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This Is Not A Drill – Extinction Rebellion

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This Is Not A Drill

An Extinction Rebellion Handbook

Extinction Rebellion

Genre: Nature

Price: $9.99

Publish Date: June 13, 2019

Publisher: Penguin Books Ltd

Seller: Penguin Books Limited


Extinction Rebellion are inspiring a whole generation to take action on climate breakdown. Now you can become part of the movement – and together, we can make history. It’s time. This is our last chance to do anything about the global climate and ecological emergency. Our last chance to save the world as we know it. Now or never, we need to be radical. We need to rise up. And we need to rebel. Extinction Rebellion is a global activist movement of ordinary people, demanding action from Governments. This is a book of truth and action. It has facts to arm you, stories to empower you, pages to fill in and pages to rip out, alongside instructions on how to rebel – from organising a roadblock to facing arrest. By the time you finish this book you will have become an Extinction Rebellion activist. Act now before it’s too late.

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This Is Not A Drill – Extinction Rebellion

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Sleepyhead – Henry Nicholls

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Sleepyhead

The Neuroscience of a Good Night’s Rest

Henry Nicholls

Genre: Life Sciences

Price: $17.99

Publish Date: September 4, 2018

Publisher: Basic Books

Seller: Hachette Digital, Inc.


A narcoleptic's tireless journey through the neuroscience of disordered sleep Whether it's a bout of bad jet lag or a stress-induced all-nighter, we've all suffered from nights that left us feeling less than well-rested. But for some people, getting a bad night's sleep isn't just an inconvenience: it's a nightmare. In Sleepyhead , science writer Henry Nicholls uses his own experience with chronic narcolepsy as a gateway to better understanding the cryptic, curious, and relatively uncharted world of sleep disorders. We meet insomniacs who can't get any sleep, narcoleptics who can't control when they sleep, and sleep apnea victims who nearly suffocate in their sleep. We learn the underlying difference between morning larks and night owls; why our sleeping habits shift as we grow older; and the evolutionary significance of REM sleep and dreaming. Charming, eye-opening, and deeply humanizing, Sleepyhead will help us all uncover the secrets of a good night's sleep.

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Sleepyhead – Henry Nicholls

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White House Says CBO Is Wrong, AHCA Would Actually Make 26 Million People Uninsured

Mother Jones

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My brain is imploding. HHS Secretary Tom Price said today that CBO’s estimate of insurance losses under the Republican health care bill “defy logic.” But it turns out the White House—which Price works for—agrees with the CBO. In fact, they think CBO is a little too optimistic. Here is Politico:

The White House’s own internal analysis of the GOP plan to repeal and replace Obamacare show even steeper coverage losses than the projections by the Congressional Budget Office, according to a document viewed by Politico on Monday.

The executive branch analysis forecast that 26 million people would lose coverage over the next decade, versus the 24 million CBO estimate — a finding that undermines White House efforts to discredit the forecasts from the nonpartisan CBO.

But…no…that’s completely…it doesn’t make…it’s…it’s…it’s…I mean…WHAT THE FUCKITY FUCKING FUCK-ALL FUCK IS GOING ON HERE?

Sorry about that. But I’m afraid this is about the most incisive analysis I have to offer. The Republican health care effort is a fiasco beyond even my wildest imagination.

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White House Says CBO Is Wrong, AHCA Would Actually Make 26 Million People Uninsured

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Conservatives Aren’t Yet Sure How to React to the CBO Health Care Report

Mother Jones

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What do people think about the new CBO report on RepubliCare? I don’t mean us bleeding heart liberals. Naturally we think it’s great since it confirms that the Republican bill will decimate health care in America. But what do conservatives think?

