously anti-social and
sociopathic results.
This is little different 

from the 
arrogant man in Brazil who ran over

 a group of bicyclists to save time.


E.U. Gloats Over Belated U.S. Health Care Reform







NOT INDEPENDENTLY VERIFIED

Know also, the FDA is attempting
 to eliminate, or all but eliminate, access 
to natural supplements (in favor of
 pharmaceutical liver 
destroying compounds.)





FDA Monitoring / Trumping
Own Scientists (( ? ) Works 
Both Ways:))  Small Firm Products 
Strenuously Endorsed By 
Physician Clinical 
Test Conductors Can Remain 
Unapproved For Years, Including 
After Approvals In Numerous 
Other Countries


ENEN:
We Should Be Encouraging
Innovation And Discouraging
Its Stifling, By Such 
Mechanisms As Collecting
Research-Funding Grounded
Royalties, Sliding-Scale
Determined By Pharma 
Wealth Factors; 
Promising Upstart
Work, Including, For
Practicality, The 
Credentials Of The
Investigators, Should
Get A Free Pass Except
For Later Milestone Triggers













POTENTIAL ETIOLOGIES DISCUSSED


The FDA and CDC are virtually as 
corrupted as is the health delivery system.

For starters, ENEN
would place the Department of 
Transportation
under the purview of the Department of
Health and Human Services.
It's overall a good thing the car 
was invented.   Horses were meant to 
become obsolete as a means of 
transportation.     But award-winning
mass transit systems should never 
have  been ripped out at the hands 
of a corrupted  system.
Everything's a double-edged sword. 
Today we get to replace it with 
the latest  stuff, the latest efficiencies 
computer science affords.
One of my own grandfathers 
published a  motor sports magazine.   
I'm personally
invested in nat gas (not just stocks.)
We're talking about balance and efficiency
sans the corruption.
DOT should be folded into HHS simply 
because transportation is substantially
a health issue, both in terms of 
the actual fact of transit as well as because
of the environmental impact.


Too Much The Gatekeeper;  Not Enough
The Real Protector?


Forbes / FDA Stifles Cures



The Kiss of Death:  
How The U.S. Government is Regulating
Passenger Rail 
Out Of Existence
ENEN
The federalization of passenger rail
 runs parallel to the creation of Medicare.
    Passenger service
is traditionally unprofitable.   The

 health insurance cartel does not
 seek to insure persons with health
risk factors, so Medicare is National

 Health Insurance for older persons.
Now, however, there's a war on

 against apparently anything / everything
 Middle Class, common good - based,
common good - efficient, pro - social.
So, mass transit's role,  devastatingly

 low in terms of total passenger mile cost,
 the balance of trade (and oil imports,) and
 the healthful maintenance of habibtat, is 
threatened along with Medicare

 and Social Security.





At its core a health care delivery system
 absolutely must foster trust.
At its core a health care delivery system
 must foster ambition,  scientific growth,
 and satisfaction from helping the
 scared and not-so-well.

If one part of it is a shell game, the rest
 of it will have to adapt to a shell game.

Free enterprise is not defined by 
heads I win, tails you lose. 

Stupid system / cost-shifting / heads I win, 
tails you lose does not an effective
 health care system make.

If you are older, with risk factor, but not old
enough for Medicare (insurance cos. don't want
those customers, except now billionaires
 want to -X- that out, then you simply have the
"I'm going to give you a choice you
 can't refuse" health care delivery system.  
It's actually a lot messier than a gang feud.
10,000's of people die prematurely 
annually because of it.


It's the facts of constantly improving technology
 and ever changing personal health status that
 necessitate having more competition in the
 health insurance marketplace, so long as the 
system is private-based.
This is substantially a structure and process issue
 with ecoonomic power controlling the design, 
with efficient incentives and freedom of action
 not needing to be lost.
Currently the health insurers are by statute
 immune from the anti-trust laws.


Administrative costs and margins above medical
 loss ratios being, when combined, exorbitant
 as they are, one might consider 

(this is not insurance advice--many personal
 considerations are involved, and the policies
 are one-party-decides moving targets:)

self-insuring the early annual potential expenses
 up to an otherwise  known large annual premium
 total going with higher up-front coverage.
However, if more people were to do that the
 cartel would likely start narrowing any
 limited self-insuring savings.



ENEN
NOT LEGAL ADVICE


Has the system of potentially excluding risk
 factors, administered state by state, in fact
 an interference in interstate commerce?

Is it agreeable to most persons that the
 ultimate inevitable sufferance  of risk factors
 is known to predispose persons to a state
 wherein they cannot avoid being given
 a choice of no-choice, or, of premium
 death spirals, at the carrier's whim, or
 of "going naked?"
Is that now-you-see-it-now-you-don't
 health coverage?   Is that fraud?





Repealing healthcare law
 would cost $210 bln: CBO





Sen. Richard Blumenthal,
 2/5/11 (C-SPAN VIDEO:)
Laws traditionally are first 
presumed Constitutional.
Interstate commerce has 

been the basis of affirmative
 obligations.





25 Shocking Facts That Prove That The
 Entire U.S. Health Care Industry Has
 Become One Giant Money Making Scam






Massachusetts voters’ 

dirty little secret
(Romney Disowns Own)






Three-Fourths of Massachusetts

 Physicians Support Continuing State's
 Health Reform Law
Robert Wood Johnson Fndn







Study Ties Nursing Shift Shortfalls

to Patient Mortality Risk
UCLA School of Public Health


Multiple Studies 

More Registerd Nurses
Translates Into Financial
Savings Through Better
Outcomes

(pdf)





Nearly 650,000 San Diegans

 Uninsured in 2009
Kenny Goldberg, KPBS







Hospitals may be writing off 

heart attack victims too soon when
 hypothermia is used
Thomas M. Maugh II,

 latimes.com, Nov. 13, 2010









To MRI Or Not To MRI, That
Is The Question; Or, Outcomes
The Same W / W-O, But It Helps
Ditch the Surgery 






A glass of wine is fine, 
but don't booze up 
your neighborhood.
(The behavior is contagious.)
 





Abusers Are Often Deterred
From Seeking Help Simply 
Owing To Financial Fear.
 Parallel Medicinal

And Emotionally Diagnostic
Regimens Are Available,
With Physicians Quite Aware
Of The Many Potential 
Deep-Seated Or Thoroughly
Practical Bases 
(Including Genetic Pre-Disposition)
For Patients'Troubles.




Poor People Obviously Need
A Practical Escape Route From
Drug Addiction, Including,
Possibly The Dutch Methadone
Clinic System.



This Integrates Easily Into
The Very Same 
Information / Education 
Structures I Propose
SEE

SEE TOO

What Can Be
Another Branch




I Oppose Entrenched 
Monopolies On The
Suasion Page
And Otherwise Generally.



Middle Class Families
Are Also At Risk Financially,
In Terms Of Family Stability,
And In Terms Of A 
Downward Health Cascade,
From The Same 
Inequities Plaguing 
The Poor.




Within The Macro Arguments
Against These Inequities Lies
The Following Idea In 
Health Care:





Fair Treatment Of Risk.





Removing The Insurers'
Immunity From The Anti-Trust
Laws.







Better Detection of
Malignant Breast Cancer
--Without the Invasive
Biopsy, Without Much of
the Despair

(There should be no financial 
despair in this setting.
More can be done to
manage patients' concerns
over their risks.)





"...In a recent column for the Hartford 
Courant, Lieberman cited the rising 
costs of Medicare to justify his opposition 
to expanding the  government's role in 
health care.  But in 2000, when he 
was Al Gore's running mate, Lieberman 
campaigned on a platform of offering everyone 
55 and older an option to "buy-in"
to Medicare.  That proposal—which was a 
central part of the Gore-Lieberman campaign's 
health care plan-- essentially would have 
created a robust public option
for people aged 55 to 65...."

