Thursday, September 30, 2010

Jerry vs. Carla (not Simon)

 

California is a reflection of what ails our great nation. The major party gubernatorial candidates offer us very little to chose from with their ‘platforms’…During the recent debate between former Governor, Mayor Jerry Brown and ex-CEO entrepreneur Carla Fiorina several points were glaringly apparent.

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Governor Brown, for all his experience seemed like a washed out politician-bureaucrat.  He has been a governor, a mayor, attorney general, and his political career seems pointless in the ‘great scheme of things. Once a possible Presidential candidate, he failed to generate enthusiasm for this post.

Brown has had a lengthy political career, spanning terms on the Los Angeles Community College District Board of Trustees (1969–1971), as California Secretary of State (1971–1975), as Governor of California (1975–1983), chairman of the California Democratic Party (1989–1991), the Mayor of Oakland (1998–2006), and is the current Attorney General of California (2007–present).[1]

Brown unsuccessfully sought the Democratic nomination for President of the United States in 1976, 1980, and 1992, and was an unsuccessful Democratic nominee for the United States Senate in 1982.

He has had a busy life of public service to California, and probably should retire, change focus, write some memoirs and books and perhaps teach political science at Berkely.

His performance in the debate failed to generate any enthusiasm on my part, and he and I are products of the 60s and 70s. He and I are about the same age, and I have decided to go quietly into the night and leave the stage to those younger, with brighter eyes, who are not singed with skepticism and cynicism.

CarlyFlorina also failed to generate any enthusiasm for me as well.

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Attractive, well spoken, articulate she outshined Jerry Brown on stage and in content. There are some significant issues with her candidacy. Like Governor Schwarzenegger she has no previous governing or political cadence other than her time in the executive office and board of Hewlett Packard.

The following is quoted from Wikipedia.

Carly Fiorina (born Cara Carleton Sneed; September 6, 1954) is an American political candidate and businesswoman. She is the 2010 Republican nominee for the United States Senate representing California. Fiorina served as chief executive officer of Hewlett-Packard from 1999 to 2005 and previously was an executive at AT&T and its equipment and technology spinoff, Lucent. She currently serves on the boards of several organizations.

Fiorina was considered one of the most powerful women in business during her tenure at Lucent and Hewlett-Packard. The spinoff, from HP, of Agilent Technologies – which had been initiated by her predecessor, Lew Platt – was completed shortly after she joined the company in 1999. Under her leadership, in 2002, the company completed a contentious merger with rival computer company Compaq. In 2005, the Hewlett-Packard board forced Fiorina to resign. She attended the UCLA School of Law but dropped out after one semester. Fiorina received a Master of Business Administration (MBA) in marketing from the Robert H. Smith School of Business at the University of Maryland, College Park in 1980. She received a Master of Science in management from the MIT Sloan School of Management under the Sloan Fellows program in 1989. Fiorina worked various secretarial and receptionist positions, including a stint at Hewlett-Packard as a temporary worker through Kelly Services. She later worked as a receptionist at real estate firm Marcus & Millichap (including working briefly as a broker). During her speech at the 2006 ICSC convention in Las Vegas, Fiorina noted that her time at Marcus & Millichap helped her learn how to navigate the business world. Fiorina taught English in Italy; her first husband's career had taken them to that country.[4] She joined AT&T in 1980 as a management trainee and rose to become a senior vice president overseeing the company's hardware and systems division. In 1995, Fiorina led corporate operations for the spinoff from AT&T of Lucent, reporting to Lucent chief executive Henry B. Schacht;[5] she played a key role in planning and implementing the 1996 initial public offering of stock and company launch strategy.[6][7] Later in 1996, Fiorina was appointed president of Lucent's consumer products business, reporting to Rich McGinn, president and chief operating officer.[8] In 1997, she was appointed chairman of Lucent's consumer communications joint venture with Philips consumer communications.[9] Later that year, she was named group president for the global service provider business at Lucent, overseeing marketing and sales for the company's largest customer segment.[10][11]

In 1998, Fortune magazine named her the "most powerful woman in business" in its inaugural listing, and she was included in the Time 100 in 2004 and remained in the Fortune listing throughout her tenure at HP. Fiorina was #10 on the Forbes Magazine's List of The World's 100 Most Powerful Women for 2004.[12][13][14][15][16][17][18] She became regarded by many as being the first woman to head up a Fortune 20 company, and to have overcome the proverbial "glass ceiling".[19][20][21]

In 2008, Fiorina served as an advisor to Republican presidential candidate John McCain. In November 2009, Fiorina announced she would challenge incumbent Democrat Barbara Boxer for her United States Senate seat representing California.[1] On June 8, 2010, Fiorina won the Republican primary election.

