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-   -   Patting the wrists, rolling the eyes. (http://www.lawtalkers.com/forums/showthread.php?t=661)

bilmore 03-14-2005 01:47 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
And what you have there is not exactly a groundswell for representative democracy, except among the Hezbollah supporters who would like to have representation proportionate to their numbers -- something your "pro-democracy" Maronites and Druze have opposed.
You didn't read the posts from this morning, did you?
Quote:

If our invasion of Iraq made a difference, I suggest the difference is that Syria feels exposed now in a way that it did not before, and feels compelled to withdraw its forces as a result.
I would agree that this is certainly part of it. Exposed to what? Our military? A changed Iraq? A shrinking world for tyrants? A lifting of the feeling of powerlessness amongst subjugated peoples? All of them?

Tyrone Slothrop 03-14-2005 01:52 PM

Wow
 
Quote:

Originally posted by bilmore
You didn't read the posts from this morning, did you?
I know about the demonstrations today, and think they're great. I'm talking about something more fundamental. Seats in the Lebanese parliament are allocated according to the 1932 census, with results that overrepresent Christians and undercount Shi'a. Also, the President must be a Maronite Christian, the prime minister must be a Sunni, and the speaker of the legislature must be a Shi'a.

Quote:

I would agree that this is certainly part of it. Exposed to what? Our military? A changed Iraq? A shrinking world for tyrants? A lifting of the feeling of powerlessness amongst subjugated peoples? All of them?
Our military. Iraq is changed, but not in a way that threatens Syria. It's true that fax machines and jet airplanes have shrunk the world for tyrants just like the rest of us, but I think Assad is too busy running his country to jet off to the Cote d'Azur for the weekend. "A lifting of the feeling of powerlessness amongst subjugated peoples?" Does Hallmark make a card for that now? That's part of Bush's "tone," right?

bilmore 03-14-2005 02:02 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
Our military. Iraq is changed, but not in a way that threatens Syria. It's true that fax machines and jet airplanes have shrunk the world for tyrants just like the rest of us, but I think Assad is too busy running his country to jet off to the Cote d'Azur for the weekend. "A lifting of the feeling of powerlessness amongst subjugated peoples?" Does Hallmark make a card for that now? That's part of Bush's "tone," right?
Do you think Assad has more fear of our military, or of the people of Lebanon? I suspect that his prime fear isn't a US invasion, but a popular Lebanese uprising. His hold right now in Syria proper is tenuous enough that he likely would rather not start such a process - who knows to where it might spread.

And yeah, I think Hallmark still sells some 4th of July cards.

Tyrone Slothrop 03-14-2005 02:07 PM

Wow
 
Quote:

Originally posted by bilmore
Do you think Assad has more fear of our military, or of the people of Lebanon? I suspect that his prime fear isn't a US invasion, but a popular Lebanese uprising. His hold right now in Syria proper is tenuous enough that he likely would rather not start such a process - who knows to where it might spread.
I think Assad is most worried about avoiding a U.S. invasion of Syria, and generally with retaining power in Syria, and that the mood of the Lebanese people has little to do with that. This vision you have of "a popular Lebanese uprising" that threatens Assad's grip on his own people has very little to do with what ails Lebanon or Syria.

taxwonk 03-14-2005 02:08 PM

Credit Cards
 
Quote:

Originally posted by bilmore
Well, first, I make a big distinction in my own mind between liability insurers and health care orgs, since I know one industry and not the other, so, to the extent you address just the one, maybe I should beg off in ignorance.

But, to the extent that logic can fill in blanks in actual knowledge:

"The hospital charges me $X for a visit. The insurance company decides that only $X-Y is "reasonable" for the hospital stay. I don't get to do that; why should they?"