HHS Secretary Tom Price says the CBO report is ridiculous. It “defies logic,” he says:

But over on Capitol Hill, Paul Ryan says he finds the CBO’s report “encouraging.” It exceeded his expectations and “gives us even more room to work on good, fine-tuning finishing touches.” Hoo boy. Even Fox News isn’t buying this:

This is some serious happy talk. Ryan must be taking lessons from Trump. In a statement, Ryan says the report confirms that the Republican bill will “lower premiums and improve access to quality, affordable care”—which is, um, a pretty creative reading of the report. More to the point, Ryan is thrilled that the CBO confirms that the bill will provide “massive tax relief.” This is true—though the tax relief is all for the rich—and it’s telling that Ryan doesn’t need to provide any spin on this point.

But what about all those people who will lose coverage? Ryan says, “I recognize and appreciate concerns about making sure people have access to coverage.” He doesn’t say he plans to do anything about this, but at least he appreciates the concerns. You know who else appreciates those concerns? Breitbart News:

The Drudge Report is pretty much ignoring the whole thing for the moment, as if they’re waiting for some kind of conservative consensus to form before they wade in. National Review is pretty silent too, though Dan McLaughlin writes that “The projections of who will and won’t be insured don’t actually mean anything.” The Weekly Standard’s Chris Deaton has a carefully neutral post up that says millions of Americans “would opt out of purchasing coverage once the federal government stops penalizing them for doing so.” That’s not quite what CBO says, though I admit you have to read the report carefully to recognize this.1

Basically, no one outside of Congress or the White House really wants to defend the Republican bill. There are a few half-hearted gibes at the CBO, but nothing more. I’ll be curious to see if tribal defenses kick in more strongly by tomorrow, once everyone has had a chance to suffer through all the liberal jeers and taunts.

1CBO says that subsidies after 2020 would be “significantly smaller” than they are now and that “some people would forgo insurance in response to higher premiums.” However, they are oddly cagey about exactly how big an effect this would have compared to the elimination of the individual and corporate mandates. I’m not sure what the reason for this is.

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Conservatives Aren’t Yet Sure How to React to the CBO Health Care Report

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These 5 Trump Cabinet Members Have Made False Statements to Congress

Mother Jones

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This story originally appeared on ProPublica.

As most of the world knows by now, Attorney General Jeff Sessions did not tell the truth when he was asked during his confirmation hearings about contacts with Russian officials.

But Sessions isn’t the only one. At least four other cabinet members made statements during their nomination hearings that are contradicted by actual facts: EPA Chief Scott Pruitt, Education Secretary Betsy DeVos, Treasury Secretary Steve Mnuchin, and Health and Human Services Secretary Tom Price.

The statements were all made under oath, except those of DeVos. It is a crime to “knowingly” lie in testimony to Congress, but it’s rarely prosecuted.

If you know of instances that we’ve missed, email us.

EPA Chief Scott Pruitt

The falsehood: Pruitt stated in testimony that he had never used a private email account to conduct business while he was Oklahoma’s attorney general.

The truth: Fox News 25 asked the state Attorney General’s office whether Pruitt had used a personal email. The answer was yes.

The Associated Press also received emails in response to a public records request showing Pruitt using a private account to conduct state business.

Pruitt’s response: None.

Education Secretary Betsy Devos

The falsehood: DeVos said during her confirmation hearings that she has not been involved in her family’s foundation, which has given millions of dollars to group that oppose LGBT rights.

“You sit on the board,” Sen. Maggie Hassan, D-N.H., noted. DeVos responded, “I do not.”

The truth: As The Intercept has detailed, tax filings have listed DeVos as vice president of the foundation’s board for 17 years.

DeVos’ response: She said the foundation’s nearly two decades of filings were the result of a “clerical error.”

Treasury Secretary Steve Mnuchin

The falsehood: In written testimony, Mnuchin denied that his former bank had used so-called “robo-signing” to improperly foreclose on homeowners. “OneWest Bank did not ‘robo-sign’ documents,” Mnuchin wrote.

The truth: As the Columbus Dispatch detailed, OneWest Bank employees frequently signed documents in bulk without proper review, which is what robo-signing is. One employee testified that she typically signed about 750 foreclosure documents per week. The Dispatch noted that a judge stopped three OneWest Bank foreclosures “specifically based on inaccurate robo-signings.” Reuters also detailed the bank’s robo-signing back in 2011.

