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booseek posted:What game is this? Well it looks like how most of my Civilization games end up. 
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Nov 11, 2018 01:56
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https://twitter.com/amyewalter/status/1061396033593335808
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Nov 11, 2018 02:04
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https://twitter.com/MaxKriegerVG/status/932323997391491082
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Nov 11, 2018 02:04
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GoluboiOgon posted:the framing of "In medicine, too, we are trying to deliver a range of services to millions of people at a reasonable cost and with a consistent level of quality. Unlike the Cheesecake Factory, we haven’t figured out how" is absurd. every other developed country has figured out ways to do healthcare with better coverage for half of the cost minimum. reasonably priced universal healthcare is a solved problem, but the people who profit from our wasteful system have enough clout to make copying any other country's system politically impossible. Not to mention that the complaints he has--uncoordinated care, rewarding providers for best practices, fee-for-patient instead of fee-for-service, electronic medical records, provider payments withheld from Medicare for infection non-control--were all things that we were assured that the ACA had tackled and would resolve by this point in time. Awande also ignores how private insurers' demands influence care or the lack thereof, and intimates that the current stat of 75 percent of doctors being on salaried staff of hospitals is the doctors' choice, instead of the result of private insurance/provider cartels. I'm sure there are docs like Awande who are happier as staff docs, but it's kind of weird how he ignores what's generally been acknowledged as the underlying cause of the switch. More doctors salaried by hospitals usually means more revenue for the hospitals (and thus higher medical costs for consumers), which can tack on facility fees for clinics & surgical centers and ER fees for their own facilities. Some of things he discusses, like telemedicine, are fine & cool, and CMS has issued a 2019 ruling that doctors can now charge Medicare for tele-visits. But he kinda ignores the for-profit elephant in the room, maybe because he's chosen to work for a non-profit facility. I'd also like to see some hard stats on the part I bolded below, bc I'm pretty sure that the vast majority of hospitals in this country are now for-profit, and gobbling up non-profit facilities to create their vast systems: quote:Today, some ninety “super-regional” health-care systems have formed across the country—large, growing chains of clinics, hospitals, and home-care agencies. Most are not-for-profit. Financial analysts expect the successful ones to drive independent medical centers out of existence in much of the country—either by buying them up or by drawing away their patients with better quality and cost control.
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Nov 11, 2018 02:04
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🔪🔪🔪🔪🔪🔪🔪🔪🔪
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Nov 11, 2018 02:05
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Furnaceface posted:Its not something that happens overnight. It took decades to get it from a single province to be accepted country wide. Hence the urgent need for at least one major political party to get out of its comfort zone of "we passed healthcare reform so we're all good" and start propelling that change.
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Nov 11, 2018 02:06
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Acebuckeye13 posted:Well it looks like how most of my Civilization games end up. You mean most of yours don't end up in nuclear hellfire like mine do? For shame.
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Nov 11, 2018 02:08
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Please don’t do this, thanks.
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Nov 11, 2018 02:08
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Your Taint posted:You mean most of yours don't end up in nuclear hellfire like mine do? For shame. Fond memories of the time I carpet-nuked Izzy in Civ 4, hitting every single tile with one nuke, and most of her cities with two or three.
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Nov 11, 2018 02:14
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https://twitter.com/WSJ/status/1061415769207177216 No. No.
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Nov 11, 2018 02:14
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Willa Rogers posted:Hence the urgent need for at least one major political party to get out of its comfort zone of "we passed healthcare reform so we're all good" and start propelling that change. That was the hard part up here. It took a while to get someone who could take that growing desire from the populace and turn it into a vehicle for change.
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Nov 11, 2018 02:14
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Shimrra Jamaane posted:He’s stepping down in January. If that's true, does the Governor or GOP just get to keep handing the seat over to who they choose without a special election? What if McSally took the seat and quit after six months?
