Archive | 7:50 PM

There are limits to being liked

17 Nov

George Bush may have been a gun slinging arrogant cowboy that offended much of the rest of the world and in the process harmed the image of the US, but is this the image we want?

Can I give them a shine while I'm here?

Respect for others, ok, but if you are a leader be a leader and act like it.  The U.S. is already on a decline on the world scene there is no need to trip over ourselves on the way down. 

It seem to me one can go too far in mending fences and that may lead to others, especially the good times friends, coming to the wrong conclusions.  This isn’t community organizing after all, this is high stakes stuff.  Even in other cultures, a little dignity please, at least he could have had an American flag sticking out of his back pocket.

 

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The future is now

17 Nov

One of the great debates in health care is the rendering of unnecessary health care and the application of correct medical protocols.

So called health care reform will only intensify this debate. You can count on two things. More and more procedures, tests and screenings will come into question and when they do there will be groups ( some with a financial stake) that will strenuously oppose any change. You can also count on the American people siding with those who favor more and more frequent of everything.

The American view is and will remain that more and more expensive is better health care. Changing that point of view is what health care reform should be about.

Here is an example of where we are headed:

New screening suggestions for mammography

No doubt there will be those opponents of reform who will point to this example as an indication of what is to come within a public option, that is, government pointing to such studies and using the information to deny coverage.  Such a position is a big mistake.  As we know, defensive medicine and unnecessary care and testing not only are major drivers of costs, but of harm and discomfort to patients. 

What we need is a trusted, objective way of conducting value, cost/benefit studies to determine how to raise the quality of our health care while assuring the minimum cost possible.  Easy to say, not so easy to do….despite what the members of Congress like to tell us.

 

blogsurfer.us

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