http://i.imgur.com/RbUXQ.jpg
― Faith in Humanity: Restored (dayo), Thursday, 28 June 2012 09:57 (thirteen years ago)
good luck usa
― caek, Thursday, 28 June 2012 10:19 (thirteen years ago)
Yes--good luck, U.S.A.
― clemenza, Thursday, 28 June 2012 11:44 (thirteen years ago)
haha we're fucked no matter what guys don't kid yrselves
― balls, Thursday, 28 June 2012 11:44 (thirteen years ago)
not a prediction re: this case btw just general statement
― balls, Thursday, 28 June 2012 11:45 (thirteen years ago)
so 3 possible results right, someone feel free to clarify any misreading of cw:
1) obamacare completely upheld: unmitigated win for obama2) obamacare upheld - mandate: loss for obama on optics, arguable win for left on policy or potential for same3) obamacare completely overturned: unmitigated loss for obama, presidency accomplishes as much (or little) addressing progressive priorities as clinton's, possible gotv silver lining (at a stretch), maybe left finally realizes necessity of playing long game, that power always trumps principle, maybe dems actually get >40% as ruthless/effective as gop (ha)
― balls, Thursday, 28 June 2012 11:56 (thirteen years ago)
Some chatter in progressive circles about pushing for Medicare expansion should Roberts destroy the whole thing.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 12:03 (thirteen years ago)
ha good luck w/ that
― balls, Thursday, 28 June 2012 12:14 (thirteen years ago)
Meanwhile the WaPo editorial board calls for Nino's resignation.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 12:16 (thirteen years ago)
i think the only shot at progressive reform that comes out of this is if only mandate goes (and even then w/ likely gop house and very possible gop senate i'm not sure how you get medicare expansion w/ a plurality that wants to do w/ medicare entirely, esp since gop house is clearing a path toward impeachment - fast & furious, solyndra, new black panther party, whatever works - should obama be reelected)
― balls, Thursday, 28 June 2012 12:19 (thirteen years ago)
really would love for pundits to start tossing out 'scalia's senile and clearly in early stages of dementia, time to step down' argument a la what the right did to thurgood marshall in the late 80s, if only to piss him off.
― balls, Thursday, 28 June 2012 12:24 (thirteen years ago)
I'm no lawyer but have always been interested in the Court as an institution: its history, personalities, decisions. I often get impatient with liberals when they decry "judicial activism" or conservatives when they regard the Constitution as inviolate. If it's so inviolate how have we accepted the Bill of Rights applying to the states and the full integration of African-Americans into the body politic (to take two) when sixty years of conservative jurisprudence ruled otherwise? At least William O. Douglas was honest: he first decided what he thought was right then found the precedents to support those results; none of this nonsense about "original intent." It led to slipshod opinions but at least he was enough of a realist to accept that the law is like a poem or essay, subject to dozens of possible interpretations.
My only response: win elections and we'll get the justices we want.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 12:25 (thirteen years ago)
agreed for the most part
― k3vin k., Thursday, 28 June 2012 13:10 (thirteen years ago)
I mean, Breyer-Ginsburg-Sotomayor (and Kagan as soon as she stops recusing herself) vote as a bloc too but it's our bloc.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 13:14 (thirteen years ago)
A summary of predictions
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 13:28 (thirteen years ago)
http://www.guardian.co.uk/law/2012/jun/28/supreme-court-ruling-health-care-live?newsfeed=true
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 13:30 (thirteen years ago)
I don't think I'll be able to stomach visiting my family over the upcoming holiday if this thing goes down, for all the smirking asides made just out of earshot (but not so much) so as not to incur my 'liberal soapbox routine' (their term for any kneejerk defensive reasoning I might be pushed into which can't be synopsized in three to five words).
― brödinger's cat (Pillbox), Thursday, 28 June 2012 13:33 (thirteen years ago)
the best thing to do anyway is 1. make a national optional health plan people can buy into - huge risk pool, lower premium 2. give hopitals money to take care of people who cant pay
circumvent all this "OH SHIT WE ARE GOING TO BE LIKE CANADA" nonsense
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 13:39 (thirteen years ago)
"9.40am: In all the political excitement over today's ruling, let's not forget what's at stake: the nearly 50 million Americans without health insurance."
translation - updating this page live is turning out more boring than we thought
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 13:51 (thirteen years ago)
Just killing time here. I'm reading Scalia's dissent in Arizona for the first time. Man.
Even in its international relations, the Federal Government must live with the inconvenient fact that it is a Union of independent States, who have their own sovereign powers. This is not the first time it has found that a nuisance and a bother in the conduct of foreign policy.
BOOM
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 13:51 (thirteen years ago)
this live page is way more exciting
http://www.scotusblog.com/cover-it-live/
― Mr. Que, Thursday, 28 June 2012 13:52 (thirteen years ago)
hahaha Scalia, what a clown
You think The Nine are huddling now behind the curtain with a bottle of Beam?
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 13:58 (thirteen years ago)
tossing a coin
― recordbreaking transfer to Lucknow FC (seandalai), Thursday, 28 June 2012 13:59 (thirteen years ago)
Scalia really needs a good tarring and feathering in the American tradition - or at least weiner in a mousetrap
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:00 (thirteen years ago)
"You think The Nine are huddling now behind the curtain with a bottle of Beam?" I'm sure they are astride their Nazgul -dragons at this point in DC's sky
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:01 (thirteen years ago)
This is not the first time it has found that a nuisance and a bother in the conduct of foreign policy.
What the fuck is this assclown on about? Has he no knowledge of the history of the Articles of Confederation? The Civil War? Does he, like so many of his ilk, prefer his hidebound, rigid, partisan ideology to reason and this republic. I curse him.
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 14:01 (thirteen years ago)
It's on!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:02 (thirteen years ago)
"Lying was his habit" is how the opinion begins.
― caek, Thursday, 28 June 2012 14:04 (thirteen years ago)
Tom: 1,000 requests to the liveblog per second.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:04 (thirteen years ago)
http://static.guim.co.uk/sys-images/Guardian/Pix/pictures/2012/6/28/1340888663032/Justices-of-the-US-suprem-008.jpg
ONE RING TO RULE THEM ALL AND IN THE DARKNESS BIND THEM
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:04 (thirteen years ago)
Ginsberg seems like the Yoda of the group
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:05 (thirteen years ago)
Alito always looks like he's anticipating someone giving him a noogie
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:05 (thirteen years ago)
Scalia looks like he should have used preparation H
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:07 (thirteen years ago)
Amy Howe: We have health care opinion.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:07 (thirteen years ago)
drumroll
― blossom smulch (schlump), Thursday, 28 June 2012 14:08 (thirteen years ago)
parsley asap clearly a reference to government mandated broccoli
Amy Howe: Parsing it asap.
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:08 (thirteen years ago)
Amy Howe: The individual mandate survives as a tax.
?
― caek, Thursday, 28 June 2012 14:08 (thirteen years ago)
!
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:09 (thirteen years ago)
interesting.
YES
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 14:09 (thirteen years ago)
!!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:09 (thirteen years ago)
so we're back in 2014?
― recordbreaking transfer to Lucknow FC (seandalai), Thursday, 28 June 2012 14:09 (thirteen years ago)
new york times headline:
― caek, Thursday, June 28, 2012 3:08 PM (12 seconds ago) Bookmark Flag Post Permalink
― Mad God 40/40 (Z S), Thursday, June 28, 2012 3:09 PM (6 seconds ago) Bookmark Flag Post Permalink
― blossom smulch (schlump), Thursday, 28 June 2012 14:09 (thirteen years ago)
Amy Davidson @tnyCloseReadPer CNN, the individual mandate has been struck down.Expand Reply Retweet Favorite
― blossom smulch (schlump), Thursday, 28 June 2012 14:10 (thirteen years ago)
hmm, reminds me of something i was reading on tpm this morning:
To name just one example, an explicit health insurance tax incentive would’ve accomplished the exact same thing the law’s mandate and penalty intend, and made it constitutionally bulletproof.
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:10 (thirteen years ago)
doesn't "survives as a tax" mean they will need to rewrite the law, but they have said there is a particular way they could rewrite it that would work?
― caek, Thursday, 28 June 2012 14:10 (thirteen years ago)
Amy Howe: It's very complicated, so we're still figuring it out.
congrats usa
Tom: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court.
this is all from scotusblog btwhttp://www.scotusblog.com/cover-it-live/
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:11 (thirteen years ago)
didn't Roberts ask this question during oral argument?
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:11 (thirteen years ago)
lol
The Supreme Court has ruled on President Obama’s health-care overhaul, and Times reporters and editors are analyzing the decision. Once we are comfortable with its basic meaning, you can expect a torrent of coverage.
― caek, Thursday, 28 June 2012 14:11 (thirteen years ago)
lmao what is even going on
― lag∞n, Thursday, 28 June 2012 14:11 (thirteen years ago)
Tom: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court
Legal journalists are not generally top lawyers. It'll be an hour before anyone understands what happened.
― Three Word Username, Thursday, 28 June 2012 14:12 (thirteen years ago)
Emily Miller @EmilyMillerCrowd outside SCOTUS is confused. Both sides cheering.
― lag∞n, Thursday, 28 June 2012 14:12 (thirteen years ago)
omigod The Corner has shut down
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:13 (thirteen years ago)
everyone's a winner! xp
― recordbreaking transfer to Lucknow FC (seandalai), Thursday, 28 June 2012 14:13 (thirteen years ago)
The bottom line: the entire ACA is upheld, with the exception that the federal government's power to terminate states' Medicaid funds is narrowly read.
― caek, Thursday, 28 June 2012 14:13 (thirteen years ago)
^sez "Tom"
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:13 (thirteen years ago)
Yeah well one side is wrong according to this Tom guy
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 14:13 (thirteen years ago)
this is an amazing image
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:14 (thirteen years ago)
Josh Robin @joshrobinYikes. CNN/Fox reporting mandate struck down. Scotusblog says it survives. Someone is gonna have a dozen eggs on their faces.
welp i know which source i have my money on
― lag∞n, Thursday, 28 June 2012 14:14 (thirteen years ago)
Who is Tom? He seems confident
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 14:14 (thirteen years ago)
what happened i am confused
― caek, Thursday, 28 June 2012 14:14 (thirteen years ago)
SCOTUSblog guy
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:14 (thirteen years ago)
Tom: The bottom line: the entire ACA is upheld, with the exception that the federal government's power to terminate states' Medicaid funds is narrowly read.
both sides cheering
― lag∞n, Thursday, 28 June 2012 14:15 (thirteen years ago)
WaPo reporting survival of mandate. Way to go, cable news.
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 14:15 (thirteen years ago)
http://24.media.tumblr.com/tumblr_l3dkeeUfTH1qc073co1_400.gif
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:15 (thirteen years ago)
isn't Tom the guy who is 154 years old and now he's famous because of scotusblog? i'm siding with tom, he's old and wise
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:15 (thirteen years ago)
Lol Guardian reporting on new exciting information - from ScotusBlog
― Andrew Farrell, Thursday, 28 June 2012 14:15 (thirteen years ago)
― Mad God 40/40 (Z S), Thursday, June 28, 2012 3:14 PM (33 seconds ago) Bookmark Flag Post Permalink
^^^
― blossom smulch (schlump), Thursday, 28 June 2012 14:15 (thirteen years ago)
I wonder if when everyone gets the interpretation wrong the Court issues a press release: "Let's go thru this step by step"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:15 (thirteen years ago)
10:15Tom: Chief Justice Roberts' vote saved the ACA USA, USA, USA.
― blossom smulch (schlump), Thursday, 28 June 2012 14:16 (thirteen years ago)
NYT playing it safe
DEVELOPING10:10 AM ET Supreme Court Rules on Health Care Law"
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:16 (thirteen years ago)
Roberts probably has a photo of Charles Evans Hughes saving FDR's minimum wage law
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:17 (thirteen years ago)
Blitzer a few minutes ago -- this is a huge setback for the president.
Blitzer a few seconds ago -- this is a huge victory for the president.
― Biff Wellington (WmC), Thursday, 28 June 2012 14:17 (thirteen years ago)
goddamn activist court
― dandydonweiner, Thursday, 28 June 2012 14:17 (thirteen years ago)
john roberts - not a total asshole????
http://www.sdakotabirds.com/feathers_and_folly/wp-content/uploads/2012/03/John_Roberts.jpg
i can't believe it
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:17 (thirteen years ago)
so roberts went left and kennedy went right, crazy shit, cool playcall
― lag∞n, Thursday, 28 June 2012 14:17 (thirteen years ago)
Roberts the politician
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:18 (thirteen years ago)
robert showed some signs of not being a total asshole yesterday too, not sure what is real anymore
― lag∞n, Thursday, 28 June 2012 14:18 (thirteen years ago)
who be on da crack now!??
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:18 (thirteen years ago)
Sully: "That's a huge victory for Obama, it seems to me. His core domestic achievement was salvaged by ... John Roberts."
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:19 (thirteen years ago)
apparently getting bitchslapped in front of Congress during the SOTU gets results
― dandydonweiner, Thursday, 28 June 2012 14:19 (thirteen years ago)
Matt Sussman @suss2hyphens
BREAKING: U.S. Supreme Court rules that health care will come down to penalty kicks.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:19 (thirteen years ago)
Amy Howe: The money quote from the section on the mandate: Our precedent demonstrates that Congress had the power to impose the exaction in Section 5000A under the taxing power, and that Section 5000A need not be read to do more than impose a tax. This is sufficient to sustain it.
I hope every sitting president does this now and forever
― dandydonweiner, Thursday, 28 June 2012 14:20 (thirteen years ago)
"...Section 5000A need not be read to do more than impose a tax." Which means that there will be a sequel, based on implementation of 5000A. They bunted.
― Three Word Username, Thursday, 28 June 2012 14:20 (thirteen years ago)
THANK GOD individuals can "simply" just refuse to pay taxes.
REMINDER: you can refuse to pay your mortgage.
REMINDER: you can simply refuse to pay for anything.
― dandydonweiner, Thursday, 28 June 2012 14:21 (thirteen years ago)
Amy Howe: The court reinforces that individuals can simply refuse to pay the tax and not comply with the mandate.
Huh?
― President Keyes, Thursday, 28 June 2012 14:21 (thirteen years ago)
The key comment on salvaging the Medicaid expansion is this (from Roberts): "Nothing in our opinion precludes Congress from offering funds under the ACA to expand the availability of health care, and requiring that states accepting such funds comply with the conditions on their use. What Congress is not free to do is to penalize States that choose not to participate in that new program by taking away their existing Medicaid funding." (p. 55)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:22 (thirteen years ago)
how does this work? who rewrites Section 5000A, and who has to approve the changes?
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:22 (thirteen years ago)
Obama said repeatedly that the mandate wasn't a tax. LOLzerpalooza.
― dandydonweiner, Thursday, 28 June 2012 14:23 (thirteen years ago)
i am a little confused, but wow i wasn't expecting this!
― horseshoe, Thursday, 28 June 2012 14:23 (thirteen years ago)
roffle at Fox headline: "NObama Care?"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:24 (thirteen years ago)
i wonder if both sides are still cheering outside the supreme court
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:24 (thirteen years ago)
Tom: Apologies - you can't refuse to pay the tax; typo. The only effect of not complying with the mandate is that you pay the tax.
― caek, Thursday, 28 June 2012 14:24 (thirteen years ago)
Mostly I'm glad that SCOTUS isn't sending us back to the articles of confederation days
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 14:24 (thirteen years ago)
"dont call it a fine, its a tax bitch" ROberts
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:24 (thirteen years ago)
the Nobama crowd has prob used up their oxygen tanks by now
― Euler, Thursday, 28 June 2012 14:25 (thirteen years ago)
Joshua Green @JoshuaGreenI'll bet NOBODY had Kennedy/conservative, Roberts/liberal in their bracket
― lag∞n, Thursday, 28 June 2012 14:25 (thirteen years ago)
jeez, THANKS TOM
i was going to say - it's a mandate that you don't have to comply with?!
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:25 (thirteen years ago)
fox news website has incredibly creepy live video feed from "the don't tread on me" gang outside the court. seems like they've figured it out. last i heard, a russian guy was ranting about pogroms then someone was trying to get people to come to her prolife conference.
― caek, Thursday, 28 June 2012 14:25 (thirteen years ago)
We need K-Lo updates.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:25 (thirteen years ago)
Kathryn Jean Lopez @kathrynlopezanyone else refreshing #scotus website like a madman?
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:26 (thirteen years ago)
lmao
― lag∞n, Thursday, 28 June 2012 14:27 (thirteen years ago)
The decision is 110 pages, including the dissent, which was written together by Justices Scalia, Kennedy, Thomas and Alito.
A concurring opinion was written by Justice Ginsberg.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:28 (thirteen years ago)
Lyle: Justice Ginsburg makes clear that the vote is 5-4 on sustaining the mandate as a form of tax. Her opinion, for herself and Sotomayor, Breyer and Kagan, joins the key section of Roberts opinion on that point. She would go further and uphold the mandate under the Commerce Clause, which Roberts wouldn't. Her opinion on Commerce does not control.
Alfred, I'm glad she has the self-awareness to realize that she's barking mad.
"Thanks very much for coming, and once you enter the liveblog below please, please DO NOT refresh your browser; updates will appear automatically."
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 14:28 (thirteen years ago)
Amy Howe: The Court holds that the mandate violates the Commerce Clause, but that doesn't matter b/c there are five votes for the mandate to be constitutional under the taxing power.
Minor conservative victory here for future cases?
― recordbreaking transfer to Lucknow FC (seandalai), Thursday, 28 June 2012 14:28 (thirteen years ago)
I wonder if clerks were bound and gagged in the Court dungeon while deliberations took place.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:29 (thirteen years ago)
Lyle: In opening his statement in dissent, Kennedy says: "In our view, the entire Act before us is invalid in its entirety, and my face is shaped like a penis."
― Mr. Que, Thursday, 28 June 2012 14:29 (thirteen years ago)
"Justices Scalia, Kennedy, Thomas and Alito."
I would personally, and happily, push all four of these men into a furnace, and dance a jig while doing it.
Someone CTRL-F that PDF for "broccoli."
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:29 (thirteen years ago)
Lyle: In opening his statement in dissent, Kennedy says: "In our view, the entire Act before us is invalid in its entirety."
http://upload.wikimedia.org/wikipedia/commons/thumb/2/20/Anthony_Kennedy_official_SCOTUS_portrait.jpg/220px-Anthony_Kennedy_official_SCOTUS_portrait.jpg
surprise asshole of the month!
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:30 (thirteen years ago)
http://www.pbs.org/wnet/supremecourt/future/images/anthony_kennedy.jpg
my face is shaped like a penis
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:30 (thirteen years ago)
wtf kennedy
― horseshoe, Thursday, 28 June 2012 14:30 (thirteen years ago)
Reagan was Right
― Euler, Thursday, 28 June 2012 14:30 (thirteen years ago)
Perhaps but it's awfully clever of the majority
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 14:30 (thirteen years ago)
i am not going to even pretend like i understand and just wait for dahlia lithwick to explain this all to me
― horseshoe, Thursday, 28 June 2012 14:31 (thirteen years ago)
http://i.imgur.com/zOTm6.png
haha
― lag∞n, Thursday, 28 June 2012 14:31 (thirteen years ago)
from the scotus website:
Thanks very much for coming, and once you enter the liveblog below please, please DO NOT refresh your browser; updates will appear automatically.
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:31 (thirteen years ago)
nah don't kill Tony: we'll need him when DOMA goes before the Court
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:31 (thirteen years ago)
Basically you get to sit on a panel and say that Sarah Palin's dead grandmother is still dead.
― Ned Raggett, Thursday, 28 June 2012 14:31 (thirteen years ago)
COURT RULES SOMETHING _ NO ONE GETS IT
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:32 (thirteen years ago)
GWB big winnah, you gave us Roberts.
― dandydonweiner, Thursday, 28 June 2012 14:32 (thirteen years ago)
It's all four or no deal.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:32 (thirteen years ago)
― Mad God 40/40 (Z S), Thursday, June 28, 2012 10:30 AM (54 seconds ago) Bookmark Flag Post Permalink
this is p nuts that all four of them wanted to strike the whole thing
― lag∞n, Thursday, 28 June 2012 14:32 (thirteen years ago)
seriously
― da croupier, Thursday, 28 June 2012 14:33 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 3:31 PM (2 minutes ago) Bookmark Flag Post Permalink
but roberts is on the left now. switching sides means he is practically gonna get ordained to conduct same sex marriage ceremonies.
― blossom smulch (schlump), Thursday, 28 June 2012 14:34 (thirteen years ago)
if by nuts you mean "utterly predictable"
― a dense custard of infinity (Shakey Mo Collier), Thursday, 28 June 2012 14:35 (thirteen years ago)
The Constitution is so pesky sometimes. I wish we could just write the laws, get a simple majority, and call it a day. Executive order is so much more fun.
― dandydonweiner, Thursday, 28 June 2012 14:35 (thirteen years ago)
it was totally not utterly predictable that kennedy would want to take down the whole thing shakey
― lag∞n, Thursday, 28 June 2012 14:36 (thirteen years ago)
those other three, well sure
― lag∞n, Thursday, 28 June 2012 14:37 (thirteen years ago)
ill have to ask you to show yr work on that one
scalia's butthole is very, VERY tense today
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:37 (thirteen years ago)
Corner commenters are a little sad
― Ned Raggett, Thursday, 28 June 2012 14:38 (thirteen years ago)
yeah it's a shame this wasn't 6-3. the breakdown and explanations are so boggling it's almost tempting to think kennedy was playing capn save-a-GOP
― da croupier, Thursday, 28 June 2012 14:39 (thirteen years ago)
poor marginalized misunderstood gop
― horseshoe, Thursday, 28 June 2012 14:39 (thirteen years ago)
POLITICO @politicoRoberts, in the majority opinion: "Simply put, Congress may tax and spend."
fn libtard court
― lag∞n, Thursday, 28 June 2012 14:40 (thirteen years ago)
i am going to write justice kennedy a disapproving letter
― horseshoe, Thursday, 28 June 2012 14:40 (thirteen years ago)
hay guys i slept in whats up
― pvmic bellvm (goole), Thursday, 28 June 2012 14:41 (thirteen years ago)
Wolf Blitzer @WolfBlitzerReporting live from just outside of Justice Scalia's butthole - it is very, VERY tense today.
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:41 (thirteen years ago)
Ben Franklin was wrong. The Commerce Clause is way more powerful than something trivial like compound interest.
― dandydonweiner, Thursday, 28 June 2012 14:41 (thirteen years ago)
How much does it cost to get Congress to require people to buy my product? That sure would come in handy.
― dandydonweiner, Thursday, 28 June 2012 14:42 (thirteen years ago)
[Approved commenter] Gregory of Yardale 06/28/12 10:40
So, basically, Congress could mandate that everyone had to buy a Chevy Volt, and it would be okay under the Taxing Power. Right?
― Mr. Que, Thursday, 28 June 2012 14:42 (thirteen years ago)
The Monkey Cage @monkeycageblogProps to @AdamSerwer for prediction on Roberts 4 months ago. http://prospect.org/article/roberts-real-swing-vote-affordable-care-act
― lag∞n, Thursday, 28 June 2012 14:42 (thirteen years ago)
This just in - a supository in Scaliagate's rectal chamber!
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:42 (thirteen years ago)
I know I'm willfully ignoring the last seven years of judicial opinions, but Roberts has always struck me as not quite as terrible as his conservative comrades on the court.
― Never translate Dutch (jaymc), Thursday, 28 June 2012 14:44 (thirteen years ago)
from that prospect.org article After all, Kennedy and Justice Samuel Alito filed separate concurrences in Comstock, both critical of the majority's broad interpretation of the necessary and proper clause, while Roberts went with Breyer's opinion.
this does seem pretty key
― da croupier, Thursday, 28 June 2012 14:44 (thirteen years ago)
I love that we have a justice named after a brand of ice cream
― Euler, Thursday, 28 June 2012 14:46 (thirteen years ago)
Feel the butthurt. FEEL IIIIIIIIT.
benshapiro @benshapiro
Chief Justice Roberts was the worst part of the Bush legacy.
This is the greatest destruction of individual liberty since Dred Scott. This is the end of America as we know it. No exaggeration.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:46 (thirteen years ago)
fucking rad, I'm gonna get a Chevy volt out of this?
― he bit me (it felt like a diss) (m bison), Thursday, 28 June 2012 14:46 (thirteen years ago)
Tom Brokaw @TheGreatestBroScalia is shivering uncontrollably, wielding a machete. Threatening to "rip you all a new one".
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:46 (thirteen years ago)
This is stupid but my first reaction is "I wonder if Roberts saw all of my posts about punching him in the face and that influenced his decision"
Second reaction is "HAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHA"
― Victory Chainsaw! (DJP), Thursday, 28 June 2012 14:48 (thirteen years ago)
is there a band called The Commerce Clause? it could work!
― Euler, Thursday, 28 June 2012 14:48 (thirteen years ago)
White House, 9-29-09: "What President Obama is proposing is not a tax, but a requirement to comply with the law"
― dandydonweiner, Thursday, 28 June 2012 14:49 (thirteen years ago)
No such thing as taxes, just requirements to comply.
Actually, I think I'm okay with that.
http://i.imgur.com/4FHxy.jpg
― lag∞n, Thursday, 28 June 2012 14:49 (thirteen years ago)
these imgs of fuckup cable news need to be preserved in amber
― pvmic bellvm (goole), Thursday, 28 June 2012 14:50 (thirteen years ago)
SO sates can back out of meidcaid expansion - which many obviously will - so I guess thats a defeat
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:50 (thirteen years ago)
Gregory of Yardale 06/28/12 10:27It's now official: George W Bush screwed us on the Supreme Court picks, too. Thanks, John Roberts, you pile of word that would never make it past the censorbot.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:51 (thirteen years ago)
Sarah Palin @SarahPalinUSAObama lied to the American people. Again. He said it wasn't a tax. Obama lies; freedom dies.
― lag∞n, Thursday, 28 June 2012 14:51 (thirteen years ago)
It's the quality coverage we've come to expect from fox and cnn
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:51 (thirteen years ago)
It's going to be a long day at work--a coworker (who describes her politics as "Tea Party Classic") came in just after the decision was announced. She hasn't said anything, but her body language reads as "FURIOUS."
― i like slash and i vote (j.lu), Thursday, 28 June 2012 14:52 (thirteen years ago)
― lag∞n, Thursday, June 28, 2012 9:25 AM (25 minutes ago) Bookmark Flag Post Permalink
otm! never would have guessed
― pvmic bellvm (goole), Thursday, 28 June 2012 14:52 (thirteen years ago)
yeah i don't think that's a fuckup so much as the Put a Smiling Neo-Con Face On It spin we've come to know and love from fox
― me so fat (strongo hulkington's ghost dad), Thursday, 28 June 2012 14:52 (thirteen years ago)
Obama lies. freedom fries?
― da croupier, Thursday, 28 June 2012 14:52 (thirteen years ago)
i can't wait to hear what thomas friedman will think about all of this. editorial page at nyt is gonna be a treat tomorrow.
― uncondensed milky way (remy bean), Thursday, 28 June 2012 14:53 (thirteen years ago)
omg that FOX screencap is HILARIOUS
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:53 (thirteen years ago)
From Amy Howe, of SCOTUS Blog: The Affordable Care Act, including its individual mandate that virtually all Americans buy health insurance, is constitutional. There were not five votes to uphold it on the ground that Congress could use its power to regulate commerce between the states to require everyone to buy health insurance. However, five Justices agreed that the penalty that someone must pay if he refuses to buy insurance is a kind of tax that Congress can impose using its taxing power. That is all that matters. Because the mandate survives, the Court did not need to decide what other parts of the statute were constitutional, except for a provision that required states to comply with new eligibility requirements for Medicaid or risk losing their funding. On that question, the Court held that the provision is constitutional as long as states would only lose new funds if they didn't comply with the new requirements, rather than all of their funding.
(Take from SCOTUS Blog's live coverage: http://www.scotusblog.com/cover-it-live/)
― lag∞n, Thursday, 28 June 2012 14:53 (thirteen years ago)
"I just can't believe John Roberts ruled in favor of a policy cooked up by the Heritage Foundation"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:53 (thirteen years ago)
This is I suppose half-right. And exaggeration.
― Josh in Chicago, Thursday, 28 June 2012 14:54 (thirteen years ago)
This is nothing short of a disaster for the nation, and a huge black mark on John Roberts' legacy. In speaking with others, I noted that Roberts was the Court member who worried me most; more than Kennedy. Still, I am fairly stunned by this outcome and can't help but feel that the soul of our nation has just been lost.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:54 (thirteen years ago)
In an American Bar Association survey of legal experts, 69% determined that the most likely conservative to uphold the ACA is not Anthony Kennedy, but Chief Justice John Roberts ... Conn Carroll ... expects that Republicans will never forgive Bush if his appointee joins the liberal majority:
If Roberts does end up being the fifth and deciding vote to uphold Obamacare, Bush's Supreme Court legacy will be regarded as a failure too. His reputation among conservatives will never recover.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:55 (thirteen years ago)
nuthin to say yet but "curb yr enthusiasm"
also stop gleefully quoting morons; it's not that funny
― Pangborn to be Wilde (Dr Morbius), Thursday, 28 June 2012 14:55 (thirteen years ago)
pourmecoffee @pourmecoffeeRT @ChiefJusticeRoberts I just unlocked the Traitor Badge on @foursquare.
― lag∞n, Thursday, 28 June 2012 14:55 (thirteen years ago)
so can i go to the doctor for free yet? because my leg is killing me.
― me so fat (strongo hulkington's ghost dad), Thursday, 28 June 2012 14:55 (thirteen years ago)
Obama lies; freedom diesChili fries; maiden sighs; Key lime pies; dimpled thighs...
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 14:55 (thirteen years ago)
"Tea Party Classic" good lord that's hilarious. People are funny.
― dandydonweiner, Thursday, 28 June 2012 14:56 (thirteen years ago)
"nuthin to say yet but "curb yr enthusiasm"
― Pangborn to be Wilde (Dr Morbius), Thursday, June 28, 2012 10:55 AM (12 seconds ago) Bookmark Flag Post Permalink"
― lag∞n, Thursday, 28 June 2012 14:56 (thirteen years ago)
dandydon: it's no real excuse i guess but gov'ts of all stripes have laid taxes and called them something else. gov. pawlenty put another buck on cigarettes and called a 'healthcare usage fee'
― pvmic bellvm (goole), Thursday, 28 June 2012 14:56 (thirteen years ago)
SCOTUSblog:
Lyle: The rejection of the Commerce Clause and Nec. and Proper Clause should be understood as a major blow to Congress's authority to pass social welfare laws. Using the tax code -- especially in the current political environment -- to promote social welfare is going to be a very chancy proposition.
― Mad God 40/40 (Z S), Thursday, 28 June 2012 14:56 (thirteen years ago)
yeah i mean to be real this is how the right really wins; make their victories look like losses
― Euler, Thursday, 28 June 2012 14:56 (thirteen years ago)
Suddenly all the conservatives admit they knew it, knew it, that Roberts was a turncoat.
― Josh in Chicago, Thursday, 28 June 2012 14:56 (thirteen years ago)
I bet Obama is doing that little fist bump with Michelle right now!
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 14:57 (thirteen years ago)
lol joe
― caek, Thursday, 28 June 2012 14:57 (thirteen years ago)
So all those psychological pieces about Roberts wanting a legacy as a uniter are true? At least for this one decision I guess.
― curmudgeon, Thursday, 28 June 2012 14:57 (thirteen years ago)
Reagan called his tax hikes "revenue enhancements"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 14:57 (thirteen years ago)
Elizabeth Weitzman @EWeitzman
Don't worry, @CNNBRKers. Even if you lose your job, you can still have health insurance. #SCOTUS
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:57 (thirteen years ago)
BillCorbett @BillCorbett
Finally, I can get a governrnent-subsidized GIANT KILLER CYBORG BODY to replace my failing meatself. #SCOTUS
― Julie Derpy (Phil D.), Thursday, 28 June 2012 14:58 (thirteen years ago)
Ah, Erick Erickson:
http://www.redstate.com/erick/2012/06/28/the-supreme-court-forces-us-to-deal-within-the-political-system/
My initial takeaway from the headline was "Because we were preparing Civil War II"
― Ned Raggett, Thursday, 28 June 2012 15:00 (thirteen years ago)
An aside:
So I saw George Clinton and P-Funk at the Smithsonian Folklife Festival in W. DC near the Washington Monument last night, and the emcee, radio dj Tom Joyner, said, "I bet there are some political celebrities here-- are you here Clarence Thomas?" Not surprisingly the P-Funk crowd booed and cheered the subsequent mentions of Holder and the Obama family.
― curmudgeon, Thursday, 28 June 2012 15:00 (thirteen years ago)
so i guess I'll be the one w/ the smirking asides at this year's family 4th party!
― brödinger's cat (Pillbox), Thursday, 28 June 2012 15:00 (thirteen years ago)
x-postI love having my taxpayer dollars cover the costs of hearing "Atomic Dog" btw.
― curmudgeon, Thursday, 28 June 2012 15:01 (thirteen years ago)
pillbox you have to bring broccoli
― pvmic bellvm (goole), Thursday, 28 June 2012 15:02 (thirteen years ago)
So weirded out by Roberts right now, but in a good way.
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 15:02 (thirteen years ago)
xpost Oh, so now the government is offering free veterinary care? What has this country come to?
― Josh in Chicago, Thursday, 28 June 2012 15:02 (thirteen years ago)
Erickson remarkably circumspect but I chuckled at this:
"In the meantime, following Obama’s lead on illegal aliens, I think Mitt Romney should declare that if he is President he’ll seek “prosecutorial discretion” to not go after people who don’t pay their individual mandate tax."
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 15:04 (thirteen years ago)
x-post Don't be -- still reading the opinion, which is ridiculous, but what I get out of it so far means this is far from over, and the reasoning in today's decision could mean trouble later.
― Three Word Username, Thursday, 28 June 2012 15:04 (thirteen years ago)
thanks, chief justice robert, for the best morning i've had in a long damn time
― contenderizer, Thursday, 28 June 2012 15:05 (thirteen years ago)
http://sphotos.xx.fbcdn.net/hphotos-snc7/582017_751561872007_1453855314_n.jpg
― Johnny Fever, Thursday, 28 June 2012 15:05 (thirteen years ago)
Mitt Romney must be like "HOw dare the supreme court and Obama try to provide coverage for all and make every pay into the ...wait..nevermind" as he recalls his Massachusetts days. He will never beat Obama. He is dorky and Obama is suave
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:05 (thirteen years ago)
Republicans should run on a platform of adding a new Supreme Supreme Court, to address controversial opinions of the plain Supreme Court. (First life appointments to be made under the next Republican administration).
― Josh in Chicago, Thursday, 28 June 2012 15:06 (thirteen years ago)
This is actually a really depressing decision. Glad for folks who will get some form of HC out of this, but the actual opinion is dreadful.
― Fig On A Plate Cart (Alex in SF), Thursday, 28 June 2012 15:07 (thirteen years ago)
ha ned stark otm
― lag∞n, Thursday, 28 June 2012 15:07 (thirteen years ago)
Went to Harvard Law, Fever, so fuck off.
― Three Word Username, Thursday, 28 June 2012 15:08 (thirteen years ago)
HO w about "The ULtimae Court"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:09 (thirteen years ago)
how so? i haven't read it. i think i agree with the SC on the appropriate limits of the commerce clause, fwiw.
― contenderizer, Thursday, 28 June 2012 15:09 (thirteen years ago)
x-post
Please elaborate A in San Fran, do you not like the means Roberts chose to reach the decision, or the outs he carved in for conservative states, or both? Or the wording?
― curmudgeon, Thursday, 28 June 2012 15:09 (thirteen years ago)
Th e decision should have just read "Look we have to pay for everyone's fucking fake knees SOMEHOW"
Jesus, I just dropped the H Bomb for the first time in over a decade. That'll be enough posting from me for today.
― Three Word Username, Thursday, 28 June 2012 15:10 (thirteen years ago)
i jumped straight to the dissent because why not, scalia went HAMMER
*sheds single tear for don weiner's freedom*
― k3vin k., Thursday, 28 June 2012 15:10 (thirteen years ago)
Jesus forgives your H bomb
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:11 (thirteen years ago)
The National Retail Federation is super-butthurt.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 15:11 (thirteen years ago)
― Three Word Username, Thursday, June 28, 2012 11:10 AM (11 seconds ago) Bookmark Flag Post Permalink
yeah i didnt read that macro as directed at you, but the other justices may disagree
― lag∞n, Thursday, 28 June 2012 15:12 (thirteen years ago)
What the hell? I just posted that because I thought it was funny. Wasn't aimed at ANYONE.
― Johnny Fever, Thursday, 28 June 2012 15:12 (thirteen years ago)
Of course he did.
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 15:14 (thirteen years ago)
Matthew Keys @ProducerMatthewHere are the deleted tweets from some politicians after erroneous reports from CNN, FOX on SCOTUS - http://i.imgur.com/UW5rm.png
― lag∞n, Thursday, 28 June 2012 15:14 (thirteen years ago)
look's like Three Word Username's got the "Hardvard Law Fever" amirite guys?
― carly rae (flopson), Thursday, 28 June 2012 15:15 (thirteen years ago)
Print screen destroys another attempt at looking good - lol
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:17 (thirteen years ago)
Haha, one of my local attorney friends just tweeted, "I think I could just RT every single one of Eric Cantor's tweets, followed by a sadface."
― Julie Derpy (Phil D.), Thursday, 28 June 2012 15:17 (thirteen years ago)
― k3vin k., Thursday, June 28, 2012 11:10 AM (4 minutes ago) Bookmark Flag Post Permalink
this piece from yesterday suggests taking that approach, i have no personal opinion on the matter having never read a supreme court decision but it a p good post over all http://opinionator.blogs.nytimes.com/2012/06/27/d-day
― lag∞n, Thursday, 28 June 2012 15:17 (thirteen years ago)
http://i.imgur.com/hK9IG.jpg
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 15:18 (thirteen years ago)
Josh Marshall @joshtpmBREAKING: New Media CW study finds SG Don Verrilli's IQ 57 pts higher than originally thought
― lag∞n, Thursday, 28 June 2012 15:19 (thirteen years ago)
Lyle: Essentially, a majority of the Court has accepted the Administration's backup argument that, as Roberts put it, "the mandate can be regarded as establishing a condition -- not owning health insurance -- that triggers a tax -- the required payment to IRS." Actually, this was the Administration's second backup argument: first argument was Commerce Clause, second was Necessary and Proper Clause, and third was as a tax. The third argument won.
Is this is what is bugging those of you who have read the opinion? Potential detrimental affect on use of the Commerce clause, and Necessary & Proper clause?
― curmudgeon, Thursday, 28 June 2012 15:19 (thirteen years ago)
Kagan" Now lets go play softball"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:20 (thirteen years ago)
by now Roberts has changed into his smoking jacket and retired with a bottle of Louis Thirteenth, right
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 15:22 (thirteen years ago)
I am really curious to see what happnes with these "exchanges" they talk about - wasn't this tried once and it failed?
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:22 (thirteen years ago)
Josh Greenman @joshgreenmanAstonishing that CNN got it wrong. The second you see that Roberts wrote majority opinion with Kagan, Sotomayor, Ginsburg, Breyer, you know.
good point
― lag∞n, Thursday, 28 June 2012 15:23 (thirteen years ago)
Eric Cantor @EricCantor
The House will vote to fully repeal Obamacare on July 11.Expand
Reply Retweet Favorite
― Mr. Que, Thursday, 28 June 2012 15:24 (thirteen years ago)
lol good for the goddamn House
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 15:24 (thirteen years ago)
looks like the court bought the activity/inactivity distinction :-/
― Faith in Humanity: Restored (dayo), Thursday, 28 June 2012 15:25 (thirteen years ago)
xp The Guardian flat called it at that: "Chief Justice John Roberts is reading the decision on healthcare law now - so that means he wrote the decision - and the individual mandate has been struck down."
― Andrew Farrell, Thursday, 28 June 2012 15:25 (thirteen years ago)
did the SG spend much time on the "it's a tax" thing that roberts supported, or did roberts come up with that himself?
― caek, Thursday, 28 June 2012 15:25 (thirteen years ago)
good luck usa hor
― lag∞n, Thursday, 28 June 2012 15:25 (thirteen years ago)
― Andrew Farrell, Thursday, June 28, 2012 3:25 PM (8 seconds ago) Bookmark Flag Post Permalink
yeah but the journalists in the press office had copies of the opinion before he started reading
― Mr. Que, Thursday, 28 June 2012 15:26 (thirteen years ago)
it's a tax and a dessert topping
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 15:26 (thirteen years ago)
^^ second time I've seen that joke today #spooky
― Julie Derpy (Phil D.), Thursday, 28 June 2012 15:27 (thirteen years ago)
Ann Coulter @AnnCoulterI was right about Roberts. Thank God we at least got Alito on the Court, instead of Bush's secretary.Expand
Ann Coulter @AnnCoulterOnly the very rich will survive this decision. Healthcare the new Gulfstream jet. ROMNEY 2012!Expand
Ann Coulter @AnnCoulterRoberts is young & very rich - he can afford ObamaCare. Kennedy is getting older & is not rich. He has to worry @ healthcare.
oh ann
― lag∞n, Thursday, 28 June 2012 15:28 (thirteen years ago)
haha I love the idea of conservatives now being upset that Roberts is on the court. I hope this wedge continues to be driven deeper.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 15:29 (thirteen years ago)
it will only last until he issues some other opinion that they agree on
― dandydonweiner, Thursday, 28 June 2012 15:30 (thirteen years ago)
If Congress can reach out and command even those furthest removed from an interstate market to participate in the market, then the Commerce Clause becomes a font of unlimited power, or in Hamilton’s words, “the hideous monster whose devouring jaws . . . spare neither sex nor age, nor high nor low, nor sacred nor profane.” The Federalist No. 33, p. 202 (C. Rossiter ed. 1961).
― pvmic bellvm (goole), Thursday, 28 June 2012 15:30 (thirteen years ago)
"those furthest removed from an interstate market"
so like, people living really in the middle of a state
― pvmic bellvm (goole), Thursday, 28 June 2012 15:31 (thirteen years ago)
http://www.buzzfeed.com/daves4/people-moving-to-canada-because-of-obamacare
― mh, Thursday, 28 June 2012 15:31 (thirteen years ago)
OMG
― Mr. Que, Thursday, 28 June 2012 15:33 (thirteen years ago)
that link is amazing mh
looooool
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 15:33 (thirteen years ago)
Josh Marshall @joshtpmThe #ScaliaFreakout ended up being the big tell http://talkingpointsmemo.com/archives/2012/06/ive_wondered_too.php
― lag∞n, Thursday, 28 June 2012 15:33 (thirteen years ago)
pillbox you have to bring broccoli - great idea! my parents actually grow quite a bit of their own during the summer, so if I were to show up w/ some, the symbolic import would be pretty glaring.
what's up w/ repubs always hating on broccoli anyway?
― brödinger's cat (Pillbox), Thursday, 28 June 2012 15:33 (thirteen years ago)
because the supreme court makes them eat it
― lag∞n, Thursday, 28 June 2012 15:34 (thirteen years ago)
quick ?: how does one easily read an opinion? like with scientific papers, you start with the abstract, skim the intro/conclusion to get the gist, then dive in to the results. similar strategy for opinions?
― shaane, Thursday, 28 June 2012 15:35 (thirteen years ago)
i look at the figures first
― caek, Thursday, 28 June 2012 15:36 (thirteen years ago)
I only read them for the articles
― Euler, Thursday, 28 June 2012 15:37 (thirteen years ago)
i am glad to contribute some of my hard earned tax dollars to these brave canadian emigrating patriots, esp if they promise to renounce their citizenship before say November 6th.
― O_o-O_O-o_O (jjjusten), Thursday, 28 June 2012 15:37 (thirteen years ago)
xp yeah i guess it's different for astrology
― shaane, Thursday, 28 June 2012 15:37 (thirteen years ago)
josh marshall is really into "tells", what is with that
― pvmic bellvm (goole), Thursday, 28 June 2012 15:37 (thirteen years ago)
tbf Stephen Harper is probably their kind of dude
― mh, Thursday, 28 June 2012 15:38 (thirteen years ago)
who doesnt love a good tell!
― lag∞n, Thursday, 28 June 2012 15:40 (thirteen years ago)
will Coulter throw herself into the furnace should Alito join the libs on future decisions
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 15:40 (thirteen years ago)
I was going to say, they can also go bro down with Rob Ford.
― Ned Raggett, Thursday, 28 June 2012 15:40 (thirteen years ago)
for scotus the syllabus = abstract
― Faith in Humanity: Restored (dayo), Thursday, 28 June 2012 15:41 (thirteen years ago)
I'm surprised she didn't call Roberts a papist as well.
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 15:42 (thirteen years ago)
Jonathan Chait @jonathanchaitJohn Roberts chose to keep Constitution in Exile court alive, but not Bush v. Gore court http://nymag.com/daily/intel/2012/06/john-roberts-saves-us-all.html
― lag∞n, Thursday, 28 June 2012 15:43 (thirteen years ago)
Here's to hoping the democrats actually use this second opportunity to promote the good parts of this law
― Moreno, Thursday, 28 June 2012 15:46 (thirteen years ago)
how does one easily read an opinion?
I liked it better when the SCOTUS opinions had cartoons and vignettes
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 15:47 (thirteen years ago)
LOL Ginsberg sticks a shiv in Scalia in her concurrence:
The Necessary and Proper Clause “empowers Congress to enact laws in effectuation of its [commerce] powe[r] that are not within its authority to enact in isolation.” Raich, 545 U. S., at 39 (Scalia, J., concurring in judgment). Hence, “[a] complex regulatory program . . . can survive a Commerce Clause challenge without a showing that every single facet of the program is independently and directly related to a valid congressional goal.” Indiana, 452 U. S., at 329, n. 17. “It is enough that the challenged provisions are an integral part of the regulatory program and that the regulatory scheme when considered as a whole satisfies this test.” Ibid. (collecting cases). See also Raich, 545 U. S., at 24–25 (A challenged statutory provision fits within Congress’ commerce authority if it is an “essential par[t] of a larger regulation of economic activity,” such that, in the absence of the provision, “the regulatory scheme could be undercut.” (quoting Lopez, 514 U. S., at 561)); Raich, 545 U. S., at 37 (Scalia, J., concurring in judgment) (“Congress may regulate even noneconomic local activity if that regulation is a necessary part of a more general regulation of interstate commerce. The relevant question is simply whether the means chosen are ‘reasonably adapted’ to the attainment of a legitimate end under the commerce power.”
