If bankruptcy seems like the only solution for your financial problems then you are probably going through some tough times. There are lots of reasons for filing for bankruptcy and it can be a solution to your worried state of mind. Let us know at our main office in Perris, California how serious your situation is and if we can help you with some basic advice on how to move forward or help you with filing for bankruptcy then we will.
First of all, what is the problem you are trying to solve? Are you facing house foreclosure? Increasing debt with no obvious way of paying it off? Are collectors threatening car repossession? Collection agencies constantly harrassing you? This can be a very worrisome time for you if you are facing any of these situations but we are here to help. Our firm has very experienced lawyers who are prepared to fight your corner and help you get some breathing space to help you sort your life out. With our timely and correct legal advice we can put together a fresh-start plan. This is the right place to come.
At our law firm we have specialist bankruptcy lawyers who's job it is to represent consumers with legal problems and money & debt worries. We can offer you a FREE PHONE CONSULTATION in the first instance so we can discuss your debt worries in a bit more depth. Our lawyers will talk over your concerns with you, offering the best advice for a fresh start in the future. It is possible that the best course of action for you may be non-bankruptcy options and we will discuss these with you as well. Money worries can be really crippling for yourself and your whole family and so our first priority as a responsible law form is to give you the tools and methods to dig you out of the debt slump you're in right now and move forward to a debt-free future. In addition to this, we will help you build your own bespoke payment plan and give you all the training and advice you need to not fall into the same situation you've come out of. To get started as quickly as possible give us a call at your local office and get your free consultation with one of our specialist bankruptcy attorneys who will discuss your needs with you and how your finances can be improved in the future. We will also talk to you about what your rights are with regards to legal representation and what you can expect from us should you require it. We will always be honest and take you on as a client only if we feel your case needs it and we can win it.
Bankruptcy is something that many people wonder whether they can file without an attorney. It is an easy pitfall that many families have fallen into; filing for chapter 7/13 bankruptcy themselves. Something else that can make the situation worse instead of better is hiring an inexperienced attorney! Only an experienced law firm, with knowledgeable attorneys have the discipline and resources to make the correct decisions for you and secure the best outcome. This is the only route that will get you real relief and get the future that you dreamed of, fixing your debt issues, stopping home repossession and getting a personal repayment plan in order. You need a good law firm, not a bad one. Choose a good law firm to save you money and stress. We are one of the most reputable and biggest on America. Trust us, and we will help you regain your financial dreams.
Our local bankruptcy lawyers are waiting for your call in Perris, California.
All our lawyers have legal skills that you can use to help you get out of debt. The skills that we have don't just assist us in helping you file your bankruptcy, but can also be useful after in helping you recover from your debt problems. If you want our help and advice, helping clients rebuild their credit rating is an important part of our services. Local bankruptcy laws are different in every state and we can provide you with a personal, bespoke rebuild plan to help you regain your good credit standing. We are always local and you can trust in us to give you the best advice for your situation but we also have the resources of a national law firm. Phone now to get a date and time for your free debt consultation.
Looking through our website you can find out all about personal bankruptcy and learn more of the process so you are better informed when you call one of our lawyers, who will discuss your case in more depth. You can then give us a call to discuss your bankruptcy process, the chapters that are available to you including the various bankruptcy codes, and how these will impact your decisions going forward. We will come up with a good plan for your situation.
It is important to us that you are fully informed as possible before you begin the bankruptcy process. It's also important to get the correct information here. There can be consequences as well as benefits to bankruptcy and we will make sure you have all the correct information to feel you can move ahead with confidence. You may already have some knowledge but have questions you need answered. Your first phone call will be the place where we can discuss the initial strategies that you can take and once you've made some initial decisions you will be invited to your local office to begin the process. We will equip you with enough information so you can move forward with confidence and without hesitation.
You need a bankruptcy attorney that is experienced and you also want a lawyer that you can trust. Everybody wants a law firm that you like and feel comfortable with but it's arguably more important that you can trust the company too. You can trust us, our experience and our skills to both get you through your current situation and help you avoid similar financial situations later. Our USP for my office is using our immense experience to get satisfying results for our clients. Give us the chance to demonstrate what we can do for you. Book your free consultation with us today.
Your lawyer needs to be accessible to you if you are going to feel trust between you and your lawyer. You can choose the best way to communicate with us, either by phone, email or any other way that's most convenient for you and we will be in regular and timely contact. We are one of the largest law firms in the States but have lawyers stationed locally throughout all 50 states and only a phone call away. Your bankruptcy process will be efficiently planned and executed and tailored to your particular needs.
Access and information involve a two-party relationship. Therefore, even if you're a busy person you'll find that we are easy to get a hold of and if you can return the info we request speedily then this will only go to help you. It is our job and our delight to help you reach your goals, answering questions and resoving your issues as we go, always representing you in a professional and expert manner. At our bankruptcy firm, we are happy to assist you. Bankruptcy may not always be the right choice of course. Debt settlement is another option that some may choose and we can help get the ball rolling with this. I'll provide all the answers to your questions quickly and with professionalism so please get in touch.
We have flexible and affordable payment plans. You'll be pleased to know that you can make payments towards your bankruptcy fees. We have some of the most affordable bankruptcy plans available and so bankruptcy can be for anyone in society. It is important to answer all of these question to give you confidence and comfort in your choice of law firm. We will offer you more than our competitors and honestly answer any and all of your questions.
It's our job to advise you which federal or state exemptions to best use in your situation. We employ the very best lawyers in the USA, with a great deal of experience to apply these bankruptcy laws. We'll also file your petition with the local court and communicate on your behalf with your local bankruptcy trustee.
Phone our main office at (951) 309-0202 and we will make an appointment for you at our local Perris office where we'll give you legal advice, help you build your repayment plan and prepare your filing for you.
You need to look at your lawyer's credentials and ask him about his experience in filing federal bankruptcy. Being board certified means that he has went through a pretty vigorous vetting procedure to assist people in filing bankruptcy and debt relief, and is therefore considered an expert. Most superior lawyers will have board certified status but this isn't always the case.
You need a consumer attorney rather than a business one as both are really quite different with different experiences and skill-sets. The two different types of consumer filings are called chapter 7 and chapter 13. And under the bankruptcy code these are the most likely to be used for consumers. You need to find out if your lawyer is more experienced with business bankruptcies as that isn't suitable for your needs.
Furthermore, think about the general atmosphere at the law company. Do you feel like they are organized but not too pushy? You don't want them to be too pushy as they set appointments, move you quickly through the offices and to sign on the dotted line and then show you the door. While you know that you want to hire a seasoned bankruptcy practitioner, a common mistake that people look back on after they file their bankruptcy is that they learn that they have become a client at a so-called "bankruptcy mill." These law firms are known for their single approach to a case and if you have even the slightest unusual of financial circumstances, the case could be handled incorrectly. These firms produce very sloppy work and don't have a good reputation in the industry, even known for giving their clients bad advice that can end up with their clients in hot water at the court. These are called Bankruptcy Mills. Don't hire these types of law firms.
Give us a call free, at out head bankruptcy office in Perris, California on (951) 309-0202 or fill out our call back form to see if we can be the answer to your financial prayers.


