zephorah @ zephorah @lemm.ee

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1 yr. ago

The piece that needs to be spoken loudly and often is the hospital system shrinks and nears collapse without Medicare and Medicaid. Those 2 things fund over 50% of hospital income. Think about that for a minute.

What dies first? Rural and critical access. The little places that transfer out to a larger metro hospital when you need surgery. Statistically, specialists and surgeons gather around metro locations where Level 1 and most Level 2 are located. Look up your closest hospital. If it’s Level 3 or 4, or labeled as critical access, it will be in trouble. Those hospitals rely even more on Medicare and Medicaid income to stay alive. In fact Medicare may provide subsidy to hospitals considered critical access.

What dies second? Mother/Baby, NICU, labor and delivery. The hospital units involving childbirth are all loss leaders in the hospital product line. Surgery and speciality income cover those costs.

What dies third? Jobs. Layoffs will ensue, from supply runners to nurses. I can’t imagine hospitalist staff (attending, in house, generalist doctors) won’t be cut to bare bones as well. Patients will be more unsafe due to less staff in general, those who are able to drive 100mi for services.

Jon Stewart’s latest podcast. Buttigieg is trying to line himself up to be that guy.

Market manipulation to pay his allies.

FDR legacy is over.

Global post WWII goodwill is over.

Done.

There’s no agency to ride to the rescue. It’s just the government and We The People, for better or worse.

If “engagement” is a tap in, which this article is not clear on, then it’s a piss poor measurement of engagement.

I think bots are “good” for making an item appear viral through artificial amplification of visibility. Of note, the headlines in Gaza and Israel pre 2024 election were a deluge. Multiples every day. Post election, that deluge of posts dropped abruptly, to 0-1 a day.

There also needs to be a distinction between passive and active engagement.

Not so silently, if you pay attention. There were brief headlines on the No selling to our defense contractors some time ago.

I’m in Trump time dilation so it’s hard to guesstimate when I read that one.

Is this man functioning at full capacity? It took over a year to build a chain grocery store in a nearby town and that’s mostly stuff on shelves, not a production line set-up. Time was spent up front as well, in planning and logistics, that I wasn’t able to see, such that the total time to build a chain grocery store took well over a year, maybe two or even three.

Meanwhile, Trump expects “now” for manufacturing.

Never mind the fact that Americans won’t be able to buy products of that manufacturing due to high costs. What was the estimate, that iPhones manufactured here would cost $2k+? Something like that.

I’m not passionate about bourbon nor am I a real drinker and thus the wrong person to pull into what is intended to be a heated discussion on it.

My original point is some people are and some of those people make policy decisions.

I can’t say I’ve ever enjoyed the taste of a regular whiskey, top shelf or not. There is a difference. Granted, your comment is intended as baiting in this way.

How is this increasing American manufacturing?

Someone in charge likely has a bourbon cellar. If you’ve ever had good bourbon, you’ll understand. Small amounts of the top shelf bourbon can be like good chocolate.

Or they’re practiced lushes and don’t want any alcohol price increases.

More than mildly interesting.

I’m guessing there are probably private security company logos and hunting gear logos based on that final pose.

Due process exists for a reason. Like making sure you have the right guy.

I never thought I’d laugh out loud at the sight of a spider, until today.

Trump is that kid on beach who watches you build a big, beautiful sand sculpture and then cannonballs right into it just as you’re about to finish. Then laughs.

Given the number of lung ailments walking into the emergency room lately, I don’t think adding more garbage to the air is going to reduce those numbers. Nor do I think it’s going to create a more effective work force.

There’s a good What Now with Scott Galloway.

I’ve always been enamored of Trevor Noah’s comedy but his daily show didn’t draw me in. This podcast though, mostly, is thoughtful and insightful.

Galloway is great, he’s rich but he’s pretty no bullshit in how he talks about it. And men, in this podcast.

Their discussion offers better perspective and long game insight than this guy.

So what do we DO?

On the waking side of reading the alien enemies act will be enacted April 20, but I don’t see how that’s any better.