• mmcmenus commented on the blog post Validation on Health Care Reform

    2014-12-04 12:57:32View | Delete

    It probably won’t be perfect, and groups with political or media clout may get coverage for their particular condition even if it isn’t actuarially justified. But it will be much better than the current system.

    I agree with you anything is better than what we have, I just wonder if a single payer system with a strong outcome based treatment protocol can survive in America where currently a group that votes are willing to pay for ineffective care that the perceive may “cure” them and don’t want to be told no.

  • mmcmenus commented on the blog post Validation on Health Care Reform

    2014-12-04 10:53:42View | Delete

    I agree with everything you say in this post. The one item you don’t address is, in America, how do you price in access if everybody can get any treatment they want. I think we need detailed review of treatment outcomes and some treatments should not be allowed for some (usually terminal) illnesses. How do we prevent a repeat of the bone marrow transplant saga as a treatment for breast cancer if everybody can get any treatment they want because cost is no object? Are Americans ready to be told you cant have this treatment.

    Another issue is “keep your doctor.” For some reason Americans rank this as important. While I agree if you are a type one diabetic keeping your endocrinologist is important, but if your are a typical healthy individual any competent doctor will do for most routine illnesses. How much does this “keep your doctor” need cost Americans?

    The other access issue is if you don’t have a cost component, how does the best specialist in the country pick there patients for a disease. Example the “best” neurosurgeon can only do a few hundred specialty operations a year. How do you allocate her patients that people with the need will accept?

  • Real business men want to deduct the year they pay the money. Amortizing over 15 years is a way to increase the tax revenue. Dollars today are worth more than dollars tomorrow so Amortizing is not a benefit. One of the republicans tax reforms is immediate deduction rather than amortization.

  • mmcmenus commented on the blog post Congress To Vote On Keystone XL Pipeline

    2014-11-13 15:05:35View | Delete

    I don’t want to pop your bubble to bad, but Keystone XL really does not matter any more. While environmental groups have been focusing on it, other existing pipelines have been put in service for dill bit. The most important part of the pipeline, the Cushing to Houston is in service and rail capacity has been increased. The only hope is that the price of WTI drops below about $60 dollars a barrel. Otherwise there is too much profit for the tar sands not to be extracted.

  • mmcmenus commented on the blog post More on Private Insurance Whac-A-Mole

    2014-09-18 08:06:55View | Delete

    Show me the double blind data that alternative care actually works and I will pay for it. If you cant show me real research then it is just magic thinking.

  • mmcmenus commented on the blog post More on Private Insurance Whac-A-Mole

    2014-09-18 08:02:52View | Delete

    You do realize that the Swiss plan is very much like the AFCA. The Swiss government mandates that it’s citizens purchase private insurance. The Swiss are much more compliant than US Citizens are so this works there. They are also exposed to the full cost of insurance and medical costs. They choose to pay it rather than complain about the high cost of medicine. The Swiss population also chooses not to spend as much on the first and last month of life as the US population does. The Swiss regulation for insurance to be nonprofit ended in 2002. This Swiss government pays the least per person for health care of any western nation. Again the Swiss have chosen to pay for their own health care.

  • While 60k per intercept is expensive, since the Gaza rockets currently have little if any guidance, it would be hard to bankrupt Israel this way. One of the attributes to Iron Dome is it only fires at missiles that would potentially hit a target of value or people. If a missile is going to land in a vacant space the Iron Dome lets it go. Hamas needs to work on accuracy more than range. Shooting a 1000 glorified bottle rockets is not nearly as scary as one precision missile that you know will hit its target.

  • mmcmenus commented on the diary post Dairyland to Petrostate: Wisconsin Oil-By-Rail Routes Published for First Time by Steve Horn.

    2014-07-09 04:59:15View | Delete

    You are worried about an oil train when HCl and HF have been shipped by rail since the 20s? Research hazardous materials transport and see where oil fits on the list of common hazardous materials that are transported by rail.