― Julie Derpy (Phil D.), Thursday, 28 June 2012 15:47 (thirteen years ago)
xxp like the 10% federal tax on tanning salons, the most hilarious provision
likely made up by some intern in the middle of the night
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 15:47 (thirteen years ago)
"If we want to be Greece, then follow the supreme court and vote for Barack Obama," Bachmann concludes. "Congresswoman Michele Bachmann, obviously not very happy on this day," notes Wolf Blitzer on CNN.
Its nic e that someone who understand the world economy so little wields power on any scale. She really speaks for the nation of half-under-standers of news stories
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:48 (thirteen years ago)
gefilthioA broccoli republicLiked By workmonkey and Pussygalore
― pvmic bellvm (goole), Thursday, 28 June 2012 15:48 (thirteen years ago)
Erick Erickson:
Second, this forces everyone to deal with the issue politically. The President and Democrats did, according to the Court, impose a tax increase. Because it is a taxation issue, the GOP now, should it take back the Senate, have even more grounds to deal with the matter under reconciliation, bypassing the 60 vote filibuster threshold.
― curmudgeon, Thursday, 28 June 2012 15:49 (thirteen years ago)
hey does anyone have any good SCOTUS jokes?
― J0rdan S., Thursday, 28 June 2012 15:49 (thirteen years ago)
"Is this is what is bugging those of you who have read the opinion? Potential detrimental affect on use of the Commerce clause, and Necessary & Proper clause?"
Yeah that's part of it. It's depressing that basically Roberts wrote an opinion of 1 and had to get the four moderate justices to sign off it.
― Fig On A Plate Cart (Alex in SF), Thursday, 28 June 2012 15:49 (thirteen years ago)
Feel the right missed the potential for synergy by not introducing arugula into the debate.
― recordbreaking transfer to Lucknow FC (seandalai), Thursday, 28 June 2012 15:50 (thirteen years ago)
this helps me out a bunch. thanks to d. wolk via facebook
http://www.reddit.com/r/explainlikeimfive/comments/vb8vs/eli5_what_exactly_is_obamacare_and_what_did_it/c530lfx
― scott seward, Thursday, 28 June 2012 15:52 (thirteen years ago)
Eat Broccoli, Lick Bush in '92 - so read an old sticker affixed to a porch window in a rental house I lived while at lolcollege.
the sentiment endures!
― brödinger's cat (Pillbox), Thursday, 28 June 2012 15:52 (thirteen years ago)
"The minimum coverage provision, furthermore, bears a“reasonable connection” to Congress’ goal of protecting thehealth-care market from the disruption caused by individuals who fail to fucking obtain insurance. By requiring those who do not carry insurance to pay a toll, the minimum coverage provision gives individuals a strong incentive to insure. " Ginsberg
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 15:53 (thirteen years ago)
I don't see any reason for concern about detrimental effect on use of the commerce clause. I mean I don't see how the decision does much to roll back on existing commerce clause jurisprudence, it just says that this is as far as it goes, right? And if you can't mandate "activity" through the commerce clause, but you can penalize non-activity through a tax, what's the problem?
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 15:57 (thirteen years ago)
We need to get the slippery slopers away from this thread.
― dandydonweiner, Thursday, 28 June 2012 15:58 (thirteen years ago)
Can't we just cut to the chase and start a real debate over the definitions of "affordable", "minimum coverage", and "solvency"?
― dandydonweiner, Thursday, 28 June 2012 16:00 (thirteen years ago)
Also into people "doubling down."
― Josh in Chicago, Thursday, 28 June 2012 16:01 (thirteen years ago)
No Supreme Court has struck down a president’s signature piece of legislation in over 75 years.
― dandydonweiner, Thursday, 28 June 2012 16:03 (thirteen years ago)
in Maine we have the dirigo health program which was supposed to be an afforable alternative but it was not afforabel to me
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 16:04 (thirteen years ago)
It creates a new 10% tax on indoor tanning booths.
What the ...? I'm moving to Canada.
― Josh in Chicago, Thursday, 28 June 2012 16:07 (thirteen years ago)
I read that as dingo health program. xpost
― Mafia-owned bar for transvestites (Dan Peterson), Thursday, 28 June 2012 16:07 (thirteen years ago)
i am very happy with my romneycare here in massachusetts.
― scott seward, Thursday, 28 June 2012 16:08 (thirteen years ago)
I think all thos epeople actually wanted to move to Mexico and got confused
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 16:08 (thirteen years ago)
we in Maine are severaly concerned with the health of our native dingos
Republicans, Leukemia Team Up to Repeal Health Care Law (Teh Onion, obvs)
― Julie Derpy (Phil D.), Thursday, 28 June 2012 16:12 (thirteen years ago)
"While chronic leukemia was reportedly worried about how its association with the Republican Party would affect its public image..."
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 16:23 (thirteen years ago)
meanwhile scalia takes revenge behind the curtain
http://www.slate.com/articles/life/dear_prudence/2012/06/dear_prudie_my_boss_pantsed_someone_at_work_should_i_tattle_.html
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 16:38 (thirteen years ago)
Despicable how Romney is trying to get votes by conning people who don't know any better with this 'I'm going to repeal it on day one' business.
― timellison, Thursday, 28 June 2012 16:42 (thirteen years ago)
THat would be an interesting change in the typical check and balances of power - ROmney just phones congress and says "I hereby decree the law as nul land void."
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 16:43 (thirteen years ago)
so many lols at benshapiro
― stet, Thursday, 28 June 2012 16:44 (thirteen years ago)
@ezraklein: DeMint, who backed Romney and his health care plan in 07, is responding at the Heritage Foundation, which endorsed the mandate in 1989.
― lag∞n, Thursday, 28 June 2012 16:48 (thirteen years ago)
CNN statement on their FUBAR this morning:
“In his opinion, Chief Justice Roberts initially said that the individual mandate was not a valid exercise of Congressional power under the Commerce Clause. CNN reported that fact, but then wrongly reported that therefore the court struck down the mandate as unconstitutional. However, that was not the whole of the Court’s ruling. CNN regrets that it didn’t wait to report out the full and complete opinion regarding the mandate. We made a correction within a few minutes and apologize for the error.”
And that's what happens when everyone wants to be FIRST!!!111!!!!1 instead of being right.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 16:50 (thirteen years ago)
I was driving to work late and NPR's comments were basically "hold on folks, we are reading this as fast as we can"
― mh, Thursday, 28 June 2012 16:52 (thirteen years ago)
DeMint's statement goes pretty crazy pretty quickly, but when he says "Americans have loudly rejected this federal takeover of health care, and governors should join with the people and reject its implementation.” is he talking about anything that is visible outside his head?
― Andrew Farrell, Thursday, 28 June 2012 16:54 (thirteen years ago)
well hcr is not totally popular, tho the polling numbers are somewhat deceptive in that many critical people would prefer more government healthcare, and the court did just say that the feds arent allowed to withhold medicare $$$ as recourse for states not implementing, so maybe its possible idk
― lag∞n, Thursday, 28 June 2012 16:58 (thirteen years ago)
The aide also noted that Pelosi was wearing “her lucky purple pumps” on Thursday. Pelosi wore the same shoes on March 21, 2010, the day the health care law passed Congress.
Pelosi, the White House and others need to start talking loud about the benefits of this.
― curmudgeon, Thursday, 28 June 2012 16:59 (thirteen years ago)
of lucky shoes
― lag∞n, Thursday, 28 June 2012 17:00 (thirteen years ago)
The last thing I need to think about is Nancy getting lucky
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 17:05 (thirteen years ago)
Haven't had a chance to read any of the thread. I'm very, very happy, even though I'm well aware this is still anything but safe--the other side will come up with every and any way to make implementation difficult. Romney winning might be enough in and of itself, I don't know.
― clemenza, Thursday, 28 June 2012 17:05 (thirteen years ago)
and the court did just say that the feds arent allowed to withhold medicare $$$ as recourse for states not implementing, so maybe its possible idk
Not entirely right, no? The state may turn down the extra Medicaid funds that the Federal Government is offering, and the Feds can't withhold existing Medicaid funds if they are turned down, but if the state signs up to the extra money, it needs to abide by the rules (and what I'm hearing is that the Feds are employing the trusted Nye Bevan approach of 'stuffing them with gold' to make it a very attractive prospect to get the money).
― carson dial, Thursday, 28 June 2012 17:06 (thirteen years ago)
1 23 oz. bottle of Congressional lube on the way
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 17:06 (thirteen years ago)
if romney wins I'm moving to a mormon colony in mexico
― mh, Thursday, 28 June 2012 17:06 (thirteen years ago)
http://mediamatters.org/mmtv/201203260005
― mh, Thursday, 28 June 2012 17:07 (thirteen years ago)
― carson dial, Thursday, June 28, 2012 1:06 PM (7 seconds ago) Bookmark Flag Post Permalink
correct, but still prob enough of an opening for some particularly grumpy state to throw a tantrum, tho id be surprised if it lasted long
― lag∞n, Thursday, 28 June 2012 17:08 (thirteen years ago)
http://upload.wikimedia.org/wikipedia/commons/d/d9/AneurinBevanStatueCardiff20050707_KaihsuTai.jpgdoes he seem to be fallin gover onhis face in this statue? drunken porttrait orsomething?
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 17:08 (thirteen years ago)
I'm sure Alolbama will opt out
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 17:09 (thirteen years ago)
Proctology exam for Bevan?
― clemenza, Thursday, June 28, 2012 1:05 PM (2 minutes ago) Bookmark Flag Post Permalink
repeal is just a campaign slogan, its over now
― lag∞n, Thursday, 28 June 2012 17:10 (thirteen years ago)
the other side will come up with every and any way to make implementation difficult.
Might be harder to position yourself politically about messing with the nuts and bolts of the thing, though, as opposed to just blanket scare tactics about the whole law.
― timellison, Thursday, 28 June 2012 17:10 (thirteen years ago)
exactly
― lag∞n, Thursday, 28 June 2012 17:11 (thirteen years ago)
he looks to be both giving and gettin gone - "The Curious Case of Bevan and the HUman Centipede of Proctology Exams"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 17:11 (thirteen years ago)
yup (xxxpost, lagoon otm)
― contenderizer, Thursday, 28 June 2012 17:11 (thirteen years ago)
"Show me on the doll where he touched you."
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 17:12 (thirteen years ago)
does he seem to be fallin gover onhis face in this statue? drunken porttrait orsomething?
perhaps he is suffering from his signature condition
― contenderizer, Thursday, 28 June 2012 17:14 (thirteen years ago)
http://25.media.tumblr.com/tumblr_m6c45slA9O1qat9xfo1_500.png
― Black_vegeta (Hungry4Ass), Thursday, 28 June 2012 17:14 (thirteen years ago)
his signature condition
Aneurinism?
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 17:14 (thirteen years ago)
Who is this Ben Shapiro schmuck?
― Lewis Apparition (Jon Lewis), Thursday, 28 June 2012 17:15 (thirteen years ago)
a smart reasonable person
― lag∞n, Thursday, 28 June 2012 17:16 (thirteen years ago)
http://thecaucus.blogs.nytimes.com/2012/06/28/romney-says-he-will-repeal-obamacare-if-elected/
is this crazy or
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:16 (thirteen years ago)
no exaggeratIon
i mean can he actually make hay from this? is anyone gonna get excited for this? is it just me or is this such a weak position??
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:19 (thirteen years ago)
esp for a guy who enacted his own health care thing?
every right wing site has some variation of this up: "Obama said Obamacare wasn't a tax. This proves he was lying!"
but didn't scalitomas and kennedy conclude that the mandate was not a tax? so by using tax increase as a talking point, bloggers are buying into Roberts' reasoning.
― President Keyes, Thursday, 28 June 2012 17:20 (thirteen years ago)
I stil think evangelicals will think "But he's a freakin MORMON for Christ's sake! " - they will never be able to stomach it. Catholic maybe
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 17:20 (thirteen years ago)
its a delicate balance for sure lol romney xp
― lag∞n, Thursday, 28 June 2012 17:20 (thirteen years ago)
i just feel like the people who would get behind this are the same ppl who would never vote obama anyway right?
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:21 (thirteen years ago)
yeah but theres always base enthusiasm to consider
― lag∞n, Thursday, 28 June 2012 17:21 (thirteen years ago)
it just seems like a terrible thing to campaign on no matter how u spin it - 'i am going to fight to take your health care away'
yeah it's value is more as a potential motivator for people who'd never vote for obama to actually bother to vote for romney, not to actually sway anybody xpost
― da croupier, Thursday, 28 June 2012 17:22 (thirteen years ago)
Orin Kerr
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:22 (thirteen years ago)
The Romney campaign brought in over $400,000 in the first three hours since the Supreme Court’s ruling upholding the health care reform law was announced…
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:23 (thirteen years ago)
well if romney cobbles together enough states to win the presidency, it will also probably mean the GOP has flipped the senate and retained the house, so it's not exactly an empty threat.
― pvmic bellvm (goole), Thursday, 28 June 2012 17:23 (thirteen years ago)
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, June 28, 2012 1:21 PM (18 seconds ago) Bookmark Flag Post Permalink
hey that's freedom from healthcare buddy
― lag∞n, Thursday, 28 June 2012 17:23 (thirteen years ago)
“We have to make sure that people who want to keep their current insurance will be able to do so,” Mr. Romney said in the brief statement. “This is now the time for the American people to make a choice.”
looking forward to hearing this particular distortion incessantly in the next few months
― real men have been preparing manly dishes for centuries (elmo argonaut), Thursday, 28 June 2012 17:23 (thirteen years ago)
And John Roberts' Wiki page hijacked:
http://livewire.talkingpointsmemo.com/entries/photo-john-roberts-wikipedia-page-vandalized-chief-traitor
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:24 (thirteen years ago)
― pvmic bellvm (goole), Thursday, June 28, 2012 1:23 PM (33 seconds ago) Bookmark Flag Post Permalink
probably might be a lil strong, theres also the filibuster to deal with
― lag∞n, Thursday, 28 June 2012 17:24 (thirteen years ago)
are ppl so attached to their current insurance that that'll scare them? doesnt everyone hate their hmo
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:24 (thirteen years ago)
barney frank was talking in an interview about how the problem is that a lot of people with healthcare don't understand how you can revolutionize the system without making it worse for them. definitely seems like romney is going to hump that, hypocrisy or no
― da croupier, Thursday, 28 June 2012 17:25 (thirteen years ago)
well as noted political scientist erick erickson has pointed out, if the SC just called the mandate a tax, the senate can treat it as a budget matter and go through reconciliation
― pvmic bellvm (goole), Thursday, 28 June 2012 17:26 (thirteen years ago)
polls show people w insurance like it but generally think the system is fucked
― lag∞n, Thursday, 28 June 2012 17:26 (thirteen years ago)
i was waiting in line for my new health card yday and thinking that im pretty lucky esp as a semi-employed wastrel to live here... and worrying about my american friends. i'm happy 4 u guys today
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:26 (thirteen years ago)
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, June 28, 2012 12:24 PM (1 minute ago) Bookmark Flag Post Permalink
the shitty thing about the american political/medical system is that everyone who HAS employer-provided insurance is generally satisfied with it and are scared it will be taken away, and don't/can't see the a) alarmingly high number of people who are shut out of that system and b) it's the reason they haven't seen a raise in 20 years.
― pvmic bellvm (goole), Thursday, 28 June 2012 17:28 (thirteen years ago)
― pvmic bellvm (goole), Thursday, June 28, 2012 1:26 PM (7 seconds ago) Bookmark Flag Post Permalink
yeah but if thats true its just the mandate part, repealing that and letting the rest of the law stand would be a particularly lol thing for the party of fiscal responsibility to do
― lag∞n, Thursday, 28 June 2012 17:28 (thirteen years ago)
The campaign will this fall will center around Romney's claim that Obama has imposed a huge tax burden on the American public. Get ready.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:28 (thirteen years ago)
yup its all abt the hidden costs xp
i don't think obamacare fearers really care about your first point unless they can see/feel it
― da croupier, Thursday, 28 June 2012 17:30 (thirteen years ago)
and since i just re-used the word "see," what i mean is you can tell them some percent of america is fucked, but they're not going to acknowledge it until a relative or close friend is fucked
― da croupier, Thursday, 28 June 2012 17:31 (thirteen years ago)
well that's true.
a lot of 'obamacare fearers' are the type to say the poor already have healthcare! they can just go to the emergency room for free!
― pvmic bellvm (goole), Thursday, 28 June 2012 17:31 (thirteen years ago)
yeah it's an "i got mine" stance. the good news at least is that younger generations may be less apt to believe they have theirs.
― da croupier, Thursday, 28 June 2012 17:33 (thirteen years ago)
though then a pocket of them is offended by the notion of having to buy healthcare before they're sick
it's the reason they haven't seen a raise in 20 years.
Needs to be repeated and repeated and repeated imo.
― Mafia-owned bar for transvestites (Dan Peterson), Thursday, 28 June 2012 17:34 (thirteen years ago)
FOX headline: Obama Mandate: `Absolutely' not a tax. Supreme Court: Oh, Yes It Is.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:35 (thirteen years ago)
there's always a silver lining over there
― pvmic bellvm (goole), Thursday, 28 June 2012 17:37 (thirteen years ago)
well -- it's not a tax, it's a tax penalty, right? like if you file your taxes late, the IRS can charge you a tax penalty, but that is not a tax per se, correct? just trying to pin down the finer constitutional points here
― real men have been preparing manly dishes for centuries (elmo argonaut), Thursday, 28 June 2012 17:42 (thirteen years ago)
Exactly! If you choose not to participate.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:42 (thirteen years ago)
btw it looks like Scalia's dissent might originally have been the majority opinion: it refers repeatedly to the Ginsberg "dissent."
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:44 (thirteen years ago)
There's something quite odd in my view about the Scalia opinion in the back. It's not a Scalia rant by and large; in fact it reads at the outset rather majestically, like he's delivering the opinion of the court. Even more strangely, it refers repeatedly to the "Ginsburg dissent," but Ginsburg is in the majority on most issues. What's all this about? Were the tables turned midway? Did Roberts first sign on to Scalia's opinion and then bail on him? Is that what Ginsburg was ribbing Scalia over in her ACS remarks? I suspect there is an amazing an untold backroom story behind this decision. It may be a while before we learn it. But the sense I have is that Scalia had the votes to take a sledgehammer to ACA, and then lost Roberts. Was it Scalia's overreaching and his overheated rhetoric that did him in? This may make an excellent Supreme Court mystery. But it points in the end to the complicated and rather ornery personality of Nino Scalia as a real burden for the court's conservatives.
i guess i can understand the confusion amongst americans who already views ALL taxes as penalties xpost
― real men have been preparing manly dishes for centuries (elmo argonaut), Thursday, 28 June 2012 17:46 (thirteen years ago)
i thought kennedy wrote the dissent, not scalia?
― da croupier, Thursday, 28 June 2012 17:47 (thirteen years ago)
lol there's that too
xpost
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:47 (thirteen years ago)
Scalia's name comes first in the dissent.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 17:48 (thirteen years ago)
btw the lol thing about right-wingers on twitter wanting to move to canada is that our current gov't is basically trying to shove our country as right as possible, using some pretty devious & undemocratic ways... they'd love harper. it's actually sort of ironically 'true'
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:49 (thirteen years ago)
I listened to glenn beck for 5 minutes and it went from "this is the new dred scott decision" to "progressives are fascists!" to "why can't conservatives be as consistent as ruth bader ginsburg?" to "Newt gingrich is a vile liberal" to "You want a frickin' mandate? We'll give you a mandate" to "Princeton has a Woodrow Wilson Center!"
― President Keyes, Thursday, 28 June 2012 17:53 (thirteen years ago)
now that Roberts is the right's new most hated man, I can't wait for all the conspiracy theories about how Obama paid him off or blackmailed him.
― President Keyes, Thursday, 28 June 2012 17:55 (thirteen years ago)
is there a more satisfying feeling than seeing your enemies turn on their own
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 17:56 (thirteen years ago)
xpost -- Oh that's easy, they'll reference the bit where Roberts had to readminister the oath after the inauguration. That's where SHIT GOT REAL.
― Ned Raggett, Thursday, 28 June 2012 17:56 (thirteen years ago)
This is the Dread Pirate Roberts decision.
― EZ Snappin, Thursday, 28 June 2012 17:57 (thirteen years ago)
it's too soon to tell if this will coalesce into a point (accurate or not) romney can hammer or just descend into the incoherent anti-obama grumble from whence it came
― da croupier, Thursday, 28 June 2012 17:58 (thirteen years ago)
Obviously not!
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 18:08 (thirteen years ago)
Speaking of:
http://www.thedailybeast.com/articles/2012/06/28/repeal-is-a-fantasy.html
― Ned Raggett, Thursday, 28 June 2012 18:10 (thirteen years ago)
Eric Erickson: It seems very, very clear to me in reviewing John Roberts’ decision that he is playing a much longer game than us and can afford to with a life tenure. And he probably just handed Mitt Romney the White House.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 18:10 (thirteen years ago)
speak of the devils:
http://cityonahillpolitics.blogspot.com/2012/06/supreme-court-strangles-constitution.html
With this case folks who like the Constitution and belief in liberty and rule of law have a new nemesis: the Chief Justice formerly known as a conservative, John Roberts. Feigning conservatism throughout his early judicial career, Justice Roberts has now clearly stood with the radical leftist wing of the court (Justice Souter and his gal pals: Justices Ginsberg, Sotomayor & Kagan) on the two most important Constitutional issues of this session: Arizona's immigration and border security law & Obamacare. Let's not pretend that Roberts has any integrity now. Whether seduced to the left side by Souter & His Ladies, bought off by President Obama's many pals or blackmailed into submission, one thing is clear: We cannot trust or depend on John Roberts any longer. He is, at best a weak-kneed conservative willing to bow to the altar of leftism in order to curry favor with the cocktail set; and at worst, a manchurian candidate who never really was the conservative that he played on television.
http://www.toberight.com/2012/06/health-care-reaction/
How could John Roberts side with the liberals? The individual mandate is so clearly unconstitutional – even to a layperson – how could it be?Kind of like a Vince Flynn book. Someone got to Roberts. I bet they got to him and told him he has to vote this way or members of his family – kids, wife, parents, whoever – were going to be killed.Later this afternoon, it’s going to come out that Roberts was coerced. A Secret Service agent overheard Obama and Axelrod discussing the Roberts blackmail. He managed to get them on tape discussing it. Later this afternoon, the whole story will come out, Roberts will issue his REAL opinion, and Obama and Axelrod will be taken away in handcuffs.When my son is my age, will he be able to call the doctor and go see him?How can I protect myself from the government? Isn’t there some way I can hide from them?
― President Keyes, Thursday, 28 June 2012 18:10 (thirteen years ago)
From a cousin Who deals with federal court a lot, on FB:
Do any of my fellow lawyers share my suspicion that Chief Justice Roberts wrote both the majority opinion AND the principal dissent? (i.e., that he wrote the dissent, then changed his mind and wrote the majority opinion)? The bases for my suspicion: 1) the author of the dissent is not identified; 2) the dissent does not read like a Scalia dissent; 3) the dissent refers to Justice Ginberg's opinion as a dissent and, specifically, presumes she she dissenting to something in the (eventual) dissent, rather than to the majority opinion.
― Odd Spice (Eazy), Thursday, 28 June 2012 18:11 (thirteen years ago)
alfred who are you quoting? the detail about the "ginsburg 'dissent'" is AMAZING
xp lol vincy flynn omg
― pvmic bellvm (goole), Thursday, 28 June 2012 18:13 (thirteen years ago)
my suspicion that Chief Justice Roberts wrote both the majority opinion AND the principal dissent?
GOOD LUCK USA
Justice Souter and his gal pals: Justices Ginsberg, Sotomayor & Kagan)
no FUCK you
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 18:14 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 2:10 PM (4 minutes ago) Bookmark Flag Post Permalink
what does he mean by this?
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 18:16 (thirteen years ago)
he asked nervously
Justices who voted to uphold the act are either stupid girls or papists amirite. xxp
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 18:17 (thirteen years ago)
He's counting on continued unease about the AHCA to take Romney into the White House.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 18:17 (thirteen years ago)
s1ocki i think it means he read jonathan chait this morning but doesn't want to say so, ha
― goole, Thursday, 28 June 2012 18:18 (thirteen years ago)
wouldnt a repeal be much more of a win for romney?
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 18:18 (thirteen years ago)
I won't post the first three reasons:
Fourth, in forcing us to deal with this politically, the Democrats are going to have a hard time running to November claiming the American people need to vote for them to preserve Obamacare. It remains deeply, deeply unpopular with the American people. If they want to make a vote for them a vote for keeping a massive tax increase, let them try.
Fifth, the decision totally removes a growing left-wing talking point that suddenly they must vote for Obama because of judges. The Supreme Court as a November issue is gone.
Finally, while I am not down on John Roberts like many of you are today, i will be very down on Congressional Republicans if they do not now try to shut down the individual mandate. Force the Democrats on the record about the mandate. Defund Obamacare. This now, by necessity, is a political fight and the GOP sure as hell should fight.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 18:18 (thirteen years ago)
x-post Presumably that by chipping away at the Commerce Clause and putting Congressional action under the category of taxes he's laying the groundwork for the repeal of a bunch of stuff through reconciliation that the Dems will be unable to filibuster
― President Keyes, Thursday, 28 June 2012 18:19 (thirteen years ago)
his long-game
― President Keyes, Thursday, 28 June 2012 18:20 (thirteen years ago)
if repeal is a fantasy, 'replace' is a full on john & yoko double fantasy
kinda looks like this election is another referendum on the ACA. great!
― goole, Thursday, 28 June 2012 18:20 (thirteen years ago)
Justice Roberts has now clearly stood with the radical leftist wing of the court
this is the craziest thing about the world of american politics, right now - the idea that there is ANY kind of visible/influential "radical leftist wing" of anything. from my (limited, mostly uneducated) perspective, there appears to only be a far-right, right, and center-right.
and wasn't obamacare originally a republican idea years ago?
― just1n3, Thursday, 28 June 2012 18:22 (thirteen years ago)
Is there any reasonable position other than "states' rights, don't want more taxes" that actually opposes the affordable care act? Really? The entire "prices will go up, I won't be able to get into the doctor, waaaah" crap is just idiots not understanding that this is going to fix the problems with what is really driving prices up, right?
― mh, Thursday, 28 June 2012 18:23 (thirteen years ago)
Could Roberts have been BLACKMAILED?? His two ADOPTED children came from Ireland VIA LATIN AMERICA.......Legally??? hmmmmmmm
41 posted on Thu Jun 28 2012 11:51:16 GMT-0400 (EDT) by Ann Archy ( ABORTION...the HUMAN Sacrifice to the god of Convenience.)
― President Keyes, Thursday, 28 June 2012 18:23 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 1:44 PM Bookmark Flag Post Permalink
Wait what? Ginsburg wrote a partial concurrence, partial dissent in which she argued that the law could be upheld under the commerce clause, and not just as a tax. The majority held that it could only be upheld as a tax. Therefore Scalia is arguing with "Ginsburg's Dissent" on the commerce clause issue. Whoever that quote is from is badly misreading the decision and imagining that SCOTUS would allow a gigantic error into the opinion multiple times.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 18:23 (thirteen years ago)
"Obamacare" is pretty much the republican proposal for healthcare reform circa 1989-mid 2000s iirc
― mh, Thursday, 28 June 2012 18:24 (thirteen years ago)
the idea that there is ANY kind of visible/influential "radical leftist wing" of anything. from my (limited, mostly uneducated) perspective, there appears to only be a far-right, right, and center-right.
leading to the weirdly popular idea that anything to the right of rabid hardline conservatism is dangerously radical leftism.
― contenderizer, Thursday, 28 June 2012 18:25 (thirteen years ago)
I think a repeal fight is probably good for Obama. GOP will look like sore losers, Obama can act above it all.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 18:29 (thirteen years ago)
also makes them look destructive
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 18:30 (thirteen years ago)
let's not kid ourselves, conservatives have an array of preferences for national healthcare, with "full socialist NHS style" at the far end and "fuckin nothin, buddy!" closest to heart. single payer and medicare-for-all are closer to the NHS, and private-ins-with-subsidy-and-madate a little closer, the pre-09 status quo ante was closer still.
but it doesn't matter which think that thought up what proposal when, they'll opt for fuckin nothin, buddy, whenever they can.
― goole, Thursday, 28 June 2012 18:30 (thirteen years ago)
Really, I kinda thought "medicare for me, nothing for you" was the preferred plan
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 18:32 (thirteen years ago)
https://fbcdn-sphotos-a.akamaihd.net/hphotos-ak-prn1/548276_10150907361046519_289171260_n.jpg
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 18:32 (thirteen years ago)
wau
― goole, Thursday, 28 June 2012 18:33 (thirteen years ago)
― contenderizer, Thursday, 28 June 2012 18:34 (thirteen years ago)
When Dicky CHeney heard the law had been upheld he wept, then took off his pants and undies and showed up at a local McDOnalds and said "FILL me up with your fatty fatty greacakes! I want a chicne! I want grease of the lamb! Obama will serve me my stomach as thine ham!"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 18:37 (thirteen years ago)
I'm convinced he's part cyborg now anyway.
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 18:41 (thirteen years ago)
He does has a virtual cock
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 18:42 (thirteen years ago)
His name is Anthony Kennedy.
― I found him in a Bon Ton ad (Nicole), Thursday, 28 June 2012 18:43 (thirteen years ago)
― goole, Thursday, June 28, 2012 2:30 PM (11 minutes ago) Bookmark Flag Post Permalink
yup the obamacare was what the gop wanted not long ago talking point can be overstated as it was always just posturing
― lag∞n, Thursday, 28 June 2012 18:47 (thirteen years ago)
http://img.allvoices.com/thumbs/image/609/480/77166790-supreme-court.jpg
someone please shop this
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 18:48 (thirteen years ago)
A Secret Service agent overheard Obama and Axelrod discussing the Roberts blackmail. He managed to get them on tape discussing it. Later this afternoon, the whole story will come out, Roberts will issue his REAL opinion, and Obama and Axelrod will be taken away in handcuffs.
― max, Thursday, 28 June 2012 18:48 (thirteen years ago)
Man, Souter has a lot of influence for a guy retired for 3 years
― Godzilla vs. Rodan Rodannadanna (The Yellow Kid), Thursday, 28 June 2012 18:49 (thirteen years ago)
he is roberts adopted Irish latino child
― lag∞n, Thursday, 28 June 2012 18:50 (thirteen years ago)
RObert's REAl opinion " I felt bad for fucking up his inauguration so I just went ahead and said ok to his legislation. Really I think sick people should be put down like dogs"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 18:51 (thirteen years ago)
http://www.wonkette.com/images/couldn%27t%20be%20gayer%20if%20they%20were%20in%20chaps.jpg
― President Keyes, Thursday, 28 June 2012 18:51 (thirteen years ago)
max: where'd that come from?
― Johnny Fever, Thursday, 28 June 2012 18:53 (thirteen years ago)
cnn.com
― mh, Thursday, 28 June 2012 18:53 (thirteen years ago)
benshapiro @benshapiroThis is the greatest destruction of individual liberty since Dred Scott. This is the end of America as we know it. No exaggeration.
http://townhall.com/columnists/benshapiro/2006/02/15/should_we_prosecute_sedition
― (The Other) J.D. (J.D.), Thursday, 28 June 2012 19:01 (thirteen years ago)
Benjamin Shapiro was born in 1984 in Burbank, Calif. Brought up in the home of two Reagan Republicans, where intelligent conversation about politics and philosophy was encouraged, Ben Shapiro quickly developed into a reasoned political thinker and a powerful writer.
― Mafia-owned bar for transvestites (Dan Peterson), Thursday, 28 June 2012 19:08 (thirteen years ago)
Brought up in the home of two Reagan Republicans
Pay lip service to conservative ideals, raise taxes like crazy?
― mh, Thursday, 28 June 2012 19:12 (thirteen years ago)
roberts could play superman eh
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 19:17 (thirteen years ago)
just sayin
Said Republican Congressman Jack Kingston of Georgia, 'With #Obamacare ruling, I feel like I just lost two great friends: America and Justice Roberts.'
― President Keyes, Thursday, 28 June 2012 19:19 (thirteen years ago)
the right sure loves their melodrama
― mh, Thursday, 28 June 2012 19:19 (thirteen years ago)
wunder what CObert will have to say - he will be outraged
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 19:21 (thirteen years ago)
is that dennis quaid holding the roberts pie?
― Philip Nunez, Thursday, 28 June 2012 19:22 (thirteen years ago)
I'll bet Obama is "holding Robert's pie"
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 19:33 (thirteen years ago)
― President Keyes, Thursday, June 28, 2012 3:19 PM (15 minutes ago) Bookmark Flag Post Permalink
― lag∞n, Thursday, 28 June 2012 19:35 (thirteen years ago)
"Governor Paul LePage released the following statement:"Washington DC now has the power to dictate how we, as Americans, live our lives. This is a massive overreach by the federal government, and is infringing upon the individual choices that we, as Americans, have in pursuing our own American Dream."
Imagine that - the government having power over people's lives.
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 19:39 (thirteen years ago)
the right's obsession with airing out their relationships is soooo creepy. Whatever their faults libs would never be like "I feel like I just lost two best friends: America and Howard Dean."
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 19:39 (thirteen years ago)
maybe some dailykos commenters woud say stuff like that, but not Democratic Congress-fucking-men
― President Keyes, Thursday, 28 June 2012 19:42 (thirteen years ago)
the monstrous power to tell american citizens that if they don't want (or can't afford) to buy health insurance for themselves and their families, then they will be assessed a small fee/tax in return for which the government will insure them. yup, that's some truly nation-destroying overreach going on there...
― contenderizer, Thursday, 28 June 2012 19:43 (thirteen years ago)
Oh come on, liberals post hysterical shit all the time.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 19:45 (thirteen years ago)
You know I hate to askBut is Roberts electric?Only mine's broke downAnd now I've no-one to love
― that's why Love made the weirdos (brownie), Thursday, 28 June 2012 19:45 (thirteen years ago)
xp
"President Bush just destroyed whatever we have left of individual liberties" etc.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 19:46 (thirteen years ago)
Robert's android shocka
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 19:46 (thirteen years ago)
Reconsidering the Power of Courts
By John O'Sullivan
When Justice Roberts was appointed, I asked a distinguished jurist to predict his performance. He replied: “Roberts is a good man and an able lawyer, but he is also cautious and likely to keep his judgments very narrow. He will not go along with the Court liberals in legislating from the bench, but he will be very reluctant to reverse foolish laws or questionable judgments.”
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 19:46 (thirteen years ago)
― da croupier, Thursday, June 28, 2012 12:33 PM (1 hour ago) Bookmark Flag Post Permalink
lots of people don't understand the very idea of insurance and pooled risk.
i took a cab in boston and the cabbie and i got to talking about romneycare (aka obamacare). he said he was peeved that he had to buy insurance because he was 25 y.o. and healthy. "what do i need it for?" i reminded him that he spends 8–10 hours a day driving and stands some chance of getting into a wreck.
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 19:51 (thirteen years ago)
or like, lightning could strike you while you were getting the mail.
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 19:52 (thirteen years ago)
or your daughter could get cancer.
What did you do after he pulled over and wailed on you?
― Ned Raggett, Thursday, 28 June 2012 19:52 (thirteen years ago)
he was very genial about it, actually.
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 19:53 (thirteen years ago)
Some observations on Roberts vs Rehnquist
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 19:53 (thirteen years ago)
My coworker worries:
no, hospitals will not get reimbursed and proces will be capped, so they will lay off people and the avaialbility for healthcare will become scarce, just like CanadaMy grandpa would have died waiting for Canada to treat his cancer, if it wasnt for the US quick healthcare availablilty
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 19:58 (thirteen years ago)
I have a friend being treated for colon cancer in Canada right now, and she's remarkably not dead.
― Julie Derpy (Phil D.), Thursday, 28 June 2012 20:00 (thirteen years ago)
is she a grandpa tho
― lag∞n, Thursday, 28 June 2012 20:02 (thirteen years ago)
its grandpas canadians like to kill mostly
Medicare pays in advance basically so that seems a groundless fear to me.
― Fig On A Plate Cart (Alex in SF), Thursday, 28 June 2012 20:03 (thirteen years ago)
old man blood congeals to maple syrup
― puff puff post (uh oh I'm having a fantasy), Thursday, 28 June 2012 20:03 (thirteen years ago)
All americans seem to have this anecdotal "My auntie almost died in evil bad healthcare canada!!" story, its so odd. Yet their health care system is always rated better than ours. And it covers EVERY FUCKIN G PERSON
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 20:04 (thirteen years ago)
yeah, all the fearmongering over the canadian system is just ridiculous.
the canadian system works very well, and those who can actually afford healthcare out of pocket (or the cost of premium health insurance coverage) will always be taken care of. this program only addresses those who aren't otherwise covered, and it's not like they're getting the care they need as it is.
― contenderizer, Thursday, 28 June 2012 20:05 (thirteen years ago)
dudes
i have so many friends, young people, who have had serious SERIOUS health issues in the last decade. bad bad stuff.
our health care system isn't perfect. in fact it can be frustrating.
but those people got treated, and well, never turned away and they're not in tremendous debt.
i'm grateful for that.
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 20:06 (thirteen years ago)
the scaredy-pants logic seems to be that it's better to die due the lack of treatment than to maybe have to wait a little for it
― contenderizer, Thursday, 28 June 2012 20:06 (thirteen years ago)
i've never had a friend had to wait for like, chemo.
i had a friend wait for a transplant, but that's transplants 4 u.
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 20:07 (thirteen years ago)
seems like ppl might want to keep in mind how JR apparently went balls-out right-wing on Citizens United. He can still be friends with America, no?
― tobo73, Thursday, 28 June 2012 20:07 (thirteen years ago)
(though i guess in america you can skip the queue for a transplant if you're steve jobs.)
If you can afford insurance but do not get it, you will be charged a fee. This is the "mandate" that people are talking about. Basically, it's a trade-off for the "pre-existing conditions" bit, saying that since insurers now have to cover you regardless of what you have, you can't just wait to buy insurance until you get sick. Otherwise no one would buy insurance until they needed it. You can opt not to get insurance, but you'll have to pay the fee instead, unless of course you're not buying insurance because you just can't afford it.
so wait, what happens if you aren't buying insurance because you just can't afford it? also how is all of this going to happen? is it just taken out of my tax return at tax time or whatever?
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 20:07 (thirteen years ago)
/ dumb
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 20:08 (thirteen years ago)
slocky otm
― carly rae (flopson), Thursday, 28 June 2012 20:08 (thirteen years ago)
why don't they just provide lapdances at hospitals - that woudl fix everything
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 20:09 (thirteen years ago)
they do but the waiting list is forever and making it rain sucks with loonies
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 20:10 (thirteen years ago)
what if you're dickless
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:11 (thirteen years ago)
not all laps have dicks anyway
― The Cheerfull Turtle (Latham Green), Thursday, 28 June 2012 20:15 (thirteen years ago)
the funny thing (ezra klein pointed this out) is that the mandate + no-preexisting-conditions rules might make a WORSE free rider problem!
if the penalty for being non-insured is less than the yearly cost of insuring yourself (and it is)
and if you can get yourself insured at the drop of a hat no matter what's happening to you (and you can)
then... well?
i mean, you can't call up blue cross for a quote the minute after you flip your motorcycle over a guardrail, but you get me.
― goole, Thursday, 28 June 2012 20:17 (thirteen years ago)
If you're below a certain income level, you're exempt from the fee. xps
― Johnny Fever, Thursday, 28 June 2012 20:17 (thirteen years ago)
remember, don't listen to the internet
http://www.ritholtz.com/blog/2012/06/healthcare-upheld-by-scotus-intrade-blows-it-again/
also worth noting that adam serwer at american prospect and brian beutler at tpm called this right
― goole, Thursday, 28 June 2012 20:31 (thirteen years ago)
and Will Wilkinson!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:33 (thirteen years ago)
I mean:
Roberts, writing for the majority, will offer a hyper-casuistical decision that discovers in standing commerce clause precedent principled grounds for ruling in an insurance mandate while ruling out congress' power to mandate purchase of any goods and services that don't begin with an "i" and end with an "e", and aren't ice or iodine. To brighten the dashed hopes of conservatives, the "Why there can never be a broccoli mandate" section of Roberts' decision will on the whole narrow Congress' commerce-clause regulatory powers. However, in their very great relief, and schadenfreude over bitter conservative disappointment, liberals will largely miss the minor revolution contained in Roberts' sly scholasticism.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:34 (thirteen years ago)
yup. also if obama gets to appoint two s.c. justices next term that part of the legacy may not last.
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 20:35 (thirteen years ago)
on Roberts' sleight of hand, from a Sullivan letter:
What I think a lot of people are missing in this case is its connection to that foundational Supreme Court case, Marbury v. Madison (to which the Chief Justice cites several times). Marbury is an interesting study; essentially it was a political battle between Jefferson and the Federalists. John Marshall, presiding Chief Justice, most definitely held with the latter. In deciding the case, Marshall pulled an impressive feat of judicial jujitsu; he found for Jefferson's side, but announced the principal of Judicial Review, something with which Jefferson would have disagreed. But Jefferson could hardly caterwaul about a case he had 'won.' Jefferson won in the short term, Marshall, arguably, in the long term. Thence to Roberts' opinion. He did uphold the mandate as a tax, but specifically said it was beyond the Commerce Clause power. Much of the opinion is dedicated to explicating why this is so (and adopting the anti-ACA arguments for such). I think Roberts has taken a lesson from his famed predecessor. By upholding the mandate as a tax, but deciding the Commerce Clause issue against what would seem to be the weight of precedent, he may be hoping to hand conservatives the long-term win. If Wickard v. Fillburn (generally seen as the broadest Commerce Clause case) is one day overturned, as seems likely, much of the language will be taken from the Chief Justice's opinion
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:35 (thirteen years ago)
he misses the tax power grounds entirely!
xp wilkinson i mean
― goole, Thursday, 28 June 2012 20:36 (thirteen years ago)
― goole, Thursday, June 28, 2012 8:31 PM (4 minutes ago) Bookmark Flag Post Permalink
also tom goldstein from SCOTUS blog
― Mr. Que, Thursday, 28 June 2012 20:36 (thirteen years ago)
but he got the constriction of the Commerce Clause right
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:36 (thirteen years ago)
i mean ALTHOUGH if obama...
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 20:37 (thirteen years ago)
i'm trying to calm down my broke facebook friends that think they're gonna get charged the fee for not having insurance. do we yet know how poor someone has to be to be considered too poor to afford insurance?
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Thursday, 28 June 2012 20:54 (thirteen years ago)
well theyve got a year and a half to get some money or get more poor
― lag∞n, Thursday, 28 June 2012 20:58 (thirteen years ago)
I had my first FB argument of the day!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 20:59 (thirteen years ago)
Does it really matter? Isn't the penalty/tax sliding scale too?
― Fig On A Plate Cart (Alex in SF), Thursday, 28 June 2012 21:00 (thirteen years ago)
Starting in 2014, if your income is less than the equivalent of about $88,000 for a family of four today, and your job doesn’t offer affordable coverage, you may get tax credits to help pay for insurance.
― mh, Thursday, 28 June 2012 21:01 (thirteen years ago)
http://www.healthcare.gov/news/factsheets/2011/08/individuals.html
I was looking around here. I don't think the exact structure is in place, yet, but they could basically buy insurance from an exchange. If their income is low enough, they'll get coverage and not get taxed additionally for it?
― mh, Thursday, 28 June 2012 21:02 (thirteen years ago)
if they try to penalize u just injure yrself then open yr own hospital and bill the government for yr treatment, a vision of our dystopian near future obamascape, thx a lot chief trader John Roberts! is that even yr real name
― lag∞n, Thursday, 28 June 2012 21:03 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 4:59 PM (3 minutes ago) Bookmark Flag Post Permalink
i almost did! it went like this:
Zach Lyon you'll only be charged a fee if you can afford health care and choose not to buy it. no fee if you're poor.
Josh M******** Zach, this sounds a lot like retiring too. I can afford to retire by setting up a budget and setting money aside for my future. Or I can spend all my money wherever I want on whatever I want and hope the government can float me through my elder years. IT IS NOT THEIR JOB IT IS INDIVIDUAL RESPONSIBILITY. Also where will be my tax credit for not doing dumb shit that jeopardizes my health every day?? (ex.Eating McDonalds every day making myself and children fatasses, extreme sports, and SMOKING FUCKING CIGARETTES) I should not ponder these things I need to think about the equal living situation of the worthless non contributing populous in my country. Sometimes I wished my heart bled so I could be a cool kid like the rest of you Libs
Zach Lyon ok i don't really care.
this somehow did not work.
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Thursday, 28 June 2012 21:05 (thirteen years ago)
you should have just said RHRRRAAAAAAARRHRHRGHGHGHGHRRR
― goole, Thursday, 28 June 2012 21:07 (thirteen years ago)
after several exchangess:
apologies if I came across as argumentative, just simple conversation. No arguments here. I'm 51 years old, worked since I was 8, never took a handout from anyone, no unemployment, no wellfare, no food stamps, no free ride. I work for what I have. I don't mind kickin in my fair share but how much more of my hard earned cash would be enough? Small government, lower taxes. it's all I want.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:07 (thirteen years ago)
individual responsibility -> does he think people will be turned away at the hospital if they don't show proof they can pay?
― mh, Thursday, 28 June 2012 21:08 (thirteen years ago)
Michael J. New at the corner: "Today’s Supreme Court ruling on the Affordable Care Act was certainly disappointing for people in the pro-life movement."
preventive care for women and children. TERRIBLE.
― goole, Thursday, 28 June 2012 21:08 (thirteen years ago)
but this isn't w/r/t the penalty fee is it?
of course none of this matters cause these people will probably be eligible for medicaid, they're just little intransigents.
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Thursday, 28 June 2012 21:09 (thirteen years ago)
people do not understand how pooled risk workscan I just type that a thousand times
the reason the system works is because most people aren't on unemployment, welfare, food stamps, etc.
it's not a free ride, it's part of being in a civilization where we set a baseline for quality of life!
― mh, Thursday, 28 June 2012 21:10 (thirteen years ago)
like, I don't care if you are the laziest sack of shit and an ex-criminal and whatever else, I think you deserve a roof over your head, enough food, and medical care, and I think we can provide the baseline of these things for everyone. nobody wants the entry tier of any of these things, so people will work. by denying some people these things until it's too late, we're making the system cost more for everyone
TADA
― mh, Thursday, 28 June 2012 21:11 (thirteen years ago)
it's cool just deny mental and physical health coverage and build more for-profit prisons you jackasses
― mh, Thursday, 28 June 2012 21:13 (thirteen years ago)
pithy lines
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:13 (thirteen years ago)
sorry, getting kind of emotional
― mh, Thursday, 28 June 2012 21:14 (thirteen years ago)
I'm gonna use a couple of them!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:15 (thirteen years ago)
i consider it my personal responsibility to set my own bones
― lag∞n, Thursday, 28 June 2012 21:15 (thirteen years ago)
mh you make the rhetorical switch b/w talk of "deserving" & talk of economic optimality. & I wonder if that's the most effective rhetorical device. I mean: even if the "system cost more for everyone" if we had single payer universal health care, wouldn't that still be something people deserve, regardless of their character or history?
it's that last point, the "universal desert" point, that I think is super interesting, b/c I think conservatives today largely disagree with it, & I think the conservatives have the upper hand in this one b/c "all people deserve things regardless of their character & history" is a radical point, not something "natural" or "given by reason alone".