Was the odd change of heart as to 
the public option then 

passed on as insider information as well?

-----
-----
-----




As Structured, Health 
Reform's Windfall for the Health
 Insurance Cartel 




Millions of Californians lose 
health coverage during recession




The 20 Undecided Democrats
 Just Loaded With Health
 Insurance Industry Money






Dirty Air Costs California 
Economy $28 Billion Annually





Buffett: America Desperately 
Needs To Change Healthcare If It 
Wants To Be Economically Competitive





Bust Up the Health Insurance Trust
Robt. Reich






"... thousands of American retirees in 
Mexico have quietly found a solution
 of their own, signing up
 for the health care plan run by the
 Mexican Social Security Institute...."





The Hospital That Could Cure Health Care
"...in 2006 Cleveland Clinic abandoned the
 traditional departments in favor of 25 "institutes"
 organized by disease or organ system.
 This works well for patients, who don't care
 whether their back pain is cured by a
 rheumatologist, a neurologist, or an
 orthopedic surgeon. But, says Regina Herzlinger,
 an expert in health-care economics at
 Harvard Business School, it runs afoul of the
 dominant fee-for-service system of medical
 billing, which discourages cooperation across fields.
 When Duke University Medical Center set up
 a disease-management system for congestive
 heart failure, coordinating the efforts of
 cardiologists, primary-care doctors, pharmacists,
 and nurse practitioners, it drove down the cost
 of treatment by 40 percent in a single year,
 while reducing readmissions and improving
 outcomes....a visit to Cleveland Clinic makes
 it hard to avoid the conclusion that if you're looking
 for "waste" in the health-care system—defined
 as expenses that do not directly contribute to
 medical outcomes—a good place to look is the
 nation's cobbled-together system of
 competing private insurers. "







End of Medicare As We Know It
C-SPAN Video / U.S. 
Rep’s Garamendi, Tonko






 There is no credible evidence that high-risk
 people gaining insurance under health reform
 could justify the 59-percent increase in rates
 proposed by Blue Shield, UCLA Health
Policy Research Center 
Associate Director Gerald F. Kominski 
said on the Today in LA program 
(link lost and substituted.)
  Shana Alex Lavarreda,
 Center research scientist and director of health
 insurance studies, also discussed the proposed
 rate hikes in an interview on KPCC-Southern 
California Public Radio








All High-Risk Pools Are Not Equal: 
Examining The Minnesota Model
Courtney Burke, Lynn Blewett,
 healthaffairs.org

eligibility is broader...; adequately funded...;
 premiums are low...; ...administration....
 The program is a not-for-profit corporation
 governed by a board of directors and
 regulated by the Minnesota 
Department of Commerce...







This is a picture of health maintenance
 inputs that should  support 
the ambitious, efficient, effective,
 compassionate, and inclusive 
maintenance of health 
throughout the U.S.



.



Chocolate: an almost perfect food.


New: Dr Susanna Larsson, 
Karolinska Institute,
Eating Milk Chocolate May 

Lower Stroke Risk



Column From Harvard's Health
Letter As To Being Happy




MORE FOOD FOR THOUGHT



       -1-        -2-           -3-  


    -4-        -5-           -6-


    -7-       -8-           -9-


           -10-         -11-           -12-      

       
    -13-      -14-           -15- 


-16-






One Can Lean On Particularly
Healthful Foods, Of Which There
Are Many, Of Course, But, Because
The Human Body Is Defined By
Homeostasis, I Personally See Value
In The Advice Originally Given,
From Academic Memory,  By The
American Nurses Association In
The Early Part Of The 20th Century:
Variety And Moderation.
It's Also Not Difficult For The
Non-Professional To Get The Gist
Of The Very Latest Research.

What Humans Learned To Do That
One Should Be Particularly 
Cognizant Of (And Careful About)
Is Using Non-Nutritionally Dense
 Food Components Separately. 



VIDEO

-----

-----


-----






The Breadth Of, And Domino,
 Effects Of Poor Behaviors
Are Endless And Very Serious.
 Only Isolated Studies Appear.



I Think People Control Their 
Lapses Better When They
 Feed Needed.


Good Weight Control
Vs. Bad, Including 
Depressive Weight Control






Overweight Women Face Increased 
Breast Cancer Recurrence Risk



Fat Cells Hormone: Leptin May Have

 Link of Breast Cancer Tumor Growth




“Obese Youth Have Significantly 

Higher Risk of Gallstones"
Kaiser Permanente




Fat -Bellied People At Higher 

Death Risk Than Obese

------




More Dangerous Inter-Visceral 
Fat ("Belly Fat") 
Preferentially Reduced With New 
Surgery Using Capsaicin (Salsa) 





Have Reward Other Than Eating 
Always Available 



Walking May Lessen the Influence 
of Genes On Obesity by Half



Oh Man, This Is What
I've Been Using

This is an area of obvious urgency,
and it lends itself to lots of self help.

SEE

SEE

The False Sense of Security Matters.

  Melanoma Is Where Your PROTECTIVE
Cells Accelerate Reproduction. There's
 only one right strategy: 
Where a Hat and
Stay Out of the Sun During the

 Height of the Day.  Piecemeal Maintenance
 Is A Failure.  Health Education Has
 to be Formalized.  It Should Be More
 Formalized Than This 

Endometriosis From Another? 


(Note: Doctors Advise Using SOME
Block If You Must Subject Yourself
To Burning UV--Lesser Of 2 Evils

Learn Checking Yourself 
For "Changes" In Any Case
--There Is A Genetic Dimension
For Some People)


------


------

------

------ 








Yogurt = Sexy Bod
Antibiotics = Obese


I Don't Know About You, 

But I've Always Been
Pro-Biotic, Not Anti-Biotic
(Looking healthy because you 
are 
healthy reflects preventionism.)




Fears grow as study shows genetically modified 
crops 'can cause liver and kidney damage'




I Can Understand As to Tomato Sauce and
Ketchup, But The Kids Would Be Better
Off With a Tomato-Vegetable Soup





Safety of Beef Processing Method Is Questioned




PRESCIENT




The employer who's a not-hung-up,
 normal-as-he-should-be-sort
-of-guy / gal will 
allow for this
for his / her employees,  a throw-back

 to what hopefully the Chinese
 will not lose.    That employer will benefit
 financially, in the process, of course.


I love  
this vid, but as to the 
justice part believe the access 
to justice, the avenue to legal 
recourse, is indispensable.


(Nothing from the following is to be used

as legal advice.   Readers with potential
issues should act on independent advice.)

But judges and juries need being advised 
of the difference between defensive 
medicine and good-decision medicine, 
as well as being reminded that mistakes 
and accidents are  not per se negligent 
or sub-professional standard.  
In cases of malpractice an Expert 
Arbitrating Advisor  should inform as 
to the competing considerations.



It is often suggested that a loser-pay 
all costs policy be adopted.
I accept that  this  simply 
looks excessive.   Such policy does not have to 
be on an all or none basis.
Loser pays half the other party's 
legal costs may be more sensible.



Volume of work - based compensation 

is obviously not consistent 
with good medical care delivery.

The HMO's to my mind remain a 

useful vehicle for better aligning incentives 
clinically and financially,
 but they cannot achieve that
if they have to compete with an entrenched
 fee - for - service cartel that is protected in its
 cherry - picking of risk free customers.



This is already comparable to the public health
 responsibility failures in the U.S. at the turn
 of the last century, when 
bone shavings were sold as coconut, etc.




Until It Realigns Its Priorities, The U.S. Will
 Fall Further Behind Canada






First Ever Overruling of FDA by Cabinet:
Restricts Morning-After Pill Access
(ENEN:  which should result in more
unwanted pregnancies)





"Should The FDA Be An Independent Agency?"








