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NYT Editorial on Medicare Costs

There will likely be no real solution until the American health care system moves away from unfettered fee-for-service payments that encourage doctors to perform unnecessary and costly tests and procedures and pays them instead for better management of a patient’s care over time.

You can read the rest of the editorial here.

The article notes that the assumptions behind the formula are based on health care in 1997, and are hampered by an overwhelming trust in the divine wisdom of physicians; the formula has no checks to limit the services doctors provided or distinguish between valuable and needless treatments. Individual doctors poor decisions affect the aggregate costs of everyone. Driven by natural greed, and by fear of making a mistake, there’s a tendency for some physicians to try everything, whether or not it’s medically appropriate.

Grilled Fresh Pacific Northwest Salmon

I admit that I’m really loving easy access to fresh, locally caught, salmon. At this time of year in particular, when it’s simple to buy a fillet or a couple of salmon steaks, and take them and a bottle of wine to a local park for grilling, it’s pretty hard not to love salmon. For those of you interesting in grilling your own fresh salmon in a simple, but delicious fashion, go read MacAllister Stone on do-it-yourself salmon grilling:

When I first moved to the Pacific Northwest, I could not eat enough salmon to suit me, and at the time, salmon was extraordinarily reasonably-priced, in-season.

Salmon cooked outside, in the fresh Northwest air, on a charcoal grill has to be one of the finest culinary experiences available, anytime, anywhere. If you’ve been in the Pacific Northwest for any amount of time, you’ll already be familiar with the popularity of good local fresh “salmon bbq”—it took me a little while to realize that doesn’t actually mean salmon smothered in a tangy catsup-based sauce; rather, barbecued salmon is simply salmon cooked on a barbecue grill. The best part of that, of course, is that there’s no need to wait for a special occasion. Salmon is healthy, delicious, and remarkably easy to prepare.

Read more here.

Pompeii and Herculaneum: Abandoned to the Ravages of Time

Peter Popham of Prospect Magazine asks:

Pompeii and Herculaneum have been listed as Unesco World Heritage Sites since 1997. So why isn’t the world’s culture policeman keeping the world’s most important Roman sites in order?

Popham details the rapid decay of two of the richest and most important archaeological sites in Italy—including the virtual abandonment by the Italian government, and the efforts of a millionaire donor to make the sorts of structural repairs that forty years of neglect—and two million tourists a year—mean to an ancient site. Less than half of the 70 or so excavated buildings are open to tourists, or even safe to enter, since they are in advanced stages of decay.

Whedon, Rimbaud, and Cicero: Introduction to the Angel Rewatch


The central question informing the character of Angel is asked during season 3, first in the episode “Amends.” Angel’s been having really bad dreams. Except they’re also teh sexy and over-the-top with all the blood and pain and dying and the—wait for it—decadence of Angel’s sordid past. So a suicidal and tormented Angel asks Buffy (BtVS, season three, “Amends”), “Am I a thing worth saving, huh? Am I a righteous man?

You can read MacAllister’s response in this introduction to a series of re-watching Joss Whedon’s Angel.

James Fallows: “If the TSA Were Running New York . . .

James Fallows at The Atlantic writes:

The point of terrorism is not to “destroy.” It is to terrify. And for eight and a half years now, the dominant federal government response to terrorist threats and attacks has been to magnify their harm by increasing a mood of fear and intimidation. That is the real case against the ludicrous “orange threat level” announcements we hear every three minutes at the airport. It’s not just that they’re pointless, uninformative, and insulting to our collective intelligence; it’s that their larger effect is to make people feel frightened rather than brave.

Read the rest here.

Spin that Story!

Blatant examples of media agenda and spin as seen in the coverage regarding the GM Payback . . . Wow. Just wow.

MSNBC

Fallen giant General Motors Co. accelerated toward recovery Wednesday, announcing the repayment of $8.1 billion in U.S. and Canadian government loans five years ahead of schedule.

The Obama administration crowed about the “turnaround” at GM and fellow bailout recipient Chrysler LLC, saying the government’s unpopular rescue of Detroit’s automakers is paying off.

NPR

The American auto industry is showing signs of revival. The question is how that’s being played. Chrysler posted improved quarterly results this past week, and sales to auto fleets have surged. But some are saying that General Motors CEO Ed Whitaker went too far with television ads that have been playing constantly this week.

FOXNews

General Motors Co. has repaid the $8.1 billion in loans it got from the U.S. and Canadian governments, a move its CEO says is a sign automaker is on the road to recovery.

GM CEO Whitacre formally announced the loan paybacks Wednesday at the company’s Fairfax Assembly Plant in Kansas City, Kansas, where he also announced that GM is investing $257 million in that factory and the Detroit-Hamtramck plant, both of which will build the next generation of the midsize Chevrolet Malibu.

GM got a total of $52 billion from the U.S. government and $9.5 billion from the Canadian and Ontario governments as it went through bankruptcy protection last year. The U.S. considered as a loan $6.7 billion of the aid, while the Canadian governments held $1.4 billion in loans.

