Michael Muller › Likes

Paul Buchheit
Last friday I taped an iPhone to my head and ran around Paris capturing the most famous sights in a single (somewhat shaky) shot. Here's the video: http://vimeo.com/12906858
Screen shot 2010-06-28 at 6.40.07 PM.png
*spot reserved for a later comment* - Micah from iPhone
Now we know what that 94 minute video was. :) - OCoG of FF, Jimminy
that explain other FF posts, looking for tapes and where can one upload large video files ;-). - Tzury Bar Yochay
Yeah, I never did get the duct tape though, so I had to use clear packaging tape instead (with a sock stuffed between the iPhone and my hat to get the correctish angle). - Paul Buchheit
Patent it NOW - Josh Haley
Well, this is just genius! - Eric - Final Countdown
When you said you ran you weren't speaking metaphorically. - Eric - Final Countdown
Very Cool Paul! - Jeff P. Henderson
great and inspiring - Nenko Ivanov
this was perfect, I opened up my Paris map and followed you :) - İpek Aral
I'm surprised you were able to follow. I didn't have a map (my iPhone was taped to my head!) so I made a number of wrong turns, though the high-level route was pretty basic. - Paul Buchheit
Saw the vimeo on your stream and watched a little of it. Great stuff! Cool to see new iphone vid quality. (er 3gs? quality, hmm) Oh yeah, and enjoy Paris! - Jay
It's actually a 3GS, not an iphone 4. - Paul Buchheit
I think I might tape a photo of Paul with an iPhone taped to his head to my head because I want to get arrested for being a menace. - Akiva
You can fit an iPad on my forehead. - Josh Haley
Ahhh this explains the "ducktape in Paris" stuff LOL :D (that picture is full of geeky win!) - Susan Beebe
@Paul just curious how much battery did you have left after you were done recording? - BRҰANSAҰS
Something like 22%, as I recall. I had put the phone in airplane mode to reduce wireless consumption and also because I'm concerned that an incoming call would stop the video or something. - Paul Buchheit
Not bad. I guess you could get at least 2 hours of recording on one charge. - BRҰANSAҰS from BuddyFeed
Nice idea, OP - LANjackal
this is definitely on the list of 'quirkiest things ever done with an iPhone'. :-) - Olivia Lovag
this is so romantic - τorƍue
awesome, you just needed a gun and it would make a cool REAL-time FPS :) - Emil Kirichev
oh thanks you soo much!!! I love it! - Bojan Babic
surprisingly un-shaky - Sally Relton Shakespeare
Paul had the initial idea for Google Glass exactly two years before Google launched Glass. :) - Space Cowboy
Now, if only he had thought of Gmail. - Micah from FFHound(roid)!
I hope this isn't the start of a "people walk around cities w/smartphones taped to their hats" trend. - rønin
I hope it is - Mo Kargas
If so, it'll just be transitional until smartphones are replaced by glasses-phones. Or smart glasses. Do we have an official name for those yet? - Andrew C (✔)
Iphone taped to the forehead, what a nice way to show #IamAmerican abroad :) - A. T.
first laugh of the day, ty a.t. - chaz2b
^ my pleasure :) - A. T.
LOL, Google Glass back in the days. Monsieur: Martini? Great stuff as I was doing myself a lot of these then too... 9) - Zu from AOD
up di apprezzamento dall'Italia - naltro
Not quite last Friday. - Joe
Louis Gray
louisgray.com: FestivusFeed: FriendFeed Airs Your Grievances - http://louisgray.com/live...
louisgray.com: FestivusFeed: FriendFeed Airs Your Grievances
I found this fake comment I made 1 year and 1 day ago quite ironic at this point. (Reminded by Susan Beebe's thread) - Louis Gray from Bookmarklet
"Robert Scoble joins every network but this one." BUT I kept pushing... and here we are. :-) - Louis Gray
Louis - Wow, your pushing WORKED in a big way...Mike must hate you by now! - of course I love you for that :) - Susan Beebe
Here's the post in my thread Louis is referring to -----> http://friendfeed.com/e... - Susan Beebe
It took me 1.5-years to get RSS after Dave Winer first showed it to me. So, I am getting faster. Took me just a few months to get friendfeed. Glad you kept after me. - Robert Scoble
So how do I access it? <---I take that back. Didn't realize what I was looking at when I went to the site. - Mattie Kenny
Bring back Festivus Feed! - Shawn Farner
Yeah do it! :) - Susan Beebe
My favorite grievance: http://friendfeed.com/e... - Louis Gray
Robert, now we just need to get you to understand auto-follow (the SocialToo way) ;-) - Jesse Stay
LOVE! - David Cook
Josh: it was a seasonal thing last year at this time, so it is no longer possible. We may have to bring it back by popular demand, but for now the entries you see are all from last year. - Bret Taylor
Bret - bring back those cute little red icons next to the FF posts! easy seasonal "flair" feature! - Susan Beebe
and here we are... - Jesse Stay
Jesse I want to like this, but I already liked it in 2008! - Eric Florenzano
Whoa. How did I NOT like this in 2008. Weird. - Lisa L. Seifert
The comments about this on Facebook are illuminating. - WoH: Professor MOTHRA
Robert Scoble, joins, then leaves, every network, including this one. - Laura Norvig
What Laura said. - Louis Gray
Happy Festivus, everyone. - DGentry
People who revive dead threads. - Bruce Lewis
Bret Taylor
For Today’s Graduate, Just One Word - Statistics - NYTimes.com - http://www.nytimes.com/2009...