Because it's in the contract into which you (or your employer, more likely) entered. Same with auto insurers only paying a certain amount for a wrecked fender; they take known risks based on predictable costs, and aren't willing (understandably) to pay unreasonable amounts as part of their contractual duty. Why should an insurer send off a check for $3000 for a fender when they know that the same fender can be purchased for $300? Why should they pay $4000 for a hospital room when they know that the prevailing reasonable charge is $1200? Heck, this issue alone has probably done more to keep health care costs down from the provider than any other provision. Do you think hospitals and clinics and docs would keep their rates where they are if they knew they could simply pick any desirable charge and get it paid?

A contract for insurance isn't a promise of a blank check. It calls for a premium in exchange for a set of known benefits. Why would you not question your clinic as to the charge being too high, instead of questioning what you've explicitly contracted for from the insurer?
Actually, what I contracted for was to have my health care costs covered. I don't have any bargaining power witht the providers, the insurer does. It ought to be the one negotiating and argeeing on an amount for the hospital stay. It should not be incumbent on me, on my own, to fight it out with the hospital.

taxwonk 03-14-2005 02:12 PM

Credit Cards
 
Quote:

Originally posted by Spanky
Mr. Wonk - I don't loose sleep over the credit companyes either, but the people I do feel that do get screwed over are the small businessman who have a ninety day invoice period with wealthy purchasers and they get screwed by a bankruptcy. I see it with these palaces in the Silicon Valley. The people go out and hire all sorts of contracters to build stuff, buy items for their house, etc and then declare bankruptcy.

I don't know if you read the last few lines of the Economist article but it said: "Other quirks of the legislation make one wonder why credit-industry groups are so keen on it. One loophole allows rich debtors to go on shielding assets in special trust accounts that are legal in a few states. And debtors' fancy homes in Texas and Florida will still be off-limits to creditors. The bill's backers say that fear of trampling on states' rights stopped them closing such loopholes. But it smells rather pervasively like special treatment for the rich."

I believe it is these areas where the reform is needed most and the bill doesn't cover these areas. I believe small businesses are the key to the success of the US economy and they are very fragile.
We are in complete agreement on that score. I think that where bankruptcy reform is really needed is a uniform exemption, and stricter rules about restricting discharge for credit that is obtained shortly prior to filing. I also think that asset protection trusts, either domestic or foreign, are abusive as well.

taxwonk 03-14-2005 02:22 PM

Wow
 
Quote:

Originally posted by bilmore
Also, long-impotent village elders are now routinely having erections.
Wasn't it you who, just last week, was firml rminding some poster that certain things said between posters are not meant for general distribution?

ltl/fb 03-14-2005 02:25 PM

Credit Cards
 
Quote:

Originally posted by taxwonk
Actually, what I contracted for was to have my health care costs covered. I don't have any bargaining power witht the providers, the insurer does. It ought to be the one negotiating and argeeing on an amount for the hospital stay. It should not be incumbent on me, on my own, to fight it out with the hospital.
Of course you have bargaining power with the providers, and you should use it when you come in with a concussion and go to a different hospital if the one you are at won't give you the services at the price you want (i.e., the amount your insurer will reimburse). While I'm being sarcastic about the concussion thing to point out that this is one service it is difficult to bargain about, I'm serious about the bargaining. A lot of doctors I see lately have signs up saying that some insurers do not reimburse the full amout of the charges, and that the patient will be responsible for any amounts not reimbursed.

If you want everything covered, go with an HMO not and indemnity or whatever it's called.

sgtclub 03-14-2005 02:32 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
I don't have an ideology. I believe in facts. You're the one who is trying to suggest that there's a connection between what's happening in Iraq and Lebanon. They're both Arab countries, so there must be a simple explanation tying it all together, right?
Answer me this. Is it ever possible that something that happens in country 1 could effect country 2, without there being a direct, uninterrupted causal connection?

Tyrone Slothrop 03-14-2005 02:39 PM

Wow
 
Quote:

Originally posted by sgtclub
Answer me this. Is it ever possible that something that happens in country 1 could affect country 2, without there being a direct, uninterrupted causal connection?
Yes, of course.