The Chevy Volt

photo courtesy of chevrolet.com

But is the news really that simple, or anywhere near that positive? Rather a lot of people don’t seem to think so:

Newsvine:

So the taxpayer funded their bailout, and now we will repay the loan via stock purchases, GM never actually feeling the total bite of the 52 billion? That loan never coming out of their pockets, never facing the responsibility for their actions?

They cut nearly 70,000 Union jobs and reductions in the Pension, and moved more manufacturing over seas which had generated enough profits to pay this back. The truth is that GM is a taxpayer funded sinking ship, and not viable as it iscurrently structured. We are just funding the same behavior, the same failed business plans by being their crutch.

TTAC Bailout Watch

PDF of Sen. Chuck Grassley’s (R, Iowa) letter to Secretary Geithner

NYT Op Ed Piece

Moreover, G.M. is not, in the strictest sense, paying back taxpayers at all. Rather, it is refunding $6.7 billion of an $18 billion escrow account that was given to it by the government when it emerged from bankruptcy. The rest of that account will be used to cover fourth-quarter losses (including $2.8 billion pledged for the rescue of G.M.’s major parts supplier, Delphi), repay loans from the Canadian government, and possibly prop up the automaker’s shaky European operations. That escrow account is due to expire in June, at which time G.M. will repay what remains of the $6.7 billion from this week’s pledge — and then pocket the estimated $5.6 billion remainder.

In fairness, G.M. was clear up front that it would not be able to make the taxpayers whole through cash payments alone. Rightly so: for all the talk of slimmed-down cost structures and booming sales in China, G.M. isn’t making any profit with which to repay its debts.

Ultimately, I find myself much less concerned about partisan politics these days, and much more concerned about this kind of ultra-rich and corporatist warfare on the working classes.

By the way, GM seems to be pinning their hopes of a return to profitability on the upcoming and much-hyped Chevy Volt, reportedly being built in GM’s Detroit/Hamtramck facility.

Veteran Marine, Mainer to Meet Obama

Leroy Peasey, an 87 year old resident of Rockland, Maine who served in the Pacific theater during WWII, was wounded in action on Guam, and waited on reserve during the invasion of Iwo Jima, has been invited to lead the Pledge of Allegiance during the President’s visit to Portland, Maine, this week.

The pacific island of Iwo Jima

Iwo Jima

Mr. Peasey has rather amazing history with American presidents. He was part of the Marine Guard for President Roosevelt at Camp David, during FDR’s administration. Mr. Peasey was an outspoken critic of the Bush administration, as evidenced by this yard sign posted a few years ago.

Mr. Peasey unabashedly admires President Obama, and according to this article by Daniel Dunkle in The Herald Gazette, Mr. Peasey is quoted as saying, “I’d follow him to hell and back as a Marine.”

Julie and Julia: A Meditation on Film, Julia Child, and Cooking Blogs

Even though the film Julie and Julia came out in 2009, I’ve only just now seen it. Written and directed by Nora Ephron, and based in part on the blog Julie Powell started in 2002 at Salon. I liked Julie and Julia very much. Meryl Streep is fabulous, (as usual), so much so that now I have to double-check to make sure I’m looking at images and video of the real Julia. Stanley Tucci is wonderful as Child’s spouse Paul Child. I wish there had been less of Julie the cooking-blogger (though she is well-played by Amy Adams) and more of Meryl Streep as Julia Child. As much as I admire Nora Ephron’s work, I think a film about Julia Child would have been even better. Ephron’s decision to intertwine Julia Child’s life with the story in Julie Powell’s book Julie/Julia, based on Julie Powell’s blog The Julie/Julia Project was perhaps unfortunate. The Project was a blog about Powell’s efforts to cook all 524 recipes in Julia Child’s Mastering the Art of French Cooking in a year.

As a blog, The Julie/Julia Project is less than inspired.

You can find the rest of the piece, complete with lots of food links, here.

Scientists Discover Brain’s Moral Compass . . . and It Responds to Magnets

In a study led by Dr. Liane Young of MIT, researchers have discovered that the moral compass lies in the right temporo-parietal junction of the human brain, near the surface and just behind the right ear. This region becomes excited and actively engaged when we think about other people’s errors or good deeds. Researchers using transcranial magnetic stimulation were able to disrupt the function of the area and temporarily encourage people to be “less moral.” You can read the details here.

“The Rage Is Not About Health Care”: Teabaggers and Racism

In Frank Rich’s New York Times op-ed “The Rage Is Not About Health Care ” he notes:

The week before the health care vote, The Times reported that births to Asian, black and Hispanic women accounted for 48 percent of all births in America in the 12 months ending in July 2008. By 2012, the next presidential election year, non-Hispanic white births will be in the minority. The Tea Party movement is virtually all white. The Republicans haven’t had a single African-American in the Senate or the House since 2003 and have had only three in total since 1935. Their anxieties about a rapidly changing America are well-grounded.

Rich’s analysis is spot-on, and chilling. Read the whole thing.