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PCMag India Software & Services Productivity
byJill Duffy Oct 07, 2020
Evernote has long been one of the most impressive note-taking apps, but its high price leaves potential new users wondering if it's worth it. For dedicated users, it is, but newcomers should take a close look at OneNote, too.
Effortless note-taking and syncing
Flexible access to your notes
Free level of service too restrictive
Expensive Premium plan
When it comes to taking notes and using them to get work done, having an app that syncs across all your devices and has a browser version, too, is indispensable. Evernote has long been a leader among note-taking apps, though the company has taken its fair share of criticism over the years for hiking prices, gutting the free version, and not addressing major concerns that power users raise. Nevertheless, in terms of functionality, you'll be hard-pressed to find a service that does everything Evernote does, which is why it remains an Editors' Choice. That said, it's not the best fit for everyone. The high price is a turnoff for many, and the free version is inadequate for most. If you need the best, most capable note-taking app and you can afford to pay for Evernote Premium or Business, it's worthwhile.
The only app that comes close to Evernote's prowess is Microsoft OneNote, which is also an Editors' Choice for note-taking apps. OneNote's free version is much more generous than Evernote's. If you already have a Microsoft account, and especially if you already pay for OneDrive storage, using OneNote makes sense. There are differences between the two services that are worth exploring if you're trying to decide which one to use.
What's New in Evernote?
In September 2020, Evernote released a thoroughly updated version of its app for iPhone and iPad, with similar new versions of its other apps for macOS, Windows, and Android on the way. The new app fixes a lot of problems under the hood, making the app more stable and the search tool faster. The team also addressed problems of very large notebooks, which the app previously didn't handle well and led to other problems for users.
A completely redesigned editor makes a big difference. It's finally easy to clear the formatting of notes, adjust the font size and color, although tools for adjusting line spacing still aren't available in the Apple mobile apps. Some work also went into making the transition between the Apple mobile apps and the Evernote web app smoother.
How Much Does Evernote Cost?
Evernote offers three tiers of service: Basic (free), Premium ($7.99 per month or $69.99 per year), and Business ($14.99 per person per month, with a minimum of two people). Students are eligible for a 50 percent discount on Premium plans. Evernote previously offered other plan types, such as Plus, and while they're no longer available, some users may find their account types have been grandfathered forward.
The Basic option has become quite limited in recent years to the point that it's not especially useful for many people. You can only sync between two devices, and you can't save notes offline to mobile devices. You get 60MB of new storage each month, which isn't much, and each uploaded file is limited to 25MB. Unused storage doesn't roll over. The free account doesn't come with tech support either. I don't recommend the free Basic account except as a way to get a sense of the app's interface. If you need a free note-taking app, Microsoft OneNote is a better pick.
Premium accounts include a lot more features and perks. Storage increases to 10GB per month, and the max file size is 200MB. You can sync with unlimited devices, and mobile devices can store offline notes. You can annotate PDFs that you upload and you get a version history of your notes. When you search for text, Evernote looks in your typed notes, images, as well as the text in attached PDFs and Office files. You can get customer support via email or live chat. There's also a presentation mode that lets you turn notes into slideshows with no additional effort on your part. You also get the ability to scan and digitize business cards. Premium really is the way to go, but as I said, it's expensive.
The Business account adds team collaboration features and administrator functions. Read more about it in our separate review of Evernote for Business.
How Do Evernote's Prices Compare?
Evernote's prices are high among note-taking apps. But price isn't the same as value. As mentioned, Evernote's free option pales in comparison to other free options, namely OneNote. Another good, free option is Zoho Notebook. Then there are a few apps that are free but don't give you many features, such as Apple Notes and Google Keep.
All the apps mentioned so far provide both apps to make notes and the storage to keep them. Other note-taking apps are just apps and you have to bring your own storage or use a built-in third-party provider, such as iCloud. Bear is one example. It looks like a pared-down version of Evernote and it's pricing ($1.49 per month or $14.99 annually) is much lower than Evernote's in part because you're responsible for providing your own storage.
If you're already paying for storage from another service, whether it's Google Drive, Microsoft OneDrive, iCloud, Dropbox, or something else, then it might be in your interest to find a note-taking app that's compatible with it.
The Evernote Way
Evernote is one of those applications that you either get or struggle to understand. It's so flexible and open that when you first start using it, you can easily get blank-page syndrome. On the company's blog, you can find tips and use cases for Evernote, which can help you understand not just how to use it, but why. Additionally, from the time you first pick up Evernote to the moment you get the hang of it, the app feels completely different. It gets better the more you use it because it's difficult to see how valuable it is until you've filled it with notes.
In brief, Evernote is a place record, save, organize, and search all your thoughts, notes, voice memos, images, files—whatever you upload. Everything is stored in the cloud so that you can get to it from your computer, smartphone, or tablet. It comes with an excellent search tool that lets you find anything you've uploaded to your account. Evernote offers a wealth of tools for sorting and finding your notes in other ways, such as tags, geolocation tags, notebooks, and stacks of notebooks.
When comparing Evernote to some of its biggest competitors, there are fundamental differences. For example, Google Keep and Apple Notes are much closer in form and function to digital reminders or sticky notes. They're really good for jotting down an idea quickly and leaving that note in view to help you remember it or for adding an alarm-type reminder to it. Evernote is more like a digital filing cabinet where storage and the ability to search for information is as central to the experience as making a note is.
OneNote and Evernote have key differences, too, although they have much more in common than Evernote and Google Keep or Evernote and Apple Notes. OneNote has a pasteboard or scrapbook feel to its pages, whereas Evernote pages are essentially word processing documents. OneNote and Evernote also have slightly different schemas for how you can organize notes; which one is "better" is a matter of personal preference.
Evernote has apps for every major platform: Windows, macOS, web, Android, iPhone, and iPad. The web app works in any browser, and it's an important feature. With a web app, you can access your notes no matter where you are or what device you have on hand (as long as you have some kind of web-browsing device on hand). Not every note-taking app has one.