For Today’s Graduate, Just One Word - Statistics - NYTimes.com
For Today’s Graduate, Just One Word - Statistics - NYTimes.com
Carrie getting some much deserved attention. "Ms. Grimes is an Internet-age statistician, one of many who are changing the image of the profession as a place for dronish number nerds. They are finding themselves increasingly in demand — and even cool. “I keep saying that the sexy job in the next 10 years will be statisticians,” said Hal Varian, chief economist at Google. “And I’m not kidding.”" - Bret Taylor from Bookmarklet
Great article, but it left out that statisticians need some CS muscle to effectively operate on large scale data. It's the combination that make Carrie -- and others like her -- 'Internet-age' statisticians. - Michael E. Driscoll
Michael, plenty of CS muscle, and also training in specialized packages like/from the SAS http://www.sas.com/technol... etc. - ianf ⌘
Oh, this is old from 2009.... Silly me. Bumped because of spammy comment? - Joe
Somebody really wants Bret Taylor to buy some new suits... - Lisa L. Seifert
Would you please subscribe me to could send you a direct message? - سلوچ
Casey Muller
This morning we changed the format of FriendFeed subscription email messages to include more information about people who subscribe to you. Please let us know if you see any problems, and keep an eye out for more email improvements in the future.
Thank you very much, Casey! :-) - Kol Tregaskes
Nicely done :) - LANjackal
Awesome! Now lets see support for more web services... - Jac Falcon
saw that, and it was mega-helpful. bravo. - Nathan Chase
Shoot. Now I need a subscription. - Josh Haley
I'm all for improving the format of notifications, but wonder (aloud) if it is such a smart move to include the Approve/Reject link right at the top (unless it only appears in private feeds to which someone has requested access). Right now we have the option of blocking/ rejecting a subscriber at any time but presumably not at the very outset. This may lead to more of a walled gardens' mentality, already very prevalent at FF. - ianf ⌘
ianf: approve/reject is only for private feeds. Public feeds just have a link to subscribe back :) - Benjamin Golub
Nice - Grant Bierman
that's great! - K.D.
LIKEY. - Steven Perez
I noticed this one! Such informations about people who subscribe to me on FriendFeed are useful, and makes it easy to quickly get in the conversation. Thanks for the good job! - Thierry R. Andriamirado
w00t! - David Cook
For features like this one, I'm ok to receive html emails. -MANY- html emails ;-) - Thierry R. Andriamirado
The new emails are AWESOME! - April Russo (FForever!)
Gmail automatically showed me the images in a subscription email, even though I never told it to (you know how gmail has the 'display images below' option). further, it doesn't give me the option to hide the images. not that I'd want to, but how are you bypassing gmail's security feature to hide the images? - chrisofspades
Chris, we don't do anything special. I'm not sure how gmail decides what images to show, you'd have to contact them or check the gmail help. - Casey Muller
Casey, you sure FriendFeed's founders didn't use some of their "we created Gmail" mojo? ;) - chrisofspades
Chris, the "show images" only applies to external images hosted on other sites. Gmail doesn't show those by default because doing so would allow people to "bug" email. We include the images with the email so that they can be displayed immediately. - Paul Buchheit
ahhhh that explains it. thanks Paul. - chrisofspades from email
Tudor Bosman
The Best Obnoxious Responses To Misspellings On Facebook | someecards.com - http://www.someecards.com/2011...
The Best Obnoxious Responses To Misspellings On Facebook | someecards.com
The Best Obnoxious Responses To Misspellings On Facebook | someecards.com
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"Are you someone whose day can be ruined by witnessing clumsy spelling all over the world's largest social network? Then this delightful list will let you live vicariously through the venom of others who aren't afraid to publicly challenge and humiliate sloppy wordsmiths. NOTE: If you see any improper spelling in this paragraph, please respond obnoxiously" - Tudor Bosman from Bookmarklet
The last one is great. - Tudor Bosman
I vote for the winner to be the Linsday M. - "fake peeple" one... too good. - Ross Miller
The last one is extra awesome because *nobody* spells Libya right. #statestheobvious - Kevin Fox
This had me in tears! the last one is just too... omg. thank you for sharing, Tudor! gr8 way to end my workday! - t-ra needs this place
The last one cracked me up. - Rodfather
The one complaining about Massachusetts "making it impossible for me becoming a teacher" was funny and pathetic at the same time. - vicster.
Casey Muller
www.jamglue.com 2006-2010, R.I.P. (commiserating: http://www.facebook.com/search... and http://search.twitter.com/search...)
So sad :( - Bret Taylor
Thanks Bret :-( - Casey Muller
Dislike :( - Tudor Bosman
Sorry to see it go. :-( - Kevin Fox
Thanks guys - Casey Muller
When shall we see such a tool again? Alas. - Michael Muller
sad :( - Ashwin Bharambe
:( Still have some bumper-stickers left... - Sean O'Connor
What is [was] it? - Gabe
Gabe, it was Casey's old startup. - Paul Buchheit
Bret Taylor
I am looking forward to playing board games on the iPad while travelling with Karen. This is the first device I can really picture two people using at the same time, which seems like an opportunity for some truly new types of software.