Mnuchin’s response: A spokesman offered the following statement after the Dispatch‘s story: “The media is picking on a hard-working bank employee whose reputation has been maligned but whose work has been upheld by numerous courts all around the country in the face of scurrilous and false allegations.”

Health and Human Services Secretary Tom Price

The falsehood: During his confirmation hearings, Price insisted that the discount he got on a biotech stock was “available to every single individual that was an investor at the time.”

The truth: As the Wall Street Journal reported, fewer than 20 investors in the U.S. were offered the discount, including Price.

Price’s response: Price did not respond to the Journal’s story.

Attorney General Jeff Sessions

The falsehood: Sen. Al Franken, D-Minn., asked Sessions whether “anyone affiliated with the Trump campaign communicated with the Russian government in the course of this campaign.”

Session responded: Sen. Franken, I’m not aware of any of those activities. I have been called a surrogate at a time or two in that campaign and I did not have communications with the Russians.”

The truth: Yes, he did.

Sessions’ response: His office’s first statement: “I never met with any Russian officials to discuss issues of the campaign. I have no idea what this allegation is about. It is false.”

An anonymous White House official gave a New York Times reporter a different take, saying Sessions and the ambassador did talk and “had superficial comments about election-related news.”

Sessions’ spokeswoman later said Sessions often spoke with “foreign ambassadors as a senior member of the Armed Services Committee.Washington Post reporters asked all 26 members of the committee if they spoke to the Russian ambassador in 2016. Sessions was the only one.

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These 5 Trump Cabinet Members Have Made False Statements to Congress

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Premiere Episode of Trump Show Disappoints With Sluggish Pacing and Dated Material

Mother Jones

Today’s episode of the Trump Show was disappointing. It started late, it was only 30 minutes long, and much of it was read off a teleprompter. A few miscellaneous comments:

No tie! Truly, Trump is a man of the people.
The first five minutes is dedicated solely to trashing the media. He says he wants to speak directly to The People without the filter of fake news. “When the media lies, I won’t let them get away with it.”
This is all done in service of a speech carried live and commercial-free by all three cable news channels.
The White House is running “smoothly, very smoothly.”
He wants to bring back mining jobs for “clean, very clean coal.” I’m sensing a rhetorical trend here.
He reprises several of his greatest hits: His Obamacare replacement will provide much better health care at a much lower cost. No more jobs are going to be sent overseas. He’s going to slap a 35 percent tax on goods sent back here. And he still wants a “trillion dollar” infrastructure plan.
Jobs are already “pouring back in” to the country.
“Not one network will show the crowd,” he says at the exact moment the pool camera pulls back to show the crowd.
He says he got the price of Air Force One down by a billion dollars. When did that happen? Let’s google a bit…ah. It’s just your basic Trump bullshit. The CEO of Boeing has agreed to keep the price tag below $4 billion for a project that’s currently estimated to cost between $3.2 billion and $3.7 billion. Nice work, Donald.
He also got the price of the F-35 down by “hundreds of billions” dollars. It’s actually hundreds of millions, but who’s counting? And it was a price reduction that was already in the works before Trump ever got involved.
He says Obama was letting immigrants into the country with “no vetting, no nothing.” This is just a ridiculous lie.

Meh. I doubt this rally did much for him. Even his most fervent supporters are starting to figure out that Trump isn’t accomplishing a whole lot. Besides, how often can he go back to this well? Is he going to hold a pep rally every month? If he does, he better start coming up with some new material.