text:
Taste Radio Insider Episode 37
The 'Most Vital Tool' For Brand-Building… And How To Use It
+ Laura & Steve Jakobsen, teaRIOT
Taste Radio Insider Ep. 37: The 'Most Vital Tool' For Brand-Building… And How To Use It
Posted by Ray Latif	| June 7, 2019 at 3:45 pm
Before teaRIOT established a multi-channel retail footprint that stretches across the U.S., and before its acceptance into the Chobani Incubator program, and before its recent $3 million Series A funding round, co-founders Laura and Steve Jakobsen were simply focused on building a brand.
"What does [teaRIOT] look like?," Laura asked in an interview included in this episode. "How does it stand out on shelf? What are our consumers saying? How do we need to change it from the inside of the bottle to the outside of the bottle? We just stayed nimble for two years and made changes in our foundation to really tighten everything up."
Throughout the process, teaRIOT, a brand of organic tea-based energy drinks, leaned heavily on social media to better understand its consumers and how they interacted with the brand and its products.
"[We] not only use social media to publish outward but also to listen and to interact and engage. We always focus on what consumers are doing with our product. If you look at our [Instagram content], it really portrays the vitality of the brand. But in some pictures we don't even have the product. It's really about how people are living, being energized on tea."
That approach has been particularly effective on Instagram, where teaRIOT has gained over 121,000 followers since its launch in 2015.
As part of our interview, Laura and Steve expounded upon their approach to brand building and shared their perspective on the keys to a successful social marketing strategy. They also discussed their experience in the Chobani Incubator and lessons from the program, and explained why teaRIOT's investors must also be consumers of the brand.
In this Episode
1:16: Cassava… On The Cusp — Just a few days away from NOSH and BevNET Live Summer 2019, the hosts reflected on the New Beverage Showdown 17 competition, munched on cassava-based snacks, sipped on a few innovative new beverages and shared a few recommendations for eating and drinking in New York City.
16:35: Interview: Laura and Steve Jakobsen, Co-Founders, teaRIOT — In an interview at teaRIOT headquarters in Venice, Calif., BevNET's Mike Schneider spoke with Laura and Steve and engaged in a deep dive into teaRIOT's branding, marketing and social media strategies. As part of our conversation, Laura explained her perspective that "influencers are kind of dead" and why brands should focus on aligning with "real, authentic people in your community." They also discussed why it's important to partner with investors whose lifestyles fit with that of the brand, and how their experience in the Chobani Incubator helped reinvigorate their passion for entrepreneurship and the brand.
Also Mentioned
YaYaYa, Sunwink, Siete Foods, Artisan Tropic, Starbucks, Tapitio, Simple Life Beverages, Kafina Energy, Red Ace, Vital Proteins, 5-hour Energy, Vive Organic, Kor Shots, teaRiot, Chobani
Ray Latif2019-07-30T19:39:04+00:00
How This Super Bowl Winner Is Tackling Disruption In The Drinks Space
The News, Trends & Innovation That Shaped 2019
The 'Trifecta' This Investor Looks For In Growing Brands

redpajama_set_name: RedPajamaCommonCrawl


The house sits on 12+/- acres and was purchased from the original owner's family. It was 5 bedroom 4 bath, with a guest house and a 2 car carport. There was/are two kitchens in the house and both had the original appliances at the time the property was purchased. We did a complete remodel and took the house down to the studs leaving only the stone on the façade and on the interior. The Main Level was redesigned to include a Master Suite, kitchen, dining and living room. The Lower Level was has 2 bedrooms, 2-1/2 baths, an office, kitchen, dining, and living room. All mechanical, electrical and plumbing was completely redone.
The Carport was enclosed as a gym, with a new Laundry Room with direct access from inside the house. A new unattached Carport and 1 car Garage was designed and built to the side. In addition, we added an in-ground pool & hot tub with terraced patio. An existing lower terrace was also replaced and includes a new exterior fireplace.


text:
Is dimethyl sulfoxide an aprotic solvent?
Why is dimethyl sulfoxide a good solvent?
Is DMS protic or aprotic?
What is dimethyl sulfoxide used as?
What is DMSO dimethyl sulfoxide used for?
Dimethyl sulfoxide (DMSO) is an organosulfur compound with the formula (CH3)2SO. This colorless liquid is an important polar aprotic solvent that dissolves both polar and nonpolar compounds and is miscible in a wide range of organic solvents as well as water. It has a relatively high boiling point.
Is dimethyl sulfoxide Protic or aprotic?
Dimethylsulfoxide or DMSO is a polar APROTIC solvent.
They can dissolve a wide range of solutes and are miscible with many other solvents; this is true not only for polar compounds but also for some of low polarity, e.g., naphthalene and toluene. Being aprotic, DMSO and DMSO2 can tolerate relatively strong bases.
Is dimethyl sulfoxide miscible?
It is an effective solvent for a wide array of organic materials, including many polymers. DMSO also dissolves many inorganic salts, particularly transition metals nitrates, cyanides and dichromates. DMSO is miscible with water and most organic liquids.
Dimethyl Sulfoxide (DMSO) is a highly polar and water miscible organic liquid. It is essentially odorless and has a low level of toxicity. As do all dipolar aprotic solvents, DMSO has a relatively high boiling point.
Is dimethyl formamide protic or aprotic?
DMF is a polar (hydrophilic) aprotic solvent with a high boiling point.
DMSO has been used as an industrial solvent since the mid-1800s. From about the mid-20th century, researchers have explored its use as an anti-inflammatory agent. The FDA has approved DMSO as a prescription medication for treating symptoms of painful bladder syndrome.
How do you make dimethyl sulfoxide?
Dimethylsulfoxide is prepared by a method which comprises adding separately dimethylsulfide and an aqueous solution of about 30 to 60 percent by weight hydrogen peroxide to a stirred aqueous liquid reaction medium under an atmosphere of inert gas, said reaction medium containing sufficient dimethylsulfoxide to …
Dimethyl sulfoxide (DMSO) is a chemical solvent that is sometimes used to help reduce inflammation and pain, and may also be beneficial in reducing leakage during chemotherapy treatment. It has been FDA approved to treat only one condition: interstitial cystitis.
What percentage of NSF grants get funded?
What are the 16 tenses in English?


Art Swann, Tennessee State Senator from Blount County, is trying to ban talking on cell phones while driving. Simply talking on your cell while driving is not in and of itself a danger, excluding the health effects from radiation.
People use their hands while talking to passengers and driving every day. Should that activity be criminalized as well since it involves using our hands and talking while driving?
The state of Tennessee already has a distracted driving law. That is sufficient to stop people who pose a danger.
The very fact that legislation is being discussed to criminalize what is usually safe activity means that most cops don't view driving while talking on your cell phone as dangerous activity. If they did, they'd be charging people with distracted driving. Safe activity shouldn't be criminalized.
State Representative Bob Ramsey, also from Blount County, is a cosponsor of the house legislation.


When the inhabitants of a peaceful world are conquered by the bloodthirsty yumens, their existence is irrevocably altered. Forced into servitude, the Athsheans find themselves at the mercy of their brutal masters. Desperation causes the Athsheans, led by Selver, to retaliate against their captors, abandoning their strictures against violence. But in defending their lives, they have endangered the very foundations of their society. For every blow against the invaders is a blow to the humanity of the Athsheans. And once the killing starts, there is no turning back.


text:
Governments agree landmark decisions to protect people and planet from hazardous chemicals and waste, including plastic waste
Decisions on plastic waste have been reached in Geneva, as approximately 180 governments adopted a raft of decisions aimed at protecting human health and the environment from the harmful effects of hazardous chemicals and waste.
Pollution from plastic waste, acknowledged as a major environmental problem of global concern, has reached epidemic proportions with an estimated 100 million tonnes of plastic now found in the oceans, 80-90% of which comes from land-based sources1. Governments this week amended the Basel Convention to include plastic waste in a legally-binding framework which will make global trade in plastic waste more transparent and better regulated, whilst also ensuring that its management is safer for human health and the environment. At the same time, a new Partnership on Plastic Waste was established to mobilise business, government, academic and civil society resources, interests and expertise to assist in implementing the new measures, to provide a set of practical supports – including tools, best practices, technical and financial assistance - for this ground-breaking agreement.
Other far-reaching decisions from the two weeks included the elimination of two toxic chemical groups, which together total about 4,000 chemicals, listed into Annex A of the Stockholm Convention, namely Dicofol and Perfluorooctanoic Acid (PFOA) and its salts and PFOA-related compounds. The latter has till now been used in a wide variety of industrial and domestic applications including non-stick cookware and food processing equipment, as well as a surfactant in textiles, carpets, paper, paints and fire-fighting foams.
Important progress was also made under the Rotterdam Convention, which provides a legally-binding framework for information exchange and informed decision-making in the trade of certain hazardous pesticides and industrial chemicals. Two chemicals, the pesticide phorate and the industrial chemical hexabromocyclododecane were added to Annex III of the convention, making them subject to the Prior Informed Consent (PIC) Procedure, through which countries can decide on future imports of these chemicals. A further decision, to approve procedures and mechanisms on compliance with the Rotterdam Convention – seen as a crucial step for further improving implementation of this key convention - was adopted with great appreciation by Parties.
Working for two weeks in Geneva under the theme of "Clean Planet, Healthy People: Sound Management of Chemicals and Waste", approximately 1,400 delegates from around 180 countries converged for the meetings of the Conferences of Parties to the Basel, Rotterdam and Stockholm conventions (Triple COPs). Participants benefited from the numerous opportunities and events to exchange information on alternatives to these chemicals, as well as best practices.
Speaking at the closing session of the Triple COPs, Rolph Payet, Executive Secretary (UNEP) of the three conventions, said that "I'm proud that this week in Geneva, Parties to the Basel Convention have reached agreement on a legally-binding, globally-reaching mechanism for managing plastic waste. Plastic waste is acknowledged as one of the world's most pressing environmental issues, and the fact that this week close to 1 million people around the world signed a petition urging Basel Convention Parties to take action here in Geneva at the COPs is a sign that public awareness and desire for action is high."
"We were able to list two out of 7 candidate chemicals and will continue working closely with parties to identify feasible alternative solutions to hazardous pesticides, taking due account of food security and market access aspects" added Hans Dreyer, Executive Secretary (FAO) of the Rotterdam Convention.
1 Data from "Marine litter plastics and microplastics and their toxic chemicals components: the need for urgent preventive measures" by Frederic Gallo et. al. in Environmental Sciences Europe 2018; 30(1): 13, at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5918521/
Source SYNERGIES 2019
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I do love painting, I do. But sometimes I am an impatient crafter. I like things to be fast and easy.
Today's craft idea is both of those. I've seen some really beautiful examples of gorgeous painted rocks on Pinterest lately, and I was inspired to create some of my own.
This time I wanted to try and embellish them with pretty hand-lettered designs.
I wanted to see what crafty results I could get by painting rocks with markers. Recently when I was doing back-to-school shopping with my daughter I couldn't resist a large pack of Sharpie markers for myself. That's where the fun began.
Then I scavenged some river rocks from our backyard landscaping and kept some natural and some I spray-painted with a white base coat.
Then I had a beautiful rock canvas to work with. It was so satisfying to hand-letter inspirational words on each white painted rock and add colorful designs around each word with markers. It was easy to blend the colors together and create a fun painted rock design.
After painting rocks with the brightly colored Sharpie markers, I moved onto the metallic set. On the natural dark rock, these metallic markers stood out perfectly.
It was so easy to create pretty patterned designs as well as hand-lettered creations.
Then I thought I would try my hand at a more complicated design – owls. I used the metallic marker set as well for these, as well as a few colored accents from my colored Sharpie markers.
The results were so fun and spectacular.
This is a great project that you can enjoy yourself or share with your crafty tween or teen. They make great homemade gift ideas. You can create personalized paper weights, or just pretty inspirational works of art!
Try this super easy craft yourself.