With mice and keyboard, two people at the same time on the same device doesn't really work well. Touch screen seems like a really cool opportunity. - Bret Taylor
I always wanted something we could use for a board game on an airplane in particular. - Bret Taylor
Oh yes. Great idea - Johnny from iPhone
oh! 2 player touch screen air hockey!! - Nathalie
I thought to myself I could have used this when I would play chess with my little brother, and he would get mad and sweep the pieces off the board. I figured it'd be pretty difficult to do that with an iPad. Then I realized what he could have done to the iPad... - MiniMage
Yeah - I keep thinking of how popular this is going to be on road trips with the family - Jesse Stay
Taking turns. Like handing a crossword puzzle or magazine back and forth. Plus a swipe for changing posting accounts. - Hayes Haugen
Does this mean you're getting one? - Shannon Jiménez
Shannon: yep, definitely getting one. If for no other reason than to write a couple apps for it. - Bret Taylor
Bret, same thought here - I can think of some uses, but as a developer I want a new toy to play with and innovate with :-) - Jesse Stay
Cool-- that means I get to play with it :) - Shannon Jiménez
Is it just me or does that still seem a bit small for two people to have their hands on at once? - Richard Lawler
You know. I totally missed this use case. I don't play board games enough, so this would be great for me. - Roberto Bonini
I don't know who the makers are of touch-screen tablets that already do this, but I've seen one in action: http://ourdoings.com/brlewis... - Bruce Lewis
Chess, checkers, go, Trivial Pursuit, Monopoly, chinese checkers... and I think it will also be a great platform for war games. - Brome
So do i brome. BRING ON RISK - Roberto Bonini
So instead of iPhone Mega, it's Surface Mini? - ⓞnor from Android
^LOL - LANjackal
SMART idea - that's why I like you - out of the box - excellent eye for various use cases - neat! The iPad has a lot of potential. I have been wanting what I call an iCouch tablet for web viewing, this i really great. I can't wait till i get one! - Susan Beebe
Nathalie, air hockey was my first thought when they said it worked with two people. That would be cool. - Todd Hoff
Wow that's true- I didn't really get the iPad until I thought of 2-player games. Now to develop Catan for the iPad. - anna sauce
Will be awesome for board games. - Scott Cederberg
Todd and Nathalie, an air-hockey type game (maybe more like Pong) is what people are playing in the photo I linked to in my previous comment. I sympathize with whoever the manufacturer is, in that the perception is that it doesn't exist until Apple ships it. - Bruce Lewis
Hey I want an I pad, but they said the 3g version isn't available till April, mmmm. How can I get one sooner??? - amelia arapoff
I have to admit it's a wee bit more portable than Microsoft's Big Ass Table™ - Richard Walker
Never thought of this possibility. For the first time I can begin to see myself possibly even buying one - assuming the software is there to make it worthwhile. - Andrew Perry
Share option of friend-feed cost me a call from my wife yelling at me "who the hell is this Karen you are playing with on the train to work? I am gonna kill you both!" She simply saw it on my facebook feed never realized it is a FW. (http://friendfeed.com/tzury...) LOL - Tzury Bar Yochay
not sure about this, the form factor may still be too small to be comfortable for two players simultaneously looking at it, or touching it. Now with blue tooth connexion between two iPads, I would see lots of opportunities for boardgames, including games where each player need to keep some information secret (his hand of cards usually). - Antoine Bertier
Hmm nice idea. Checkers, Domino, Backgammon would be all excellent - Özkan Altuner
I just downloaded SDK and am working with another programmer on the Catan version. Bret you inspired me! - anna sauce
Yay for social devices! - социальный груффало
Anna, you know there's already a Catan for iPhone, right? http://www.theiphoneblog.com/2009... - Ken Gidley
but he will HAS a TOUCH SCREEN that 2 people can touch at the same time! - İyi Aile Çocuğu
Thanks Jason- I'm very excited about it! - anna sauce
Ken- yeah - anna sauce
board game app ---> http://www.gametableapp.com - Ryan C
Exactly. I am foreseeing to see FarmVille on that! - Sarath
Kevin Fox
Paul Buchheit
Originally, Avatar ended with the humans nuking Pandora from orbit and strip mining the lifeless planet. It didn't test well though.
Just kidding ;). Something similar happened with Brazil though: "Universal executives thought the ending tested poorly, and Universal chairman Sid Sheinberg insisted on dramatically re-editing the film to give it a happy ending, a decision that Gilliam resisted vigorously." - http://en.wikipedia.org/wiki... - Paul Buchheit
Suicidal thoughts x 1000! :P - AJ Batac
Brazil happy ending was US-only. - Tim Tyler
Huh, didn't know that it had a happy ending. The tape I saw didn't. - Daniel Dulitz
Is that a happy or "happy" ending? I saw an ambiguous ending. - ⓞnor from Android
Might have made the story more interesting. :) - mikepk
wouldn't have taken much to make the story more interesting. - guruvan (Rob Nelson)
For what it's worth, Cameron's scriptment covered that plot hole. Corporations in space are banned from using weapons of mass destruction. Also, Pandora threatened humans with a civilization ending virus if they ever returned to Pandora. - Kevin Fischer
Another explanation could be simple logistics. It takes 5 years to get there, they obviously didn't bring a whole lot of orbital weaponry because they didn't expect the natives to put up such a fight. They had to use the shuttle to even deliver conventional bombs. Perhaps they could have come back in a later iteration with orbital weapons, but on such a long expensive journey, you... more... - Ray Cromwell
Tudor Bosman
I built a little empire out of some crazy garbage / Called the blood of the exploited working class / But they've overcome their shyness / Now they're calling me Your Highness / And a world screams, "Kiss me, Son of God"
Casey Muller
Thank you for this voicemail transcription, Google Voice:
Screen shot 2009-12-18 at 1.48.04 PM.png
Wow. What was the actual message? - Michael R. Bernstein
I love Google Voice, but the transcription skills are uh lacking - Bryan R. Adams
Well, in this case the last three quarters is some kind of busy signal, so it's a trick question :-) - Casey Muller
Hillarious :-) - Shahaf Abileah
Yeah their transcriptions are atrocious - LANjackal
I've found them to be just awful or spot-on. Then again, I've seen the same with Gmail's spam filter. Some accounts are terrific at blocking spam and others are pretty bad. - Kevin Fox
It's fascinating what comes out of statistical learning when something goes wrong. I just got a transcription that said "Hi. See you later." The audio was just a couple of clicks. But those phrases make sense statistically, if you assume the caller must have said *something*. The good news is that it will most likely get a *lot* better over time, as more training data becomes available. - Joel Webber
Joel: sounds like a pretty accurate translation to me. - Jim Norris
Secret lover trying to spit it out - Will Higgins™
"Please take your name off your phone number, my wife went through my messages. I'm in deep doo doo" - Bryan R. Adams
lol lol lol lol *BREATHE* lol lol LOL LOL - Kamilah Reed (K. Gill)
Don't forget to donate bad voicemail transcriptions: http://googlevoiceblog.blogspot.com/2009... Given that Google Voice respects your privacy, providing voicemails as training data has to be an opt-in decision. - Matt Cutts
Benjamin Golub
We are working to bring FriendFeed back as soon as possible. Thanks for your patience.