All the apps have an orderly look to them. They resemble other productivity apps with a three-paneled design. Evernote uses rich formatting, which is much improved in the new iOS release and hopefully will be the same in the other apps when their latest versions roll out. Menus let you change the typeface, point size, alignment, and so forth. Some people find formatting distracting, and if it's not your jam, then look for an app that supports Markdown language. Very simply put, Markdown is a way to type text to apply basic formatting to it. If you've ever typed double asterisks on either side of a word in a messaging app to make it bold, that's Markdown. Bear for Mac and iOS supports Markdown, and so does an app called Laverna.
Everyone's Evernote account ends up with a unique look based on their note viewing preferences (i.e., the layout options they choose in the app) and what kinds of notes they keep. For example, some Evernote users store a lot of images, in which case it's helpful to use a layout that shows previews of those images. Some accounts are text-heavy. Some use other graphical elements, like tables. Overall, the fact that you can adjust the layout and view based on the type of notes you have or your personal preferences makes a big difference.
Features in Evernote
Evernote has several advanced features that most other note-taking apps don't have. The ability to search for text and find it in images, whether those images are snapshots of a page of typed text or contain handwritten text, is perhaps the most remarkable example. Microsoft OneNote can also do it, but few other note-taking apps can.
When you take pictures of whiteboards, presentations, business cards, advertisements, recipes, or anything else you want to save, you can trust that Evernote will make all the text in the image searchable. It's an incredible feature, although it's not 100 percent foolproof. From time to time it misses something due to a glare on the image or some other problem.
Search is a big deal. Because Evernote's search works as well as it does, you don't have to put as much effort into organizing your notes thoroughly. You can always search for text, whether it's typed or in an image. For Premium and Business accounts, Evernote also searches the text inside attached PDF and office files. To narrow down a search, you can look in only select notebooks or stacks of notebooks or exclude notes that don't have a particular tag on them.
Premium and Business users also get a unique feature called Context. When enabled, Context analyses the content of your note, both text and metadata, and then suggests related notes and news articles. In practice, Context suggestions can be a distraction, but it all depends on how you work and what you do with Evernote. Plus, you can always disable them. Or you can customize suggestions so that they only come from certain sources.
Another advanced feature, Work Chat, puts an instant messaging window right into your Evernote workspace. It's available to all Evernote members, including free Basic members. You can invite anyone to chat with you while you're in Evernote, though they must sign up for an account to use the tool. I love the concept of being able to collaborate quickly and easily from the same window in which I'm working, although with the rise in popularity of team chat apps, many people already have a preferred method for getting in touch with colleagues and collaborators that's equally as convenient.
A personal favorite feature is the web clipper. It's a browser extension that lets you save a web page as an Evernote note. For example, if you see a news article that you want to read later or a recipe online that you want to save, you can clip it to turn it into a note and tell Evernote to save it to the notebook of your choice. The web clipper has options to skip over advertisements on the page, clip only a selected portion of a page, and so forth. A few Evernote competitors have a web clipper, too, including OneNote, Simplenote, and Google Keep.
A feature called Conflicting Changes offers a much-needed service but has never worked as well as I would like it to. When Evernote detects something amiss in a note as a result of a syncing issue, it lets you know by saving copies of the note to a folder it creates called Conflicting Changes. Conflicts occur if you edit a note offline without first syncing changes from a previous edit on a different device. User error can cause conflicts, but slow syncing or a device crash can be to blame as well.
We've always wanted Evernote to show the conflicts in such a way that they make sense and can act on them, such as highlighting what's different between two versions. As it stands, you just get raw chunks of text or whatever the format of your notes, and a time and date stamp of the save. There's no easy way to reconcile the two files without reading them word for word. It could be nothing more than an extra space or a punctuation mark on one version but not another. You'd never know that, though, because the differences are not visible.
Compatibility With Other Apps
Evernote plays well with other apps, a huge advantage when integrating it into your personal or business life.
For example, every paying Evernote member gets a unique Evernote email address that they can use to forward messages into their Evernote account, turning emails into notes. The app can connect to Slack, too, so that you can type a command into Slack and have the post automatically show up as a note in Evernote. It works with other workplace collaboration tools, as well as personal apps, such as Instapaper and Pocket.
If there's an app or online service you want to connect to Evernote and don't see supported, you can always look to see if connectivity is possible through IFTTT or Zapier, because they both support Evernote as well. IFTTT (it stands for "if this, then that") and Zapier are online tools that help people connect apps that don't necessarily connect to one other natively.
Evernote vs. OneNote
Evernote and OneNote are two close competitors in the note-taking arena, but they have different styles, functionality, and appeal. Here are a few of the major differences.
On price, OneNote has a more generous free version with no major restrictions, while Evernote's free version merely gives you a taste of the app.
On storage, Evernote gives you an allotment of storage each month, and unused storage does not roll over. OneNote uses OneDrive for storage by default or SharePoint. Free users get 5GB and can pay for more. The one issue with using OneDrive is that you can use it to store other files from other apps, meaning the amount of space you have isn't reserved exclusively for your notes.
On style and the method of organization, Evernote seems more business-oriented while OneNote has the potential to be more casual and artistic, depending on how you use it. OneNote's purple color scheme certainly adds to this impression. OneNote uses a pasteboard style for notes whereas Evernote notes are linear and based on the same concept that governs text files. The pasteboard vs. text file shows up in where you can place tags, too. In OneNote, you can put a tag anywhere on a page next to anything. In Evernote, tags go at the note level only.
On web clippers, Evernote does a better job identifying and removing advertisements when asked, whereas OneNote easily gets tripped up by ads. Evernote also makes a guess at which notebook you want to use, such as adding a web page with a recipe to a notebook for recipes. OneNote shuffles clipped web pages into a default notebook.
An Ever-Changing Value Proposition
Evernote remains one of the best note-taking and syncing services there is in terms of features and functionality. It's still an eminently worthy Editors' Choice for its Premium and Business plans. It's much less of an attractive app for casual users who want to use it for free, however.