text:
Pubdate: Mon, 26 Apr 2004
Source: Winkler Times (CN MB)
Copyright: 2004 Winkler Times
Contact:  http://www.winklertimes.com/
Author: Ellie Reimer
Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine)
GROWING METH USE WORRIES POLICE CHIEF
Winkler police are seeing an alarming increase in the use of crystal meth,
or methamphetamine, among local youth. "Twelve months ago, we were hearing
that meth was available in Winkler," says police chief Rick Hiebert. "Now
we run into it on a regular basis."
Hiebert says his office has a list of more than 30 local suspected meth
users, and the list is growing.
"Meth use is really running rampant in North Dakota," he said, "and it's
all over the map there - farmers, housewives, any professionals, any
career. If it comes here with that kind of impact..."
In Winkler, Hiebert says the group most likely to be involved with meth are
late teens and young adults, often kids on the periphery, non-school attenders.
"There's a fairly large group out there for whom meth is the drug of
choice," he said.
And that's alarming for a number of reasons.
Meth is very addictive. Often, users are hooked at the first hit.
"The first time gives such a big 'high' of euphoria," says Hiebert, "that
people just keep on trying to duplicate that 'high'. But they never can."
Meth acts on the brain's pleasure centre, decreasing the normal chemicals
produced to create a sense of pleasure, and the more meth is used, the
lower the threshold of pleasure.
Meth is also alarming because of the nature of the addiction.
"When they're on meth, they're very active, very alert, they often can't
stop moving," says Hiebert. "Meth is a stimulant, not a depressant like
alcohol or a mellowing drug like marijuana. People on meth don't sleep a lot."
However, he says when users come down from the high, they become agitated
and aggressive, violent, and unpredictable.
"And, once they're down, they may sleep for three days straight," he added.
Meth users are also very likely to be involved in crime, says Hiebert.
"People on the list of suspected meth users are also often the ones
stealing bikes and stereos out of cars, that kind of thing, to fund their
drug habit."
Crystal meth is similar to cocaine, he says. However, while the 'high' from
cocaine will last for minutes, the effects from crystal meth can last for
eight to 15 hours.
"And, depending on how you take it, whether you snort it, inject it, or
take it orally, meth is cheaper than cocaine and easier for users to
access," says Hiebert.
More information on drug use can be found on the Winkler Police Service
website. The site also has numerous links to more information about drugs.
Go to the Winkler police website www.winklerpolice.ca and click on
'community programs', and then 'drug information'.
MAP posted-by: Jay Bergstrom


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text:
José Cázares M., más conocido como El Chivo Cázares, fue un futbolista mexicano que jugaba en la posición de defensa y mediocampista. Jugó con el Club Deportivo Marte, con el Victoria, en la época de inicio del Campeonísimo con el Club Deportivo Guadalajara y con el Nacional de Guadalajara.

Empezando en equipos llaneros infantiles, se le dio la oportunidad de jugar con el Guanajuato juvenil, para después pasar a las reservas del Club Deportivo Marte. Debutó en primera división en 1948 en un partido contra el Oro de Guadalajara, siguiendo en las filas de los merengues hasta el descenso del equipo, retirándose del Marte con dos títulos de liga.

El Chivo llegaría al Club Deportivo Guadalajara en estado de prueba en el año de 1955, para reforzar al equipo de cara a un amistoso internacional ante el Sao Paulo de Brasil, tiempo después dejaría el rebaño y pasaría a la liga de ascenso.

Regresaría a Chivas en la temporada 1959-60, fue traído del equipo Club Deportivo Victoria de la Segunda división mexicana por el entrenador húngaro Arpad Fekete. Fue un defensa que estuvo en los títulos de la temporada 1958-59 y 1959-60, tuvo poca participación, solo acumuló 10 partidos entre estas 2 temporadas. Para la temporada 1960-61 pasaría al Nacional de Guadalajara, junto con «Chicho» López y Pedro Nuño, equipo con el que jugaría en la Segunda división mexicana y lograría el ascenso en 1961.

Al retirarse fue directivo del Torneo Central de Reservas, una liga de fútbol de fuerzas básicas y escuelas filiales a clubes profesionales y aficionados. También fue técnico del equipo capitalino del Phillips S.E.T. que resultó campeón en 1964 del torneo nacional de equipos Philipps.

Palmarés

Campeonatos nacionales

Bibliografía

Futbolistas del Club Deportivo Guadalajara en los años 1950
Futbolistas del Club Deportivo Nacional
Futbolistas del Club Deportivo Marte

redpajama_set_name: RedPajamaWikipedia


"I want to focus on the positive, so I'm going to applaud the governor for making education a priority. We all know our current school funding system is broken. Now we need to summon the courage to fix it. The governor can be a vital ally in resolving what's become the defining crisis of our time. But reform won't come by simply throwing more money at the existing system. We need a complete overhaul.
However, while I welcome his interest in education fairness, I am troubled by proposals that would appear to return to the days of skipping pension payments and raiding local funds to prop up state spending. That won't help our state and it won't help our local communities.
"Twice this man has rallied the country to dare us to see a better future and invigorated the American spirit. I have had the honor of a front-row seat to witness my friend's personal and professional growth from a colleague here in the Illinois Senate to leader on the world stage.
I've watched a consistency of character guide him in his challenge to improve the lives of the people he represented first in Chicago, then this state and ultimately across our country. Along the way, he has challenged each and every one of us to be the solution, to rise above rhetoric, refuse to be so easily divided and recognize avenues for agreement even among those who disagree.
"Thousands of students across Illinois rely on the Monetary Award Program to be able to attend college and pursue degrees. This year, the state isn't honoring its commitment to them. The governor already vetoed funding once and now is threatening to do it again even before we've sent the proposal to his desk.
I would urge the governor to rethink his position, reconsider his priorities and not act rashly but rather in the best interests of these students, their futures and the future of Illinois.
We're going to give him time to do just that. The Senate will send Senate Bill 2043 to the governor on Tuesday, Feb. 16. That gives him two weeks to ponder whether another veto is the best approach.
The Monetary Award Program is the state's leading financial aid program for college students. It provides grants, which do not need to be repaid, to Illinois residents based on their financial need so they can attend approved Illinois colleges and universities.
HB 4146 was a standalone proposal providing the governor with spending authority to award MAP grants during the budget year that began July 1. It provided $397 million for MAP, an 8.8 percent increase over Fiscal Year 2015 levels. The Illinois Student Assistance Commission (ISAC) estimated the increase would serve an additional 15,000 students with MAP grants.
May 28, 2015: Illinois Senate gives final approval to HB 4146.
June 17, 2015: Senate officially sends HB 4146 to the governor's desk.
June 25, 2015: Gov. Rauner vetoes HB 4146.
July 1, 2015: The state starts the budget year with no funding for MAP even though the governor's administration continued accepting applications.
August 2015: No funding is in place for the state's leading financial aid program as students prepare to return to campus. Many schools agree to front students the money during the impasse so they can continue their studies.
Aug. 19, 2015: Illinois Senate approves a new MAP budget -- SB 2043 -- and sends the proposal to the Illinois House. The funding level was consistent with the amount the governor requested in his budget proposal at $373 million.
Jan. 7, 2016: Illinois Student Assistance Commission releases a survey showing nearly half of the colleges and universities responding won't continue to front the money to students.
Jan. 28, 2016: Illinois House approves MAP budget. Returns proposal to Senate.
Jan. 28, 2016: Illinois Senate accepts changes and gives MAP budget final approval.
Jan. 28, 2016: Gov. Rauner's spokeswoman says governor will veto it.