Mmmm, Burger (C.J.) 03-14-2005 02:40 PM

Credit Cards
 
Quote:

Originally posted by taxwonk
Actually, what I contracted for was to have my health care costs covered.
You're mistaken as to what you contracted for. It's your *reasonable* health care costs. Nothing prevents you from paying more for additional services.

bilmore 03-14-2005 02:46 PM

Credit Cards
 
Quote:

Originally posted by Mmmm, Burger (C.J.)
You're mistaken as to what you contracted for. It's your *reasonable* health care costs. Nothing prevents you from paying more for additional services.
Just adding that the word "reasonable" is specifically and explicitly defined in the contract.

Mmmm, Burger (C.J.) 03-14-2005 02:57 PM

Credit Cards
 
Quote:

Originally posted by bilmore
Just adding that the word "reasonable" is specifically and explicitly defined in the contract.
I'm sure it's on the front page in large print, too.

sgtclub 03-14-2005 03:05 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
Yes, of course.
Well you seem to suggest that unless we can draw a straight, uninterrupted line between the events in Iraq and the events in Lebannon/Syria, it is laughable to suggest that one had any effect on the other.

And IMO, it is not just limited to the events in Iraq. It's also the President's general themes of freedom and democracy which he has repeated over and over again, and the events in Ukraine, Afganistan, Israel/Pali, Egypt (though I recognize these are very modest), and other places.

Bad_Rich_Chic 03-14-2005 03:21 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
This vision you have of "a popular Lebanese uprising" that threatens Assad's grip on his own people has very little to do with what ails Lebanon or Syria.
Actually, there is a good chance Assad would lose Syria if he loses Lebanon. Economically, Syria is dependent on it. Geopolitically, Syria would become completely surrounded by generally pro-American states.

Tyrone Slothrop 03-14-2005 03:24 PM

Wow
 
Quote:

Originally posted by sgtclub
Well you seem to suggest that unless we can draw a straight, uninterrupted line between the events in Iraq and the events in Lebanon/Syria, it is laughable to suggest that one had any effect on the other.

And IMO, it is not just limited to the events in Iraq. It's also the President's general themes of freedom and democracy which he has repeated over and over again, and the events in Ukraine, Afganistan, Israel/Pali, Egypt (though I recognize these are very modest), and other places.
I've already suggested that I think our invasion of Iraq has had an effect on Lebanon. It's just not the effect that you seem to be advocating. And it's not the January election there, it's our willingness to use force to remove a leader we don't like and the presence of our troops on Syria's eastern border.

I think it takes a naif to think that sporadic happy talk from Bush about the importance of freedom and democracy has had much of anything to do with developments in Afghanistan, Ukraine, or Israel & Palestine. Egypt I'll grant you, but I'm not convinced that it means anything -- I think Mubarak is betting that he can make a couple cosmetic changes and our attention will move on to something else. We'll see. An election in which the largest opposition party is not permitted to run is not much of an election.

Oh, and you forgot Bolivia.

Secret_Agent_Man 03-14-2005 03:40 PM

Wow
 
Quote:

Originally posted by sgtclub
Who is trying to fit what into their ideological narrative? Or have you forgotten that we are in Iraq at the request of the Iraqi government?
Heh. Heh, heh. That's pretty thin, Club. What you say has been true for oh, about 49 days.

For that matter, al Qaeda was in Afghanistan as guests of the Afghan government -- so that doesn't say much.

S_A_M

Sidd Finch 03-14-2005 03:42 PM

What Bias?
 
Quote:

Originally posted by bilmore
I'm curious about the parameters of the measurement in that study.

One can choose stories to write, and stories not to write, and then write the chosen ones up with an entirely neutral tone, but yet still not be neutral. If, say, the NYT wrote fifty stories about bombs and killings, and none about Iraq public support, or rebuilt power plants, how would that fit into this study? If the chosen stories didn't seem to contain any tilt, or underlying tone, would that count as "neutral"? I suspect it would.

Does the same skepticism apply to the finding that Club cited?

Quote:

How many stories did you see about the reopening of all the schools?
Quite a few.