If you're already into Evernote, it's very difficult to quit and very easy to stick with it for all its great features, plus the new Apple mobile apps and forthcoming revamped apps for all the other platforms. If you aren't committed to Evernote yet—and especially if you want a free app—OneNote is well worth a try.
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About Jill Duffy
Jill Duffy is a contributing editor, specializing in productivity apps and software, as well as technologies for health and fitness. She writes the weekly Get Organized column, with tips on how to lead a better digital life. Her first book, Get Organized: How to Clean Up Your Messy Digital Life is available for Kindle, iPad, and other digital formats. She is also the creator and author of ProductivityReport.org.
Before joining PCMag.com, she was senior editor at the Association for Computing Machinery, a non-profit membership organization for computer scientists and students. She also spent five years as a writer and managing editor of Game Developer magazine, …
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Join us March 2-3, 2018 at Fifth Third Ballpark in Comstock Park, just north of Grand Rapids for the 13th annual Winter Beer Festival of the Michigan Brewers Guild. This popular event will feature over 100 Michigan breweries and near 1,000 craft beers, as well as local music, performers, ice sculptures and carving demonstrations, fire pits to chase away the cold, and food available for purchase.
The following items are NOT permitted on festival grounds: outside alcohol, glass containers, children (including infants), strollers, bicycles, skateboards, rollerskates/rollerblades, or animals.


There's a lot going on for children, young people and their families at St John's and St Peter's. We believe families are really important and aim to encourage the whole family to be excited about Jesus and exploring the Bible together. There are groups for all ages on Sundays, as well as activities during the week.
We have close relationships with the local schools and are regularly involved with assemblies, services and teaching sessions. At Houghton CE Primary and Kingmoor Juniors we run Quest Clubs, which meet after school once a week and are open to anyone to come along.
To find out about any of our children and young people's groups, please contact the church office.
Your child's safety is very important to us and you will be asked to complete a Child Registration Form, if you would like your child to join any of our groups.
All our leaders and helpers have up-to-date DBS checks.


On the first page of the Introduction, David Brooks establishes the framework for this book by distinguishing between résumé virtues and eulogy virtues. The one kind you list on applications for work and the other kind is recited at your funeral. Eulogy virtues, Brooks writes, are generally a better sign of your character than those given in résumés. He then cites Joseph Soloveitchik's 1965 book Lonely Man of Faith in which the writer refers to the two accounts of creation in Genesis and argues that they "represent the two opposing sides of our nature, which he calls Adam I and Adam II" (xi).
We could say, Brooks continues, "that Adam I is the career-oriented, ambitious side of our nature" who wants to build, create, produce, and discover things." In contrast, Adam II is the internal Adam" who "wants to embody certain moral qualities. Adam II wants to have a serene inner character, a quiet but solid sense of right and wrong—not only to do good, but to be good" (xii).
We live in a culture, Brooks continues, that nurtures Adam I and neglects Adam II. In order to combat this tendency, we need to focus strongly on the inner values and resist the tendency toward shallowness. "A humiliating gap opens up between your actual self and your desired self." At this point, some readers may be inclined to dismiss Brooks' newest book as another example of over-generalization on the basis of a modest body of factual data. How can any writer speak as though there is one culture in a nation as large and complex as the United States? Even segments of the American people—such as a generation, or those living in a particular region, or an ethnic or sociologically defined group—are too complicated to be summarized in a few paragraphs or pages.
Despite this reservation, two reasons can be given for continuing with the book. The first is that Brooks' main purpose is not to analyze American culture but to recommend a pattern of character development that he believes to have been widely inculcated in past generations but since World War II has waned significantly.
He advocates that people today reacquaint themselves with a previously prominent road to character by examining "an older moral ecology" and hearing the stories of people who have walked the road that strengthened their eulogy virtues. Reviewing movies, TV performances, and other evidences of popular culture after World War II, Brooks discerns "a strain of humility" that was deeply ingrained in people and marked the way that they thought of themselves. There was a strong sense of self-effacement. He uses the phrase "the little me" to describe this character trait that stretches back centuries. In more recent times, however, the social code emphasizes "the big me," There has been an "apparent rise in self-esteem [and] a tremendous increase in the desire for fame" (7).
A second reason for staying with Brooks is that the main part of the book is interesting and fruitful even if readers are skeptical about his primary thesis. It consists of character studies of eight people each of whom "exemplifies one of the activities that lead to character." The character traits listed in the chapter headings and the persons portrayed in these chapters indicate the breadth of Brooks' exposition: The Summoned Self—Frances Perkins; Self-Conquest—Dwight D. Eisenhower; Struggle—Dorothy Day; Self-Mastery—George Catlett Marshall; Dignity—A. Phillip Randolph; Love—George Eliot; Ordered Love—Augustine; Self-Examination—Samuel Johnson.
Professional cyclist Tom Danielson was in "a horrible bike crash during the Vuelta a Espana" and suffered injuries to his shoulder and back. He consulted trainer Allison Westfahl who used her extensive knowledge of physiology to "diagnose muscular weaknesses and imbalances" that were at the root of Danielson's injuries and cycling problems that had developed over his many years as aggressive, competitive cyclist.
She led him through a series of exercises that made him pain free in a period of four weeks. As time went on and he continued working with Allison, Tom found this strength and prowess as professional cyclist increasing. Later they collaborated in writing a book in which Allison describes the complex interaction of the muscular systems involved in cycling and Tom offers his "take" on these matters.
The second half of the book consists of 5 dynamic stretching exercises and 45 core exercises divided into 3 levels of difficulty. Each level of difficulty has several workout patterns selected from the exercises in that portion of the book. For each exercise the authors explain the muscles and movements targeted, describe how it is done, and illustrate someone doing it. I'm still struggling with the dynamic stretches and level 1 workouts.
I came across their book in February as I as leaving for my week of cycling on PAC Tour's Winter Training Camp in Arizona. For the first time, I understood why my legs hurt. More important, their book provided a regimen of muscle building stretches and exercises that I could do in my own living room rather than at the fitness center. I was relieved to read that Tom had had the same experience as I—that working with a traditional trainer with machinery had seemed to increase his distress rather than cause it to go away.