text:
ObamaCare's Golden Sickness Rule
Everyone who is born holds dual citizenship, in the kingdom of the well and in the kingdom of sickness.
Susan Sontag (1933-2004), Illness as Metaphor
ObamaCare is growing sicker because of one of its golden rules; One shalt not exclude those with pre-existing conditions from insurance.
This rule is compassionate, but it has financial consequences
The most common pre-existing conditions are hypertension, coronary artery disease, and diabetes, which together eventually account for many, if not most deaths from myocardial infarction, heart failiure, stroke, and kidney failure
A Blue Cross report indicates 25% of those signing up for health exchanges are more likely to have hypertension, 32% are more likely to have coronary disease, 94% are more likely to have diabetes, and a whopping 72% are older than 34 when those with these pre-existing conditions are more likely to develop chronic diseases with high morbidities and co-morbidities.
The golden rule protecting those with pre-existing conditions has turned into a demographic time bomb – leading to high premiums and deductibles for the well and to billions of dollars in bailouts for insurers.
For the government there is no easy choice – either one takes a deep breath, coughs up the money, deepens the federal deficit, bails out insurers, or changes the rule. It's a cruel choice, and there is no middle road.
We live in the kingdom of reality – and in the kingdom of the middle class of the sick and the well, there is resistance to ObamaCare's golden rule because it costs them dearly. As George Bernard Shaw said in Maxims of Revolutionists, " the golden rule is that there are no golden rules."
Rules are made to be broken, and this particular rule might be broken if ObamaCare is repealed .
Posted by Richard L. Reece, MD at 11:12 AM No comments:
On Sixth Birthday, ObamaCare's Snuffed Candles
Out, out, brief candle!
Shakespeare, MacBeth
On its sixth birthday, these ObamaCare candles were snuffed out because of losses.
• $1.2 billion in startup loans for ObamaCare's 12 (out of 23) failed insurance co-ops.
• $1.5 billion in failed or unrealized state-run health exchanges — and not one of the remaining 14 is fully functional, according to a government audit.
• An estimated $45 billion for the 165 million hours that businesses and individuals spent trying to comply with ObamaCare's 106 new regulations.
• $750 million in public subsidies to more than 500,000 people who weren't eligible for coverage.
• $3.5 billion diverted from the Treasury to insurance companies to help cover their losses.
For all thegovenment's happy talk about gains in the public's insurance coverage (except, of course, for the unfortunate folks who signed up with one of the government's failed insurance co-ops), the reality is a burgeoning, unsustainable government bureaucracy that is on pace to cost considerably more. As with most government ventures, it's something gained, something lost.
Oh, well, it's only $52 nbillion of taxpayer money – and the time and effort of businesses and individuals who supported or sought to comply with the health law.
New Normal – Slow Economic Growth and Medical Innovations
New Normal is a term in business and economics that refers to financial conditions following the financial crisis of 2007-2008 and the aftermath of the 2oo8-2012 global recession. The term has since been used in a variety of other contexts to imply something what was previously abnormal has become commonplace.
Definition of the New Normal
A prominent feature of President Obama's administration has been slow economic growth. Growth has averaged 2.0% to 2.5% over the last 6 years. This is roughly half that of previous recession recoveries, and is the slowest since World War II.
Critics say this stagnant growth stems from the administration economic policies. They cite anti- business policies (high corporate taxes, onerous regulations, and the employer health mandate), anti- innovation policies (high startup costs, medical device taxes, and bureaucratic impediments), and high taxes on the rich and entrepreneurs, and regulations that discourage skilled foreign innovators from entering the U.S.
Physicians say federal regulations increase costs of doing business by demanding doctors gather quality data on costly electronic health record systems, by discouraging new practice designs, by creating byzantine coding systems, by insisting upon time consuming credentialing, by developing unworkable payment systems, and by discouraging tort reform.
Progressives insist many of these problems would go away if we only had a single-payer system covering all citizens and treating them equally.
Economist Robert Gordon, in his new book The Rise and Fall of American Growth (Princeton University Press), believes slow growth is inevitable because of the lack of major new society-wide economic inventions and "headwinds," i.e. social and cultural forces causing economic slowdowns.
Gordon notes from 1750- 1830, we had sweeping transforming things like steam engines, cotton gins, and railroads. From 1830 to 1900 we had the telegraph, electricity, internal combustion engines, and running water. From 1900 to 1950, we added airplanes, concrete road systems, and added and refined communications, developed industrial machines, and introduced corporations. In the 1940s we introduced sulfonamides, penicillin, blood transfusions, and modern anesthesia and surgical techniques. From 1950 to 1970 we added air conditioning, house hold appliances, and the coast-to-coast highway system. Starting about 1960 we developed computers and the Internet which peaked in the late 1990s. Today we have cell phones, big data, and smaller and faster mobile devices, and the ubiquitous social media (Face book, Twitter, Integra, Tube), and cloud computing.
But unlike previous inventions, Gordon argues these computer-based technologies will not significantly increase human productivity nor speed up economic growth.
Overall, because of such economic "headwinds" as an aging population, rising inequality between the top 1% and the rest of us, dropping wages become of foreign competition, cost inflation of higher education, poor secondary schools, environmental regulations, and government intervention into consumer and business affairs, Gordon predicts economic growth will average only 1.4% from 2007 to 2017. In other words, 1.4% annual growth will be the new normal.
Gordon is not particularly impressed with health care with the history of health care or its contribution to economic growth, to wit:
"By the 1920s, we had pretty much gotten to a professional stage of medicine where people went to medical school. Medical schools were quack organizations in the late 19th century. And a man named Flexner wrote a famous report which damned the education at existing medical schools and completely reformed the education of doctors and hospitals."
"And much of the improvement in health, remember, was the curing of infectious diseases. It was things like cleaning up the water and getting rid of diphtheria and other kinds of infectious diseases back in the 19th century. That was the key to curing infant mortality, was the conquest of infectious diseases."
"Medical invention I would say reached its peak in the 1940s with the invention of penicillin and antibiotics. By 1970, we had identified smoking as a source of both cancer and heart disease; we had identified chemotherapy and radiation as cures for cancer. So, I would say that the core period for reaching the level of modern medicine was between about 1940 and 1980. We've been making very slow progress since then."
Gordon does not think health reform or innovation will contribute to economic growth.
"And so, I have a fairly progressive middle -- I would call it middle left-wing view of economic policy. I differ with Senator Sanders on several issues, while not overtly supporting Secretary Clinton. In particular, I think it's simply too late for the United States to adopt a single-payer medical care system. We've had decades of Medicare incentives to make our whole medical care system more expensive. We pay 18 percent of GDP on our medical care system. And for all that money, we get life expectancy that's about at the bottom of the top developed countries."
"And so, I think it's just simply too late. There's no way you can destroy the entire private health insurance industry or no way you can take over-bloated health providers in hospitals and group practices around the country and suddenly impose on them the kind of rules that in Canada and the U.K. keep medical care costs so much more moderate."
Given current ObamaCare reforms, I agree with Doctor Gordon. Government reform will stimulate economic growth. It may even slow it down. The major trends uninitiated by the administration: accountable care organizations, consolidation at every level of the system, bundled payments between hospitals and physicians, pay for performance based on evidence-based outcomes, mandatory electronic records, employer and individual mandates will not promote growth.
But I believe the electronic revolution and other factors – decentralization of the system, remote monitoring through new devices, telemedicine and virtual visits, and patient engagement. will make health care more efficient.
I believe information technologies will speed diagnosis, will improve health and wellness status , and better prognosis and human productivity. It is currently possible to establish a diagnosis by having a patient enter symptoms, complaints, and history to create a computer algorithm giving the right diagnosis 90% of the time; to use a drop of the patient's blood, coupled with vital signs and a stress test using expelled breath gases to establish cardiac and pulmonary status, and use remote and wearable monitoring devices to define the state of the patient's fitness and wellness compared to peers, and to deploy historical information and DNA information from blood or saliva to predict and improve long term prognosis - and to do all of these things from a patient's home or other locations outside the usual medical setting. Many other medical problems – dermatological, ophthamological, surgical, and orthopedic conditions will require examination and evaluation by physicians.
