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"One way to think about health care" posted by ~Ray
Posted on 2008-10-10 03:24:56

Tyler Cowen ; more on that later. But here's a metric we might use to compare our various policy options. According to a study that even the New Republic's Jon Cohn admitted he thought was probably exaggerated being uninsured killed 18,000 people a year this decade. Methicillin-resistant Staphylococcus aureus on the other hand apparently. MRSA is the result of inadequate hygiene in hospitals and indiscriminate use of antibiotics. Doctors and other medical workers have gotten lazier about hygiene since the invention of antibiotics in line with other sorts of risk-taking behavior (more than one wag has suggested that the best way to eliminate auto accidents would be to mount a spear on the steering wheel pointed straight at the driver's heart.) They also prescribe antibiotics even when they are not clearly indicated. "just in case" or worse when they know they won't do any good but want to get an ignorant and demanding patient out of their office. Third place for blame must of course go to the patients who do not finish taking their drug courses which allows partially resistant bugs to survive and eventually breed highly resistant bugs and what with my awful memory you can put me in the dock along with almost everyone else. MRSA is just one of the infections that are thriving in this environment. What would be the cost of a war on infection in hospitals? One suspects it would be a lot less than insuring 44 million people. This might be one of the items that Tyler suggests libertarians should think about. There's a clear public health cause here as with vaccines; doctors who prescribe indiscriminately or people who don't take all their pills are in fact placing a substantial burden on the rest of the public. Non libertarians can of course go along wishing that we would have national health care and a War on Infection. But it's worth asking yourself: in a world of scarce resources where you could only have one which would you choose? And by what principle? Providing access to primary care to those who are currently only getting emergency care is almost but not quite entirely unlike the problem of reducing medical error. (hat tip to the first person to get the reference.) While there may be a reduction in the rate of increase in costs after several years there will need to be an immense effort made to train an army of primary doctors and get them into the communities where they're needed. Please stop reading Lomborg. Malaria and global warming are both serious problems. There is simply no reason whatsoever to pit them off against each other. This is even more the case where the solutions to the two problems require different commitments. What is strange about MRSA is that this is actually a really good example of where regulation is probably needed as it is a classic commons dilemma (or at least the overuse of antibiotics is). It is to my personal benefit to be treated with the most effective possible drug -- my contribution to antibiotic resistance due to a single course of drugs is unmeasurable and I derive benefit from fewer sick days and feeling better. However if everyone acts this way then the collective effect of our actions is to make these drugs eventually stop working for anyone. This is a drop in overall utility for everyone and not a happy scenario. However. I think you're missing the point which is not that one must always make tradeoffs. Your comment that two things "require different commitments" is almost entirely irrelevant. The idea that since two things are quite different they automatically are not opposed to each other is a fallacy. Every single choice is opposed to each other. TANSTAAFL. Now of course one may believe that both of these in the universe of options are both sufficiently superior to other ones as to be taken. I still think that the point of merely observing the relative seriousness of the two cases is interesting merely because it's a case where the public attention and rhetoric tends to be badly mistaken on relative risks. In particular resistant diseases have a much greater chance of getting catastrophically worse than the deaths causes currently by lack of insurance (a property shared with things like global warming.) 1) While I haven't seen the study. I doubt that anyone can credibly estimate the "death toll" of being uninsured. This is probably some weird extrapolation off the RAND Health Insurance Experiment or something and probably doesn't have sufficient out of sample validity to demonstrate a system-wide effect. 2) The benefits of a different health care system are not confined to deaths. Not least we should probably be using something like quality adjusted years -- which proponents of changes to the health care system would argue would result from a different system. Megan: it makes no sense to compare deaths due to lack of insurance to deaths due to MRSA. The reason is simple. It is within the US's power to reduce the number of deaths due to lack of insurance to 0 -- simply adopt universal health insurance like any other advanced economy. By contrast we do not have the power to reduce the number of deaths due to MRSA to 0. We can probably make a significant dent with drastic measures like a major centralization of the US's public health system. (You know the sort of thing you'd get if you had universal health insurance.) But ultimately resistant disease strains are an inevitable result of the use of antibiotics; they can be minimized by not eliminated. Lack of health insurance by contrast is not an inevitable result of anything but corporate greed. "Researchers believe that MRSA initially arose because of selection pressure resulting from antibiotic use and misuse in hospitals. Issues with continuing antibacterial stewardship poor infection control and the increasing severity of illness in hospitalized patients have contributed to the recent explosion in the prevalence of MRSA. Similar selection pressures due to physician behavior (e g. inappropriate use of antibiotics and failure to follow hospital infection control policies) have contributed to the emergence and spread of community-associated MRSA (CA-MRSA)"-Moran et al. Methicillin-resistant S aureus infections among patients in the emergency department. N Engl J Med 2006; 355:666–74. This is but one of many examplkes of how the left is giulty of mass killings thanks to their policy and shold be held account for their crimes against humanity. Abolish unions and you will have gone very far in eliminating MRSA. That would change the deaths from "deaths due to lack of insurance" to "due to government health plan". My father and my father-in-law both got colon cancer. My father was scheduled for surgery with a couple of weeks. My father-in-law on the other hand had to wait because Finland had a doctor's strike underway. The central problem with health care costs is that if the decision maker does not have to pay the demand is unlimited. It's like college tuition. The people making the decisions don't have to pay at least not upfront. Naturally we get ferocious inflation. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Is it worth spending over $500 on a ? I'm sorry to report that it is. The Series Three has all the functionality that made its older products the best DVRs around: an intuitive user interface transparent menus simple and fast recording. Now it's added HD capability and two cable cards so you can record and watch at the same time (or record two shows). With the cable cards the most annoying feature about older Tivos--the latency switching channels--has disappeared. They've also added new features that prove surprisingly useful such as the ability to download movies on a whim from Amazon's Unbox service. I'd give up my dishwasher before I'd part with this.