The gradual reduction of pain in my legs and my slow recovery of cycling capabilities began when I started reading Core Advantage. The fact that I'm still not recovered can be explained by two facts: my failure to develop an adequate workout pattern and my need of a coach from time to time who can help me develop better form and increased intensity during my workouts.
Allison explains that the core muscular system includes the four "abdominals plus all the other muscles that attach to the spine and pelvis" muscles that are anchored to the spine or pelvis. Usually this anchoring covers a large area whereas the attaching of the other end of the muscle—at the knees, for example—covers a small area. The purpose of these muscles is "to keep the middle part of the body stable," generate power to the arms and legs, protect the spine and pelvis from injury, and help maintain good posture (4,5).
Allison tells cyclists to stop doing crunches, which often are recommended as the way to build core strength. They are harmful to cyclists because they stress muscles that are already overworked because of the crunch position that cyclists adopt while on the bike. Furthermore, many of them are done while people are lying on the floor, "thereby training your abdominal muscles to fire when the rest of your body is being stabilized by the floor" (11).
The exercises and workouts in this book focus on three functions that are crucial for cyclists: (1) deceleration, "which puts the brakes on whatever action is being performed"; (2) stabilization or isometric muscular contraction during which a muscle is held at a fixed length instead of actively lengthening or shortening"; and (3) acceleration, when muscles are used to make cyclists go faster (14–18). The exercises are designed to develop core strength in "all planes of motion" rather than concentrating on one set of muscles while all of the rest are largely inactive. They require the body "to provide its own stabilization (no benches or machines)" (20).
Recently, I renewed my resolve to adopt the system that Allison and Tom describe in this practical book. This morning I started with three stretches that I learned during my first year of high school cross country more than 60 years ago. Then I did two of the dynamic stretches and 4 of the 15 level 1 muscle building exercises. I am gradually increasing my weekly mileage and hope soon to do a long-postponed two-day ride to enjoy a section of the historic Columbia River Highway that was reopened east of Multnomah Falls more than a year ago.
Nothing—not even this fine book—can make an old person young again, but with the help of Allison and Tom sore legs can be made to feel good again so that this aging cyclist can return to the open road.
Note: Core Advantage was published by VeloPress Books (Boulder, CO) in 2013.
This story began about five years ago when I was in my late 70s and a veteran of more than 40 years of aggressive cycling. When walking around, I sometimes felt pain in the muscles of my left thigh.
Because it didn't register while I was on the bike, I resisted the possibility that cycling was the cause. After all, I kept telling myself, cycling is supposed to be easy on the knees, which is why many older cyclists take up this sport after running, tennis, and racket ball have ruined their knees.
The first time I asked my doctor about the pain, he flopped down on the floor to demonstrate an exercise that would ease the problem. He also recommended using a foam roller to do a self-massage on my living room floor. A year later, he gave me a name—IT band syndrome. By this time, I finally had admitted that it was brought on by cycling.
The next step was to schedule a professional fitting at a bike shop. The fitter videotaped me as I rode on my bike positioned on a trainer. She confirmed saddle height and reach to the bars. The only adjustments she made were to tilt the hoods up about three eights of an inch and move my cleats back about the same distance.
During a winter visit with my cycling son in Florida, there was no cycling but much more walking than I usually do, a sauntering visit to a civil war fort, and fifteen minutes of easy lobbing at their ping pong table. The result was pain in my right knee so intense that it was difficult to do the stairs up to my bedroom.
Internet searches provided a general explanation for the pain in both legs: insufficient muscle strength in my upper body was causing leg muscles to work in ways they are not designed to work, and therefore the pain.
My doctor suggested that he could prescribe steroid shots and a friend proposed acupuncture. I resisted both therapies because I wanted to overcome the cause of the pain rather than treat the symptoms.
A 24-hour fitness center across the street from my home seemed like the solution. My health insurance program provided free access to the center and use of its equipment. I signed up with a personal trainer to learn how to use the machinery in order to reestablish the muscular balance my body lacked. He also showed me some new stretching exercises and techniques for using a roller. With his advice I bought a real foam roller and an exercise stretch band to improve my activities at home and eased up on cycling, but the pain didn't go away. Instead, it seemed to be getting worse.
Even so, I signed up for my annual week with PAC Tour in Arizona during the last week of February. I cycled five of the six days of the week, with lots of climbing, for distances ranging from 50 to 70 miles per day. Although I felt pain, especially in my right hamstrings and knee, I was stronger and the pain was easier at the end of the week than when I began.
At home again, I walked a block up the street to a studio offering "muscular therapy." The therapist with whom I talked indicated that she specialized in the syndromes that I was describing. In my first session, she found hot spots all over both legs and into my hips, some of them I had not even been aware of until her hands led to spasms of sensitivity and pain.
During four hour-long sessions, we talked extensively about how the muscular systems are inter-connected. Although she didn't offer suggestions for cycling, she confirmed the value of foam rolling and self massage when I was sitting or lying down, either in bed or on the floor.
On the first Saturday of May I rode 60 miles on the annual Ride Around Clark County event sponsored by the Vancouver Bicycle Club. Although plenty sore for a couple of days, I was encouraged by the fact that some of the pain was similar to the day-after distress I have always felt after long, hard rides.
The resolution to my distress, however, began with a book that I came across a couple of days prior to my Arizona trip: Tom Danielson's Core Advantage: Core Strength for Cycling's Winning Edge, by Tom Danielson and Allison Westfahl.
More about what I learned and what's happening to my legs next time.
Why the focus on eucharistic worship?
In a recent blog I described plans to update my understanding of eucharistic renewal in ecumenical Protestant churches. A friend responded with the suggestion that I broaden the search to include community churches that have developed as an alternative pattern in American religious life.
While these churches deserve careful study, there are several reasons for staying with the plan as announced, which is to focus on eucharistic worship in the denominations that have often been referred to as mainline, classic, or historic Protestant churches.