Will these medical innovations improve overall economic growth? Maybe at the margins. Other factors besides health care are involved as Gordon indicates – narrowing of income differences, better and less expensive education, lower taxes, fewer regulations, more market-based enterprise. On the health care front, repealing ObamaCare, allowing purchase of health care across state lines, allowing deduction of insurance from taxes, expanding HSAs, requiring transparency of medical goods and services, state block grants for Medicaid, and freer markets for pharmaceutical purchases may be required.
Professor Gordon may be right that the new normal is slower economic growth, and that the Internet and its spin-offs will not significantly speed economic growth. But it may be wrong too, and the techno-optimists among us may be right. Maybe ordinary citizens, armed with information and riding the electronic wave, will help America return to economic growth.
Political Niceties
Mike Hukabee, the erstwhile GOP presidential candidate, said words to this effect of President Obama," He thinks if you're nice to your enemies, they'll be nice to you. What naiveté! "
This statement led me to look up quotes on "nice" and how these quotes might apply to politics.
· "Nice Guys Finish Last." Leo Durocher (1905-1974), title of his book. This could also be the title of Donald Trump's next book.
· "Be nice to people on your way up because you'll meet them on your way down. " Wilson Mizener (1876-1933). Ted Cruz should take this to heart.
· "Into a stew, a nice little, white little missionary stew." T.S. Eliot (1988-1965). As Marco Rubio can attest, one minute you're on top, and then you're in the missionary stew.
· "A nice man with nasty ideas." Jonathan Swift (1667-1745). This could apply to President Obama and his nasty remarks about Republicans, or to Donald Trump , who insists he's a nice guy.
· "Nice work if you can get it and you can get it if you try."Ira Gershwin (1896-1983). Unfortunately, trying isn't enough to get it if you're a Presidential candidate. Ask those 16 Republicans who tried and failed.
· "What are little girls made of? Sugar and spice and everything nice." Nursery rhyme. But what if little girls turn out to be big girls made of bitters and ice, and everything e-vice?
Surprise! Surprise? ObamaCare Costs Rise as 22 Million More Enroll in
Health exchanges and Medicaid are costing more than anticipated because those enrolling in both programs are older and sicker than projected. This influx of these older and sicker folk rather than the young and healthy have caused health plans, including UnitedHealth, to announce they may withdraw from exchanges in 2017, and some states are not participating in the new Medicaid programs. No matter what occurs, all predict government will be forced to bail out money-losing plans, which will add to taxpayer burdens and the federal deficit.
None of this comes as a surprise. But what does surprise is that the 22 million enrolled in Medicaid are nearly twice the number joining health exchanges.
This wave of new Medicaid enrollees will drive up costs to the federal government by $110 billion in 2016, and by $1.4 trillion by 2016, or $136 billion over original estimates.
Democrats are rejoicing. This huge jump in Medicaid enrollment, they maintain, shows the law is righting the wrongs of social injustice. But GOP governors are balking at the costs to their states. Democrats retort by observing: "What's $136 billion among friends? Just send the bill to taxpayers and those working for a living."
That Medicaid raises costs should not surprise.
CMS programs historically mount to the skies.
Critics complain this adds to the budget crunch.
Recipients explain there is such a thing as a free lunch.
Not to worry, social justice is worth any price.
Making the Unaffordable Affordable and Affordable Unaffordable
This week marks the sixth anniversary of the Patient Protection and Affordable Care Act (ACA). But it's hardly anything to celebrate. The ACA was intended to make health coverage affordable using an age-old strategy referred to as OPM (other peoples' money). For instance, ACA regulations require insurers to accept all applicants — including unprofitable ones — at rates not adjusted for their health risk. Premiums can vary somewhat based on age, but not health status. A plethora of new taxes (mostly on medical care and health insurance) are supposed to somehow make coverage more affordable. Other funding mechanisms include draconian cuts to Medicare and higher deficits to expand Medicaid.
Devon Herrick, PhD, Senior Health Care Economist, National Center for Policy Analysis, "The Unaffordable Care Act Turns 6, " March 23, 2016, The Health Care Blog
What Doctor Herrick went on to say was that when you make health insurance affordable for those who previously found health insurance unaffordable- the 12 million who signed up for the ACA health exchanges and the 22 million new Medicaid enrollees, most of whom are sicker than the general run of the population, 220 million or so, you often make previously affordable health insurance unaffordable for the general population, i.e. the health young and middleclass, because they must spend their taxpayer money on higher premiums and deductibles to make health care insurance affordable for those who previously found that insurance unaffordable, i.e., they no longer find affordable the unaffordable higher premiums and unaffordable deductibles for routine care.
Enough word play. According to President Obama, in a recent statement in Argentina to a group of students, this redistribution of income makes no difference and depends on what you think is necessary to advance what kind of social goal you are trying to achieve and what kind of society you want to live in. It depends on whether you want social justice with a slow growth socialist economy or if you want social inequities with a faster growing economy. It depends on what is practical and what works.
It depends, in short on your experience.
As poet Ogden Nash said.
For sterile wearience and drearience,
Depend, my boy, on experience.
Here is the President's statement to students.
"So often in the past there has been a division between left and right, between capitalists and communists or socialists, and especially in the Americas, that's been a big debate. Oh, you know, you're a capitalist Yankee dog, and oh, you know, you're some crazy communist that's going to take away everybody's property."
"Those are interesting intellectual arguments, but I think for your generation, you should be practical and just choose from what works. You don't have to worry about whether it really fits into socialist theory or capitalist theory. You should just decide what works," he added. "And I said this to President Castro in Cuba."
"I guess to make a broader point, so often in the past there's been a sharp division between left and right, between capitalist and communist or socialist. And especially in the Americas, that's been a big debate, right? Oh, you know, you're a capitalist Yankee dog, and oh, you know, you're some crazy communist that's going to take away everybody's property. And I mean, those are interesting intellectual arguments, but I think for your generation, you should be practical and just choose from what works. You don't have to worry about whether it neatly fits into socialist theory or capitalist theory -- you should just decide what works."
"And I said this to President Castro in Cuba. I said, look, you've made great progress in educating young people. Every child in Cuba gets a basic education -- that's a huge improvement from where it was. Medical care -- the life expectancy of Cubans is equivalent to the United States, despite it being a very poor country, because they have access to health care. That's a huge achievement. They should be congratulated. But you drive around Havana and you say this economy is not working. It looks like it did in the 1950s. And so you have to be practical in asking yourself how can you achieve the goals of equality and inclusion, but also recognize that the market system produces a lot of wealth and goods and services. And it also gives individuals freedom because they have initiative."
"And so you don't have to be rigid in saying it's either this or that, you can say -- depending on the problem you're trying to solve, depending on the social issues that you're trying to address what works. And I think that what you'll find is that the most successful societies, the most successful economies are ones that are rooted in a market-based system, but also recognize that a market does not work by itself. It has to have a social and moral and ethical and community basis, and there has to be inclusion. Otherwise it's not stable. "
"And it's up to you -- whether you're in business or in academia or the nonprofit sector, whatever you're doing -- to create new forms that are adapted to the new conditions that we live in today."
Diabetes – The 800 Pound Guerilla Among Diseases
It's no contest. Among diseases, diabetes is the 800 pound guerilla.
In the U.S., 86 million are at risk for diabetes. Medicare spends 1 of 3 dollars on diabetes related conditions. One of 3 adults has prediabetes. And diabetes is the cause of 2 deaths every 5 minutes in American. Directly or indirectly, diabetes is the leading cause of deaths heart disease, stroke, obesity, blindness, kidney failure, gangrene with amputations, neuropathies, and diseases of large and small blood vessels.
Because of these stark statistics, Medicare is spending $11.8 million dollars for grants to launch counseling programs for prediabetics in YMCA across the country. The programs will feature a lifestyle coach who will advise patients on more physical activity, better diets, weight loss as preventive measures. Meetings will be held once a month to see if patients are adhering to preventive measures. The hope is that an ounce of prevention will be worth a pound (with prediabetice many pounds) of cure.
Diabetes is a sneaky disease. People go for years without knowing they have disease or are at risk for having it. Its most common precursor is obesity, which in now rampant among Americans. More than one-third (35.7 percent) of adults are considered to be obese. More than 1 in 20 (6.3 percent) have extreme obesity. Almost 3 in 4 men (74 percent) are considered to be overweight or obese. The prevalence of obesity is similar for both men and women (about 36 percent).
Diabetes is guerilla disease. It can strike any organ or any limb containing small and large blood vessels – arterioles, capillaries, small and larger arteries – which is everywhere in the body. It carries with it other harmful metabolic substances – such high blood sugars, out-0f-control blood fats. It is often insidious, leading to slow blindness, or kidney failure, or subtle neuropathies with pain, tingling, or loss of sensation. But it can be dramatic as well, causing heart attacks, strokes, seizures from hypoglycemia, or coma from excessive blood sugar levels.
