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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 10:42 am
[quote]The infection risk is minuscule (less than 1 per 100 procedures) with no risk of an organ space infection.[/quote]Is that why you use laminar flow rooms, space suits, and limited entry . . . because of the low infective risk? Is your DVT prophylaxis engaged because of low PE risk? Is your ave...

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 10:13 am
[quote]I've worked for a decade in healthcare quality[/quote]Yet you do things like categorizing total knee replacement as "a very low-risk surgery." So considering the claims, some of your posts are strange.[quote]All that is to say you don't know what the frick you're talking about.[/quote]Of cours...

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 9:23 am
[quote]I have my doubts they can do that[/quote]They can't. They know they can't. They might have a chance if US Med Mal Laws were modernized. and QA was then opened up as a quality metric. They have no interest in that. In actuality, quality does not drive this Administration process at all....

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 9:08 am
[quote]but that drives more accurate documentation of the patient's condition[/quote][b]Wrong![/b] Completely, totally, 100% incorrect. It drives documentation IAW bean-counting processes. In many, perhaps most, cases it has nothing whatsoever with taking care of patients....

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 9:03 am
[quote]If someone comes in very ill or has an expected complication, you aren't dinged.[/quote]Assuming you or your organization fill in the correct documentation so that, in accordance with a government bean-counter, the patient is actually categorized as "very ill"....

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 8:48 am
[quote]this is pretty fricking retarded...[/quote]The premise is a bad doc or bad facility will generate more complications, therefore more expense over time. The challenge is accurate preexisting risk categorization, and accurate postevent reporting. People and institutions providing lower qual...

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re: The Obama administration wants to dramatically change how doctors are paid
Posted by NC_Tigah on 1/27 at 8:33 am
[quote]Like the idea, dubious of the implementation and the metrics used to measure quality.[/quote]Indeed....

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re: According to CBO, obamacare to cost 23% less than thought
Posted by NC_Tigah on 1/27 at 8:12 am
[quote]I'm not good with math liberals, is 50k more than 2.5k?[/quote]Well since their resident TD accountant apparently equates a billion with a trillion, it follows that . . . $2.5K actually equals $2.5Mn. Since $50K is less than $2.5Mn, we're actually saving a ton of money. Get with the p...

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re: According to CBO, obamacare to cost 23% less than thought
Posted by NC_Tigah on 1/27 at 7:54 am
[quote]Yep. 900 vs 1.3. NH tigah or whatever disagrees which is generally an excellent indicator the original premise was or is correct.[/quote]Right on time. So you'd hold there is no difference between 900 million dollars and 900 billion dollars . . . Did they teach that at Auburn? ...

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re: According to CBO, obamacare to cost 23% less than thought
Posted by NC_Tigah on 1/27 at 7:15 am
[quote]No its 900 million vs 1.3 billion[/quote]:wtf: [b]NO ![/b] It's not "900 million vs 1.3 billion." It's not remotely close to "900 million vs 1.3 billion" It is not within 1000X of "900 million vs 1.3 billion" And FWIW, even $2TRILLION now appears an underestimate. [quote]A Senate ...

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re: Common Core Understanding and Questions
Posted by NC_Tigah on 1/27 at 6:44 am
[quote]You do realize St. Tammany is the exception, not the rule right? The schools there are some of the best in the state... but even then... that's not saying much. They are still pathetic compared to the country.[/quote]You give the rest of the country too much credit. Your credit to other sch...

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re: The law of unintended consequences...mixed housing
Posted by NC_Tigah on 1/27 at 5:56 am
[quote]Penultimate paragraph Nope. Has nothing to do with the study.[/quote]Well, there you are again. Trying a little too hard. Considering Zach's statement as specifically applied to boys is precisely the posit raised following the study, it certainly "has to do with the study," Bucky. More in...

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re: Predictable response to drone landing at the White House
Posted by NC_Tigah on 1/27 at 5:18 am
[quote]"With the discovery of an unauthorized drone on the White House lawn, the eagle has crash-landed in Washington; there is no stronger sign that clear FAA guidelines for drones are needed,"[/quote]The FAA "guideline" for Washington DC is [b][u][i]it is illegal to fly a drone outdoors in Washing...

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re: How schools circumvent aff action limitations
Posted by NC_Tigah on 1/26 at 12:42 pm
[quote]Public school is not free.[/quote]This! Just as a $10K/yr private school costs far more than $10K. It costs $10K + the cost of public education....

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re: 11 Things You Didn’t Know You Could Buy With Food Stamps
Posted by NC_Tigah on 1/26 at 12:38 pm
[quote]Because I am familiar with the rules regarding food stamps / SNAP.[/quote]Right. You are just not familiar with how those rules are enforced, or more apropos, how they are not enforced. To be clear, this has absolutely nothing to do with rules. It has to do with lack of enforcement, and la...

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re: 11 Things You Didn’t Know You Could Buy With Food Stamps
Posted by NC_Tigah on 1/26 at 10:26 am
[quote]cash withdrawals aren't common with the Food Stamp / SNAP program... [/quote]How do you know that? Are you claiming SNAP does not provide welfare recipients with electronic food stamps in the form of an EBT? Are you saying these EBTs do not allow recipients to withdraw money at ATMs - eve...

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re: Polar bear penis bone may be weakened by pollution
Posted by NC_Tigah on 1/26 at 10:17 am
[quote]had both smaller testes and a smaller penis bone.[/quote]or maybe the pool was cold? [img]http://ct.fra.bz/ol/fz/sw/i39/2/7/31/frabz-The-water-in-the-pool-was-cold-d3a77f.jpg[/img] :lol:...

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re: 11 Things You Didn’t Know You Could Buy With Food Stamps
Posted by NC_Tigah on 1/26 at 10:10 am
[quote]Why are you putting "savy" in quotes? [/quote]because he didn't won't to spell out savvy . . . . duhhh :lol:...

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re: Flight Logs Put Clinton, Dershowitz on Pedophile Billionaire’s Sex Jet
Posted by NC_Tigah on 1/26 at 9:55 am
[quote]Epstein isnt a pedophile. He likes adolescent girls, pedophiles like pre-pubescent kids.[/quote]Supposedly one of those adolescents was 12. Maybe she [i]looked[/i] older though. :banghead:...

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re: 11 Things You Didn’t Know You Could Buy With Food Stamps
Posted by NC_Tigah on 1/26 at 9:51 am
[quote]then argue to get rid of it[/quote]THAT is a strawman. The OP had nothing whatsoever to do with "getting rid" of food stamps. Not one damn thing. The OP had to do with [b]ABUSE OF THE PROGRAM![/b] Are you claiming the program's design does not lend itself to abuse? Is that your argu...

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