They are firmly rooted in the Reformation of the sixteenth century—the reforms initiated by Martin Luther, John Calvin, Thomas Cranmer, John Knox, and others. These churches represent parallel and sometimes competing variations of theological reform, cultural transformation, and humanistic learning that were flowering during that period. Thus many of the presuppositions, characteristics, and practices of these churches are very much alike.
My interest in the eucharist as practiced in these churches is prompted, in part, by the fact that this aspect of worship represents the most important unfinished business of the tradition spawned by the sixteenth century Reformation. Despite the intention of the founders that the celebration of the Lord's Supper continue at the center of their church life, competing principles, especially the focus upon the Word as dominant metaphor, have kept these churches from completing the liturgical aspects that were part of their intention.
The resolution of these issues was central to the liturgical movement in the latter decades of the twentieth century. It was also one of the primary intentions of the Consultation on Church Union, which was the most important church union movement in the United States during the entire twentieth century. Regrettably, neither of these movements achieved its intention to restore eucharistic worship to its rightful place at the center of church life.
Although completing the eucharistic reform of their churches was one of the avowed goals of ecclesial activity, my impression is that only one of these Protestant churches in the United States—the Episcopal Church—has actually achieved the goal of making the eucharist the staple of weekly worship in its congregations. I want to confirm my understanding of what currently is happening in this regard and explore reasons why the reforms have once again fallen short.
The reasons stated above focus upon the past as it shapes present practice. Other reasons for this study focus upon the impact of the future as a modifying and impelling force. During the past two decades my own church-going activities have been in congregations that can be described by various adjectives, including liberal and progressive. These churches affirm intellectual and cultural values of mainstream society, resist traditional theological formulations, value stability in public worship, and affirm the importance of active involvement in the struggles for justice in the world.
These churches are unsure about celebrating the eucharist, even when the texts have been revised. Many people find them to be theologically offensive and the ceremonies outmoded. One response is to downplay the importance of this central sacrament. Another is to make significant changes in both the texts and ceremonies of worship at the communion table. Still another is to hold doggedly to the official reforms that were published during the 1980s and 90s even though they have not taken hold in many congregations across the country. I want to explore this aspect of the continuing evolution of the ecumenical Protestant churches.
A prominent point of view these days is that major transformations of the church take place about every 500 years. This position holds that the Reformation of the sixteenth century was one of these periodic transformations, and that now we are in another such period. According to this pattern of analysis, much that has been fixed in church life is set aside during these 500-year reforms and new theologies and ecclesial forms emerge.
Thus the question that I am exploring: is classic eucharistic worship one of the features now being dismissed from effective church life? Or is this central meal ceremony being remade into a different mode of gathering a community that is in some way shaped by the movement that emanates from Jesus of Nazareth?
You are currently browsing the Keith Watkins Historian blog archives for June, 2015.


I'm really into making mini quilts these days. Maybe it's because they're actually "finishable" in a short amount of time, or that I like trying new techniques and playing with my scrap pile. Either way, I've been designing minis for each issue of The WhipperCrafter digital mini magazine.
This month, my little "X Marks the Spot" string pieced mini quilt made the cover! Here's a little sneak peak of the rest of the magazine.
I told you awhile ago that I started a new business, Rebel Craft Media, with two of my (amazing and talented) crafty friends. One prong of that business is a bi-monthly digital mini magazine.
From The WhipperCrafter "Green & Gold"
Each issue is based on a theme that loosely ties all the projects together. We just released this month's issue, themed "Green & Gold."
Each new issue is offered on a "pay what you will" price during its release month—even if that's $0. So check it out - - no risk!
The Green & Gold issue of The WhipperCrafter is available for purchase here, at the Rebel Craft Media store, along with back issues as well.
I hope you enjoy the magazine, and happy stitching!


January 20, 2018 Posted by Dissent Breaches, Online, U.S.
What rights, if any, do we have to be let alone while we are in public spaces?
Any right you may have to speak to me if I am out in public does not impose a duty on me to listen to you, to respond politely to you, or to passively accept your repeated unwanted attempts to insert yourself into my online life.
The inspiration for this post is the fact that one Twitter user has repeatedly ignored my requests that she leave me alone on Twitter. Even blocking her has not worked and she continues to try to insert herself into my online life.
Of note, in her Twitter profile, the privacy intruder actually claims to be a privacy advocate.
What genuine "privacy advocate" would refuse to respect someone else's request that you leave them alone if they do not want to engage with you?
On Twitter, nobody may know you're a fake privacy advocate.
So yesterday, I started asking people to please delete me from any replies to her tweets, as she was sending out group tweets that included me so that when others replied to her, I would see it and see her nick, etc. Everyone was very understanding and supportive.
Not surprisingly, perhaps, she subsequently whined that I had violated her privacy by telling others that I blocked her and by telling others that she's disrespectful of my right to be let alone.
Can you hear the irony meters exploding?
For a privacy advocate, I am dismayed you would tweet out to Twitter negative energy with someone you have a disdain for outside of your Twitter world.
Note that "Allison" named the Twitter account in question, which is something I had not done on this blog. She just made many more people aware of the problematic Twitter account.
Nothing in my tweets suggests any relationship or disdain for the Twitter user outside of Twitter. This is all about Twitter and her failure to respect my right to be let alone on Twitter.
Those tweets are completely public for everyone to see.
Yes, they are. As is her rude conduct of butting into conversations and tweeting to me after I have asked her to leave me alone.
It's wrong. Keep your personal issues against someone to yourself.
No, thanks. These are not personal issues. The issue of respecting people's right to to be let alone, even on a social platform, is an issue our society needs to deal with. I am taking a stand for my right to be let alone within public spaces by protesting rude and disrespectful behavior.
You don't know who knows who on your Twitter feed and who follows you. These things have a way of getting back to the person you are talking about on Twitter.
I hope they do so the Twitter user stops her egregious conduct when she realizes that she is damaging her online reputation by acting in such unacceptable ways on Twitter.
ya know, a lot of people all over the world use fake email addresses to drop in a comment or two or blogs or news sites. They are afraid they are going to keep getting spam stuff if they leave their email address.
