Cassi Creek: There’s
no reason to worry about the “fiscal cliff” if you live in gated estates and
have the U.S. House of Representatives working for you, to guarantee your taxes
will not be increased. If you can out
source and off shore your sources of personal revenue while hiding those same
sources from the IRS, life may look rather good on your private island, your
personal mountain, or at your personal beach that is now being re-nourished at
taxpayer expense to mitigate the damage caused by the climate change that you
work so hard to deny exists. You’re
fortunate to have trained monkeys to take to the airways and spew
misinformation and outright lies to an unemployed audience of formerly middle
and working class job seekers who lack the education and basic intellectual
curiosity to understand why voting for the GOP/teavangelists will only increase
the likelihood that they will never again receive the sort of paychecks they
once received before outsourcing and off shoring became the primary business
model.
Be careful
buying those 3rd and 5th vacation homes that are only
attractive because of their physical setting.
The climate change you try so hard to deny is real will introduce you to
a newer climate model whether you believe in it or not.
“In the VA system, the future of primary health care
Khanal,
“At the height of the debate over the Affordable Care Act
three years ago, I was in my last year of medical school, juggling rotations at
private hospitals, a large university hospital and charity county clinics.
“But it was my rotation at the local Veterans Affairs health
system that showed me the future of primary medical care and taught me the
virtues of attacking illness on many fronts. It’s a lesson that will be acutely
needed nationwide once the Affordable Care Act goes into effect and sends
legions of newly insured patients into clinics and hospitals…”
I first
encountered the VA healthcare system during my clinical rotations in clinical
laboratory. I left that brand new
facility, equipped with one of every new analyzer and two of some analyzers
with the deep belief that I did not want to be a patient in the system. It was primarily a warehousing stop for
patients who were never going to improve.
When I became
uninsurable, I was, fortunately, close to a VA hospital. I met the criteria for a service-connected condition
that brought me into the system and allowed me to pay co-pay for medicines that
I could live with instead of paying a highly inflated cost charged to the
uninsured. In 2002, I began a series of
diagnostic procedures based upon age and condition gates. Over the years since then I have received a
good quality of health care that is designed to maintain my status rather than
allowing me to slide down hill into that pit where uninsured and underinsured
patients in the 21st century American healthcare system wind
up.
There are
still improvements that need to be made in the VA system. The largest and most important is to keep
Congress from underfunding the VA system and to simultaneously keep Congress
from trying to us the VA system to provide care for the large number of new
patients that will be flooding our civilian health care delivery system.
My situation
has changed in a manner I did not foresee at age 25. Thankfully, the VA system has changed as
well.
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