Krugman's Comment As To 
Ryan's Health Plan









ORIGINAL
There are over-the-top obnoxious 

people and murderers, but,  particularly 
some of the kids
 placed on strong drugs should
have access to a case review process for 

the purpose of possible weaning from 
covered, unjustified drugging.


New Autism Diagnostic Symptom Mix 
In 
The Works Just the same, see this. 



Evidence Behind Autism 
Drugs May Be Biased



Can Dogs Sniff Cancer?
(The question's hardly limited
 to lung cancer, which would
make sense, since you're breathing
into your dog's face.   
Let's try melanoma, which
is just skin deep.)

.




ORIGINAL

Principles Held In 
Your Face But 
Meaningless To The 
Demagogues
Got pre-existing risk factor but
 want to move to another state?
Currently, then, you might as well
be living in the old Soviet Union.



Particularly if you have an independent policy 
you typically  can’t move from one state 
to another absent exclusions 
with the current casino-and-cherry-picking-
shell-game system.

That’s obviously particularly important at 

a time when people need to
relocate for employment opportunities. 




SCHUMER AND LEAHY ARE
 ATTEMPTING REMOVAL OF THE 
HEALTH INSURANCE CARTEL'S 
ANTI-TRUST EXEMPTION



(This is to inform: the health 

insurance cartel
 is still immune from the 

anti-trust laws.)






Martin Feldstein on ObamaCare
As to rationing, I agree with Mark Haines, 
when he said to Mr. Feldstein during a CNBC 
on air interview  "Isn't the current system
rationing?"


(an ENENcomment disagreeing with
Prof. Feldstein)


To me, people in high places
are usually exquisitely correct in
identifying problems but 
easily disagreed with where
finding the pathology is concerned.



One can simply have
rationing by arrogance.
(graphic video)




(maybe should've come out
"A Few Doctor...")
"Doctors Say, Just Give Us 
Government Money and Stop 
Asking Questions"
(Baker, CEPR)




Walker / FDL / Eight Alternatives
to the Individual Mandate



Obamacare Judges' Financial Conflict
Smith / DailyBeast



Dean Baker,  Co-director, 

Center for Economic Policy Research
, by way of 
from: FIREDOGLAKE.COM:  
"Bowles and Simpson Violate 
Commission Charter and the Washington 
Post Covers Up"
Dec. 1, 2010

“... the huge long-term projected 

deficits are entirely attributable to 
the broken health care system. 
If the United States paid the same
 amount per person for health care 
as countries with longer life 
expectancies  we would be facing 
huge budget surpluses, not deficits....”





Meme Roth, National Action 
Against Obesity: 
"It's Not Insurance Where 
It's Inevitable" 








Wendell Potter on the Senate's 
Health Care Delivery Law
vs. 

the description by Senators Murray, 
Schumer, Reid, Harkin







Debate Over Industry 
Role in Educating Doctors

Natasha Singer, Duff Wilson, 
New York Times, June 23, 2010

"In the latest effort to break up the
often cozy relationship between doctors
and the medical industry,
 The University of Michigan Medical

School has become the first to decide
that it will no longer take any money
from drug and device makers to pay for
 coursework doctors need to renew their

medical licenses...." "...Dr. Michael
Steinman, an associate professor of 
medicine at the San Francisco
 V.A. Medical Center,... who conducted

one of the studies, said that related
research in social science demonstrates
that people who receive gifts often feel 
obliged to return the favor. 'Industry
wouldn’t be paying billions of dollars
to do this stuff if it
 didn’t benefit them,' he said...."






Conservatives Are So Angry About 
Healthcare Reform 
They Have Been Reduced To Telling 
Flat-Out LiesPaul Krugman, 
New York Times,  Mar. 27, 2010
(replies to this 
Douglas Holtz-Eakin, NY Times)


All High-Risk Pools Are Not Equal: 
Examining The Minnesota Model

Courtney Burke, Lynn Blewett, 
healthaffairs.org, March 19, 2010

eligibility is broader...; adequately funded...; 

premiums are low...; ...administration.... 
The program is a not-for-profit corporation
 governed by a board of directors and regulated 
by the Minnesota Department of Commerce...










"COURAGE" Not Enough: A Million Stents A Year
Gary Schwitzer on February 11, 2010. 

healthnewsreview.com,
Based On This, 

by Keith J. Winstein, Wall Street Journal, A1, A18
"Sanjay Kaul, a prominent cardiologist and researcher
 at Cedars-Sinai Heart Institute in Los Angeles, 
estimates that the U.S. could save $5 billion of 
the $15 billion it spends on stent procedures each year 
if all doctors followed Courage's guidance--that is, 
putting certain heart patients o
n generic drugs and turning to stents only 
if the pains persists. ...  

















Only incentivizing health maintenance
marries capitalism with efficient public
health policy.  Bacteria, degeneration,
 genetic failures,  and accidents do 
not figure into "demand for service elasticities." 
The public health sector lives between
selling candy bars and prison maintenance
in terms of its amenability to the intended
objectives and advantages of reliance on
the private sector.


SEE



What this study implies is that physicians have to
1)  be more forthcoming as to why one may / 

may not choose going down one path or another.

2) frankly, there’s a hint of physicians’ favoring 

stop-gapping worst case scenarios in favor
     of letting really distasteful, still quite nasty 

results have substantial risks of occurring. 
Though obviously a "reformer," I'm actually a 
little more defensive of the physician's clinical 
space in these areas.   There's only one person
who can fix the underlying problem presenting.  


Medical decision making is simply that: weighing 

risk / benefit, with each side of that
equation having many degrees of depth.

There are many potentialities in each direction, 

many extraneous indicators as to likelihoods,
and so the physician’s judgement is absolutely 

essential to the right recipe.


Complicating all this:
A)  Importantly, a prognosis can hinge partly on
 

what a patient knows.
A1)  At the most vulnerable times in the 

course of treatment, knowledge  of dire risk 
can impair the patient 
who’s nervousness is itself a factor.
A2)  The patient’s proportioning, reasoning,  and 

 judgement can be off-base-unpredictable
for any of multiple reasons.
A3)  There are few things uttered more frequently
in the hospital but that the uncooperative
 patient is consistently clinically at risk.
But, so long as it doesn't make the patient
run out the door, give up, or go into a life-
threatening hyper-nervous state, I think
the more discussion and up-front explaining
of the what's and why's would in fact 
make for greater cooperation.



NOW:  Study Says, In a Nutshell,
Patient: Once a Regimen Adopted, 
Be Cooperative Or Expect What 
People Have Long Expected:
You're Outlook Is Dimmed.
It Also Says, Physician:
Explain Patiently. 
Patients Can Require Patience
(More Fully)




So the bottom line is management of treatment 

is still a captain of the ship affair, but,  
nonetheless, this study implies physicians 
should not compensate for corporatist
diagnostic time-allotments by simply quickly 

going for the stopgap-the-worst-case-
scenario choice automatically.
Obviously, though, if you simply burn out 

the doctor, the next patient will 
really suffer for it.


 I personally can’t imagine there ever being 

a course decision - making process that will 
be anything but hampered by being nervous, 
rather than simply settling on the very 
process: decision making.
.
Imagine if Capt. 
Sullenberger got nervous.


I personally am an advocate
of Ta'i Ch'i.


It's our shared plight, the fact that
all of us will face overwhelming
inconvenience and risk of
impairment, and often face
some of life's most challenging 
dilemmas, and need all manner 
of support, which more than 
anything else should help readers
care about reform.

The needs of health care 
cannot wait long for people to 
break free from demagoguery
and false blame.