  • mmcmenus commented on the diary post Dairyland to Petrostate: Wisconsin Oil-By-Rail Routes Published for First Time by Steve Horn.

    2014-07-09 04:57:18View | Delete

    Not a chance rail roads have perpetual right of ways. Even if they abandon a track it is a rare event that they give up the right of way to rebuild the track in the future.

  • mmcmenus commented on the diary post Dairyland to Petrostate: Wisconsin Oil-By-Rail Routes Published for First Time by Steve Horn.

    2014-07-09 04:56:10View | Delete

    What about the hydrogen fluoride, hydrogen chloride and other toxic chemicals that travel over those tracks every day. Get your self a free emergency response guide and learn the UN ID numbers for the chemicals and go watch a general cargo train. You will find that oil trains are the least of your worries.

  • mmcmenus commented on the diary post Dairyland to Petrostate: Wisconsin Oil-By-Rail Routes Published for First Time by Steve Horn.

    2014-07-09 04:54:12View | Delete

    While depleted uranium in the form of a sabot round from a tank is deadly, and uranium powder may be toxic, a block of depleted uranium is less radioactive than a similar amount of granite. It is used in many machines as a counter balance weight because of its high density. I would suggest Hydrogen [...]

  • mmcmenus commented on the diary post Are Cooter’s Fingerprints On Eric Cantor’s Political Corpse? by Phoenix Woman.

    2014-06-11 07:40:45View | Delete

    McCaskill got Akien on the ticket, not Murdock.

  • mmcmenus commented on the diary post Are Cooter’s Fingerprints On Eric Cantor’s Political Corpse? by Phoenix Woman.

    2014-06-11 05:47:57View | Delete

    Brat is an extremist, but he is not a crazy dumb poll like Todd Akien in Missouri or Christine O’Donnell in Delaware. He appears to know how to keep his mouth shut and gets along with students. Neither O’Donnell or Akien could do this. If the Tea Party has learned to get Austrian School economics [...]

  • mmcmenus commented on the diary post Are Cooter’s Fingerprints On Eric Cantor’s Political Corpse? by Phoenix Woman.

    2014-06-11 05:22:03View | Delete

    I long for the day the liberal side of the democratic party has the guts and pull to primary one of their popular candidates so they can bring the democratic party to the left. As long as the right is willing to primary a candidate and the left isn’t the right will control the direction [...]

  • mmcmenus commented on the blog post Obama Planning Clemency for Many Non-Violent Drug Offenders

    2014-04-21 09:03:54View | Delete

    Remember it was the death of Len Bias in Tip O’Neill’s district that precipitated the mandatory minimum drug laws.

  • As long as WTI or NSB is above $80 bbl, tar sands pay even if they have to be hauled out by truck. above ~70 bbl tar sands pay by rail. You have to go down to the low $60s for the pipeline not to pay. There are many smaller pipelines being repurposed for bitumen [...]

  • mmcmenus commented on the diary post Over Easy: The Monsanto Butterfly Effect by Crane-Station.

    2014-02-14 09:21:39View | Delete

    Balene whales depend on krill and krill is a mix of millions of different kinds of animals and plants not really a single food. They don’t care what the exact mix is.

  • mmcmenus commented on the diary post Over Easy: The Monsanto Butterfly Effect by Crane-Station.

    2014-02-14 09:18:25View | Delete

    Yes we do depend on but it is currently 20.5% of the atmosphere. It has been as high as 25% and as low as a few ppm before the blue green bacteria started making it. Organisms that become extreme specialists are always vunerable in the geologic time scale. The gain their advantage by occupying a [...]

  • mmcmenus commented on the diary post Over Easy: The Monsanto Butterfly Effect by Crane-Station.

    2014-02-13 05:37:32View | Delete

    Monarch kind of put themselves in a vunerable position by being dependent on a single food. In the geologic time scale that is a dead end.

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