― Euler, Thursday, 28 June 2012 21:16 (thirteen years ago)
*barfs*
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 21:17 (thirteen years ago)
if i get a life threatening illness i consider it my duty to expose myself on a hillside like the spartans of old did with feeble infants
― goole, Thursday, 28 June 2012 21:18 (thirteen years ago)
I think we should have something similar to jury duty, but it's called jail duty and you have to spend 24 hours in jail if randomly selected so people can see how many people who are mentally ill or have learning disabilities are in there and what a clusterfuck it is
"all people deserve things regardless of their character & history" is a radical point
What, like "a chicken in every pot?" Where I'm from, son, we call that basic human dignity
We used to call where I'm from America
― mh, Thursday, 28 June 2012 21:19 (thirteen years ago)
or like in that Inamura movie where the old and infirm die on a mountain
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:19 (thirteen years ago)
speaking of health care, can we all hope that scalia has a huge coronary?
he seems halfway there honestly. just one vigorous S.C. basketball tournament away.
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 28 June 2012 21:19 (thirteen years ago)
xpost great movie
i consider it my personal responsibility to only travel via roads i construct myself
― lag∞n, Thursday, 28 June 2012 21:20 (thirteen years ago)
Actually the people who I could maybe see faring the least well under the ACA would be I guess a married, childless couple of freelancers making ok but not very good incomes and foregoing health insurance because of the high cost of living (e.g. in NYC). A couple like that might be hit pretty hard by suddenly having to pay for insurance in the double-digit thousands of dollars per year.
anyone can feel free to correct me on this
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 21:20 (thirteen years ago)
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, June 28, 2012 5:19 PM (29 seconds ago) Bookmark Flag Post Permalink
i know! he is so fat and old why is he alive
I told my friend earlier today that the best outcome from this is when Scalia has a massive rage-induced heart attack while crossing the street and gets hit by a bus
― mh, Thursday, 28 June 2012 21:20 (thirteen years ago)
the early pharaohs had to submit to a test of strength and fitness, if they succeeded they could continue to rule, if not, they were ritually executed and another ruler took his place. john roberts, ARE YOU LISTENING?
― goole, Thursday, 28 June 2012 21:21 (thirteen years ago)
must we care for his emergency room care
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:22 (thirteen years ago)
btw remember when "radical" leftism was seizing property by force and redistributing it? And now we're saying that thinking people shouldn't have to worry about starving or walking around with broken bones is "radical"
― mh, Thursday, 28 June 2012 21:22 (thirteen years ago)
must we pay for
mh on fire
Hurting aren't the "exchanges" supposed to mitigate the cost foe freelancers? er, somehow?
― TracerHandVEVO (Tracer Hand), Thursday, 28 June 2012 21:25 (thirteen years ago)
― lag∞n, Thursday, June 28, 2012 5:20 PM (5 minutes ago) Bookmark Flag Post Permalink
dick cheney is alive *shrugs*
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 21:26 (thirteen years ago)
it is radical! caring about other people's health, people you don't even know & might even think are shitbags, is radical!
― Euler, Thursday, 28 June 2012 21:26 (thirteen years ago)
no it's not
― Mr. Que, Thursday, 28 June 2012 21:27 (thirteen years ago)
is having enough food to eat radical?
i can't believe my tax dollars went to pay for some street a mile away that i've never even used
― (The Other) J.D. (J.D.), Thursday, 28 June 2012 21:28 (thirteen years ago)
http://lygsbtd.files.wordpress.com/2011/11/dick-cheney-lizard-people.jpg
― lag∞n, Thursday, 28 June 2012 21:28 (thirteen years ago)
giving food to people that you either don't know or dislike or disapprove of, maybe for no good reason, is radical, yes
― Euler, Thursday, 28 June 2012 21:29 (thirteen years ago)
Only in America
― mh, Thursday, 28 June 2012 21:30 (thirteen years ago)
like has nothing to do with it
― Mr. Que, Thursday, 28 June 2012 21:30 (thirteen years ago)
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, June 28, 2012 5:26 PM (3 minutes ago) Bookmark Flag Post Permalink
― Mr. Que, Thursday, June 28, 2012 5:27 PM (1 minute ago) Bookmark Flag Post Permalink
otm
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Thursday, 28 June 2012 21:30 (thirteen years ago)
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 21:31 (thirteen years ago)
then why isn't paying money for wars I dislike etc. etc.
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 21:31 (thirteen years ago)
Euler you are off base and even conservatives don't think it's radical, they just think that their church is supposed to do that so they can bring you cans of food or meals on jesusday and feel real good about their charity
― mh, Thursday, 28 June 2012 21:31 (thirteen years ago)
I assume that via the prison system I'm spending more money feeding and sheltering people we dislike than people that I like.
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 21:32 (thirteen years ago)
like has everything to do with it
the conservatives don't want to give food or money or health or housing or whatever to people they don't like. maybe the *reason* they don't like them can be spelled out in other terms, but it's a basic human feeling, to deny your enemy your things.
― Euler, Thursday, 28 June 2012 21:32 (thirteen years ago)
but I think that we should abolish prisons and that the government should be paying us not to work so I guess that makes me radical
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 21:33 (thirteen years ago)
(citation needed)
― mh, Thursday, 28 June 2012 21:33 (thirteen years ago)
let's talk some more about basic human feelings
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 21:33 (thirteen years ago)
specifically I think we should replace the prison system with oppressive electronic monitoring of criminals. And shock collars.
yeah, this is just crazy to me
― Mr. Que, Thursday, 28 June 2012 21:33 (thirteen years ago)
you think my analysis is crazy, not just wrong?
― Euler, Thursday, 28 June 2012 21:34 (thirteen years ago)
are you sure you're not speaking about libertarians?
― mh, Thursday, 28 June 2012 21:34 (thirteen years ago)
us vs them is the animating principle of modern conservatism
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:34 (thirteen years ago)
I think I am talking primarily about libertarians, but I think that's the dominant strand of conservatism in tea baggin' America today
― Euler, Thursday, 28 June 2012 21:35 (thirteen years ago)
― Euler, Thursday, June 28, 2012 5:35 PM (7 seconds ago)
aaaaand anything to the left of that is radical, got it
― k3vin k., Thursday, 28 June 2012 21:36 (thirteen years ago)
see that's the kind of response that makes me think liberals don't get it, that liberals think their position is "natural" or "obvious"
& then they wonder why American politics is the way it is
― Euler, Thursday, 28 June 2012 21:37 (thirteen years ago)
^^so when you say stuff like this, what you really mean is not "it is radical to care about other people," but "libertarians think it is radical to care for other people."
― Mr. Que, Thursday, 28 June 2012 21:37 (thirteen years ago)
I think in the real life most individuals who identify as conservative don't want real people starving or dying nastily but in the legal/philosophical/government realm they have serious issues with taking care of those issues due to some sort of moral attitude about money and who deserves what.
I think the dominant strand in the tea baggers and whatever else is libertarian thought as far as fiscal responsibility, but these people really don't connect it to the logical ends. Like, they don't want the fire department to refuse you service or for people to get turned away at the ER, but there's a mental block prohibiting them from seeing that there's not magic that happens
― mh, Thursday, 28 June 2012 21:38 (thirteen years ago)
i mean you're basically using radical to mean whatever you'd like it to mean
the fact that the country was strongly in support of mandating that insurers cover people with pre-existing conditions kinda undercuts what you're saying
― k3vin k., Thursday, 28 June 2012 21:39 (thirteen years ago)
so what I'm saying is that the dominant position is people who want to pay no taxes but still expect the fire department to help them when their home is on fire
― mh, Thursday, 28 June 2012 21:39 (thirteen years ago)
http://www.mcnaughtonart.com/images/image_map_images/one_nation_under_God.jpg
DO YOU guys understand now
― lag∞n, Thursday, 28 June 2012 21:39 (thirteen years ago)
the only moral taxes are the ones that pay for services I personally use
― mh, Thursday, 28 June 2012 21:40 (thirteen years ago)
no Que I think libertarians take a quite natural stance on things: look out for yourself & those close to you, & let everyone else fend for themselves
we liberals have been trying to upend that way of things for a long time. & one of the delusions post 1967 that saddens me the most is that "we won", that we can take for granted now that everyone in their right mind would want a system in which everyone's basic needs are cared for.
― Euler, Thursday, 28 June 2012 21:40 (thirteen years ago)
i.e. "it is radical to care for other people," which was my whole point, thank you.
― Mr. Que, Thursday, 28 June 2012 21:41 (thirteen years ago)
a major aspect of the conservative critique of government handouts yet to be mentioned is that they dont work
― lag∞n, Thursday, 28 June 2012 21:41 (thirteen years ago)
oops! i.e. "libertarians think it is radical to care for other people"
― Mr. Que, Thursday, 28 June 2012 21:42 (thirteen years ago)
anyway
aw shucks id love to help but it is impossible
― lag∞n, Thursday, 28 June 2012 21:42 (thirteen years ago)
that is totally natural if you are too dumb to understand how cities and societies and governments work
pretty basic hunter/gatherer thought there
― mh, Thursday, 28 June 2012 21:42 (thirteen years ago)
caring for other people is totally radical
― congratulations (n/a), Thursday, 28 June 2012 21:43 (thirteen years ago)
You're operating on some geological time scales there, Euler, it was radical 230 years ago when it was "all men are created equal" (pause for a gale of bitter laughter from 230 years of ghosts)
Hang on, are you actually Euler? That might explain some things.
― Andrew Farrell, Thursday, 28 June 2012 21:43 (thirteen years ago)
trollin^^
― Mr. Que, Thursday, 28 June 2012 21:43 (thirteen years ago)
can we stop being trolled by Euler for now
― mh, Thursday, 28 June 2012 21:43 (thirteen years ago)
caring for other people is totally rad
― lag∞n, Thursday, 28 June 2012 21:44 (thirteen years ago)
domed cities and underground trains in 2016
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 21:44 (thirteen years ago)
well good job guys, I'll let you get back to your usual recapitulation of What's the Matter with Kansas
― Euler, Thursday, 28 June 2012 21:44 (thirteen years ago)
not trolling fwiw
lagoon took my joke and watered it down for the plebs, like i'm bill hicks and he's denis leary
― congratulations (n/a), Thursday, 28 June 2012 21:44 (thirteen years ago)
http://i.ytimg.com/vi/KhuG3ryXsxk/0.jpg
― Mr. Que, Thursday, 28 June 2012 21:45 (thirteen years ago)
kansas isn't covered by a giant plexiglass dome
#thematterwithkansas
― "Holy crap," I mutter, as he gently taps my area (silby), Thursday, 28 June 2012 21:45 (thirteen years ago)
can i be gallagher
gallagher wouldn't ask to be gallagher, he would just be gallagher
― congratulations (n/a), Thursday, 28 June 2012 21:45 (thirteen years ago)
I like how Euler knows what is in the conservative's heart, are you from Kansas?
― mh, Thursday, 28 June 2012 21:46 (thirteen years ago)
― congratulations (n/a), Thursday, June 28, 2012 5:44 PM (25 seconds ago) Bookmark Flag Post Permalink
while i did recognize what you were doing there rad was actually the proper usage
― lag∞n, Thursday, 28 June 2012 21:46 (thirteen years ago)
not for much longer, mh!
― Euler, Thursday, 28 June 2012 21:46 (thirteen years ago)
the idea that america is mostly populated by radical libertarians or even tea party types is nuts
― (The Other) J.D. (J.D.), Thursday, 28 June 2012 21:47 (thirteen years ago)
you know I live in IOWA right it's not like I'm in NYC or some shit, I'm not iatee over here
― mh, Thursday, 28 June 2012 21:47 (thirteen years ago)
happy to be called nuts again
― Euler, Thursday, 28 June 2012 21:47 (thirteen years ago)
i.e., there's a reason the libertarian party hasn't gotten more than 1% of the vote since 1972 and that ron paul isn't ACTUALLY the gop front-runner
― (The Other) J.D. (J.D.), Thursday, 28 June 2012 21:48 (thirteen years ago)
no, your idea is nuts, you are perhaps just a little off on that perception?
― mh, Thursday, 28 June 2012 21:48 (thirteen years ago)
down in Kansas we think of Iowa as a liberal haven; NYC is too far away to matter
― Euler, Thursday, 28 June 2012 21:48 (thirteen years ago)
― congratulations (n/a), Thursday, June 28, 2012 9:45 PM (2 minutes ago) Bookmark Flag Post Permalink
:(
― Mr. Que, Thursday, 28 June 2012 21:48 (thirteen years ago)
why do people from flyover states even get to post to this thread
― lag∞n, Thursday, 28 June 2012 21:49 (thirteen years ago)
because we are rad and let them
― Mr. Que, Thursday, 28 June 2012 21:49 (thirteen years ago)
I think the bill is "radical" in the sense of being a radical change to the nature of health insurance. I mean it pretty much upends the prior model of what health insurance was. The preexisting condition thing (which I fully support) is a good example of this -- there's no other kind of insurance, in the capitalist sense, where you'd be able to buy in once you already have a problem. Insurance in the capitalistic sense is supposed to involve payment in advance reflecting your level of risk. It is, absolutely, a method of risk pooling, but once you are sick you no longer have a "risk" you have an actual sickness. The elimination of "preexisting conditions" plus the mandate eliminates the old model and instead creates a kind of fractured, hybrid public-private national health system. It ceases to look like any other insurance we've ever seen.
― click here if you want to load them all (Hurting 2), Thursday, 28 June 2012 21:49 (thirteen years ago)
like the tea party is mostly burned out and populated by the same conservative org flacks who were in other conservative organizations five or ten years ago. on the other hand, the occupy movement people are still running around doing shit, have only a tiny overlap with that group, and seem to have only a small Ron Paul contingent in their midst. How is tea party the dominant paradigm?
― mh, Thursday, 28 June 2012 21:49 (thirteen years ago)
who are these people in kansas that say this?
― mh, Thursday, 28 June 2012 21:50 (thirteen years ago)
Oh Foxpaws....their current banner headline today is.
House Finds Holder in ContemptOver 'Fast and Furious' Investigation
― earlnash, Thursday, 28 June 2012 21:50 (thirteen years ago)
yeah, if they decided to go without insurance, then they'd pay a substantial "penalty". unmarried couples would be even worse off. you get substantial breaks in return for increased family size.
― contenderizer, Thursday, 28 June 2012 21:52 (thirteen years ago)
― Euler, Thursday, June 28, 2012 2:44 PM (4 minutes ago) Bookmark Flag Post Permalink
i live in utah, i win in the red state sweepstakes. people here think it's natural that their spirits will look for a spouse spirit that they can spend eternity with. i'm a little suspicious of anyone who makes a rhetorical appeal to the natural.
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 21:53 (thirteen years ago)
that couple of freelancers will be able to continue to be freelancers, though, as opposed to having to take a corporate job with supplied insurance or just being completely and utterly fucked if one of them falls ill
― mh, Thursday, 28 June 2012 21:53 (thirteen years ago)
I'm trying to suss out general principles behind American conservatism. never really sure if this is the place to do that. go ahead & make fun of me more, Que.
― Euler, Thursday, 28 June 2012 21:53 (thirteen years ago)
are there gay people in Utah not in the Republican party
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, 28 June 2012 21:53 (thirteen years ago)
This isn't the place for that, I think we have other threads.
― mh, Thursday, 28 June 2012 21:54 (thirteen years ago)
― Euler, Thursday, June 28, 2012 2:53 PM (1 minute ago) Bookmark Flag Post Permalink
it's not clear at all what you're trying to do, besides troll in a "look at me, i'm an analytic philosopher" *makes jack-off motion* stylee
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 21:56 (thirteen years ago)
I don't think I've had any long conversation with anyone conservative who has actually disagreed with the actual logic of the mandate or thought that most of the other reforms were bad. It always turns into weird waffling once you break it down to: "So, someone goes to the ER. Do they get treated or not?"
― mh, Thursday, 28 June 2012 21:57 (thirteen years ago)
Euler, you're just coming off as saying "you guys are an echo chamber, and here is what conservatives are really like" but then you sketch out the least charitable caricature of a fringe republican strawman!
its in gods hands, no god is the name of my surgeon
― lag∞n, Thursday, 28 June 2012 21:59 (thirteen years ago)
I don't mean it to be uncharitable! but yeah, this isn't the place.
― Euler, Thursday, 28 June 2012 21:59 (thirteen years ago)
conservatives believe in the individual, progressives believe in society, next
― lag∞n, Thursday, 28 June 2012 22:01 (thirteen years ago)
Roberts still reminds me of Gig Young in the "A Stop at Willoughby" episode of Twilight Zone.
― Elvis Telecom, Thursday, 28 June 2012 22:06 (thirteen years ago)
general principles behind american conservatives:
yeah that idea won't ever fly in the USA---I know the econ & I'm morally for reduced inequality but paying people to not work hurts me in the gut & it'd take a lot more than econ to convince me; & for most Americans this is exactly the problem with the welfare state: people getting what they don't deserve, haven't earned (well, that + racism of course)
― Euler, Sunday, September 4, 2011 7:35 PM (9 months ago) Bookmark Flag Post Permalink
― iatee, Thursday, 28 June 2012 22:21 (thirteen years ago)
man ... lovin' euler itt
― Faith in Humanity: Restored (dayo), Thursday, 28 June 2012 22:32 (thirteen years ago)
Having poor and unhealthy people around makes you feel like your healthcare and nutrition are something that you "earned" I guess.
― mh, Thursday, 28 June 2012 22:35 (thirteen years ago)
he earned his lifetime employment in a government job
he earned it good
― iatee, Thursday, 28 June 2012 22:37 (thirteen years ago)
I feel like I earned the right to not have diabetes by being from superior genetic stock. It just just feels like a gut punch every time I realize I have to pay for someone's healthcare when they are genetically inferior.
― mh, Thursday, 28 June 2012 22:39 (thirteen years ago)
L-R: welfare recipients, Euler
http://i246.photobucket.com/albums/gg90/SecretSunBlog/bnw03.jpg
― Julie Derpy (Phil D.), Thursday, 28 June 2012 22:40 (thirteen years ago)
america is such a bitch, feel like shee needs to just chill, maybe smoke a doob
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 22:43 (thirteen years ago)
when will i get a mandate to light one up
― Misc. Carnivora (Matt P), Thursday, 28 June 2012 22:45 (thirteen years ago)
Okay Phil the fact that I know EXACTLY what the screenshot is from disturbs me.
― Ned Raggett, Thursday, 28 June 2012 22:46 (thirteen years ago)
Namely because I thought I was the only person who remembered seeing that thing.
you saw my bar mitzvah video??
― funny-skrillex-bee_132455836669.gif (s1ocki), Thursday, 28 June 2012 22:46 (thirteen years ago)
Wait...you mean that's not the mohel?
― Ned Raggett, Thursday, 28 June 2012 22:47 (thirteen years ago)
not to interrupt the frenzy here, but some of eulers characterization is fair - the difference is that there is a wing of conservatism that assumes that beneficiaries of the health care system are by nature gaming the system, which is just a prettier version of the welfare queen stereotype openly mouthed by many conservatives in the 80s. thats not in line with a concern for the general well-being.
i mean if you want a pretty good look at how conservatives feel about this, imagine the reactions one might get with the "do we admit an illegal alien to the ER" thought experiment.
― O_o-O_O-o_O (jjjusten), Thursday, 28 June 2012 22:50 (thirteen years ago)
what if that illegal alien was british
― Faith in Humanity: Restored (dayo), Thursday, 28 June 2012 22:51 (thirteen years ago)
Hypocritic oath applies iirc
― mh, Thursday, 28 June 2012 22:52 (thirteen years ago)
What if the alien had a communicable disease?
― Love Max Ophüls of us all (Michael White), Thursday, 28 June 2012 22:54 (thirteen years ago)
yeah ha i was trying to leave the racist overtones out but yes that is also a factor for these peeps, i mean if they were canadian i assume that many would be duty-bound to save them from their oppressive socialist death medicine and admit them immediately xxpost
― O_o-O_O-o_O (jjjusten), Thursday, 28 June 2012 22:54 (thirteen years ago)
would love to see the statistical difference in the results of that thought experiment ("if any") when conservative respondents are shown either A) a picture of a smiling and well-dressed elderly white woman and B) one of a stern-faced young black man in a hoodie.
assume that the complainant is suffering from some mild sort of distress, nothing life-threatening...
― contenderizer, Thursday, 28 June 2012 22:57 (thirteen years ago)
conservatives' feelings towards this aren't rooted in some specific way of looking at the world, they are rooted in talking points they got from above. trying to 'suss it out' is just kinda lol, hey why do they oppose a health care system originally designed (and implemented) by conservatives but there wasn't any pushback against medicare part d, well, because they oppose everything obama has ever done, fin.
― iatee, Thursday, 28 June 2012 23:02 (thirteen years ago)
^^^^^^^^^^^^^^^
― k3vin k., Thursday, 28 June 2012 23:08 (thirteen years ago)
oh thats def a huge factor here, but the conservative base has worked the deluded idea of an imaginary poulation of freeloaders to their benefit for a long time prior the politics of obama blocking.
― O_o-O_O-o_O (jjjusten), Thursday, 28 June 2012 23:20 (thirteen years ago)
iatee otm we are not dealing with rational actors here - that wing has fled the GOP
― a dense custard of infinity (Shakey Mo Collier), Thursday, 28 June 2012 23:24 (thirteen years ago)
right, but that imaginary population of freeloaders exists in relation to whatever policy progressives are currently pushing and isn't based on some coherent political reasoning system that needs to be 'sussed out'. there's no there there. xp
― iatee, Thursday, 28 June 2012 23:29 (thirteen years ago)
has anyone posted this yet? pretty wild... http://www.salon.com/2012/06/28/did_john_roberts_switch_his_vote/
― Mordy, Thursday, 28 June 2012 23:37 (thirteen years ago)
Yeah, tbrr my mother just posted on FB, "If all Americans have to get insurance, what do illegals get?" She - and my mother-in-law, and lots of other relatives of mine - live in a world where they are besieged by hordes of illegal immigrants who are living the high life on their dime, and no facts that I present can relieve them of this notion. And this is in Northeast Ohio, for god's sake.
Ned, I actually watched that *when it originally aired*. I think it may have been a school assignment.
― Julie Derpy (Phil D.), Friday, 29 June 2012 00:20 (thirteen years ago)
vote switching happens btw, it's possible
― k3vin k., Friday, 29 June 2012 00:24 (thirteen years ago)
xpost -- Hahah same here.
I don't want to speak ill of your family but do let your doubtless otherwise saintly if, how you say, scared mom know I work for a Mexican American (in my freelance OC Weekly capacity but nonetheless). Why, I've even TALKED with the guy and he's...he's human!
― Ned Raggett, Friday, 29 June 2012 00:25 (thirteen years ago)
They get emergency care in the ER? Do people think that tons of illegal immigrants are all over the ER instead of scared to go there for fear of being deported?
― mh, Friday, 29 June 2012 00:30 (thirteen years ago)
I will speak plenty ill of my family for everyone! The stupid thing is that they know actual Latinos, so they have to set up a "good Mexican/bad Mexican"* dichotomy and reconcile all kinds of stupid contradictions in their heads. It's a wonder they don't go all Scanners all the time.
*Most of them are actually from El Salvador and Honduras, but you know how these things go.
Anyways, this picture of Pelosi and Boehner reacting to the ruling this morning is MEGALOLZ.
http://static.guim.co.uk/sys-images/Guardian/Pix/pictures/2012/6/28/1340911632956/boehnerpelosi.jpg
― Julie Derpy (Phil D.), Friday, 29 June 2012 01:15 (thirteen years ago)
looked shopped! lol
argued with somebody today who 'didn't know' if she was for universal healthcare or not but hates it when 'undeserving people benefit from my hard work' - I nearly blew a gasket
― Faith in Humanity: Restored (dayo), Friday, 29 June 2012 01:34 (thirteen years ago)
Bill__Hughes Dear Lord, Any chance we could borrow Ronald Reagan for a bit? We've got a situation down here. Love, America.30 minutes ago · reply · retweet · favorite
― Matt Armstrong, Friday, 29 June 2012 01:40 (thirteen years ago)
how'd we get this far without hearing from Michael Savage?
Let's talk about [US Supreme Court Chief Justice John] Roberts. I'm going to tell you something that you're not going to hear anywhere else, that you must pay attention to. It's well known that Roberts, unfortunately for him, has suffered from epileptic seizures. Therefore he has been on medication. Therefore neurologists will tell you that medication used for seizure disorders, such as epilepsy, can introduce mental slowing, forgetfulness and other cognitive problems. And if you look at Roberts' writings you can see the cognitive disassociation in what he is saying
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:21 (thirteen years ago)
any chance this extreme reaction to roberts from the american right-wing might push him further to the left over the next thirty years?
― Mordy, Friday, 29 June 2012 02:22 (thirteen years ago)
i don't see why. i mean he may, who knows
― k3vin k., Friday, 29 June 2012 02:24 (thirteen years ago)
Wilkinson:
Mr Roberts genuinely thinks continuity, stability, public approval, and a posture of deference to the legislature are crucial to the healthy functioning of the judicial branch. The members of the court have more room to move, more freedom to interpret the constitution by their independent lights, when they are not the subject of an angry, divisive public debate that loudly calls into question the independence and legitimacy of their institution. Mr Roberts observed the livid reaction to Citizens United, as well as the liberal freak-out over the mere possibility of a ruling striking down Obamacare, and determined that prudent custodianship of the court called for a light, conciliatory touch. Indeed, my hunch (and none shall doubt my amazing intuition!) is that Mr Roberts may well have chosen to join his conservative colleagues had the court not lost so much public goodwill following the Citizens United decision.
He's presuming he can read into his intentions but whatevs - I'm just posting shit.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:27 (thirteen years ago)
in other words Roberts is a conservative, not a radical.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:28 (thirteen years ago)
i think he would have moved a little bit independently of public opinion just with more experience. a lot of conservative-appointed justices became disappointing to conservatives that way. i'm never going to agree with his reasoning on anything but he does seem at least thoughtful even when he's really really wrong. not like scalia or thomas, i mean. thoughtful might not be the right word.
― kneel aurmstrong (harbl), Friday, 29 June 2012 02:28 (thirteen years ago)
Plus, it's easier for Scalito and Thomas to be splenetic -- they're not nor will ever be chief justice. Roberts cares about posterity.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:30 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 10:27 PM (3 minutes ago)
yeah i am just not buying or interested in this kind of stuff, why on earth would a chief justice, who is unelected and generally unaccountable, vote against his interests purely to preserve his 'credibility'? credibility with whom? citizens united tarnishing the court's rep is news to me as well; plenty of people are fine with that decision
― k3vin k., Friday, 29 June 2012 02:34 (thirteen years ago)
“All judges are acutely aware of the fact that millions and millions of people have voted for you and not one has voted for any of us. That means that you have the responsibility of representing the policy preferences of the people.”
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:36 (thirteen years ago)
from his confirmation hearings
It's well known that Roberts, unfortunately for him, has suffered from epileptic seizures.
Afaict, a huge number of conservatives suffer from seizures, too, on a regular basis. Apoplectic seizures.
― Josh in Chicago, Friday, 29 June 2012 02:47 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Thursday, June 28, 2012 10:36 PM (11 minutes ago)
yeah he calls em like he sees em too
― k3vin k., Friday, 29 June 2012 02:48 (thirteen years ago)
https://www.youtube.com/watch?v=RjaB3cxH-XE
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:49 (thirteen years ago)
al gore doesn't get enough credit for bush v gore decision
― Mordy, Friday, 29 June 2012 02:51 (thirteen years ago)
He does have a point. Gore was a dumbass.
― Johnny Fever, Friday, 29 June 2012 02:52 (thirteen years ago)
I will repeat this until the day I die:
Gore lost his home state.
Even in 1984, Mondale won Minnesota.
Had Gore won his home state then Florida would have been irrelevant, etc.
― Ned Raggett, Friday, 29 June 2012 02:55 (thirteen years ago)
I like Nino's grimace in that YouTube freeze: his colon reels at the thought of "Al Gore."
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 02:58 (thirteen years ago)
gore was pretty far removed from his home state by 2000
he lost a southern state to the cowboy
― iatee, Friday, 29 June 2012 03:01 (thirteen years ago)
would watch clip of Nino covering the Eagles' "Get Over It"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 03:01 (thirteen years ago)
Tennessee is tougher to win than Minnesota, too.
― timellison, Friday, 29 June 2012 03:02 (thirteen years ago)
how many of mitt's home states will he win
― mookieproof, Friday, 29 June 2012 03:05 (thirteen years ago)
a limb: utah
― he bit me (it felt like a diss) (m bison), Friday, 29 June 2012 03:07 (thirteen years ago)
to change the subject a bit and repeat something stated upthread: conservatives (as opposed to Teatards) should love the fact that Chief Justice Roberts has such a constipated view of the Commerce Clause. in the hands of some skilled conservative lawyers, it could be a gift that keeps on giving (and make no mistake about it, this case was as much [if not more] about restricting the Commerce Clause -- and, by extension, New Deal-era jurisprudence -- which is the real prize for the Federalist Society types).
i only hope that progressives see this decision as a wake-up call.
― kurwa mać (Polish for "long life") (Eisbaer), Friday, 29 June 2012 03:30 (thirteen years ago)
any chance this extreme reaction to roberts from the american right-wing might push him further to the left over the next thirty years?― Mordy, Friday, June 29, 2012 2:22 AM (1 hour ago)
― Mordy, Friday, June 29, 2012 2:22 AM (1 hour ago)
reading this, i got this horrifying vision of an america 30 years from now where a majority of republicans favor the right to own nuclear weapons and fire them at people who trespass on your lawn and an unchanged roberts is regarded as the most left-wing person on the bench.
― (The Other) J.D. (J.D.), Friday, 29 June 2012 03:44 (thirteen years ago)
I wish.
Liberals, as far as I can tell, are celebrating the upholding of a basically Republican/corporatist model of health care as some kind of victory. Maybe I am just being cranky, but it seems to me that Roberts and his pals managed a terrific bit of jujitsu, saving Republicans from having to come up with their own health care model (which they don't really have, and if they did, it would look a lot like Obama's, which is basically what the Republican model used to be) while also preserving the rile-the-base boogeyman of "Obamacare" -- AND potentially eviscerating the Commerce Clause in the bargain. While also managing to look deferential to the executive branch.
I have always thought that Republicans do not really want the ACA repealed, and this "surprise" decision does not do anything to suggest otherwise. They get Obama's bill, which is a massive compromise handout to insurance companies and keeps the basic profit-driven model in place, plus they also get the outrage of the right-wing masses to use for other ends.
And I really, really hate the naive tone of pretty much all the major coverage of this, which keeps buying into the ridiculous mythology of the Court as some kind of apolitical entity. It is an entirely political entity, and this was a smart and entirely political decision.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 03:49 (thirteen years ago)
(That I wish was directed at the xpost, btw. Tho the nuclear dystopian future has its own appeal.)
agreed -- as walter karp would've put it, it's their 'indispensable enemy.'
― (The Other) J.D. (J.D.), Friday, 29 June 2012 03:52 (thirteen years ago)
They get Obama's bill, which is a massive compromise handout to insurance companies
insurance company stocks fell today. hospital stocks went up. tho it's a good deal for them in that we still have a system where they even exist.
― iatee, Friday, 29 June 2012 04:17 (thirteen years ago)
Well I think the smart people know the current model can't keep working, it's too expensive for everyone. But this is the best compromise they can get, and it's very much in line with the last century of U.S. history on this issue -- http://www.cfeps.org/health/chapters/html/ch1.htm.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 04:28 (thirteen years ago)
― Fig On A Plate Cart (Alex in SF), Thursday, June 28, 2012 11:07 AM
GET WITH THE PROGRAM
― Pangborn to be Wilde (Dr Morbius), Friday, 29 June 2012 05:25 (thirteen years ago)
this was a smart and entirely political decision.
― something of an astrological coup (tipsy mothra), Thursday, June 28, 2012
OTM. follow the strange bedfellows.
― all yoga attacks are fire based (rogermexico.), Friday, 29 June 2012 05:56 (thirteen years ago)
here's the thing. a few years after 2014, when the biggest provisions of the ACA kick in (no cap on insurance payments, no preexisting conditions stuff), insurance companies will either begin to ratchet premiums up a lot and/or for-profit companies will become non-profits (while still keeping high executive salaries etc). at that point, it really depends on the political landscape whether this will be an argument toward further tweaking the model toward something more closely resembling single-payer (expanding the role of exchanges, allowing states to offer single-payer plans) or the whole thing will be dismantled. i sort of doubt that after a few years of getting used to certain provisions of this bill (the ones that are commonsensically good) that there will be political will to scotch it altogether.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 06:42 (thirteen years ago)
and tipsy mothra totally OTM above about the politics of this decision.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 06:43 (thirteen years ago)
i still don't think that this decision was ultimately a bad thing as opposed to the alternative. i'm not really a "let's tear it all down so we can build it back up the way we want" kind of guy, because that never really works out.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 06:44 (thirteen years ago)
― kurwa mać (Polish for "long life") (Eisbaer), Thursday, June 28, 2012 11:30 PM (Yesterday) Bookmark
this is otm - another nail into the coffin of the commerce clause
― Faith in Humanity: Restored (dayo), Friday, 29 June 2012 09:49 (thirteen years ago)
gipsy otm. I did read my Walter Karp on Wed night funnily enough
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 11:11 (thirteen years ago)
http://www.newyorker.com/online/blogs/comment/2012/06/something-wicked-this-way-comes.html
enjoying this atul gawande piece on resistance to progressive legislation
― blossom smulch (schlump), Friday, 29 June 2012 11:44 (thirteen years ago)
Truthfully, I have no idea whether this is good legislation or not. The very basic parts of it that I understand, and that have broad support, those seem good. When you get into insurance exchanges and long-term cost curves and the rest, I won't even pretend to understand. (Not just a function of me being Canadian and not having any obligation to understand--I have a bad habit of not reading the fine print on things that effect me at home, e.g. the warranty plan I signed up for with my heating company a few years ago that turned out to be a complete waste of money.) So maybe it was just political jujitsu, as suggested above. I don't know.
But I felt good yesterday just because, as someone who still looks back at '08 and thinks about the excitement and the elation--I do, I do--it was a rare opportunity to feel good. The last three years have been a real slog--unceasing din from every direction (I'm not trying to reopen the discussion of how much of that has been justified; that can be found a million other places on here), the obstinance of the economy, etc. As I've said many times, I think there's a good chance Romney will win in November. But I didn't want the Supreme Court to give him a pass on this one issue. If Obama loses, this will stay. If Romney wants to get it repealed--I've read many views on how feasible that is--then that will be his call, and he can live with the consequences.
― clemenza, Friday, 29 June 2012 12:19 (thirteen years ago)
But I felt good yesterday just because, as someone who still looks back at '08 and thinks about the excitement and the elation--I do, I do--it was a rare opportunity to feel good.
I admit I felt largely the same thing.
― Josh in Chicago, Friday, 29 June 2012 12:26 (thirteen years ago)
ie, an entirely artificial joy derived mostly from watching the most insane third of the nation act out.
not enuf for me.
― Pangborn to be Wilde (Dr Morbius), Friday, 29 June 2012 12:39 (thirteen years ago)
No--it wasn't artificial.
― clemenza, Friday, 29 June 2012 12:39 (thirteen years ago)
ESPECIALLY coming from a Canadian, yes it is
― Pangborn to be Wilde (Dr Morbius), Friday, 29 June 2012 12:42 (thirteen years ago)
Morbius...you're trying to tell me when I'm not really feeling the elation that I think I'm feeling. This is absurd beyond words.
― clemenza, Friday, 29 June 2012 12:48 (thirteen years ago)
you ARE feeling it.
it's just based on sand.
― Pangborn to be Wilde (Dr Morbius), Friday, 29 June 2012 12:56 (thirteen years ago)
You sure you're not thinking about the Mets here.
― Ned Raggett, Friday, 29 June 2012 12:57 (thirteen years ago)
If movies have taught us nothing, they should have taught us that our emotional responses can be highly manipulated.
― old people are made of poop (Eric H.), Friday, 29 June 2012 13:00 (thirteen years ago)
(nothing *else*, I mean)
Scalia has jowls of power
― The Cheerfull Turtle (Latham Green), Friday, 29 June 2012 13:01 (thirteen years ago)
A day later, more speculation about Roberts' vote.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 13:27 (thirteen years ago)
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, June 29, 2012 2:42 AM Bookmark Flag Post Permalink
Yeah this kind of raises some of my hopes and concerns as well. The bill is very mixed for private insurance companies. I don't think it's fair to say that it's a pure giveaway to the insurance industry (although maybe the numbers will prove me wrong) -- taking away insurance companies' ability to deny coverage or to cap spending makes a huge dent in their profitability. On the other hand, requiring everyone to buy insurance from them, including young healthy people that might otherwise go without, could help their profitability.
As terrible as turning people away for "preexisting conditions" is, there is a reasonable logic to it if you're an insurance company -- after all, the point of insurance is to spread and pool risk. It only works if most people are paying more over their lifetimes for insurance than they'll use in medical care, in exchange for the security that if something goes wrong and does wind up costing a huge amount of money, they'll be covered (I realize there are many ways that the industry sometimes screws this up for people, but that's the theory). If people who already have cancer can just sign up for insurance after they get cancer, then those people are, as horrible as it sounds, freeloading off everyone else. That's why the mandate is essential. But that's also why, as I said upthread, this bill actually radically alters the nature of insurance and turns it into something entirely different, something that starts to look more like a national health service farmed out to private companies than a private insurance industry.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 13:28 (thirteen years ago)
And to be clear, I don't mean to pass judgment on people who want to sign up for insurance only after they get cancer, because there are often good reasons for this (e.g., being unemployed). That's the problem with an insurance system tied to employment/ability to pay. My main problem with this, as opposed to a single-payer sytem, is that it's more regressive. If you funded healthcare out of taxes, you could shift more of the cost onto the wealthy.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 13:30 (thirteen years ago)
Liberals, as far as I can tell, are celebrating the upholding of a basically Republican/corporatist model of health care as some kind of victory.
― something of an astrological coup (tipsy mothra), Thursday, June 28, 2012 11:49 PM (Yesterday) Bookmark Flag Post Permalink
cool opinion you should try running it by someone w/pre existing condition
― lag∞n, Friday, 29 June 2012 13:31 (thirteen years ago)
dude, that's not necessary: gipsy's cool.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 13:36 (thirteen years ago)
Yeah, this is better in a lot of ways than what we have (tho we won't know how much better for a long time). But the fundamental debate for 80-plus years has been whether healthcare is a social good or a market commodity, and this plan keeps the commodity model firmly entrenched. Without doing much about containing costs.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 13:39 (thirteen years ago)
sry for pointing out that hcr isnt just a partisan exercise but may have some v positive real world effects on people's lives, i did not realize he was cool
― lag∞n, Friday, 29 June 2012 13:40 (thirteen years ago)
I don't completely agree. Everyone has to buy + insurance companies can't turn anyone away = a step closer to a social good model.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 13:40 (thirteen years ago)
I mean I too would like Medicare for all, but instead what we got was improvement of a flawed system, the other option was not medicare for all btw
― lag∞n, Friday, 29 June 2012 13:41 (thirteen years ago)
i think i read this takes uninsured from 50m to ~25m? why not 0?
― caek, Friday, 29 June 2012 13:42 (thirteen years ago)
I guess another thing I wonder is why some healthy people wouldn't still just pay the tax, if it's cheaper than insurance, and then buy insurance when they get really sick. Maybe only a small minority of the population thinks that way, but it sounds like the *economically rational* thing to do if you're not planning on regular doctors' visits.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 13:47 (thirteen years ago)
yep use the gov as catastrophic insurance, pay the rest out of pocket, even w regular doctor visits it'd be cheaper
― lag∞n, Friday, 29 June 2012 13:49 (thirteen years ago)
Some version of Medicare-for-all consistently polls favorably well above 60 percent. To accept that something with such obvious, broad appeal is/was politically impossible is to accept a basic capitulation to corporate interests over public good. And I'm not saying that isn't the case -- I don't know if a strong, sincere push for single-payer would have gotten anywhere, tho it would have been nice to see the effort. All I'm saying is that it's hard for me to get too celebratory about this. It's still a pretty bad plan, and Roberts would not have left it in place if it really challenged his basic ideology.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 13:50 (thirteen years ago)
I heard that argument but from a small business POV yesterday. If many small businesses, over 50 employees and otherwise, offer health insurance now without being obligated, I'm not sure they'll persuade themselves to stop offering it. Few people with the choice would work anywhere that didn't offer insurance.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 13:51 (thirteen years ago)
Plus I thought businesses liked to offer insurance because employer-sponsored insurance is pre-tax, so it's like a way to give your employees $100 worth of benefits at a $70 cost.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 13:54 (thirteen years ago)
All I'm saying is that it's hard for me to get too celebratory about this.
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 9:50 AM (3 minutes ago) Bookmark Flag Post Permalink
im sry you cant get too excited that millions of people who did not have access to healthcare now do, maybe the aca will make it possible for you to acquire some psychiatric drugs to help you w/this problem
― lag∞n, Friday, 29 June 2012 13:57 (thirteen years ago)
I don't know if a strong, sincere push for single-payer would have gotten anywhere, tho it would have been nice to see the effort.
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 9:50 AM (7 minutes ago) Bookmark Flag Post Permalink
http://en.wikipedia.org/wiki/Filibuster
― lag∞n, Friday, 29 June 2012 13:58 (thirteen years ago)
guys, watch this if you get a chance. It's not long: http://www.pbs.org/wgbh/pages/frontline/obamasdeal/
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 13:59 (thirteen years ago)
One other thing about this that makes it all seem very show-trial to me: The vehemence of the dissent, which seems like a classic bad-cop move. Allows Roberts to say, "Man, you should be glad all I'm taking is your Commerce Clause. Fat Tony wanted to throw you in the river."
The whole thing seems nearly as naked politically as Bush v Gore.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 14:04 (thirteen years ago)
I don't understand why the opinion supposedly "guts the commerce clause" though. At most it puts the brakes on. It's hard for me to imagine another situation in which the federal government would want to use the commerce power to force people to buy something, and it's hard for me to imagine this opinion having any precedential value beyond those situations, although I'm sure people will try.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 14:08 (thirteen years ago)
you ARE feeling it.it's just based on sand. --Pangborn to be Wilde (Dr Morbius)
it's just based on sand. --Pangborn to be Wilde (Dr Morbius)
I'm pretty happy my little brother w/ a pre-existing condition that makes it incredibly painful to walk to walk can get medicine now. if you want to call that sand, fine, but ignoring the human side of this is weird. this is something that improved the well being of *millions of people* and saved the lives of tens of thousands. you don't have to be pro-democrat or think it's a particularly good system to think that yesterday was 'a good day'
― iatee, Friday, 29 June 2012 14:10 (thirteen years ago)
minus 1 'to walk'
― iatee, Friday, 29 June 2012 14:11 (thirteen years ago)
all the psychologizing of roberts is fun but after like the 10th article its just kind of like yeah sure no one really knows, all this talk of the long game and undermining the commerce clause ignores two kinda obvious points, the court could easily add another liberal v soon and then wheres yr long game mr minority roberts, and the justices are perfectly happy to ignore precedent whenever they feel like it, particularly in this case there wasnt any real bodily harm done to the commerce clause, like if the court remains conservative they may site this interpretation at some point in the future, but it will never be mentioned in a liberal ruling
― lag∞n, Friday, 29 June 2012 14:13 (thirteen years ago)
also I still think the "switch" theory is bullshit, but ultimately irrelevant anyway
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 14:18 (thirteen years ago)
ha yeah the switch theory is just misreading what roberts meant by 'ginsberg dissent'
― lag∞n, Friday, 29 June 2012 14:19 (thirteen years ago)
Lots of New Deal court scholar types getting nostalgic about the switch-in-time-that-saved-nine (and that justice was a Roberts donchaknow)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 14:20 (thirteen years ago)
idk 'add another liberal' is completely dependent on Scalia or Kennedy dying, both could live 10+ years. people live too long these days.
― iatee, Friday, 29 June 2012 14:20 (thirteen years ago)
if Scalia still smokes and guzzles red wine as he used to then maybe maybe
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 14:21 (thirteen years ago)
if the court remains conservative they may site this interpretation at some point in the future, but it will never be mentioned in a liberal ruling
Right, all justices have built-in constraints, nobody gets to dictate the future forever, etc.
But I think for Federalist Society types like Roberts, weakening the Commerce Clause meant more than actually getting rid of the ACA. If they'd struck down the entire law, the political fallout (for the Court and the GOP both) was very hard to gauge. This way, they get to have their cake, and let the people eat some too.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 14:23 (thirteen years ago)
^^^ that's the line taken by proponents of the John Roberts The Master Politician line.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 14:24 (thirteen years ago)
― iatee, Friday, June 29, 2012 10:20 AM (3 minutes ago) Bookmark Flag Post Permalink
what if they both died... on the same day
― lag∞n, Friday, 29 June 2012 14:24 (thirteen years ago)
if someone were willin to 'take one for the team' and kill 5 people, we could totally fix 1 of the 3 branches of govt
― iatee, Friday, 29 June 2012 14:29 (thirteen years ago)
its shocking to me how no one ever assassinates any justices, what happened to this country
― lag∞n, Friday, 29 June 2012 14:31 (thirteen years ago)
Breyer gets mugged often.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 14:33 (thirteen years ago)
Reposting from a friend who is a lawyer (if that matters) with a pre-existing medical condition (if that matters):
This legislation was written by insurance lobbyists, was just endorsed by the Ogre of Citizens United, and people are doing the jig. I feel like the one person in the group who isn't tripping. ... it should be called the Insurance Profits Protection Act. I cannot believe all the happy dances. My preexisting condition means when I go to a new job, 10% of my income goes to health insurance, and I still pay at least 30% of the overall bill. And the premium is whatever they want it to be. I am enjoying all the pictures of Obama, who promised us a public option and said No Individual Mandate. He was right to count on the short attention span of his base. I wish I could say I'm sorry to rain on the parade, but it doesn't matter anyway.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 14:43 (thirteen years ago)
a lawyer, who thinks the president writes legislation
― lag∞n, Friday, 29 June 2012 14:47 (thirteen years ago)
my guess is he might have slightly more positive feelings abt this if he didnt already have health insurance
― lag∞n, Friday, 29 June 2012 14:48 (thirteen years ago)
"My preexisting condition means when I go to a new job, 10% of my income goes to health insurance, and I still pay at least 30% of the overall bill. "
I'd like to know what he's basing this on
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 14:49 (thirteen years ago)
My preexisting condition means when I go to a new job, 10% of my income goes to health insurance, and I still pay at least 30% of the overall bill. And the premium is whatever they want it to be.
suspect this is also not technically true
― lag∞n, Friday, 29 June 2012 14:50 (thirteen years ago)
but anyway im sry this act didnt do more for the employed lawyers of the usa, ours is an imperfect union
― lag∞n, Friday, 29 June 2012 14:51 (thirteen years ago)
Is there anything in the new legislation that will stop insurance companies being able to charge ridiculously high premiums for ppl with preconditions?
