We need better choices. People in general are searching for justification to support their forced illogical decision of who they vote for to lead our fragile country. Its a sad state of affairs.
issastrayngewerldkbin
joined 8 months ago
We've come full circle.
'OHIO', Neil Young 1970
A bigger picture may be; why is sending kids home for break with homework. It is my opinion, that people learn better when they actually have a break during their break. in my opinion, this is a tactic to prepare kids to think its normal to work all the time. That breaks are never actually breaks.
We burned coal for heat on the coldest of nights when we lived off grid on a ranch in the mountains of colorado. We only used it if we absolutely had to as its super stinky, dirty and gross. We would get maybe two or three big chunks a year that weighed maybe 1-2 lbs. You can go up into the mountains and see the huge mountains of coal from the mines that have shut down. There are also rows of of coke ovens in monument canyon (used in the 19th century to turn coal into smelting iron)
Lets see....how many times have we heard this rhetoric? This is typical election year bs.
Rural hospital aren't eligible to receive the same pricing on drugs as large metropolitan hospitals bc they are unable to satisfy the indigent designation that falls under 340b. This gives large metropolitan hospitals an enormous advantage in "profit" off of steeply discounted drugs. Hence the reason why many of the small hospitals are assimilated by large hospital networks. Also the large hospital networks have a lot of buying power bc of their purchase power (volume) and can negotiate volume discounts with manufacturers furthering their advantage. The US uses a system called average sales price (ASP) by CMS (medicaid and medicare)to determine the amount the government will reimburse for any drug. As these enormous hospital entities negotiate steep discounts, this lowers the overall reimbursement price (ASP) for any drug which makes it almost impossible for the small hospitals to even make enough to pay for the drugs as reimbursement by CMS falls much less have enough to pay for administration ( IV infusion, nursing, pharmacy, overall care, etc). It is a very unfair system. The large hospital networks aren't incentivized to provide care to rural residents bc there is literally no money in it. So they force those residents to travel to larger hospitals to receive care. Its a tragedy that these small hospitals are dying. This limits healthcare access to people who live in these areas. many of whom cannot afford to live in large metropolitan areas due to the high cost of living. Small rural hospitals also have a very difficult time finding staff. Physicians, NPs, PAs, Nurses etc. The cards are stacked against them. This isn't a handout. This is a failure of a capitalistic system that is unfairly applied to the human right to receive healthcare. Large hospitals should be required to provide care to residents in these underserved areas. Particularly when their C suite administrators are taking in millions in bonuses every year.
Toss in insider trading and we're pretty much screwed. We the people can't compete.
Toss in insider trading and we're pretty much screwed. We the people can't compete.
$he believe$ in him.
Wow. This child. The world will want to know her story. Lots of hope for this little one. How will this shape her life's view and trajectory? Its imperative to get her out of there asap. What a beginning.