The paucity of nursing and medical
social work services reflects a 
cruel culture potentially, but it
really occurs from lack of 
preventionism and morbidity 
being addressed needlessly at 
more expensive stages.



That paucity leaves the patient,
sorrowful for their misfortune,
and where the problem is major,
usually scared for the family
he/she is at risk of leaving behind,
that much more prone to a
clinical cascade, whereas emotional
support can dramatically help
that patient be a successful
one and go home whole again.



People's choices are more limited
when they arrive in clinic late,
and they understand that.



Their costs are shifted to 
policy holders anyway.  
The carriers nonetheless 

enjoy their own, very specific, 
pre-determined happy 
risk-limited space. 

The reason it's worse than
analogous to Jaws, 
is although the late - arriving 
patient in the defective, 
dangerous system gets deathly 
shafted in the manner of the swimmer
getting eaten by the big shark,
whereas the other swimmers
get away with a satisfying swim
and day at the beach, the patient
who does have coverage does 
not have a happy experience.
That covered patient will sooner
or later face a choice of 
"go naked" or "premium death
spiral" as soon as he / she is
in a policy cluster that's no 
longer desirable for the carrier,
and, in any event, it's a
monopoly situation once the
patient presents (a) risk
factor(s,) and entirely a game
of name your price for the 
carrier.






Gov Vid's on Asking Q's




(We really need to re-populate 

an army of medical social workers.)


One more video on asking questions. 

.
This website proposes 
removing the 
heads I win,  tails you lose
 element from health care in a  manner
 entirely preserving of capitalist incentives 
(Adam Smith envisioned something 
very different from what demagogues
 would lead you to believe.)


ACTUALLY, IT ESTABLISHES
CAPITALISM IN THE SECTOR,
AND, COULD PERHAPS BE 
SEEN BY SOME AS THE LAST
STOP BEFORE REMOVING 
GATEKEEPERS ALTOGETHER.
FAIRLY APPORTIONING RISK
AND INCENTIVIZING HEALTH
MAINTENANCE IN ACTUAL
INSURANCE PRACTICE CAN,
LIKELY, OBVIATE NEEDING 
THAT LAST STEP.
HOWEVER, THAT ALTOGETHER
LIKELY WOULD REQUIRE NOT
ONLY THE FAIR APPORTIONING
OF RISK AS I PROPOSE, BUT
THE ENDING OF THE SECTOR'S
IMMUNITY FROM THE ANTI-
TRUST LAWS.

It does this by aligning risk
along a level playing field.
Risk = cost.

Modeling after the carbon tax,
today patient risk is readily 
quantifiable, so a financial 
patient population risk equalization
exchange is possible as has been
proposed for penalizing / rewarding
CO2 over - producers / CO2
emissions preventers.


It removes inefficiencies that happen
to get jackpot amplified by the particulars of the
medical care sector and that result when one
pretends Teddy Roosevelt never happened along
so as to bust up the "trusts, " though those things
in other sectors, such as banking, have been doing
quite a number on us of late.

Having had the ability to quantify per patient
risk for some time now (the cartel itself is
a specialist,) it's actually a simple thing going
FROM:

 cost-shifting but plus national health
insurance for older persons, whom the cartel
doesn't want to cover but who they can no
longer afford even being covered by the 
government if their own inefficiencies are to 
continue, given the boomers' advancing years


-OR-


all of higher risk to the high risk exchanges
(taxpayer)
everyone else to the cartel,
they having an incentive, thus,
to see MORE volume


TO:

Incentivizing preventionism


applying costs savings directly
from eliminating the cost - plus
volume - based compenstation:

there's ample evidence,
a fuller hospital application
(nursing, attention to patient 
needs thus making him / her more
compliant,  particularly by way of medical 
social workers) saves money in the
long run

It's preventionism that's by far most
important as new abilities will 
swamp cheaper alternatives, and
simply addressing obesity particularly, 
but also: smoking, car accidents, violence,
chemical assault, emotional assault, etc.
will offer some shelter from a coming
tsunami. 



providing a rational, sensible structure 
within which a process for covering indigents
can flourish by simply twisting a money
spigot a little to the left



getting patients into clinic 
while they still have the best
set of choices one can want for
a given issue (the best choice is
staying healthy in the first place,
which is prevention, which means
being good to yourself)



ending the patient foreclosure
routine in the county courthouse




not ripping off a nation of patients
with one-sided contracting power
and ultimately telling many / most
of them they have a choice of 
"go naked" or "premium death
spiral"



Comparing a tax with a risk is not
comparing apples with oranges, 
cause a risk is as good as a tax.
Ask any actuary at your insurance
co. of your choosing.



Risk can simply be apportioned on 
a patient populations' total risk
being compared with everyone 
else's patient populations' total risks.
Then, like any other policy-nudged 
equalization process, such as the 
carbon tax, a carrier can pay into
a common pot, it can draw from it.


We may just want an impartial
person from the house to 
spot check players' hands.


Elements (Deficiencies) of the 
Present Health Care Market 
Discussed Here Pertain Here
As Well, and Vice Versa.
There's a Greater Sum From 
Viewing The Issue From 
Different Angles.
To Immediately Know This
Is a Special Market Simply 
Ask Yourself What's the 
Price Demand Elasticity for
Bacteria's Decision to Infect
You, or For You To Decide To
Fall Down a Flight of Stairs?


My Idea 
(link takes you back 
upstairs a couple inches,)
thoroughly market based,
would concomitantly provide
many avenues for improvement
and new efficiencies, but 
particularly if:
the statutory immunity from
the anti-trust laws enjoyed by
the health insurance cartel
were repealed.



IT'S  ORIGINAL 
(Dated  mid-April, here, 
though if placed a little more clearly 
it likely would have enjoyed 
a happier response.)




MORE
COMPARISONS






See (from Progressives,) 
from "Can't Hold Tongues on
Obama Health Law


Immunity from Anti-Trust 
eliminated, risk system - wide
adjusted, but with the market
essentially preserved, my plan
modeled after the carbon tax
(risk = cost) readily gobbles up
value based 
(V-Bid)
insurance initiatives
in its still (and much more so than
currently) competitive architecture.





Here's An Interesting
Value-Based Insurance
Fast Track
.
Should Risk Be Apportioned Fairly, 
And Should That System Be 
The Same System Which, Across 
The Board, Is The Vehicle For 
Financial Assistance, Then, “Tiering,”
 Or Provider Quality Layering, Can Be
 Avoided With Assistance. 

Absent Market Control, Insurance 

Companies and Doctors 
Can Grade Each Other.

Patients Can See The Grades.   

After All, The Insurance Companies
Know All About Their Customers.

A Free Market System Is Supposedly 

About Equal Information / No 
Barriers To  Entry.  
Otherwise Comparing Suppliers
Is Like Comparing Apples With
Oranges.  
I Still Favor It Even Though
It's Not Fully Attainable.
Fair Treatment Of Risk And
Not Having Monopolies
Achieves That Practical
Near-Fantasy.
If All Suppliers Were Identical
In All Respects, And If Buyers
Are Not Numerically Constrained
In Their Demand For Their 
Product, It's Generally Theorized
No One Would Make A Profit.
That's A Little More Interesting
In Health Care Cause Unlike
Adara's Father, People Unable
To Afford Care Typically End
Up Getting It, Their Cost 
Shifted.
I Personally Don't See 
Unattainable Ideals As An
Emotional Hurdle And Think
Ending Market Controls,
Fair Treatment Of Risk, And
Guaranteeing Accessibility
Is Exciting Enough.

With The Internet Being About
"Disrupt, Disrupt," We're Already
Racing Toward Our Self-Professed
Near-Goal More Generally.


Heretofore The Insurance Cos.
Have Mainly Sought Avoiding
Risky Customers, Burning
Out The Risky Ones Already
Enrolled Where It's Been
Possible To Do That, And
Thoroughly Gatekeeping
The Physician's Actions.