This is not the first time I have written about diabetes as a guerilla disease.
What follows is a blog I wrote in 2013.
Diabetes – A Disease of Overeating
We are digging our graves with our own teeth.
Thomas Moffet (1820-1908), Irish Poet and Educator
It today's world, many more people are dying from overeating than from starvation.
Jesper Hioland, Senior Vice-President Novo Nordisk, world's largest maker of diabetic drugs
Prosperity has its price. In the realm of disease, that price is diabetes. The price of diabetes - blindness, gangrene, amputations, kidney failure, neuropathy, diseases of large and small arteries, and premature death. Among the world's peoples, 371 million have diabetes. Many of these people are in poor and developing countries where people are adopting urban lifestyles and consuming western foods.
Diabetes is rampant in American Indians, immigrants to America, Pacific Islanders, Arab countries, and in Vietman. Today's New York Times features an article "Prosperity in Vietnam Carries a Price; Diabetes."
The price of diabetes in Vietnam is an epidemic of amputation of gangrenous limbs. Diabetes is a disease related to genetic predisposition, rich diets, lack of exercise, and obesity. In Vietnam, diabetes occurs in both the fat and the thin, and afflicts especially those who move from the country into urban areas. In the U.S, diabetes in more prevalent in obese, sedentary individuals.
Diagnosing and treating diabetes is like guerilla warfare. Diabetic guerillas can strike at any time in unexpected locations in almost any organ in the body, often with little warning. You can be born with it, but more often it comes later in the life in the form of type 2 diabetes. In the morbidly obese (those 100 pounds or more overweight), you can treat it surgically by shrinking or partially bypassing the stomach.
Controlling diabetes is medical guerilla warfare.. You have to approach it from different directions – high tech and high touch, prevention and maintenance. Many high tech approaches, which are essential disruptive innovations – insulin, inhaled insulin, insulin-pumps, monitoring devices, other drugs, and transplants – have been tried and work for many but often fail to stem the tide of complications.
But For most doctors, controlling diabetes demands attention to preventive details and instructing patients ( To get the attention of his patients, Stanley Feld, MD, an endocrinologist in Dallas, had his diabetic patients sign a contract saying they would either abide by his rules or not be his patients. He also issued patients T-shirts bearing the words: "In Control!").
For doctors, prevention entails,
•Precise blood glucose control.
•Inspecting the bottom of patient's feet – something many obese diabetics can't do for themselves.
•Assessing loss of sensation in feet and lower limbs.
•Monitoring blood pressure.
•Checking blood lipids, blood creatinine and creatinine clearance, and urinary albumin.
•Protecting the kidney with new drugs.
•Making sure patients take oral diabetic agents and insulin correctly.
•Instructing patients on proper diets and having a nutritionist or dietician re-enforce their message.
•Encouraging patients to lose weight and exercise (obesity is considered the main precursor to most adult diabetes).
•Managing complications – blindness (the leading cause of adult blindness), heart disease and stroke (causes 65% of deaths among diabetes), kidney disease (accounts for 44% of case of kidney failure), and amputation (more than 60% of lower-limb amputations occur in diabetics).
Among diabetics and their physician friends, there are few miracles, because old habits are hard to break, and treatment regimens are hard to follow. But there are disruptive innovations on the horizon. Until these disruptions mature and take hold, the physicians' best bet for controlling the vascular catastrophes associated with diabetes is strict adherence to best practice guidelines and rapt attention to clinical details.
Diabetes is reaching epidemic levels in many countries due to overeating and life style changes relating to urbanization.
Posted by Richard L. Reece, MD at 11:33 AM 1 comment:
ObamaCare's Sixth Birthday – Six of One, Half-Dozen of the Other
Yesterday, March 23, 2016, marked ObamaCare's sixth birthday. It passed without widespread celebration or condemnation.
The Supreme Court is taking up the case of the ObamaCare contraceptive mandate and its right to impose it on the Little Sisters of the Poor.
The administration argues ObamaCare policies must be seamless, standardized, and homogeneous, covering all of the people all of the time. You cannot, in other words, make exceptions to mandates for any particular group or government policies will become unworkable. Therefore, if religious organizations choose not to provide contraceptives and related services, government must make insurers must provide these services, for "free," of course, even if the services are of modest cost to women.
Chief Justice John Roberts disagrees. He says government has "hijacked " the Little Sisters of the Poor's health plans. Liberal Justice Stephen Breyer counters federal mandates must be applied to all. It is "the price of being a member of society." And so the individual versus collective dialogue goes. The administrations has exempted churches and other houses of worship form the contraceptive mandate, why not include religious affiliated colleges, charities, and other groups, like the Little Sisters of the Poor, who are dedicated to taking care of poor priests and nuns. Freedom of religion, after all, is one of the cornerstones of the Constitution and American Democracy. Yes, but there are the collective rights of all members of society to be considered.
It comes down to the question of whether ObamaCare's mandates – individual, employer, and religious – are worth sacrifice of individual and group rights, or whether universal coverage is a right, part and parcel of a seamless society.
Mandates have consequences. Some good , 12.7 million uninsured become insured, coverage of those with pre-existing coverage, children, those below poverty line, and young adults under their parents' plans. Some bad – an average increase of 15% in premiums and an 8% spike in deductibles in health exchange plans, narrowing of choice of doctors, huge losses for insurers, widespread physician shortages.
It's not just six of one and half-dozen of the other. It's individual choice versus government control. It's managing the balance of government power versus collective and individual rights. It's deciding what a "free society" is all about.
Posted by Richard L. Reece, MD at 12:17 PM No comments:
Political Correctness and Political Incorrectness in Wake of Brussels Terrorists Attacks
Political Correctness is telling people what you think they want to hear in an ideal world. Political incorrectness is telling people what they are reluctant to believe in the real world.
The terrorist attacks in Brussels highlight the differences between political correctness and incorrectness.
· It is politically correct to say ISIS poses no existential threat to the U.S. and its isolated attacks can be handled legally.
· It is politically incorrect to say ISIS has declared war on Western civilization, threatens its very existence, and must be destroyed.
· It is politically correct to say that restricting Syrian immigration into the U.S. is a war against all religions and reflects bigoted racial intolerance.
· It is politically incorrect to call for a pause in this immigration because the immigrants may harbor terrorists.
· It is politically correct to refrain from calling terrorists jihadist terrorists for fear of being condemned as enemies of all Muslims.
· It is politically incorrect to call a spade a spade, namely that most terrorists to date have been Muslim terrorist extremists.
· It is politically correct to call the building of a wall as racially intolerant and instead to assert we should be building bridges.
· It is politically incorrect to say a wall would act as a barrier to illegal immigrations, would support the rule of law, and justify the existence of the U.S. as a nation with borders.
· It is politically correct to say illegal immigration is an act of desperation and love of family and that would ought to support and fund these immigrants in sickness, health, education, and to lift them out of poverty.
· It is politically incorrect to deport immigrants who have committed crimes and to shut down sanctuary cities.
· It is politically correct to protect human shields and innocents in ISIS concentrations of power and ISIS controlled cities by not bombing to prevent collateral damage.
· It is politically incorrect to seek to obliterate ISIS in spite of collateral damage.
· It is politically correct to apologize for America's past policies as capitalistic transgressions and to make concessions to one's former adversaries while asking for nothing in return.
· It is politically incorrect to call these policies as one-sided appeasing acts.
Political correctness and incorrectness also applies to the health system.
• It is politically correct to believe that everyone, no matter what their class or income or health status, deserves and should receive government guaranteed health coverage.
• It is politically incorrect to say that this is difficult in America because it superimposes a cumbersome, politically unpopular reform upon a complex, fragmented system without controlling costs.
• It is politically correct to say that the U.S. health system compares unfavorably to health systems of other developed nations.
• It is politically incorrect to say that the U.S. health system is a creature of our culture that reflects America's values.
• It is politically correct to blame high health costs and discriminatory policies of profiteering health plans that exclude those with pre-existing illnesses, children, and disadvantaged individuals and social groups.
• It is politically incorrect to point out that profits are necessary to run a health plan and satisfy stockholders, the new law with its taxes and rules will raise premiums, and government plans could not function without health plan administrative help.
• It is politically correct to say 30% of American health care is "wasteful" and "unnecessary" because of regional variations and provider greed.
