Friday, August 24, 2012

Stuff below the fold (plus rants)

Price fixing in ebooks? Who wudda thot.

since ebooks don't require paper and storage, the prices should be lower than the paper edition. Indeed, the Philippines is looking into giving kids a small tablet because it is cheaper in the long run to just give a tablet with the needed ebooks than to pay for the books to be publised and distributed all over the Philippines.

I always buy used books myself, or read stuff on line.


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Come and get it story of the day:
UN proposes $100 billion dollar climate fund.
 I estimate one third will be stolen directly and another third will go to projects that are useless in the long term, but never mind.


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This is your life...this is your life on Obamacare story number one:

2000 hospitals face penalties for Obamacare rules.

Yet often sick people relapse, no matter what.

If you keep them longer than the bureaucrat allows, you are penalized, and told by the administrator they need to be discharged. So people are sent home while still sick or when they lack support in their homes to continue outpatient treatment.

And penalizing readmissions is essentially punishing doctors from letting them back in. Three guesses what will happen? No, not fewer early discharges: fewer readmissions.

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This is your life on Obamacare story number two:

Doctor burnout is common?
The study casts a grim light on what it is like to practice medicine in the current health care system. A significant proportion of doctors feel trapped, thwarted by the limited time they are allowed to spend with patients, stymied by the ever-changing rules set by insurers and other payers on what they can prescribe or offer as treatment and frustrated by the fact that any gains in efficiency offered by electronic medical records are so soon offset by numerous, newly devised administrative tasks that must also be completed on the computer.
and one way to ease the load?
Without decreasing the total hours worked or the number of patients a doctor must see, a hospital system might, for example, restructure its clinics so that doctors could spend more time with patients and less time on the phone getting authorization from insurers or in front of a computer completing administrative tasks.
As old Doc McCoy would say: I'm a doctor, not a bureaucrat.

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PJMedia on the British economist/historian Fergueson's articles on Newsweek and the daily beast.
I refuse to go to Tina Brown's sites because she is a bigot.

When she moved to Washington, she wrote an article in the WaPo lamenting that now she might have to actually meet "christians", whereas in NYCity she didn't.

But there are plenty of Christians in NYCity: but they are like Chesterton's invisible man: the cop on the beat, the local firemen, the waiters/waitresses in the coffee shops, the clerk at the store, and the lady who cleaned her apartment were probably Christians. Brown was just to bigoted to notice them.


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I made quite a few clinical comments against some stupid politician named Akin on several web pages,(wonder how many of them were printed) but as a woman doc who has seen many cases, here is the technical details where he gets it wrong:

The technical part that the guy is probably right in his claim that pregnancy from violent rape is rare in the US: but the reason is twofold: one, that in one third of violent sexual attacks the guy has sexual dysfuntion, so she can't get pregnant, and second, that most of these women have injuries and are seen in emergency rooms get the morning after pill.

this was not true in the past, or even today when rape is used to punish women (e.g. Bosnia, Bangladesh, Rwanda, where rape was a common war crime).

However, in the US, most abortions for "rape" are not violent assault by a stranger: most cases are for underaged teenagers  (or older teens too shy to report the attack), those who were drunk or given a date rape drug, or even those who suffered from date rape by someone they knew and were reluctant to slug. (the Mike Tyson case comes to mind). Often these cases are never reported, or if they do come to the ER it is a week or two later.

But Judge Napolitano points out the real controversy is being ignored by the press: you are talking about a baby.

Most women who have had an abortion know that it is something to be regretted and mourned, not celebrated...and there is something very morally sick about insisting we "celebrate" this "right", or hide this reality by using "newspeak"...

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There is actually a kerfuffle in the UK against erecting a statue of George Orwell...
the BBC complains he was "too left wing"  (?huh? as if the Beeb isn't?)...the UKTelegraph points out that their real problem is that he was the first to prophecy political correctness:
the branding of dissident thinkers as racists, sexists or homophobes (thoughtcrime) the necessity of holding two contradictory ideas together (doublethink) and attempts to change the language to change politics (Newspeak).
Heh. Sounds like this year's US elections.

But don't forget the "Two Minute Hate".

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And the really important news of the day:

They are trying to convince a hippo to leave a swimming pool in South Africa.

People don't realize that Hippos move around quite a bit. I remember when one popped into our irrigation dam when I worked in Africa. The nearst Hippos were 50 km away. But it had a good side effect: the locals stopped swimming in the lake due to fear of being killed (hippos kill more people in Africa than lions). So the actual result was less schistosomiasis in our patients).



OK: Altogether now:


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