Your Doctor Has A Co-Pilot!


Anyway, There Then Arises 

The Rightful Goal Of Insurance
 Companies Trying To Give 
The Best Care To Customers Across 

The Board At The Best Price.
This Is Not Financial Advice, Nor

 Anything To Do With Forecasting.
However, Technologies 
Aiding 
Physicians Across The Board, 
Particularly Helping The 
Non-Super-Specialist
 Judge With Greater Information
The Prognosis Of His / Her Patient, 

Such As This, Then Becomes
More Appreciated, And We Should

 See Much More Of It.


Despite Presenting Risk 
Equalization On My Own
Website, I'll Be Indicating
Why I Think, If You're A 
Californian And Don't Expect
Risk Equalization To Be Offered 
At The Polls Anytime Soon,
California OneCare Is Certainly
Better Than What Exists Now.
And I Would Prefer That To
ObamaCare Too.
ObamaCare Would Be Helped
By Ditching The Immunity
From The Anti-Trust Laws.
 It Would Be Helped More
By Not Segregating Those
Less Able To Pay Or 
Presenting Higher Risk,
But Then It Wouldn't Be
ObamaCare.

I'd Support Those Unable
To Pay, In The Unified Market,
Every  Buyer Simply Counted In 
The Risk Equalization System.
Equalization Payments Make
It Impossible For Carriers To
Attract Only Healthy People.
Credits Incentivize Inventing 
Efficient Health Maintenance.


Medicare's A Sore Thumb, But
Carriers Already Contracting
Can Get Credits With Carriers/
Medicare Population Still 
Otherwise Part Of The System.
What Exists Currently Is 
Entirely National Health 
Insurance Only For The 
Elderly--Privatizing The Profits,
Socializing The Cost.



As Bad As The
Situation Is 
There,
It's Much More 
Complicated Here.
What Simplifies It
Here Somewhat, Though:
We All Need This.
(And, As I've Said Before,
From Where I Stand, The
Progressives Value Life More)
The Cost Of The Uninsured
Gets Shifted Anyway.


However, It's Already 
Happening That Doctors
Are Fast Creating Efficient/
Clinically Effective Matches
With "Value-Based" Strategy.


Single-Payer Is Quality-Even
Mostly, At Least In France, 
But, I Think Risk Equalization
Is A Strong Competitor In
The Field Of Avoiding Tiering,
So Long As All Population 
Slices Drink From The Same
Well.


Thirdly, A Simple Risk-Equalized
System, With Immunity From
Anti-Trust Removed, Fully Allows
For All Carriers To Still Offer 
Varied Co-Pays.
I Happen To Think The
High Power Clinic, Particularly,
Should Be Not Simply Protected,
But Empowered, And, In Fact,
They're The Ones Who Would 
Make This Sort Of Risk-Fair,
Clinically-Sensible, Practice-
Rationalized System Work.


Single Payer Still Requires 
A Cost Brake, Facilities Still
Need To Be Run, And There'd
Still Be A Role For Private 
Insurance, So Admin. Savings
May Be Less Than Some 
Might Think.


Frankly, We've Very Little
Experience With Risk 
Equalization In The U.S.
Wait.
Actually, I Think We May
Have None.  It Looks Like
We've Simply Kept 
Marching Toward Monopoly.
That's Suicidal, Of Course.
Theoretically A Monopoly
Can Engage In Discriminatory
Monopolistic Pricing Only
To A Non-Kill Point, But, 
Lately, That Does Not 
Appear To Be The 
General Practice.


And The Non-High Risk
Exchange Part Of 
ObamaCare Appears Being
Essentially A Cost-Plus
Oriented Scheme.
That Would Be Open-Season
For Unnecessary Volume.
I Hope You Like Tests, Baby.
What's Better / Worse?
Allow Cherry-Picking & 
Exclusions, But Don't 
Guarantee A Profit 
Above Medical Loss Ratio
--OR--
Say The Cartel Gets 15% or
20% Margin Above Cost,
(With What Kind Of Oversight
On The Cost Statement?)
And Then With An
Apparent Incentive To 
Want More Volume?


Adara's Father Today.
You Tomorrow.


see this analogy

also, Adara's father
wanted to avoid this)


part of why he would
still have something
to worry about today


If The Monopolies Run
Sufficiently Far And Wide,
Don't Doubt It.
I Like Calling The 
Would-Be Capitalists
Not-Capitalist At All.
Health Care's Sufficiently
Different That I'd Jump
For California OneCare
Absent Repairing The
Risk Control And Lack
Of Real Competition.


It Seems To Me Risk
Equalization, If It Can Be
Made To Work, Would 
Minimize Tiering And Also
Be A Little Less Vulnerable
To Now-You-See-It-Now-
You-Don't Mechanisms.

------


------


And, I'm Not A Fan Of
Mechanisms That Tend
To Gravitate Toward
Privatizing The Profits,
Socializing The Costs.


Unless We're Going To 
Institute Ongoing 
Windfall Profits Taxes.


To Its Credit, California
OneCare, Which I'm 
Friendly To, Does Not
Privatize The Profits
and Socialize The Costs.
.
Absent some kind of market 
control, (otherwise) unfettered
 supply, and unfettered demand, 
combine to render the
 theoretical, pure capitalist 
economy a mathematical 
absurdity.

Supply and demand would 

always link at 0.
I think one could argue
they'd meet at what the
TBTF banks currently
have, with their near-
free reserves: a rate of
return just below something
reflecting a worthwhile 
investment.  


I think it says much that
they "enjoy" their position,
and cling to it, even though
it's a statement of failure.

I see that as no emotional 

hurdle.   I don't get busted 
up over it.   I still run to the 
near-fantasy of mostly-capitalist, 
personally, but don't think people
 should not be attacked with 
charged labels if they're open
 to rationalizing markets so
 as to make our near-fantasy
 work better.

Risk equalization, though, is

 entirely about establishing a
 capitalist market, as opposed to
an oligopolistic one,
 for the first time.



It Just Says, We All 
Get Sick, And Let The
Doctors Rationalize.
They'll Have To Do That
In ANY Plan That's
Fair, Efficient, Effective,
And Providing Universal 
Access.
(That's Why Insurance
Cos. Themselves Have
Chief Medical Officers)


-----



Just Betw  U  And Me,
It's A Major Plus For Me
Simply Helping People See
 The Basic Inequities And
Issues Involved. 







-----

-----



.
The Patient With The Super-Doc 
Who Can't Be Seen For A Number 
Of Weeks May Do Well, Where
A Biopsy Is Obviously Indicated, 
Even Essentially To The Layman, 
By Seeing An Associated Health
Professional At An Earlier Stage.


That Means Even Rich People Can
 Benefit From A System That 
Maximizes The Application Of The 
Highest Medical Attention Across 
The Full Audience.


Nurses, Physicians Assistants And
 FMG's In License Twilight Can Have
 Relationships (Not Sexual) With
Multiple Physicians, With 
Physician Leadership


(You Can Cure Yourself
Of Certain Vertigo)


This Entails No Physician-Patient
 Disconnection. It Simply Cuts Time
 Where It's Pre-Defined 
Important Doing So.


Prevention Beats Cure.
Early Intervention Beats 
Late Intervention.


As To Whether These Things
 Involve "Net Rightshifting Of 
Cost," Or Right- Shifting Altogether, 
I Very Much Doubt The First,
 Though That Is Not Settled, And
 As To The Second, Someone Must
 Be Confused.  That's The Very 
Purpose Of Medical Care.

The Reader Should Understand 
Doctors Have To Invent 
Every Detail.