― just1n3, Friday, 29 June 2012 15:00 (thirteen years ago)
yes
― lag∞n, Friday, 29 June 2012 15:01 (thirteen years ago)
law is just a story about power; noticing that doesn't really mean anything about how that power is being executed or shifted, though.
― Mordy, Friday, 29 June 2012 15:04 (thirteen years ago)
Guaranteed issue and partial community rating will require insurers to offer the same premium to all applicants of the same age and geographical location without regard to most pre-existing conditions (excluding tobacco use).
― lag∞n, Friday, 29 June 2012 15:04 (thirteen years ago)
Worth a read.
Likewise, the ever-powerful US Chamber of Commerce, whose legal eagles are in the midst of one of the most amazing runs of success in Supreme Court history, did not oppose the law. Like the insurance industry, the Chamber did not take a position on the individual mandate or other parts of the law. Instead, it merely urged to court to act quickly to settle the outstanding legal issues. Like AHIP, the Chamber argued that the fate of the mandate should be bound to that of the other insurance reforms—if one went, the other would have to be scrapped, too. Other business groups also avoided the fight or signed up for the other side. The hospital industry supported upholding the law's Medicaid expansion. The pharmaceutical industry’s lobbying arm, PhRMA, which timidly supported the original bill, didn't weigh in at all.
So business wasn't really a part of the anti-Obamacare coalition. Instead, the primary legal challenges to the ACA came from states headed by right-wing (and often unpopular) ideological governors, and the states' outside support came from equally ideological advocacy organizations, such as the Family Research Council and fringe physicians' groups. But their lack of support from the business community is notable, and it may be the one reason why Justice John Roberts decided the case the way he did.
Roberts is conservative, but not in the same way as Justices Antonin Scalia or Clarence Thomas. He's more of a white-shoe law firm kind of guy, which is fitting for someone who was a partner at the corporate law firm Hogan & Hartson (now Hogan Lovells). As such, he's got some of the pragmatism of a corporate lawyer, and his sympathy for the business community's arguments has been plain from the time he was first confirmed. (See: Citizens United.) If the US Chamber of Commerce didn't see fit to argue that the ACA was unconstitutional, it's not surprising that Roberts didn't, either.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 15:05 (thirteen years ago)
― lag∞n, Friday, June 29, 2012 8:58 AM (43 minutes ago) Bookmark Flag Post Permalink
well, not really, because they didn't end up with an ounce of GOP support anyhow, even though a lot of the plan was not only proposed by the GOP in earlier years but some of the details of this version were worked out in committee with republican senators.
in the end it wasn't the result of a compromise with the GOP as much as a compromise within the democratic party between the liberal wing and the few blue dogs (conversative dems) whose votes were needed to pass the thing.
although you could argue easily that they gave too much away too soon and had they started from a more aggressive position (say, uh, single payer) the end result, while still a compromise, would not be quite the mess as what we now have.
that said, i'll repeat what i said earlier which is that i think this is a net good, since destroying the bill altogether would get us--where exactly? i'm not of the mind that it's better to tear down something well-intended but flawed in the expectation that you can do a better job rebuilding. at least not when we're talking about massive legislation that requires passage by a legislative branch that might flip entirely to the GOP in january.
.... also.... one of the more interesting things about the bill, and one that i guess should have libertarian types rightfully incensed, is that it actually imposes a cap on the percent of income that the insurance company can count as profit. that is, they have to demonstrate that they are re-investing a certain percentage of what they rake in in terms of care and services for their members. this is one of those provisions where the devil is _really_ in the details. they will need an aggressive and eagle-eyed enforcement mechanism for this or the insurance companies are going to run circles around the new regulators. if the regulators have teeth then this should help keep premiums from going sky-high. i don't know how optimistic i can be about this.
as for morbs, i don't know that it's worth arguing with his manichean point of view. something is either a great blessing (which it never is), or a disaster. i mean taking the long view humanity itself is disaster, but if we want to make finer distinctions i don't think that's the best way to characterize this.
i'm not entirely sure that morbs is not literally a cartoon character at this point, but he does talk about visiting places, which is something that a cartoon character might find difficult to accomplish. so the jury is out.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 15:09 (thirteen years ago)
nelson et all threatened to filibuster w/the republicans was the only reason they had to negotiate w/them fyi, otherwise just pass what they want w/50 right, otherwise otm
― lag∞n, Friday, 29 June 2012 15:12 (thirteen years ago)
"Some version of Medicare-for-all consistently polls favorably well above 60 percent"
It polls at 60% until it looks sorta, maybe kinda possible and then it gets demonized by Republicans and special interests and Fox News and then lo and behold it's not polling at 60% anymore.
I don't love this law, I love the actual text of the Robert ruling even less, and I think honestly that Obama and "liberal" Senate Dems didn't do enough to really push a public option, but let's be clear here given the intransigence of certain less than liberal Senate Dems, the power of the healthcare lobby and the insane rules of the Senate--this might honestly have been the best that could be gotten at this point in time regardless of anything anyone in the more "progressive" realm of DC politicking did. That's a sad state of affairs, but for people who previously were uninsured and possibly unable to get insurance in the prior model what passed does represent some small progress.
― Fig On A Plate Cart (Alex in SF), Friday, 29 June 2012 15:13 (thirteen years ago)
the whole fascination w/the public option is kinda lol, i mean if it had successfully gotten it into the final law then it wouldve be worth the kerfuffle, but it really was relatively minor piece in a gigantic bill, particularly considering the public option that was on the table was of the weak variety
― lag∞n, Friday, 29 June 2012 15:16 (thirteen years ago)
What the IRS can and can't do to make sure you pay the penalty
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 15:17 (thirteen years ago)
To accept that something with such obvious, broad appeal is/was politically impossible is to accept a basic capitulation to corporate interests over public good. And I'm not saying that isn't the case -- I don't know if a strong, sincere push for single-payer would have gotten anywhere, tho it would have been nice to see the effort. All I'm saying is that it's hard for me to get too celebratory about this. It's still a pretty bad plan, and Roberts would not have left it in place if it really challenged his basic ideology.
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 6:50 AM (1 hour ago)
the plan is good to the extent that people are helped, and i think it's clear that a great many people will be helped by this plan. robert's ideological objections would not be to the doing of good, i don't think. it's entirely possible that sound legislation might not arouse this or that conservative's ire.
― contenderizer, Friday, 29 June 2012 15:20 (thirteen years ago)
So the way people who know more con law than me have described it is that it says something like "OK, you've had your fun, and we're not going to overturn the Civil RIghts Act, but we're not going to allow any more legislation like the Civil Rights Act either. Rest assured that in each case we'll be able to find some distinction like "activity-unactivity" which will allow us to strike the law without disrupting law already established."
― Guayaquil (eephus!), Friday, 29 June 2012 15:38 (thirteen years ago)
xpost One of my most satisfying interactions yesterday was completely pwning a Paultard high school acquaintance on Facebook who posted about "If you don't want insurance, they can send you to jail!!!!11!"
― Julie Derpy (Phil D.), Friday, 29 June 2012 15:39 (thirteen years ago)
lol that's how my lawyer cousin – a conservative – described it to me
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 15:40 (thirteen years ago)
I think Lopez (the guns in schools bill) and Morrison (VAWA) probably did more to put a limit on the Commerce Clause than this decision does. OTOH conservatives were perfectly happy to extend the commerce clause to regulate the growing of medical marijuana, so lol.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 15:42 (thirteen years ago)
She, fwiw. And not to spook yr high horse, but she's a public defender who's spent several decades making not-much-money representing people who can't afford a lawyer (or health insurance, I'm sure).
Anyway, the percentages she's talking about are the limits built into the law. Which, on the one hand, do provide some containment. But, on the other hand, will still leave a lot of people paying a whole lot of money to insurers.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 15:43 (thirteen years ago)
Somehow or other, someone has to pay a whole lot of money for healthcare. A single-payer system could hypothetically shift more of the burden to the rich, but it would probably require at least some tax increases on most people. This, while not as good as a single-payer system, at least should spread costs more widely.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 15:46 (thirteen years ago)
But we need the total costs to go down, too. However you spread the total amount, we are by global standards spending way too much of our collective money on health care. The ACA mostly punts on cost containment.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 15:48 (thirteen years ago)
the reason people pay a lot of money to insurance companies has a lot to do w/ doctors charging $5000 for a checkup and less to do w/ insurance companies living large thanks to your lawyer friend. they're easier to demonize than the nice friendly doctor but they're just the middleman in our system. again, insurance stocks had a very bad day yesterday.
― iatee, Friday, 29 June 2012 15:53 (thirteen years ago)
again, insurance stocks had a very bad day yesterday.
otm. if obamacare is such a giveaway to the insurance companies why are they doing so shit in the market?
― Mordy, Friday, 29 June 2012 16:00 (thirteen years ago)
I agree, and docs and corporate medicine are a big part of the cost problem. Otoh, doctors and hospitals are actually a necessary part of a healthcare system, no matter how you configure it. Insurance companies are not. They're easier to demonize because they don't really serve any interest but their own.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 16:01 (thirteen years ago)
because the insurance market is about to look different so any holdings you have now you might as well profit-take on? not sure that is my guess. xp
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 16:01 (thirteen years ago)
depends on how it's going to look different. if you thought it was going to be more profitable you would want to buy now, not sell
― Mordy, Friday, 29 June 2012 16:02 (thirteen years ago)
Doctors themselves don't charge that much for a checkup btw - I've had to pay for a lot of healthcare out of pocket, it's a couple hundred bucks a visit, not chump change but it's hospital fees/lab fees that'll kill you
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 16:03 (thirteen years ago)
which IIRC are set by the insurance companies
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 16:04 (thirteen years ago)
And their stocks fell because their ridiculous profit margins are likely to shrink a bit, which is all it takes for Wall Street to pull back. Which, I mean... Woohoo.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 16:04 (thirteen years ago)
there will be new players I think. and you might also want to shift your holding to medical devices, pharmaceuticals, etc - stuff that more people will now have access to
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 16:06 (thirteen years ago)
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 12:01 PM Bookmark Flag Post Permalink
This isn't entirely true. If insurance companies didn't serve a purpose, everyone would just pay out of pocket for all their medical costs. But the fact is that most people don't want to risk getting hit with a five or six digit medical bill if something serious happens, and insurance covers that risk. You might prefer a government solution to that problem (single-payer) but that doesn't mean insurance companies don't serve any interest other than their own.
― click here if you want to load them all (Hurting 2), Friday, 29 June 2012 16:07 (thirteen years ago)
which IIRC are set by the insurance companies --perry en concrète (underrated aerosmith bootlegs I have owned)
an insurance company wants that price to be as low as possible. lowering that price increases their profit. but they are essentially price takers in the bigger picture.
― iatee, Friday, 29 June 2012 16:09 (thirteen years ago)
I'd think the aspect of obamacare making conservatives crazy is the cap on profitability. all the mandate stuff seems like red herring nonsense to drum up support among the base.
― diamanda ram dass (Edward III), Friday, 29 June 2012 16:34 (thirteen years ago)
one of the basic attitudes of conservatism is "ppl want to make as much money as possible, let them do that, it's what made this country great, everything else will follow"
isn't that the underlying conservative fear about health care reform - a massive profitable industry will no longer be driven by profit?
― diamanda ram dass (Edward III), Friday, 29 June 2012 16:43 (thirteen years ago)
I mean, I've been trying to resolve the cognitive dissonance of everyday american folks going to the mat to defend the way insurance companies work, and that free market yadda yadda is the only thing that makes sense
― diamanda ram dass (Edward III), Friday, 29 June 2012 16:46 (thirteen years ago)
"everyday american folks" go the mat against their own interests all the time. it's the longest long con running
― Mad God 40/40 (Z S), Friday, 29 June 2012 16:53 (thirteen years ago)
everyday American folks don't know shit about shit and mostly just repeat stuff they heard on tv
― iatee, Friday, 29 June 2012 16:56 (thirteen years ago)
ZS otm
― contenderizer, Friday, 29 June 2012 17:00 (thirteen years ago)
you don't even have to chalk it down to cognitive dissonance when the majority of the country doesn't know enough about the subjects to understand that they hold two contradicting opinions
― iatee, Friday, 29 June 2012 17:00 (thirteen years ago)
rising to yr theme here eh old boy
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 17:04 (thirteen years ago)
an entirely artificial joy derived mostly from watching the most insane third of the nation act out.
Morbius and Eric: I'm sure you guys don't mean to sound as condescending as you do. I'm 50 years old. Having it explained to me that my elation at seeing the first-ever black president elected (after an amazingly dramatic election) was some kind of false elation that I was manipulated into, I do find that kind of offensive. Above and beyond my own feelings, I also experienced that election through my students. The genuine joy that was all around our school the day after the election was very real--especially, though hardly limited to, among black students. I sincerely do not know where you're coming up with stuff.
― clemenza, Friday, 29 June 2012 17:06 (thirteen years ago)
Morbius and Eric: I'm sure you guys don't mean to sound as condescending as you do.
*coughs*
― funny-skrillex-bee_132455836669.gif (s1ocki), Friday, 29 June 2012 17:07 (thirteen years ago)
rising to yr theme here eh old boy --perry en concrète (underrated aerosmith bootlegs I have owned)
if you don't appreciate this theme politics is much harder to follow
― iatee, Friday, 29 June 2012 17:09 (thirteen years ago)
I would def watch an odd couple style TV show based around clemenza/morbius cohabitation
― diamanda ram dass (Edward III), Friday, 29 June 2012 17:10 (thirteen years ago)
we're living it, pal
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 17:33 (thirteen years ago)
actually concur in a roundabout way
― perry en concrète (underrated aerosmith bootlegs I have owned), Friday, 29 June 2012 17:35 (thirteen years ago)
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 11:43 AM (1 hour ago) Bookmark Flag Post Permalink
which is why all her examples of what sucked abt the law were having to do w/people who can't afford a lawyer (or health insurance, I'm sure), not w/employed lawyers, my sad sad high horse right now
― lag∞n, Friday, 29 June 2012 17:37 (thirteen years ago)
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 12:04 PM (1 hour ago) Bookmark Flag Post Permalink
i mean ffs man, youre complaining abt insurance companies being too profitable, you freely admit that this act will decease their profits, then you sarcastically shit all over it, would hate to see yr reaction when things dont go yr way
― lag∞n, Friday, 29 June 2012 17:42 (thirteen years ago)
not-much-money representing people who can't afford a lawyer (or health insurance, I'm sure).
also can i just 'not-much-money for a lawyer representing people who can't afford a lawyer'
― lag∞n, Friday, 29 June 2012 17:46 (thirteen years ago)
W/e. I guess I don't have a problem differentiating between "better than what we have" and "good" -- or at least decent. And my point is that there are some pretty obvious reasons that the "better than what we have" option was perfectly palatable to Mr. Chief Justice. (While a good plan would not have been -- although I don't know if an actual single-payer plan would have reached the Supreme Court. Probably somebody would have found a constitutional argument against it.)
This is a not-very-good plan, and I don't have to like it. If it advances the cause of decent, affordable health care at all, it's mostly in the sense of kicking the can down the road.
xpost:
And if you really wanna trash-talk public defenders, have at it. Throw in the free health-clinic doctors while you're at it.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 17:52 (thirteen years ago)
i wasnt talking trash abt public defenders, i was talking trash to you for calling what they make not very much money
― lag∞n, Friday, 29 June 2012 17:53 (thirteen years ago)
and at her i suppose for all her examples of the horrors of this law being completely self centered
― lag∞n, Friday, 29 June 2012 17:55 (thirteen years ago)
I've had a tough week but reading about conservatives' cries of anguish about SCOTUS is making me feel much better. Tough luck, fuckers.
http://www.slate.com/articles/news_and_politics/politics/2012/06/republican_response_to_obamacare_decision_the_eight_stages_of_conservative_grief.html
― Get wolves (DL), Friday, 29 June 2012 17:56 (thirteen years ago)
And there's this (ten points off for a complimentary Jonah ref though): http://boingboing.net/2012/06/28/national-review-supreme-court.html
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 17:58 (thirteen years ago)
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 1:52 PM (3 minutes ago) Bookmark Flag Post Permalink
dear people who had no access to health insurance before this law was passed, and particularly to those of you who wouldve suffered and/or died, you are a can being kicked down the road
― lag∞n, Friday, 29 June 2012 17:58 (thirteen years ago)
Tipsy generally otm in this thread, imo. Just about everybody is a can being kicked down the road in one way or another.
― Biff Wellington (WmC), Friday, 29 June 2012 18:04 (thirteen years ago)
cool point
― lag∞n, Friday, 29 June 2012 18:06 (thirteen years ago)
the thing that really makes the tipsy/bill bill maher/huffpost argument so lame is that its a total challop, theyre all OMG BUT DONT U SEE THE SYSTEM IS STILL SO FUCKED, yes totally everyone already knows that
― lag∞n, Friday, 29 June 2012 18:10 (thirteen years ago)
they they have to come up w/hyperbolic arguments like its just a big giveaway to the insurance industry, republicans are totally happy abt this to try to make us see how intensely weve all been duped by by this political circus
― lag∞n, Friday, 29 June 2012 18:13 (thirteen years ago)
I don't have health insurance
― puff puff post (uh oh I'm having a fantasy), Friday, 29 June 2012 18:13 (thirteen years ago)
kick me
right. there are lots of good reasons to complain about the Obama administration but complaining about *prob the most progressive legislation in half a century*, the bill that gave 30 million people access to health care...it's prob not the best way to spend your complain-energy. xp
― iatee, Friday, 29 June 2012 18:14 (thirteen years ago)
better hurry or teh IRS man will clobber you with a broccoli spear
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 18:14 (thirteen years ago)
theyre all OMG BUT DONT U SEE THE SYSTEM IS STILL SO FUCKED, yes totally everyone already knows that
I am not sure the people with the WE HEART OBAMACARE signs know that.
But mostly, I think the politics of this law and this decision are different than the way they're being generally presented and discussed.
And calling this law a big giveaway to the insurance industry is not even remotely hyperbolic.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:16 (thirteen years ago)
all anyone who supports it is saying is this is an improvement and im happy that people who had inferior access to healthcare can like go to the doctor
you are not blowing our minds w/the info that single payer would be better, but heres a real mind blower 4 u: you know what was worse, the status quo
― lag∞n, Friday, 29 June 2012 18:17 (thirteen years ago)
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 12:04 PM (2 hours ago) Bookmark Flag Post Permalink
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 2:16 PM (43 seconds ago) Bookmark Flag Post Permalink
you contradict yourself here
― lag∞n, Friday, 29 June 2012 18:18 (thirteen years ago)
Not if you actually understand what I'm saying, but nevermind. I don't want to be trollbait all day.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:19 (thirteen years ago)
sure sure
― lag∞n, Friday, 29 June 2012 18:19 (thirteen years ago)
it would be a shame to actually have to deal w/the specifics of how this all works
― lag∞n, Friday, 29 June 2012 18:20 (thirteen years ago)
Before the health care law, some insurance companies spent as much as 40 percent of premiums on administrative overhead like marketing and CEO bonuses.
The health care law requires insurance companies to spend at least 80 percent of premiums on health care and quality improvement.
http://www.examiner.com/article/private-for-profit-health-insurance-companies-hate-the-affordable-care-act
― lag∞n, Friday, 29 June 2012 18:22 (thirteen years ago)
Not if you actually understand what I'm saying
tipsy and the Captain [Lorax] making it happen
― Mordy, Friday, 29 June 2012 18:23 (thirteen years ago)
ins companies didn't have super ridic profit margins in the first place.
― goole, Friday, 29 June 2012 18:24 (thirteen years ago)
but lagoon tipsy knows a lawyer who said otherwise, she said everything was due to evil insurance companies. not sure who to believe.
― iatee, Friday, 29 June 2012 18:24 (thirteen years ago)
i happen to know she is above reproach
― lag∞n, Friday, 29 June 2012 18:24 (thirteen years ago)
public defense lawyers who 'don't make a lot of money for a lawyer' don't end up making a lot of actual money
― goole, Friday, 29 June 2012 18:26 (thirteen years ago)
OK, I'll try again: Building the insurance companies into the system of the ACA ensure and reinforces their place in the system. And it provides them with a whole new market of people who are required to buy their goods, and are going to get government subsidy to do it. That is, explicitly, a giveaway to the insurance industry.
As a tradeoff, they get some new restrictions on their administrative costs and so forth. Of course, they'd rather have the big pot of money with no strings attached, but it doesn't mean it's not still a big pot of money.
All of which leaves us with a system that still doesn't make any sense if your concern is providing health care rather than profits. And I think any system that doesn't prioritize health care over profits is a bad system, even if it's better than the previous bad system.
(By your logic, our current bad system is worth celebrating because, hell, it covers most people. Which is better than covering half or none.)
But the real killer is that none of this does anything very serious about changing the incentives in the system to bring costs down closer to something under twice the norm for the industrialized world. Which means we are all just going to keep paying more and more, no matter who we are or what coverage we have.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:26 (thirteen years ago)
wow you really don't understand this system
― iatee, Friday, 29 June 2012 18:27 (thirteen years ago)
As a tradeoff, they get some new restrictions on their administrative costs and so forth. (treating people they were previously free to gouge or turn away due to preexisting conditions)
― lag∞n, Friday, 29 June 2012 18:29 (thirteen years ago)
'now you have to insure every sick person in america'
'wow dude thanks for the giveaway'
― iatee, Friday, 29 June 2012 18:30 (thirteen years ago)
But we're going to give you money to do it.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:32 (thirteen years ago)
Yes that's how it works.
― Fig On A Plate Cart (Alex in SF), Friday, 29 June 2012 18:34 (thirteen years ago)
'you have to accept everyone, and spend most of the money you take in on actual healthcare, and you have to offer plans in exchanges where they we be easily compared on factors like price and coverage to plans from other companies'
sweet *lights pile of money on fire*
― lag∞n, Friday, 29 June 2012 18:35 (thirteen years ago)
I wish I lived in your America where insurance companies were quaking in their boots at the prospect of big bad Obamacare. It sounds nice.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:39 (thirteen years ago)
well you live in an America where the insurance companies were the interest group w/ the least leverage in the situation. that's why they were the ones who compromised instead of hospitals, doctors and pharm companies.
― iatee, Friday, 29 June 2012 18:42 (thirteen years ago)
That's true. They're also, like I said, the least necessary of those groups to having a health care system. You could have a health care system with no for-profit insurance companies at all, and no one would miss them except their shareholders and CEOs. They had the most to lose from a real restructuring of the system, so a system that keeps them built-in and well fortified is still a big win for them.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:49 (thirteen years ago)
the insurance companies didnt get screwed, theyll be fine, but hey prob wouldve preferred to carry on w/their unregulated activities, not sure which industries would be psyched to have their profits and administrative costs capped by the government, the insurance industry contrary to a number of reports did funnel a lot of money to groups trying to take aca down, but they also saw the writing on the wall and focused most of their energy toward lobbying on what was in the law, they decided it would be better to be at the table than in the hills on this one, some republicans are prob wishing they had taken that tact as well at this point, insurance got some of what it wanted and some of what it didnt want, and thus is the imperfect dance toward making the world a better place
― lag∞n, Friday, 29 June 2012 18:50 (thirteen years ago)
I mostly agree with that. I just think the ACA is a lot more imperfect than you seem to. And I also think it's mostly a stopgap, because the sheer expense of the system is going to force something a lot more drastic -- whether that's a single-payer system (which I doubt) or a Paul Ryan death-by-a-thousand-cuts put-Grandpa-on-an-ice-floe contraction (which seems more likely).
But I dunno. Maybe everybody starts eating a lot of flax seed, lives to 98 and dies blissfully.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 18:55 (thirteen years ago)
these insurance companies are corporations, their raison d'etre is to make money and answer to shareholders. state-mandated limits on their profitability is likely not viewed as a pesky inconvenience.
― diamanda ram dass (Edward III), Friday, 29 June 2012 18:56 (thirteen years ago)
xps
― diamanda ram dass (Edward III), Friday, 29 June 2012 18:57 (thirteen years ago)
my personal hobbyhorse: if you want to blame something for the act not being better blame the filibuster, if more people cared abt that then maybe it would be eliminated and the government would be more fuctional, or if not i guess just like blame obama
― lag∞n, Friday, 29 June 2012 18:58 (thirteen years ago)
I think both of those things can be blamed. Along with the entire history of American health care, which has stuck to a profit-driven quasi-market model from its inception.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 19:00 (thirteen years ago)
sure lots of things can be blamed, but the filibuster is low hanging fruit that could actually be plucked if more people gave a shit
― lag∞n, Friday, 29 June 2012 19:06 (thirteen years ago)
I mostly agree with that. I just think the ACA is a lot more imperfect than you seem to. And I also think it's mostly a stopgap, because the sheer expense of the system is going to force something a lot more drastic --
― something of an astrological coup (tipsy mothra), Friday, June 29, 2012 2:55 PM (2 minutes ago) Bookmark Flag Post Permalink
ya i agree w/this, and specifically the aca does a good job of covering people and a bad job of controlling costs, im happy to take one out of two, and its even the more important one if you have to choose
an interesting under discussed provision in the law allows states to opt out if they can set up something that covers as many people at a lower cost, of course the only thing that matches that description is single payer, so basically you have a backdoor to single payer built into the law, i wouldnt be surprised to see some of the more progressive states give it a shot in the near future, which then acts a proof of concept for the whole country, i know its already being discussed in vermont
That's awesome!
― timellison, Friday, 29 June 2012 19:10 (thirteen years ago)
Yep, some good state models would be a big help.
― something of an astrological coup (tipsy mothra), Friday, 29 June 2012 19:20 (thirteen years ago)
lag∞n otm itt
― he bit me (it felt like a diss) (m bison), Friday, 29 June 2012 19:24 (thirteen years ago)
yeah i think that might just start to happen esp. a few years after 2014 when the situation might get pretty dicey for for-profit insurers.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 19:56 (thirteen years ago)
Question: if in the near future a state designs and implements a comprehensive single payer system, does that mean you'd essentially be paying taxes into two systems, the state system and the federal system, the latter of which you would presumably no longer need?
Similarly - and I have no idea how this works - those in Mass under the current mandate system, they're all covered, right? So is the ACA redundant?
― Josh in Chicago, Friday, 29 June 2012 20:10 (thirteen years ago)
that tact
Remind me not to go sailing w/you
― Love Max Ophüls of us all (Michael White), Friday, 29 June 2012 20:11 (thirteen years ago)
"Question: if in the near future a state designs and implements a comprehensive single payer system, does that mean you'd essentially be paying taxes into two systems, the state system and the federal system, the latter of which you would presumably no longer need?"
No you'd have insurance with the state system so you wouldn't pay the penalty. It would be the same if you bought insurance through the exchange or were eligible for Medicaid/Medicare.
― Fig On A Plate Cart (Alex in SF), Friday, 29 June 2012 20:18 (thirteen years ago)
The reason this is not socialism but standard regulated capitalism is that it's not single-payer, accountable only to the voters, but regulated ( esp. through exchanges) private insurance partially accountable to market forces. The mandate may be a limit on liberty (™) but no more so than jury dity, military service, obligatory car insurance, etc..., and it's far more prgoressive than any of those.
― Love Max Ophüls of us all (Michael White), Friday, 29 June 2012 20:26 (thirteen years ago)
I would love this at one level and deplore it at another since it would have to be extremely discriminatory against recent immigrants; better to have country-wide single payer but this is a significant improvement over a laxly regulated hybrid socialist/market system that is simply dysfunctional.
― Love Max Ophüls of us all (Michael White), Friday, 29 June 2012 20:29 (thirteen years ago)
http://abcnews.go.com/US/wireStory/roberts-jokes-trip-impregnable-fortress-16679256#.T-37aXIXItU
Responding to a question about his summer break, Roberts said he planned to teach a class for two weeks in Malta, the Mediterranean island nation.
"Malta, as you know, is an impregnable island fortress. It seemed like a good idea," Roberts said, drawing laughter from about 300 judges, attorneys and others attending a four-day conference Friday at a posh southwestern Pennsylvania resort.
― goole, Friday, 29 June 2012 21:02 (thirteen years ago)
ok y'all have to admit that was good
― diamanda ram dass (Edward III), Friday, 29 June 2012 21:21 (thirteen years ago)
A+
― Lewis Apparition (Jon Lewis), Friday, 29 June 2012 21:22 (thirteen years ago)
man Jindal is such a fucking hero. so glad we voted him in: http://news.yahoo.com/blogs/ticket/louisiana-gov-bobby-jindal-refuses-implement-obamacare-despite-152429092.html.
you want a politician with cojones, this is the guy
― coopdoggydogg, Friday, 29 June 2012 21:46 (thirteen years ago)
when creating a sock puppet be sure to make its posting style differentiable from sarcasm
― lag∞n, Friday, 29 June 2012 21:50 (thirteen years ago)
livin large
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 21:51 (thirteen years ago)
at a posh southwestern Pennsylvania impregnable island fortress.
― lag∞n, Friday, 29 June 2012 21:52 (thirteen years ago)
If Romney fails to win the WH and Louisianians w/o health care then get dinged w/either the penalty or insurance more expensive than through exchanges while Jindal enjoys healthcare insurance provided by the state, I will chortle mirthfully.
― Love Max Ophüls of us all (Michael White), Friday, 29 June 2012 21:53 (thirteen years ago)
I think the citizens of Louisiana would actually have one hell of a lawsuit against the governor on 14th Amendment grounds.
― Julie Derpy (Phil D.), Friday, 29 June 2012 22:00 (thirteen years ago)
did not know about that "back door" single payer provision. seems unlikely to happen in MN since we have such a strong healthcare industry, but who knows
btw I never realized how amazing Medical Assistance is---it is literally the best insurance you can get in America, TriCare coming in second. I set a homeless guy up for a varicose vein ablation last week, it's nuts
― catbus otm (gbx), Friday, 29 June 2012 22:04 (thirteen years ago)
guys can we discuss this
http://static8.businessinsider.com/image/4feccb9b69bedde85c00001e-290-218/glenn-beck-is-destroying-john-roberts-right-now.jpg
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 22:45 (thirteen years ago)
where do you get the ironed patch on Beck's jacket
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 22:46 (thirteen years ago)
Mug him and cut it off sounds the most satisfying way.
― Love Max Ophüls of us all (Michael White), Friday, 29 June 2012 22:57 (thirteen years ago)
oh man -- our generation has its own "Impeach Earl Warren"!
http://talkingpointsmemo.com/assets_c/2012/06/roberts-coward-shirt-cropped-proto-custom_28.jpg
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Friday, 29 June 2012 23:03 (thirteen years ago)
walker in wisconsin also pulled a jindal and says he won't implement obamacare.
then his own party's attorney general was like, "hold on, you can't do that."
so, we'll see.
― flesh, the devil, and a wolf (wolf) (amateurist), Friday, 29 June 2012 23:06 (thirteen years ago)
thinking that actually might be a fun shirt to wear xp
― Faith in Humanity: Restored (dayo), Saturday, 30 June 2012 00:02 (thirteen years ago)
lmao has this shit been posted just really too good http://2012.talkingpointsmemo.com/2012/06/yes-yes-jean-schmidt-got-health-care-ruling-wrong.php
― lag∞n, Saturday, 30 June 2012 00:08 (thirteen years ago)
I love how so many people who favor Obamacare don't understand that the opposition isn't about health care. It's about allowing the Federal government to dictate to you not only what you CAN'T buy, but now for the first time ever, what you MUST buy. How long before we are being required to buy products from the companies that fund these politicians campaigns? Mandate to buy a GM car? Pay a fee if you DON'T want to open a savings account with Bank of America? 70% of your purchased food must come from Monsanto? Lovely.
I hate both parties and I think it was phrased best that "Democrats tell me what I have to do with my money. Republicans tell me what I have to do with my body. In both cases this is MY property that I have worked to grow, maintain and improve into what I have today."
Who has the right to tell me that someone needs my kidney more than I do? Or my lung? Or my heart? I've worked hard to take care of these organs all my life. They are mine. Who has the right to tell me that someone needs this $100 or $1000 or $10,000 more than I do? I've worked hard hours of labor to earn and save this all my life. This is a store of the value of MY labor and sweat and effort, not someone else's. There should be no differentiation in the respect for my individual property whether it contained inside or outside of my body. And it is immoral to take my property by force in either case.
― coopdoggydogg, Saturday, 30 June 2012 00:14 (thirteen years ago)
i need yr heart more plz bring it by, is 7 good for u
― lag∞n, Saturday, 30 June 2012 00:15 (thirteen years ago)
coopdoggydogg otm
― Faith in Humanity: Restored (dayo), Saturday, 30 June 2012 00:15 (thirteen years ago)
super pissed the obama supreme court passed the forcible kidney relocation act
― ENERGY FOOD (en i see kay), Saturday, 30 June 2012 00:20 (thirteen years ago)
must have missed the lovely monsanto provisions in ACA, this changes everything
― funny-skrillex-bee_132455836669.gif (s1ocki), Saturday, 30 June 2012 00:22 (thirteen years ago)
i feel like this could be a really engaging clusterfuck, i just hope that coopdoggydogg is up for it
― Mordy, Saturday, 30 June 2012 00:28 (thirteen years ago)
coop, you have a brilliant future here as a troll.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Saturday, 30 June 2012 00:39 (thirteen years ago)
give us yr kidneys america love it or leave it
― diamanda ram dass (Edward III), Saturday, 30 June 2012 00:41 (thirteen years ago)
Who has the right to tell me that someone needs my kidney more than I do? Or my lung? Or my heart?
you are opposing a projected orwellian nightmare state rather than the actual legislation.
― flesh, the devil, and a wolf (wolf) (amateurist), Saturday, 30 June 2012 00:46 (thirteen years ago)
guys ...
― Faith in Humanity: Restored (dayo), Saturday, 30 June 2012 00:46 (thirteen years ago)
I support coop doggy dogg
Guys, if coop turns out to be my brother in law, I'm sorry and I don't know how he followed me here.
― Biff Wellington (WmC), Saturday, 30 June 2012 00:47 (thirteen years ago)
got to delete them cookies bro
― lag∞n, Saturday, 30 June 2012 00:48 (thirteen years ago)
been tellin u
http://2.bp.blogspot.com/_LGkxTF2xWxs/TIky_wBr6hI/AAAAAAAAAtY/tdUk9gH-vqs/s1600/agent-cooperjpg.jpg
― that's why Love made the weirdos (brownie), Saturday, 30 June 2012 01:30 (thirteen years ago)
Vice, of all sources, gets it pretty much right imo (to be exact, a dude from Jacobin writing for Vice):
http://www.vice.com/read/obamacare-upheld-everyone-relax?utm_source=vicetwitterus
I hate to say it, but Obamacare is the best we’re gonna do for a while. And if you’re feeling kind of mixed about it, have a laugh at the expense of the right-wing nuts off crying in the corner. They’re nursing one hell of a case of blueballs. They were sure that they’d win this one.
One argument against Obamacare I hear from my fellow pinkos: “Once things gets bad enough, they’ll be forced to give us Medicare!” I hear this shit this on the left all the time. It’s called “the vulture theory of socialism”: the worse things get, the better. Anyone who thinks that the American political elite couldn’t possibly sit back and watch the health care crisis get worse and worse clearly hasn’t been paying attention. It’s been a crisis for at least a decade. They were never going to cry "uncle" as long as corporate profits continued to soar.
The sad truth is that mass-crises don’t transform the people into polite little Danish socialists. Crises make people paranoid, scared, mean and greedy. They become obsessed with the crumbs they have left—and are ready to fuck anyone that tries to lay their hands on them.
So pop a cork: the American Right was defeated. And we all know how fun it is to watch them blubber. Yeah, the health insurance industry is happy to keep Obamacare. But powerful industries don’t always know when they’re headed for the chopping-block--especially if its years or decades down the line.
Whether Obama likes it or not, health insurance is now officially on its way to becoming a public good. Maybe we’ll live to see it.
― click here if you want to load them all (Hurting 2), Saturday, 30 June 2012 01:41 (thirteen years ago)
everyone is wondering why Roberts voted the way he did, this is my opinion, do you remember when Obama gave his speech and critisize the Supreme court and Roberts shook his head and said thats not true, I strongly believe Roberts dislike Obama, to prove to Obama he voted for the Health Insurance he used Obama's game play and reverse psychology, in other words,. let the people vote him out of office let them get very angree to vote him out, I don't feel there is good feelings for Obama, which this imperial President must go. before we lose our constitution, liberty,and freedom. You have to read page 1000 Sec.2521 a medical device will be place on you for medical information. FDA has already approved of this device to be planted on you, according to the secretary of Health, it will be one child per family and many more goodies that are be control by the government. check it out. also who is going to pay, there are 222 union business that opt out, illeagal will get free health care they do no have to pay. The approved application for a Waiver of the annual limts requirements of the PHS act section 2711 as of December 3, 2010. How about that bag of bean. who is being discrimated against. it those that have to pay. This law will cost the taxpayer 1.7 trillion over the next 10 years. but we are broke. Let get these Socialist out of offce, because the constitution is also up for grabs that will be next, also talk radio, internet, government wants to control syber space,, and freedom of speech , but most of all they want to control you. vote, vote vote 2012 to get the socialist president out of office.6 Hours Ago from slate.com · Reply
― Mordy, Saturday, 30 June 2012 02:38 (thirteen years ago)
big tldr takeaway: You have to read page 1000 Sec.2521 a medical device will be place on you for medical information. FDA has already approved of this device to be planted on you, according to the secretary of Health, it will be one child per family
I think it was Alito who mouthed "That's not true."
― clemenza, Saturday, 30 June 2012 02:41 (thirteen years ago)
fact-checking
― Mordy, Saturday, 30 June 2012 02:43 (thirteen years ago)
In case you were wondering about the origins of that:
http://www.snopes.com/politics/medical/microchip.asp
― click here if you want to load them all (Hurting 2), Saturday, 30 June 2012 02:45 (thirteen years ago)
the same writer:
I think everyone has the brains to understand the constitution, its's just that we have liberals have a chance to change the constitution, because they think it doesn't apply to us now. Obama wants U.S to be like Europe, these very same people that are laughing at the conservatives will laugh last when you are put on a program, you don't call the doctor the doctor will call you when he or she wants to see you, in other words wait in line..6 Hours Ago from slate.com · Reply
― Mordy, Saturday, 30 June 2012 02:46 (thirteen years ago)
Horrible disconnect in the media about the penalty being construed as a tax. Gwen Ifill's Washington Week just had a discussion about it that claimed that it contradicts President Obama's claims that the MANDATE was not a tax. They were talking about two different things entirely and none of the five people on a PBS show clarified it whatsoever.
― timellison, Saturday, 30 June 2012 03:12 (thirteen years ago)
― clemenza, Friday, June 29, 2012 9:41 PM (35 minutes ago) Bookmark Flag Post Permalink
it was.
― flesh, the devil, and a wolf (wolf) (amateurist), Saturday, 30 June 2012 03:18 (thirteen years ago)
Here's that exchange fwiw:
http://abcnews.go.com/blogs/politics/2009/09/obama-mandate-is-not-a-tax/
They do mention the penalty but mostly he seems to be asserting that there's no reason to call the mandate a "tax."
― timellison, Saturday, 30 June 2012 04:27 (thirteen years ago)
"Roberts dislike Obama"
― Grimy Little Pimp (Jimmy The Mod Awaits The Return Of His Beloved), Saturday, 30 June 2012 04:47 (thirteen years ago)
http://i152.photobucket.com/albums/s195/burningmesoul/zelda%20article/zeldadodongo.png
sorry idk why i find that funny
― Grimy Little Pimp (Jimmy The Mod Awaits The Return Of His Beloved), Saturday, 30 June 2012 04:50 (thirteen years ago)
http://www.piratemerch.com/images/sloth_loves_chunk.jpg
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Saturday, 30 June 2012 11:38 (thirteen years ago)
health insurance is now officially on its way to becoming a public good
I am as skeptical as you can get on this.
― Pangborn to be Wilde (Dr Morbius), Saturday, 30 June 2012 12:21 (thirteen years ago)
not you
― lag∞n, Saturday, 30 June 2012 13:33 (thirteen years ago)
Dibs on coopdoggydogg's brain; it appears to be have undergone little wear and tear
― Love Max Ophüls of us all (Michael White), Saturday, 30 June 2012 15:07 (thirteen years ago)
kohoh, kohoh, kohoh
― coopdoggydogg, Saturday, 30 June 2012 18:55 (thirteen years ago)
look it's simple, guys. commerce works far better when people buy just the goods they need, not when you force everybody to buy something they don't want. this will cause premiums to go up, while these lazy nanny-state leachers benefit from our hard work. Fuck it, I'm seriously looking into going to Canada. Yea, they have centralized health care, but I won't use it.
― coopdoggydogg, Saturday, 30 June 2012 18:57 (thirteen years ago)
8=======D~~~~~~~~~~
― now all my posts got ship in it (dayo), Saturday, 30 June 2012 19:06 (thirteen years ago)
great work
― funny-skrillex-bee_132455836669.gif (s1ocki), Saturday, 30 June 2012 19:15 (thirteen years ago)
libtards
― coopdoggydogg, Saturday, 30 June 2012 19:16 (thirteen years ago)
http://cdn2.holytaco.com/wp-content/uploads/images/2009/12/3aafd463b694996a3fc54a7ab5ecc618.jpg
congrats on your health care guys
― coopdoggydogg, Saturday, 30 June 2012 19:17 (thirteen years ago)
Self portrait?
― Ned Raggett, Saturday, 30 June 2012 19:20 (thirteen years ago)
commerce works far better when people buy just the goods they need, not when you force everybody to buy something they don't want.
I noticed that slip-slide from "need" to "want" there, bro.
It is hard to talk to someone who is so obviously angry, because they only can hear what they are prepared to hear, and they are only prepared to hear whatever validates their anger. If I point out that health care is nothing like any other commodity you can name, and therefore is not an ordinary article of commerce and that your observation doesn't apply, all you will hear is "this guy doesn't agree with me, so he must have his head up his ass".
― Aimless, Saturday, 30 June 2012 19:21 (thirteen years ago)
coopdogg do you not want health ins because A) you can pay cash for health care or B) you'd rather receive health care and not pay for it?
― tobo73, Saturday, 30 June 2012 19:45 (thirteen years ago)
coopdoggydogg
― Misc. Carnivora (Matt P), Saturday, 30 June 2012 19:53 (thirteen years ago)
Using a picture of a guy with Downs Syndrome as a zing? Classy - I'll be sure to treat your arguments with respect.
― windborne grey frogs (dowd), Saturday, 30 June 2012 20:15 (thirteen years ago)
i can't quite word my stinging "guy advertising own inability to relate to others opposes healthcare, news at 11" riposte to the pic above but yeah coop go fuck yrself
― blossom smulch (schlump), Saturday, 30 June 2012 20:21 (thirteen years ago)
commerce works far better when people buy just the goods they need, not when you force everybody to buy something they don't want
Which is precisely why services like nat'l security, policing, and firefighters are left to private corporations and no-one is required to use or pay for them.
― Love Max Ophüls of us all (Michael White), Saturday, 30 June 2012 20:47 (thirteen years ago)
guuuuys
― lag∞n, Saturday, 30 June 2012 20:49 (thirteen years ago)
remember when we had quality trolls? like Bosko Balaban?!?
― kurwa mać (Polish for "long life") (Eisbaer), Saturday, 30 June 2012 20:52 (thirteen years ago)
Ben's son?
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Saturday, 30 June 2012 21:00 (thirteen years ago)
Bob's rather
"beat the press" is good reading on this stuff btw
― TracerHandVEVO (Tracer Hand), Saturday, 30 June 2012 21:15 (thirteen years ago)
can we ban the obvious troll?
― flesh, the devil, and a wolf (wolf) (amateurist), Saturday, 30 June 2012 21:24 (thirteen years ago)
don't send morbz away
― Mordy, Saturday, 30 June 2012 22:04 (thirteen years ago)
i think what josh marshall says here is sadly OTM. i'm not quite as defeatist, especially in the long term, but I think he's right about current and immediately forseeable political realities:
http://talkingpointsmemo.com/archives/2012/06/in_addition_to_the_week.php?m=1
About That Single Payer BoomletJosh Marshall June 30, 2012, 7:58 PMIn addition to the week of the historic Health Care Reform decision before the Supreme Court, this last week was also the week of the incredibly short-lived progressive boomlet in favor of single-payer national health care reform.Had the Supreme Court struck down ‘Obamacare’, the idea was to dispense with all the half-measures and simply push going forward for what most left-liberals and perhaps most Democrats actually support, which is a single payer national health care program — some version of what exists in virtually every other major industrialized country in the world or, in terms more readily understandable to Americans, Medicare For All.On many levels this made perfect sense. The Affordable Care Act represented a would-be grand bargain in which the left achieved its century-long goal of universal health care coverage in exchange for using the policy prescribed by the right. In response, the right went to war with the idea and decided it was unconstitutional. And if the mandate/exchange model were found unconstitutional, there’d be no point in doing anything other than pushing for single payer since there’d be no other policy approach left. So why not go all in for single payer? Especially since it likely would have taken another 20 years until any president actually tried to solve the issue.For myself, I find it hard to say whether I’d be for single payer largely because in my own mind I find it very difficult to separate policy in the abstract from political economy and politics. Frankly, I’m not sure we should really try. It’s a good way to fool yourself. If I could just rewind history and decide for everyone that we should have a system like France or Canada? Absolutely. It works vastly better than what we have by every studiable measure. Do I think this is remotely possible? No. Not particularly.And this is what I wanted to discuss when I grabbed my laptop to write this post. I’m seeing various folks now saying that the ACA will end up as a disaster and Obama was foolish not to get behind a really workable system like single payer or ‘Medicare for All’ while he had the chance. Marcia Angell says the ACA will simply end up as a confection of half-measures that accomplishes nothing more than discrediting its advocates. And I know enough about health care market failure to have some fear she may be right.But this is a good moment to pierce the liberal delusion that single payer was out there for the taking — even possibly out there for the taking — had President Obama or any other president simply set his mind to it. After the ‘public option’ hit the brick wall that it did, it’s difficult to believe that anyone could really believe that single payer was even remotely possible. It was virtually impossible — with massive majorities in both houses — to push through a bill that left the mammoth health insurance industry intact and forced no one with their current private care plan to give what they know in exchange for something they don’t. So surely it would have been possible to push through a reform which essentially abolished the health insurance industry and forced big change on the overwhelming majority of the population who already has private coverage. To believe that you have to be totally submerged in the lethal progressive/liberal purism of loving defeat.It’s proved incredibly hard to lasso this horse. So … fuck it, I’m just going to lasso a unicorn instead.But it’s more than just that. Single payer supporters do themselves a disservice by imagining that the only or even the main obstacle to single payer is the money power of the health insurance industry. That’s obviously a big obstacle. It was a huge issue in 2009. But the biggest is the simple fact that the overwhelming majority of people, especially most people who vote, have health insurance coverage. And even though most don’t like it and hate their insurance companies, in most cases, they’re easily scared off by being told they’re going to lose what they know, lose access to their doctor and get something new that they don’t know. This is a fact. Anyone who’s ever tried to run a political campaign tied to health care reform will tell you this. I’ve been shown various polls showing support for fairly self-serving descriptions of single payer that are totally divorced from how the rhetoric would actually play in the political wild.The claim — probably true — that most people would end up liking the other system better doesn’t make it any less of a fact. Why it ended up this way may have something to do with deep-rooted anti-statism in the American political tradition. More likely it’s tied to historical accidents described in this piece in today’s Times.Grounding yourself in the policy essentials is critical. And pushing for policies you believe are workable and right even if public opinion is against you and you’re looking at a long fight into the future is the bedrock of most deep political change. But there’s no honor or credit for totally deluding yourself or others about what was at all in the range of politically possible in 2009 or now.