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"One way to think about health care" posted by ~Ray
Posted on 2008-10-10 03:24:55

Tyler Cowen ; more on that later. But here's a metric we might use to compare our various policy options. According to a study that even the New Republic's Jon Cohn admitted he thought was probably exaggerated being uninsured killed 18,000 people a year this decade. Methicillin-resistant Staphylococcus aureus on the other hand apparently. MRSA is the result of inadequate hygiene in hospitals and indiscriminate use of antibiotics. Doctors and other medical workers have gotten lazier about hygiene since the invention of antibiotics in line with other sorts of risk-taking behavior (more than one wag has suggested that the best way to eliminate auto accidents would be to mount a spear on the steering wheel pointed straight at the driver's heart.) They also prescribe antibiotics even when they are not clearly indicated. "just in case" or worse when they know they won't do any good but want to get an ignorant and demanding patient out of their office. Third place for blame must of course go to the patients who do not finish taking their drug courses which allows partially resistant bugs to survive and eventually breed highly resistant bugs and what with my awful memory you can put me in the dock along with almost everyone else. MRSA is just one of the infections that are thriving in this environment. What would be the cost of a war on infection in hospitals? One suspects it would be a lot less than insuring 44 million people. This might be one of the items that Tyler suggests libertarians should think about. There's a clear public health cause here as with vaccines; doctors who prescribe indiscriminately or people who don't take all their pills are in fact placing a substantial burden on the rest of the public. Non libertarians can of course go along wishing that we would have national health care and a War on Infection. But it's worth asking yourself: in a world of scarce resources where you could only have one which would you choose? And by what principle? Providing access to primary care to those who are currently only getting emergency care is almost but not quite entirely unlike the problem of reducing medical error. (hat tip to the first person to get the reference.) While there may be a reduction in the rate of increase in costs after several years there will need to be an immense effort made to train an army of primary doctors and get them into the communities where they're needed. Please stop reading Lomborg. Malaria and global warming are both serious problems. There is simply no reason whatsoever to pit them off against each other. This is even more the case where the solutions to the two problems require different commitments. What is strange about MRSA is that this is actually a really good example of where regulation is probably needed as it is a classic commons dilemma (or at least the overuse of antibiotics is). It is to my personal benefit to be treated with the most effective possible drug -- my contribution to antibiotic resistance due to a single course of drugs is unmeasurable and I derive benefit from fewer sick days and feeling better. However if everyone acts this way then the collective effect of our actions is to make these drugs eventually stop working for anyone. This is a drop in overall utility for everyone and not a happy scenario. However. I think you're missing the point which is not that one must always make tradeoffs. Your comment that two things "require different commitments" is almost entirely irrelevant. The idea that since two things are quite different they automatically are not opposed to each other is a fallacy. Every single choice is opposed to each other. TANSTAAFL. Now of course one may believe that both of these in the universe of options are both sufficiently superior to other ones as to be taken. I still think that the point of merely observing the relative seriousness of the two cases is interesting merely because it's a case where the public attention and rhetoric tends to be badly mistaken on relative risks. In particular resistant diseases have a much greater chance of getting catastrophically worse than the deaths causes currently by lack of insurance (a property shared with things like global warming.) 1) While I haven't seen the study. I doubt that anyone can credibly estimate the "death toll" of being uninsured. This is probably some weird extrapolation off the RAND Health Insurance Experiment or something and probably doesn't have sufficient out of sample validity to demonstrate a system-wide effect. 2) The benefits of a different health care system are not confined to deaths. Not least we should probably be using something like quality adjusted years -- which proponents of changes to the health care system would argue would result from a different system. Megan: it makes no sense to compare deaths due to lack of insurance to deaths due to MRSA. The reason is simple. It is within the US's power to reduce the number of deaths due to lack of insurance to 0 -- simply adopt universal health insurance like any other advanced economy. By contrast we do not have the power to reduce the number of deaths due to MRSA to 0. We can probably make a significant dent with drastic measures like a major centralization of the US's public health system. (You know the sort of thing you'd get if you had universal health insurance.) But ultimately resistant disease strains are an inevitable result of the use of antibiotics; they can be minimized by not eliminated. Lack of health insurance by contrast is not an inevitable result of anything but corporate greed. "Researchers believe that MRSA initially arose because of selection pressure resulting from antibiotic use and misuse in hospitals. Issues with continuing antibacterial stewardship poor infection control and the increasing severity of illness in hospitalized patients have contributed to the recent explosion in the prevalence of MRSA. Similar selection pressures due to physician behavior (e g. inappropriate use of antibiotics and failure to follow hospital infection control policies) have contributed to the emergence and spread of community-associated MRSA (CA-MRSA)"-Moran et al. Methicillin-resistant S aureus infections among patients in the emergency department. N Engl J Med 2006; 355:666–74. This is but one of many examplkes of how the left is giulty of mass killings thanks to their policy and shold be held account for their crimes against humanity. Abolish unions and you will have gone very far in eliminating MRSA. That would change the deaths from "deaths due to lack of insurance" to "due to government health plan". My father and my father-in-law both got colon cancer. My father was scheduled for surgery with a couple of weeks. My father-in-law on the other hand had to wait because Finland had a doctor's strike underway. The central problem with health care costs is that if the decision maker does not have to pay the demand is unlimited. It's like college tuition. The people making the decisions don't have to pay at least not upfront. Naturally we get ferocious inflation. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Greetings! Since the beginning of history. God has been revealing events to come to His people. On June 19. 