Thanks Ben and pals! You guys rock! - Josh Haley from iPhone
Thanks for such a great service. - Ashish
Thanks guys - zeroinfluencer
Thanks! - Ruchira S. Datta
What does this mean? Does it refer to the Twitter blockade? - Steve Gillmor from iPhone
Thanks guys. Thank you very much!! - Roberto Bonini from iPhone
steve friendfeed was not available this morning...the message refers to that. not seeing any appreciable break in the twitter blockade. - Karoli
I actually got a complaint from someone who follows me on Twitter about link flooding coming from Friendfeed, so it's good the blockade is there, for now at least. - Mr. Gunn
Ben, while you're at it, can you fix whatever broke Amazon wishlists? Thanks! - Michael R. Bernstein
Plus the Desktop Notifier. ;-) - Kol Tregaskes
The blockade is in the other direction. If Twitter won't acknowlege it then Facebook is effectively killing the service. - Steve Gillmor from iPhone
Give full support and resources to Mr. Golub!! We all want a thing from that post, even without its context 8). - Zu from AOD
What's up with FF links not showing up on Twitter? It's been that way for about a week. The FF link interface has always confused me. And now it doesn't work. - A Mitchell
Seems to be working here but Twitter posta are delayed by 20 minutes to two hours due to legal issues - Steve Gillmor from iPhone
Thanks very much! It was back up as soon as I saw your tweet. - Mary B: #TeamMonique
thank you for all your work, :) - chaz2b
I have had some problems with pages fully loading since it came back, Home feed and Best of Day in particular. Posts at the bottom of the page are cut off and like, comments, and expanding to read comments is impossible unless I open the individual posts in a new window. Very frustrating. - April Russo (FForever!)
Links are still not coming through from FriendFeed to Twitter. I'm not making this up. - A Mitchell
Louis Gray
Brian Solis at Bub.blicio.us: Introducing the FriendFeed Team - http://bub.blicio.us/1111126...
Brian Solis at Bub.blicio.us: Introducing the FriendFeed Team
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Brian, as always, takes great pictures, even with questionable subjects. The pictures are from tonight's open house. - Louis Gray from Bookmarklet
Great pic Louis and tell them I love them all, best product on the web right now - Thomas Power
Great photo! - Bret Taylor
Left to right, as if you didn't know already: Dan Hsiao, Casey Muller, Ana Yang, Jim Norris, Tudor Bosman, Bret Taylor, Paul Buchheit (with Camilla), Sanjeev Singh, Kevin Fox. - Tudor Bosman
yes; awesome photo! - Tudor Bosman
(Not pictured: Ben Golub, Gary Burd and Ross Miller) - Louis Gray
Some of our Turkish friends are also there http://ff.im/3mt6T.. Thanks for the pictures - Murat Buyurgan
Great Photo :) - Nimaa
You didn't tell me there was a FriendFeed party this week or I would have come out :-) - Jesse Stay
Tudor SMASH! - dario
Jesse: I haven't been able to make a friendfeed party for a while. We need a calendar! Heheh. - Robert Scoble
اینا هم حلقه دارن. رونوشت به مازیار و مهران اینا - Aly
Rock on, Kevin! - Josh Haley
Great PPs!!加油,Friendfeed!:))) - K.D.
That's why I love today's web : you can talk with the people that build the next web, and see those who build your current web. Congrats guys! - Zackatoustra
FriendFeed Team, I love you !!!! Thanks to you all, I'm very happy everyday!!! - @Renchin@
So that was the TGIFF ("Thank Goodness It's FriendFeed") party? Perhaps slightly off-topic, but if Camiila hasn't been betrothed yet, have I got a grandson for her ;-)) - ianf ⌘
TGIFF was excellent. Great event and great people.Thanks for the invite and hospitality. - AJ Kohn
Louis, thank you and thank you to the FriendFeed team for making a killer product and hosting a great open house! - Brian Solis
I think I spotted Hutch (http://friendfeed.com/bhc3) in an uncaptioned photo wearing a white "San Francisco Classic" shirt: http://www.flickr.com/photos... - Daniel J. Pritchett
Yes, Daniel. That is Hutch. - Louis Gray
Fun party, great food, great hospitality. - Anne Bouey
Anne - great finally meeting you yesterday. - Hutch Carpenter
great photo, good to see the whole team together! - Jeroen De Miranda
oooh i am totally wishing i was there! Robert is right, we need a calendar! :) - Susan Beebe
Hutch: Thanks. I enjoyed chatting with you, too. - Anne Bouey
what's with the guitar? lol - Stuart Evans
(bump) Ana and Casey are now married. Here's a pic of them on the left, between Ross and Jim. Congratulations to Ana and Casey! (per http://friendfeed.com/jessica...) - Louis Gray
:))))))))) مال بعد از عیده. اواخر فروردین فک کنم - Aly
Nelson Minar
Great little animation of Dock Ellis' infamous no-hitter - Nelson Minar
This conveys rather well what every day in the mid 60s and onward was like.......... - Michael Muller
Paul Buchheit
Drop of water at 2000 fps (very cool) - http://www.youtube.com/watch...
