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[links] Link salad begins to mourn its golden locks - Lakeshore — LiveJournal
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Jay Lake
Date: 2010-02-26 05:35
Subject: [links] Link salad begins to mourn its golden locks
Security: Public
Tags:books, cancer, cool, culture, health, healthcare, links, maps, personal, politics, publishing, science
How Books Are Made — Charlie Stross explains it all to you. This dovetails nicely with my widely-linked recent piece on what my publisher does for me [ jlake.com | LiveJournal ]. Go read him. You will learn.

Old Lisbon (Not New Amsterdam)Strange Maps with an odd bit of centuries old New World fraud.

Hallucinatory Architecture of the Future — A nifty feature from Dark Roasted Blend.

Other Life in the Multiverse? — A crazy cool article from Centauri Dreams for all you skiffy geeks.

Rep. Henry Waxman makes remarks on health-care costs at White House health summit[Republican Rep.] Paul Ryan has a proposal right now to say that Medicare recipients in the future ought to have just a little voucher, and then they can shop for their own insurance. They can be prudent shoppers. Right. That's why I have cancer. Because I wasn't a prudent shopper, like a good conservative. And we know how transparent healthcare pricing is, right, to help me in my prudent shopping? Tell me again about this Republican "plan" for healthcare, because it sure as hell ain't connected to the medical reality I live in.

?otD: Where is my hairbrush?



2/26/2010
Writing time yesterday: 60 minutes
Body movement: 30 minute stationary bike ride
Hours slept: 8.0 (slept well)
This morning's weigh-in: 225.8
Yesterday's chemo stress index: 4/10
Currently reading: [between books]

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S-47/19-J
User: shsilver
Date: 2010-02-26 14:13 (UTC)
Subject: (no subject)
There was an idiot's letter to the editor in my local paper yesterday about how Republican ideas have been kept out of any healthcare discussion. Of course, she didn't name any of those ideas and was apparently unaware that th emain negotiator for the Republicans was on record as saying that no matter what he got, he was going to vote against the bill. And yet, the Democrats kept working with him in apparent good faith.
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Jay Lake
User: jaylake
Date: 2010-02-26 14:17 (UTC)
Subject: (no subject)
Obama's summary plan identified, in writing, which elements had come out of Republican proposals, and which proposals they'd been drawn from. I'll bet your local paper didn't mention that, nor any of the other liberal media.
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ulfhirtha
User: ulfhirtha
Date: 2010-02-26 15:28 (UTC)
Subject: (no subject)
I get the same from loyal FOX viewers like my dad (once a good JFK man), going on about how the poor Republicans aren't being allowed to help by those mean Democrats...seemingly oblivious to the video from last year of Grassley et al. saying that, then going home and telling the crowds how they'll do their best to stop this evil reform in its tracks.
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User: creed_of_hubris
Date: 2010-02-26 17:52 (UTC)
Subject: (no subject)
I give Paul Ryan credit for actually having concrete, feasible ideas. He was by far the sharpest and most intellectually honest Republican at the summit. While most Republicans are taking dishonest swipes at Medicare "cuts" in the Democratic plan, he's actually proposed wiping out Medicare and replacing it with that cheaper voucher system, which, say what you will about it, at least addresses the problem fully and transparently. It's good for the health care debate to have a concrete opposition plan that Democrats can engage with and debate against rather than having to defend themselves against false accusations of death panels or discuss the merits of minor policy changes like tort reform and shopping across state lines.
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Jay Lake
User: jaylake
Date: 2010-02-26 18:07 (UTC)
Subject: (no subject)
Agreed. The most amazing thing to me about the Ryan budget is the degree to which the GOP has run the hell away from it except as a soundbite talking point.

As it happens, the HSA/voucher system insofar as I understand it is pretty much a financial disaster for people in situations like mine. I also have a generic distrust of conservative solutions in any social services area, as they tend to be predicated on some pretty bizarre social and economic assumptions that don't map well to objective reality, but I'm happy to see some actual, meaningful engagement of competing ideas (even bad ones) over soundbite rhetoric. Besides, maybe someone could show me how I'm wrong...
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User: creed_of_hubris
Date: 2010-02-26 18:42 (UTC)
Subject: (no subject)
I think the voucher system is designed to pay for a high-deductible insurance plan. Your situation, as I understand it, is exactly what the high-deductible plans are aimed at: once you hit the out-of-pocket limit for the year, it doesn't matter if your treatment costs $20k or $2 million.

I think the main problem with the high-deductible plans is the death of a thousand cuts. A family making $40k a year is going to get crushed by routine medical bills well before reaching the deductible.
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Jay Lake
User: jaylake
Date: 2010-02-26 18:49 (UTC)
Subject: (no subject)
Exactly. I spent a year within an HSA/high-deductible plan a few years ago. Happened to be the year Mother of the Child had a suspected heart attack. 23 hours in ER, months of follow up. They never did figure it out, other than to rule out actual cardiac infarction etc. (The tracer enzymes simply weren't present, despite the nearly perfect map of symptoms to classic female heart attack.) Thousands of dollars in tests, labs, consultations, etc., all of it hammering me right in the HSA/high deduct.

Essentially that's a bet that your insureds (family, usually) are going to stay healthy four years out of any given five. Only takes one car wreck or sudden illness to turn that boat completely upside down and transform the situation into the death of a thousand cuts. And forget anyone with chronic illness or significant pre-existing conditions.

As Pres. Obama said to Sen. Barassao, how would you feel about this if you made $40,000? HSA/high deductibles only work for people who won't miss the $5-20K they lose up front.
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seventorches
User: seventorches
Date: 2010-02-26 22:46 (UTC)
Subject: (no subject)
As Pres. Obama said to Sen. Barassao, how would you feel about this if you made $40,000? HSA/high deductibles only work for people who won't miss the $5-20K they lose up front.

I just did our taxes: Our HOUSEHOLD wages (that's 2 earners) grossed $31,000. *One* individual making $40K? HAHAHAHAHAHA. At these wages, I can't afford the deduction for the cheap-ass insurance my employer provides. If one of us loses a job, we cannot afford to cover the other on our employer's insurance because it triples the amount of the deduction.

Rob recently had an insurance meeting (one of those things where the crew gets called in and a rep from the insurance company talks about the plan). He said one woman asked about whether they would be able to cover their children. The rep's response? He laughed and said, "You can insure them, but you won't be able to afford to feed them." Apparently the deductible is something like $200 PER KID. These are people making NINE BUCKS an HOUR. Gimme a break, corporate oligarchy!
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shelly_rae: Big leaf Maple
User: shelly_rae
Date: 2010-02-26 18:43 (UTC)
Subject: (no subject)
Keyword:Big leaf Maple
Oh where is your hairbrush! See? Isn't that the most potent earworm ever? Run! Run for your sanity!
Anon
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Jay Lake: jay-dramatic
User: jaylake
Date: 2010-02-26 18:49 (UTC)
Subject: (no subject)
Keyword:jay-dramatic
It's all your fault, dear.
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