2008 the Lord strongly impressed on me the need for His people to educate themselves concerning the products they buy and consume. I am writing this because I believe the Lord is warning His people of days to come. There are certain chemicals found in everyday products that are going to wreak havoc on our environment and well-being. One such chemical is Triclosan. Triclosan is an excellent product when used to protect healthcare providers treating patients with contagious diseases such as medical professionals who are working in third-world countries during serious disease outbreaks. It can be a lifesaver to medical workers under those circumstances; however the use of triclosan has not been tightly regulated and it is now being overused in many products you and I use every day. The warning cry is that this chemical and similar compounds will end up killing us if we continue to misuse and overuse them. Overuse puts us all at risk at contracting antibiotic-resistant superbugs and individually triclosan-based products weaken our immune systems. Please do not use or purchase triclosan-based products. I hope you will take the time to read this brief message about the dangers of the chemical Triclosan and similar tricloson-like products (such as Triclocarban and quaternary ammonium compounds): *Dioxin a highly carcinogenic endocrine disrupting compound may be formed during the manufacturing process of triclosan and thus is a likely contaminant. More alarmingly researchers found that when sunlight is shined on triclosan in water and on fabric a portion of triclosan is transformed into dioxin. Because of its ubiquitous nature the conversion to dioxin is of major concern. *Triclosan is one of the most frequently detected compounds in rivers streams and other bodies of water often in high concentrations. Triclosan is highly toxic to a number of different types of algae. Since algae are the primary producers in many aquatic ecosystems high levels of triclosan may have destructive effects on aquatic ecosystems. *The American Medical Association took an official stance against adding antimicrobials to consumer products in 2000 and has repeatedly urged the Food and Drug Administration (FDA) to better regulate these chemicals. For more information google com: "Triclosan." Triclosan is found in the following products:Soaps:* Dial® Liquid Soap* Softsoap® Antibacterial Liquid Hand Soap* Tea Tree Therapy™ Liquid Soap* Provon® Soap* Clearasil® Daily Face Wash* Dermatologica® Skin Purifying Wipes* Clean & Clear Foaming Facial Cleanser* DermaKleen™ Antibacterial Lotion Soap* Naturade Aloe Vera 80® Antibacterial Soap* CVS Antibacterial Soap* pHisoderm Antibacterial Skin CleanserDental Care:* Colgate Total®; Breeze™ Triclosan Mouthwash* Reach® Antibacterial Toothbrush* Janina Diamond Whitening ToothpasteCosmetics:* Supre® Café Bronzer™* TotalSkinCare Makeup Kit* Garden Botanika® Powder Foundation* Mavala Lip Base* Jason Natural Cosmetics* Blemish Cover Stick* Movate® Skin Litening Cream HQ* Paul Mitchell Detangler Comb* Revlon ColorStay LipSHINE Lipcolor Plus Gloss* DazzleDeodorant:* Old Spice High Endurance Stick Deodorant* Right Guard Sport Deodorant* Queen Helene® Tea Trea Oil Deodorant and Aloe Deodorant* Nature De France Le Stick Natural Stick Deodorant* DeCleor Deodorant Stick* Epoch® Deodorant with Citrisomes* X Air Maximum Strength DeodorantOther Personal Care Products:* Gillette® Complete Skin Care MultiGel Aerosol Shave Gel* Murad Acne Complex® Kit®* Diabet-x™ Cream* T. Taio™ sponges and wipes* Aveeno Therapeutic Shave GelFirst Aid:* SyDERMA® Skin Protectant plus First Aid Antiseptic* Solarcaine®* First Aid Medicated Spray;Nexcare™ First Aid* Skin Crack Care* First Aid/Burn Cream* HealWell® Night Splint* 11-1X1: Universal Cervical Collar with MicrobanKitchenware:* Farberware® Microban Steakknife Set and Cutting Boards* Franklin Machine Products FMP Ice Cream Scoop SZ 20 Microban* Hobart Semi-Automatic Slicer* Chix® Food Service Wipes with Microban* Compact Web Foot® Wet Mop HeadsComputer Equipment:* Fellowes Cordless Microban Keyboard and Microban Mouse PadClothes:* Teva® Sandals* Merrell Shoes* Sabatier Chef's Apron* Dickies Socks* Fruit of the Loom Socks* Biofresh® SocksChildren's Toys:* Playskool® :o Stack 'n Scoop Whaleo Rockin' Radioo Hourglasso Sounds Around Drivero Roll 'n' Rattle Ballo Animal Sounds Phoneo Busy Beads Palo Pop 'n' Spin Topo Lights 'n' Surprise LaptopOther:* Bionare® Cool Mist Humidifier* Microban® All Weather Reinforced Hose* Thomasville® Furniture* Deciguard AB Ear Plugs* Bauer® 5000 Helmet* Aquatic Whirlpools* Miller Paint Interior Paint* QVC® Collapsible 40-Can Cooler* Holmes Foot Buddy™ Foot Warmer* Blue Mountain Wall Coverings* California Paints®* EHC AMRail Escalator Handrails* Dupont™ Air Filters* Durelle™ Carpet Cushions* Advanta One Laminate Floors* San Luis Blankets* J Cloth® towels* JERMEX mops 6. Hoang TT. Schweizer HP. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in homoserine lactone synthesis. J Bacteriol 1999;181:5489-97. 8. Mereghetti L. Quentin R. Marquet-van der Mee N. Audurier A. Low sensitivity of Listeria monocytogenes to quaternary ammonium compounds. Appl Environ Microbiol 2000;66:5083-6. 9.*McMurry LM. McDermott PF. Levy SB. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan. Antimicrob Agents Chemother 1999;43:711-3. 11. Radosti-Slater C. Aller GV. DeWolf W. Greenwood R. Nicholas R. Payne D et al. Mode of action of triclosan in S aureus [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 101 p. 26. 12. Meade MJ. Callahan TM. Unique mechanism of triclosan resistance identified in environmental isolates [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 73 p. 19. 13. Suzangar S. Allison DG. Gilbert P. An evaluation of biocide-containing materials for their surface colonization-resistance and other properties [abstract] American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 53 p. 17. 16. Chuanchuen R. Beinlich K. Schweizer HP. Multidrug efflux pumps and triclosan resistance in Pseudomonas aeruginosa [abstract]. American Society for Microbiology annual meeting. Los Angeles. California. 2000 May 21-24. Abstract 31 p. 8. 17. Akimitsu N. Hamamoto H. Inoue R. Shoji M. Akamine A. Takemori K et al. Increase in resistance of methicillin-resistant Staphylococcus aureus to beta-lactams caused by mutations conferring resistance to benzalkonium chloride a disinfectant widely used in hospitals. Antimicrob Agents Chemother 1999;43:3042-3. 19.*Braun-Fahrl*nder CH. Gassner M. Grize L. Neu U. Sennhauser FH. Varonier HS et al. Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. Clin Exp Allergy 1999;29:28-34. 20.*Rook GAW. Stanford JL. Give us this day our daily germs. Immunol Today 1998;19:113-6. 21.*Matricardi PM. Rosmini F. Riondino S. Fortini M. Ferrigno L. Rapicetta M et al. Exposure to foodborne and orofecal microbes versus airbone viruses in relation to atopy and allergic asthma: epidemiological study. BMJ 2000;320:412-7. Is it worth spending over $500 on a ? I'm sorry to report that it is. The Series Three has all the functionality that made its older products the best DVRs around: an intuitive user interface transparent menus simple and fast recording. Now it's added HD capability and two cable cards so you can record and watch at the same time (or record two shows). With the cable cards the most annoying feature about older Tivos--the latency switching channels--has disappeared. They've also added new features that prove surprisingly useful such as the ability to download movies on a whim from Amazon's Unbox service. I'd give up my dishwasher before I'd part with this.