• It is politically incorrect to say regional variations largely result from poverty and cultural conditions that combine to produce high costs for treating neglected or advanced diseases.
• It is politically correct to say that centralized government programs and regulations will save the health system money.
• It is politically incorrect to observe that never in the history of the Republic have government entitlement programs saved money.
• It is politically correct to believe health outcomes, e.g., obesity and diabetes, are due to physician inattention, failure to advise patients properly, or misguided treatments.
• It is politically incorrect to say adverse outcomes may more often stem from lack of patient compliance, bad personal habits, poor nutrition, and sedentary life styles.
• It is politically correct to say we can solve our health care cost problems by broadening the primary care base and coordinating care.
• It is politically incorrect to say only 2% of medical students select primary care careers, most Americans prefer to go directly to specialists, and concepts like medical homes are untested.
• It is politically correct to say that doctors are responsible for high care costs and if we could only herd them into cost-accountable groups costs would drop.
• It is politically incorrect other factors contribute to high costs, many doctors prefer to practice independently outside of managed groups, and dominant larger groups negotiate favorable contracts not intended to lower costs.
• It is politically correct to assert that the health system is so complex consumers lack the intelligence, information, and knowledge to select the right doctors or right hospitals.
• It is politically incorrect to say health savings accounts, now owned by 10 million Americans, cut premiums by 20% or more without producing negative outcomes.
• It is politically correct to say with ubiquitous, interoperable electronic health records, we can standardize and homogenize physician, hospital, and consumer health practices and behaviors.
• It is politically incorrect to say in America, freedom of choice of doctors, open selection of hospitals, latitude to live as one wishes, and personal privacy are considered God-given constitutional rights .
• It is politically correct to insist a wise and benevolent government can fine-tune, direct, and coordinate care in all economic sectors, including health care.
• It is politically incorrect to point out centralized governments more often produce economic stagnation, unemployment, long health care queues, than dynamic economies reflecting the individualistic , entrepreneurial, pragmatic, adaptable, and innovative nature of its most enterprising citizens.
• It is politically correct to say that within the next ten years (the time frame for implementation of Obamacare) we will know and appreciate government overhaul of health care.
• It is politically incorrect to note Obamacare is patterned after Massachusetts' four year old universal coverage plan, which has raised premiums to the highest level in the country, produced the longest waiting lines in the land, overcrowded ERs, caused many physicians to close practices to new patients, and doubled state budget costs.
Issues Underneath Reform – Scandals, Crises, Inversions, Taxes
In our concerns over a major health care issue – covering the cost of covering the uninsured without breaking the national bank – we lose perspective over the underlying human issues that lie beneath. You can gain this perspective by reading the Perspective Section of the New England Journal of Medicine, as exemplified in its March 17 edition.
Waiting Time Scandals
Often the scandals that surface in health reform efforts reside in such issues as prolonged waiting times to get care. In "Scandal as a Sentinel Event – Recognizing Hidden Cost-Quality Events, " the author, M.G. Bloche, J.D., of the Georgetown Law Center and the Transnational Events in London, suggests waiting time scandals usually occur when demands for excellence exceed budgets of the accomplishment of this excellence. When this occurs, managers and physicians often "game the system" to save their skin and to hide the deficiencies of the system. This "gaming" has led to scandals over prolonged waiting times in the Veterans Administration hospitals in the U.S. and in the British National Health System in the United Kingdom
VA Crisis
David Shulkin, MD, of the Department of Veterans Affairs, in "Beyond the VA Crisis – Becoming a High-Performance Network," submits the VA has been asked to do too much given its present structure and its limited budget. Give us time, he says, to restructure and to consolidate into a more coordinated system with adequate resources and with more flexibility in spending for services provided by the private sector, and we will do the job.
Perversions of Inversions
H.J. Warraich. MD, and K.A. Schulman, MD, of Duke University and Harvard Business School, in "Health Care Tax Inversions – Robbing Both Peter and Paul," comment on Pfizer and Medtronic moves to Ireland to avoid the U.S. punitive 35% corporate income tax – the highest in the world. The 35% rate compares to Ireland's rate of 7.7%. They recommend ways to avoid these inversions. These include requiring Congress to pass new rules, such as lowering the U.S. rate and empowering CMS to negotiate prices with manufacturers. They conclude "Developing new therapies – not avoiding taxes - remains the most durable way for pharmaceutical companies to remain profitable. "
Cadillac Taxes
Jason Furman PhD, and M. Fiedler, PhD, from the Council of Economic Advisors, write in "The Cadillac Tax – A Crucial Tool for Delivery-System Reform," that the Cadillac Tax – a 40% tax to be levied in 2000 on employer health plan costs in excess of $29,100 for family coverage and $10,700 for individual coverage is a good thing because it will drive employers to make their health plans more efficient. Presumably the tax will drive workers towards more efficient providers. The two authors say the Cadillac tax will save $95 billion by 2015 and $500 billion by 2036. Such a statement requires a belief in the federal tooth and truth fairy, which does not have history of saving money. In 1965, the government promised Medicare and Medicaid costs would not exceed $9 billion by 1990. The actual 1990 cost was $67 billion - 7.44 times the original projections In 2016 CMS (Centers for Medicare and Medicaid) will cost over $1 trillion, 15 times the 1990 figure. So much for government promises and projections to keep costs down.
What Happens When You Hold Doctors' Feet to Fire
To maintain personal, social, political , legal pressure on someone in order to induce him or her to comply with one's desire, to hold someone accountable for his or her act or promise.
Wiktionary, definition of "To hold one's feet to fire"
Primary care doctors are under personal, social, political, and legal pressures to see as many patients without mistakes as possible even though the doctors to not have the time or resources to do so.
Result? As documented in a Kaiser Health News report, "Burnt-out Primary Care Doctor Are Voting with Their Feet."
With their burnt feet, they are seeking shelter and refuge from the reform storm" because they feel they are unable to do what is being asked from them.
They are jumping off the burning deck of health reform, which is sinking under waves of new patients enrolling or qualifying for Medicare, Medicaid, and ObamaCare health exchanges.
Doctors are under pressure, and many of them are saying they can't take it anymore.
Rather than expounding on this overheated subject, I refer you to the 1753 word Kaiser Health News story and to these quotes in that story which explain what is happening.
· "Tired of working longer and harder because of discounted insurance payments and frustrated by stagnating pay and increasing oversight, many are going to work for large groups or hospitals, curtailing their practices and in some cases, abandoning primary care or retiring early."
· "Stressed doctors, meanwhile, often mean anxious, dissatisfied patients. Many consumers report feeling shortchanged after waiting weeks or even months for an appointment, only to get a quick once-over and be told there isn't time to address all their complaints in one visit."
· "A 2012 Urban Institute study of 500 primary-care doctors found that 30 percent of those aged 35 to 49 planned to leave their practices within five years. The rate jumped to 52 percent for those over 50."
· "A RAND study for the American Medical Association last year found that nearly half of surveyed physicians called their jobs "extremely stressful" and more than one-quarter said they were either "burning out," experiencing burnout symptoms "that won't go away," or "completely burned out" and wondering if they "can go on."
· "Richard J. Baron, president of the American Board of Internal Medicine, set out to document how much time a doctor spends managing care and discovered that on a typical day, he or she handles 18.5 phone calls; reads 16.8 e-mails; processes a dozen prescription refills (not counting those written during a visit); interprets 19.5 lab reports; reviews 11 imaging reports; and reads and follows up on 13.9 reports from specialists."
· Perhaps the single greatest source of frustration for many physicians is a tool that was supposed to make their lives easier: electronic medical records. Many do not merely dislike electronic health records – they despise them. "We were surprised by the intensity of their reports," said Mark Friedberg, a physician and co-author of last year's RAND study."
· "To ease the burden, some physicians have started using scribes – laptop-carrying assistants who follow them in and out of the exam room. Scribing is one of several proposals to provide greater support to physicians by giving more responsibility to nurses, health coaches and health educators. But adding personnel involves additional costs, which worries physicians trying to limit their overhead."
· "The trend line, meanwhile, is troubling. The Association of American Medical Colleges estimates the United States will be short 45,000 primary-care doctors in 2020, when 268,000 are projected to be practicing. That compares to a shortfall of 9,000 in 2010, with 254,800 practicing."
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text:
Minuskel 58 (in der Nummerierung nach Gregory-Aland), ε 518 (von Soden) ist eine griechische Minuskelhandschrift des Neuen Testaments auf 342 Pergamentblättern (19,8 × 14,5 cm). Mittels Paläographie wurde das Manuskript auf das 15. Jahrhundert datiert.