Drop of water at 2000 fps (very cool)
This is pretty cool. - Bastian
I didn't see this segment, but I was watching this special in my hotel room when I was at the society of rheology conference. It made me think that I need a high speed camera. For science, of course ;) - Clare Dibble
This is very cool. I'd like to see it with other liquids, and water with different this mixed in. Like soap for instance, which messes with the surface tension...what happens then? - scherbi: bottom dweller
hi - soso
Are there any liquids that don't have surface tension? - Gabe
My husband and I are addicted to the show Time Warp: random things done in front of high speed cameras. The oldies but goodies like popping a water balloon are stil my favorite... - FFing Enigma
That's amazing, which is why science rocks! :) - imabonehead
Love it! I want to have 2000 fps water drops as my screensaver. - EricaJoy
Very cool! - Garin Kilpatrick
Amazing. What else would be interesting to visualize at 2000 fps? - Philippe
There is only as much beauty in nature as you can appreciate and not a grain more. thoreau - Robert Higgins
+Bill I wanna see Quicksilver or Mercury at 2000 FPS - Robert Higgins
Я предпологал!!!! :) Теперь я знаю!!!! - atner
April Buchheit
"Blue Cross sent me a postage-prepaid postcard to send to my Senator opposing a Public Option" (PICS) - Democratic Underground - http://www.democraticunderground.com/discuss...
"Blue Cross sent me a postage-prepaid postcard to send to my Senator opposing a Public Option" (PICS) - Democratic Underground
"Blue Cross sent me a postage-prepaid postcard to send to my Senator opposing a Public Option" (PICS) - Democratic Underground
"So I'm using Blue Cross's postage to send MY message. Thanks Blue Cross for the postage." - April Buchheit from Bookmarklet
The postcard says "Postage will be paid by addressee", which implies it's the senator who will be paying the postage. Of course, the senator's franking privileges may make it so that the taxpayers pay the postage. - Gabe
True. But why is it that the Senator Hagan/taxpayers should be paying for Blue Cross' message? - Christopher Chung
My friend did this, too. I hope I get one in the mail. - Ayşe E.
So you don't think Medicare or the Veterans Health Administration is going to pan out, even after all these years? - Mark Trapp
What's long term? The VA system has been going since 1778, and Medicare since 1965. Are you thinking at the 300 year mark, they'll finally collapse? - Mark Trapp
Right on! Good for you! That's a great idea - Ciaoenrico
Our Canadian single-payer health care has been going strong for some time now with no risk of bankruptcy. I'd like to see some evidence that our system is unsustainable. - Matt M (inactive)
What Matt said. - Nathalie
That's awesome! - Jan Ole Peek
Of course, the assertion that government-run health insurance is unsustainable (whether Medicare, the VA, the Canadian system, or any other) raises the question of what system is more sustainable than government-run insurance. It's certainly not the current American one. ... I love April's use of the mailer. - John (bird whisperer)
Otto: Insurance causes high prices of medical care. Since you don't pay, the hospital can set its prices arbitrarily high and the insurance company pays whatever its maximum is. Since the insurance company pays so much, they have to have high insurance rates, which makes insurance expensive to buy. If the government had their own insurance, they would be big enough to demand low prices,... more... - Gabe
Otto: Why is that you keep ignoring all the evidence from other countries that support national health care (e.g. http://www.yesmagazine.org/issues...) and you also keep ignoring the facts that show that medicare has lower costs that private insurance (e.g. http://www.cms.hhs.gov/Nationa... ) - Robert Felty
@Otto - why do you think there is so much administrative overhead? To deal with all the different insurance companies and the reems of paperwork to get a claim approved and avoid malpractice suits. That means more people have to be hired and trained just to deal with all that stuff and more systems and processes have to be put in place to handle it all. Insurance companies make more... more... - Lindsay
Otto, how does limiting the pricing result in providers refusing service? In Canada, the Federal Government sets the pricing schedule, but the private providers are still here, providing us good service for a set fee. More info on our system: http://en.wikipedia.org/wiki... I would say that our health care system is an excellent counterpoint to "if you fix the fees at a certain point, providers will stop providing service". - Matt M (inactive)
Otto - would you care to share some references which contain the facts that contradict those which I shared? I am open-minded, but I need to see actual data from credible sources to form my opinions. - Robert Felty
How does Otto make the claim that insurance isn't even part of the problem when medical loss ratios in the health insurance business have dropped from 95% to 80% in just 15 years? (and if you don't know what that means, you don't have an informed opinion about health care reform.) - Andrew C (✔)
I am always amazed at the ignorance of those arguing against public health care services when practically the entire world is doing it and they always have their facts wrong about Medicare and every other system. They'll become advocates when they or their loved ones are being evicted or foreclosed upon while they are dying an excruciating and untreated death. - Brad Nickel
Otto, just exactly how many veterans have you actually talked to? The VA definitely has flaws, but all the veterans I've talked to seem to like the service provided, and often compare it favorably to the private sector. And why are all those people out there so opposed to changing Medicare if it's so terrible? Since you've stated you haven't seen a doctor in decades, how could you possibly have any experience with any health care system whatsoever? - Victor Ganata
*shrug* I'm supposed to be swayed by second-hand anecdotal evidence from someone who doesn't have any recent direct experience with any health care system? If you don't care, why do you continue to post? - Victor Ganata
Otto, your facts on doctor:patient ratio are incorrect. Our ratio is 2.2 per 1000, versus 2.4 per 1000 in the USA. In fact, our ratio has improved from 2.1 in the 1990s. While our doctor:patient ratio is not as high as other public health care systems, it isn't far off that of the USA. - Matt M (inactive)
Here's my reference: http://www.oecd.org/dataoec... "Between 1990 and 2007, the number of doctors per capita remained relatively stable in Canada" - Matt M (inactive)