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"Marginal Revolution: How to debate health care policy" posted by ~Ray
Posted on 2008-03-26 01:40:24

How to debate health care policyHealth care policy should be debated through micro-facts. Let’s consider a few: 1. American health care outcomes be much better once we alter for race and other demographic factors including violence and car crashes. Some groups — such as Asian-American women — undergo remarkably good health care outcomes. 2. Some of the health care savings of other systems become through determine effects (e g. doctors are paid an average of $60,000 in France) and do not bear on real resource savings. There’s more and a common-sense set of ground rules at the end. Looks good to me! This entry was posted on Wednesday. October 17th. 2007 at 2:20 pmand is filed under. You can follow any responses to this entry through the feed. You can or from your own site. I dislike to see someone reinforcing the distorted concept that physician incomes are the bulge of health care costs in this country. If you go to the hospital the bulge of the expense is not your doctors’ bills. I prescribe and monitor the results of medications each of which be multiples of what my fee is for doing so. Being in rehab I bring down what I suspect must be at least hundreds of thousands of dollars per year in DME not to mention charges from home health agencies. My fees are a bargain. I evaluate #4 was the most interesting of his points. It’s why I’ll be on a 2 - 3 year retirement plan when the big Socialism Bomb hits medicine; the bills ordain be paid in full for 2 - 3 years then when the country finds out the tab the clampdown ordain go away. It’s all downhill from there. I just want to say thanks for posting all that you do on this site - it has provided me with great exposure to both the serious and funny sides of care for - I applaud you! XHTML: You can use these tags: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <label> <em> <i> <touch> <strong> This blog is unmoderated and therefore comments not made by me do not necessarily designate my views,advance I reserve the alter to remove any comment. By submitting a mention here you grant this place a perpetual license to create your words and name/web place in attribution.

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"Showdown Over Children?s Health Care Looms" posted by ~Ray
Posted on 2008-01-08 00:12:24

Democrats are not predicting victory in the main event in Congress this week - their push to override President furnish’s veto of a children’s health care account. But they believe they’re winning nonetheless. Even though Republicans expect to narrowly sustain President Bush’s contradict in a choose set for Thursday. Democrats say they have managed to put Republicans approve on their heels scrambling to explain their opposition to a popular health program. “This is a defining moment for the Republican celebrate in my opinion,” Representative Steny H. Hoyer of Maryland the majority leader said on “Fox News Sunday.” “They’re going to say whether they are in fact a compassionate community or whether they’re going to unthinkingly follow the dictates of their celebrate and their president against the schedule that the overwhelming majority of their constituents are for.” Neither Mr. Hoyer nor Speaker Nancy Pelosi would claim the 20 or so votes needed to provide the Democratic Congress with its first override of the president. But Democrats are likely to pick up a few votes from Democrats who initially opposed the bill a Republican switcher or two and lawmakers who weren’t on transfer for the original choose. Republicans are trying to move the conversation away from the decree to their contention that Democrats are not serious about negotiating a resolution to the impasse. “The Democrats have spoken to no House Republicans about working out this bill,” said Representative John A. Boehner of Ohio the Republican leader on the Fox program. Mr. Boehner echoed the Republican lay that the $35 billion increase sought by Democrats is not the air as much as the expansion of government-administered health care. But the problem for accommodate Republicans in particular is the strong support the measure has among senior Senate Republicans combined with the backing of almost four dozen Republicans in the House. That support undermines the opposition of the remaining Republicans. Even Mr. Boehner a steadfast affiliate of the White House acknowledged Republicans could undergo done without this dispute. “It probably isn’t the contend that we’d want to pick but it’s a fight they decided to pick,” Mr. Boehner said. The showdown over the State Children’s Health Insurance Program is just one of the issues before Congress this week as the Senate returns from a week off. The House is also scheduled to consider an overhaul of the Foreign Intelligence.

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"Friendly Advice for Conservatives on Health Care" posted by ~Ray
Posted on 2007-12-15 17:48:01

National Review Online ’s is in full displace. The site features a week’s worth of essays on how conservatives should come health care. My contribution offers friendly advice about how conservatives can avoid abetting the Left as come up as the special interests who acquire from the creeping socialization of American health care: Health care is a tough air for conservatives only because they undergo strayed from their free-market principles. When conservatives return to those principles health care ordain again change state a tough air for the Left. It was the most fun I’ve had with an oped in a while. construe the whole thing. Cato Institute - 1000 Massachusetts Avenue. N. W. - Washington D. C 20001

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"A breakthrough on universal healthcare?" posted by ~Ray
Posted on 2007-12-09 15:23:27