Beschreibung
Der Kodex enthält den Text der vier Evangelien. Er wurde einspaltig mit je 20–21 Zeilen beschrieben und enthält Listen der κεφαλαια, κεφαλαια, τιτλοι, Ammonianischen Abschnitte, αναγνωσεις, Synaxarion, und Unterschriften.

Der griechische Text des Codex repräsentiert den Byzantinischen Texttyp und wird der Kategorie V zugeordnet.

Geschichte
Der Kodex befindet sich zurzeit im New College unter der Nummer 68 in Oxford.

Siehe auch
 Liste der Minuskelhandschriften des Neuen Testaments
 Textkritik

Einzelnachweise

Literatur
 Orlando Dobbin: Colation of the Codex Montfortianus (London: S. Bagster and sons 1854), S. 31–33.

Minuskelhandschrift des Neuen Testaments
Handschrift des New College (Oxford)
Handschrift (15. Jahrhundert)


text:
God war eine britische Experimental-Metal-Band aus London, die im Jahr 1987 gegründet wurde und sich 1996 auflöste.

Geschichte
Die Band wurde im Jahr 1987 von Kevin Martin gegründet, nachdem er von Mark E. Smith kontaktiert worden war, um einen Gastbeitrag für eine Kompilation von seiner Band The Fall, die den Namen Disparate Cognescenti trägt, beizusteuern. Martins hauptsächlicher musikalischer Partner war Shane Rogan. Beide beschlossen daraufhin zusammen God zu gründen, wobei Martin den Gesang übernahm und das Tenorsaxophon spielte, während Rogan die E-Gitarre übernahm. Für den Rest der 1980er Jahre befand sich die Besetzung um das Duo in einem stetigen Wechsel. Martin betrieb in London zudem den Mule Club, in dem God zusammen mit Napalm Death und Godflesh auftreten konnte. Der Gitarrist Justin Broadrick, welcher ehemals bei Napalm Death tätig war und später Godflesh gegründet hatte, produzierte die EP Breach Birth, die 1990 bei Situation Two Records erschien. Broadrick trat kurze Zeit später offiziell God bei. Er war zudem zusammen mit Martin in vielen weiteren Musikprojekten tätig. God weitete sich daraufhin auf ein Projekt aus, das aus neun Mitgliedern bestand. Bei Martins eigenem Label Pathological Records erschien im Jahr 1991 das Live-Album Loco. Mit Possession folgte über Virgin Records im Jahr 1992 das erste Studioalbum, ehe 1993 ein weiteres Live-Album unter dem Namen Consumed bei Sentrax Records erschien. 1994 erschien das Studioalbum The Anatomy of Addiction, dem sich die Remix-EP Appeal to Human Greed 1995 anschloss. 1996 löste sich die Gruppe auf.

Stil
Laut Ned Raggett von Allmusic kombiniert die Band auf Loco Free Jazz der 1970er und 1980er Jahre mit Heavy Metal. Laut Robert Müller vom Metal Hammer ist die Band auf The Anatomy of Addiction eine "wenig melodische, rhythmusorientierte und angejazzte Variante" von Godflesh. Die Musik sei außerdem sperrig, aber intensiv.

Diskografie
 1990: Breach Birth (EP, Situation Two Records)
 1990: Meathead / Car First (Split mit Terminal Cheesecake, Clawfist Records)
 1991: Loco (Album, Pathological Records)
 1992: Possession (Album, Virgin Records)
 1993: Consumed (Album, Sentrax Records)
 1994: The Anatomy of Addiction (Album, Big Cat)
 1995: Appeal to Human Greed (EP, Big Cat)

Weblinks

Einzelnachweise

Britische Band
Metal-Band
Fusion-Band


text:
Home Movies Fast & Furious 7 damaged 230 Cars during the Shoot
Fast & Furious 7 damaged 230 Cars during the Shoot
Cars damaged during the Shoot
Achieving success is not easy. It requires a lot of hard work, practice and also some amount of damaging in this case. If The Wall Street Journal reports are true, then 230 cars were damaged during James Wan's Fast & Furious 7's shoot in Colorado, Atlanta and Abu Dhabi. This whopping number of cars includes several black Mercedes-Benzes, a Ford Crown Victoria and a Mitsubishi Montero. All of these cars were taken off the site each day and crushed in order to ensure that they do not find a place in the market again. We cannot even begin to calculate the amount spent over buying and subsequently blowing up these beauties; all of it to provide the right amount of thrill and adrenaline rush to its viewers in this last sequel to this amazing car racing series. The film has already garnered tremendous response from the people across the world giving it a $500m total worldwide, in under a week of its release. The film will definitely cross the $1b mark as soon as it releases in China and Japan and could be on its way to becoming 2015's biggest hit. The film is a fitting tribute to the late Paul Walker who was the heart and soul of this amazing series. This has also been the primary reason that has drawn audience world over to watch 'The Last Ride'. Fast & Furious also enjoyed the fourth biggest launch ever after Harry Potter and Avengers. The production of the film had stopped when Walker passed away in a car crash in November, 2013. His brothers doubled for all his scenes bringing an end to this amazing set of films. How did the story writers manage the entire script after the sudden death of Walker, was something that interested many. We have to say that Paul's brother too did a tremendous job. It's easy to spot that it is not Paul, but from certain angles they look so similar; it's unbelievable! Well, we must say that team Fast & Furious did a swell job. the last song in the film is going to make everyone cry; we know that! As far as Paul Walker is concerned, we miss you man. Still do, always will!
This post first appeared on The Guardian.To read the full post click here
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text:
NPP Delegates' Conference a victory for Nana Akufo-Addo
Parent Category: Main
Category: Features
Created on Monday, 14 April 2014 00:00
But for Otiko Afisa Djaba retaining her position as the National Women organiser, the New Patriotic Party in the early hours of April 13, 2014 elected a new set of executives to steer the affairs of the party for the next four years.
Some are calling it a "thorough house cleaning exercise" with a potential presidential candidate aspirant of the party describing it as a "new direction for the party". What the NPP has made resoundingly clear from the national delegates' conference is that victory in 2016 is non-negotiable.
However, one thing also remains clear. None of the candidates, and winners on the day for that matter, could have made it without Nana Addo Dankwa Akufo-Addo, and that is the honest truth. From the polling station level, through to constituency, regional and the national level, candidates campaigned using the name of Nana Akufo-Addo.
From the use of Akufo-Addo's name in their campaign messaging, to the display of pictorial evidence suggesting a perfect relationship with Nana Addo appearing in campaign brochures of most candidates, Nana Addo remained an ever present and integral part of the electioneering process.
Some candidates even went to the extent of fabricating endorsements of their candidacy by Nana Addo.
Newly elected National Chairman, Mr. Paul Afoko minced no words when he told delegates and media outlets across the country that "I would make Akufo-Addo President in 2016."
Kwabena Agyepong, General Secretary of the party, held a press conference solely to debunk allegations that he had a "fractured relationship" with Nana Akufo-Addo. Indeed, Kwabena Agyepong's campaign brochure was replete with pictures of himself and Nana Addo, solely to paint a picture of a wonderful working relationship with Nana.
Sammy Awuku, National Youth Organiser of the party; John Boadu, National Organiser; Otiko Djaba; Mr. Abankwah, Treasurer, and Mr. Kamal Deen, Nasara Co-ordinator all campaigned with Nana Akufo-Addo.
This is a clear endorsement, recognition and acknowledgement of the fact that Nana Akufo-Addo remains the Presidential Candidate of choice for all the current National executives of the party.
If indeed, Nana Addo was not a critical factor to in their bid to secure victory, why did they "use" him? Why didn't any of the candidates campaign with the name of Alan Kyerematen, Asamoah Boateng, Richard Anane, Osei Ameyaw or Dr. Konadu Apraku? Your guess is as good as mine.
Indeed, when his presence at the Tamale delegates' conference on Saturday, the cheers he received from delegates was deafening, an overwhelming declaration by the delegates that none other but Nana Akufo-Addo was their preferred candidate for 2016.
Heads or tails, regardless of the candidates who emerged victorious, one thing remains clear, they are candidates of Nana Akufo-Addo and could not have made it without him.
Mohammed Alhassan
Builsa South Constituency