Otto, but, fair is fair, so long as you don't pretend your anecdotes are generalizable truth, I won't pretend mine are either. It is clear that you do have quite a grasp on fallacious arguments. :) And I do agree that it's important to consider the source of your evidence. - Victor Ganata
Otto, the dropping medical loss ratio specifically means an increasing share of premiums isn't going towards paying for health care; that is /by itself/ inherently bad! In an actual working market, advances in efficiency, if any, would be passed along to the consumers in the form of lower premiums. Instead, prices are getting jacked up even faster than health care inflation because the health care insurance industry exploits monopoly power. - Andrew C (✔)
You make no sense. A company should certainly be allowed to make a legitimate profit, but indefinitely extracting rent at this level is a clear symptom of market-setting power. Trying to call one the other doesn't actually make them the same thing. Also, people can only reasonably get it from their employer _because that's the only affordable option_. Individual insurance exists; it's... more... - Andrew C (✔)
I find it pretty funny BTW that you have implicitly agreed with the rest of us that the health care _insurance_ industry actually is part of the problem. - Andrew C (✔)
"Insurance is gambling. If you don't like the bet, then don't gamble." It shouldn't have to be a game. Everyone is going to need medical attention at some point in their life. It's a matter of how you will be able to afford to pay for it. People pay for insurance because it's the only way they can afford to ensure that their health will be taken care of. It's not really an option if you... more... - Lindsay
It's the conservative message: You're On Your Own. - Andrew C (✔)
Everyone has some chance of getting hit by a bus or eating E.coli tainted food or having a tree branch fall on them. {shrug} - Andrew C (✔)
Except for the winners who have somehow divined ways not to do so, I guess. - Andrew C (✔)
@Otto, your claim about emergencies-only plans being ruled out seems incorrect to me: http://www.insurance.com/health-... - Andrew C (✔)
Otto is completely right. Insurance, not having insurance, it's all gambling. What's relevant is regulation limits choices; or forces one person's judgement and preferences on another. Big government healthcare won't work because the government can't do anything well because unlike a market it doesn't have distributed knowlege and I don't think the incentives are right. Witness the UK's... more... - Rob Fisher
While I don't know if we're using the word catastrophe in the same way, clearly there are policies that have very high deductibles where realistically, the only time they would pay benefits would be if you ended up hospitalized. And there are plenty of policies that don't cover preventative care at all. Even these types of policies are out of the reach of quite a few Americans. - Victor Ganata
What a silly response Otto. Its all emotional. Why do you think the argument here is so passionate? The fact that you would even dismiss it that way tells me everything I need to know about your point of view and existence. Sad. - Brad Nickel from email
If "the government can't do anything well" why do they even exist? Unless you're an anarchist, I can't see how it makes sense. - Victor Ganata
There are limited things governments might be good at. Defense of the realm; keeping the peace. They are not good at providing goods and services. When they try to provide (or control the supply of) food, for example, you get famine. That's because you need market signals to stimulate [the right amount of] supply [and demand<delete], and that information is not centralised. The same problem affects government supplied healthcare. Hence waiting lists. - Rob Fisher
We have waiting lists now. In what way are the NHS's waiting lists worse than the delays caused by having to argue with insurance companies to get coverage for diagnostic tests, procedures, and specialist referrals? - Victor Ganata
Because the latter involves the invisible hand somehow! - Andrew C (✔)
It's hard to say. I'm not arguing that you don't have a problem, just that more government isn't the solution. E.g. on the NHS you often end up paying for your own treatment anyway just so you get it in time. This is not an improvement. - Rob Fisher
So that's not really different from the current system we have now: you can always pay cash. I think "more government isn't the solution" is a bare assertion that needs a fair amount of evidence to actually prove. - Victor Ganata
Medicare and the VHA have waiting lists? Really? I haven't ever heard anyone waiting for Medicare, and it's single payer. I haven't heard of anyone in England (or Canada, or any other developed country) put on a waiting list. Do you have evidence to support that? You would write off education, food safety, the highway system, firemen, and air safety as well? Seems like you're asking for a very extreme form of government that isn't very much like what developed countries are or what they provide. - Mark Trapp
Otto: The way that discourse works in research-based journals is that one person makes a claim, and backs that up with either data, and/or references to other research. I would happily read any references you give. I don't understand why you wouldn't look at references that I give. - Robert Felty
Rob Fisher: if government controlled healthcare doesn't work, then why does Canada spend less on health care per person, but have lower infant mortality rates, and longer life expectancy? In addition, these numbers have improved since they started their single payer system, while our numbers have basically remained flat. http://www.yesmagazine.org/issues... - Robert Felty
Victor: What can I say? You probably won't be impressed by my Austrian economics theory. You could come and live in the UK and get sick, and see what it's like. :) I do hope the USA manages to avoid the worst of it. Maybe look around at what many other countries do; I don't think anyone gets it quite right. Singapore seems to have good healthcare; but their statistics look good partly... more... - Rob Fisher
Part of the reason all healthcare isn't like that is because not all health procedures and exams are as simple as eye exams. - Andrew C (✔)
I also think it's fallacious to believe we're actually arguing about a completely government controlled system. The public option is not even close to a true single-payer system, and nowhere near a nationalized health care system. It is quite similar to Medicare, except with different eligibility criteria, and as far as I can tell, Medicare doesn't seem to have destroyed the private health insurance industry, no matter how many people try to argue that slippery slope. - Victor Ganata
@Rob Fisher - the number of Canadians who seek treatment in the US is not very large: http://content.healthaffairs.org/cgi... - Andrew C (✔)