But I wouldn't trade an American teenager's life for an Iraqi school, so I don't see the driving need to be "even-handed" on that coverage.

ltl/fb 03-14-2005 03:50 PM

Non-technical article on health care for Wanker, bilmore and Burger
 
Quote:

While it's difficult to make a price comparison after the fact, it might be even harder in advance.

Emergency room workers won't talk about prices prior to caring for a patient because of federal requirements that they treat all comers, said Dr. Jonathan Landis, director of emergency medicine at Allegheny General Hospital's Suburban Campus. Talking finances in advance could be construed as trying to scare away a patient, plus it's impossible to assess a patient's needs over the phone, he said.

. . .

People with HSAs, of course, are supposed to worry about the price. A patient with an HSA offered by Highmark Blue Cross Blue Shield gets the benefit of Highmark's discounted rate, so that patient might want to know how Highmark reimburses different facilities before making a choice.

But Highmark doesn't give HSA members information about negotiated discounts, said Kim Bellard, a Highmark vice president. The insurer is reluctant because hospital discounts were negotiated at a time when hospitals believed the information wouldn't be shared publicly, Bellard said.
http://www.post-gazette.com/pg/05072/470126.stm

bilmore 03-14-2005 04:14 PM

Non-technical article on health care for Wanker, bilmore and Burger
 
Quote:

Originally posted by ltl/fb
http://www.post-gazette.com/pg/05072/470126.stm
I wonder if there might be a valid legal argument that, when you're carried into an E-room for E-care, and you truly can't drive to the "approved" facility, the charges, no matter how high (as long as they are the facility's usual charges) are per se "reasonable" and thus fully payable by your insurer.

bilmore 03-14-2005 04:16 PM

What Bias?
 
Quote:

Originally posted by Sidd Finch
Does the same skepticism apply to the finding that Club cited?
Sure. Just not sure how to measure it. ("Count all the dogs that don't bark tonight.")

Quote:

But I wouldn't trade an American teenager's life for an Iraqi school, so I don't see the driving need to be "even-handed" on that coverage.
Would you trade an American teenager's life for ten thousand Iraqi lives?

I would. And, given Saddam's record, I think that's what we did.

Sidd Finch 03-14-2005 04:19 PM

What Bias?
 
Quote:

Originally posted by bilmore
Would you trade an American teenager's life for ten thousand Iraqi lives?

I would. And, given Saddam's record, I think that's what we did.
I might. I wish the question had been posed that way beforehand.

But do you think Saddam was poised to kill 15 million (and counting) Iraqis?

ltl/fb 03-14-2005 04:20 PM

Non-technical article on health care for Wanker, bilmore and Burger
 
Quote:

Originally posted by bilmore
I wonder if there might be a valid legal argument that, when you're carried into an E-room for E-care, and you truly can't drive to the "approved" facility, the charges, no matter how high (as long as they are the facility's usual charges) are per se "reasonable" and thus fully payable by your insurer.
That may be in standard contracts. Hell if I know. And some indemnity policies don't have "approved" facilities -- you go where you go, and they pay what they pay, and you have to make up the difference. I'm not sure that even "participating" facilities in PPOs necessarily won't charge you more than what the insurer/plan deems reasonable and reimburses, but I could be wrong on that.

In any event, even for non-emergency care, if you read the actual articles, most of the facilities contacted weren't able/willing to provide cost estimates even after the fact, and prices negotiated with particular insurers/administrators are even more unlikely to be disclosed.

If one of the effects of HSAs etc. is to make prices for healthcare more transparent, I wonder whether prices for the insured will go up b/c the hospitals have a hard time justifying charging so much more to uninsured people (who, the hospitals note, often never pay b/c they go into bankruptcy, which brings us back to the bankruptcy issue . . .).

sgtclub 03-14-2005 04:22 PM

Wow
 
Quote:

Originally posted by Tyrone Slothrop
I've already suggested that I think our invasion of Iraq has had an effect on Lebanon. It's just not the effect that you seem to be advocating. And it's not the January election there, it's our willingness to use force to remove a leader we don't like and the presence of our troops on Syria's eastern border.
It's all of these things. Removing the leader without instituting the vote would not have been as effective. "Happy talk" without military action would not have been as effective.