In addition to the week of the historic Health Care Reform decision before the Supreme Court, this last week was also the week of the incredibly short-lived progressive boomlet in favor of single-payer national health care reform.
Had the Supreme Court struck down ‘Obamacare’, the idea was to dispense with all the half-measures and simply push going forward for what most left-liberals and perhaps most Democrats actually support, which is a single payer national health care program — some version of what exists in virtually every other major industrialized country in the world or, in terms more readily understandable to Americans, Medicare For All.
On many levels this made perfect sense. The Affordable Care Act represented a would-be grand bargain in which the left achieved its century-long goal of universal health care coverage in exchange for using the policy prescribed by the right. In response, the right went to war with the idea and decided it was unconstitutional. And if the mandate/exchange model were found unconstitutional, there’d be no point in doing anything other than pushing for single payer since there’d be no other policy approach left. So why not go all in for single payer? Especially since it likely would have taken another 20 years until any president actually tried to solve the issue.
For myself, I find it hard to say whether I’d be for single payer largely because in my own mind I find it very difficult to separate policy in the abstract from political economy and politics. Frankly, I’m not sure we should really try. It’s a good way to fool yourself. If I could just rewind history and decide for everyone that we should have a system like France or Canada? Absolutely. It works vastly better than what we have by every studiable measure. Do I think this is remotely possible? No. Not particularly.
And this is what I wanted to discuss when I grabbed my laptop to write this post. I’m seeing various folks now saying that the ACA will end up as a disaster and Obama was foolish not to get behind a really workable system like single payer or ‘Medicare for All’ while he had the chance. Marcia Angell says the ACA will simply end up as a confection of half-measures that accomplishes nothing more than discrediting its advocates. And I know enough about health care market failure to have some fear she may be right.
But this is a good moment to pierce the liberal delusion that single payer was out there for the taking — even possibly out there for the taking — had President Obama or any other president simply set his mind to it. After the ‘public option’ hit the brick wall that it did, it’s difficult to believe that anyone could really believe that single payer was even remotely possible. It was virtually impossible — with massive majorities in both houses — to push through a bill that left the mammoth health insurance industry intact and forced no one with their current private care plan to give what they know in exchange for something they don’t. So surely it would have been possible to push through a reform which essentially abolished the health insurance industry and forced big change on the overwhelming majority of the population who already has private coverage. To believe that you have to be totally submerged in the lethal progressive/liberal purism of loving defeat.
It’s proved incredibly hard to lasso this horse. So … fuck it, I’m just going to lasso a unicorn instead.
But it’s more than just that. Single payer supporters do themselves a disservice by imagining that the only or even the main obstacle to single payer is the money power of the health insurance industry. That’s obviously a big obstacle. It was a huge issue in 2009. But the biggest is the simple fact that the overwhelming majority of people, especially most people who vote, have health insurance coverage. And even though most don’t like it and hate their insurance companies, in most cases, they’re easily scared off by being told they’re going to lose what they know, lose access to their doctor and get something new that they don’t know. This is a fact. Anyone who’s ever tried to run a political campaign tied to health care reform will tell you this. I’ve been shown various polls showing support for fairly self-serving descriptions of single payer that are totally divorced from how the rhetoric would actually play in the political wild.
The claim — probably true — that most people would end up liking the other system better doesn’t make it any less of a fact. Why it ended up this way may have something to do with deep-rooted anti-statism in the American political tradition. More likely it’s tied to historical accidents described in this piece in today’s Times.
Grounding yourself in the policy essentials is critical. And pushing for policies you believe are workable and right even if public opinion is against you and you’re looking at a long fight into the future is the bedrock of most deep political change. But there’s no honor or credit for totally deluding yourself or others about what was at all in the range of politically possible in 2009 or now.
― flesh, the devil, and a wolf (wolf) (amateurist), Sunday, 1 July 2012 05:56 (thirteen years ago)
p.s. morbs, we already know what you are going to write--in fact, all of us could probably write it ourselves--so you may as well eliminate redundancy and skip it. (he said, hopefully.)
― flesh, the devil, and a wolf (wolf) (amateurist), Sunday, 1 July 2012 05:57 (thirteen years ago)
Painful watching Jack Lew spar with Chris Wallace this morning. All Wallace wants to do is get Lew to concede that the mandate has now been deemed a tax by the Supreme Court--which it has been--thereby breaking Obama's promise four years ago that he would not raise middle-class taxes. But instead of saying something like, "Yes, someone else redefined what we call a penalty as a tax--I don't see how that constitutes a broken promise," he ducks and dodges and looks plainly silly. Why fall into this trap when it's so easy not to? If zoologists decide tomorrow that giraffes are really elephants, I haven't been lying all these years by calling them elephants.
― clemenza, Sunday, 1 July 2012 13:34 (thirteen years ago)
I might be mistaken but when I heard oral arguments in March I thought Don Verelli made clear (after prodding from Ginsberg and one other justice) that, yes, it was a tax.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Sunday, 1 July 2012 13:39 (thirteen years ago)
"Tax" is as toxic a word and concept to Americans as pedophilia. So once again Dems look spineless for not being able to put to rest a "controversy" created by the GOP and abetted by the pundit class.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Sunday, 1 July 2012 13:40 (thirteen years ago)
Making Lew look extra-silly--Wallace played that very clip of the White House's lawyer arguing they could uphold the mandate by calling it a tax.
― clemenza, Sunday, 1 July 2012 13:41 (thirteen years ago)
while much of that josh marshall article may be right - who knows, it's all speculation - he really could take a bit of a break with the condescension. like, we get it josh, you're Real Smart and those other, unnamed people are Real Dumb
― TracerHandVEVO (Tracer Hand), Sunday, 1 July 2012 14:01 (thirteen years ago)
Guys, I just feel for you. Like I'm sorry that you're believing this liberal nonsense and that you think the government is this magical institute out to help you, but...this is a step towards socialism and a stalinesque regime.
It's only a matter of time when they tell us what cars to drive, when we're allowed outside, and what food we're allowed to buy from the supermarket. our freedoms are being eroded, all to benefit the lazy, non-hardworking individuals who haven't earned it.
Survival of the fittest man -- if you can't keep up, fuck you.
― coopdoggydogg, Sunday, 1 July 2012 14:50 (thirteen years ago)
the bomb
― lag∞n, Sunday, 1 July 2012 14:51 (thirteen years ago)
piiiiiisssssss
― max, Sunday, 1 July 2012 14:52 (thirteen years ago)
Government probably ought to be telling us what cars to drive tbh
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:01 (thirteen years ago)
self driving google cars (dont drive them at all)
― lag∞n, Sunday, 1 July 2012 15:02 (thirteen years ago)
It's only a matter of time when they tell us what cars to drive, when we're allowed outside, and what food we're allowed to buy from the supermarket.
1. They already do. I was curious after watching an episode of Top Gear about a certain new Puegeot, and after visiting the site I found out they're illegal to import into the US and will be stopped at customs if attempted.
2. Though we're not specifically banned from going outside, local governments will issue smog warnings that urge people to stay indoors.
3. Yeah, thanks to the FDA and USDA, most of the stuff that will kill us dead doesn't make it into commercially available food.
― Johnny Fever, Sunday, 1 July 2012 15:03 (thirteen years ago)
Yeah I'm so excited about our self-driving car future. <20 years out I hope
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:03 (thirteen years ago)
coopdoggydogg = least convincing sock ever, latebloomer you can do better than this
― Just saying. (stevie), Sunday, 1 July 2012 15:03 (thirteen years ago)
self driving cars w/in 5 years prob, i mean they already exist
― lag∞n, Sunday, 1 July 2012 15:04 (thirteen years ago)
Yeah but in terms of massively replacing human-piloted cars, infrastructure upgrades to support them, regulatory apparatus etc
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:05 (thirteen years ago)
Like I don't want to own a self-driving car, I want to press a button on my phone and have the nearest available car drive up to where I am within three minutes and pick me up.
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:06 (thirteen years ago)
I'm ok with socialism, really. The only freedom I really see conservatives protecting is the freedom to be a dickhole. American exceptionalism is a fucking joke, the stern-father model of society is 100% dysfunctional. Oh to live on Cuddlestein Mountain, with the barkers and the colored balloons.
― Biff Wellington (WmC), Sunday, 1 July 2012 15:06 (thirteen years ago)
For real. I'm not trusting self-driving cars on the country's roads and highways as they currently are.
― Johnny Fever, Sunday, 1 July 2012 15:07 (thirteen years ago)
gm iirc claimed they were gonna bring something to market w/in the next couple years, the regulatory aspect could obvs delay everything, but while self driving cars would benefit from new infrastructure they shouldnt actually require it, google been driving their cars all over the place
― lag∞n, Sunday, 1 July 2012 15:08 (thirteen years ago)
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, July 1, 2012 11:06 AM (2 minutes ago) Bookmark Flag Post Permalink
this will prob happen p quick after theyre available what w/apps n all, idk maybe 10 years
― lag∞n, Sunday, 1 July 2012 15:09 (thirteen years ago)
I want this crazy shit to come to pass basically
http://m.theatlanticcities.com/technology/2012/03/what-intersections-would-look-world-driverless-cars/1377/
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:09 (thirteen years ago)
the only thing you should trust less than a car driven by google is a car driven by anyone else in america
― iatee, Sunday, 1 July 2012 15:10 (thirteen years ago)
ilx turning lemons into lemonade by turning troll post into argument about infrastructure & driving
― blossom smulch (schlump), Sunday, 1 July 2012 15:10 (thirteen years ago)
That video illustration scares the crap out of me.
― Johnny Fever, Sunday, 1 July 2012 15:11 (thirteen years ago)
yah the big hurdle to that intersection vision is there will be non self driving cars on the road for a long time and always be bicycles and pedestrians and what not
― lag∞n, Sunday, 1 July 2012 15:12 (thirteen years ago)
Mandatory transponder implants in every human
666 the mark of the beast is barcodes
― "Holy crap," I mutter, as he gently taps my area (silby), Sunday, 1 July 2012 15:12 (thirteen years ago)
banaka vs coopdogg
― that's why Love made the weirdos (brownie), Sunday, 1 July 2012 15:17 (thirteen years ago)
ILX must be Soda Popinski cuz you all real good at dodgin
― coopdoggydogg, Sunday, 1 July 2012 15:18 (thirteen years ago)
ha that intersection is like "good luck, bike messengers."
― they're stupid like i told ya (Hunt3r), Sunday, 1 July 2012 15:22 (thirteen years ago)
i'm really enjoying coopdoggydogg, but tbh when i sent out the ad for an intelligent, thoughtful conservative to join ilx it wasn't what i had in mind
― Mordy, Sunday, 1 July 2012 15:38 (thirteen years ago)
supply & demand issues iirc
― Neil Jung (WmC), Sunday, 1 July 2012 15:40 (thirteen years ago)
Painful watching Jack Lew spar with Chris Wallace this morning. All Wallace wants to do is get Lew to concede that the mandate has now been deemed a tax by the Supreme Court--which it has been--
No, it hasn't been! The penalty for not buying insurance if you can afford it was considered as a tax in the ruling.
Didn't see the interview, but if he bungled it they need to get on point to counter the "new tax on millions of middle class Americans who will now have the IRS on their backs" nonsense.
― timellison, Sunday, 1 July 2012 16:12 (thirteen years ago)
"Survival of the fittest man -- if you can't keep up, fuck you."
seems like the liberals ARE keeping up! universal health care! you try and keep up. have fun in canada, beyotch!
― scott seward, Sunday, 1 July 2012 16:27 (thirteen years ago)
Yes--but Lew would not concede even this. He should have just said, "Justice Roberts calls it a tax, we call it a penalty. It's just a word--the point is, the ACA was upheld."
― clemenza, Sunday, 1 July 2012 16:40 (thirteen years ago)
lots of things that are taxes in the economic sense are not referred to as taxes. there's sorta a spectrum w/ 'tax w/ revenue in mind' on one side (income taxes) and 'tax w/ behavior-influencing in mind' (cop gives you a noise violation ticket, say) on the other.
but I think most people prob don't think this way and associate the word tax w/ 'government trying to raise money' and a fine/penalty w/ 'you did something wrong', and as long as that's the case there's reason to push the 'this is not a tax' line.
― iatee, Sunday, 1 July 2012 17:24 (thirteen years ago)
that's a very good point (bit about tickets being a sort of "tax"). think the thing liberals tend to miss is that the ostensible conservative complaint is not that the "tax" is being levied at all, but rather the agent behind it. their stated problem is that the evil, tyrannical fed shouldn't be empowered to do this sort of thing.
― contenderizer, Sunday, 1 July 2012 17:29 (thirteen years ago)
I think it's fine for Lew to argue that the penalty is not, in the eyes of the administration, a tax--actually, I would hope that he'd argue that. But this morning, he was denying that Roberts called it a tax--first on Fox, then on ABC, and I completely shared in the exasperation of both hosts.
― clemenza, Sunday, 1 July 2012 17:35 (thirteen years ago)
Reality is what you make it.
― Fig On A Plate Cart (Alex in SF), Sunday, 1 July 2012 21:11 (thirteen years ago)
Here's the Lew interview:
http://www.foxnews.com/on-air/fox-news-sunday/index.html#/v/1715106182001/white-house-ready-to-move-on-and-implement-health-care-law/?playlist_id=86913
So we're into Clintonesque parsing here: if it's declared constitutional because it falls within the Congress's taxing power, does that make it a tax? Depends on the meaning of "falls"...or "within"...or something. (By the way, even when I share in it, I enjoy seeing Chris Wallace exasperated.)
― clemenza, Sunday, 1 July 2012 22:13 (thirteen years ago)
This article provides an account of the origins of employer-provided healthcare and also comments on tax vs. penalty:http://www.nytimes.com/2012/07/01/business/health-care-ruling-lets-the-system-evolve-economic-view.html?smid=pl-share
Cost control should not be by leaving millions uninsured but by reforming how healthcare is delivered (the Mayo Clinic example).
Could increase in availability and use be balanced by the above (i.e., integrated care and a focus on cost-effectiveness in determining coverage)?http://www.nytimes.com/2012/06/23/health/oregon-study-reveals-benefits-and-costs-of-insuring-the-uninsured.html?pagewanted=all
― youn, Sunday, 1 July 2012 23:03 (thirteen years ago)
http://www.cbsnews.com/8301-3460_162-57464549/roberts-switched-views-to-uphold-health-care-law/
― iatee, Monday, 2 July 2012 00:44 (thirteen years ago)
heh was just about to post that
― max, Monday, 2 July 2012 00:47 (thirteen years ago)
Instead, the four joined forces and crafted a highly unusual, unsigned joint dissent. They deliberately ignored Roberts' decision, the sources said, as if they were no longer even willing to engage with him in debate.
lmao at this
― max, Monday, 2 July 2012 00:48 (thirteen years ago)
The conservatives refused to join any aspect of his opinion, including sections with which they agreed, such as his analysis imposing limits on Congress' power under the Commerce Clause, the sources said.
at least it's not political
― mookieproof, Monday, 2 July 2012 01:06 (thirteen years ago)
in my dreams the whole backlash from this + the fact that he's now persona non grata w/ conservatives pushes roberts towards more swing positions in the future
― iatee, Monday, 2 July 2012 01:10 (thirteen years ago)
I don't actually think that will happen, just that it would be cool
― iatee, Monday, 2 July 2012 01:12 (thirteen years ago)
nah. he's just smart enough to realize that refusing to yield an inch is poor strategy
― mookieproof, Monday, 2 July 2012 01:12 (thirteen years ago)
yeah those are your dreams. I don't believe all those "Roberts is playing long game" stories but he's going to outlive most of us.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:13 (thirteen years ago)
we're still more likely to get Kennedy on social/libertarian questions than Roberts.
lol the Corner:
Perhaps, the next time a Republican president nominates a Supreme Court justice, he should make the candidate swear to never pick up a newspaper. The bottom line, if Jan Crawford is right, is that conservative justices can be blackmailed by left-wing editorialists. It’s not a pretty picture.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:15 (thirteen years ago)
The inner-workings of the Supreme Court are almost impossible to penetrate. The Court's private conferences, when the justices discuss cases and cast their initial votes, include only the nine members - no law clerks or secretaries are permitted. The justices are notoriously close-lipped, and their law clerks must agree to keep matters completely confidential.
But in this closely-watched case, word of Roberts' unusual shift has spread widely within the Court, and is known among law clerks, chambers' aides and secretaries. It also has stirred the ire of the conservative justices, who believed Roberts was standing with them.
to call this thinly sourced would imply that it somehow sourced, kinda suspicious that it matches exactly a lot of the speculation out there, v interesting if true tho
― lag∞n, Monday, 2 July 2012 01:17 (thirteen years ago)
If you get to page two and three it sounds as if Roberts himself was providing the info.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:20 (thirteen years ago)
now that would be interesting!
― lag∞n, Monday, 2 July 2012 01:21 (thirteen years ago)
well this is a subject where outside of the judges themselves coming out and saying something, any source is gonna be 100% anonymous
I do think that the way the opinion itself is written suggests there was drama regardless of how it played out
― iatee, Monday, 2 July 2012 01:23 (thirteen years ago)
I'm old enough to be aware of the late Rehnquist's last ten years on the Court and to remember him as the Court's Scalia before Reagan appointed him: the author of acerbic intemperate dissents which stopped just short of insulting the majority's intelligence. Since Roberts has never been an associate justice I tend to think we'll be discussing his decisions and his influence on our politics for the next twenty years more than any president.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:24 (thirteen years ago)
itd be funny if you could trace this decision back to bush appointing him chief justice, which i thought was kinda uncool, feel like it should go to the longest serving member not the noob
― lag∞n, Monday, 2 July 2012 01:24 (thirteen years ago)
yeah there is something weird about him getting the job cause someone died at exactly the right moment
― iatee, Monday, 2 July 2012 01:25 (thirteen years ago)
he's young, Scalia was old. Not a lot of mystery.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:26 (thirteen years ago)
he was going to replace O'Connor initially, remember
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:27 (thirteen years ago)
― iatee, Sunday, July 1, 2012 9:23 PM (1 minute ago) Bookmark Flag Post Permalink
yeah it just sounds all a lil too pat to me, its exactly what people came up w/through speculation/deduction
― lag∞n, Monday, 2 July 2012 01:27 (thirteen years ago)
it's actually interesting to think how O'Connor would have come down on a case like this. With her penchant for respecting the wishes of legislators I'd think she'd have made this 6-9.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:28 (thirteen years ago)
cause obama would have stacked the court or
― iatee, Monday, 2 July 2012 01:29 (thirteen years ago)
seeing as the chief justice doesnt actually do anything i feel it should go to the longest serving member, imagine having to watch some whippersnapper step in and wear those stripes!
― lag∞n, Monday, 2 July 2012 01:29 (thirteen years ago)
wonder what harriet miers wouldve said
― lag∞n, Monday, 2 July 2012 01:31 (thirteen years ago)
^^^^
― mookieproof, Monday, 2 July 2012 01:32 (thirteen years ago)
or alberto
can Harriet Miers read or write
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:32 (thirteen years ago)
the 'harriet miers affair' is partly why the supreme court is currently a harvard-yale meet n greet. I never got why the left felt like it was better to laugh at the whole thing instead of actually supporting the nom. whoever else was surely gonna be worse.
― iatee, Monday, 2 July 2012 01:39 (thirteen years ago)
he's not left but Harry Reid supported the nom. I can't tell, of course, whether cynicism motivated him or whether he thought her qualified.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:42 (thirteen years ago)
I nominate gabbneb
― now all my posts got ship in it (dayo), Monday, 2 July 2012 01:42 (thirteen years ago)
he would've been our Souter.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:43 (thirteen years ago)
speculation on top of speculation http://thinkprogress.org/justice/2012/07/01/509359/supreme-court-springs-a-leak-leaks-to-conservative-pundits-may-have-started-more-than-a-month-ago
― lag∞n, Monday, 2 July 2012 01:52 (thirteen years ago)
The remarks in your link about George Will confirm what he hinted this morning: whem DOMA comes before the court Tony will side with the liberals and will likely write the majority opinion. Speculation, etc.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 01:57 (thirteen years ago)
I read the wrong 'tony' in that and was very confused
― iatee, Monday, 2 July 2012 01:59 (thirteen years ago)
Nino vs Tony
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 02:02 (thirteen years ago)
dont get me wrong guys i love speculation, rumors, tea leaf reading etc, just to be clear
― lag∞n, Monday, 2 July 2012 02:02 (thirteen years ago)
we know u do
― mookieproof, Monday, 2 July 2012 02:03 (thirteen years ago)
ok good
― lag∞n, Monday, 2 July 2012 02:04 (thirteen years ago)
coop to thread
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 02:04 (thirteen years ago)
seems more likely to me that roberts will feel both 'freed' and duty bound to be v v conservative on everything else for the rest of his life.
― goole, Monday, 2 July 2012 02:08 (thirteen years ago)
yep
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 02:09 (thirteen years ago)
yeah strong ditto to that
― balls, Monday, 2 July 2012 03:01 (thirteen years ago)
Does anyone have any idea what issues people are talking about when they say that the ruling was a victory for conservatives because it restricts future legislation allowable under the Commerce Clause? Is there some potential issue that the court might consider in the conceivable future where the Roberts ruling here (ACA was not constitutional because it was regulating people who were not already customers in a particular market) will make any difference?
Or is the claiming of victory here just hollow and maybe an instance of conservatives trying to save face.
George Will claimed this morning that the ruling "built a fence around the Commerce Clause."
― timellison, Monday, 2 July 2012 03:22 (thirteen years ago)
Guy on ABC News says, "This is a very significant victory for conservatives. From now on, liberals who want to use the federal government in innovative and creative ways, unprecedented ways, to solve problems are going to be playing defense at the Supreme Court."
― timellison, Monday, 2 July 2012 03:28 (thirteen years ago)
weak attempt to steal victory from etc. this doesn't restrict use of the commerce clause in any brave new way - not, at least, that i can see.
― contenderizer, Monday, 2 July 2012 03:37 (thirteen years ago)
― coopdoggydogg, Sunday, July 1, 2012 10:50 AM (12 hours ago)
if he brought anything to the table we at least have our second poster who's called iatee a stalinist this year, so there's that
― k3vin k., Monday, 2 July 2012 03:59 (thirteen years ago)
well, not directly in that the bits about the Commerce Clause were non-binding obiter dicta (i.e., the musings of 5 of the current SC justices on whether ACA violates the Commerce Clause) and not the Court's actual holding.
the real danger here is that some future litigant can seize upon this dicta in some as-of-now unknown matter before the Court and restrict Congress's powers to act under the Commerce Clause b/c said future litigant knows that 5 of the current SC justices sympathize w/ that view. since Scalia and Kennedy aren't spring chickens any more, i guess that this would be as good a reason as any to vote for Obama (provided that he doesn't cave on THIS issue as he has on others near-and-dear to the hearts of the Democrats).
― kurwa mać (Polish for "long life") (Eisbaer), Monday, 2 July 2012 07:22 (thirteen years ago)
Roberts moving inflexibly right could and probably will happen, but, human nature being what it is, I wouldn't rule out the opposite. I'm sure it will stay with him that the one time he (for sake of argument, put aside political jujutsu and all that) broke ranks, he was vilified from within and without the court. You can react to that by getting back in line, or you can realize just how shallow and tenuous--what have you done for me lately?--your place in the cosmos is, and push back accordingly. David Frum is one example that comes to mind, and I'm sure there are many others. (Not the 100% conversion, like David Brock or Ed Schultz, which strikes me as phony. Something more subtle that lingers.)
― clemenza, Monday, 2 July 2012 12:22 (thirteen years ago)
http://www.poynter.org/latest-news/mediawire/179280/justice-ginsburg-cites-washington-post-reporter-in-health-care-decision
― lag∞n, Monday, 2 July 2012 12:51 (thirteen years ago)
it's realy cool, she got a t-shirt
― Victory Chainsaw! (DJP), Monday, 2 July 2012 13:00 (thirteen years ago)
Prefer the "Roberts traitor" tee
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 13:10 (thirteen years ago)
Everything you ever wanted to know about Canadia's health care
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 13:26 (thirteen years ago)
Count me in the "very satisfied" group, with the significant caveat that I've yet to face any major health issues in my life--no surgery, no long-term prescriptions, nothing. Ten years from now, if I'm still here, I may feel differently.
I'm less happy with my eye-care coverage, which is entirely separate. I get $250 worth of coverage from my school board every two years for new glasses. That would be fine if I required a normal prescription; as is, I need special bifocals that cost about $1,000, and I could probably use a new prescription every year, rather than every two.
― clemenza, Monday, 2 July 2012 13:36 (thirteen years ago)
According the Frontline, we are in the midst of an unaddressed dental crisis. Let's get right on it!
― Josh in Chicago, Monday, 2 July 2012 13:43 (thirteen years ago)
"So next week I'll be asking Congress to get moving on my new Affordable Dental Care Act. We've got to strike while the iron is still hot. Besides, just take a good look at me."
http://1.bp.blogspot.com/-Vs2xPm2eLgs/TmawaRJv3bI/AAAAAAAATQc/-YIRJ6clgbY/s1600/obama%2Bsmiling.jpg
― clemenza, Monday, 2 July 2012 13:57 (thirteen years ago)
all americans should have access to obamateeth
― lag∞n, Monday, 2 July 2012 13:58 (thirteen years ago)
Unhinged!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 14:00 (thirteen years ago)
which is more ridiculous face-saving: a) that limiting the commerce clause was worth allowing a potentially transformational piece of legislation to stand (when there's nothing on the docket that also calls for an expansive commerce clause atm) or b) that allowing obama's signature legislative-related accomplishment to stand will help the Republicans in the general election? both are so transparently stupid arguments to keep the rank-and-file from freaking the fuck out.
― Mordy, Monday, 2 July 2012 14:03 (thirteen years ago)
Dolchstoss
!!!!!!
― max, Monday, 2 July 2012 14:06 (thirteen years ago)
wow
― horseshoe, Monday, 2 July 2012 14:07 (thirteen years ago)
Wow, "Doclhstoss" in the very first paragraph of Alfred's link. These people.
haha xp
― Julie Derpy (Phil D.), Monday, 2 July 2012 14:09 (thirteen years ago)
let's see if this gets approved:
For those unfamiliar with the term "Dolchstoss":http://en.wikipedia.org/wiki/Stab-in-the-back_mythYou would think that a person attempting to make a specific point would avoid baggage-laden Nazi propaganda terms but perhaps Mr. Walsh is inviting us to read more into his position than he intended.
http://en.wikipedia.org/wiki/Stab-in-the-back_myth
You would think that a person attempting to make a specific point would avoid baggage-laden Nazi propaganda terms but perhaps Mr. Walsh is inviting us to read more into his position than he intended.
― Victory Chainsaw! (DJP), Monday, 2 July 2012 14:15 (thirteen years ago)
NRO's "Is John Roberts a Great Statesman?" poll currently running 90-10 in favor of "no"--not looking good for the Chief Justice.
― clemenza, Monday, 2 July 2012 14:20 (thirteen years ago)
it's been a bad week for them
walsh is maybe the craziest people over there, but he 'goes there' so ppl lap it up
― goole, Monday, 2 July 2012 14:28 (thirteen years ago)
http://upload.wikimedia.org/wikipedia/commons/thumb/0/06/Stab-in-the-back_postcard.jpg/300px-Stab-in-the-back_postcard.jpgl,r; conservatives, john roberts
― lag∞n, Monday, 2 July 2012 14:29 (thirteen years ago)
calling ruth bader ginsburg 'poisonous' makes me want to slap him in public tho.
― goole, Monday, 2 July 2012 14:30 (thirteen years ago)
whoa, the international jew had a nice rack
― Victory Chainsaw! (DJP), Monday, 2 July 2012 14:31 (thirteen years ago)
Ben Murphy 07/02/12 10:16As Ronnie James Dio (RIP) once said, "When you listen to fools, the mob rules."
Well, Roberts was a fool who let the mob rule. He 'rewrote' a law (which the judiciary is not allowed to do) to make it fit the ruling he wanted to give. Why? Because he thinks the 'other' side will play nice now?
Ask John McCain how well that worked for him. He thought he was the favorite "maverick" of the left... until he ran against a leftist. Then they tried to declare that he wasn't even an American citizen, etc etc.When your children throw a temper tantrum you don't let that affect your decision-making or they will become MORE spoiled and MORE demanding and LESS appreciative of you as a parent.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 14:31 (thirteen years ago)
Then they tried to declare that he wasn't even an American citizen, etc etc.
uh
― lag∞n, Monday, 2 July 2012 14:32 (thirteen years ago)
DRUDGE: DEM REP FLIRTS WITH CANALZONEISM
― goole, Monday, 2 July 2012 14:33 (thirteen years ago)
I would like to introduce Ben Murphy to this startling new invention called "a mirror"
― Victory Chainsaw! (DJP), Monday, 2 July 2012 14:34 (thirteen years ago)
He has a point there--I wish the left would stop harassing McCain for his birth certificate.
― clemenza, Monday, 2 July 2012 14:34 (thirteen years ago)
has your comment printed? I don't wanna keep clicking on that link.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 14:34 (thirteen years ago)
lol no
I can't see obliquely calling the author of this piece a Nazi getting past editorial
― Victory Chainsaw! (DJP), Monday, 2 July 2012 14:36 (thirteen years ago)
Paul in CT 07/02/12 10:15
The Romney reference wasn't the only shiv in the ribs from Justice Ginsburg.
She also quoted Robert Bork !
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 14:38 (thirteen years ago)
When your children throw a temper tantrum you don't let that affect your decision-making or they will become MORE spoiled and MORE demanding and LESS appreciative of you as a parent.
Unintentionally revealing of the conservative mindset and its contradictions. Of course they don't want the Nanny State, they want the DADDY state.
― Julie Derpy (Phil D.), Monday, 2 July 2012 14:39 (thirteen years ago)
http://i.imgur.com/6CcAK.jpgU GOT BORKED
― lag∞n, Monday, 2 July 2012 14:40 (thirteen years ago)
remember this gem
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 14:41 (thirteen years ago)
LESS appreciative of you as a parent
next thing u know u find wire hangers in the closet
― they're stupid like i told ya (Hunt3r), Monday, 2 July 2012 15:08 (thirteen years ago)
disappointed roberts medication didnt make the cut but a good roundup none the less http://tpmdc.talkingpointsmemo.com/2012/07/john-roberts-supreme-court-conservatives-betrayal.php
― lag∞n, Monday, 2 July 2012 17:18 (thirteen years ago)
If anyone knows of any good articles on how this will affect doctors/nurses it would be much appreciated.
― Moreno, Monday, 2 July 2012 17:28 (thirteen years ago)
one of ezra klein's soljas just interviewed the new head of the AMA, lemme find it
― goole, Monday, 2 July 2012 17:32 (thirteen years ago)
http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/07/01/the-american-medical-associations-new-president-on-the-future-of-health-care/
― goole, Monday, 2 July 2012 17:35 (thirteen years ago)
Thanks goole. That covers a lot of the workforce issues that I've heard some of the conservative nurses I know bitching about.
― Moreno, Monday, 2 July 2012 17:41 (thirteen years ago)
I'd love to address this (as a student mind you), but I'm actually in clinic atm
― catbus otm (gbx), Monday, 2 July 2012 17:54 (thirteen years ago)
more customers
― lag∞n, Monday, 2 July 2012 17:56 (thirteen years ago)
this guy
The final irony is that for years liberals preached about the sanctity of the Court as it overturned legislative mandates, but in this case, Roberts was treated like a bleeding whale in a sea of sharks, or as a wavering political candidate who could either be enticed or pressured to flip-flop. This was done against a larger backdrop in which “moderately” liberal and “open-minded” jurists were expected to follow liberal orthodoxy without exception, while “arch” conservative and “blinkered” jurists must be peeled away from their political instincts. In other words, if a Breyer or Kagan had been the swing vote to nullify Obamacare, the outrage from the left would easily trump the present disappointment with Roberts on the right, which for the most part is largely one of keen disappointment, or confusion over his garbled logic, or pathetic efforts to find in his decision some ray of hope.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 17:58 (thirteen years ago)
http://affordablecarecat.com/
― Mad God 40/40 (Z S), Monday, 2 July 2012 18:05 (thirteen years ago)
chait on roberts "switch" (still not convinced this really happened)
http://nymag.com/daily/intel/2012/07/john-roberts-writes-his-own-law.html
Liberal lawyers were unanimously supportive of the Commerce Cause justification and divided on the taxing arguments. Conservative lawyers were divided on the Commerce Clause and united on the taxing authority. The overlap of legal minds willing to accept the fantastical right-wing arguments against the law but also to accept the weakest liberal argument for it contained nobody at all, until Roberts himself stepped forward to claim this unoccupied territory.
― goole, Monday, 2 July 2012 18:07 (thirteen years ago)
roberts', i mean
I've realized that he wasn't playing Capn Save The Court so much as being a conservative while Scalito, Slobbo, and Tony K acted like the Committee of Public Safety.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 18:13 (thirteen years ago)
ha roberts is the ghost of conservatism past
― lag∞n, Monday, 2 July 2012 18:18 (thirteen years ago)
What galls me most about media talking heads calling the SCOTUS ACA decision a "big win for liberals" is that the law as it was written rigorously excluded any mechanism for controlling costs, so that big insurance, big pharma and other mega-corporate stakeholders in health care (a trillion dollar "industry") can continue to ride their profits into the stratosphere, in return for their not spending tens of millions on ads to kill the bill.
The mandate that conservatives so object to was A) an idea created by and disseminated by conservative think tanks, and B) grudgingly accepted by genuine liberals in Congress as a concession to conservative Democrats, as opposed to single payer, which is the genuine "liberal" proposal.
― Aimless, Monday, 2 July 2012 18:20 (thirteen years ago)
unsurprisingly, my comment still was not published
― I see you, Pineapple Teef (DJP), Monday, 2 July 2012 19:51 (thirteen years ago)
They were going to publish it initially, but the elite liberal media and Patrick Leahy got to them.
― clemenza, Monday, 2 July 2012 19:55 (thirteen years ago)
xxpost
i wouldn't say that the aca "rigorously excluded any mechanism for controlling costs." the medicare board (death panel!!) seems to be a pretty promising mechanism for cost control
― buh, Monday, 2 July 2012 20:46 (thirteen years ago)
that walsh 'piece' also contains this unfortunate typo
(read Ruth Bader Ginsburg’s classic dog-in-the-manager “concurrence”;
― now all my posts got ship in it (dayo), Monday, 2 July 2012 22:25 (thirteen years ago)
the outrage from the left would easily trump the present disappointment with Roberts on the right
this sentence is so sad
― your petty attempt at destroying me is laughable (Shakey Mo Collier), Monday, 2 July 2012 22:30 (thirteen years ago)
the left doesn't "do" outrage -- we post on message boards
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 22:38 (thirteen years ago)
well, it's not that that I'm objecting to per se - it's the way it evokes this underlying premise of "THEY are more partisan/ideologically driven/prone to hysterics than us, therefore we are correct!" self-righteousness that is just so deluded and also beside-the-point. Arguments and policies should be judged on their merits, not on how hysterical they make the opposition.
― your petty attempt at destroying me is laughable (Shakey Mo Collier), Monday, 2 July 2012 22:48 (thirteen years ago)
it's stupid when liberals do it, it's stupid when conservatives do it. just cuz something inflames the other side doesn't make it right.
― your petty attempt at destroying me is laughable (Shakey Mo Collier), Monday, 2 July 2012 22:49 (thirteen years ago)
you mean you haven't bookmarked The Corner
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 22:51 (thirteen years ago)
the 'harriet miers affair' is partly why the supreme court is currently a harvard-yale meet n greet. I never got why the left felt like it was better to laugh at the whole thing instead of actually supporting the nom.― iatee, Monday, July 2, 2012 1:39 AM (21 hours ago) Bookmark Flag Post Permalink
left wing support for Miers would have been even worse for her chances of getting through.
― Matt Armstrong, Monday, 2 July 2012 23:31 (thirteen years ago)
lol Miers was so unqualified for the Court that she would've been at best Charlres Whittaker or at worst manipulated by the Thomas-Scalia wing.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 2 July 2012 23:36 (thirteen years ago)
mehr Dolchstoss:
http://filipspagnoli.files.wordpress.com/2009/06/jewcephalopod-anti-semitism-jewish-octopus.png
― kurwa mać (Polish for "long life") (Eisbaer), Monday, 2 July 2012 23:56 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, July 2, 2012 6:36 PM (22 minutes ago) Bookmark Flag Post Permalink
'qualified for the court' is an arbitrary measure - like, alito was 'qualified for the court', high level judge, went to the right schools, managed to not do anything particularly controversial in his life - but there are about a million people w/ jds who could be doing his job better than he is. miers wasn't some clueless bumblefuck off the street, she was the president's lawyer. the whole thing set a very bad precedent, cause now we're even less likely to get someone who isn't 'of the mold' in the future.
― iatee, Tuesday, 3 July 2012 00:16 (thirteen years ago)
A degree of clueless bumblefuckery is probably what Bush wanted in a lawyer -- someone who wouldn't question him, who would work backward from the conclusions he wanted reached.
― Neil Jung (WmC), Tuesday, 3 July 2012 00:18 (thirteen years ago)
idk iatee, look into it a bit more, miers wasn't someone you wanted on the Court whatever your leaning xp
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 00:20 (thirteen years ago)
i don't agree w/ the contention that "about a million people w/ jds ... could be doing [alito's] job better than he is" (i know that the number is hyperbole but really there's nothing objectionable about there being SOME quality control about who gets to be a federal court judge) ... but otherwise i cosign w/ iatee. there were good reasons to oppose Harriet Miers, but the fact that she didn't go to an Ivy League law school was not one of them.
that said, pedigree snobbery is deeply ingrained in the legal industry -- it goes far beyond who gets nominated for the US Supreme Court.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 00:24 (thirteen years ago)
(and no, i'm also not an Alito fan.)
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 00:25 (thirteen years ago)
yeah I mean I generally agree with iatee's proposition, it's just that miers is not the horse you want to hitch the cart to
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 00:25 (thirteen years ago)
miers wasn't some clueless bumblefuck off the street, she was the president's lawyer
yeah no this is wrong. And don't even mention "Alberto Gonzalez."
Whatever Alito's innumerable flaws he's shown by his questions and opinions and background (Third Circuit! US attorney for NJ) that he's qualified.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:29 (thirteen years ago)
WmC otm
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:30 (thirteen years ago)
I mean, even supposing that miers was somehow confirmed, the trail of destruction she would have left in her wake would have ensured that only rhodes scholars yale law valedictorians would ever get nominated again
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 00:31 (thirteen years ago)
qualified = understands constitutional questions. I've said repeatedly he's by some measure the hackiest of nominees appointed since 1993 but he's not an embarassment.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:31 (thirteen years ago)
remember when her "papers" were released in fall '05? Her prose and logic were no better than a college undergrad's.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:32 (thirteen years ago)
true story: my boss @ the time when Miers was nominated was an alumni of her law school. my boss definitely wasn't US Supreme Court material -- or even material for the highest courts of New York or New Jersey -- but he wasn't a total dope either.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 00:34 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, July 2, 2012 7:32 PM (3 minutes ago) Bookmark Flag Post Permalink
and again, there are about a million college undergrads who would be better judges than alito, thomas, scalia or roberts. it is really not that hard to have an opinion on something and have an army of clerks flesh it out. I don't have any more respect for judges who make 100% political rulings just because they have beautiful prose.
― iatee, Tuesday, 3 July 2012 00:40 (thirteen years ago)
like I'm sorry but if clarence thomas can 'do the job' a lot of people in america could 'do that job'
all rulings are political
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:40 (thirteen years ago)
dude, do you ever consider not arguing every point made here?
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:41 (thirteen years ago)
right, so no need to pretend like prose matters in the least xp
― iatee, Tuesday, 3 July 2012 00:41 (thirteen years ago)
do you ever consider saying anything itt that isn't received wisdom from tv news?
― iatee, Tuesday, 3 July 2012 00:42 (thirteen years ago)
the history of the Court is filled with hacks and luminaries, some of whom didn't even go to law school at all. A president's personal lawer -- especially a president who by every word and deed demonstrated he gave not a fuck about jurisprudence, conservative or otherwise -- was not qualified.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:42 (thirteen years ago)
then I'm glad we got some qualified people in, that worked out pretty well
― iatee, Tuesday, 3 July 2012 00:43 (thirteen years ago)
I don't have cable but go on making your pithy points, Mr. Holmes.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:44 (thirteen years ago)
boy gabbneb is in a mood today
― balls, Tuesday, 3 July 2012 00:45 (thirteen years ago)
There's no point in putting -- let alone endorsing -- a brain-dead hack on the court when she still would have likely gone along with the conservative wing anyway.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:46 (thirteen years ago)
I'm just boggling that anyone would want Harriet Miers on the Supreme Court, let alone someone who self-identifies on the left side of the political spectrum
Like that is literally one of the dumbest positions I have seen someone on these boards take
― I see you, Pineapple Teef (DJP), Tuesday, 3 July 2012 00:46 (thirteen years ago)
no you see I don't 'want harriet miers on the supreme court' I just realize that the alternative was not 'someone more left wing' it was alito
― iatee, Tuesday, 3 July 2012 00:47 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, July 2, 2012 7:46 PM (41 seconds ago) Bookmark Flag Post Permalink
― m bison, Tuesday, 3 July 2012 00:47 (thirteen years ago)
congratulations, you have made your argument dumber
― I see you, Pineapple Teef (DJP), Tuesday, 3 July 2012 00:49 (thirteen years ago)
guys don't you see what gabbneb is trying to tell us is that alito is in fact not a liberal, something you sheeple might realize if you didn't swallow everything cable news fed you
― balls, Tuesday, 3 July 2012 00:49 (thirteen years ago)
Alito's been a disaster for what remains of liberalism but I don't understand how putting a dumb ass toadie in his place would have been preferable; it takes some magical thinking.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:52 (thirteen years ago)
god if only a lib Rush Limbaugh had endorsed Operation Chaos re the Supreme Court in 2005!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:53 (thirteen years ago)
I don't know that she'd be better, but it's kinda hard to find ways that she'd be worse outside of 'her prose isn't as good'
and at least we'd have a court that was composed of people from more than 2 law schools
― iatee, Tuesday, 3 July 2012 00:54 (thirteen years ago)
iatee is not arguing that we should put harriet miers on the court
hes arguing that there is no substantive difference between miers and alito
and that furthermore pressuring bush to dump miers because of some nebulous sense of "qualifications" sets a stupid precedent that leads to more faceless ivy league bros on the court
― max, Tuesday, 3 July 2012 00:54 (thirteen years ago)
that's unfair to iatee ... gabbneb was a thoroughgoing credentials snob. iatee is arguing the exact opposite.
of course, both arguments are really dumb when taken to extremes.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 00:54 (thirteen years ago)
not just ivy league, harvard and yale
literally not one opinion is going to be decided differently because alito is on the court and miers isnt, but future nominees *will* be different and it sucks
― max, Tuesday, 3 July 2012 00:55 (thirteen years ago)
To argue that there's too many Ivy Leaguers on the court is legit. But the alternative is not "George W. Bush's counsel."
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 00:55 (thirteen years ago)
argh
― max, Tuesday, 3 July 2012 00:56 (thirteen years ago)
not a single person in this thread wants harriet miers on the supreme court
not a single person in this thread wants samuel alito on the supreme court
― max, Tuesday, 3 July 2012 00:57 (thirteen years ago)
were future nominees different? sotomayor got the miers treatment w/ that rosen hitpiece and conservatives making fun of her for reading jane austen as a grown woman and it didn't take.
― balls, Tuesday, 3 July 2012 00:59 (thirteen years ago)
i don't think anyone is gonna blow a gasket if a future nominee "only" went to Columbia, U Penn, or Cornell Law TBH.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 00:59 (thirteen years ago)
iatee's argument was that Miers wasn't "of the mold" for a SCOTUS nominee. From what I remember of the coverage and reading Toobin's book she wasn't even qualified to answer basic legal questions asked by GOP senators. The Ivy League thing didn't come up at all.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:00 (thirteen years ago)
isn't the confirmation process the biggest hindrance to an outside the loop type choice a la warren getting on the court today?
― balls, Tuesday, 3 July 2012 01:00 (thirteen years ago)
I mean maybe they thought "lol if you'd gone to Yale you'd know what the Tenth Amendment says."
The parties are much more doctrinaire too. The idea of a prez nominating somebody for "regional" balance regardless of party is mind-boggling today.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:02 (thirteen years ago)
i don't remember if the Ivy League thing made it into Congressional debates, but i DEFINITELY remembering it being mentioned by gasbag pundits of just about every political persuasion.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 01:02 (thirteen years ago)
id kind of imagine that if sotomayor went to SMU shed have received even worse treatment -- tho more likely obama never wouldve nominated her.