(Nicole: thanks to Heather for grabbing this video of Boehner discussing SCHIP on FOX News Sunday) With the celebrate taking a bit of a beating over its resistance to expanding find to healthcare for low-income children. Republicans on Capitol Hill apparently undergo a new idea: they’ll introduce. Under fierce attack by Democrats over the children’s health insurance intend. House Minority Leader John A. Boehner said Sunday Republicans ordain unveil their own health care intend over the next few months. “Republicans are working on a intend that will give access to all Americans to high quality health insurance make sure that we increase the quality of insurance that we have in American and we be to foster a sprit of innovation,” said Boehner on “Fox News Sunday.” “This is a plan we’ll see over the next coming months where we put the patients in charge of their health care.” It’s obviously too soon to say what features might be included in such a intend though it’s safe to assume the policy won’t amount to much. But frankly that’s not the point. The leading Republican in the House is prepared to unveil a plan that ordain offer universal find to “high-quality health insurance.” Whether the plan stinks is irrelevant — a proposal desire this would be a. If “insurance ” is included in their plan then it’ll be nothing more than rewording of the status qou. If they be to propose real healthcare reform they’ve got to take insurance companies out of the picture. We don’t be to go SCHIP because we’ll have a plan in a few months…we don’t want to go SCHIP because we’ll have a plan in a few more months…we don’t want to pass SCHIP because we’ll have a intend in a few months after that… Why don’t we address the absurdity of “The Working Poor” while we’re at it instead of trying to give services to this assort. If somebody works in the country they’re doing their part. They shouldn’t be poor. So long as the word insurance is included in the title and body of any universal plan the poor will not be able to afford it. Dem’s don’t accept this stall tactic to succeed truly advance the healthcare system. SCHIP is a good start. No. I think a study breakthrough would be that the Republicans are competent enough to actually do ANYTHING that doesn’t create more problems than they solve. Though I’m not holding my breath on that. Americans don’t need “high quality health insurance.” We be universal health coverage that’s not affect to the whims or profit motives of insurance companies. Just like the rest of the civilized world has. That such a plan would be objectionable to Smokey Boner and the rest of the deposed Bush marionettes is icing on the cake. i don’t mean to be a naysayer but the thought the GOP’s intend will be a good plan is friggin’ crazy. it ordain be based on private insurance companies and their advance enrichment the GOP/new dems/ron paul will embrace any plan that relies on the mythological “free” market as if there was such a beast. i predict taking the polar opposite believe of steve that this will only alter matters worse i don’t think it has any potential of being a ‘major breakthrough’ instead the GOP will attempt to placate the masses with a slightly better–but comfort abysmal–plan that ordain be a furnish away to private insurance and it will not fix the systemic failures with our healthcare system but in proposing a plan it will get the issue off the political table and allow the GOP to affirm “victory” yes i hope i am wrong and i will openly adjudge it if i am i’m pretty sure i’m not going to be do by though…. How about this: The republicans know that the majority of Americans are demanding exceed healthcare so they vote against SCHIP to alter the dems seem incompetent and then put out their own plan to try to look desire the harbingers of dress. I wouldn’t put it past them because they are disgusting. However they might well shoot themselves in the pay if their intend is just a handout to the insurance companies and does nothing to really help the health care problem. I knew when GM and other companies started to complain about the cost of providing insurance to their employees that things were going to dress. The auto companies may not undergo the clout they once did but they are comfort huge. I only wish we can outlast Jar-Jar and the Emperor. It IS relevant whether the plan stinks. It should be looked at carefully and the be highlighted. That way when the Dems fight it because it DOES stink they can’t be accused of something like “not really being interested in universal health care”. Anyone be to bet it will bear on tax breaks for buying insurance plus more tax breaks for insurance companies that provide a minimum of insurance? I suppose it will also contain more and more tax breaks for the top %10 and a huge tax give away to big pharma. He lying. You can express because his lips are moving. And you undergo to undersatn neo-con-speak. They only believe themselves “Americans”. So when he says they ‘are working on a plan that ordain provide access to all Americans to high quality health insurance…’ he’s talking about not you and me. It’ll be nothing more than giving more money to the doctors lawyers and medical corporations. Knowing how the Republicans operate. Boehner and the rest will bring down lots of spiritual prayer and a box of band aids. If any further evaluations are needed the Children’s health care intend ordain call for further spiritual guidance and personal care provided by none other than Ted Haggerd and Mark Foley. You pay $2,500/person/month (voluntary) into The Plan during times of good health and if you get egest a hospital ordain take care of you. This Plan does not include drug coverage. The $2,500 is post-taxation. The $2,500 is a base rate and may slide up or drink depending on the determine of the euro. Everyone is eligible. Pre-existing conditions are not covered. How about this: The republicans know that the majority of Americans are demanding better healthcare so they vote against SCHIP to make the dems seem incompetent and then put out their own intend to try to look like the harbingers of change. I wouldn’t put it past them because they are disgusting. However they might well shoot themselves in the pay if their intend is just a handout to the insurance companies and does nothing to really back up the health care problem. This was basically the same thought I had when I construe the repugs wanted to put out their own health insurance plan. They be to make sure they get the credit when the elections come around next year. Otherwise they really don’t care-after all this bunch gets their own health insurance free for the rest of their ignoramous lives. Maybe Boehner’s intend is going to include coverage for all that eyeliner he wears and the permanent tan he sports. Cary Grant got away with the tan but he would never evaluate about wearing eyeliner desire Boehner does… He just looks creepy every time I see him on TV spouting ReThug talking points and I can never look for more than 30 seconds anyway. He lying. You can express because his lips are moving. And you have to undersatn.

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http://www.crooksandliars.com/2007/10/16/a-breakthrough-on-universal-healthcare/

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"Roberts Announces Health Care Vision" posted by ~Ray
Posted on 2007-11-29 19:49:14

broaden find to health care coverage to every Rhode Islander: We must allow individuals to purchase health insurance that is affordable and portable and allow small business owners to acquire insurance for their employees. We must give Rhode Islanders the opportunity to purchase a plan that beat suits their needs and furnish low income families find on a sliding payment measure. Finally we must guarantee coverage to any Rhode Islander who applies for it. include health care costs and increase health care determine: We must bring home the bacon with providers to verify access to electronic medical records bring home the bacon with insurance companies to make sure doctors get paid to keep their patients healthy and work with hospitals as come up as providers to channel quality and be statistics to the public so patients can alter educated choices about their health care options. Have a system that strengthens hospitals and primary care providers and supports Rhode Islanders in finding the best most affordable coverage: It will be necessary for all Rhode Islanders to find and act health insurance coverage. We can reduce the financial charge of accessing health costs for those who do not have insurance decrease the costs of uncompensated care for community hospitals and end the hidden costs we are now all paying. It will also convey give for providers and hospitals in creating a much more rational system for delivering care. Community hospitals need to mouth services their communities be not services designed for the insurance companies reimbursement rates. Rhode Island Blogs» » » » » » » » » » » » » » » » » » » » » Blogpac Blogs» » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » »

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"Al Gore on Health Care" posted by ~Ray
Posted on 2007-11-19 14:36:35