After resigning from HP, Fiorina was named to several board memberships. She was named to the boards of directors at Revolution Health Group (Steve Case-AOL) and computer security company Cybertrust. The following year, she became a member of the board of directors for chip maker Taiwan Semiconductor Manufacturing Company.[49][50][51] She joined the board of trustees of the Massachusetts Institute of Technology and the Foundation Board of the World Economic Forum. She is an Honorary Fellow of the London Business School.[52][53][54] [55]

In October 2006, Fiorina released an autobiography, Tough Choices, about her career and her views on such issues as what constitutes a leader, how women can thrive in business, and the role technology will continue to play in reshaping the world. Fiorina signed on with the Fox Business Network to become a business commentator on the network.[58] She is Chairman and CEO of Carla Fiorina Enterprises where, according to her political campaign Facebook page, she is "bringing her unique perspective and experience to bear on the challenging issues of our world, championing economic growth and empowerment for a more prosperous and secure world."[59] She has appeared at many public events. She rang the opening bell of the Wall Street stock market on the official day of the HP-Compaq merger and in 2000 she was the ceremonial host opening the largest EasyInternetcafé at Times Square and the opening of the Epcot ride Mission: SPACE.[60] In 2004, Fiorina was a member of the President's Commission on Implementation of United States Space Exploration Policy, which produced a report for George W. Bush. She has appeared many times on TV such as in 2007 on Real Time with Bill Maher.

In 2008, Fiorina joined as a part of the Senator John McCain presidential campaign. In early 2008, Fiorina was referred to in media sources as a potential vice presidential candidate.

The Los Angeles Times research of public records indicated Fiorina had failed to vote in most elections. Fiorina responded: "I'm a lifelong registered Republican but I haven't always voted, and I will provide no excuse for it. You know, people die for the right to vote. And there are many, many Californians and Americans who exercise that civic duty on a regular basis. I didn't. Shame on me."[99][100]

HP survived much because of her leadership which included axing the employment of 30,000 American workers. Her argument that it was necessary due to governmental regulations in the United States which prevent companies from operating economically on our own soil. This was a cheap shot because there are many factors that drive up costs for businesses in the United States.

Neither candidate will light fires for most voters, but if I had to vote, or lose everything I would have to vote for Jerry Brown….at least it is same old, same old, and he has been there before. Carly Fiorina has enough money to not work, having enjoyed entrepreneurship at it’s best. (however she did not start anything….she walked into several positions at the right time.) She has invested a considerable amount of her personal fortune into her campaign.

An important thing to remember is that the Governor has Veto Power.

 

And what does this have anything to do with health care? Damned if I know, but then again I am in the back 40 of the pastures.

I am going to take a hard look at lesser candidates and if nothing draws my attention I will write myself in for (other).

Wednesday, September 29, 2010

Do You Know What your Ratings are?

Internet web based rating sites have grown substantially in the past five  years.  At first I thought this would be a short lived phenomenon, however like most things on the internet they have flourished.

I must admit that I now Google for most of my colleagues’ information, because it is so efficient.  Usually the top rated first page results from a Google search brings up ‘Ucompare”, Healthgrades, Wellness, Doctor.com

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If you don’t know the name and who John R. Morrow is and what he  does you need a quick brief on what he does and how it may matter to all of us.

John R. Morrow has founded, created and contributed to a variety of national and international ratings programs including; 100 Top Hospitals : Benchmarks for Success℠ a Thomson-Reuters product, The Patient Satisfaction Index™ a National Research Corporation product, The Hospital Value Index™ a Press Ganey & Associates property, and is currently in Beta with Distinguished Doctor™, a new doctor profiling initiative. Morrow was a Principal at HCIA/Solucient, CEO of CHKS (UK) Ltd, SVP at HealthGrades and is Principal at The Ratings Guy LLC.

Matthew Holt published an article by Mr. Morrow in today’s The Health Care Blog.

Understand that all of this rating stuff is here, and it will remain so. It will be better to learn how to deal with it….it is not going away (until the flow of money stops to those web publishers.

Monday, September 27, 2010

Did you Know???

The IRS would apply the withholding to physicians' tax obligations for the year. The remainder would be refunded after doctors file their tax returns the following spring, but in the meantime, the federal government would hold that money, interest-free.

Physician practices face a 3% reduction in payments, as well as potential accounting headaches, under a little-noticed tax provision.

A little-known provision tucked into a 2005 tax bill requires the Internal Revenue Service, starting in 2012 at the earliest, to withhold 3% of payments to any contractor doing work for federal, state or local governments. The Medicaid program is excluded because it provides services based primarily on patient need. But Medicare, which is age-based, is not exempt.

The GAO issued another report in March 2007 finding that approximately 5% of physicians and others who billed for Medicare Part B services continued to receive money from the program, despite having significant outstanding federal payroll and income tax liabilities.

Supporters of the withholding concept say it is a necessary response to widespread failures by contractors both to pay their taxes and to render good service.

Physicians may be able to escape the withholding, even if the provision remains in place by 2012. The MGMA's Smith said defense contractors, not the medical community, appear to be the intended target of the 2005 policy. He remains hopeful that physician practices will be exempted.

WTF ?