You probably can't get a new liver in an hour and expect to have a good outcome no matter where you go. - Victor Ganata
But you should be able to get simple scans and tests quickly and cheaply. You can't on the NHS. The point about this not being about an NHS-like system is taken, though. - Rob Fisher
If you are insured by a private insurer in the US your health fate is decided by insurance underwriters and doctor panels whose sole mandate is to save and make money for the company- not to keep you healthy or prevent you from getting sick or sicker. A doctor's intuition on what a patient may need, even in terms of preventative/investigative testing is hooey as far as they are... more... - Karma Martell
How do we get to a point where you can make money by keeping people healthy? People want to be healthy, so it must be doable. - Rob Fisher
The prescription drug cos would fold, Rob. That is not what they want. - Karma Martell
i wish i could do more than "like" this. oh, and while i'm here loving this, @Rob Fisher -- my answer is, make money doing something other than "keeping people healthy" -- putting profit and human life in the same objective is bound to have some horrifying conflicts of interest, no matter how pure the "health" motivation is. and with $$ involved, it will never even be close to approximating pure. - (dot)lizard kelly
@Rob - you can make money by keeping people healthy, but as (dot)lizard kelly just said, you can make _more_ money by not... for example, by collecting premiums from healthy people and denying coverage to your sick customers. - Andrew C (✔)
@kelly - I wouldn't mind people profiting by keeping people healthy. Hospitals and doctors do that. The trouble with insurance companies is that they profit by denying people care. - John (bird whisperer)
Karma: As long as *someone* can make money at it, doesn't matter who. (dot)lizard kelly: food is important to be healthy; people make money at providing food; no conflict of interest there. I'm not convinced there's anything so different about healthcare. I'll sleep on it and let you know if I have thought of an amazing business plan in the morning. And if it doesn't work, I'll be looking for regulations that stop it working. - Rob Fisher
(I suspect the reason is you can't switch insurance companies easily.) - Rob Fisher
Simple scans and tests frequently lead to incidental findings that are almost always benign but lead to literal million dollar workups. I actually don't think easy access to everything is always the right answer. - Victor Ganata
The food example may not be a good counter-argument here in the U.S., where farmers have actually been paid not to grow things in order to artificially keep prices up. - Victor Ganata
Evidently you and others that spout this free market gobbldy gook have never worked for corporate America and the absolute incompetence in those organizations. Hello , can you say mortgage, banking, savings and loan, energy, etc etc etc. It is a lie and a myth and you folks have gotten away with it for far too long! Thanks, Brad - Brad Nickel from email
I have worked for corp America. As Brad says, free market is never free. The wealth is not distributed. There needs to be accountability and standards. As Obama says, an insurance co should not be able to come between a decision made by you and your doctor. And Victor, it's about fair access, not just access if you have the money and you can override the system. - Karma Martell
The problem is that access is controlled by two forces: actual medical need, and the need to generate a profit, and lots of times these forces end up opposing each other. As the costs of medical care continue to increase, I think we're going to have to decide as a society which is actually more important. - Victor Ganata
This is not to say that I don't think people who actually provide the care shouldn't be compensated for their labor. (In my case, that's just self-interest.) But there's a huge difference between fair compensation and outright profiteering. - Victor Ganata
So who is paying for the "Public Option"? - Brett Veenstra
And who here does not know Blue Cross is a private company. - ۳۰ مرغ Loves Y'ALLLLL
If you go by what's in the House bill, the public option will initially be financed by seed money from the federal government that is supposed to be paid back in 10 years. In the long run, it's supposed to be funded entirely by the premiums of people who choose to participate in the plan. - Victor Ganata
Otto: it is not the existence of insurance companies that keep prices high (auto insurance's existence doesn't make auto repairs artificially inflated), it is how the system works. If I am a healthcare provider and you are a patient who will only pay $100 no matter how expensive the treatment is, I can set the price as high as I want. Your insurance might only cover $500, but somebody else's might cover $1000 or $5000, so there's no reason I shouldn't set my price at $5000 for the treatment. - Gabe
Furthermore, let's say that there's a 1% chance that you'll need another $5000 test (an MRI perhaps). If you do need it and I don't give it to you, there's a chance you'll sue me and my malpractice insurance goes way up. If I give it to you and you don't need it, you don't care because you're not paying for it. You end up getting lots unnecessary tests just so I don't get sued. In... more... - Gabe
I dunno, didn't Japan solve the MRI problem by providing lots of them and driving the cost-per-exam down? ( http://www.pbs.org/wgbh... ) - Andrew C (✔)
And besides, the insurance companies in the States deal with that problem by denying procedures. - Andrew C (✔)
It might be instructive to look at the US airline industry before and after deregulation. It used to be that prices were fixed, so airlines competed on service. This meant that service was good, and profits were built-in so airlines weren't constantly in bankruptcy. It also meant that flying was a luxury that most people could not afford, which made it not so crowded either. After... more... - Gabe
Unless you intend on repealing EMTALA, access to emergency care regardless of ability to pay is in fact a guaranteed right in the U.S. - Victor Ganata
Hmmmm... Unless Crutis you think they fall within Life, Liberty, and the pursuit of happiness! Thanks, Brad - Brad Nickel from email
What of someone is happiest if they choose not to acquire health care insurance? It would seem to me that the imposition would thwart their pursuit and remove their liberty. - Mattb4rd
When are we going to learn that the cake really is a lie? Re: Washington D.C. - I say we take off and nuke the entire site from orbit. It's the only way to be sure. - Mattb4rd
Civilization is impossible without some form of government. The idea that we can live without it is the lie. - Victor Ganata