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Premiere Episode of Trump Show Disappoints With Sluggish Pacing and Dated Material

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A Company Closely Linked to Tom Price’s Medical Practice Paid a Big Medicare Fraud Settlement

Mother Jones

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During Tom Price’s confirmation hearing last week, Sen. Orrin Hatch quizzed him on his commitment to eradicating Medicare fraud, which the Utah Republican noted had cost the government billions of dollars. If confirmed to head the US Department of Health and Human Services, Price, a Republican congressman from Georgia, will oversee the agency’s efforts to protect government-run health care programs from scammers. “I think they’re a minority,” Price replied, “but there’s some bad actors out there…If we were to focus on those individuals that were the bad actors specifically, then I think we could do a much better job of not just identifying the fraud that exists out there, but ending that fraud.”

Those bad actors aren’t as rare as Price suggested. In fact, a company closely linked to his medical practice was ensnared in a multimillion-dollar Medicare fraud case. In 1999, Price became a partner in Resurgens PC, what is now Georgia’s largest orthopedic practice, where he also served as a board member until 2004, when he ran for Congress. Resurgens doctors performed surgeries at an outpatient facility that had been incorporated as a separate corporate entity, Resurgens Surgery Center LLC. In 2005, the surgery center agreed to repay $2.5 million to the federal government to settle allegations that it had fraudulently billed Medicare and Medicaid and violated a federal anti-kickback law.

Price was not implicated in the case—the wrongdoing allegedly occurred between 1993 and 1997, before he joined the practice—and he didn’t hold a direct financial stake in Resurgens Surgery Center. But the payout by Resurgens Surgery Center highlights one of the conflicts he may face if his nomination is approved. As HHS secretary, he will be charged with helping enforce the very laws the Justice Department accused Resurgens Surgery Center of violating. A spokeswoman for Price did not respond to questions from Mother Jones.

There are other reasons to question how aggressively Price will go after Medicare scammers. He was a longtime member of a conservative medical organization, the Association of American Physicians and Surgeons, that has strongly opposed fraud investigations by HHS, claiming that “misguided enforcement actions” target honest physicians.

“It’s worth wondering how tough Price is going to be on these issues,” says Marc Smolonsky, a former associate deputy secretary at HHS during the Obama administration and an expert on health care fraud. “I’m not saying he’s not going to be tough, but it’s certainly something to ask.” He notes that Congress earmarks almost $1.5 billion a year for HHS to probe fraud. “Most of that is under his purview.”

The case against Resurgens Surgery Center began in 2001, when a whistleblower named Robert Allen filed a federal False Claims Act lawsuit against the company in a Georgia federal court. Between 1995 and 1997, Allen had been a consultant and then an administrator for a group of anesthesiologists who worked closely with Resurgens Surgery Center. Allen alleged that the anesthesiologists had colluded with Resurgens Surgery Center to illegally collect “facility fees” from Medicare and Medicaid for services they performed in a Resurgens facility. The government health care programs allows certain health care providers, such as hospitals or outpatient surgery centers, to bill extra fees to help cover the overhead of running the facility on top of those charged for medical care.

But to claim such facility fees legally, federal regulations require a health care facility to have a certificate of need and a government-issued billing number. Resurgens Surgery Center had the right paperwork, but the suit alleged it covered only orthopedic services, not pain management or anesthesia. The anesthesiologists named in the whistleblower suit allegedly had neither a billing number nor a certificate of need. In fact, federal rules specifically bar anesthesiologists from collecting facility fees from Medicare. So, Allen’s suit alleged, the anesthesiologists and Resurgens Surgery Center set up a lucrative but illegal arrangement. The anesthesiologists would provide pain treatments to their patients at the Resurgens facility and use its billing number to charge the federal government for use of the premises. In return, the anesthesiologists allegedly kicked back a portion of the facility fees to Resurgens Surgery Center.

Allen claimed this arrangement began in 1993 and continued after he left the anesthesiologists’ practice in 1997. And he alleged that he told the doctors their setup was illegal but they declined to put an end to it.

The Department of Justice can intervene in private whistleblower suits if it believes serious misconduct has occurred. In 2002, it did so in Allen’s case. In 2004, the anesthesiologists settled for $1.3 million. The following year, shortly after Price was elected to Congress, Resurgens Surgery Center also settled, agreeing to repay $2.5 million in fees it had billed the government. Neither Resurgens Surgery Center nor the anesthesiologists admitted to wrongdoing in the settlement.