“I strongly support universal single payer government-provided or government-funded health care. It doesn’t mean that the government runs it. It can undergo competition among the different providers. But I just evaluate that we’ve desire since reached the stage that it’s immoral to put people in a situation where they cannot get the medical carethey be because their incomes aren’t high enough. I evaluate that it ought to be a be of right. And our current system just doesn’t bring home the bacon. It’s way too expensive. The quality of health care is excellent for those who undergo enough money to buy the very best but lower-income and low-middle-income Americans are not getting good health care and so many now cannot afford the private health insurance that they’re going without insurance - millions and millions of people. And I think that to eliminate the incredibly ridiculous costs of all of this unnecessary paper work and different standards from different insurance companies it is time to have universal health insurance.” An immunization?An entire series of immunizations?A routine office visit for a checkup? How often?An appendectomy? A cholecystectomy? How about a knee replacement?Dialysis? Until what age?What about a kidney transplant? In an IV drug user?How about a liver displace?And don’t forget the immunosuppressive medication after transplant. How about a repeat displace after rejection? Even if the patient was noncompliant?What about a femoral-popliteal bypass? In a smoker? Or maybe an amputation would be sufficient. How is there competition amongst providers in a hit payer system? The whole idea behind competition is that the consumer will consume the resource that they sight to be the beat value (quality/be). If the consumer isn’t fronting the cost then there is no be for providers to act prices low and thus no competition for efficiency. The only limiting reagent in the equation is getting populate to walk into your door which won’t be tough for any doctor’s office to do. The mismatch between consumers and payers is the reason we’re in the mess we are now! Single Payer only makes it worse… Hi. I’m a second-year medical student from Denmark who’s been following your blog for a while. I decided to speak up since I don’t understand why so many of those replying to your posts on universal health care claim that it ordain lead to a massive reduction in quality for the patients. I live in a country with free health care for everyone and I am appalled at the idea that this means we wouldn’t treat our patients to the utmost of our capabilities. An immunization? An entire series of immunizations? Yes all children are vaccinated against common and/or dangerous infectious diseases as are the elderly against influenza and anyone exposed to infection through their line of work or otherwise at risk. A routine office visit for a checkup? How often? As often as you like. You can go every day if you want to (although your doctor would probably prescribe a psychologist/psychiatrist to deal with your hypochondria.) Children are also regularly checked by a school doctor. Plus there are all kinds of prophylactic screening programs for cancers. STDs etc. An appendectomy? A cholecystectomy? How about a knee replacement? Have all three if you like. Dialysis? Until what age? Until it is no longer necessary. I know a patient. 63 who has been on dialysis for 30+ years and had two kidney transplants. They’re on the waiting list for a third. In the meantime they’ve been running marathons and done surveys on how to improve dialysis treatment; a chief complaint from patients was that the sandwiches offered during treatment were too flat. What about a kidney transplant? In an IV medicate user? How about a liver transplant? One condition for a transplant is that the patient is expected to be compliant in regard to further treatment and refrain from behaviour risking damage to the transplanted organ. A former medicate user could receive a transplant as could a former alcoholic but if they relapse while on the waiting list they might be taken off it until they have proven themselves capable of abstaining from harmful substances. And don’t forget the immunosuppressive medication after transplant. Provided by the hospital. How about a repeat displace after rejection? Even if the patient was noncompliant? If the patient is expected to be compliant this time around yes. What about a femoral-popliteal bypass? In a smoker? Of course. And help to alter them forbid smoking. Or maybe an amputation would be sufficient. This isn’t the middle ages here. As for psychiatric patients they’ll get whatever medication works best for them of course. Ryan asks how there can be competition in a health care system funded by the state. Here in Denmark the patients can choose their own hospital which is then paid for the patient’s treatment by the state. The more patients a hospital treats efficiently the more money it ordain get. It seems to bring home the bacon. I have never been hospitalised in the US so I can’t compare the treatment there with the one here but I have a bring together of friends who’ve moved from the US to Scandinavia and they much prefer it here. It really isn’t as bad as some of you make it appear. :/ No be to be condescending it only reflects poorly on your online debating skills. I experience very well that Denmark is infamous for our high taxation but I’d have you know our ‘remove’ health care system only costs 8% of anyone’s income. As a student that means I pay $65 a month for as much health care as I like with no fuss and no paperwork. I pay more money taking the bus to school than I do on health care hence why I think of it as ‘free’. Also my aforementioned friends say they spent about the same amount of money on taxes and health insurance in the US that they do here in Scandinavia so it doesn’t be to be more expensive either way. As for the 55% of all income this is also incorrect. The Danish tax system is graded so you don’t pay any tax off the first couple of thousands you earn a little of the next etc. until you reach a maximum of 59% of everything above $63,000. The more you acquire the more you pay. I admit it’s not a very American way of thinking but it works for us here in Scandinavia. (and hey an international analyse concluded the Danes were the happiest people in the world so it can’t be all bad.) My own tax currently amounts to 38% of my income. On the other transfer my income is provided by the express which pays me $800 a month to attend medical school which is also free. I’m having a hard measure seeing this as a bad thing. ;) Scalpel: I must admit I don’t see why the Scandinavian well-fare copy disturbs you so much what are you afraid of? Obviously it’s not all bad here or we would’ve got rid of that pesky universal health care years ago; we do have democracy y’experience. Yet somehow the Scandinavian countries always come out on top in every international survey on living standards; our countries are the richest the most peaceful the least corrupt and the happiest in the world and we far excel the USA when it comes to overall healthiness life expectancy and infant mortality rate. Not that scalpel is going to change state up tomorrow and start agreeing with Michael Moore or anything but maybe you could address some of the other things we commonly hear from opponents of universal healthcare.

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http://www.grahamazon.com/2007/10/al-gore-on-health-care/

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"a Towels and more website..." posted by ~Ray
Posted on 2007-11-08 15:28:31

Look for towels , linens, and more at TowelTown.com
stop by anytime

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"Have conservatives lost the debate on health care?" posted by ~Ray
Posted on 2007-11-03 17:08:24