Under Risk Equalization
The Same People Applying
Value Based Plans, Generally
 Would Map Out Market
Position Strategies In 
Relation To Risk Values
And Available Potential
Customers.


Risk Equalization Cost
Boundaries As To Cosmetic
Surgery, For Instance,
Should Be Particularly
Flexible In Terms Of What's
On Offer Vs. Alternate
Plans That Also Are Not
Simply Based On Avoiding
Or Financially Burning 
Out Risky Customers.

pdf



------

------

------

------



Shortfall Of Nursing
Faculty And The
Aging Of Americans
Addressed In UCLA
Initiative





Multiple Studies 

More Registerd Nurses
Translates Into Financial
Savings Through Better
Outcomes
(pdf)






Telemedicine Is A 
Massive Field, And 
Providing Visual Contact.  
Massively Helpful, But
There's Also, As Nurses
Comment, Potential
Over-Reliance On 
Computers.   So Smartly
Using Health Professionals
Should Ideally Be 
Rationalized.
.
ObamaCare Replaces The 
Shell  Game, Including Its 
Ultimate Choice For Many, "Go 
Naked" Or "Premium 
Death Spiral," With An 80/85% 
MLR (Medical Loss Ratio--)
Profit Above That, The Border 
Easily Gamed, I Would Think.


That's A Pro-Volume Formula 
That Implies Some Doctors' 
Practice Concerns May 
Occassionally Be Ill-Placed.   
However, The Insurers
 Don't Really Like Eliminating
Exclusions And Will Likely 
Continue Rolling Out 
Just-Go-Away Deductibles.

Of Course, Just-Go-Away
Deductibles Are
Distinctly Un-Fun For
Physicians And Patients
Alike.


It's Eminently Within
The Realm Of Possibility
Than Occassionally Some
Doctors Will See Their 
Practices Aligned With
Insurers' Interests.
Certainly In The Case
Of Just-Go-Away 
Deductibles That Would
Be Like A Nat Gas
Royalty Holder Supporting
A Policy Of 
Just-Store-It.

The High Risk Exchanges, 
Taxpayer Subsidized, Will 
Often Likely Follow 
More Rational Formulae,
But With These Issues.


Doctors Should Love  
Risk Equalization.
It's Utterly Unfettered
Practice Of Medicine.
It's Exactly The Opposite,
Which Is Analogous To
Using Any Gatekeeper 
That's Always Requiring, 
And In Health Care, More
Than In Other Places, Yet
Also More Inappropriately,
That's Always Interceding,
For The Doctor And Patient
To Remain Covered.


I Fell That With A Lavish
Physician - Carrier Market
And More Thorough Value
Basing and Physician-Created
Rationalization, Cost Can Be
Contained Appropriately With
None Of That; And, If That
Should Prove Insufficient, The
Natural Community Of 
Interest Would Accomodate
Easily Agreed On Additional
 Cost Control Guidance.
The Only Place Where
Gatekeeping Might
Reasonably Occur Is
In Cosmetic Treatment
Coverage.

Unlike ObamaCare, It's 
Difficult Seeing Where
Tiering Might Become A
Major Issue.   Such A
System As I Propose Is
Intrinsically A Pipeline For
Patient Financial Assistance.


I Currently Cannot Imagine
An Appropriate, Sensible 
Cause For Patient 
Displeasure With The 
Type Of System I Propose.
Outcomes Are Intrinsically
Comparable, Allowing For
Patient Pool Variability
(Including Variations In
Challenge Presented,) And
Viewable Within A 
"Lavish Market Between
Physicians And Carriers."


Patients Should Know
Trust And Have Little 
Concern Beyond For
Getting Better.


ObamaCare Keeps A 
Cartel In The Cash With
Its Monopolistic Control
 Somewhat Obscured.   
Like A Driver
Needing To Swerve To
Save His/Her Family
With Little Time To Think,
It Runs Over Those Least
Able To Afford Coverage
But Not Qualifiable For 
Assistance.


The Carriers May Well 
See Opportunities For
Gaming The Exchanges,
Including As To Quality.


My Plan, As I've Said, 
Institutes Free Enterprise
For The First Time In 
U.S. Health Care In The 
Modern Era.


Again: Remember, All 
Un-Reimbursed Cost Gets
Passed Through The 
System In Any Event, Built
Into Everyone's Premium
(Cost Shifting,) 
Just As Has Always 
Been The Case.


And Again:
Because It's The Nature 
Of This Field That All
Present And Future 
Patients Present 
Expensive Need That
Will Be Addressed By
Capable Physicians,  
Single Payer Plans Can 
Be, For The Uninitiated, 
Surprisingly Similar In 
Effect. 


SEE
(Nothing Independently
Verified)


   I, Of Course, 
Simply Feel That Non-
Monopolistic Coverage,
Particularly When Single-
Payer Can Be More
Vulnerable To Tiering,
Is Something I Would
Want To Try Out.


To Immediately Know
That ObamaCare Isn't
The Reformer's Delight
Is Simply By Way Of
Recognizing That Those
Who In Public Life 
Supported The Public 
Option But Who Later
Proved That Support
Was False Nonetheless
Supported ObamaCare.


------

.
Patient Risk Values, State
Substance "Tolling," Both
For Health And Substance
Control Rationalization,
And Programs Such As 
This Can All Share A
Single 2-Way System
Of Health Information

(Macro/Individual)
And Health Education

(Macro/Individual)
Reverse-Pyramided Down
Through Progressively
Smaller Population Segments,
Down To The Individual
Patient, And Back Up To The

Public Health Policy Makers,
Physicians, and Substance
Regulators. 

.
NOTE: The Affordable Care Act DOES 
Incorporate Value Based Insurance 
Design,  And Govt. Programs Have Much 
Lower  Admin. Cost Percentages Than Do 
Private Ones.   





Single Payer Eliminates
Gate Keeping, But My Proposal
Is Aimed At Retaining Competition
(Actually Starting It--What 
Exists Now Is a Statutory Immunity 
From The Anti-Trust Laws)





But I Still See That 
Act As  A Case Of Privatizing 
the Cherry Picking, Socializing the Major 
Cost--Everyone Has Major Risk Factors 
Sooner Or Later, And That May Be 
The Point  Where The Cartel Prices You 
Out And Everyone Else Takes Over

(Why? Because Then That Shafting
Creates A Greater Competitive
Posture For Expanding The 
Customer Pool--)
And, 
Again: The Law Has Multiple Cost-Plus 
Points, Which I Regard As Easily
Abusable, Higher Volume-Encouraging, 
And Thus Destined To Needlessly And / Or
Wrongly Force Those Who, As Is Everyone's 
Eventuality, Suffer High Risk Factors To
Enter An Alternate System, Instead Of 
Remaining In One Overall

Rational One.

The Medical Loss Ratio Being
Company-Wide, The Cartel Can
Still, Even After The 2014 Ban On
Exclusions, Price Out Risky
Customers.


There's A Parallel To The Taxpayer
Paying For Most The Cost On 
The Part Of The Banks In 
Mortgage "Loss Sharing"
Programs



It Even Looks Like A Parallel

Exists Pertaining Water Access 
Management In My Local Region




On The One Point Of Customer-
Serving, Instead Of Profit-
Maximizing Structure, To The
Extent The Public Exchanges 
Include Value-Based Design
And The Private Ones Don't,
The Public Ones Will Be
Superior And Will Feel That
Way To The Customers,
But The Cartel Gets To 
Squeeze Out Onto The
Taxpayer Customers They
Can Still Price Out, Even If
The Remaining Low Risk Ones
Partake Of An Inefficient
Environment




My  Plan Makes Provider Access
Utterly Equal Across The Whole
System As I Only Propose A
Risk Apportionment 
Mechanism And, That Being
Entirely In Lieu Of The 
Cost-Plus Basis, It Then 
Encourages Preventionism,
Value-Basis, And Clinical
Rationalization


Aside From The "MLR" Being
Easily Gamed, Pricing Out
Risk Affords A More Competitive
Presentation To Healthier
Customers



My Plan Is Single-Tiered-RISK FAIR.
Obama's Is Privatizing The Profits,
Socializing The Costs.