― max, Tuesday, 3 July 2012 01:02 (thirteen years ago)
I thought the Broder-Krauthamm types emphasized her non-ABA rating.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:03 (thirteen years ago)
also, the only prior judicial experience held by Hugo Black -- one of the best regarded recent Supreme Court justices among law professors -- was as a police court judge in Birmingham, Alabama.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 01:05 (thirteen years ago)
Good bio btw
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:08 (thirteen years ago)
also miers was scuttled by and large by the right correct (one of the first things they rebelled strongly against the bush admin iirc)(way more than medicare expansion though nowhere near immigration reform probably). the reasoning was she would be at best a scalia-thomas echo but possibly susceptible to court's 'leftward drift' (which apparently anne coulter warned against w/ roberts also supposedly), they wanted a dyed in the wool conservative warrior a la scalia and ended up w/ alito. dem response to miers at the time was someone muted i think - harry reid was totally fine w/ her iirc and while some were outraged by the idea of such a clear hack on the supreme court. the making fun of her school thing was only used as detail in 'she's an idiot' argument, not the backbone or reason for the argument. is gabbneb gonna defend sarah palin also cuz ppl pointed out her school background also in the course of 'she's an idiot' arguments?
― balls, Tuesday, 3 July 2012 01:08 (thirteen years ago)
Harry Reid hung fire and endorsed her. Whether this was "long game" thinking I don't know.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:09 (thirteen years ago)
I wouldn't be surprised if Bush thought that by replacing the unpredictable O'Connor with Miers he did cons a favor.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:12 (thirteen years ago)
haha i can't tell if reid endorsement was long game thinking or just dem senate rubber stamping either.
― balls, Tuesday, 3 July 2012 01:13 (thirteen years ago)
― max, Monday, July 2, 2012 8:02 PM (1 minute ago) Bookmark Flag Post Permalink
right - the pres wants to make the safest choice possible and when you can get attacked on credentials there is no reason to take an extra risk, even if its marginal.
and I mean w/ the legal profession, you are rolling your dice at age 22 - if you don't go to the right school you aren't gonna get a sc clerkship, if you don't get a clerkship your chances of being on the court are already considerably lower.
this same process happens w/ lots of other offices - only governors should run for pres - as if running a state government made dubya a better president than some rando off the street woulda been. not to say that experience and credentials should never matter, but its important to remember that a lot of the time it's just received wisdom w/o much behind it and creates a country where the ruling class is preselected via various institutions.
lots of people 'could be president'. think about who has been president. crazy motherfuckers.
― iatee, Tuesday, 3 July 2012 01:13 (thirteen years ago)
think the harvard/yale thing is a bit of a red herring; whatever the new qualification criteria might be, the right's gonna get its people on the court and likewise for the left. you just gotta hope for 'drift' like w/ souter and blackmun
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 01:14 (thirteen years ago)
I don't know how microscopic the vetting of a nominee will have to be -- a blood test for inborn liberalism? I mean look at this asshole:
By Saturday, John Yoo, a former Bush administration lawyer, was suggesting in The Wall Street Journal that there had been a catastrophic vetting failure in 2005 when the administration was considering Chief Justice Roberts’s nomination.
“If a Republican is elected president,” said Professor Yoo, who teaches law at the University of California, Berkeley, “he will have to be more careful than the last.”
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:17 (thirteen years ago)
well beyond getting 'our people' on the court there's reason to want our gov't to consist of people from a variety of backgroundsxp
― iatee, Tuesday, 3 July 2012 01:18 (thirteen years ago)
and this war criminial teaches law at Berkeley. Those California liberals and their freedom.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:18 (thirteen years ago)
yeah my god if they're viewing roberts like he's souter now their paranoia over future potential nominees is gonna hit nixonian levels.
― balls, Tuesday, 3 July 2012 01:20 (thirteen years ago)
sotomayor is the first woman hispanic justice on the court! xxp
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 01:20 (thirteen years ago)
right but I'm sure there is a female hispanic lawyer or judge who could make a fine justice and didn't have the same law profs as alito et al
― iatee, Tuesday, 3 July 2012 01:23 (thirteen years ago)
lol are you doing a reverse rosen now?
― balls, Tuesday, 3 July 2012 01:24 (thirteen years ago)
but what difference would that make? harvard and yale law graduate something like 500 people per year - idk what the average number of years is between scrotus noms, but that's prob a decent enough pool to start from
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 01:25 (thirteen years ago)
Sotomayor's memoir will be called Reading Jane Austen as a Grown Woman.
btw Sotomayor has the street cred the others lack. On campus I've spotted at least a half dozen Sotomayor t-shirts in the last three years.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:26 (thirteen years ago)
maybe the gop can take their cue from iatee and get really nixonian in their vetting - no more ivy league cocksuckers for them!
― balls, Tuesday, 3 July 2012 01:27 (thirteen years ago)
"Even if he were mediocre, there are a lot of mediocre judges and people and lawyers. They are entitled to a little representation, aren't they, and a little chance? We can't have all Brandeises, Frankfurters and Cardozos."[4][5]
http://en.wikipedia.org/wiki/G._Harrold_Carswell
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:29 (thirteen years ago)
http://rlv.zcache.com/orale_sotomayor_tshirt-p235974837515531057sfnf_400.jpg
i'd buy this shirt and wear it
xp to alfred
― m bison, Tuesday, 3 July 2012 01:29 (thirteen years ago)
look what happened the last time we had a pres who didnt have harvard/yale credentials
http://i.imgur.com/v6MdP.jpg
look what happened the last time we had a pres w/ yale credentials
http://i.imgur.com/L46RZ.jpg
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 01:32 (thirteen years ago)
and of course buckley's 'i'd rather entrust the government of the united states to the first 400 people listen in the boston phone book than the faculty of harvard university'.
― balls, Tuesday, 3 July 2012 01:33 (thirteen years ago)
"I think I'd like to point out that Maynard Keynes didn't even HAVE a degree in economics," he said triumphantly at the 7:45 mark
https://www.youtube.com/watch?v=z3eyISCTG5Y
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:36 (thirteen years ago)
credentials don't impress me, and i wouldn't oppose a nominee on the basis of where she did or didn't go to school. nevertheless, and even if i disagree with them philosophically, i do want the writing and thinking of supreme court nominees to give clear evidence of remarkable intelligence, erudition and wisdom. miers failed that test, and that's reason enough to consider her a bullet happily dodged.
― contenderizer, Tuesday, 3 July 2012 01:36 (thirteen years ago)
well that's received pundit wisdom
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 01:37 (thirteen years ago)
yeah for some reason when opinions take away choice rights or strike down campaign finance laws I don't give a shit about how beautiful the prose was
― iatee, Tuesday, 3 July 2012 01:40 (thirteen years ago)
buckley was speaking as a proud Yalie, not as a proud ignoramus, when he made that quip balls.
also, the fatal mistakes are the lazy assumptions that (a) anyone who went to an Ivy League law school is super-competent to be a Supreme Court justice; and (b) anyone who went to a non-Ivy League law school is at best a mediocrity and at worst a moron.
this mistake is not exclusive to the legal profession -- the financial industry is also drenched in pedigree snobbery, and we all know that THAT made all of the difference in warding off financial disaster.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 01:45 (thirteen years ago)
― max, Monday, July 2, 2012 8:54 PM (44 minutes ago) Bookmark Flag Post Permalink
otm, look when the nominee of a republican president faces opposition from his right flank, the alternative is likely to be a stronger right-wing justice. she may have been of borderline competence but so is thomas; i'm not so sure clarence thomas 2.0 is necessarily worse than alito, who's generally been a disaster. a disaster in a good way for republicans
― k3vin k., Tuesday, 3 July 2012 01:45 (thirteen years ago)
doesn't make it wrong. and by agreeing that miers didn't belong on the bench i'm not suggesting that thomas does.
― contenderizer, Tuesday, 3 July 2012 01:53 (thirteen years ago)
you would make a good supreme court justice
― now all my posts got ship in it (dayo), Tuesday, 3 July 2012 01:55 (thirteen years ago)
thanks
― contenderizer, Tuesday, 3 July 2012 01:57 (thirteen years ago)
contenderizer...
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 02:00 (thirteen years ago)
igi
― contenderizer, Tuesday, 3 July 2012 02:03 (thirteen years ago)
feel like if a supreme court nominee didn't go to either berklee or julliard they can't be taken seriously
― perry en concrète (underrated aerosmith bootlegs I have owned), Tuesday, 3 July 2012 02:21 (thirteen years ago)
great, u realize this means theres gonna be a Law School of Rock movie w jack black right
― from the desk of mr. and mrs. eazy and sheila e (m bison), Tuesday, 3 July 2012 02:22 (thirteen years ago)
I kind of want to get back involved with this discussion but since it contains people earnestly arguing that Alito and Sotomayor are virtually indistinguishable because they went to the same law school I'm going to instead continue laughing my ass off and thinking "this is breathtaking display of 'u mad'"
― I see you, Pineapple Teef (DJP), Tuesday, 3 July 2012 02:25 (thirteen years ago)
better that than a high fidelity-style film involving Supreme Court justice nerds.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 02:26 (thirteen years ago)
I would hope that a wise ILX poster with the richness of his experiences would more often than not reach a better conclusion than a Eureka College grad.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 02:27 (thirteen years ago)
i think u guys are forgetting the real charge against h. miers -- not that she was a dimwit (though there was that) or that she wasn't of the 'right stripe' (and the two argts are heavily overlapped) but that she was W's lapdog. she wasn't going to be any kind of real justice, just a rubber stamp.
the grousing from the right was that he didn't have to pick someone so undisinguished and unlettered to get that kind of rubber stamp...
― goole, Tuesday, 3 July 2012 02:52 (thirteen years ago)
― I see you, Pineapple Teef (DJP), Monday, July 2, 2012 10:25 PM (32 minutes ago) Bookmark Flag Post Permalink
finally some solid evidence against the beltway received wisdom that harvard grads are good at reading
― k3vin k., Tuesday, 3 July 2012 03:00 (thirteen years ago)
Man, is there a youtube compilation of conservatives biting their tongues and extolling the virtues of Harriet Miers?
― Josh in Chicago, Tuesday, 3 July 2012 03:03 (thirteen years ago)
― balls, Monday, July 2, 2012 9:27 PM (1 hour ago) Bookmark Flag Post Permalink
I support this concept, i didnt go to college at all and id be better at the supreme court than any of these fools, first order of business allow cameras inside, i have yr vote already dont i, second step i vote for communism whenever possible
― lag∞n, Tuesday, 3 July 2012 03:15 (thirteen years ago)
would much rather cameras out of congress than cameras inside the supreme court tbh
― balls, Tuesday, 3 July 2012 03:18 (thirteen years ago)
also I would befriend Thomas and try to get him to come out of his shell
― lag∞n, Tuesday, 3 July 2012 03:19 (thirteen years ago)
but Clarence ain't evolving ... he told us so, and he meant it!
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 03:29 (thirteen years ago)
no cameras in the supreme court
― contenderizer, Tuesday, 3 July 2012 03:29 (thirteen years ago)
I just wish clarance some respite from his constant misery, he seem like he could use a friend
― lag∞n, Tuesday, 3 July 2012 03:32 (thirteen years ago)
and not some total a hole like nino
― lag∞n, Tuesday, 3 July 2012 03:33 (thirteen years ago)
Just dipping back into the thread to say that the weekend's worth of right-wing freak-out and conspiracy-mongering was so much fun that it made me feel bad for objecting to the bill on policy grounds. I wonder if schadenfreude has a placebo effect.
― something of an astrological coup (tipsy mothra), Tuesday, 3 July 2012 03:37 (thirteen years ago)
Schadenfreude, and a very real possibility that a health care bill more to my liking (single-payer or Medicare for everyone) didn't stand a ghost of a chance.
― kurwa mać (Polish for "long life") (Eisbaer), Tuesday, 3 July 2012 03:58 (thirteen years ago)
oh man, harriet fucking miers. this here says (almost) all you need to know about george bush jr:
Miers met with senators after her nomination was announced, and in those meetings she was ill-prepared and uninformed on the law.[24] Senator Tom Coburn told her privately that she "flunked" and "was going to have to say something next time."[24] In mock sessions with lawyers, Miers had difficulty expressing her views and explaining basic constitutional law concepts.[25] Miers had no experience in constitutional law, and did not have extensive litigation experience; at her Texas law firm, she had been more of a manager.[26] Miers had rarely handled appeals and did not understand the complicated constitutional concepts senators asked of her.[26] To White House lawyers, Miers was "less an attorney than a law firm manager and bar association president."[27]
― flesh, the devil, and a wolf (wolf) (amateurist), Tuesday, 3 July 2012 08:57 (thirteen years ago)
GWB seemed totally dumbfounded that people didn't appreciate her nomination IIRC.
― flesh, the devil, and a wolf (wolf) (amateurist), Tuesday, 3 July 2012 08:58 (thirteen years ago)
i remember people saying stuff like "this is what happens when the puppetmaster [i.e., cheney] takes a bathroom break."
Indictment #456
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 11:02 (thirteen years ago)
― lag∞n, Monday, July 2, 2012 11:32 PM
http://rootsaction.org/storage/clarence-thomas.jpg
i just like to say that i basically agree w/iatee itt but that miers is not really the best test case
― lag∞n, Tuesday, 3 July 2012 13:30 (thirteen years ago)
http://4.bp.blogspot.com/_k-xXQ2kQhJ0/Se6oCYSmFsI/AAAAAAAAAMA/3uNDkKa0QL0/s400/clarence+thomas+1.jpg
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 13:32 (thirteen years ago)
crying on the inside
― lag∞n, Tuesday, 3 July 2012 13:32 (thirteen years ago)
This guy is an imbecile.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 15:02 (thirteen years ago)
― lag∞n, Tuesday, July 3, 2012 6:30 AM (2 hours ago)
yup, but miers is possibly the worst, most self-defeating case
― contenderizer, Tuesday, 3 July 2012 16:10 (thirteen years ago)
x-post--Thiessen is the torture apologist who always writes dumb stuff. I can't find the link(read it in Washington Post newsprint) but I saw a piece over the weekend that said Roberts has only voted in a majority with the 4 non-conservative justices twice in seven years on the court.
― curmudgeon, Tuesday, 3 July 2012 16:14 (thirteen years ago)
Alfred, if it weren't for the wapo link, I'd swear that was from the Onion.
― Neil Jung (WmC), Tuesday, 3 July 2012 16:16 (thirteen years ago)
times more or less accuses clarence thomas of leaking to cbs
http://www.nytimes.com/2012/07/03/us/politics/scorn-and-withering-scorn-for-chief-justice-roberts.html?_r=1&hp
But the possibility that conservatives had victory within reach only to lose it seemed to infuriate some of them. The CBS News report, attributed to two sources with “specific knowledge of the deliberations,” appeared to give voice to the frustrations of people associated with the court’s conservative wing. It was written by Jan Crawford, whose 2007 book, “Supreme Conflict: The Inside Story of the Struggle for Control of the United States Supreme Court,” was warmly received by conservatives.In a 2009 interview on C-Span, Justice Thomas singled her out as a favorite reporter. “There are wonderful people out here who do a good job — do a fantastic job — like Jan Greenburg,” Justice Thomas said, referring to Ms. Crawford by her married name at the time.
In a 2009 interview on C-Span, Justice Thomas singled her out as a favorite reporter. “There are wonderful people out here who do a good job — do a fantastic job — like Jan Greenburg,” Justice Thomas said, referring to Ms. Crawford by her married name at the time.
― max, Tuesday, 3 July 2012 16:26 (thirteen years ago)
ah the good ol' Warren Burger days when justices hated his guts and leaked shit to Bob Woody
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 16:35 (thirteen years ago)
Nino's devolution:
http://www.thedailybeast.com/articles/2012/07/03/scalia-reverses-scalia.html
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 3 July 2012 16:41 (thirteen years ago)
I just want to brag that after I read the ACA opinion, on the day it was released, I theorized on facebook that not only did Roberts switch his vote at the last minute, but that he wrote a large swath of the dissenting opinion, which was originally the majority.
And now there's a leaker from the Court who says exactly that.
― J, Wednesday, 4 July 2012 01:01 (thirteen years ago)
id just like to brag that I talked abt that itt days ago
― lag∞n, Wednesday, 4 July 2012 01:04 (thirteen years ago)
Ruth and Nino told me so before their safari trip. Here's a photo they sent me:
http://www.google.com/imgres?um=1&hl=en&sa=N&biw=1311&bih=592&tbm=isch&tbnid=sZcMRnLCI5_tjM:&imgrefurl=http://www.loweringthebar.net/2011/09/elephant.html&docid=kWqSNEv451Ou9M&imgurl=http://kevinunderhill.typepad.com/.a/6a00d83451bd4469e2014e8ba4ab3b970d-400wi&w=400&h=297&ei=p5fzT7uDA4mo8ASk5dDHBg&zoom=1&iact=hc&vpx=100&vpy=193&dur=896&hovh=193&hovw=261&tx=180&ty=141&sig=110901218812730297729&page=1&tbnh=109&tbnw=145&start=0&ndsp=24&ved=1t:429,r:0,s:0,i:79
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Wednesday, 4 July 2012 01:09 (thirteen years ago)
http://blogs.law.columbia.edu/lawcultureproject/files/2011/09/elephant.jpeg
lol http://www.newyorker.com/online/blogs/evanosnos/2012/06/so-let-me-explain-how-american-health-care-works.html
― lag∞n, Wednesday, 4 July 2012 03:03 (thirteen years ago)
― lag∞n, Wednesday, 4 July 2012 03:04 (thirteen years ago)
:( gao otm
― contenderizer, Wednesday, 4 July 2012 04:32 (thirteen years ago)
ha good post http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/26/george-washingtons-individual-mandates
― lag∞n, Wednesday, 4 July 2012 12:57 (thirteen years ago)
Sullivan bait:
I think this is a classic case where consistency — and intellectual honesty — is a mistake. Simply accept what the Supreme Court has said. It’s a tax.
http://www.nationalreview.com/corner/304704/krauthammers-take-nro-staff
― clemenza, Wednesday, 4 July 2012 14:59 (thirteen years ago)
krauthammer has never had much use for intellectual honesty, so in that he is consistent.
― Aimless, Wednesday, 4 July 2012 17:12 (thirteen years ago)
I used a regular top coat instead of a quick dry one last night. It was nearly a disaster.
― tokyo rosemary, Thursday, 5 July 2012 02:30 (thirteen years ago)
whoops wrong thread
enough of this reasoned(ish) debate. we need more animated gifs on this page!
"When SCOTUS upheld Obamacare, Barack, Hillary, Joe and Michelle drove by Boehner’s house all…"
http://i.imgur.com/hiu5Y.gif
― messiahwannabe, Thursday, 5 July 2012 03:37 (thirteen years ago)
I dont remember if anyone mentioned that Kagan sided with the conservatives in their decision regarding the Medicare expansion. The story.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Saturday, 7 July 2012 11:42 (thirteen years ago)
well, breyer did too - doesn't make sense to condemn her for what we laud roberts for doing
― now all my posts got ship in it (dayo), Saturday, 7 July 2012 11:59 (thirteen years ago)
you guys are really gonna support a President who has been the only President in history to not visit the D-Day memorial on D-Day, which he has now done thrice.
― coopdoggydogg, Saturday, 7 July 2012 20:00 (thirteen years ago)
He probably hasn't visited the Yakasuni Shrine either
― where can i get a mcdonalds quesadilla tho (silby), Saturday, 7 July 2012 20:24 (thirteen years ago)
― coopdoggydogg, Saturday, July 7, 2012 3:00 PM (25 minutes ago) Bookmark Flag Post Permalink
who cares
― catbus otm (gbx), Saturday, 7 July 2012 20:26 (thirteen years ago)
George Washington NEVER visited the D-Day memorial! On any day! Godless commie!
― Fig On A Plate Cart (Alex in SF), Saturday, 7 July 2012 20:26 (thirteen years ago)
D-day memorial visits when it's NOT D-day are the way to go. Xp
― Matt Armstrong, Saturday, 7 July 2012 20:27 (thirteen years ago)
yeah it'd be way too busy
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Saturday, 7 July 2012 20:28 (thirteen years ago)
coopdoggydog
― Misc. Carnivora (Matt P), Saturday, 7 July 2012 21:17 (thirteen years ago)
support the coops
― max, Saturday, 7 July 2012 21:30 (thirteen years ago)
cooper dogglebutt
― Matt Armstrong, Saturday, 7 July 2012 21:41 (thirteen years ago)
http://img33.imageshack.us/img33/1162/kooker.jpg
― coopdoggydogg, Saturday, 7 July 2012 21:44 (thirteen years ago)
questeon
― lag∞n, Saturday, 7 July 2012 21:51 (thirteen years ago)
― catbus otm (gbx), Saturday, July 7, 2012 9:26 PM (1 hour ago) Bookmark
are you effing serious
― coopdoggydogg, Saturday, 7 July 2012 21:56 (thirteen years ago)
Well, you're not, so there you go.
― Ned Raggett, Saturday, 7 July 2012 21:56 (thirteen years ago)
Come on, Coop, give us reasons to care.
― Neil Jung (WmC), Saturday, 7 July 2012 21:59 (thirteen years ago)
http://img836.imageshack.us/img836/2299/torgo.jpg
― coopdoggydogg, Saturday, 7 July 2012 22:01 (thirteen years ago)
2009 doesn't count I guess?
― Matt Armstrong, Saturday, 7 July 2012 22:01 (thirteen years ago)
that convinced me. i'm switching my vote.
― Mordy, Saturday, 7 July 2012 22:03 (thirteen years ago)
I think he left four wreaths that year. It's like tipping the bartender $10 on your first drink to cover the evening.xpost
― Neil Jung (WmC), Saturday, 7 July 2012 22:03 (thirteen years ago)
in all the years since D-Day, only 3 times has a president failed to visit a monument built in 2001.
― Matt Armstrong, Saturday, 7 July 2012 22:04 (thirteen years ago)
eisenhower didn't visit d-day memorial if by "d-day memorial" you mean the normandy american cemetary and memorial. nor kennedy. nor johnson. nor nixon. nor ford. nor carter. reagan did on d-day in 1984 (40th anniversary). george h.w. bush did not. clinton did on d-day in 1994 (50th anniversary). george w. bush did on memorial day in 2002 and on d-day in 2004 (60th anniversary). obama attended the 65th anniversary d-day celebration in caen in 2009.
― balls, Saturday, 7 July 2012 22:09 (thirteen years ago)
obama failing to attend the D-Day monument three (3!!!) times convinces me that he's the wrong man for this very important job of being president. you may have thought it unlikely, coopdoggydogg, that anyone would be convinced by something as trivial as D-Day monument attendances, but actually this is one of my major issues and so you have won my vote. in the swing state of PA no less! i hope that this convinces you to continue to try + sway ilx posters to vote for romney and against obama. you never know which post will do it, so post frequently and passionately! surely you can turn this whole cohort over to your own political views w/ just a little elbow grease and a pinch of creative rhetoric.
― Mordy, Saturday, 7 July 2012 22:09 (thirteen years ago)
in 2007 george w. bush spent d-day...in GERMANY
― balls, Saturday, 7 July 2012 22:12 (thirteen years ago)
which tbf is where i think eisenhower may have spent it in 1945
― balls, Saturday, 7 July 2012 22:13 (thirteen years ago)
and where was obama in 1945? VET HIM
― Matt Armstrong, Saturday, 7 July 2012 22:16 (thirteen years ago)
http://farm9.staticflickr.com/8152/7523243016_455276ede8.jpg
― balls, Saturday, 7 July 2012 22:21 (thirteen years ago)
― catbus otm (gbx), Saturday, July 7, 2012 9:26 PM (32 minutes ago) Bookmark Flag Post Permalink
seriously why would you give a shit & why would anybody give a shit besides people who think like infants
meaningless "pay respect" rituals belong in the fucking 19th century, they're nice if they have meaning to you when you do 'em but demanding somebody else "show respect" etc is how the profoundly stupid think
― perry en concrète (underrated aerosmith bootlegs I have owned), Saturday, 7 July 2012 23:04 (thirteen years ago)
like literally this is a litmus test. Do you give a shit if the President "did the right thing" on D-Day? then congratulations, you're stupid. Oh you're a veteran? Thank you for your service and I mean that sincerely, but if you think GWB observing D-Day is somehow more patriotic than actually removing American soldiers from the line of fire as his successor has done, then you are too stupid to fuckin' live, friend
― perry en concrète (underrated aerosmith bootlegs I have owned), Saturday, 7 July 2012 23:07 (thirteen years ago)
1. everyone agrees coop is a sock2. not even a sock that puts much effort in his game3. people are still responding to things he is saying4. why
― iatee, Saturday, 7 July 2012 23:09 (thirteen years ago)
lol sorry
― perry en concrète (underrated aerosmith bootlegs I have owned), Saturday, 7 July 2012 23:10 (thirteen years ago)
like there is just so much demand for being trolled on this site that we're willing to play along even w/ one of the worst socks in ilx history
― iatee, Saturday, 7 July 2012 23:13 (thirteen years ago)
wait so you're telling me he isn't actually a member of tha dogg pound
― of family bonds and individual triumph. Narrated by Tim Allen, (zachlyon), Saturday, 7 July 2012 23:16 (thirteen years ago)
I am pretty much the worst sockspotter in history, my credulity is probably my 2nd most pronounced trait right behind how awesome & pretty I am
― perry en concrète (underrated aerosmith bootlegs I have owned), Saturday, 7 July 2012 23:20 (thirteen years ago)
you mean 3rd most pronounced
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Saturday, 7 July 2012 23:21 (thirteen years ago)
no my awesomeness rests entirely in my sculpted physique :(
― perry en concrète (underrated aerosmith bootlegs I have owned), Saturday, 7 July 2012 23:41 (thirteen years ago)
girls writing mrs. aerosmith bootlegs I have owned on their notebooks in loopy handwriting
― where can i get a mcdonalds quesadilla tho (silby), Sunday, 8 July 2012 00:18 (thirteen years ago)
Barack Obama has never visited the 9/11 Memorial, either. Unlike his predecessor.
― Josh in Chicago, Sunday, 8 July 2012 00:23 (thirteen years ago)
coopdoggydogg's internet debate style rings too true to be a regular ilxor's sock, imo.
I am guessing that he is a random googler who found ilx by googling obamacare and maybe a couple of other keywords, and he thinks it is fun to blow smoke up the skirts of anyone who doesn't express kindred outrage at Obama. He apparently has never met Dr. Morbius.
― Aimless, Sunday, 8 July 2012 02:22 (thirteen years ago)
nah, the ILM posts and random ILH post give the game away here
― Matt Armstrong, Sunday, 8 July 2012 02:31 (thirteen years ago)
xp i have and the man is a g-d natl treasure.
coop is trolling and a sock but 4real I literally do not give one shit about presidents taking down d-day hardcore.
― catbus otm (gbx), Sunday, 8 July 2012 02:36 (thirteen years ago)
http://www.newyorker.com/talk/comment/2012/07/09/120709taco_talk_toobin
― k3vin k., Sunday, 8 July 2012 03:18 (thirteen years ago)
like i said a week ago, i yearn for higher-quality trolls than coopdoggydogg.
― kurwa mać (Polish for "long life") (Eisbaer), Sunday, 8 July 2012 06:34 (thirteen years ago)
ask a drunk regular with opinions about sockpuppets
― buzza, Sunday, 8 July 2012 06:59 (thirteen years ago)
ask a drunk regular with opinions about sockpuppets everything
fixed
― Aimless, Sunday, 8 July 2012 18:02 (thirteen years ago)
http://rlv.zcache.com/my_heart_belongs_to_a_cooper_dog_shirt-p155651711068649972en8b6_210.jpg
― Matt Armstrong, Sunday, 8 July 2012 19:57 (thirteen years ago)
you guys are throwing wildly. you're like that black boxer who rocky knocks out in the opening of Rocky III
― coopdoggydogg, Sunday, 8 July 2012 20:06 (thirteen years ago)
you're like talia shire in rocky I
― balls, Sunday, 8 July 2012 20:10 (thirteen years ago)
hulk hogan is not black. he's orange
― Philip Nunez, Sunday, 8 July 2012 20:16 (thirteen years ago)
coop is Neanderthal/San Te/Cattle Grind
― Neil Jung (WmC), Sunday, 8 July 2012 20:30 (thirteen years ago)
I'm not sure you've seen Rocky III, coop
― Matt Armstrong, Sunday, 8 July 2012 20:37 (thirteen years ago)
are you thinking of Diggstown?
― Neil Jung (WmC), Sunday, July 8, 2012 3:30 PM (10 minutes ago)
speaking as a mod, or are you just throwing that out there?
― goole, Sunday, 8 July 2012 20:42 (thirteen years ago)
troll/sock alert
― buzza, Sunday, 8 July 2012 20:47 (thirteen years ago)
As a mod. Apologies if this sets a bad precedent or something, but he's been modbanned in the past and I don't think he's owed any particular anonymity.
― Neil Jung (WmC), Sunday, 8 July 2012 20:56 (thirteen years ago)
thank you, WmC
― buzza, Sunday, 8 July 2012 21:01 (thirteen years ago)
are you saying this guy doesn't actually know pirate mike?
― balls, Sunday, 8 July 2012 21:06 (thirteen years ago)
https://www.youtube.com/watch?v=uYxwwrTxm3E
― lag∞n, Sunday, 8 July 2012 21:36 (thirteen years ago)
― perry en concrète (underrated aerosmith bootlegs I have owned), Sunday, 8 July 2012 23:13 (thirteen years ago)
coopdogg's opinions about Obamacare do seem to be pretty consistent w/ the sort of person who'd write a post like this:
remove the dildo from your own eye before you inform your neighbor about the rectal thermometor in his...
― San Te, Sunday, April 3, 2011 7:43 AM
― kurwa mać (Polish for "long life") (Eisbaer), Sunday, 8 July 2012 23:53 (thirteen years ago)
― Neil Jung (WmC), Sunday, July 8, 2012 4:30 PM (5 hours ago)
not shocking i guess
― k3vin k., Monday, 9 July 2012 01:43 (thirteen years ago)
it's like the eliot spitzer scandal of sock puppet sagas
― blossom smulch (schlump), Monday, 9 July 2012 09:59 (thirteen years ago)
SCOTUSblog publishes its account of what happened that morning:
The Court’s own technical staff prepares to load the opinion on to the Court’s website. In years past, the Court would have emailed copies of the decision to the Solicitor General and the parties’ lawyers once it was announced. But now it relies only on its website, where opinions are released approximately two minutes later. The week before, the Court declined our request that it distribute this opinion to the press by email; it has complete faith in the exceptional effort it has made to ensure that the website will not fail.
But it does. At this moment, the website is the subject of perhaps greater demand than any other site on the Internet – ever. It is the one and only place where anyone in the country not at the building – including not just the public, but press editors and the White House – can get the ruling. And millions of people are now on the site anxiously looking for the decision. They multiply the burden of their individual visits many times over – hitting refresh again, and again, and again. In the face of the crushing demand, the Court cannot publish its own decision.
The opinion will not appear on the website for a half-hour. So everyone in the country not personally at 1 First St., NE in Washington, DC is completely dependent on the press to get the decision right.
http://www.scotusblog.com/2012/07/were-getting-wildly-differing-assessments/
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Monday, 9 July 2012 14:28 (thirteen years ago)
hah
― lag∞n, Monday, 9 July 2012 14:45 (thirteen years ago)
At this moment, the website is the subject of perhaps greater demand than any other site on the Internet – ever
can we get a fact check on this?
― Mad God 40/40 (Z S), Monday, 9 July 2012 14:45 (thirteen years ago)
it's sorta plausible, since there was only one site on the internet that could post the official opinion, but it's not like everyone on the internet was looking for the opinion itself. i was one of the literally trillions of people trying to get information on the opinion that morning at 10am, and it never even occurred to me to check the Court's website. i was on SCOTUSblog.
― Mad God 40/40 (Z S), Monday, 9 July 2012 14:48 (thirteen years ago)
http://www.fastcompany.com/blog/chris-dannen/techwatch/site-864-trillion-hits-one-day
― lag∞n, Monday, 9 July 2012 14:50 (thirteen years ago)
i was checking twitter fwiw
jeezus
someone needs to put a banner ad on there, you could make a trillion $
― Mad God 40/40 (Z S), Monday, 9 July 2012 14:51 (thirteen years ago)
"Cooking more at home? Come check out Nino's special sauce."
― Ned Raggett, Monday, 9 July 2012 14:54 (thirteen years ago)
http://assets.lifehack.org/wp-content/files/2010/05/piles-of-money.jpg?4c9b33
― Mad God 40/40 (Z S), Monday, 9 July 2012 14:59 (thirteen years ago)
They multiply the burden of their individual visits many times over – hitting refresh again, and again, and again.
― goole, Monday, 9 July 2012 15:18 (thirteen years ago)
http://slatest.slate.com/posts/2012/07/09/rick_perry_rejects_obamacare_reform_for_texas_.html
"And here's three reasons why: one..."
― clemenza, Monday, 9 July 2012 19:02 (thirteen years ago)
Thanks for nothing Gov. Perry. If he manages to block it, I may need to consider moving for real.
― Moodles, Tuesday, 10 July 2012 05:23 (thirteen years ago)
states if they do even end up not participating are unlikely to do so for long, free money is p alluring
― lag∞n, Tuesday, 10 July 2012 13:56 (thirteen years ago)
and the feds would handle the exchanges after a time
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 10 July 2012 14:00 (thirteen years ago)
ya that too
― lag∞n, Tuesday, 10 July 2012 14:01 (thirteen years ago)
This is a real thing by a real healthcare lobbying firm btw:
http://wonkette.com/wp-content/uploads/2012/07/whitetrashparty.jpg
― MacArthur Parkour (Phil D.), Tuesday, 10 July 2012 14:10 (thirteen years ago)
This has nothing to do with what will really happen and everything to do with Perry attempting to remind people that he exists
― TracerHandVEVO (Tracer Hand), Tuesday, 10 July 2012 14:11 (thirteen years ago)
why would he bother?
― Aimless, Tuesday, 10 July 2012 16:10 (thirteen years ago)
I'd quite happily forgotten he exists. Then again, I do not live in Texas.
― Ned Raggett, Tuesday, 10 July 2012 16:11 (thirteen years ago)
Aimless I would imagine he thinks there's a market for a politician with national aspirations who will "take a stand" on health care
― TracerHandVEVO (Tracer Hand), Tuesday, 10 July 2012 16:13 (thirteen years ago)
after the debates, he should realize he will never fill that market niche
― Aimless, Tuesday, 10 July 2012 16:16 (thirteen years ago)
NRO ran a four-part deep-thinker interview with Perry last week, like he was Northrop Frye or somebody. I got the feeling that, if Romney should lose, there's a decent chunk of the party that has not abandoned the idea that Perry could win the presidency. I think that there's a feeling that he just needs a do-over like Nixon, that he wasn't ready this time. (What I think they think, not what I think.)
― clemenza, Tuesday, 10 July 2012 16:20 (thirteen years ago)
I suppose if you were to feed enough drugs to the eighth place finisher at the Kentucky Derby, and enter it in a race with somewhat weaker competition, it might win.
― Aimless, Tuesday, 10 July 2012 16:25 (thirteen years ago)
conservative explains why conservatives are opting out of medicaid expansion
― du. duplass. duplass mich. (goole), Tuesday, 10 July 2012 16:27 (thirteen years ago)
er
http://reformmedicaid.org/2012/07/the-reasons-states-are-rejecting-obamas-medicaid-expansion/
NRO ran a four-part deep-thinker interview with Perry last week, like he was Northrop Frye or somebody.
Hahah I'm trying to imagine the Rick Perry school of literary criticism. The Bush Garden: About That Guy Before Me.
― Ned Raggett, Tuesday, 10 July 2012 16:27 (thirteen years ago)
I think that's what they plan to do with Perry, too--start feeding him drugs.
― clemenza, Tuesday, 10 July 2012 16:28 (thirteen years ago)
In sum: the Medicaid expansion is far less attractive to those states with minimal programs, where already eligible people will likely come out of the woodwork to sign on to the system, driving up the costs for the state itself. This has already been proven true in Minnesota, which expanded its program early. The same is expected to be true in numerous other states, adding up to a huge chunk of change for states that already have Medicaid programs overburdened thanks to the recession and doctors who cannot see all the patients.
back into the woodwork with you!!
― du. duplass. duplass mich. (goole), Tuesday, 10 July 2012 16:29 (thirteen years ago)
Hahah I'm trying to imagine the Rick Perry school of literary criticism.
The New Perrycism
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 10 July 2012 16:30 (thirteen years ago)
;_;
― I see you, Pineapple Teef (DJP), Tuesday, 10 July 2012 16:31 (thirteen years ago)
That's a pretty good article actually, in terms of describing the thinking. The thinking, though, is kind of brain-dead if you step back from it. "These governors know that once you add new people to the system, you will never get them out of it." Is it somehow better for these people to be uninsured, then? Or to be in a more expensive private plan that will have to be subsidized from.... somewhere?
― TracerHandVEVO (Tracer Hand), Tuesday, 10 July 2012 16:44 (thirteen years ago)
It's going to be a long term problem but they want to shy away from the short-term problem
― Love Max Ophüls of us all (Michael White), Tuesday, 10 July 2012 16:51 (thirteen years ago)
wasting away in ill health on the public dime = grave problemwasting away in ill health = what? go to the ER!
― du. duplass. duplass mich. (goole), Tuesday, 10 July 2012 16:52 (thirteen years ago)
Is it somehow better for these people to be uninsured, then? Or to be in a more expensive private plan that will have to be subsidized from.... somewhere?
it's pretty simple, they want poor people to hurry up and die.
― the alternate vision continues his vision quest! (Shakey Mo Collier), Tuesday, 10 July 2012 16:52 (thirteen years ago)
sometimes I think Republicans are the original freetards, they want it all but they just don't feel like paying for it
― TracerHandVEVO (Tracer Hand), Tuesday, 10 July 2012 16:55 (thirteen years ago)
Here in Rick Perry Land, the free market is offering me a student insurance package (repped by the University no less!) that excludes "routine physical examinations and routine testing, preventative testing or treatment screening exams."
― Theodora Celery, Tuesday, 10 July 2012 18:16 (thirteen years ago)
Sounds like my policy! From a company based in Texas iirc.
― Neil Jung (WmC), Tuesday, 10 July 2012 18:26 (thirteen years ago)
Look at it this way: if you die, no expensive treatment!
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 10 July 2012 18:32 (thirteen years ago)
Aw geez. At least mine has the thin veneer of "Well, it's for students who don't really NEED or USE it. Nyah nyhah." But this was from United Healthcare! And when I was insured under my dad's old policy, it was actually pretty good regarding benefits.
― Theodora Celery, Tuesday, 10 July 2012 18:32 (thirteen years ago)
― a regina spektor is haunting europe (Alfred, Lord Sotosyn)
Santa Muerte for Governor!
― Theodora Celery, Tuesday, 10 July 2012 18:36 (thirteen years ago)
However, it appears that even Texas might be on a tipping point of "Wait, something's not right here." Here is Republican County Judge Ed Emmett on health services:
"We can lower costs and improve our county’s overall health with improved access to preventive and routine care. Instead of expensive emergency room visits, we need more community health clinics. Additionally, our mental health services safety net needs to be mended. We must also redirect mental health patients from costly county jail detention into proper mental health treatment programs."
Seems like a problem when the front-line Republicans who deal with infrastructure and county services are starting to speak up.
― Theodora Celery, Tuesday, 10 July 2012 18:48 (thirteen years ago)
I assume Perry's hopes (along with most of the former candidates') lie in the prospect of Mitt losing the election and the GOP turning even further right for a no-compromise candidate.
― Andrew Farrell, Tuesday, 10 July 2012 19:26 (thirteen years ago)
perry doesn't have any hope for higher office, c'mon.
― flesh, the devil, and a wolf (wolf) (amateurist), Tuesday, 10 July 2012 22:31 (thirteen years ago)
yeah but see he matured and was tested on the campaign trail
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 10 July 2012 22:46 (thirteen years ago)
perry doesn't have any hope for higher office, c'mon.― flesh, the devil, and a wolf (wolf) (amateurist)
As terrifying as Senator Perry may be, he has a shot at Kay Bailey's old seat.
― Theodora Celery, Tuesday, 10 July 2012 22:51 (thirteen years ago)
And there are plenty of Texans who will be impressed by his tough stance against Obamacare
― Moodles, Wednesday, 11 July 2012 03:34 (thirteen years ago)
Poll: Dems Approve Of John Roberts, GOPers Against Him
about 2 hours ago – Democrats are more likely to approve of John Roberts as chief justice of the Supreme Court, according to a new poll from Quinnipiac University.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Wednesday, 11 July 2012 15:19 (thirteen years ago)
― the alternate vision continues his vision quest! (Shakey Mo Collier), Tuesday, July 10, 2012
But here's what they say in South Carolina(despite objections from hospitals and even businesses):
Keck, South Carolina’s top health official, said the state’s illnesses are driven by poverty and that money poured into Medicaid would best be used elsewhere. Keck said he and Haley favor block-grant funding that would hold the state accountable for set outcomes, such as lowering obesity.
“We should spend our money getting more people jobs with health insurance,” Keck said. “If we’re going to talk at all about targeting the uninsured, it has to be with a completely different system than Medicaid.”
Yes, Republican policies have done a great job getting people jobs with health insurance.
― curmudgeon, Wednesday, 11 July 2012 15:42 (thirteen years ago)
http://www.bloomberg.com/news/2012-07-09/hospital-bills-unpaid-as-s-c-shuns-medicaid-expansion.html
― curmudgeon, Wednesday, 11 July 2012 15:43 (thirteen years ago)
Ugh. Reminds me of this story, which has haunted me ever since I read it.http://www.washingtonpost.com/wp-dyn/content/article/2007/02/27/AR2007022702116.html
BTW, does anyone know what sort of provision for dentistry ACA provides?
― Theodora Celery, Wednesday, 11 July 2012 19:25 (thirteen years ago)
it requires that all tooth caps be imprinted with a portrait of che guevara or karl marx IIRC
― flesh, the devil, and a wolf (wolf) (amateurist), Thursday, 12 July 2012 01:05 (thirteen years ago)
shooting from the hip here but i'm guessing dentistry will remain something of a luxury
― catbus otm (gbx), Thursday, 12 July 2012 01:28 (thirteen years ago)
http://reformmedicaid.org/wp-content/uploads/2012/07/DB_medicaid_map_lg7_6.jpg
minnesota is the fucking best btw
― catbus otm (gbx), Thursday, 12 July 2012 01:30 (thirteen years ago)
NJ being the only reddish state in the Northeast thusfar. thanks again, Fat Governor -- now you can yell at the uninsured poors, too!
― kurwa mać (Polish for "long life") (Eisbaer), Thursday, 12 July 2012 10:33 (thirteen years ago)
someone explain WA to me
― I see you, Pineapple Teef (DJP), Thursday, 12 July 2012 12:17 (thirteen years ago)
Seattle?
― perry en concrète (underrated aerosmith bootlegs I have owned), Thursday, 12 July 2012 12:36 (thirteen years ago)
sry too busy getting in street fights w/teachers: http://digbysblog.blogspot.com/2012/07/chris-christy-statesman.html
― Marco YOLO (Phil D.), Thursday, 12 July 2012 12:40 (thirteen years ago)
WA is essentially a renegade attorney general. governor and popular opinion supports ACA iirc.
― lou reed scott walker monks niagra (chinavision!), Thursday, 12 July 2012 13:02 (thirteen years ago)
Yeah the attorney general is currently our Republican candidate for governor and fighting this probably helps with all the eastern WA good old boys and suburban Seattle chamber of commerce types.
― joygoat, Thursday, 12 July 2012 14:46 (thirteen years ago)
“We should spend our money getting more people jobs with health insurance,” Keck said.
It sort of blows my mind, but not really, that so many people think health insurance simply comes with jobs, and not that said insurance is being paid for out the butt by the your employer, not to mention from your paycheck. There's still a tremendous cost. If everybody in America was employed, and insured via their employer, the rising cost of medicine would still be a major concern, I imagine. Which I suppose is the consequence for supporting a third part system, the insurers, who literally provide no service and simply serve as the middle man leaching off society.
Sorry, compelled to rant. Politicians are stupid.
― Josh in Chicago, Thursday, 12 July 2012 15:02 (thirteen years ago)
the idea that insurers "literally provide no service" bothers me. of course they provide a service, and a valuable one at that. the service they provide is a pool of ready wealth to be spent as needed. if insurers provided no service, or a service that people didn't actually need, they'd cease to exist.
― contenderizer, Thursday, 12 July 2012 18:25 (thirteen years ago)
they could provide that service better though.
― Legendary General Cypher Raige (Gukbe), Thursday, 12 July 2012 18:26 (thirteen years ago)
I'm not convinced. They're operating at huge profits. That's how your vast pool is being spent,.I suspect.
― Josh in Chicago, Thursday, 12 July 2012 19:16 (thirteen years ago)
insurance companies don't operate at huge margins I don't think?
― catbus otm (gbx), Thursday, 12 July 2012 19:41 (thirteen years ago)
Just picking the largest insurer in the US, Unitedhealth Group, they have an operating margin of 8.25% and a profit margin of 5.00%. (Compared to, say, Wal-Mart at 5.94%/3.52%)
― Marco YOLO (Phil D.), Thursday, 12 July 2012 19:51 (thirteen years ago)
It's uncontroversial to say that insurance companies are basically the reason why US healthcare costs so much more than any other developed country. Whether or not that difference is more function of lining the pockets of execs and shareholders or largely one of administrative inefficiency seems beside the point.
― Fig On A Plate Cart (Alex in SF), Thursday, 12 July 2012 19:57 (thirteen years ago)
(Compared to, say, Wal-Mart at 5.94%/3.52%)
idk if retail is the right comparison either but i'm out of my depth here
― du. duplass. duplass mich. (goole), Thursday, 12 July 2012 20:01 (thirteen years ago)
insurance companies are only one of many reasons why US healthcare costs so much more than any other developed country
― lag∞n, Thursday, 12 July 2012 20:03 (thirteen years ago)
I'd say most non-Heritage thinking would argue it's the main reason.
― Fig On A Plate Cart (Alex in SF), Thursday, 12 July 2012 20:08 (thirteen years ago)
naw
― lag∞n, Thursday, 12 July 2012 20:12 (thirteen years ago)
like if you look at what hospitals doctors etc charge its still v expensive
― lag∞n, Thursday, 12 July 2012 20:13 (thirteen years ago)
btw Ilx should law off accusing me of being associated w right wing think tanks, I assure u i have no dealings w think tanks of any kind
― lag∞n, Thursday, 12 July 2012 20:16 (thirteen years ago)
you are exclusively tied up with right wing dunk tanks
― I see you, Pineapple Teef (DJP), Thursday, 12 July 2012 20:18 (thirteen years ago)
I'd argue that for out of pocket expenses to the patient it's Pharma thats sticking it to the little guy. their margins are closer to 15% iirc, and are served by an IP legal system that lets them repatent things when it suits them
also it isn't necessarily insurance co's profit motive that's driving things up---if anything, they'd stand to make a whole lot more money with loads of healthy ppl going in for routine check ups and UCC visits rather than making ED visits and only presenting when in fulminant end-stage disease.