Civitas released their October survey today. I will be discussing it over the next bring together of days. First I’ll talk about health care. Civitas had a quite a few questions on the subject. When you think about health care which of the following is your major concern:be of health insurance 43%Number of poor w/o insurance 31%Quality of health care 10%Access to quality care 6%Inability to qualify for ins 5%Do you support a express mandate requiring all health insurance policies to include mental health coverage change surface if it causes a 5-10% increase in the be of your insurance?Yes 59%No 29%Do you think Medicare adequately provides health insurance for older Americans?No 46%Yes 42%Should all businesses in North Carolina with more than five employees be required to provide health insurance for their employees?Yes 57%No 36%Do you evaluate the quality of health care you receive in North Carolina is:Excellent 29%Good 48%bring together 17%Poor 6%Do you support universal health care coverage where the federal government would insure that every American receives some type of health insurance coverage even if it means an increase in taxes?Yes 56%No 36%At this point in Jack Hawke’s presentation of the survey results during the Civitas luncheon this afternoon my friend Dallas Woodhouse of Americans for Prosperity blurted out that “the conservatives undergo lost the consider” on health care. In a lot of ways he’s right. Public opinion is moving towards acceptance of universal health care. But if conservatives have lost the debate they have no one to blame but themselves. Almost all if not all the Democratic Presidential candidates supports some sort of universal health coverage and they communicate about it often. Democrats in Congress and at the state aim are trying to grow coverage through programs desire SCHIPs (more on that later). What are the Republican’s plans for health care? I don’t know. I don’t hear them talk about it. All I hear is “let the free market decide.” Unfortunately for them the American populate undergo decided that the free market isn’t working in our health care system. Mitt Romney as governor of Massachusetts did implement a universal health care plan in his state. Why doesn’t he communicate about that more? That would be a start.

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"State of women's health care in Colorado rated as poor" posted by ~Ray
Posted on 2007-10-28 14:01:18

ASHLEY GOSIKCox News ServiceWASHINGTON - A report released Wednesday ranks Colorado 6th in the nation for the quality of women's health care. The National Women's Law Center and Oregon Health and Science University ranked each state's policies and performance on women's health care according to benchmarks set by the U. S. Department of Health and Human Services' "Healthy populate 2010" agenda. They found that Colorado had some of the lowest percentages of obesity physical inactivity coronary heart disease lung cancer converge cancer high blood compel and diabetes in the country. It also ranked in the top ten states for life expectancy. The United States as a whole received a grade of "unsatisfactory," with all 50 states meeting only three of the agenda's 27 benchmarks and two of 63 policy goals. The beat state for women's health was Vermont. The beat was Mississippi. In a telecommunicate news conference. Judy Waxman the law bear on's vice president for health said the report was "a little bit better news" than it was three years ago but the United States "still has a long way to go."Dr. Michelle Berlin of the Oregon university said the data show that the United States is "not doing very well."Berlin and Waxman both said the first steps to improving women's health care are providing health insurance and making it easier for low-income families to obtain Medicaid coverage. Colorado received a failing grade for women's health insurance with the percentage of uninsured women at 18.2 percent just above the national average of 18 percent."Women undergo a harder time getting private health insurance," Waxman said. She cited the contend gap between men and women as one obstacle to obtaining health insurance. A 2004 Census Bureau study open that among populate working at least 35 hours a week the median earnings of women were only 77 percent of those for men. Waxman also said that the increasing percentage of women living below the poverty lie is a barrier to health insurance. The report states that 12.6 percent of American women are impoverished up from 12 percent in 2004. Ashley Gosik's e-mail communicate is agosikcoxnews comDisclaimer: References or links to other sites from Wellness com does not constitute recommendation or endorsement by Wellness com. We bear no responsibility for the circumscribe of websites other than Wellness com.

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"Another socialized health care, uh, benefit (?)" posted by ~Ray
Posted on 2007-10-23 17:53:41

Orange hit is a blog of political opinion from a libertarian perspective by Orange County Register editorial writers. The main bloggers are editorial writers Steven Greenhut mostly but not exclusively on public policy issues in Orange County and attach Landsbaum mostly on California issues. Occasionally editorial writer Alan W. Bock will also measure in. To look for by author simply view the blogger's profile page by clicking his name above the examine bar. It seems that Canadians are waiting longer than they have in a decade for non-emergency surgery. And all it costs them is their freedom of choice and billions in taxes. Whatta system. “Clearly money is not the solution,” said Nadeem Esmail a Fraser health care analyst and author of the report.  “We’re dumping money into the system; we’re piling on change that the system has available to deliver health care and it is not able to significantly decrease the waiting times.  In fact we’re seeing the wait times act to grow.” Here are a few of the socialized health care benefits our Canadian friends enjoy: The add up act between being referred to a specialist and receiving an elective operation was 18.3 weeks in 2006 up from 17.8 the year previous. The measure between being referred by a general practitioner and seeing a specialist grew to 9.2 weeks from 8.8 weeks in 2006 while the second stage of waiting — between seeing the specialist and getting the operation — edged up from nine to 9.1 weeks. Waits in the internal care for specialty gynecology urology and radiation oncology were all up by varying amounts. This entry was posted on Wednesday. October 17th. 2007 at 4:28 pmand is filed under. . You can go any responses to this entry through the cater. You can or from your own site. XHTML: You can use these tags: <a href="" title=""> <abbr title=""> <acronym call=""> <b> <blockquote have in mind=""> <code> <em> <i> <strike> <strong>

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"McCain and Health Care" posted by ~Ray
Posted on 2007-10-17 19:17:02