As Indicated Elsewhere Here, 
When Air Travel Made Passenger
Rail Unprofitable, Though It Was
 Still Much Less Expensive, On A
Passenger-Mile Basis, Than
Car Travel, Generally,
(Though Lines Designed With 
The Kiss Of Death Will Have 
Few Riders,) That's When The 
RR's Kept Freight, And the 
U.S. Started Amtrak. 



"...As Americans are required to pay

more to visit their  clinicians and fill their
prescriptions, a growing body of evidence
demonstrates that increases in patient
 cost sharing lead to decreases in the  use
 of both non-essential and essential care. 
Studies show that when barriers to
 high-value care are reduced, patient
 compliance with recommended treatments
increases and potential cost savings result...."
(footnotes at source lead to...)
Chernew ME, Shah MR, Wegh A, Rosenberg SN,
Juster IA, Rosen AB, Sokol MC, Yu-Isenberg K,
Fendrick AM. Impact Of Decreasing Copayments
On Medication Adherence Within A Disease
Management Environment.
Health Affairs, 2008: 27; 103-112.3

Chernew ME, Juster IA, Shah M, Wegh A,
Rosenberg S, Rosen AB, Sokol MC, Yu-Isenberg K,
and Fendrick AM. Evidence That Value-Based
Insurance Can Be Effective. 
Health Affairs, 2010: 29; 1-7.




Of course, once again, my plan,
ending the risk shell game, 
preferably making the cartel become
a sector that IS competitive, exactly
as they purport is the case, which
is mostly not true as they all 
pass on burdensome risk, that
all the while accusing others of 
being not free commerce based, 
compels the carriers to innovate
meaningfully, clinically, so as to
be competitive. 
Barring ending the immunity
from the anti-trust laws, at least 
simply making them accept more
risk or else pay into a risk 
equalizer still induces preventionism
and long-term rationalization, ideal
for value - based initiatives.
That is, addressing patient cost
capably, instead of on a penny wise,
pound foolish basis, should be 
more cost - effective in the same
manner by which it's better for the
farmer to buy the equipment he
needs to reach the good fruit high
on a tree rather than simply 
pick the bad ones off the ground.


SEE 
 as to multi-functional 
integration.




As To Nuanced Questions, 
Starting With:

Covered At Work:
Not Far From Same Choices,
One Degree Removed; Also,
Especially Today, And For 
Much Longer Periods,
Many Workers Are Left
Adrift, Fending For Themselves 










As the health cartel is statutorily 
immune from the anti-trust laws, 
they’re  gatekeepers of rational, fair 
health coverage.
Where they enjoy cherry picking, 
they’re simply limiters of that.
Where they enjoy simple cost-plus 
with a license to price out costly 
customers who make them less 
competitive as to broadening their 
base of risk-free customers, 
they’re simply disinterested in that.  
The utilities are obviously power source 
gatekeepers; the Federal Reserve
is gatekeeper of savings rates, economic 

pace of activity and the ability of
the mortgage clearing market to proceed.
 There’s nothing wrong with free enterprise 
but the hypocrites falsely calling 

you socialist, something I hear 
almost daily on financial cable TV.



.
           
 THE  WIDE WORLD OF EFFICIENCY, EFFECTIVENESS, 
UNIVERSAL ACCESS, AND FAIRNESS EVERYWHERE 
ELSE IN THE WIDE WORLD OF HEALTH ECONOMICS
AND NICE PEOPLE



see:  Physicians for a 
National Health Program



Not doing it this way means
poorer access for the privately
insured AND the publicly insured,
as the former deal with larger 

and now very large--
as in, 
JUST GO AWAY PLEASE
 deductibles
(really rather silly-obvious, 
too--more childish than 
running a lemonade stand)


 and the latter have too few providers,
but with their patients ending up 
in the hospital with the privately
insured patients.
Each group statistically reflects
increasing unmet medical needs.
Distributing risk across everyone

on a market basis, then letting
the carriers compete on the basis
of preventionism rather than
being a cartel receiving cost-plus,
with high volume stupidly 
incentivized, the would-be 
public group is then the not-shafted
for-having-risk-factor group.
The rationalization (efficiency
from better market alignment with
the nature of clinical medicine)
and, also, I would recommend:
ending carrier immunity from the
anti-trust laws, would mean an
end to the very-large-as-in-just-
go-away-please deductibles.





SEE





ONE MORE






My Plan Should Also Remove
Trilogies Like This Affair:

1              2

 3
(link pertained
analyst rating change)


4

 (NOTE: these analyst views change)



Now Mayor Default
Judgement Has 
Arrested Nurses





 By 
Rationalizing Risk Apportionment
and Also Making Deductibles
 / Co-Insurance Structure 
 "Value-Based" (See Below;)
Also, Because, It  Provides
a Multi-Level (Value-Based,
Prevention-Supportive) Conduit
For Financial Support
Conceivably, There Would Still
Be A Small Role For Collections
Agents As They Would Then
Only Have Financially Highly
Capable Counter-Parties, But
Otherwise Chasing Down 
People, None Of Whom Should
Care About Anything But 
Getting Better, Would Be
a Thing of the Past.
My Plan Should:
 
End 
Default
Judgements Against 
Powerless People.

If You Want Fewer People Unable
To Afford Healthcare, Try 
Education, Empowerment and
Family Support






THERE'S SOMETHING 
PREPOSTEROUS
THAT'S BEEN HAPPENING IN 
MEDICAL PRACTICE

That's essentially an 800 lb. 
gorilla sitting in the doctor's 
clinic.    It's got its rear end on
his receptionist's scheduling screen.
It's really messing up your own
medical attention even as you can
barely afford it thanks to that 
same gorilla.

My plan, with the players maintenance
based, with the immunity to the 
anti-trust laws eliminated (Teddy 
Roosevelt should count for something,
eh?) and with the plan garnished with
all manner of "rationalization" (once
the structure and process are 
economically sensible you can trust 
leaving that to the doctors--if you're 
handing the job to someone else
you're in the wrong wing) such as
"V-Bid," eliminates that.



Applying indigent support across
the board becomes a piece of cake.
 Competition being actually
created for the first time
meaningfully, particularly if
the immunity from the anti-trust
laws is repealed, capitation 
need not be the only funding
basis.


I mainly only seek apportioning
risk fairly... 
.
REMEMBER:  
THIS IS SIMPLY REPLACING
FIRST THE CHERRY-PICKING AND
THE COMMON "GO NAKED" OR 
"PREMIUM DEATH SPIRAL" CHOICE,
AND THE INABILITY OF MANY TO
EVEN MOVE ACROSS STATE LINES
TO TAKE ADVANTAGE OF JOB OR
R.E. OPPORTUNITIES, AND THEN 
ALSO REPLACING THE CURRENT
REPLACEMENT OF PRIVATIZING 
THE PROFITS AND SOCIALIZING
THE RISKS,
 WITH:
FAIR TREATMENT OF RISK 
(AND THUS COST) MODELED
ON THE CARBON TAX 


A PARALLEL MAY ALSO BE
DRAWN WITH BRITAIN'S 
RENEWABLES OBLIGATIONS
FUND MAINLY INSOFAR 
AS THERE BUY-OUTS
ARE AVAILABLE WHERE
SUPPLIERS DO NOT HAVE 
SUFFICIENT RENEWABLES
OBLIGATIONS CERTIFICATES
TO COVER THEIR OBLIGATIONS

HOWEVER, THE RISK 
APPORTIONING PLAN I PROPOSE 
IS A RISK-LEVELING PLAN WHOSE 
CHARGING / CREDITING IS 
POPULATION RISK-MEAN BASED.
THE POPULATION CAN BE 
ANY SLICE OF THE PUBLIC
ONE CHOOSES TO MAKE IT,
INCLUDING THE FULL U.S.