― catbus otm (gbx), Thursday, 12 July 2012 20:18 (thirteen years ago)
xxxp Right but one of the reasons why hospitals can charge that is that insurance companies have little incentive to lower those prices.
― Fig On A Plate Cart (Alex in SF), Thursday, 12 July 2012 20:19 (thirteen years ago)
they tie me up some little heathen approaches and into the water again i go
― lag∞n, Thursday, 12 July 2012 20:20 (thirteen years ago)
insurance companies have TREMENDOUS incentives to lower those prices, they get to keep the rest of the money
― lag∞n, Thursday, 12 July 2012 20:21 (thirteen years ago)
pharma, doctors, insurance, administrators etc etc everyone's getting a piece which is one thing that makes it such a difficult problem
― lag∞n, Thursday, 12 July 2012 20:23 (thirteen years ago)
Alex do you know how hospitals get paid? Serious q
― catbus otm (gbx), Thursday, 12 July 2012 20:23 (thirteen years ago)
in blood?
― Mr. Que, Thursday, 12 July 2012 20:25 (thirteen years ago)
blood for oil iirc
― lag∞n, Thursday, 12 July 2012 20:30 (thirteen years ago)
Incentive, leverage, whatever. They've shown little ability to control the cost of services.
― Fig On A Plate Cart (Alex in SF), Thursday, 12 July 2012 20:36 (thirteen years ago)
because maybe there are other players who want money too
― lag∞n, Thursday, 12 July 2012 20:41 (thirteen years ago)
Profound.
― Fig On A Plate Cart (Alex in SF), Thursday, 12 July 2012 20:46 (thirteen years ago)
it is obvious, it just contradicts yr argument is all
― lag∞n, Thursday, 12 July 2012 20:49 (thirteen years ago)
- hospitals treat many people with little to no ability to pay, mostly emergency services for people who have no coverage for preventive care - medical costs go up to cover the number of bills that will be never paid, but the people who received the care still owe the money, ruining their financial situation. hospitals charge those who can pay so that they can stay afloat - insurance companies have smaller risk pools due to those people not being in the pool, especially the healthy ones who "don't need insurance"
iirc
― hot sauce delivery device (mh), Thursday, 12 July 2012 20:52 (thirteen years ago)
insurers can't control the cost of services because the costs are being partially jacked up by services provided to those they don't insure!
― hot sauce delivery device (mh), Thursday, 12 July 2012 20:53 (thirteen years ago)
I have no idea why I've returned to this thread. It mostly makes me rage around a lot.
― hot sauce delivery device (mh), Thursday, 12 July 2012 20:54 (thirteen years ago)
thats also a piece of the picture but obvs there are like a million other reasons why costs are so high
― lag∞n, Thursday, 12 July 2012 20:56 (thirteen years ago)
xp: I think your second sentence explains the first one
― I see you, Pineapple Teef (DJP), Thursday, 12 July 2012 20:56 (thirteen years ago)
It's true, I feel the need to comment and rage around :)
― hot sauce delivery device (mh), Thursday, 12 July 2012 20:59 (thirteen years ago)
http://www.washingtonpost.com/blogs/ezra-klein/post/why-an-mri-costs-1080-in-america-and-280-in-france/2011/08/25/gIQAVHztoR_blog.html
― lag∞n, Thursday, 12 July 2012 20:59 (thirteen years ago)
- hospitals treat many people with little to no ability to pay, mostly emergency services for people who have no coverage for preventive care - medical costs go up to cover the number of bills that will be never paid, but the people who received the care still owe the money, ruining their financial situation. hospitals charge those who can pay so that they can stay afloat- insurance companies have smaller risk pools due to those people not being in the pool, especially the healthy ones who "don't need insurance"
p much
― catbus otm (gbx), Thursday, 12 July 2012 21:00 (thirteen years ago)
the pharmaceuticals industry and the medical device industry
^^ glaring at these people
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:03 (thirteen years ago)
minnesota stares back at u
― catbus otm (gbx), Thursday, 12 July 2012 21:03 (thirteen years ago)
but yeah, the healthcare "industry" is clearly a big part of the problem
― catbus otm (gbx), Thursday, 12 July 2012 21:04 (thirteen years ago)
*throws pacemaker out window*
― lag∞n, Thursday, 12 July 2012 21:04 (thirteen years ago)
btw don't blame iowa, we mostly want to implement the new shit but we had the world's weakest democrat governor get knocked out of office by some relic from the 80s who is dead-set on giving himself 2012 republican cred by being a total dickhead for four years
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:05 (thirteen years ago)
obv i'm biased as a future FM dude but for real much of the burden of disease is borne by poor ppl who present late, because they couldn't afford routine health maintenance. had a lady yesterday who will likely be diagnosed with cirrhosis; she came to clinic because her belly had been getting bigger, and the only reason she'd even thought to see a doctor was because in her chem dep program someone had said that her liver was prob "corroded." otherwise she likely would've have never shown up. that is, until she hit full-on end-stage liver disease and showed up in the ED. at least now we can get her on diuretics.
i pimp this shit all the time but 4real plz read that atul gawande article on the hot spotters. EMTALA was an awesome thing, but we need an outpatient equivalent (which ps is universal coverage)
― catbus otm (gbx), Thursday, 12 July 2012 21:12 (thirteen years ago)
Just sayin', again, there's really no reason the insurance companies should be for profit, let alone as for profit as they are.
― Josh in Chicago, Thursday, 12 July 2012 21:17 (thirteen years ago)
they just shouldnt exist
― lag∞n, Thursday, 12 July 2012 21:17 (thirteen years ago)
btw the nyer just sent me something on my iPad thats a bunch of previously published medical articles not sure if its in print too and I havent read it thats my endorcemnt its called healing powers
― lag∞n, Thursday, 12 July 2012 21:20 (thirteen years ago)
I agree that for-profit insurance companies is dumb and annoying
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:20 (thirteen years ago)
no argument there
― catbus otm (gbx), Thursday, 12 July 2012 21:22 (thirteen years ago)
Oh yeah, I came here because my sister was about to look for another job but now needs surgery so there's no way she'll be doing that for a while. Fucking insurance.
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:23 (thirteen years ago)
but:
"The result is that, unlike in other countries, sellers of health-care services in America have considerable power to set prices, and so they set them quite high. Two of the five most profitable industries in the United States — the pharmaceuticals industry and the medical device industry — sell health care. With margins of almost 20 percent, they beat out even the financial sector for sheer profitability.
The players sitting across the table from them — the health insurers — are not so profitable. In 2009, their profit margins were a mere 2.2 percent. That’s a signal that the sellers have the upper hand over the buyers."
nb i would add specialists to Big Pharm and Big Device (or w/e), but with the caveat that they are generally lacking the same kind of organization/animus that those industries have. doctors, in general, want everyone to have access to care; i sincerely doubt that the cardiologists of america are systematically jacking prices just to grift the populace. they are, however, incentivized to do so by the system we currently have in place.
moreover, our training system generally encourages ppl to specialize. not just cuz that's where the money is, but because that's where the Science is. most docs don't specialize for the money, they specialize out of interest. just ask Plasmon and CL (our resident ilx neurologists)---the brain is fucking rad. when med schools and residencies place a premium on research and wonkery and such, they tend to discourage ppl that would otherwise make perfectly decent providers to look elsewhere for work and fulfillment. i love all my cohort, but it's a little skewed towards ppl that could and should not talk with people about basic health/life issues. they will however be excellent researchers and consultants, and i am grateful that they will exist for my patients.
― catbus otm (gbx), Thursday, 12 July 2012 21:26 (thirteen years ago)
What are the justifications that Pharma has to defend itself with for its outrageous prices? Does R&D and advertising really soak up ALL that money? Is it the stage four monitoring/liability insurance for when drugs go bad? Why does it even need to be in the advertising business to begin with?
― Theodora Celery, Thursday, 12 July 2012 21:29 (thirteen years ago)
I need to find the local general practitioner equivalent of gbx so I can get back on my preventive health routine and stop being hypocritical
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:29 (thirteen years ago)
Big Pharma had to defend itself to its stockholders!!
(Also need to point out that I owe my life to Pharma. I would not be functioning at all without a certain antidepressant that I will need to take for the rest of my life.)
― Theodora Celery, Thursday, 12 July 2012 21:30 (thirteen years ago)
Are they that ravenous? Can we get a breakdown of operating costs v stockholder mandated profits?
― Theodora Celery, Thursday, 12 July 2012 21:31 (thirteen years ago)
If it's in generic form or will be any time soon they really don't give a fuck and are trying to come up with an "improved" version they can sell you at high cost again
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:31 (thirteen years ago)
Also, when did advertising become a thing for pharma? I'm only 27, but I really don't remember this sort of barrage during the early 90s. Was it a demand by stockholders to increase the pool for "life-style" drugs? Because they pretty much have a captive base for quite a bit of their other products, generics notwithstanding. This just seems like unmitigated greed.
― Theodora Celery, Thursday, 12 July 2012 21:34 (thirteen years ago)
Interesting. What's the bigger problem in Pharma: Advertising or the patent System? Or just the expectation of enormous profits after the release of blockbuster drugs? Were they the cause?
― Theodora Celery, Thursday, 12 July 2012 21:35 (thirteen years ago)
In the United States, recent years have seen an increase in mass media advertisements for pharmaceuticals. Expenditures on direct-to-users advertising have more than quintupled in the seven years between 1997 and 2005 since the FDA changed the guidelines, from $700 million in 1997 to more than $4.2 billion in 2005, according to the United States GAO (Government Accountability Office, 2006).The mass marketing to users of pharmaceuticals is banned in over 30 industrialized nations, but not in the US and New Zealand, which is considering a ban
http://en.wikipedia.org/wiki/Pharmaceutical_marketing#To_users
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:36 (thirteen years ago)
this is just an old man yelling at clouds but the second-most galling thing about the US approach to healthcare is just how fucking moronic it is. by all metrics. the g-d Economist has long been in favor of universal coverage simply because a healthy population is a productive population. it's a crass index, but there it is: ppl that are fed and not dying are people that can do stuff. p basic imo.
instead, the "healthcare debate" in the US grounds itself in the politics of division and brittle moralism, focusing only on the question of whether or not a particular strawman really ~deserves~ medical care. did u kno a drug-using homo black person can just walk into a free clinic and someone will greet them kindly as an actual person and maybe do some bloodwork???? DOES THAT NOT MAKE YOUR SKIN CRAWL OMG, THAT PERSON HAS DONE NOTHING TO DESERVE ANYTHING EVER
as a person who loves a lil bit of raging about, going into primary care might've been the best/worst decision of my life
xp mh i am the worst, i haven't been to a non-psych doctor since i was a teen :-/
also TC if yr on a basic SSRI then yes, as mh said, there's likely something cheap/generic out there. citalopram is like ten cents a day i think.
― catbus otm (gbx), Thursday, 12 July 2012 21:39 (thirteen years ago)
This is where I want to see a breakdown. THEY claim that R&D is exorbitant, but is it really as much as their ad budget?
― Theodora Celery, Thursday, 12 July 2012 21:39 (thirteen years ago)
their ads r so lame and bad too, two people in two bathtubs holding hands cue list of side effect
― lag∞n, Thursday, 12 July 2012 21:42 (thirteen years ago)
(CB, I was on Effexor XR 225 single pill, but since I needed to switch out to student insurance, I got my shrink to prescribe the generic Venlafaxine 75. The cost difference was something like $900 a month vs. the $30 I could get at the university pharmacy.)
― Theodora Celery, Thursday, 12 July 2012 21:42 (thirteen years ago)
The words "deserve" and "medical care" probably never need to be in the same sentence, imo
Shit, lexapro is what they sold after celexa and I think it'll be all generic shortly, too! They've got to have something else coming out.
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:42 (thirteen years ago)
I really have no idea why the branded version of these even continue to exist, at a higher price, after generics are available! Are there some patients and doctors who think the brand matters? It's not like they're lovingly hand-sewing leather pill holders for the branded version.
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:45 (thirteen years ago)
For me, the insurance was bizarrely willing to pay for one 225 pill vs. three 75 pills. I can't BELIEVE they managed to patent a dosage!
― Theodora Celery, Thursday, 12 July 2012 21:46 (thirteen years ago)
i never get how they're supposed to have sex while in two separate respective bathtubs. that must be some good shit.
― Will Chave (Hurting 2), Thursday, 12 July 2012 21:47 (thirteen years ago)
What you can patent in the science/medicine realm is stupid. A scientist friend was telling me that she has to grow this bacteria at a certain temperature range five degrees cooler than optimal because a competitor patented doing so between a certain range of temperatures.
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:50 (thirteen years ago)
i'd hazard that the patent system is worse than advertising, and, moreover, feeds it; a novel use for an existing drug lays the groundwork for a new ad campaign.
here's the thing: developing a drug really does cost a tremendous amount of money. lots of dead-ends, lots of expensive people and machines, an arduous approval process, etc. which is as it should be, tbh: ppl shouldn't take drugs that haven't been RnD'd to death. a lot of practitioners prefer old drugs simply because they are old and proven, time and time again, and i think there's something to that, in some contexts.
that being said: drugs are easy and cheap to make. like, actually ~make~. chinese and indian and brazilian generics aren't cheap because children are rolling pills (though i imagine there's an element of that), it's because the recipe is out there (maybe reverse-engineered, who knows) and industrial pill-making is inexpensive once you get the workflow dialed. the US patent system grants exclusivity to manufacturers for 7yrs (iirc) for a ~given use~. if you discover that a given medication is effective for another condition (which, btw, often happens because of anecdotal reports from clinicians), then you set up another trial and go through the FDA approval process again. cheaper the second time around, though, because the diligence has already been done, the drug exists.
basically: we need the FDA. we need patents. we need drugs. but we're doing a terrible job of coordinating things.
― catbus otm (gbx), Thursday, 12 July 2012 21:51 (thirteen years ago)
Lexapro (and Nexium, also) infuriate me because they are literally just the S-enantiomers of existing drugs (Celexa and Prilosec). Basically they took an extra step and refined out the half of the chemical result that actually does the drug work from the half that doesn't (the R-enantiomer) and then got 17 extra years of patent on it. And maayyyybe there's a little less side effect profile, mayyyybe, otherwise it is the exact same thing (like Lexapro and Nexium doses are half the equivalent dose of Celexa and Prilosec, even).
― Dr. (C-L), Thursday, 12 July 2012 21:52 (thirteen years ago)
My shrink fought with my insurance company to get me covered for the name brand thyroid med. He said that it had something to do with quality control. Apparently some of the generic thyroid meds were not okay? He had no problem with the generic SNRI switch.
― Theodora Celery, Thursday, 12 July 2012 21:54 (thirteen years ago)
Oh god, the "for a certain use" thing is insane because doctors and patients want drugs to go generic, but they also want to have them covered by insurance which they are not for unapproved uses. I'd imagine it's a pain in the ass when doctors realize an almost-patent-free drug for seizures works for migraines and they want to give it to patients who have no seizures, but they know if this use is officially recognized the company will be able to crank the price up.
― hot sauce delivery device (mh), Thursday, 12 July 2012 21:55 (thirteen years ago)
C-L!
― catbus otm (gbx), Thursday, 12 July 2012 21:55 (thirteen years ago)
Lexapro (and Nexium, also) infuriate me because they are literally just the S-enantiomers of existing drugs (Celexa and Prilosec). Basically they took an extra step and refined out the half of the chemical result that actually does the drug work from the half that doesn't (the R-enantiomer) and then got 17 extra years of patent on it. And maayyyybe there's a little less side effect profile, mayyyybe, otherwise it is the exact same thing (like Lexapro and Nexium doses are half the equivalent dose of Celexa and Prilosec, even)― Dr. (C-L),
Same thing with Pristiq. I wasn't doing as well on the 150, and he considered putting me on it, but the cost was just so much more that it wasn't worth it. He just bumped me up another 75 on the Effexor and that seemed to do the trick for some reason.
― Theodora Celery, Thursday, 12 July 2012 22:01 (thirteen years ago)
I'm just gonna post this
http://www.nejm.org/doi/full/10.1056/NEJMp1113569?query=clinical-practice-center#the%20roles%20of%20medicine
― catbus otm (gbx), Thursday, 12 July 2012 22:04 (thirteen years ago)
Also echoing what gbx says above, yeah speaking from my 3rd week of internship in medicine, there just isn't enough in primary medicine to really keep me coming back, even though trying to get a handle on diabetes and hypertension and obesity et al could possibly be the single most effective way to reduce American healthcare costs. The pathophysiology isn't particularly exciting, there's not a ton of room for learning, and often it feels like all you are doing is telling someone "These numbers are too high. Stop being so fat so they will be lower", albeit in a more pleasant, professional way. And god forbid stuff like chronic pain, which generally makes me feel like I am completely incapable of doing anything except deciding who gets to have Dilaudid and who is probably lying. Even if I had been in internal medicine, I feel like there is a 100% chance I would have specialized, because I think ID and Hepatology are awesome and cardiology is boring and who even cares about GI my god.
Meanwhile next year I will get to do a bunch of rad neuro exams nonstop and learn about stuff I think is awesome. (And also I will have to do several months of stroke, which is the neurologic return of diabetes and hypertension and obesity, sadly). I will probably not be able to make the same impact on American healthcare that gbx does, but in theory if this all works out for me, then I get to be one of the lucky people in the world who really really likes their job, and that's more important to me.
― Dr. (C-L), Thursday, 12 July 2012 22:08 (thirteen years ago)
C-L otm. fwiw neuro and psych are the only things that could draw me from FM because: I think ID and Hepatology are awesome and cardiology is boring and who even cares about GI my god.
renal is dope, too, my god it's full of stars
― catbus otm (gbx), Thursday, 12 July 2012 22:13 (thirteen years ago)
The one thing I will defend pharma on for expanding the uses of the drug is that to get that new indication (to use the above example, to say that the anti-epileptic drug Topamax is effective at migraine prophylaxis; I am not certain if it is FDA approved for such, but it is definitely used for migraines with some efficacy), the sponsoring company will have to throw down some significant data that suggests it does work, usually a Randomized Controlled Trial, which is not generally a cheap proposition. If you want to show like a 10% improvement versus prior treatment, you have to have this giant number of people in the trial and it costs a ton.
But then yes I just think of Pristiq (desvenlafaxine instead of Effexor's venlafaxine) and I return to my conviction that for-profit public corporations and medicine should not coexist.
― Dr. (C-L), Thursday, 12 July 2012 22:15 (thirteen years ago)
nb i am not suggesting that i will be making an impact on american healthcare, or that C-L won't (just look at how smart this dude is! honest!), just that ppl are drawn to what interests them. i happen to like talking to people about pooping, vag probs, depression, and chem dep. <-- ILX JOKE.
btw C-L i would totally curbside you re: someone i know but i suppose this isn't the venue
― catbus otm (gbx), Thursday, 12 July 2012 22:19 (thirteen years ago)
Seriously man if I have to admit another dude to the VA to rule out ACS I am just going to die. (PS, I will have to admit like 1000 more dudes to the VA to rule out ACS by the time I am done with this year. They get Troponins on errrybody, it is insane.)
I will admit I get a little enjoyment out of diabetes whenever someone comes in with hyperosmotic non-ketoacidotic hyperglycemia, because HONK is my favorite medical acronym. (Also I secretly want to have to tell someone they were having trouble breathing after their transfusion because we think they had TACO.)
― Dr. (C-L), Thursday, 12 July 2012 22:19 (thirteen years ago)
oh no believe me I feel like my family med/Primary Care bros are literally doing a job that more people should do, and that part of me feels like I should do because it is good and noble and deeply necessary, it is just that as stated above, * I don't wannnaaaaa *
― Dr. (C-L), Thursday, 12 July 2012 22:21 (thirteen years ago)
And god forbid stuff like chronic pain, which generally makes me feel like I am completely incapable of doing anything except deciding who gets to have Dilaudid and who is probably lying.
You don't deal with chronic pain as a neurologist? My mom has MS and it seems that her primary interaction with her neurologists is pain management/monitoring the "holes in her brain." And yes, the drug she has to be bent over double to before she'll take it, is Topamax.
― Theodora Celery, Thursday, 12 July 2012 22:21 (thirteen years ago)
(You know, the Topamax bit reminded me that my mother's mom has epilepsy. Which makes me wonder if my brain is just genetically fucked.)
― Theodora Celery, Thursday, 12 July 2012 22:28 (thirteen years ago)
cardiology is the dumbest, it's just a pump and tubes that work basically all the time. the most interesting thing i've recently learned about cv disease was when my attending pimped me on diabetic neuropathology (nephropathy and retinopathy can be linked to autonomic dysfxn 2/2 path of the vasa nervorum).
lolz at HONK TACO, totally opening a food cart w/that name, parking it outside County
― catbus otm (gbx), Thursday, 12 July 2012 22:28 (thirteen years ago)
I may, yes, but chronic pain due to a condition that is a known terrible thing is one thing (I admitted a dude last night who had cancer and was breaking through his standing pain meds (which were not insignificant), and everyone nodded in agreement that it was IV Dilaudid party time), but chronic pain in the sense of like "I have this TERRIBLE PAIN in my belly or my back or wherever and NOBODY UNDERSTANDS and also I am allergic to NSAIDs, Tylenol, and Tramadol, and Morphine doesn't work on me at all" is the stuff that gets dropped on Primary Care, and all of the workup is totally negative and yet they still have this pain that only responds to some incredibly powerful opiate. You can't tell them that it is not there, or that they should just suck it up and deal, but you really really want to, because you're frustrated and they're frustrated with you and you feel like you're just making them go away with powerful narcotics or refusing to give them powerful narcotics and provoking a big stupid confrontation.
― Dr. (C-L), Thursday, 12 July 2012 22:29 (thirteen years ago)
^^^ this. then you get into the thing where they might ACTUALLY have pain that responds to opiates (often they don't), but that due to tolerance, won't respond until you treat their addiction first. so you end up giving horse doses to basic humans and 9/10 of it is just titrating up to therapeutic
― catbus otm (gbx), Thursday, 12 July 2012 22:33 (thirteen years ago)
there's one really effective nonaddictive pain manager but unfortunately it's illegal atm
― Mordy, Thursday, 12 July 2012 22:38 (thirteen years ago)
but yeah, PCPs deal with pain all the time (LBP is still the reigning champion in the clinical presentation sweepstakes right?). a big ish is ppl having been treated for a long time with opiates for conditions that don't generally respond to opiates (eg radiculopathies, iirc, but i'd defer to c-l on that). unfortunately, they're now physiologically dependent on opiates, so you're tasked with treating the addiction as well as the pain. or you get the comorbid: an opioid-dependent patient sustains a bad injury (sometimes as a result of their chem dep, eg falling down some stairs), and genuinely needs real-deal painkillers. but they're an addict. so they get undertreated in the ED, and then shop around as an outpatient. etc etc
xp i was going to address that actually! i have had two patients kicked out of their pain clinics for positive u-tox's. pos for the semi-addictive pain manager you alluded to. they were otherwise 100% compliant, not flagged for ~suspicious behavior~, but had the temerity to have a joint and boop out you go. srsly one of these ppl had been in a program for six g-d years, not a 'user' at all, peed wrong once, no more treatment.
― catbus otm (gbx), Thursday, 12 July 2012 22:42 (thirteen years ago)
come on, big pharm and big device are 'incentivized' in exactly the same manner as doctors. there are plenty of doctors who could be charging less for their services if they really wanted everyone to have access to care. they are more 'incentivized' by money than by helping people. that doesn't make them much different from the rest of america, but it's a problem because the AMA is basically a cartel.
― iatee, Thursday, 12 July 2012 22:45 (thirteen years ago)
nope
― catbus otm (gbx), Thursday, 12 July 2012 22:46 (thirteen years ago)
if you think that primary care docs are charging too much for their services then you are fucking nuts
― catbus otm (gbx), Thursday, 12 July 2012 22:47 (thirteen years ago)
I don't. I think cardiologists are.
― iatee, Thursday, 12 July 2012 22:48 (thirteen years ago)
I guess for me the question is, why even start them on opiates for LBP if they've never taken it before? Initially, they just didn't know about the effectiveness and pharma was just shoving it under their noses? Now it's embedded in culture that the patients it's "the thing" to relieve pain, and so demand it? I know why long-established users badger doctors, but I'm still confused as to WHY people are still starting out that way.
― Theodora Celery, Thursday, 12 July 2012 22:50 (thirteen years ago)
fine. the difference is that most specialists price things (procedures, mostly) defensively. they know that different insurers pay at different rates, and price accordingly. big pharma and big medical device (<--an awkward appellation) are operating from the top down
xp the trend now is NOT to start ppl on opiates for pain that won't respond to them.
― catbus otm (gbx), Thursday, 12 July 2012 22:52 (thirteen years ago)
people who are making $400,000 a year are not just 'pricing defensively' for their services
― iatee, Thursday, 12 July 2012 22:53 (thirteen years ago)
The current CPT coding thing is terrible for two reasons:
1) Emphasizes doing lots of stuff versus doing the stuff that should actually be done
2) Results in people seeing huge bills of what the hospital/doctor/lab/etc charged, even though the amount they charged is not even kind of close to what they were expecting to get paid. (I ran a front office for a while before I left for med school and we'd routinely charge $60 for a particular unit of service even though we knew Medicare would pay like $25 and Blue Cross would pay like $30 and Aetna would pay like $19 and United Healthcare would just give us $85 for the total visit no matter what the hell we did. We charged $60 for the unit because basically that was an arbitrary number that was decided upon, which made no difference except when people got their insurance statements and were like "I am not paying for the difference between this $60 you charged and the $19 they paid, this is an outrage!" and then we explained that they didn't have to. Seriously if you just erase the billed amount section of the CPT codes you would reduce bill freakout by like 80000%.
― Dr. (C-L), Thursday, 12 July 2012 22:55 (thirteen years ago)
Umm, in the grand scheme of things, my shrink costs me $100 for like a ten minute scrip session every three months. So that's $400 out of pocket every year since he's not under my plan. Versus the pill he wrote the script for that retails for $167.99 for a one month supply that needs to be taken indefinitely?
― Theodora Celery, Thursday, 12 July 2012 22:59 (thirteen years ago)
xxxp You would never START them on opiates, unless there is a relatively straightforward explanation for severe pain. But functional abdominal pain people and chronic low back pain people tend to be people who rack up lots and lots of visits to medical providers and ERs and such, and have been worked up without any evidence of abdominal pathology or radiculopathy or fracture or whatever, and with no prior response to Tylenol or Aleve or Tramadol or whatever. There are probably some people who jump to Dilaudid a little earlier than others, but nobody's gonna go there without at least exploring Vicodin or Percocet first.
― Dr. (C-L), Thursday, 12 July 2012 23:01 (thirteen years ago)
However, I don't know where psychiatrists rank in the grand specialist pay scale pecking order.
― Theodora Celery, Thursday, 12 July 2012 23:01 (thirteen years ago)
Caveat: unless you are one of those shady doctors who ends up on 60 minutes, then I guess yeah Dilaudid for all!
― Dr. (C-L), Thursday, 12 July 2012 23:02 (thirteen years ago)
smdh @ u florida
― catbus otm (gbx), Thursday, 12 July 2012 23:04 (thirteen years ago)
Perhaps the answer is to send those functional abdominal and low back pain people to homeopaths.
I KID!
― Theodora Celery, Thursday, 12 July 2012 23:11 (thirteen years ago)
Oooh ooh OK for the purposes of education and LOLs here are the median compensation rates for specialties as per the book they gave us at the start of 3rd year (Brian Freeman's The Ultimate Guide to Choosing a Medical Specialty":
Anesthesiology: $284,725 (a little more for pain management, a little less for Critical Care medicine)Dermatology: $221,255Emergency Medicine: $201,604Family Medicine: $148,992 without obstetrics, $150,021 with obstetrics (which does not reflect how much extra you pay in malpractice insurance if you deliver babies)General Surgery: $269,122Trauma Surgery: $325,624Cardiothoracic Surgery: $400,500Colorectal Surgery: $313,374Pediatric Surgery: $270,000Vascular Surgery: $303,020General Internal Medicine: $147,810Cardiology: $307,497Endocrinology: $172,512Gastroenterology: $271,503 (colonoscopy money is decent-ass money, y'all)Heme/Onc: $225,000Nephrology: $205,000Pulmonary/Critical Care: $206,010Infectious Disease: $166,911Rheumatology: $172,550Neurology: $186,946 (also the knowledge that you are the best)Neurosurgery: $401,000Ob-Gyn: $233,030 (More for pure Obstetrics, less for pure Gynecology, again because of malpractice insurance for the baby-delivering sorts)Gynecologic Oncology $285,652Ophthamology: $239,916 (about $340,000 for retinal or refractive surgery)General Orthopedics: $350,147Peds Ortho: $339,650Hand surgery: $379,302Joint Surgery: $430,000Spine surgery: $482,050Otolaryngology: $283,268Pathology: $214,079General Pediatrics: $143,773 (all Peds subspecialties are generally between $20,000 and $50,000 less than their adult medicine counterparts)Physical Medicine and Rehabilitation: $184,118Plastic Surgery: $284,947Psychiatry: $162,000Child Psychiatry: $186,984Radiation Oncology: $324,496Diagnostic Radiology: $315,000Interventional Radiology: $401,000Urology: $298,703
― Dr. (C-L), Thursday, 12 July 2012 23:19 (thirteen years ago)
disk fusion seemed to work for my parents but not for all
― hot sauce delivery device (mh), Thursday, 12 July 2012 23:21 (thirteen years ago)
SPINE GODS
― catbus otm (gbx), Thursday, 12 July 2012 23:27 (thirteen years ago)
sorry I meant THANK YOU BASED SPINE GODS
(that was for the spinal ortho payrates, not yr parents good outcomes)
― catbus otm (gbx), Thursday, 12 July 2012 23:29 (thirteen years ago)
damn. They do make bank, but I guess if they fuck up you're paralyzed or die
― hot sauce delivery device (mh), Thursday, 12 July 2012 23:29 (thirteen years ago)
Ophthamology: $340,000 for retinal or refractive surgery
Is this because retinal surgeons basically need to train their hands to an insane degree?
Spine surgery: $482,050
What's the reasoning here? Not that many around, training is extensive? Wouldn't the malpractice cut be the same as OB/GYN because "fuck up you're paralyzed or die"?
― Theodora Celery, Thursday, 12 July 2012 23:36 (thirteen years ago)
uh except I think you're a lot more likely to paralyze something by cutting their spine directly than their uterus, I'd think
― hot sauce delivery device (mh), Thursday, 12 July 2012 23:37 (thirteen years ago)
something -> someone
Yeah, so wouldn't there be a higher cut taken out of the baseline salary for malpractice because of that?
― Theodora Celery, Thursday, 12 July 2012 23:39 (thirteen years ago)
Procedures = Cash
Procedures people are willing to pay for even when their insurance does not (Lasik, Botox, etc) = CA$H
― Dr. (C-L), Thursday, 12 July 2012 23:42 (thirteen years ago)
Bit surprised that dermatologists/plastic surgeons aren't higher because of that principle.
― Theodora Celery, Thursday, 12 July 2012 23:45 (thirteen years ago)
I may be wrong, or it may be upthread, but the R&D phrama dishes out of pocket goes largely to stupid shit like ED drugs or whatever. The hardcore research, against cancer, or AIDS, or heart disease or whatever, I want to say is heavily subsidized by the government.
Per insurance company profits: http://www.nationaljournal.com/healthcare/report-health-insurance-profits-rise-despite-health-care-reform-20120105
― Josh in Chicago, Thursday, 12 July 2012 23:51 (thirteen years ago)
plastics do a lot of non-elective work, fwiw
(nb my 100% perfect teeth, that are without flaw, were paid for by a plastic surgeon who did boob jobs as well as burns)
― catbus otm (gbx), Thursday, 12 July 2012 23:52 (thirteen years ago)
Dermatology has an ingenious system: the patients rarely get better, and the patients rarely die.
― Josh in Chicago, Thursday, 12 July 2012 23:53 (thirteen years ago)
― hot sauce delivery device (mh), Thursday, July 12, 2012 6:37 PM (15 minutes ago) Bookmark Flag Post Permalink
ob's have the highest malpractice rates because people are worried about babies, not uteruses
― catbus otm (gbx), Thursday, 12 July 2012 23:53 (thirteen years ago)
― Theodora Celery, Thursday, July 12, 2012 6:36 PM (16 minutes ago) Bookmark Flag Post Permalink
retinal surgeons aren't paid because they have great hands, they're paid because no one really needs LASIK.
orthopods do dicey stuff, it's true, but there's also not a lot of them. training isn't that much more than an HIV doc, time-wise.
― catbus otm (gbx), Thursday, 12 July 2012 23:55 (thirteen years ago)
NHS Consultant salaries 2011/2012
Threshold 1, years completed as a consultant 0, £74,504, period before eligibility for next threshold one year
Threshold 2, years completed as a consultant 1, £76,837, period before eligibility for next threshold one year
Threshold 3, years completed as a consultant 2, £79,170, period before eligibility for next threshold one year
Threshold 4, years completed as a consultant 3, £81,502, period before eligibility for next threshold one year
Threshold 5, years completed as a consultant 4, £83,829, period before eligibility for next threshold five years
Threshold 6, years completed as a consultant 9, £89,370, period before eligibility for next threshold five years
Threshold 7, years completed as a consultant 14, £94,911, period before eligibility for next threshold five years
Threshold 8, years completed as a consultant 19, £100,446
Clinical excellence awards for consultants (bonuses)
Level 1 £2,957
Level 2 £5,914
Level 3 £8,871
Level 4 £11,828
Level 5 £14,785
Level 6 £17,742
Level 7 £23,656
Level 8 £29,570
Bronze/Level 9 £35,484
Silver/Level 10 £46,644
Gold/Level 11 £58,305
Platinum/Level 12 £75,796
― TracerHandVEVO (Tracer Hand), Friday, 13 July 2012 10:09 (thirteen years ago)
There is also overtime, which can add up
btw patent monopolies may not be the most efficient way to research new drugs -
http://www.cepr.net/index.php/Publications/Reports/financing-drug-research-what-are-the-issues
― TracerHandVEVO (Tracer Hand), Friday, 13 July 2012 13:07 (thirteen years ago)
a big ish is ppl having been treated for a long time with opiates for conditions that don't generally respond to opiates (eg radiculopathies, iirc, but i'd defer to c-l on that). unfortunately, they're now physiologically dependent on opiates, so you're tasked with treating the addiction as well as the pain. or you get the comorbid: an opioid-dependent patient sustains a bad injury (sometimes as a result of their chem dep, eg falling down some stairs), and genuinely needs real-deal painkillers. but they're an addict. so they get undertreated in the ED
Well this is sounding familiar.
― how did I get here? why am I in the whiskey aisle? this is all so (Laurel), Friday, 13 July 2012 13:44 (thirteen years ago)
- currently in a lecture with the medical director of a large insurance company
- what shall I ask him
― catbus otm (gbx), Friday, 13 July 2012 15:06 (thirteen years ago)
death panels, iirc
― hot sauce delivery device (mh), Friday, 13 July 2012 15:26 (thirteen years ago)
that came up
― catbus otm (gbx), Friday, 13 July 2012 15:29 (thirteen years ago)
I took Citalopram then Effexor then Venlafaxine, which I still take. I also take Lithium and diazepam. I pay nothing for my meds because I live in Scotland. There used to be a prescription charge (£6 last I paid it, regardless of quantity. Nye Bevan, the creator of the NHS quit his post because of the charge, as well as the fact that the NHS didn't totally cover dentistry and opticians) It's terrifying to me that people have to pay for their meds. Also, by the time people end up being treated by A&E their problems will cost more to fix than they would have if they had been treated earlier.
― windborne grey frogs (dowd), Saturday, 14 July 2012 23:19 (thirteen years ago)
Get your common sense outta here, socialist
― Legendary General Cypher Raige (Gukbe), Saturday, 14 July 2012 23:32 (thirteen years ago)
Arggh I got it wrong. The $900 was retail price and was for a THREE MONTH supply. I paid something like $120-$140 out of the $900, and the insurance company paid the difference. Still, that's a lot of money.
― Theodora Celery, Sunday, 15 July 2012 21:18 (thirteen years ago)
Those damn insurance prescription invoices don't make it easy to figure out the true cost of anything.
― Theodora Celery, Sunday, 15 July 2012 21:20 (thirteen years ago)
Well, this is weird. This is from my insurer's website, and either they updated the price point or something went down between my shrink and them, because I definitely didn't pay this amount last year.Name of Drug: Effexor Xr 75 Mg Capsule
Click for more information about this drug.Type: BrandDays Supply: 90Dosage/Pkgs: 3 per dayEstimated Cost Of Prescription: $1367.16Member's Estimated Out-Of-Pocket Cost: $1025.76
― Theodora Celery, Sunday, 15 July 2012 21:33 (thirteen years ago)
I think I got that one confused between with this one.Name of Drug: Venlafaxine Hcl Er 225 Mg Tab
Click for more information about this drug.Type: BrandDays Supply: 90Dosage/Pkgs: 1 per dayEstimated Cost Of Prescription: $569.25Member's Estimated Out-Of-Pocket Cost: $100.00
AND, the current one I'm taking. Notice the price point between the OOP cost between the generic and the branded.Name of Drug: venlafaxine hcl er 75 mg cap
Click for more information about this drug.Type: GenericDays Supply: 90Dosage/Pkgs: 3 per dayEstimated Cost Of Prescription: $436.99Member's Estimated Out-Of-Pocket Cost: $20.00
― Theodora Celery, Sunday, 15 July 2012 21:36 (thirteen years ago)
Ah, ok. Looking at my records, I must have been on branded Effexor for around six months after the initial bump up from 150 to 225. I think it was around $900 back then, and I must have freaked out over the price because then he put me on branded 225 since it was cheaper and a single pill. Then I switched from that to the even less expensive generic.
― Theodora Celery, Sunday, 15 July 2012 21:50 (thirteen years ago)
as if $900 actually changes hands at any point
― hot sauce delivery device (mh), Sunday, 15 July 2012 22:16 (thirteen years ago)
http://www.newyorker.com/reporting/2012/08/13/120813fa_fact_gawande?currentPage=all
― your native bacon (mh), Tuesday, 7 August 2012 15:27 (thirteen years ago)
There's something surreal about opening an article on health care and the first line is It was Saturday night, and I was at the local Cheesecake Factory with my two teen-age daughters and three of their friends.
like, yes, why can't the minds that brought us the CHEESECAKE FACTORY solve our health concerns
― Doctor Casino, Tuesday, 7 August 2012 15:38 (thirteen years ago)
on the other hand I'd love some Cheesecake Factory tacos right now.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 15:39 (thirteen years ago)
We could probably solve lots of America's health problems by banning The Cheesecake Factory.
― Marco YOLO (Phil D.), Tuesday, 7 August 2012 15:41 (thirteen years ago)
tbh The Cheesecake Factory wouldn't be SO terrible if ppl would take home leftovers and eat them over the course of 2-3 days rather than trying to inhale the entire meal in the restaurant
― keeping things contextual (DJP), Tuesday, 7 August 2012 15:42 (thirteen years ago)
I get the whole LOL Cheesecake Factory angle, but I thought this was a pretty interesting (but long) article that made some fairly reasonable points.
― Moodles, Tuesday, 7 August 2012 15:44 (thirteen years ago)
I agree but as usual The New Yorker approaches writing about suburbia like it's they're describing an anthropological expedition.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 15:47 (thirteen years ago)
Yeah, there's some interesting stuff here - - I just wish it were a little more even-handed from the get-go. When the opening spiel is "chains have offered an overwhelming improvement in quality and service for all" I just sort of go, come on. Also, it sort of stacks the deck to pick a relatively upmarket "special occasion" restaurant, as opposed to, I dunno, Denny's, or the many fine brands of frozen pizzas available in our nation's clean, well-stocked gas stations.
― Doctor Casino, Tuesday, 7 August 2012 15:50 (thirteen years ago)
Our new models come from industries that have learned to increase the capabilities and efficiency of the human beings who work for them. Yet the same industries have also tended to devalue those employees. The frontline worker, whether he is making cars, solar panels, or wasabi-crusted ahi tuna, now generates unprecedented value but receives little of the wealth he is creating. Can we avoid this as we revolutionize health care?
This is kind of the crucial paragraph for me, buried down at the end. And the bigger question for me is whether that kind of employee-devaluing is compatible with high quality care, and whether the market can really work in a way such that it can, well, work as a market. I mean in restaurants there's always tons of competition, and the cost in both money and pain of most bad experiences is pretty low. It's harder to imagine a world where a patient would have a consumer choice of a multitude of "hospital systems", and if shit goes wrong, yelping about it isn't really going to be adequate redress.
― Will Chave (Hurting 2), Tuesday, 7 August 2012 15:52 (thirteen years ago)
Also, it sort of stacks the deck to pick a relatively upmarket "special occasion" restaurant, as opposed to, I dunno, Denny's, or the many fine brands of frozen pizzas available in our nation's clean, well-stocked gas stations.
― Doctor Casino, Tuesday, August 7, 2012 11:50 AM Bookmark Flag Post Permalink
Yeah, this is OTM, and also dovetails with Alfred's comment wrt subtle elitism and cluelessness about the lives of most americans. "Only $15 for an entree!" =/= "affordable" in the sense that I think the writer thinks it means it is.
― Will Chave (Hurting 2), Tuesday, 7 August 2012 15:53 (thirteen years ago)
is there really a sizeable segment of the US population that buys the majority of their food at gas stations? I mean, keep in mind you can get exactly the same crap at most grocery stores for cheaper
― keeping things contextual (DJP), Tuesday, 7 August 2012 15:54 (thirteen years ago)
Especially given that it's people who live in the suburbs who actually read the New Yorker, as far as I can tell!
― Guayaquil (eephus!), Tuesday, 7 August 2012 15:55 (thirteen years ago)
they secretly enjoy being offended ime
― iatee, Tuesday, 7 August 2012 15:56 (thirteen years ago)
dunno, but there is a sizeable population that doesn't own a car or have reliable transportation, i'd guess
― Mr. Que, Tuesday, 7 August 2012 15:56 (thirteen years ago)
― Guayaquil (eephus!), Tuesday, August 7, 2012 11:55 AM Bookmark Flag Post Permalink
chalfacts
― Will Chave (Hurting 2), Tuesday, 7 August 2012 15:58 (thirteen years ago)
― keeping things contextual (DJP), Tuesday, August 7, 2012 11:54 AM Bookmark
OK, no, but you know what I mean, right? If the idea is "this is a model that could be applied to health care and fulfill the needs of Joe Average!" then using Cheesecake Factory is just weird, rhetorically. Joe Average doesn't rely on Cheesecake Factory to survive. Maybe some of the same points would hold if the author visited fast food places, maybe not, but it's just a turn-off to read an argument built up in this way.
― Doctor Casino, Tuesday, 7 August 2012 15:58 (thirteen years ago)
it's a ridiculous argument because you don't need to read about the cheesecake factory for 20 mins to get the idea
― iatee, Tuesday, 7 August 2012 15:59 (thirteen years ago)
okay, but why would someone with no car be shopping at the gas station
xp: I sort of know what you mean, I should probably actually read the article before continuing with my perplexed counterarguing
― keeping things contextual (DJP), Tuesday, 7 August 2012 16:00 (thirteen years ago)
they're stocking up on gas aspirationally
― iatee, Tuesday, 7 August 2012 16:01 (thirteen years ago)
They can walk to the gas station, but not to Cheesecake Factory.
― Doctor Casino, Tuesday, 7 August 2012 16:01 (thirteen years ago)
because they can't drive to the grocery store that's far far away, gas station or a drugstore is the closest thing. i see people buying groceries at the drug store all the time
― Mr. Que, Tuesday, 7 August 2012 16:01 (thirteen years ago)
Also just, I mean - -
An order for a “hibachi” steak popped up. He tapped the screen to open the order: medium-rare, no special requests. A ten-minute timer began. He tonged a fat hanger steak soaking in teriyaki sauce onto the broiler and started a nest of sliced onions cooking beside it. While the meat was grilling, other orders arrived: a Kobe burger, a blue-cheese B.L.T. burger, three “old-fashioned” burgers, five veggie burgers, a “farmhouse” burger, and two Thai chicken wraps. Tap, tap, tap. He got each of them grilling.
yes, i can just imagine how excellent the health care modeled on this approach will be!
― Doctor Casino, Tuesday, 7 August 2012 16:02 (thirteen years ago)
Tap, tap, tap. He got each of their hearts working.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 16:03 (thirteen years ago)
one knee replacement, no special requests
― johnny crunch, Tuesday, 7 August 2012 16:04 (thirteen years ago)
He tonged a fat hanger steak soaking in teriyaki sauce
read this as "He tongued"
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 16:04 (thirteen years ago)
Okay maybe this is just a factor of the places I've lived but I have never been in a location where there was a gas station within walking distance but no grocery store
I do see ppl buying groceries at the local drug store from time to time, which is just lol because there is a massive supermarket literally 3 blocks down the street
― keeping things contextual (DJP), Tuesday, 7 August 2012 16:05 (thirteen years ago)
Homogenization of technique and standardization of materials would be a shitload better than our current clusterfuck, yes.
Did you get to the part where new knowledge or techniques take up to 15 years to disseminate through the healthcare system?
― your native bacon (mh), Tuesday, 7 August 2012 16:05 (thirteen years ago)
picturing a long row of anesthetized patients, a line surgeon deftly flipping organs with a spatula
― Will Chave (Hurting 2), Tuesday, 7 August 2012 16:05 (thirteen years ago)
it's just such a horrible analogy. You work in a restaurant for crappy wages, you drop a steak on the floor - - eh, throw another one on the grill, it's not your money anyway, whatever... you realize nobody got the mushrooms sauteed, fuck, just stick 'em in the microwave for a minute with a butter pat on top, get those outta here - - you discover you're all out of vegetables, well, shit, man, i don't control the buying and stocking, serve them some celery sticks with some cabbage or something, i've got shit to do in here.... like, great, that really inspires confidence in this upcoming hernia operation.
― Doctor Casino, Tuesday, 7 August 2012 16:06 (thirteen years ago)
But really, if all surgeons standardized on the best practice for knee replacements, and two or three vendors instead of each having a special relationship due to some sales rep taking them out to eat and sending them to a conference, we'd get more consistent results and materials costs would be better.
I mean, we all know this in the thread, but every time someone spells out the inefficiencies it still manages to hurt my head
― your native bacon (mh), Tuesday, 7 August 2012 16:08 (thirteen years ago)
(Oh and just try and complain about any of that stuff - - - guaranteed there is a better-paid, comfortable, lazy-ass kitchen "manager" whose actual occupation is schmoozing with Corporate and insulating himself from anything that goes wrong, and he will tell you that the priority right now is to keep food cost down, because of all this vigorous, quality-improving competition.)