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Nov 11, 2018 02:16
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lmao it's peggy noonan
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Nov 11, 2018 02:18
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Wicked Them Beats posted:lol they were going to call the new town Eagle's Landing. Eagle's Nest was already taken
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Nov 11, 2018 02:23
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Well I just got blocked on Twitter by Josh Barro, I feel like I’m officially part of political twitter now after first joining Twitter like 6 months ago. Basically he just had a hissy fit calling people criticizing Trump for skipping the WWI event crazy. I’d share the dumb tweets but, I’m blocked.
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Nov 11, 2018 02:26
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"You're angry about a perjuring sex pest getting a lifetime SC seat? Stop acting like a child" What y'all really need is a coordinated effort to harass the poo poo out of every trash pundit whenever they appear in public until they all leave the country.
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Nov 11, 2018 02:28
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Mahoning posted:Well I just got blocked on Twitter by Josh Barro, I feel like I’m officially part of political twitter now after first joining Twitter like 6 months ago. Everybody should delete their Twitter account anyway. Quit giving these chuds a void to shout into. Take. Away. Their. Platform.
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Nov 11, 2018 02:29
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Willa Rogers posted:Some of things he discusses, like telemedicine, are fine & cool, and CMS has issued a 2019 ruling that doctors can now charge Medicare for tele-visits. But he kinda ignores the for-profit elephant in the room, maybe because he's chosen to work for a non-profit facility. I'd also like to see some hard stats on the part I bolded below, bc I'm pretty sure that the vast majority of hospitals in this country are now for-profit, and gobbling up non-profit facilities to create their vast systems: Nonprofit means gently caress all, too, though. Execs can still make millions. Efficiency can still be awful if not worse. Just no one’s getting dividends or capital gains.
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Nov 11, 2018 02:30
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BonoMan posted:Everybody should delete their Twitter account anyway. Quit giving these chuds a void to shout into. I mean, Josh Barro’s not that bad. He’s mostly got level headed observations as a former conservative, but he basically had a meltdown. He’s certainly not a chud, but he does seem to be a little baby.
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Nov 11, 2018 02:31
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How about  ?Maybe we shouldn't treat government like a corporation at all, and maybe we should lock our insane, racist, traitorous President away forever, along with dumbass collaborators like you? I love how before they lose the GOP was full on "you are going to be destroyed because this is what people want"  Then we win big and they go "you have to compromise with us now, it's what people want" While still maintaining their psychotic level of hatred in the background.
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Nov 11, 2018 02:34
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Your Taint posted:You mean most of yours don't end up in nuclear hellfire like mine do? For shame. nuclear missiles are only for cowards that can't afford metal gears  Smeef posted:Nonprofit means gently caress all, too, though. Execs can still make millions. Efficiency can still be awful if not worse. Just no one’s getting dividends or capital gains. There's also the split between nonprofits and not-for-profits. Neither group pays taxes and can spend salaries for permanent employees; not-for-profits are allowed to take that payment out of fundraising income, while nonprofits can't iirc.
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Nov 11, 2018 02:35
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BAHAHAHAHAH. oh gently caress off WSJ. trump lost big and he knows it. also trump would never listen to a Board anyway.
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Nov 11, 2018 02:36
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this may apparently come as a surprise but reading the Wall Street Journal's opinion section is the newspaper equivalent of watching Fox News in primetime
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Nov 11, 2018 02:37
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Dapper_Swindler posted:BAHAHAHAHAH. oh gently caress off WSJ. trump lost big and he knows it. also trump would never listen to a Board anyway. It's literally an editorial from Peggy Noonan. She wrote speeches for Reagan and her memoirs are amazing, the open with her on a "bus of hippies" that she leaves when she "realizes that unlike them, she didn't hate America"
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Nov 11, 2018 02:38
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eke out posted:this may apparently come as a surprise but reading the Wall Street Journal's opinion section is the newspaper equivalent of watching Fox News in primetime so it NYT it seems.