At my request? What message numbers were my requests?
Update: the commenter never answered. It turned out "anonymous" was just another sock puppet.


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Will Insurance Cover Aducanumab? Jury is Out
Series - Alzheimer's Association International Conference - 2021: Part 1 of 14: Aducanumab: Will Appropriate-Use Recommendations Speed Uptake? Part 2 of 14: On Donanemab, Plaques Plummet. Off Donanemab, They Stay Away	Part 3 of 14: Antisense Therapy Stifles CSF Tau in Mild Alzheimer's Disease	Part 4 of 14: Seeking Real-World Data on Whether Aducanumab Works	Part 5 of 14: Will Insurance Cover Aducanumab? Jury is Out	Part 6 of 14: Lecanemab Post Hoc: Is Continual Treatment Required for Cognitive Benefit?	Part 7 of 14: Aduhelm Approval Reverberates Through Research	Part 8 of 14: Flurry of Investigations Beset Aducanumab	Part 9 of 14: AL001 Boosts Progranulin. Does it Slow Frontotemporal Dementia?	Part 10 of 14: Up-and-Coming Immunotherapies Target Aβ and Tau	Part 11 of 14: ADAD and LOAD: At Cellular Level, They Are Not the Same	Part 12 of 14: Polygenic Scores Paint Microglia as Culprits in Alzheimer's Part 13 of 14: Mirror, Mirror on the Wall, Who's the Earliest of Them All?	Part 14 of 14: Aβ, Tau, and Other AD Markers Altered in COVID
The Food and Drug Administration's controversial June 7 approval of aducanumab (Aduhelm) means that for the first time in 18 years, Alzheimer's patients have a new treatment option. Nonetheless, due to the high cost of the drug and associated testing, few people will be able to get the treatment unless insurance companies cover it. Whether that will happen remains uncertain, given that aducanumab was approved based on a biomarker effect, without convincing evidence of efficacy. Many big insurers, including the Centers for Medicare and Medicaid Services, are currently weighing their options and seeking input. In private and public meetings, insurers have been consulting with Alzheimer's researchers, health care analysts, and advocates to glean more information about the drug's efficacy and safety. Their eventual decisions could determine how widely used aducanumab becomes.
Most insurers are still gathering data to inform their coverage decisions.
CMS has opened a National Coverage Determination, which will influence private payers.
Health economics group ICER judges aducanumab not worth the cost.
"Many institutions are waiting to hear how reimbursement will be arranged; once that is solved, I think there will be a substantial uptick in use," Jeffrey Cummings at the University of Nevada, Las Vegas, told Alzforum. Cummings led the expert panel that devised appropriate-use recommendations for aducanumab (Part 1 of this series). Meanwhile, controversy over the approval process for aducanumab continues to brew (see Part 8 of this series).
Payers Are Weighing Options
The uncertainty over efficacy, plus the drug's $56,000 per year price tag, has left insurers scrambling. Some affiliates of Blue Cross and Blue Shield, and Massachusetts' Point32Health, have already said they won't cover the treatment (STAT news; Boston Globe). The Department of Veterans Affairs announced August 11 that it will not carry aducanumab in its formulary, though local VA centers can request access to the drug. The VA recommends against prescribing aducanumab, except in "highly selected patients" who are receiving care at centers with the requisite expertise (Endpoints News). Most insurers are still deciding (Axios news; STAT news).
To help inform their decision, the Margolis Center for Health Policy at Duke University on July 14 convened representatives from about a dozen insurance companies including CMS, plus Alzheimer's researchers, Biogen staff, and the FDA for a private meeting. It gave insurers a chance to go over the trial data and ask questions about the patient population, efficacy, and safety. Payers were particularly interested in the costs of monitoring for ARIA by MRI, noted Eric Siemers of Siemers Integration LLC, who attended the meeting. The appropriate use guidelines presented at AAIC recommend more MRIs than the FDA label specifies.
"Since this is the first disease-modifying drug with any sort of approval for AD, payers will need time to understand the financial implications," Siemers wrote to Alzforum. Cummings, who also attended, agreed. "The meeting provided a neutral setting for dialogue. No consensus was reached, but this was a good beginning," Cummings said.
Private payers are likely to take their cues from CMS. An estimated 80 percent of the patients eligible for aducanumab are covered by Medicare. To establish a consistent nation-wide policy, CMS launched a National Coverage Determination for aducanumab July 12 (CMS announcement; Endpoints News). The agency uses this process for only a few drugs each year. The NCD began with a 30-day public comment period and two public listening sessions. CMS will issue a draft coverage proposal after six months, and will encourage public comments on that proposal for another 30 days. A final decision is expected after nine months, in April 2022.
Of note, CMS has indicated that its decision will cover other anti-amyloid monoclonal antibodies, as well. This has sparked pushback from Eli Lilly, which is filing for accelerated approval for its own anti-amyloid antibody, donanemab. In a public comment, a representative for Lilly urged CMS to consider the merits of each immunotherapy separately (Endpoints News).
In the meantime, decisions about whether to cover aducanumab are up to regional Medicare centers. "Right now, most are saying no," noted Mark McClellan, who was FDA commissioner from 2002 to 2004 and now runs the Duke-Margolis Center that hosted the private meeting.
One possible outcome for the NCD would be for the agency to grant Coverage with Evidence Determination (CED), the same process currently used to cover amyloid PET scans in the IDEAS study. In this scenario, treatment would be covered as part of a clinical trial that gathers evidence of aducanumab's effectiveness. McClellan helped develop the CED process while at CMS. He noted that such trials are usually not randomized. Instead, they may match people who decide to get the treatment versus those who don't, or compare different dosages and timing of treatment.
McClellan lamented that although the FDA has become more open to innovative trial designs, there has been no comparable innovation for figuring out how to cover expensive, groundbreaking therapies. "I hope [aducanumab] is a wake-up call. More innovative treatments are coming," McClellan said at a July 15 meeting of the Institute for Clinical and Economic Review (ICER).
