Monday, November 20, 2017
Friday, November 17, 2017
Reversing A. C. A. Outcome Incentive programs in favor of fee for service approach.
In the fee for service ( FFS ) approach to medical billing, your physician, hereafter known as HE, dings you everytime he turns his wrist or nods his head. And he nods his head and or prescribes treatments just to build out the bill.
He gets paid whether you live or die or whether you improve in health or not. He takes no responsibility for the outcome.
Isn't that just like a man. Women never do things like that.
O'Bama Kare sought to encourage physicians to invest themselves in the outcome of their treatments. It also sought to steer physicians away from the practice of prescribing just to fluff up the bill.
In the past few days, the trumpets in the IHS have set about to shut down the O'Bama trial and return to FFS. I mean, after al, how is one to pay off the load on the jag. Isn't that the real part that the sick person has to play in all of this?
I heard all of this in passing on NPR. That report did not include the number of physicians who work under clinic contracts and hence reeive a salary instead of deriving thier income by way of a billing process.
I work with a clinic type group. Emory Hospital Systems may run a clinic system here in Atlanta. . So, how many physicians remain who run their own practice?
He gets paid whether you live or die or whether you improve in health or not. He takes no responsibility for the outcome.
Isn't that just like a man. Women never do things like that.
O'Bama Kare sought to encourage physicians to invest themselves in the outcome of their treatments. It also sought to steer physicians away from the practice of prescribing just to fluff up the bill.
In the past few days, the trumpets in the IHS have set about to shut down the O'Bama trial and return to FFS. I mean, after al, how is one to pay off the load on the jag. Isn't that the real part that the sick person has to play in all of this?
I heard all of this in passing on NPR. That report did not include the number of physicians who work under clinic contracts and hence reeive a salary instead of deriving thier income by way of a billing process.
I work with a clinic type group. Emory Hospital Systems may run a clinic system here in Atlanta. . So, how many physicians remain who run their own practice?
Tuesday, November 14, 2017
Upon reading Man On A Donkey
Most of us have an idea of God. If we have any ense at all, we accept that this idea has limitations. We get into trouble and or give up when god as we limit god fails to perform as demanded.
We give lip service to that phrase of Paul's " see through a glass darkly " found in I Corinthians 13: 12. We do so until the crunch comes: Then we break the glass. We function mostly like small children.
In writing all this, I confess that I have faced little of the slings and arrows which Shakespeare says speaks of in Hamlet.
For me, God holds us together even in the midst of all that looks not like goodness.
Lumen de Lumine that shines in darkness which compreheneth it not. That also provides another point of consideration. The believer always resorts to the caveat that human cognition lacks the capacity being a thing created to comprehend the thing creating. D. T. Suzuki in his book Zen suggests the cauldron of naming or using techniques approriate from inside the created order to describe that which exists outside the created order. One thinks of imaginary numbers. But, history does not show an instance in which a mathematician has gone to the stake for taking exception to the use of imaginary numbers.
We, in our various delusions and mental illness make god a monster.
We give lip service to that phrase of Paul's " see through a glass darkly " found in I Corinthians 13: 12. We do so until the crunch comes: Then we break the glass. We function mostly like small children.
In writing all this, I confess that I have faced little of the slings and arrows which Shakespeare says speaks of in Hamlet.
For me, God holds us together even in the midst of all that looks not like goodness.
Lumen de Lumine that shines in darkness which compreheneth it not. That also provides another point of consideration. The believer always resorts to the caveat that human cognition lacks the capacity being a thing created to comprehend the thing creating. D. T. Suzuki in his book Zen suggests the cauldron of naming or using techniques approriate from inside the created order to describe that which exists outside the created order. One thinks of imaginary numbers. But, history does not show an instance in which a mathematician has gone to the stake for taking exception to the use of imaginary numbers.
We, in our various delusions and mental illness make god a monster.
Saturday, November 4, 2017
liberte egalite fraternite meaning www.lawlessfrench.com Liberté égalité fraternité
Many of us who support
.
equality of outcome
.
do so in the belief that the rest of you cheat. You may do this out of ignorance, or sheer conscious prejudice, but you cheat .
You label and pre-judge persons based on a set of irrational prejudices. How do we know this? Because we do it ourselves. It comes from human nature. But, we recognize it and choose to circumvent it. And, if we come accross and holier than thou, well
tough shit
We will risk that. We will encure the danger of self-righteousness and sanctimoniousness. We can work around that. We can apologize for that.
What we can't tolerate in ourselves is
.
bigotry.
.
we leave that to you.
.
equality of outcome
.
do so in the belief that the rest of you cheat. You may do this out of ignorance, or sheer conscious prejudice, but you cheat .
You label and pre-judge persons based on a set of irrational prejudices. How do we know this? Because we do it ourselves. It comes from human nature. But, we recognize it and choose to circumvent it. And, if we come accross and holier than thou, well
tough shit
We will risk that. We will encure the danger of self-righteousness and sanctimoniousness. We can work around that. We can apologize for that.
What we can't tolerate in ourselves is
.
bigotry.
.
we leave that to you.
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