Sunday, September 26, 2010

The Complete Meal

Thanks to Dr Wes for this,

 

“Parents the world over know the magic of McDonald's Happy Meals. There's something about the promise of a Happy Meal - the way it's packaged, the free toy - young families and especially kids find them irresistible. But anyone who's purchased one of these knows the reality: that toys within the Happy Meal are typically played with for no more than three minutes and the plastic tchotchkes are discarded faster than the accompanying 2% milk.

There's a common sense saying: "If it sounds too good to be true, it probably is too good to be true."

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A complete meal for $0.99. (It may be small, but it’s what we promised.)

 

Even if we find that the $19.99 infomercial slicer/dicer doesn't work at home as it did on television, American's love the psychological reassurance that this time the government will make health care available to all without restriction, expense, or consequence, be they boys or girls, legal or illegal, young or old, right-handed or left-handed, with preexisting condition or not, - no one will be left behind in our new omnipotent era of Patient Protection and Affordability.
We should all know better, but the sad fact is, we're all suckers.
Not that some of the promises made wouldn't be useful, helpful, or even critical to many families. But to position health care reform (and the Patient Protection and Affordable Care Act in particular) as a win-win with no hard choices, no limits to health care for our seniors, no future commoditization of medicine, unlimited access to procedures and doctors, and all with no enormous financial cost, is to stick one's head in the sand.
Package it, spin it, wrap it in plastic - then put it next to a cheeseburger.
No matter what you call it, it's still
Hopium.”

HOW DID JEFFERSON KNOW??????

 

It has been said the greatest volume of sheer brainpower in one place occurred when Jefferson dined alone..." John Kennedy

When we get piled upon one another in large cities, as in Europe, we shall become as corrupt as Europe.
Thomas Jefferson

The democracy will cease to exist when you take away from those who are willing to work and give to those who would not.
Thomas Jefferson

It is incumbent on every generation to pay its own debts as it goes.   A principle which if acted on would save one-half the wars of the world.

Thomas Jefferson
I predict future happiness for Americans if they can prevent the government from wasting the labors of the people under the pretense of taking care of them.
Thomas Jefferson

My reading of history convinces me that most bad government results from too much government.
Thomas Jefferson

No free man shall ever be debarred the use of arms.
Thomas Jefferson

The strongest reason for the people to retain the right to keep and bear arms is, as a last resort, to protect themselves against tyranny in government.
Thomas Jefferson

The tree of liberty must be refreshed from time to time with the blood of patriots and tyrants.
Thomas Jefferson

To compel a man to subsidize with his taxes the propagation of ideas which he disbelieves and abhors is sinful and tyrannical.
Thomas Jefferson

 

Seems to me that Thomas had it right.  Now, how can this basic principle of our Republic be applied today?

Friday, September 24, 2010

The Amazing Carelessness Of ObamaCare Grace-Marie Turner Investor's Business Daily, May 11, 2010

I don’t think Grace-Marie would mind if I give her attribution for this article she wrote.

All bets ARE off as to what really is going to transpire with health reform.  Passing this legislation was a sham for the democrats and President Obama, just to  pass something, workable or not.

DO’S & DON’T’S

 

There are many comments circulating on the social media networks, first the blogs, now Facebook and Twitter. Rumor has it that facebook and twitter are passing google and RSS feeds by, so blogging is now old hat.  (it used to be a challenge to make a blog.) Thanks to all you super-geeks guys like me can pour it on with little effort . 

Many well known bloggers now don’t even write their own stuff, leaving it to ‘interns’ in the blogville.and syndicating many blogs into one place, such as Better Health.

 

I often wonder if these bloggers see any patients.  They always seem to be right there, posting my news just before I click on “publish”.

The big thing now is should doctors participate in social media? What are the rules? 

Fierce Practice Management analyzes this well

Despite all of the benefits and pitfalls surrounding the use of social media by physicians, formal rules for medical professionals to follow online are still in the making. But even as The American Medical Association Council on Ethical and Judicial Affairs, The American College of Physicians' Center for Ethics and Professionalism and other organizations continue to work on new policies, social media pioneers have identified some general do's and don'ts for practicing physicians

The  American Medical Association weighs in as well.

 

In summary,  or as a tweet should be, short and sweet.

Social media do's and don'ts

Here are social-media experts' answers to ethical dilemmas physicians face when using Facebook, Twitter or similar sites.

Should I accept Facebook friend requests from patients? Probably not. Keep your personal profile only for friends, family and colleagues. Create a separate business page to share general health information with your patients.

Should I respond to personal medical questions on Facebook or Twitter? No. Refer questions to the patient's physician. If the question comes from your patient, handle it through an office visit, phone consultation or encrypted e-mail exchange.

Should I post any identifying information about my patients? Absolutely not. It is unethical and illegal.

Should I blog or tweet anonymously? Probably not. Anonymity can make it easier for doctors to post content that is disrespectful to patients or that undermines patient trust in the profession.

 
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