ICER Doubles Down: Aducanumab Not Worth the Cost
The purpose of the day-long ICER meeting was to review efficacy data for aducanumab and debate whether the treatment is cost-effective. Besides ICER scientists, representatives from Biogen, advocacy groups, and insurance companies attended, along with 15 members of the California Technology Assessment Forum. This forum included an academic geriatrician, neurologist, several other physicians, health policy and economics experts, an ethicist, and three patient advocates. Also attending the ICER meeting were two Alzheimer's researchers, one of whom, Sarah Kremen of Cedars-Sinai Medical Center, Los Angeles, was a site PI for the aducanumab trials.
In discussion, a sharp division of opinion became evident. On one side, representatives from Biogen, the Alzheimer's Association, and Us Against Alzheimer's, as well as a patient and caregiver affected by AD, spoke in favor of aducanumab. On the other side, independent experts from ICER and CTAF were unanimous in finding the efficacy data lacking. Kremen struck something of a middle ground, noting that some patients may benefit from aducanumab, but it would be challenging to determine who those could be, and whether the benefit would outweigh the health risks from ARIA. "From the standpoint of 'do no harm,' prescribing makes us uneasy," Kremen noted in the discussion.
Across the board, participants expressed intense concern over aducanumab's cost. ICER president Steve Pearson noted that 21 million Americans are in medical debt, and aducanumab is likely to exacerbate this. The drug's estimated $11,300 yearly out-of-pocket cost for Medicare beneficiaries would amount to 40 percent of the median income for a retiree. Six million Medicare beneficiaries lack supplemental insurance, and for those who have it, the out-of-pocket maximum would still be $7,500 per year, Pearson said.
At the ICER conference, the drug's price was the one issue where ICER and the Alzheimer Association agreed. "We believe the price will hinder access," said Matthew Baumgart of the association.
Notwithstanding the cost to individuals, the total price tag could reach $57 billion per year if 1 million patients go on drug. That would drain CMS coffers. Biogen's Chris Leibman defended the price, arguing that Biogen expects no more than 10 percent of the roughly one to 2 million eligible patients, or around 150,000 people, to take aducanumab. "If we see different numbers, we will work with CMS and private payers to address pricing," Leibman said.
An insurance industry analyst noted that patients demand the drug. "We've never had more calls from subscribers on day one than we did for aducanumab," said Leslie Fish of IPD Analytics. The demand makes payers worry that it will be challenging to restrict coverage to the right patient group. "Almost all payers want to set prior authorization," Fish noted. This would allow insurers to judge the medical necessity and appropriateness of treatment on a case-by-case basis.
Other insurance representatives pushed for value-based pricing. "We'd like patients to have access to it, and we'll work on a fair price," said Pat Gleason of Prime Therapeutics, based in Eagan, Minnesota.
Sei Lee of the University of California, San Francisco, summed up the feelings of many. "For extraordinarily high cost, I would expect extraordinary evidence [of efficacy], and I haven't seen that," Lee said.
The ICER meeting concluded by having the CTAF members vote on whether the efficacy data was sufficient to conclude that treatment with aducanumab was better than the standard of care. Unanimously, they said it was not. Panelists also voted to say the treatment was likely to do more harm than good, due to its high cost and risk of ARIA.
ICER's Pearson, and many CTAF members, spoke about their own loved ones having suffered from Alzheimer's, or having the disease now. Some currently take care of an affected parent. They understand the urgency to find better treatments. Patient advocate Richard Seiden said, "I'm optimistic that research will produce better disease-modifying drugs, and I trust clinicians will appropriately manage the expectations of patients and caregivers [around aducanumab]."
In a final report issued August 5, ICER reaffirmed and elaborated its May 5 interim conclusion that aducanumab is not cost-effective (Endpoints News; Endpoints News). Pearson called on Biogen to lower the price. Given that more anti-amyloid antibodies are coming, the broader question of how efficacious this drug, and its class, is remains open. "ICER will come back to this topic," he promised.—Madolyn Bowman Rogers
Aducanumab: Will Appropriate-Use Recommendations Speed Uptake? 5 Aug 2021
Flurry of Investigations Beset Aducanumab 19 Aug 2021
Therapeutics Citations
Other Citations
Endpoints News
Axios news
CMS announcement
30-day public comment period
Aducanumab Approved to Treat Alzheimer's Disease 7 Jun 2021
Advisory Committee Again Urges FDA to Vote No on Aducanumab 14 Apr 2021
Fallout Continues After Aducanumab Approval

redpajama_set_name: RedPajamaCommonCrawl


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Home Opinion Sebastian Gorka Reveals Trump's Secret Weapon To Beat Dems In 2020, Terrifies...
Sebastian Gorka Reveals Trump's Secret Weapon To Beat Dems In 2020, Terrifies Pelosi
Sebastian Gorka just revealed Trump secret weapon to crush the Dems in 2020 and it is impressive.
Specifically, Gorka issued a full list of President Trump's accomplishments in half a term and it is lights out for the left.
Look, you may not like Trump, you may find some things about his behavior annoying and wish for a more traditional President, but you cannot argue with the results.
In fact, history has shown us time and again that Americans vote with the economy and they will cross the aisle to vote for the other side if the economy is good.
And Trump's economy is great, not good. Good luck with that Democrats. Sebastian wrote,
"On April 23rd 2019, I visited the White House to see my old Boss, President Trump, in the Oval Office to discuss my next book THE WAR FOR AMERICA'S SOUL.
During our discussion, he gave me this document as proof of what the FakeNews Industrial Complex is keeping from the American people.
This list would be an incredible collection of achievements for a two-term President. Donald Trump realized them in just his first 2 years as our 45th President.
 5.5 million jobs created since my election, with 196,000 jobs added last month.
 More Americans are working today than ever before in our history – nearly 160 million Americans now have jobs
 March was the 102nd straight month of positive job growth; longest streak ever
 There are a record number of job openings.
 A record 73% of newly employed workers were people who were out of the workforce and who are now coming off the sidelines and into the workforce.
 The unemployment rate has remained at or below 4% for 13 straight months – it recently reached its lowest rate in nearly FIFTY YEARS.