Doug Lundy, co-president of Resurgens PC, did not respond to requests for comment. But after the 2005 settlement was announced, Charles C. Murphy, an attorney for Resurgens Surgery Center, told a local Georgia newspaper that the company made a “business decision” to settle the case. “The Resurgens doctors believed they had done nothing improper,” he said. “Nonetheless, the case was becoming a significant distraction, and Resurgens Surgery Center believes the more prudent course was to put the matter behind it.”

Since Price entered Congress, his former Resurgens colleagues and other company employees have been major backers of his campaigns, donating nearly $225,000 since 2004. In July 2015, Lundy hosted a fundraiser for Price. After Price was nominated to HHS, Resurgens issued a statement congratulating Price. (The statement was subsequently removed from the company’s website.) A full vote by the Senate on his nomination is expected next week.

The Obama administration made a big push to crack down on Medicare billing fraud, which is believed to sap nearly $100 billion a year from Medicare and Medicaid. It aggressively rooted out crooked doctors and hospitals that were bilking the system, and it included tougher anti-fraud rules in the Affordable Care Act. In June, HHS and the Department of Justice spearheaded the largest Medicare fraud takedown in history. The investigation resulted in charges against more than 300 people and involved nearly $1 billion in fraudulent billing. Sixty-one of the people charged were doctors.

Will a Secretary Price continue to pursue this kind of aggressive enforcement? Dr. Robert Berenson, a fellow at the Urban Institute and a former member of the government’s Medicare Payment Advisory Commission, is skeptical. “He clearly thinks doctors should be left alone,” Berenson says. “Billing fraud is the kind of thing that happens when they are left alone.”

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A Company Closely Linked to Tom Price’s Medical Practice Paid a Big Medicare Fraud Settlement

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Here’s Why "Repeal and Delay" Is Suddenly So Hot Among Republicans

Mother Jones

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As long as we’re talking about health care this morning,1 it’s worth mentioning why Republicans are suddenly so gung-ho about “repeal and delay”—that is, repealing Obamacare now but waiting a couple of years to replace it with something else.

The official excuse is that health care is hard. Sure, Republicans have had six years to come up with something since the passage of Obamacare, but dammit, that’s just not enough time! Unlike Democrats, who jammed Obamacare down everyone’s throats in a mere 14 months, Republicans want to do the job right. They care about policy details, you see?

Does this sound unlikely? Your instincts are sound. Both Paul Ryan and Tom Price have legislative templates that could be turned into statutory language in a few months if Republicans wanted to. So why don’t they want to?

There are two reasons. First, they’re hoping that the mere passage of a repeal plan will cause insurers to abandon the exchanges and destroy Obamacare without any Republican fingerprints on it. But that’s dangerous. It could leave a lot of registered voters completely uncovered until the replacement plan passes. Even worse, there’s a chance this could destroy the entire individual health insurance market, not just Obamacare. That would earn them the ire of the insurance industry, the health care industry, and plenty of Republican voters.

So why take that chance? Because of the second reason for delay: If Republicans offer up a replacement plan immediately, it will inevitably be compared to Obamacare. And that won’t be pretty. There will be lots of losers, and every one of them will suddenly barrage their representatives with complaints. The media will aid and abet this with endless point-by-point comparisons of the two programs. The contrast with Obamacare will be so plainly and obviously negative that even outlets like Fox News will have trouble spinning the GOP alternative as a good thing.

Smart Republicans are keenly aware of this, and under no circumstances do they want to unveil a concrete plan that can be concretely compared to Obamacare. This is the reason for delay. The rest is just pretense.

1Remember, it’s still morning in California.