Quote:

I think it takes a naif to think that sporadic happy talk from Bush about the importance of freedom and democracy has had much of anything to do with developments in Afghanistan, Ukraine, or Israel & Palestine. Egypt I'll grant you, but I'm not convinced that it means anything -- I think Mubarak is betting that he can make a couple cosmetic changes and our attention will move on to something else. We'll see. An election in which the largest opposition party is not permitted to run is not much of an election.
And I think it takes someone so blinded by partisanship that he can't see the light right in front of him. Please tell me, why didn't we see all of these things under prior adiminstrations? Or, much like the fall of communism, is this some sort of cosmic coincidence bearing no relationship to stated goals of policy?

Mmmm, Burger (C.J.) 03-14-2005 04:30 PM

Non-technical article on health care for Wanker, bilmore and Burger
 
Quote:

Originally posted by ltl/fb
. I'm not sure that even "participating" facilities in PPOs necessarily won't charge you more than what the insurer/plan deems reasonable and reimburses, but I could be wrong on that.
Based solely on my limited experience with two PPOs, they do send me a wonderful explanation of benefits telling me what the outrageous charge was, what the negotiated (and far more reasonable) charge was, what I don't have to pay/they saved me, and what I do have to pay (deductible and/or copay). So, I conclude that with any PPO, a participating provider charges only what's reasonable and reimburses, at least net.

It also has taught me if you go outside the PPO, they stick it up your ass real hard, because they give you the high rate, regardless of whether they would otherwise negotiate with someone else.

Shape Shifter 03-14-2005 04:32 PM

What Bias?
 
Quote:

Originally posted by Sidd Finch
I might. I wish the question had been posed that way beforehand.

But do you think Saddam was poised to kill 15 million (and counting) Iraqis?
But he gassed his own people!

ltl/fb 03-14-2005 04:38 PM

Attn Spanky and others
 
Quote:

Originally posted by Mmmm, Burger (C.J.)
Based solely on my limited experience with . . .
This is a beautiful phrase. So helpful. Makes his post non-preachy and non-irritating. Non-inflammatory.

I think I got some non-covered tests from my in-network PPO doctor, who was careful to tell me that they might not be covered, but she's quite meticulous. I unfortunately do not have the bill with me right now, or I would check. I think that while a copay applies to certain services, for other services I have to satisfy a deductible before the plan pays part of the costs.

bilmore 03-14-2005 04:38 PM

What Bias?
 
Quote:

Originally posted by Sidd Finch
But do you think Saddam was poised to kill 15 million (and counting) Iraqis?
If you looked to his future reign absent us, and extrapolate what he'd done so far, yeah, I think that would be a reasonable assumption.

Replaced_Texan 03-14-2005 04:39 PM

http://www.nytimes.com/2005/03/13/ma.../13HEALTH.html

Interesting article on trying to increase/measure quality in healthcare.

Tyrone Slothrop 03-14-2005 04:46 PM

Wow
 
Quote:

Originally posted by sgtclub
It's all of these things. Removing the leader without instituting the vote would not have been as effective. "Happy talk" without military action would not have been as effective.
But the military action was not deployed in the support of democracy, in the sense that what prompted us to invade Afghanistan and Iraq was a variety of other facts relating mostly to military threats against us. On the day that we invade a country that doesn't pose a threat to us simply to help a local movement for democracy, I'll buy that there's been a major shift in the orientation of our foreign policy. If we put real teeth behind our happy talk, you would see some results.

Quote:

And I think it takes someone so blinded by partisanship that he can't see the light right in front of him. Please tell me, why didn't we see all of these things under prior adiminstrations? Or, much like the fall of communism, is this some sort of cosmic coincidence bearing no relationship to stated goals of policy?
In Afghanistan, we may no progress with the Taliban because our policy there was subordinated to our policy re Pakistan, which was more concerned with things like nuclear war with India. It took 9/11 to re-order those priorities.