 We have created half a million manufacturing jobs since my election. More manufacturing jobs were created in 2018 than any single year in the last 20 years.
 Blue-collar jobs recently grew at the fastest rate in more than THREE DECADES.
 GDP grew at 3% during the four quarters of 2018, the fastest rate of any calendar year since 2005.
 Wages grew by 3.2% over the past 12 months, the largest increase in 10 years. Wage growth in 2018 was fastest for the lowest wage earners.
 Hispanic-American unemployment in February fell to its lowest rate in history.
 African-American and Asian-American unemployment rates have reached all-time record lows.
 Women's unemployment is at its lowest rate in 65 years.
 Veteran unemployment has reached the lowest rate in nearly 20 years.
 Youth unemployment reached the lowest rate in nearly half a century.
 Unemployment rate for Americans without a high school diploma hit a new low.
 Unemployment rate for disabled Americans recently hit a record low.
 Over 5 million Americans have been lifted off food stamps since the election.
 Median income for Hispanic-Americans surpassed $50,000 for the first time ever.
 Home-ownership among Hispanics recently hit the highest rate in nearly a decade.
 The official poverty rates for African-Americans and Hispanic-Americans have reached their lowest levels ever recorded.
 Manufacturing, consumer and small business confidence recently set record highs.
 A recent study found that 8 in 10 businesses plan to hire more workers this year.
 Signed the biggest package of tax cuts and reforms in history. Since then, almost $600 billion dollars poured back into the U.S. and more than 6 million workers received new bonuses, better jobs, and bigger paychecks.
 Saved Family Farms from the Death Tax and doubled the Child Tax Credi
 Obamacare individual mandate penalty GONE.
 Under our tax cut, small businesses can now deduct 20% of their business income.
 The Pledge to America's Workers has secured private-sector commitments to provide over 6.7 million jobs and training opportunities to American workers.
 Reauthorized and modernized the Perkins Career and Technical Education Bill.
 Announced a historic U.S.-Mexico-Canada Trade Agreement to replace NAFTA.
 Concluded a tremendous new trade deal with South Korea, and will begin trade negotiations with Japan to open new markets for American workers and farmers.
 Reached a breakthrough agreement with the EU to increase U.S. exports.
 Imposed tariffs on foreign Steel & Aluminum to protect our national security.
 Imposed tariffs on China in response to China's IP theft, forced technology transfer and its chronically abusive trade practices.
 Confirmed Supreme Court Justices Neil Gorsuch and Brett Kavanaugh.
 Confirmed more circuit court judges than any other new administration.
 Helped win U.S. bid for the 2028 Summer Olympics in Los Angeles.
 Helped win U.S.-Mexico-Canada's united bid for 2026 World Cup.
 Opened ANWR & Approved Keystone XL and Dakota Access Pipelines.
 Record number of regulations eliminated, saving $33 billion dollars.
 Enacted regulatory relief for community banks and credit unions.
 My Administration is making more affordable healthcare options available for Americans through association health plans and short-term limited duration plans.
 Prescription drug prices declined in 2018, the first time in nearly half a century.
 In 2017 and 2018, the FDA approved more affordable generic drugs than ever before. Many drug companies are freezing or reversing planned price increases.
 Signed Legislation to end "gag" clauses so patients can find the lowest price drugs.
 Passed Right to Try to give critically ill patients access to more life-saving cures.
 We reformed the Medicare program to stop hospitals from overcharging seniors on their drugs—saving seniors hundreds of millions of dollars in 2018 alone.
 Secured $6 billion in funding to fight the opioid epidemic.
 Reduced high-dose opioid prescriptions by 16% during my first year in office.
 Signed historic VA Choice legislation and the VA Accountability Act.
 Expanded VA telehealth services, walk-in-clinics, same-day urgent primary and mental healthcare, and launched the promised 24-hour Veteran Hotline.
 Signed an Executive Order to help prevent veteran suicide.
 Increased coal exports by more than 60% during my first year in office
 The U.S. is the largest producer of oil and natural gas – surpassing Saudi Arabia and Russia. We are a net exporter of natural gas for the first time since 1957.
 Announced our withdrawal from the job-killing Paris Climate Accord.
 Canceled the illegal, anti-coal, so-called Clean Power Plan
 Signed a bipartisan Criminal Justice Reform bill into law
 Secured a record $700 billion dollars in military funding; $716 billion this year.
 Secured a $100 billion dollar increase in defense spending from NATO allies.
 Launched whole-of-government approach to women's economic empowerment around the world (W-GDP) with a goal of empowering 50 million women by 2025.
 Nuclear and ballistic missile testing in North Korea have stopped, hostages have been released, and the remains of our fallen warriors were returned home.
 Process has begun to make the Space Force the 6th branch of the armed forces
 Initiated withdrawal from the Intermediate-Range Nuclear Forces (INF) Treaty.
 Withdrew from the one-sided Iran Deal and imposed the toughest sanctions ever
 First country to recognize Juan Guaido as Interim President of Venezuela
 Recognized Jerusalem as the Capital of Israel, and moved the U.S. Embassy.
 Took historic action to recognize Israel's sovereignty over the Golan Heights.
 Protecting Americans from terrorists with travel ban, upheld by Supreme Court.
 ISIS has been driven out from all territory they once held in Iraq and Syria.
 Issued executive order to keep open Guantanamo Bay.
 Improved vetting for refugees, and switched focus to overseas settlement
 We have begun building the Wall and support strong borders and no crime.
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The example below is the actual content of the ASP page. This page should be the first page in your website (the main wwwroot directory) and the filename should be index.asp or default.asp.
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Once the visitor has reached the main page of the website (by the above script), the navigation and links for the thirdwebsitedirectory.com domain will be relative to the "thirdwebsitedirectory" directory.


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This map of Washington D.C. and its surrounds is chock full of descriptive notes about the region, including its history, geographical features, places of interest, and other fascinating facts. Includes Maryland, Virginia, and Delaware, and parts of Pennsylvania, West Virginia, and New Jersey. Published in April 1956.