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Here’s Why "Repeal and Delay" Is Suddenly So Hot Among Republicans

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The Price Is Wrong

Mother Jones

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The American Medical Association, the country’s largest professional group of doctors, wasted no time in throwing its support behind Rep. Tom Price (R-Ga.) after he was announced on November 29 as President-elect Donald Trump’s pick to be secretary of health and human services. “His service as a physician, state legislator and member of the U.S. Congress provides a depth of experience to lead HHS,” the AMA said in a press release that same day. “Dr. Price has been a leader in the development of health policies to advance patient choice and market-based solutions as well as reduce excessive regulatory burdens that diminish time devoted to patient care and increase costs.”

It’s not surprising that the organization, which has battled against various health care regulations, would be eager to see Price appointed. The former orthopedic surgeon has long complained that doctors face, as the AMA put it, “excessive regulatory burdens,” and his proposals would lead to increased pay for doctors. But they would also reverse reforms that have kept health care spending in check during Barack Obama’s presidency and could send costs skyrocketing once again.

For all of the controversy over health care under Obama, there has been general agreement on one area of success: Growth in health care spending has slowed. The Affordable Care Act, popularly known as Obamacare, created new schemes for paying doctors and hospitals that helped sharply reduce the annual increase in national health care spending and keep it below pre-recession levels. Both Republicans and Democrats have supported these provisions, which have centered on charging for the overall quality of care rather than for each service performed. But now Price, a longtime booster of freeing doctors from government restrictions, appears eager and able to undo them.

David Cutler, a Harvard professor who served as Obama’s senior health adviser during the 2008 campaign and helped craft the ACA, is worried that the progress on slowing health spending would stall or reverse under Price. “Price has expressed skepticism about many of the payment changes that have been ongoing and have bipartisan support,” he says. “This is quite scary, as they are starting to pay off. He seems to want to go back to the days when price was based on the volume of services provided, not the value. I don’t know if it’s a product of being an orthopedic surgeon, where that is how one earned a lot of money. In any case, I don’t think it bodes well for the vast changes in the health care landscape that are taking place.”

Much of the attention paid to Price’s plans for dismantling the ACA has focused on his proposal to undo the expansion of health insurance coverage. In short, Price would wipe away the Medicaid expansion that has given millions of poor people access to health insurance. The effect, as Sarah Kliff explains in Vox, would be to make the individual market more expensive for people who have been sick.

But the ACA wasn’t just an effort to expand health insurance. Until the 2008 recession slowed it, the cost of health care was rising at an alarming rate, accounting for an increasing share of the country’s total spending, and the trend lines projected unsustainable spending levels in the future. The ACA introduced a host of reforms and pilot programs for different schemes to reward doctors based on health outcomes in order to keep spending under control. The exact mechanisms were complex, but the basic idea was simple: The fees charged by US doctors and medical facilities were far higher than worldwide norms, and the best way to slow the growth of health care spending was to keep those pay rates in check.

Despite the hoopla this fall over rising premiums in the ACA marketplaces, the growth in health care spending slowed immensely during the Obama years, before a recent uptick. That growth peaked in 2002, at an 9.6 percent annual rate. During the recession, the rate dropped sharply, to 4.5 percent in 2008. But even as the economy rebounded, health care spending growth continued to decline, dipping to 2.9 percent in 2013—the lowest growth rate in more than half a century. It inched back up again in 2014, and earlier this month the Centers for Medicare & Medicaid Services announced a 5.8 percent growth rate for health spending in 2015—still below pre-recession levels, even though the ACA expanded insurance coverage to 20 million more Americans. A study from the Urban Institute earlier this year found that the amount the United States spent on health care under the ACA was far lower than anticipated—$2.6 trillion lower over five years.

Price has never been shy about his advocacy on behalf on doctors. When he first ran for Congress in 2004, he complained that people who lacked a background in the medical field were setting regulations and policy. Health professionals are by far the largest group funding his congressional career, having donated $3.6 million to his campaigns. The insurance industry is second, with more than $800,000 in donations.