In Ukraine, you had a repressive post-Soviet regime over which we had little influence.

In Israel and Palestine, you had tremendous movement towards peace leading up the end of Clinton's second terms. Things then fell apart. A lot of people have written a lot of words about why that happened. You might choose to believe that Arafat was responsible, and that Arafat's death was necessary to see the current progress, and there's something to it. But it's not like Bush's speeches killed Arafat.

Meanwhile, during the Clinton years it's not like our foreign policy ignored these sorts of issues. Most conservatives thought that Clinton spent too much time worrying about nation building, not too little. Recall our involvement in Haiti and the former Yugoslavia, and our role in the bail-outs of Mexico and Thailand.

Sexual Harassment Panda 03-14-2005 04:52 PM

What Bias?
 
Quote:

Originally posted by bilmore
If you looked to his future reign absent us, and extrapolate what he'd done so far, yeah, I think that would be a reasonable assumption.
In a country of 22 million, that would be quite the accomplishment.

bilmore 03-14-2005 04:53 PM

What Bias?
 
Quote:

Originally posted by Sexual Harassment Panda
In a country of 22 million, that would be quite the accomplishment.
(Sigh.) Not just next year.

ltl/fb 03-14-2005 04:56 PM

What Bias?
 
Quote:

Originally posted by bilmore
(Sigh.) Not just next year.
If there are only 22 million people, even with a pretty high birthrate, and even given 10 years or so, that's a significant proportion of the population.

Tyrone Slothrop 03-14-2005 04:57 PM

What Bias?
 
Quote:

Originally posted by bilmore
If you looked to his future reign absent us, and extrapolate what he'd done so far, yeah, I think that would be a reasonable assumption.
If you extrapolate only from the period of time when we (a) weren't (a) supporting him, or (b) militarily containing him, you get a much lower death toll. E.g., his use of chemical weapons against the Kurds occurred in the late 1980s, not long after Rumsfeld went to Baghdad to give support to Iraq in its war with Iran, which we were more concerned about at the time.

Shape Shifter 03-14-2005 04:57 PM

What Bias?
 
Quote:

Originally posted by ltl/fb
If there are only 22 million people, even with a pretty high birthrate, and even given 10 years or so, that's a significant proportion of the population.
But he gassed his own people!

ltl/fb 03-14-2005 04:58 PM

What Bias?
 
Quote:

Originally posted by Shape Shifter
But he gassed his own people!
Oh. Right. Sorry. Rescinded.

bilmore 03-14-2005 05:02 PM

What Bias?
 
Quote:

Originally posted by ltl/fb
If there are only 22 million people, even with a pretty high birthrate, and even given 10 years or so, that's a significant proportion of the population.
They told me there would be no math.

Tyrone Slothrop 03-14-2005 05:18 PM

What Bias?
 
Quote:

Originally posted by bilmore
They told me there would be no math.
Wish I'd known that before I bothered to respond to your point about extrapolation.

bilmore 03-14-2005 05:24 PM

What Bias?
 
Quote:

Originally posted by Tyrone Slothrop
Wish I'd known that before I bothered to respond to your point about extrapolation.
Just means I'm not going to debate the math of the extrapolation. I think that, over fifteen years, given the age range of Iraqis and their birthrate, they could hit fifteen million dead from Saddam, and I'm not going to start a dialogue here about all the variables that might affect that. If someone wants to sit back satisfied and think "Bilmore could defend, at best, 12.9 million", great, have fun.

Tyrone Slothrop 03-14-2005 05:27 PM

What Bias?
 
Quote:

Originally posted by bilmore
Just means I'm not going to debate the math of the extrapolation. I think that, over fifteen years, given the age range of Iraqis and their birthrate, they could hit fifteen million dead from Saddam, and I'm not going to start a dialogue here about all the variables that might affect that. If someone wants to sit back satisfied and think "Bilmore could defend, at best, 12.9 million", great, have fun.
Introduce a little math and you do get addled, don't you.


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