[evilgenius]

Seriously. Pops, I am talking about night and day. The difference is akin to that between the two types of managers at loose in the world today. Twenty years ago I worked at this place where they gave three nutcutters a chance to succeed, in front of a woman who believed in empowering the people under her. The three nutcutters all got their individual chance to drive the Accounts Payable Department as hard as they could in order to get the required stuff in on time for closing. None of them could do it. When she got a chance, a week into the woman's regime all of the lies melted away. Even if people believe in you, like practically the whole world believes in nutcutters right now, you still can't do it unless right is on your side. Sneak in there with right, and find a way to make it stick in even the most minute place, and you can win.

[Pops]

What is a nutcutter?

I think death panels are a good idea. We have gone a long way with the ACA toward reducing medical rationing by income, but we still have the problem of spending a majority of medical dollars on heroic measures late in life that are ineffective. Obviously the place to reduce cost is waste but how do you decide what is wasted effort?

One of the regulations in the ACA is forcing the medical system to computerize. Pretty hard to imagine the most technologically advanced system in the world uses mostly written orders - the only reason I can think of to not computerize those orders and records is it makes evaluating doctor's performance and medical effectiveness harder to track and evaluate.

Anyway the regulation is called CPOE (for Computerized somethingorother) and one hospital I work with, even knowing the rules were to start last october still hand wrote over 70% of their lab, medicine and radiology orders!

I think it would be very fair for death panels to say, after some period of study, that for example, insulin for diabetics is 90% effective treatment so insurers will pay 90% of the cost. OTOH, Open heart surgery for 99 YO smokers is only 1% effective so insurers will be required to pay only 1%.

[Pops]

Capitalism is over here
another-future-of-capitalism-argument-t70892.html

[Newfie]

And on a lighter note....in line with the thread title...

https://www.youtube.com/embed/LR2qZ0A8vic?rel=0