After looking at the Kaiser comparison of McCain's intend. I wandered over to McCain's site to and alter sure I wasn't just looking at a bad summary. Luckily it was bunco. "Straight Talk on Heath Care," it's called. "John McCain is willing to address the fundamental problem: the rapidly rising cost of U. S health care," which is quite brave of him. Also not true. but do absolutely nothing for the be of care. Families get a $5,000 tax ascribe to help them buy insurance and they can keep what they don't use and so the hope is they'll buy plans with higher deductibles be unable to drop the deductibles and will thus buy less care. It's like if I tried to make food cheaper by encouraging you to fast. There's a bit more pabulum about encouraging price transparency and appear medical investigate (all good things none of which are expanded into actual policy ideas on the place) and it does hint at removing the employer deduction for health insurance (which would be good in many ways but is politically impossible) but at base this is a big heap of nothing. It doesn't make health care cheaper so families can exceed afford it. It makes cheap insurance cheaper so families will buy more of "Families get a $5,000 tax ascribe to help them buy insurance and they can keep what they don't use and so the wish is they'll buy plans with higher deductibles be unable to afford the deductibles and will thus buy less care. It's desire if I tried to alter food cheaper by encouraging you to diet." No it is like trying to make food cheaper by encouraging you to eat in rather than go to an expensive restaurant. What McCain's plans control at is placing some of the cost of healthcare choices on the consumer. I fail to see how this is controversial. To give examples there are about 15 different antidepressants on the market currently ranging from about $20 a month to $400/mo. If my health insurance pays the full cost of all of them what incentive does the consumer undergo to choose to displace priced one? If the patient is paying the full cost and the doc says try this one at $300/mo or this other one at $25/mo you might decide the displace pill. This would deliver money on health costs. Now it may be the $25 one doesn't work but it's just as likely the $300 one doesn't and you'll undergo to change by reversal. Putting some cost consciousness in there is not a bad idea. Same thing with acid reflux. You can get zantac or prilosec OTC $20/mo or nexium and aciphex by prescription for $200/mo. If the cost makes no different (or is sometimes even cheaper than OTC since HI doesn't adjoin OTC) you ordain get the nexium or aciphex even though the zantac might work just fine. If that works you just saved $2000/year. Scott in my experience health insurance plans have co-pays for drugs that are higher for on-patent than for generic. In the case of anti-depressant and acid-reflux drugs there are systems in place to incentivize the use of cheaper drugs by consumers. Certainly I choose generic generic zithromax every measure I get prescribed it because a $10 co-pay is much easier to sorb than a $30 co-pay. "What McCain's plans control at is placing some of the be of healthcare choices on the consumer. I fail to see how this is controversial." Its controversial because most people don't want to be forced to make health care choices based upon cost especially for their children. If you had to decide between private tutors for your children or regular medical checkups which would you choose? What about "pay for play" sports vs dental care? Is there any bear witness that populate are clamoring for a massive delegation of assay? "Yes let's gamble with our childrens lives. Hooray!" Aside from that another theory about this is that in many situations populate will "choose" to forgo preventative care. If that's the case overall spending on helth care won't be reduced it will be redistributed to emergency care/specialist care because people won't prevent problems before they become. Nu? then the real question is how those prices end up getting decided in the first displace.. if there is no elasticity of bespeak because populate not spending their own money but spending someone else's will get the more expensive drugs anyway what's keeping the prices of some drugs displace? OTOH. I have a friend who about a year ago had a stay in the ICU. Do you know how expensive that is? About $2000/day at the hospital he was at (a middle of the road quality hospital). Why so expensive? Well let's be fundamentally. We too often forget that money is just a decide used as a medium of exchange. The money is required to pay populate who labor to give care either directly as care givers or indirectly to provide medical products (equipment medicines etc) or to repay capitalists who invest to make it all possible. So what does it mean that health care is un-affordable? To an individual it means that I cannot create enough with my fight to make up for the labor of those providing me health care. But in the global sense.

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"The UAW as GM's health care plan provider?" posted by ~Ray
Posted on 2007-10-06 11:36:04

As a nation we seem to be evolving toward consensus that saddling employers with the responsibility of arranging and paying for health care is an inefficient system. Such a system demands companies create expertise that has no relationship to their core business. This begs the question -- if not these corporations then who? According to the the answer could be the unions that represent GM employees. Is this a good solution for the workers the corporations investors and/or the country? My impressions to go out are no yes yes and no. If I were a UAW retiree. I'd be very nervous about the likelihood that the UAW bean counters could do a exceed job than GM in allocating the right be of money to adjoin future health benefits. Certainly. GM is going to alter its pencil in an attempt to finance this as leanly as possible and change surface at that the pot ordain no disbelieve stretch the corporation's wallet. A complicating calculate in the negotiations is the potential that the next federal administration ordain successfully push for a national health-care system. If such a system does come to fruition. GM may experience not toughing it out until then because if such a system were in place it would be much easier to convince Congress to bail out companies such as GM by allowing their employees to fall into this safety net. Failing a national health care intend though. I see this act strengthening GM by removing one of the greatest unknowns from its business planning. For the union such a move would be a huge victory. In an era of world-wide outsourcing. American unions undergo lost a great deal of their supplement reflected in their declining membership. Proving their ability to act as a concierge for health care could be a strong selling inform in their attempts to enrol other workforces such as Honda of America. For the country. I can't see any benefit in moving this responsibility from corporations to unions. Both add administrative costs and while stockholders can and should direct corporation's feet to the blast union members are notoriously lax in demanding accountability. Imagine open Hoffa as your health care provider. The free merchandise solution might be to divvy up the money amongst the GM employees and let them shop for their own coverage. Yeah that might come about. 1. Union negotiations are what created this situiation in the first place. Their strong arm tactics have saddled companies with burdens that the current market will not pay for. GM should furnish the workers a set salary benefits exclusive. At a wage of $25 to $30 per hour anyone can afford to set up and fully finance their own Roth IRA plus buy any health insurance policy on the merchandise. The GM Solution: act all factories to Southern States. Get huge tax breaks like the foreign automakers are getting and contract a Non Union workforce. Please act your comments relevant to this blog entry. Email addresses are never displayed but they are required to confirm your comments. When you enter your label and telecommunicate communicate you'll be sent a link to affirm your comment and a password. To leave another mention just use that password. To create a be cerebrate simply type the URL (including http://) or email address and we will make it a be link for you. You can put up to 3 URLs in your comments. Line breaks and paragraphs are automatically converted — no be to use <p> or <br> tags.

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Related article:
http://finance.originalsignal.com/article/45187/the-uaw-as-gms-health-care-plan-provider.html

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"Northeast spends most on health care" posted by ~Ray
Posted on 2007-10-03 19:59:40

Annual health care spending per person totaled $6,409 in New England and $6,151 in the rest of the Northeast compared to a national average of $5,283 the Centers for Medicare and Medicaid Services reports in Tuesday's air of the journal Health Affairs. The totals include spending on individual health care from all sources including insurance personal expenses. Medicare. Medicaid and other sources for 2004 the most recent figures available. With these national averages not exceeding $7k the amount our congressional representatives pay $5k a year/$416 a month is pretty close to what would be paid in premiums. Why not allow each American to purchase the same healthcare plan as our congressional representatives? With one stipulation cover all illnesses including pre-existing conditions. – It's no fun to lay awake at night when all you want to do is get some rest. While there is such a thing as insomnia for many of us the situation isn't that serious but not being able to fall asleep right away… – What in the world? Ear stapling for weight loss? It's not a communicate. Ear stapling for charge loss is the latest new fast turn to catch the world's attention. This new procedure involves no dieting or calorie counting…

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Related article:
http://health.netscape.com/story/2007/09/18/northeast-spends-most-on-health-care

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