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Nov 11, 2018 02:38
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corn in the bible posted:I had a coworker who very smugly told me the morning of the election that she had written in Full Communism Now because Hillary was going to win anyway so she wasn't going to debase herself by voting for her. When I saw her the next day she was crying I distinctly recall the Hillbots telling critics that she didn't need their votes. Frequently. I don't think your coworker was the person at fault there. duodenum posted:Reminds me of this, the GOP endgame: Is this a render of a scene from Brave New World? It looks familiar but I can't recall where I've seen it before. Willa Rogers posted:Hence the urgent need for at least one major political party to get out of its comfort zone of "we passed healthcare reform so we're all good" and start propelling that change. This is true for most major societal initiatives, not just healthcare, and a major failing of the Democrats / Democratic mindset is that they began believing that it would happen of its own accord so all they needed to do was pass tax credits and hold the status quo intact. Semi-related to the healthcare discussion, do American medical schools still artificially restrict the number of doctors?
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Nov 11, 2018 02:41
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Unzip and Attack posted:Eagle's Nest was already taken So was White Settlement.
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Nov 11, 2018 02:42
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So with this news Arizona is pretty much a called game right? Which makes the GOP +2 in the Senate for the House, and that's before Florida and Georgia are settled. MAGA.wav https://youtu.be/9Jz1TjCphXE
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Nov 11, 2018 02:42
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Mahoning posted:I mean, Josh Barro’s not that bad. He’s mostly got level headed observations as a former conservative, but he basically had a meltdown. He’s certainly not a chud, but he does seem to be a little baby. Sorry, yeah I just meant in general. I'm not familiar with him. But Twitter is just garbage. Every "good" thing on Twitter is merely just a reaction to the lovely. Just take it all away!
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Nov 11, 2018 02:42
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Willa Rogers posted:Not to mention that the complaints he has--uncoordinated care, rewarding providers for best practices, fee-for-patient instead of fee-for-service, electronic medical records, provider payments withheld from Medicare for infection non-control--were all things that we were assured that the ACA had tackled and would resolve by this point in time. Pretty crazy how a program that started under the GOP didn't fix a loving thing. 
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Nov 11, 2018 02:47
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BonoMan posted:Everybody should delete their Twitter account anyway. Quit giving these chuds a void to shout into. But I just got like 500 likes on a single tweet
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Nov 11, 2018 02:51
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30k now https://mobile.twitter.com/ashtonpittman/status/1061434818804805632
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Nov 11, 2018 02:52
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Should this go in the schadenfreude thread https://twitter.com/daveweigel/status/1061436170956087296
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Nov 11, 2018 02:52
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eke out posted:i'm laughing about Notable Nazi Steve King in a dispute with the far-left publication "the weekly standard" Steve King is so far right that The Weekly Standard would be a far-left publication to him.
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Nov 11, 2018 02:54
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Mr Ice Cream Glove posted:30k now *sees 40K for greens* and once again greens and other special snowflakes have to ruin things* *not really sort of.
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Nov 11, 2018 02:56
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Mahoning posted:I mean, Josh Barro’s not that bad. He’s mostly got level headed observations as a former conservative, but he basically had a meltdown. He’s certainly not a chud, but he does seem to be a little baby. Barro would 100% vote GOP if any meaningful leftist reform or candidate was put to the vote. He is a reliable left punching dipshit without an original thought in his head.
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Nov 11, 2018 02:57
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Roger Stone is apparently in Broward county. He insists that this recount is completely different from the one in 2000. The Green candidate dropped out early on and endorsed Sinema. It's just the GOP Arizona was intentionally boosting Green as if she could win. Ague Proof fucked around with this message at 03:01 on Nov 11, 2018 |
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Nov 11, 2018 02:57
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eke out posted:this may apparently come as a surprise but reading the Wall Street Journal's opinion section is the newspaper equivalent of watching Fox News in primetime That's not true at all. Fox would have dropped Noonan a long time ago.
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Nov 11, 2018 02:57
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skylined! posted:Should this go in the schadenfreude thread lmao I was just coming here to post that. Rohrbacher is one of the most satisfying scalps of the midterm, only beaten out by Walker and Kobach.
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Nov 11, 2018 02:58
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duodenum posted:Reminds me of this, the GOP endgame: If there are any science fiction fans here, this picture reminds me alot of the Niven/Pournelle book Oath of Fealty which is a story about how a private libertarian supercity will solve all of LA's problems. https://en.wikipedia.org/wiki/Oath_of_Fealty_(novel)
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