Easing the restrictions doctors face when accepting patients with government-funded health insurance has been a central part of his health care policy proposals. When he reintroduced his Obamacare replacement plan earlier this year, he described it as “one that empowers patients and ensures they and their doctor have the freedom to make health care decisions without bureaucratic interference or influence.”

One of his key pushes over his time in Congress has been “private contracting” that would give Medicare patients access to doctors who don’t normally accept Medicare because of the lower rates it pays. But there’s a catch: The patients must pay extra fees to the doctor, on top of the rate Medicare pays the doctor. That gives doctors a perverse incentive to abandon Medicare so that they receive more from those patients than they’d get under Medicare alone. The consequence would be a reduction in Medicare participation among doctors, which would in turn reduce the government’s bargaining power in negotiating prices.

Price’s background as an orthopedic surgeon might be part of the reason he’s disinclined to support payment reforms, says Len Nichols, director of the Center for Health Policy Research and Ethics at George Mason University. Nichols notes that specialists who see patients only for specific problems have different incentives from doctors who see patients repeatedly. “They are almost perfectly tailored for fee-for-service, episodic, fix your knee, they make sure it works, goodbye,” Nichols says. “Because of that, as a class they tend to be rather skeptical of all this bundling, payment reform, incentive stuff, because they look at it like: I have a price for your knee, I fix your knee, then I’m done with you, you’re done with me.”

Price has been harshly critical of the Center for Medicare & Medicaid Innovation, an office created by the ACA to conduct experiments in new ways of compensating doctors that can, if successful, be expanded without congressional approval. Price spearheaded a letter from Republican members of Congress in September demanding that CMMI stop all of its mandatory payment reforms. “CMMI has overstepped its authority and there are real-life implications—both medical and constitutional,” Price said at the time. “That’s why we’re demanding CMMI cease all current and future mandatory models.”

Price did join the majority of both Democrats and Republicans in the House voting in favor of the Medicare Access and CHIP Reauthorization Act of 2015, which will eventually require doctors to bill Medicare patients based on quality, rather than quantity, of care. But he’s since sounded a more skeptical note, objecting earlier this year to the Obama administration’s rulemaking language on the bill because it would move doctors away from a fee-for-service model.

“He was a founding member of the tea party caucus,” Nichols says. “Skepticism of government is in his veins. If you have a natural, professional distaste, disinclination, distrust of these payment reform things, and you couple that with they’re coming from government, then it’s a double whammy.”

Price has also proposed some more extreme health care reform ideas, such as privatizing Medicare and turning Medicaid into a block grant program—in effect reducing the amount of money spent on poor people’s health coverage over time. But these large-scale changes would require acts of Congress. Many of the programs for cost control experiments and pilot programs, by contrast, are at the direction of HHS—leaving the prospective secretary in broad control of the way doctors and hospitals are paid.

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The Price Is Wrong

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Make Up Sticker Pack – Beauty and Make-up Stickers – VICTOR VERDU

Make Up Sticker Pack – Beauty and Make-up Stickers VICTOR VERDU Genre: Stickers Price: $0.99 Release Date: November 12, 2016 © © 2016 VicApps

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PDF Reader Pro - Simple PDF viewer and manager – Xinggui Zhang

PDF Reader Pro - Simple PDF viewer and manager Xinggui Zhang Genre: Business Price: $0.99 Release Date: November 12, 2016 © © Xinggui Zhang Inc

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Flytider for Apple TV – Tommy Ovesen

Flytider for Apple TV Tommy Ovesen Genre: Travel Price: $1.99 Release Date: November 12, 2016 © © (C) Ovesen.net

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The Silent Village – Sunil Chauhan

The Silent Village Sunil Chauhan Genre: Games Price: $1.99 Release Date: November 12, 2016 © © Super Games

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A commercial, drylands food forest

Posted in aquaponics, eco-friendly, FF, G & F, GE, LAI, Monterey, ONA, PUR, solar, solar power, Uncategorized | Tagged , , , , , , , | Comments Off on A commercial, drylands food forest