― Doctor Casino, Tuesday, 7 August 2012 16:08 (thirteen years ago)
I wonder about this too. My CVS has long lines on Saturday afternoons when there's a Publix across the street. It makes more sense after hours when it closes.
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 16:09 (thirteen years ago)
I think the Cheesecake Factory embodies a lot of what is wrong with our society and I like some art to my food, but it's probably a better model of how hospitals should work than restaurants I would want to go to.
― your native bacon (mh), Tuesday, 7 August 2012 16:09 (thirteen years ago)
I don't want to write off what he's saying. Extreme inefficiency in any kind of service from the simplest to the most complicated is going to both worsen quality and increase prices, and obviously even medicine might potentially benefit from certain kinds of business-style improvements. And obviously for some people Wal-Care or McCare or whatever is going to at least be better than no care at all. But these aren't new ideas! And their implementation has already created serious abuses in some cases! I mean, there's a difference between mastering the art of convincing a diner to order appetizers and drinks he doesn't need and convincing a patient to get care he doesn't need.
― Will Chave (Hurting 2), Tuesday, 7 August 2012 16:11 (thirteen years ago)
Really this argument comes down to the same flaw in every context in which it's raised -- the proponents of it assume that what's optimal for the customer is optimal for the bottom line, and that's been proven false over and over again.
― Will Chave (Hurting 2), Tuesday, 7 August 2012 16:13 (thirteen years ago)
The implementation, often in the terms of HMO and other care, has still been more pushed on the restriction and reduction of administrative costs on the patient side of things. Medicare's negotiated rates and guidelines are probably a closer fit and those tend to have a better reputation than HMO-style care and have had a lot of praise when it comes to cost control.
― your native bacon (mh), Tuesday, 7 August 2012 16:14 (thirteen years ago)
Really this argument comes down to the same flaw in every context in which it's raised
Did you read the part of the article where the writer's mother was able to recover quicker by receiving more standardized care, at a lower cost?
Seriously, throw out the analogy and get to the middle of the article, guys.
― your native bacon (mh), Tuesday, 7 August 2012 16:15 (thirteen years ago)
The biggest complaint that people have about health care is that no one ever takes responsibility for the total experience of care, for the costs, and for the results. My mother experienced what happens in medicine when someone takes charge. Of course, John Wright isn’t alone in trying to design and implement this kind of systematic care, in joint surgery and beyond. The Virginia Mason Medical Center, in Seattle, has done it for knee surgery and cancer care; the Geisinger Health Center, in Pennsylvania, has done it for cardiac surgery and primary care; the University of Michigan Health System standardized how its doctors give blood transfusions to patients, reducing the need for transfusions by thirty-one per cent and expenses by two hundred thousand dollars a month. Yet, unless such programs are ramped up on a nationwide scale, they aren’t going to do much to improve health care for most people or reduce the explosive growth of health-care costs.
― your native bacon (mh), Tuesday, 7 August 2012 16:16 (thirteen years ago)
This really spells out the largest argument for single-payer or at least some sort of single administration for health practices and knowledge.
― your native bacon (mh), Tuesday, 7 August 2012 16:17 (thirteen years ago)
you guys are really hung up on the cheesecake factory thing huh
― max, Tuesday, 7 August 2012 16:19 (thirteen years ago)
Little did the writer know that mentioning such a boring part of the cultural terrain would make people ignore his healthcare points.
― your native bacon (mh), Tuesday, 7 August 2012 16:20 (thirteen years ago)
cant believe atul gawande wants to replace knee surgery with steak recipes
― max, Tuesday, 7 August 2012 16:21 (thirteen years ago)
what if his daughters had preferred applebees
― johnny crunch, Tuesday, 7 August 2012 16:21 (thirteen years ago)
david brooks will write a response article using the applebees salad bar
― iatee, Tuesday, 7 August 2012 16:22 (thirteen years ago)
* bows to iatee's analogy *
― your native bacon (mh), Tuesday, 7 August 2012 16:23 (thirteen years ago)
You may know the chain: a hundred and sixty restaurants with a catalogue-like menu that, when I did a count, listed three hundred and eight dinner items (including the forty-nine on the “Skinnylicious” menu), plus a hundred and twenty-four choices of beverage
my god i had no idea, someone take me to the cheesecake factory
― lag∞n, Tuesday, 7 August 2012 16:30 (thirteen years ago)
Sub in "bodega" and you've got NYC.
― Josh in Chicago, Tuesday, 7 August 2012 16:35 (thirteen years ago)
sub in 'korean deli'
― lag∞n, Tuesday, 7 August 2012 16:38 (thirteen years ago)
mods, retitle thread "the supreme court decides on cheesecake factory's individual mandate" plz
― a regina spektor is haunting europe (Alfred, Lord Sotosyn), Tuesday, 7 August 2012 16:38 (thirteen years ago)
the supreme cheesecake's individual factory
― lag∞n, Tuesday, 7 August 2012 16:39 (thirteen years ago)
supreme factory's individual cheesecake = our future as valued health-customer units
― Doctor Casino, Tuesday, 7 August 2012 16:40 (thirteen years ago)
the death pannel awards you a certain number of cheesecakes and thats how long youre allowed to live
― lag∞n, Tuesday, 7 August 2012 16:42 (thirteen years ago)
this korean guy with a slightly thick accent bought a scanner from me last night, and he was saying he needed it for his business and I asked him what his business was, and I swear I thought I heard him say "deli." It turned out it was actually organic products importing. lol subconscious racism I guess.
― Will Chave (Hurting 2), Tuesday, 7 August 2012 16:46 (thirteen years ago)
― lag∞n, Tuesday, 7 August 2012 16:47 (thirteen years ago)
on iPhone at the moment, so I'll just say this for now: there are some things about health care delivery, best practices, outcomes research, etc, that you guys might be overlooking/don't know about
― catbus otm (gbx), Wednesday, 8 August 2012 00:28 (thirteen years ago)
nb I need to read the article
there are some things abt the article you might be overlooking/don't know about, im on a phone
― lag∞n, Wednesday, 8 August 2012 00:30 (thirteen years ago)
hey kid, ima phone. stop all the armchair editorializing
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 00:34 (thirteen years ago)
i dont know much abt healthcare my mom took me to the hospital i got a couple stitches on there
― lag∞n, Wednesday, 8 August 2012 00:37 (thirteen years ago)
im not a doctor but i HAVE been to a cheesecake factory
― max, Wednesday, 8 August 2012 00:39 (thirteen years ago)
so jel
― lag∞n, Wednesday, 8 August 2012 00:40 (thirteen years ago)
― lag∞n, Tuesday, August 7, 2012 4:30 PM (Yesterday) Bookmark Flag Post Permalink
yeah it's totally rad
― Matt Armstrong, Wednesday, 8 August 2012 00:43 (thirteen years ago)
the cheesecake factory has this spinoff called Grand Lux Cafe and it's really awesome too
i once went to cheesecake factory alone, in boulder, and had a big glass of wine. even the waitress seemed to pity me
― you're all going to hello (Z S), Wednesday, 8 August 2012 00:50 (thirteen years ago)
http://i.imgur.com/BQIuU.jpg
my sources tell me the above picture was taken in a cheesecake factory in washington dc, many bothans died to bring us this picture
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 00:52 (thirteen years ago)
http://www.thecheesecakefactory.com/menu/cabernet_sauvignon/the_cheesecake_factory_cabernet_sauvignon
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 00:53 (thirteen years ago)
ok geez i read the article
on a desktop btw
― catbus otm (gbx), Wednesday, 8 August 2012 00:56 (thirteen years ago)
wonder how the cheesecake factory cabernet sauvignon would do in a taste test ::puts out the iatee signal::
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 00:57 (thirteen years ago)
anyway it is largely otm, though there is kind of a creepy turn a little before the cleveland clinic comes up. the Big Medicine he describes isn't really a necessary foregone conclusion; most of the article is pretty otm when it comes to describing (via cheesecake analogy) what's working and not working in medicine
― catbus otm (gbx), Wednesday, 8 August 2012 00:58 (thirteen years ago)
cc cab sov
― lag∞n, Wednesday, 8 August 2012 00:58 (thirteen years ago)
stat
― lag∞n, Wednesday, 8 August 2012 00:59 (thirteen years ago)
a glass of your finest cheesecake factory house wine, please
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 01:00 (thirteen years ago)
gbx just always assume that page you're on? it's mine. that's why we're usually on the same
― your native bacon (mh), Wednesday, 8 August 2012 01:21 (thirteen years ago)
“Customization should be five per cent, not ninety-five per cent, of what we do"
^^^maybe not THE but definitely A take-home point from this
you have to remember that modern medicine, as we know it, as it is widely thought of, is a science---bound by the same strictures of investigation and reporting as any other line of scientific inquiry. the main difference is that doctors get to act---often starkly, definitively---on the corpus of knowledge (and their patient's literal corpus) produced by their, or their colleagues, research. like, astronomers get to find and understand asteroids, but they don't get to blow them up. that's mclane's job.
thing is, many (or some, or few, spitballing here) american patients assume a couple of not-quite-incompatible-but-in-need-of-reconciling ideas when they come into the doctor's office:
a) they will receive the greatest level of diagnostic and therapeutic expertise afforded by the most knowledgeable and technologically advanced healthcare system in the world, and historyb) their physician (or mid-level practitioner, who they make think is a physician) will have the virtuoso ability to finely appraise their situation not just in the physiological sense, but to also recognize the emotional and demographic pressures that will have an actual, discernable impact on the modality of care delivered---such that their treatment offerings would, in any other patient, seem against the grain.
guess which one of these is customization
― catbus otm (gbx), Wednesday, 8 August 2012 01:24 (thirteen years ago)
very few doctors draw blood and smear it on a slide and look at it through a microscope when they want to find out if someone has an elevated white count
― catbus otm (gbx), Wednesday, 8 August 2012 01:27 (thirteen years ago)
LOL reminds me of a friend who has been trying to get me to eat healthier and keeps telling me to go to the farmer's market and buy fresh vegetables. Which is something i do when i find a ride, but i have no car. If you have no car, not only is it difficult to get to the store, but it's difficult to bring the stuff back, and vegetables don't last forever so you end up having to make this difficult trip once a week if you are lucky.
I usually walk to the grocery store, which is 30 min each way. Now I don't have a full-time job and I'm pretty young, so i have the ability to do so. But were i old, disabled, obese, or had less free time, you bet I'd say 'to hell with it' and just live on Mac n Cheese and junk food from the local convenience store. And i actually WANT to eat healthy.
― Emperor Cos Dashit (Adam Bruneau), Wednesday, 8 August 2012 01:32 (thirteen years ago)
so you're saying most americans who go to a doctor are comparable to yelpers
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 01:53 (thirteen years ago)
xp iirc some studies suggest that the problem w/ getting people to eat healthy might not be the lack of accessibility of supermarkets; rather, it's because fresh food is naturally going to be more expensive than the stuff that can be stuck in a tin or baked into a cookie that can sit on a shelf for six months
― smells like ok (soda) (dayo), Wednesday, 8 August 2012 01:55 (thirteen years ago)
idk I eat a lot of beans and rice which are cheap as dirt & there's a lotta diff stuff you can do with em but cooking has to be part of your life. putting the beans in water before you go to bed. having a little while to cook. I have the unspeakable luxury of working from home most days & setting my own hours, but I spend less than most people I know on chow because most of what I use is cook-from-scratch stuff. don't have any data to back me on this but I get the feeling one reason people don't eat healthy is something is pretty askew in what counts as food for people
― steven fucking tyler (underrated aerosmith bootlegs I have owned), Wednesday, 8 August 2012 02:08 (thirteen years ago)
long delayed xp to myself, VVVV is some tl;dr move along dogie
and believe me, anyone that insists that "the doctor do it" (nb this rarely happens) is going to be bruised in the morning, and probably less likely to get an accurate diagnosis
i suppose one notable (prob not fatal) error in the cheesecake/hospital comparison is that medical education does not necessarily demand that student doctors be required to practice the specifics of how to do the job of a phlebotomist or lab tech; not a lot of ex line cooks. instead, the expectation is that, in a pinch, a doc would be smart and acquainted enough with the task to be able to perform it in a way that wouldn't result in any ~major~ problems.
...except that many of the major problems in healthcare (ie the ones that kill people, instead of merely not serving them) are the result of deficits in the clerical overhead needed for safety in a system that relies on automated diagnostics and routine procedures. we rely on "routine tests" for the work-up of complex disease, just as we rely on "routine procedures performed by people that do not have, nor need, a fusty Training In Medicine".
some things are ~clerical procedures~ like knowing what arm is getting cut off---while it's easy to say that that's the doctor's job, it's also in a practical sense insane to assume that anyone (like IN THE ROOM) involved with cutting off someone's arm doesn't know which arm it is, and would not be able to share that. it's why we have pre-flight surgical checklists. they are rarely discordant (everyone knows the arm) but sometimes someone will cop to being wrong, even in the most innocent and irreproachable "right, duh, i actually knew that ~mondays~". nothing would've gone wrong in that situation, but boy.
a more common and telling example is blood-typing: doctors are not necessarily involved in blood-typing, beyond generally ~being aware~ of the patient's blood type as it is reported. a cross and type is an algorithmic process: someone's blood type pretty conclusively (like, really really conclusively) rules in or rules out other blood types for transfusion. what they're given on transfusion is largely a matter of inventory, not clinical acumen. which is great, from a cost perspective (docs don't have to give over a ton of time to verifying or really even thinking about a blood type, so they can do other stuff that requires ~thought~), but a little terrifying from a clerical perspective: those blood-typing gadgets and the algorithms that make recommendations better be really, really, really fucking good. scaling up medicine---making doctors responsible for a more and more rarified 5%---kinda demands a level of industrialization.
the difference i think, and what i would sincerely hope is taken for granted by people that work in medicine, is that large-scale improvements in medical care delivery don't have to efface the humility and humanity of the work itself. what most people seem to actually want out of healthcare is a sense that the people that are tending to them actually give a shit. as well as paying mind to all the myriad things that would merit "customization."
*nb i'm sure there are some counter-factuals to, say, the blood-typing argument: some institutions probably offer recommendations on their lab reports, some may not. ECGs are another example: the EKG printouts at my clinic offer pretty basic automated interpretations (regular sinus rhythm), but don't go giving suggestions about Wolff-Parkinson-White. some places don't have any automated diagnoses at all. the question i suppose isn't whether or not to have automated, industrial medical services, but where and how to shape interventions that need ppl up the bracket. same question sorta assumes an interventional hierarchy, which is a whole different problem
― catbus otm (gbx), Wednesday, 8 August 2012 02:12 (thirteen years ago)
being attended to by a huge staff of medical personnel shouldn't suck prima facie, it should suck when what they are doing isn't getting you home and back to whatever it is you do faster, cheaper, and happier
l mean ffs that sounds like horrible corp speak but if a nice old doc or nurse or whoever said that, and fucking meant it, while you were sweating in a hospital bed you and me both would go dang that's decent
― catbus otm (gbx), Wednesday, 8 August 2012 02:23 (thirteen years ago)
gbx were you in health care before the changeover to computerized charting and if so what have your observations been regarding its effects on patient care
― steven fucking tyler (underrated aerosmith bootlegs I have owned), Wednesday, 8 August 2012 02:45 (thirteen years ago)
i was not, but it's still out there. the only personal experience i have was from a peds clinic, part of a large-ish group, that used paper records, and there wasn't a whole lot coming through that would've seen huge gains from an EMR.: well-child checks and URIs are often pretty rote, esp in a suburban clinic in an affluent midwestern area. the major cost (and care) benefits from massively connected and available health systems tend to benefit patients that move between systems, and have pretty heavy problems that could be managed outpatient but that in our system tend to land them hospital stays (and bad health long-term) since they have the sort of extra-clinical issues that tamp down outpatient care visits---broke, part of a constituency that other people don't care about or actively avoid (to be mild), or both (or both^2: homeless).
paper records are super sucky if you grew up reading data in sterilized typeface (doctors really do suck at handwriting), but they have the benefit of being simpler from an organizational perspective. they are nothing if not parsimonious. paper charts that i've seen vary in informatic density, but they're all in a shorthand that seems to have an interest in putting relevant data first. the problem is that they're on paper, in another building, far away, and the dude with a murmur recently found on exam at his clinic is in an emergency room at another hospital where it's loud enough (shut up drunks) that no one's gonna pick that murmur up unless they are a) a boss at auscultation or b) given a heads-up about the fact that this dude might have a new-onset heart murmur
― catbus otm (gbx), Wednesday, 8 August 2012 03:15 (thirteen years ago)
don't have anything to add to this discussion but i just wanted to high-five this:
hey kid, ima phone. stop all the armchair editorializing― smells like ok (soda) (dayo), Tuesday, August 7, 2012 8:34 PM Bookmark Flag Post Permalinki dont know much abt healthcare my mom took me to the hospital i got a couple stitches on there― lag∞n, Tuesday, August 7, 2012 8:37 PM Bookmark
― smells like ok (soda) (dayo), Tuesday, August 7, 2012 8:34 PM Bookmark Flag Post Permalink
― lag∞n, Tuesday, August 7, 2012 8:37 PM Bookmark
― Doctor Casino, Wednesday, 8 August 2012 03:49 (thirteen years ago)
Papa John's CEO Says Healthcare Law Will Result In Higher Pizza Prices. Politico (8/8, Tau, 25K) reports in its "Politico 44" blog that Papa John's Pizza CEO and founder John Schnatter, who is a supporter and fundraiser for Mitt Romney, said in a conference call with shareholders that President Obama's healthcare law will "result in higher costs for the company - which they vowed to pass onto consumers." Schnatter said, "Our best estimate is that the Obamacare will cost 11 to 14 cents per pizza, or 15 to 20 cents per order from a corporate basis," adding, "We're not supportive of Obamacare, like most businesses in our industry. But our business model and unit economics are about as ideal as you can get for a food company to absorb Obamacare."
― johnny crunch, Wednesday, 8 August 2012 14:12 (thirteen years ago)
i will not stand for this 1% increase in pizza prices
― lag∞n, Wednesday, 8 August 2012 14:14 (thirteen years ago)
chain pizza places are kind of in a constant race to the bottom to provide you with a "pizza" at the lowest price, maybe P. John would be a good healthcare guru
― your native bacon (mh), Wednesday, 8 August 2012 14:43 (thirteen years ago)
garlic butter dipping sauce as cure all salve
― lag∞n, Wednesday, 8 August 2012 14:46 (thirteen years ago)
I have had the odd privilege of working at multiple places that were in various stages of the computer record changeover (the hospital at my med school had paper charts, paper orders, and computerized labs/tests including my personal favorite imaging viewer; the university hospital I'm at this year has paper charts in terms of what the doctor does, but electronic orders including my personal favorite Medication viewer; and I am spending most of the first half of my intern year at the VA, which has been essentially all computerized for longer than anyone else, and has a records viewer that is ugly and a little counterintuitive but has literally EVERYTHING from the entire VA system if you know where to look). If I have time, I like paper H&Ps and paper notes because I like writing and I like the little moments of thinking you can do because it takes a little bit of time to physically write stuff out and so you're like "OK this dude has a history of rheumatoid arthritis but he's been off his immunosuppressive meds because he was just getting an antibiotic for a surgical infection and now he has acute-onset polyarticular pain and a fever; I FEEL like it's probably rheumatologic but he just had a terrible infection and now he has a fever and a systemic infection can cause enough inflammation on its own to muck up his terrible joints so I can't say that it isn't, and in the meantime he should probably get some pain meds, he looks rough" and so as long as I am not slammed I can get lost in my own head and work it out, which is one of my favorite things. I am less good at this when I am typing, but I also realize that's just me. Typing goes faster than writing, and plus I just finally figured out that I can use my iPhone to transcribe my HPIs instead of having to write those out (which is super-rote and takes forever).
The computer-dominated VA system is pretty OK for me right now, because I am frequently stupid busy this year, and a lot of admissions there do not require all THAT much thought, tbrr, because very smart people who came before us have essentially standardized the line order for treating DKA or diabetic foot or neutropenic fever or rule out Acute Coronary Syndrome etc etc etc. (This is even more pronounced in the outpatient setting, where visits can be like "Oh OK my blood pressure is too high" = HCTZ, "Hey there is this weird pain that happens sometimes when I go like this" = "It could be like a million things, it'll probably go away if you stop doing that so much", etc.) They warrant inpatient hospitalization for monitoring or IV antibiotics or some sort of procedure or test, but basically it is like "They are here until X happens, then they can go, unless they die or something, idk". Also, they have EVERYTHING that is in the VA system, although it can sometimes take an hour of muddling about VistaWeb remote access to get the record from an outside VA to figure out exactly what the hell that surgery was and when and why. But it is actually there, somewhere, and so you are spared calling medical records of a hospital you've never heard of before so they can send you 80 pages of nursing notes and the one page of things you want to see. The VA has the ability to be very Cheesecake Factory but it can also more frequently be one of those restaurants where the wait staff is super unhelpful and sometimes your order gets burned because the guy who was gonna take it out of the oven went on break and decided not to let anyone know about it.
In conclusion, my favorite Cheesecake Factory cheesecakes include Chocolate Mousse and Key Lime. My favorite problems requiring medical admission include pre-syncope and HONK.
― Dr. (C-L), Wednesday, 8 August 2012 15:47 (thirteen years ago)
this thread oddly makes me want to go to a cheesecake factory. It was, in fact, at one time the go-to celebratory restaurant for my family (probably more because my brother and I liked it than my parents). They had some kind of cheesy pasta that I would always order, with a coke, and followed with cheesecake #thisiswhyyourefat. The cheesecake choices were always overwhelming but fun to make.
― Will Chave (Hurting 2), Wednesday, 8 August 2012 15:50 (thirteen years ago)
dunno if this is a good thing or a bad thing but there literally isn't a single (teaching) hospital in my area that doesn't use an EMR for basically everything, records, orders, referrals, lab results, imaging, everything. moreover, save for the va and the children's hospital, they all use the same software. By the time I leave here I will be a fuckign BOSS on epic. ive slowly been developing my quiver of dot phrases, takes me like fifteen minutes to write a note that might have taken 40min a year ago. for straightforward office visits, the note's done when I walk out the door
hi CL, how's interning
― catbus otm (gbx), Wednesday, 8 August 2012 16:04 (thirteen years ago)
why would it be a bad thing
― lag∞n, Wednesday, 8 August 2012 16:11 (thirteen years ago)
for reasons not worth explaining I've been reading a little about voice-recognition medical transcription. Have you run across that?
― Will Chave (Hurting 2), Wednesday, 8 August 2012 16:11 (thirteen years ago)
because unless that system is standardized everywhere, there's the chance of matching in a system that uses something else and needing to relearn everything almost from scratch at the beginning of your residency, is my guess
― keeping things contextual (DJP), Wednesday, 8 August 2012 16:13 (thirteen years ago)
yeah sorry I wasn't clear, it's not that training on an EMR is a bad thing, it's that one private company's control of an entire market could be seen by some as not necessarily good
given that there isn't some commonly accepted, open-source file format for medical records (HOW INSANE IS THAT**), one company monopolizing access (via the software you have to buy from them at great expense*) may or may not be desirable down the road. and yeah I don't want to learn a new system if I get shipped somewhere else
*my clinic paid 850k for their EMR, before hardware.
**srsly how fucking insane is that. obv theres a whole of other things to consider, but an EMR is still just a database that associates a given patient with some stuff that happened to them. nerds write entire operating systems for fun, why can't they write an awesome EMR, where's our Linus? a: they actually have, but from what I understand, they don't handle billing or HIPAA stuff very well
― catbus otm (gbx), Wednesday, 8 August 2012 16:23 (thirteen years ago)
given that there isn't some commonly accepted, open-source file format for medical records
o rly
tell me more
― keeping things contextual (DJP), Wednesday, 8 August 2012 16:25 (thirteen years ago)
a linus is prob not what u need
― lag∞n, Wednesday, 8 August 2012 16:26 (thirteen years ago)
XML would work..
― TracerHandVEVO (Tracer Hand), Wednesday, 8 August 2012 16:29 (thirteen years ago)
its a proprietary database sure but can it really not export a medical record into a universal format, like if you use oracle or w/e you can still get the data out if you need to
― lag∞n, Wednesday, 8 August 2012 16:32 (thirteen years ago)
technically we do have a public standard, btw: http://en.wikipedia.org/wiki/VistA
these guys know what's up: http://model.pih.org/electronic_medical_records/pih_emr_overview
TH: thats what I've always been telling people! and yeah, djp, afaik there really isn't a portable file format. like that one thing could revolutionize healthcare delivery. EMRs could compete over usability and features and whatever, but at least you could say "hey I'm moving somewhere else, please hit Export and hand me a CD or USB drive or better yet just send the thing yrself"
imaging studies aside (which can be huge), a persons medical chart comprises like less than 1mb of storage, it's just text and numbers.
― catbus otm (gbx), Wednesday, 8 August 2012 16:34 (thirteen years ago)
there's definitely some interoperability between EMRs, but it's been kludged after the fact, like someone writing a script to translate one coding language into another---otherwise systems wouldn't be able to migrate to different software. still, that's a huge pain (HUGE), when the U switched from its old system to the new one, there were all kinds of headaches. ppl didn't know how to use it, there were all kinds of reconcililing errors, and so on
I have a whole crazy idea about EMR, unique medical record numbers, biometrics, and asymmetric encryption but I'll spare you
― catbus otm (gbx), Wednesday, 8 August 2012 16:38 (thirteen years ago)
I just got off 4 weeks of night float! I am excited to be amongst the daylight people again.
And as I alluded to earlier, I realized over the weekend that I can bring the medical transcription era to the present once I realized that I could just talk my histories into my iPhone notepad, and then email that to myself and revise as needed and paste into the VA computer record. We already do transcribed discharge summaries into a phone, also.
And for the records, it is possible that you can extract the data (it is essentially textboxes and checkboxes, ultimately) but there is not a way on the user interface to actually export this data. I am sure medical records or IT or whoever could do such a thing if they wanted to but the end-user has no ability to do this.
― Dr. (C-L), Wednesday, 8 August 2012 16:39 (thirteen years ago)
― catbus otm (gbx), Wednesday, August 8, 2012 12:38 PM (23 seconds ago) Bookmark Flag Post Permalink
naw lets hear it
― lag∞n, Wednesday, 8 August 2012 16:39 (thirteen years ago)
1 MB of text is a shit-ton of text, I'd imagine you'd only hit that for cases where someone decided to insert A Tale of Two Cities into someone's medical history
― keeping things contextual (DJP), Wednesday, 8 August 2012 16:40 (thirteen years ago)
most of it is death pannel notes iirc, and the cheesecake factory drink menu
― lag∞n, Wednesday, 8 August 2012 16:41 (thirteen years ago)
Nah there are a bunch of people who have been in the medical system a million billion times and all of that generates Dickensian volumes of records (especially if you are involved with a vertically integrated system like Kaiser or the VA) over the course of many years and hospitalizations and studies and such.
― Dr. (C-L), Wednesday, 8 August 2012 16:42 (thirteen years ago)
Like all you have to do is have diabetes and poor compliance and you basically can generate a few million words of records on that in a decade between the clinic visits and the missed clinic visits and the ER visits and the hospitalizations and eye exams and the wound care visits and the amputations and the dialysis and such and such.
― Dr. (C-L), Wednesday, 8 August 2012 16:44 (thirteen years ago)
(nb: take your goddamned Metformin)
― Dr. (C-L), Wednesday, 8 August 2012 16:45 (thirteen years ago)
oof
so part of the problem is lack of standardization in how patient conditions are reported?
― keeping things contextual (DJP), Wednesday, 8 August 2012 16:46 (thirteen years ago)
or is it literally that you have to make so many repetitive entries because people are terrible at taking care of themselves?
― keeping things contextual (DJP), Wednesday, 8 August 2012 16:47 (thirteen years ago)
ya im sure we would have no need for medical records at all if people werent just so bad at taking care of themselves, and just went out on the ice floe when their time came
― lag∞n, Wednesday, 8 August 2012 16:49 (thirteen years ago)
see that sounds like a sane way to use transcription software. Ive seen some old docs using Dragon headsets, and it takes them almost as long to chart that way as it does to hunt and peck at the keyboard. Instead of letting stupid errors stand, or leaving sentences unpunctuated, and then just editing the whole thing later, they painstakingly talk the software all of these keyboard maneuvers like deleting and placing commas and god I just want to die
xps I was overestimating with a meg, but even for the mega-patient with basically a years worth of daily ICU notes and hundreds of office visits, we're talking about an amount of data that is very vey manageable
xxp Dan, yes. some EMRs actually have tried to implement "standardized writing", by allowing the user to generate a note by clicking on a form that has, say, pertinent positives and negatives from their history and then spitting out human readable text....but no one uses this function, really. of course, there IS a historical standard for patient reports, the SOAP note, and it's stood the test of time, and would likely be the model for any standard EMR format, but that doesn't mean you'd see a change in how surgeons ("pt sleeping, wound c/d/i") or psychiatrists (*cracks fingers over keyboard*) actually choose to relay info
― catbus otm (gbx), Wednesday, 8 August 2012 16:53 (thirteen years ago)
Sometimes it is that someone has something weird and so they get some workup and they find nothing, so they just go \o_O/. and then it comes back and they do some different workup and they find nothing and then they go \o_O/. And then it comes back etc etc. A lot of the subjective stuff (pain, weakness) is like this, especially when there is likely a psychiatric component and the person is resistant to being thought of as "crazy".
Sometimes you look up a dude's records and it is like "OK he has been here five times this year, for this exact same thing." But you have to admit them if it is something like atrial fibrillation with rapid ventricular response (because that can kill you), and you admit them for Telemetry monitoring and then you give them the Metoprolol they were not taking and they get better and you discharge them and they are not taking the metoprolol and they come back with chest pain/shortness of breath and they are in a-fib with RVR again and you just say "Fuuuuuuuuuck" and shrug and admit them to Telemetry again. Or guys who have urinary incontinence because they are paralyzed or whatever, and end up with indwelling urinary catheters, they basically live with bacteria in their urinary tract 100% of the time, and sometimes they get fevers and you assume it is that, and sometimes if they are grossly infirm you assume it is urosepsis if they start to act confused or are short of breath and you can't find another reason why and again, "Fuuuuuuuuuck". They need to be treated acutely (at significant expense) but the chronic solution is not exactly obtainable (because the patient is not helping himself/herself in the first case, or because you can't live with a foreign object in your whatnot and not get infected in the latter), so you discharge them when the acute issue is resolved and fully anticipate them coming back in a few weeks.
Hahaha I sound really burned out whenever I talk about this. I am actually not (I'm enduring!) but this is the wall in medicine I find most frustrating.
― Dr. (C-L), Wednesday, 8 August 2012 16:59 (thirteen years ago)
fwiw one pillar of medical education is learning The Patient Presentation, wherein the student plays the role of field scout and reports to the attending the exact amount of information necessary to diagnose and treat the patient, as gleaned from the interview exam and chart. and even if you dont tell the staff everything, youre still supposed to know it. the whole enterprise is predicated on accurate reporting (med students are like Fair Witnesses), so it's funny to me that thus far we havent done the greatest job with EMRs. on the other hand, in a teaching environment, the students and interns and residents are basically the embodiment of an EMR. need to know what this dudes meds are? ask the intern, if she doesn't know, wait, you'll know soon enough
xp see and the thing is that EMR and the patient-centered medical home and the cheesecake factory are all supposed to cut down on those repeat admits cuz after the guy with a fib gets discharged, someone at the clinic is supposed to call him and say hey boss come in for follow up we gotta sort this med situation, and then they help him find a ride, and get a new scrip for metoprolol, and then they call to see if he's filled it, and then someone calls once a week to see if he's still taking it, and this is all in the chart so that when he shows up in the ED theyll know the dude is from circumstances and might be a bit more aggro about pushing for followup etc
― catbus otm (gbx), Wednesday, 8 August 2012 17:07 (thirteen years ago)
I will now make my perennial suggestion to the ppl of ilx to read gawande's hot spotters article
― catbus otm (gbx), Wednesday, 8 August 2012 17:09 (thirteen years ago)
Was that the one about Camden, NJ?
― Dr. (C-L), Wednesday, 8 August 2012 17:18 (thirteen years ago)
yeah, and the whole "making sure really really sick ppl stay out of the hospital by using a really intensive outpatient approach is still way cheaper than the alternative"
― catbus otm (gbx), Wednesday, 8 August 2012 17:20 (thirteen years ago)
You doctors really like talking about your work huh
― badg, Thursday, 9 August 2012 10:55 (thirteen years ago)
But it is actually there, somewhere, and so you are spared calling medical records of a hospital you've never heard of before so they can send you 80 pages of nursing notes and the one page of things you want to see.
this was my only chance of getting my meticulous nursing notes read. they were exemplary of their form, clear and concise, using only the standardized abbreviations understood by all in the field, devoid of the editorializing that often clouds charting. they communicated to any doctor who read them any issues my patients were confronting in their daily lives and spoke of the team care plan in terms any medical professional could grasp without effort. my unit supervisor spoke of my charting the way a middle-aged guy talks about his vintage Norton Commando. now, if a patient on my caseload was doing just fine for two years and I documented that faithfully every two weeks in my nurses' notes, no-one will ever be forced to confront just how clear the story of his progress was told. WELL WHATEVER IF IT IMPROVES PATIENT CARE THEN I'M IN FAVOR OF IT BUT EXCUSE ME WHILE I CRY MY EYES OUT.
― steven fucking tyler (underrated aerosmith bootlegs I have owned), Thursday, 9 August 2012 13:25 (thirteen years ago)
*wild applause*
― lag∞n, Thursday, 9 August 2012 14:16 (thirteen years ago)
theres a new futuristic input lurking in all this which is wearable or embebed devices that transmit infos back to the main healthcare hub cpu unit re the patients health and behavior, this is gonna become v common and produce a ridiculous amount of documentation to the point where id imagine a lot of the manual diagnostic work health care pros do today will have to be automated, some diabetic doesnt take his insulin and starts drinking so a self driving ambulance is dispatched to his present location which gives him a prerecorded lecture on the way to the hospital
― lag∞n, Thursday, 9 August 2012 14:23 (thirteen years ago)
and all the amublances will have a tom cruise robot as the driver
http://i.imgur.com/dlBWZ.png
― kanye shiwen (dayo), Thursday, 9 August 2012 14:27 (thirteen years ago)
~utopia~
― lag∞n, Thursday, 9 August 2012 14:27 (thirteen years ago)
idk, man, if they store it as XML or something even heavier you could hit that in no time
― your native bacon (mh), Thursday, 9 August 2012 15:54 (thirteen years ago)
I wasn't thinking scale properly. Or rather, I was translating my own healthcare notes (PS: I have by and large been superhumanly healthy most of my life) as average rather than an outlier.
― keeping things contextual (DJP), Thursday, 9 August 2012 15:56 (thirteen years ago)
well the point stands that someone, were they so inclined, could fit an entire patients chart on a USB drive.
― catbus otm (gbx), Thursday, 9 August 2012 21:36 (thirteen years ago)
oh no doubt
― keeping things contextual (DJP), Thursday, 9 August 2012 21:41 (thirteen years ago)
ahem!
― ticagrelor rotini (k3vin k.), Friday, 10 August 2012 03:41 (thirteen years ago)
of course, there IS a historical standard for patient reports, the SOAP note, and it's stood the test of time, and would likely be the model for any standard EMR format, but that doesn't mean you'd see a change in how surgeons ("pt sleeping, wound c/d/i") or psychiatrists (*cracks fingers over keyboard*) actually choose to relay info
― catbus otm (gbx), Wednesday, August 8, 2012 12:53 PM (Yesterday)
haha god yes. social work too
― ticagrelor rotini (k3vin k.), Friday, 10 August 2012 03:57 (thirteen years ago)
u ok gbx http://well.blogs.nytimes.com/2012/08/09/the-bullying-culture-of-medical-school
― lag∞n, Saturday, 11 August 2012 15:51 (thirteen years ago)
coping
― catbus otm (gbx), Saturday, 11 August 2012 16:08 (thirteen years ago)
you big bully :(
― your native bacon (mh), Saturday, 11 August 2012 16:10 (thirteen years ago)
The leading theory basically goes that if you get yelled at every time you fuck up as a junior and something bad happens, even though you have to go and excuse yourself to the bathroom to cry, by the time that you are in a position of some authority and one of your juniors fucks up and something bad happens, you really don't have another way to process it other than yelling. Also because there are some total psychos out there in the world (especially the operating room world).
NB: I have excused myself to the bathroom to cry, but mostly because of self-directed feelings of gross technical incompetence. I have a lil suspicion that many of the emotional breakdowns in medical education are largely self-directed but amplified by exposure to some sort of terrible person telling you that you are terrible. And then there are the stories of hilarious awfulness, also. But like, the last time I was yelled at by a surgeon for fucking up (last week!) I was in a more emotionally stable place in my life and so I was like "LOL Sorry dude, didn't know" and then when the med students told me stories of how awful said surgeon was to work with I was like "Hahaha fuck that guy".
PS: Aero I am sure your nursing notes were spun from finest gold, but then most people writing notes do not make a living writing things as you yourself kind of do.
― Dr. (C-L), Saturday, 11 August 2012 16:35 (thirteen years ago)
So has anyone asked Eric Erickson about this:
It seems very, very clear to me in reviewing John Roberts’ decision that he is playing a much longer game than us and can afford to with a life tenure. And he probably just handed Mitt Romney the White House.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 19:35 (twelve years ago)
I'm guessing Erickson's idea was that the SCOTUS decision delegitimized the rhetoric of the candidates who called it unconstitutional and the death knell of American freedom, etc. This cleared Romney's path to the nomination, because it marginalized the one issue that was hurting Romney most. Then he figured that because of the economy, winning the Republican nomination was tatamount to winning the White House.
― Aimless, Saturday, 17 November 2012 19:55 (twelve years ago)
I think the ACA ruling was as underdiscussed component of Obama's win--I honestly think he would have lost if it had gone the other way. Two things:
1) If it had gotten overturned, it would have been months of the Republicans saying "With the economy sputtering, the president spent his time passing unpopular legislation that's now been ruled unconstitutional." They would have reduced his whole term to that one decision, and I think it would have worked with enough voters to matter.
2) On the Democratic side, I have to believe that, whatever one's overall view of Obama, voting to assure the survival of the ACA was a motivating factor with (again) enough voters to matter. It it had been overturned, I don't believe (as some suggested) that reinstating it would have been a motivating factor. That would have been so unlikely, I would have expected demoralization instead.
I'm not saying it was the most important factor; if the decision had gone the other way, Romney would have still been the same candidate, Obama's demographic advantages would have been the same, etc., etc. But I do think it mattered a lot.
― clemenza, Saturday, 17 November 2012 22:16 (twelve years ago)
romney had the nomination by then, i think erickson along w/ many (limbaugh calling it the 'biggest tax increase in history') figured/hoped/spun for one newscycle this would fire up not just the base incredibly but also the american ppl and turn the election into a referendum on incredibly unpopular obamacare since the only way to get rid of it now was romney election (esp since at that point there were probably many ppl who assumed gop would take senate). instead what actually happened is the issue effectively died, romney brought it up some but it was hardly a focus. then in the aftermath this supposedly incredibly unpopular piece of legislation that obama forced on the american ppl against their will and that would seal his doom in the ballot box instead won the election cuz most americans (esp the brown ones or the ones who don't even have dicks) now are takers who want free stuff. what cracks me up about that quote isn't so much the lol prediction as the idea that the 'playing a much longer game than most of us' possibly means 'thinking ahead five months' though there is the possibility there that erickson is referring to the cover this decision gives roberts to now give more radical decisions a la citizens united.
― balls, Saturday, 17 November 2012 22:16 (twelve years ago)
why would Roberts need "cover" though, he is CJOTUS. You don't need cover from anything.
― Fieri-brand sausages into my and your ready holes (silby), Saturday, 17 November 2012 22:22 (twelve years ago)
"legacy"?
― Still S.M.D.H. ft. (will), Saturday, 17 November 2012 22:25 (twelve years ago)
court's legitimacy took a huge hit w/ bush v gore and another one w/ citizens. killing obamacare would mean he'd be the guy who put the final touches on the politicalization of the sc. he prob will be regardless.
― iatee, Saturday, 17 November 2012 22:26 (twelve years ago)
yeah the theory is court legitimacy, cf conservative's whining about obama working the refs (as if they haven't done the same w/ the courts and the media for as long as i've been alive).
― balls, Saturday, 17 November 2012 22:28 (twelve years ago)
I mean yeah he is kinda that guy; saving ACA might turn out to be small potatoes compared to undoing a half-century of commerce clause jurisprudence.
― Fieri-brand sausages into my and your ready holes (silby), Saturday, 17 November 2012 22:29 (twelve years ago)
what happens tho if the court's legitimacy gets seriously damaged? Impeachment proceedings for the bush appointees? Court-packing? Ppl stop appealing past the circuit courts out of spite?
― Fieri-brand sausages into my and your ready holes (silby), Saturday, 17 November 2012 22:30 (twelve years ago)
politically nothing changes tbh. the people on the court lose what respect the public still has for them and turn into congresspeople in robes.
― iatee, Saturday, 17 November 2012 22:37 (twelve years ago)
I'm all for demystifying the court: cameras, live tweets, etc.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:38 (twelve years ago)
by all means let the Court lose prestige.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:39 (twelve years ago)
we should insist on congressppl wearing robes tbh
― Fieri-brand sausages into my and your ready holes (silby), Saturday, 17 November 2012 22:40 (twelve years ago)
I'm all for the court losing its leftover prestige too, tho I'm glad it's going to happen somewhere in the future instead of via taking away insurance from millions of people
― iatee, Saturday, 17 November 2012 22:42 (twelve years ago)
nothing likely. fdr tried court packing when the court was overturning his incredibly popular legislation and was strongly rebuffed. rick perry had an idea for the supreme court i found very interesting but i'm skeptical anything major could be done. nixon managed to chase abe fortas off the court but considering more scandalous stuff didn't manage to prevent clarence thomas from getting on it i can't imagine anything like that happening soon.
― balls, Saturday, 17 November 2012 22:44 (twelve years ago)
in Toobin's book, it's obvious either a Roberts clerk or Roberts himself gave background/unattributed info, and SCOTUS as an institution unblemished by partisan shitstorms is a concept that the chief justice really does believe in. Toobin as a Beltway type believes it too. The problem for both of them is their pining for an ideal that never existed.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:45 (twelve years ago)
and the danger now is that with all the Ivy Leaguers on the Court it's closer to the ideal: nine insulated and isolated people who don't know fuck-all about legislation and its effect on people's lives. We won't see a sitting senator like Hugo Black again.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:47 (twelve years ago)
yup
― iatee, Saturday, 17 November 2012 22:48 (twelve years ago)
or Sandra Day O'Connor! Apparently, according to the book, she's spent the last six years talking shit about Roberts and how poorly his wing understands how legislation works.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:49 (twelve years ago)
the streamlining of 'what an acceptable justice cv can look like' is a way bigger problem than people realize I think
― iatee, Saturday, 17 November 2012 22:50 (twelve years ago)
Obama knocked Diane Wood for consideration twice precisely because she'd said things...in public!
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:51 (twelve years ago)
I guess you can consider this mostly an effect of the politicalization f the court because when the nomination is inevitably going to be a partisan battle you end up making the safest pick possible.
― iatee, Saturday, 17 November 2012 22:53 (twelve years ago)
or you end up w/ the miers shitshow
― iatee, Saturday, 17 November 2012 22:54 (twelve years ago)
yeah increased partisanship of court is just another symptom of same root cause of increased partisanship in congress ie parties are more reflective of ideologies, geographic and demographic quirks that led to liberal republicans and conservative dems are effectively gone. plus need to give geography or other similar party politics concerns any consideration in appointing justices is gone as well, no more 'needs to appoint a southern justice' or whatever. plus 'no more souters' etc - gop determination to only appoint dyed in the wool confirmed conservatives, the younger the better.
― balls, Saturday, 17 November 2012 22:54 (twelve years ago)
citizens united probably due to naivety and isolation from reality as much as any conservative cynicism right? well maybe not as much as. i need to read that toobin book.
― balls, Saturday, 17 November 2012 22:56 (twelve years ago)
look who's unhappy
http://assets.nydailynews.com/polopoly_fs/1.474782!/img/httpImage/image.jpg
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 22:57 (twelve years ago)
https://www.youtube.com/watch?v=W-hb-hQXi9s
― balls, Saturday, 17 November 2012 22:59 (twelve years ago)
can we get a gif
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 23:00 (twelve years ago)
overturning part of the voting rights act right after a black guy gets reelected is nagl
― Matt Armstrong, Saturday, 17 November 2012 23:04 (twelve years ago)
soto you're the scotus dork - who's likely/possible to leave this term? would this newer, wiser, more combative obama some are hoping we have now (THAT ANGER!) dare to nominate wood? would the optics of republicans ganging up to block a woman from the supreme court give them pause? (ok i know the answer to that one) how's scalia's health? how's ginsburg's?
― balls, Saturday, 17 November 2012 23:06 (twelve years ago)
ginsburg had surgery or something recently and her husband died recently too right??
― 乒乓, Saturday, 17 November 2012 23:07 (twelve years ago)
Ginsberg likeliest, although according to Toobin it's Breyer's who's most fed up.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 23:07 (twelve years ago)
Ginsberg also senior justice in the minority so she's been giving Kagan more opinions.
― the little prince of inane false binary hype (Alfred, Lord Sotosyn), Saturday, 17 November 2012 23:08 (twelve years ago)
would put money on slobs not dying/leaving. g will leave I think.
― iatee, Saturday, 17 November 2012 23:08 (twelve years ago)
Breyer, Ginsberg, Scalia, Thomas. Obama nominates Glenn Greenwald, Morbs, me and frogbs.
― Matt Armstrong, Saturday, 17 November 2012 23:08 (twelve years ago)
haha would love it for obama to nominate greenwald just to inflame the right and teach the internet left a hard lesson about the real world
― balls, Saturday, 17 November 2012 23:12 (twelve years ago)
ginsberg will leave and O won't nominate wood
― chief beef (k3vin k.), Sunday, 18 November 2012 03:04 (twelve years ago)
ginsberg will leave and Liverpool won't win the premiership
― Doctor Casino, Sunday, 18 November 2012 03:16 (twelve years ago)
this will surprise many
― Got your butt drank (Neanderthal), Tuesday, 21 May 2019 21:31 (six years ago)
I repudiate my past statements
― don't mock my smock or i'll clean your clock (silby), Tuesday, 21 May 2019 21:59 (six years ago)
everyone should assume I repudiate anything I said more than eleven seconds ago as a matter of course
― don't mock my smock or i'll clean your clock (silby), Tuesday, 21 May 2019 22:00 (six years ago)