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Tag Archives: politics

Medicare’s Discretion to Say No to Unproven Therapies, Medical Devices, and Equipment

If it is not Medicare Advantage plans over-charges tapping into Medicare funds designated for the care of seniors, it is the commercial healthcare companies such as pharma this time and again. The political influence these companies wield with legislators and probably SCOTUS justices (later as companies sue and quickly levitate to a SCOTUS hearing) who are willing to take advantage as untouchables to practices of ethical behavior is seen in the...

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Manufacturing and construction have the most positive reports all year

Manufacturing and construction have the most positive reports all year  – by New Deal democrat As usual, the monthly data starts out with reports on the two most important production sectors of the economy, namely manufacturing (for September) and construction (for August). For a change, the news was mainly positive. Let’s start with manufacturing. The ISM’s diffusion index, where any value below 50 indicates contraction, came in negative...

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Part 2 of Saving Rural Hospitals – Problems and Solutions for Rural Hospitals

I broke this report into two parts as it becomes harder to complete reading when each of us has other obligations. CHQPR or the Center for Healthcare Quality and Payment Reform is a national policy center facilitating improvements in healthcare payment and delivery systems. As explained earlier in Part 1, rural hospitals are facing issues remaining open due to the lack of revenue for the services provided and a lack of use of various services. The...

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F-35 Maintenance Costs

$42,000 per flight hour that’s 7 switchblade drones per hour. It raises the question of whether the F35 would be cost effective if we got the planes for free (not $80,000,000 each ). Currently F35s manage on average 11.2 flight hours per critical failure (I got that one partly from memory and partly from googling [f35 11.2 hours]. For one thing, that raises the question of how many will be available when they are needed. For another how many...

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Gasoline Pricing during my lifetime

A bit of Kevin Drum: “Raw data: Gasoline during my lifetime,” jabberwocking.com, Kevin Drum. I had just been discharged from Marine Corp active duty in 71, married, and bought a boxy Datson 510 to get around in the Chicago suburbs. Finished up at one college in 72 and started finishing my BA at another college 40-something miles away. The1.8 litre with a three speed Borg Warner transmission Datsun paid off at 30 miles to the gallon. I hauled...

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Women’s out-of-pocket healthcare costs are higher than for men

Out-of-pocket healthcare costs are $15 billion higher for US women than men, qz.com, Clarisa Diaz Healthcare financial burden on women persists outside of maternity related care. That is the crux of the issue. Women pay more for healthcare. Consulting firm Deloitte: The analysis of the resulting costs after the current benefit coverage is applied, indicates a women’s out-of-pocket medical costs are significantly higher than men’s for every...

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Hardly Worth the Wait – OIG report on Sorting & Delivery Centers

It appears Postmaster General Louis DeJoy is well on his way to implementing his modernization vision of the future US Post Office. The is not going to be pretty. If even half of the claims made by Steve Hutchins and Mark Jamison are true, the nation will suffer a loss which will be impossible to reclaim. The report fails to focus on the operational and labor portions of the new USPS system. OIG reports on Sorting & Delivery Centers, Save the...

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Drones and Trenches

For less than $1 thousand a pop, Ukrainians are taking out Russian tanks costing $3 million. For less than $300 thousand a pop, they are taking out Russian warships costing $ billions. Ukraine is doing these things with homemade cardboard drones, store-bought drones, and their roll-your-own mostly-submerged drones. Ukraine’s TLK-150 and TLK-400 submersible drones with 700-1200 mile ranges and up to 500 lb payload cost around $250k apiece. One US...

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Today Could be the Day

The US government will shut down tomorrow. Two people are responsible. One is Kevin McCarthy who will not allow a vote on the Senate’s continuing resolution. The other is Senator Rand Paul who will not allow waiver of the absurd official rules of the Senate so the Senate will not vote on the bill before the shutdown. “ “RandPaul To avoid a government shutdown, I will consent to an expedited vote on a clean CR without Ukraine aid on...

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Initial jobless claims remain higher on a YoY basis

Initial jobless claims remain higher on a YoY basis, but do not suggest near term recession  – by New Deal democrat Initial jobless claims rose 2,000 last week to 211,000. The 4 week moving average declined -6,250 to 211,000. With a one week lag, continuing claims rose 42,000 to 1.670 million: Although this appears very strong on an absolute scale, we had a very similar sharp decline to new 50 year lows last September as well, which make me...

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