Category Archives: General Cynicism

Bye Bye Bernie

I certainly hope for a full recovery but he like Biden and Warren is older than any other candidate who has ever run for a first term as President.

FYI Trump was just 70 when elected. Warren would be 71 if elected. The oldest prior to them was Reagan who was 69 on his election. From our experience elderly presidents’ health and mental status is a real and challenging problem.

Medicynical note: Anybody but Trump.

It’s the Money $tupid– the busine$$ of dialy$i$

The Dialysis Duopoly Spends $100 Million to Protect Profits in California https://prospect.org/article/dialysis-duopoly-spends-100-million-protect-profits-california

“With Medicare for All being discussed in national circles, the situation with the dialysis providers is instructive. Faced with a single-payer system with lower reimbursement rates for their service, the dialysis industry bankrolled a charity to shift people into private insurance and jack up the cost. We don’t know what loopholes might enter the picture under Medicare for All, but the dialysis duopoly scam bears watching as a potential tactic. It speaks to how resourceful medical providers might be in their vigorous opposition to single-payer, and why politicians need to be mindful of their power.”

““I feel like it’s an unfair business practice all of us are paying for,” said Wood, who’s hopeful the bill will pass. “For me the bigger part of this is that, we’re trying to make sure we get access to care for as many people as possible, you can’t do that if you can’t contain costs.””

Medicynical note: In medicine as in other capitalistic enterprises the goal is to become a monopoly, gouge your customers and then fight like mad to protect your profits. Patient care. Access? Good outcomes? Value. All are nice goals but not a really the primary aim of the endeavor. It’s $ucce$$ is mea$ured by other parameter$$$$$.

Flip-flop-flip-flop

The attention span of a gnat. No core values–literally anything for a vote. Clueless about root causes.

Immediately after the carnage in El Paso and Dayton, Ohio, Trump said “there is a great appetite” for tightening background checks on people who buy firearms. But in recent days, Trump has focused in public remarks on the need to keep guns out of the hands of the mentally ill while emphasizing that the nation already has “very strong background checks right now” — positions that hew more closely to the views of the National Rifle Association.

Medicynical note: Sadly it will happen again and again. Vote this incompetent out of office.

The Wrong Man at Precisely the Wrong Time……Guess Who

Today, US policymakers could learn much by studying the actions of the Dutch Republic and Britain when they were global hyperpowers pursuing soft landings. In addition, they should read “The Sources of Soviet Conduct,” the 1947 article by US diplomat George F. Kennan that advocated a US policy of containment toward the Soviet Union.”

“Three of Kennan’s points stand out. First, he wrote, US policymakers should not panic, but recognize what the long game is and play it. Second, America should not try to contain the Soviet Union unilaterally, but rather assemble broad alliances to confront, resist, and sanction it. Third, America should become its best self, because as long as the struggle between the US and Soviet systems remained peaceful, liberty and prosperity would ultimately be decisive.” 

“But since taking office in January 2017, Trump has steadfastly ignored such advice. Instead of forming alliances to contain China, Trump withdrew the US from the proposed Trans-Pacific Partnership trade deal. And he continues to make random, incoherent demands–such as immediately eliminating the bilateral US-China trade deficit.”

“Rather than carefully playing the long game with regard to China, Trump seems to be panicking. And, increasingly, China and the world know it.”

https://www.bradford-delong.com/2019/08/project-syndicate-publish-on-grasping-reality.html

Privatization…….. an invitation to corruption

Ro Khanna’s continuing fight against contractor rip-offs.

“When I talked to Representative Ro Khanna last week he sounded a bit groggy, coming off an all-night session in the House Armed Services Committee where he had put forward an amendment to fundamentally change how military procurement works. It came out of a two-year battle over TransDigm, a private equity–style supplier of spare parts for commercial and military”
— Read on prospect.org/article/ro-khannas-continuing-fight-against-defense-contractor-rip-offs

Privatization….Doesn’t Work Without Regulation

“Beginning in 1996, the military launched the largest-ever corporate takeover of U.S. federal housing, shifting ownership of more than 200,000 family housing units on bases to private real estate developers and property managers under 50-year contracts.”

It’s the Money Stupid

America has a money problem. In the U.S. everything (our legislators at every level, our educational system, our jails, our health care non-system, and the judiciary) is for sale. Thanks Supreme Court this is to a great extent your fault.