  
.
IT IS THIS PARTICULAR
SIMILARITY WITH BRITAIN'S
RENEWABLES OBLIGATIONS
CERTIFICATES PLAN THAT 
DISTINGUISHES IT GENERALLY
FROM THE RISK EQUALIZATION
PLANS LONG USED IN EUROPE.
AS WITH THE FORMER, IT'S
A TWO-WAY STREET.
SUBSIDIES OUT.
EQUALIZATION PAYMENTS IN.



SEE


...and incentivizing
preventionism, clinically
rationalizing health maintenance,
and creating in this new 
framework follow-on,  
.
IT-advantaged systems 
integratable into very many 
purposes, bi-directionally:
health education, community
health support opportunities
going to the customer base,
and group and individual 
information going to the
health organizations and
care providers.




I Personally Don't
For A Minute Think 
Persons With Bad Habits
Should In Any Case Be
Denied Care For Failures
in Health Education.
Innovative Approaches To
Clinically Pathological 
Behavioral Choices Should
Be Studied



Absent the rationalizations I 
offer I think then one has to
go with this.


The proposal for deflating the 
criminal incentives in marijuana
distribution while providing for 
new state revenue and controlled,
legal, limited access can be optionally
linked to the health information
systems envisioned here. 

Another Way To Understand Fair 
Apportionment of Risk

is Imagining Fair Apportionment of 
Opportunity.    Imagine Adding In 
Basketball a  Pair of Baskets at 
9 Ft. for Lay-Ups
Only, For Shorter Players
.
The needs of health care cannot wait .....


Understand: the known risk 
mal-distribution
and the fortune mal-distribution
reflecting the self-deception mimicing
the same types who bring you the
de facto banking Ponzi schemes


(While most connect economics
with the esoteric first through

 gaming, and then finance, I 
think encouraging self-deception 
as to chance and co-opting 
known risk in health care 
should be of the greatest concern;
and, this is the annual increment to
the math of poor decision-making,
with multiple unnecessary 
permanent disabilities for each
avoidable premature death
(or "considerate (@ 1:15 ") suicide 
of despair.))

Possibilities, economically,
 begs 
epistemology (what can we 
know.)  Our choices, 
along "time," are mathematical.

One way of seeing a cartel
convincing people to ignore 

"possibilities" is seeing the
commandeering of their future. 


I wouldn't say slavery only
because the cartel is simply
taking advantage of the 
naive support of others 
for their ability to game
near-term known risk.

The questions of whether 
we're talking about 
insurance at all or whether
insurance in health care
warrants special policy
have to take into consideration
the known universal need,
and our value for each other.
From where I stand the
progressives are placing
a higher value on life.

Allowing people to think they
might care to buy coverage only
when they suddenly need it 
is to encourage theft.

.....
long for people to break free from false 
blame defending demagoguery
and high principles held in your face 

but not practiced by the demagogues. 
This was their first secret. 



(In health care the cartel is ripping
you off on apportionment of risk.
It's taking advantage of its own
better understanding of the 
unforeseeable ("chance.")
That's related to "fat 'tails.'"


In health care, you don't want
to see that, because, this is the one 
area where we all sooner or later need
expensive stuff.)




In other words, systems designed
to date, speaking very generally, 
have expected you to be a sucker
as to known risk and / or to take
on, respecting your wide open 
future (chance,) 

and in health care this
entails far more uncertainty 
(shorter term--longer term you 
are in the hospital) 
than does, say, the discussion as to
 financial choices and possibilities,

 the Ponzi-like mentality of 
those bringing unsustainable risk
bubbles, the latter only so long
as you take the fall, the cartel
players don't.
.
"...Where choice (@ PNHP) really
 matters to most people is in
 choosing health care providers.
 In France, where public financing 
of health care is the rule, patients
 actually have more choices among
 doctors than do Americans, who must
 choose among health care providers
 preferred by their insurance 
company...."

"... In Massachusetts, which has
 had time to try out  policies very
 similar to those in the Affordable Care
 Act, over 5 percent of 
the population remains uninsured.
   And, according to the doctors’ 
brief, local initiatives calling for
 single-payer health care passed by 
wide majorities in all the  Massachusetts
 districts where they were on the ballot.
Vermont has adopted a single-payer 

health care plan, and the California
 Assembly twice passed single-payer,
 only to have it vetoed by the governor.

Single-payer health care, in short, is far 

more popular than the political establishment 
likes to admit—while requiring individuals 
to purchase health coverage from private 
insurance companies is wildly unpopular 
across the political spectrum. According 
to a recent poll, only a third of Americans 
favor the individual mandate, but 
70 percent favor expanding the existing 
Medicaid program to  cover more 
low-income, uninsured adults...."
(@ ORIG.)


 

Conrad Praises Baucus Bill Which 
Contains Co-Ops  He Proposed 

After Meeting 
With UnitedHealth Group
(not independently verified)




Baucus' chief staffer worked for 

giant health insurer
(not independently verified)







Lieberman's


Baucus' Health Care Bill

--which received praise surprisingly


not independently verified
(Paul Drake was busy)


ditto this


Wendell Potter on the bill



others' views, factual assertions
not independently verified




decorum please!

.

Dr Mercedes Pascual of 
The University of Michigan 
talked about current 
trends in infectious 
diseases worldwide, and 
noted how these must be 
considered in terms of 
climatic, evolutionary, 
and socio-economic 
change.


She referred to the size and frequency 

of malaria epidemics, which have changed 
dramatically over the past decade in highland 
regions like in Kenya. Theories for these changes
 include drug resistance, increased exposure 
of non-immune populations, HIV/AIDS, land 
use changes, and climate change—the latter 
being “particularly controversial,” Dr Pascual said.

She listed five points of contention relating 

to climate change:

  • Is there evidence of significant trends 
  • in climate data?
  • Do such trends result in a significant 
  • change in the disease itself?
  • Do risk maps of suitability indices
  •  change over time?
  • Is drug resistance a more important 
  • factor than climate change?
  • Is climate variability—inter-annual rainfall 
  • variation—a major driver of disease dynamics?
Dr Pascual reviewed a study in Kericho 
(Kenya), Kabale (Uganda), Gikongoro (Rwanda), 
and Muhanga (Burundi) indicating trends 
of increasing temperatures between 1950 and 2000. Temperature rise appears to affect mosquito 
populations, which in turn may correspond to 
increased malaria cases.

Another study projected malaria infection 

rates from 1980 to the present by examining 
temperature change impacts on larvae life 
cycles in relation to human infection cycles. 
The study indicated increasing epidemics, 
but the median projected infection rate relative 
to temperature was smaller than actual 
historical observations.

Temperature change could therefore 

explain a “significant fraction” of malaria 
increases in African highlands, but other factors 
exist, according to Dr Pascual. Citing climate 
change alone would be “unreasonable.” She 
said drug resistance is often cited as an 
alternative theory to climate change, but 

interaction between the two might also 
be possible.  “If climate change is 
changing the transmission intensity, then 
this would also change the rate of evolution
 in malaria,” she said.



Jane Hall / Dirty Air CostsDirty Air Costs 
California Economy $28 Billion Annually
More Than 90 Percent of SoCal 
Residents Breathe Air That 
Threatens Health

(work of Jane V. Hall and Victor Brajer, 
Calif.State Univ., Fullerton, Nov. 12, 2008)




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