Yeah Otto, that works well. For example banks, mortgage companies, savings and loans, toys from China, Enron.... The naive Libertarian view of the world that somehow everything will work out in the end and all will be well makes me laugh every time I hear it. Greed, perversion, violence, and chaos don't go away when the government goes away. Human run institutions are all equally flawed... more... - Brad Nickel from email
Sure, because the US Department of Defense had absolutely nothing to do with the Internet whatsoever. But I agree. To believe that the government is either completely virtuous or always evil is delusional. - Victor Ganata
Actually Otto, religion and greed are responsible for most of the wars. Whether a government fights them or not is irrelevant and these days its private corporations that are fighting much of our wars and doing a piss poor job of it as evidenced by the debacle that is Iraq. That there is a fine example of where we should have let government run things, but we had to privatize things at... more... - Brad Nickel from email
Yes, because ordinary people with no funding or government backing whatsoever can always complete large scale worldwide projects if they just work hard enough, without any assistance. Rugged individualism FTW. - Victor Ganata
Otto, where are we talking about taking away individual rights? I'm talking about HR 3200, not some fantastical single payer system or some nationalized health care system from your paranoid nightmares. Don't be a fool. Look around you right now. Clearly health can be a worldwide problem. And it's disingenuous to believe the Internet would have been built if some government hadn't been around to provide funding. - Victor Ganata
Silly Otto... Its obvious that an informed conversation with you is impossible, since you are unable to defend your actual philosophy or arguments and rely upon distortions and extremely silly exaggerations to try and make a point when the question being asked can not be answered with the truth. This happens every single time I debate a Libertarian. They can't explain themselves or how... more... - Brad Nickel from email
Because we'll have to pay for your silly self to keep you alive when you are sick and dying and don't have coverage. - Brad Nickel from email
You are a funny guy Otto and I mean that in all the ways it can be interpreted. - Brad Nickel
LOL. See what I mean. You are funny. - Brad Nickel
Are you kidding me about the Internet, Otto? http://en.wikipedia.org/wiki... Note that 2 of the original nodes were UC schools--government funded public schools. With HR 3200, it's obviously going to take money to get the public option up and running, but it's supposed to be paid back in 10 years. As for the mandate, it's not ideal, but I don't see how else it will work. Otherwise,... more... - Victor Ganata
No, I think they are supposed to let him die. - Brad Nickel
That's how government projects almost always work: they award private companies contracts to do the work. Even HR 3200 is structured that way. - Victor Ganata
If you actually look at it, HR 3200 isn't structured like Medicare. And why is it that state laws that mandate you to carry auto insurance if you drive haven't been struck down by the Supreme Court if it's so unconstitutional? If you're totally healthy there are policies with $10,000 annual deductibles that cost like $50 a month. Obviously, the health insurance companies would rather you pay for a more expensive plan if they can get you to. - Victor Ganata
Why in the world is a high deductible insurance plan not what you want, Otto? - Andrew C (✔)
"Medicare is continuously in the red" - regular people who aren't on Medicare either lose benefits or coverage entirely or get outrageous rate hikes, so I'm not sure why you seem to keep claiming private insurance is any better... - Andrew C (✔)
My goodness, a single-payer plan in BC costs ~$54/person/month and the deductible is way lower than $10K. And what I lose in 'freedom', I gain back in peace of mind and more money in my pocket overall. (and isn't the glibertarian definition of freedom money?) (Amazingly, the US actually spends as much _government_ money on health care per capita as Canada, and then of course far more in private money on top.) - Andrew C (✔)
A high deductible plan effectively only covers you for catastrophes, because you're on your own for the first $5K or $10K, so all "routine crap" will be out of pocket. - Andrew C (✔)
BTW, not seeing a doctor even for routine checkups is also gambling. Good luck with that. - Andrew C (✔)
The $10k outlay doesn't sound problematic to me; you've been investing your money, right? - Andrew C (✔)
Otto - You have a valid point that insurance is designed to cover catastrophes. It turns out that preventative medicine helps to avoid catastrophes though. So it is in the best interest of insurance companies to encourage their customers to get preventative care. One way to do that is to pay fot it. Another way to do it would be to give people discounts for getting regular checkups, just like you get discounts on auto insurance for having a good driving record. - Robert Felty
Yeah, there really is no point in arguing with you, not when you just make statements and "that is that". (Good thing cancer never starts off growing in the body for years before becoming a major problem! And that arteries don't ever get clogged before they close up entirely.) - Andrew C (✔)
OK, so you want catastrophic coverage that starts from dollar 1 for accidents, but no insurance for routine procedures. I think this is a little ridiculous, but you're right, I don't think insurance companies offer that. - Andrew C (✔)
Preventative care isn't gasoline. Food is the analogy to gasoline. And no, health care insurance doesn't pay for food. - Andrew C (✔)
Otto - this is not just about you though. It is mostly about the millions of people who don't have any insurance at all right now. Also, with the oil change analogy, that is not quite right either. Standard auto insurance does not pay for vehicle failure. It pays for vehicle damage due to accidents. There probably is a small correlation between frequency of oil changes and automobile accidents, but I bet that the correlation between regular colonoscopies and advanced colon cancer is much higher. - Robert Felty
Otto - my dad gets regular colonoscopies, because he has diverticulosis, and I am not ready for him to die just yet. - Robert Felty
Sure. The reason why health insurance companies don't offer plans like that are completely because all 50 states have strict mandates, and certainly not because the health insurance companies don't think they're profitable and would prefer that you pay for more coverage. Of course it's always the government's fault, and never the invisible hand's. - Victor Ganata
The only regulation I see that applies to all 50 states is that insurance companies have to be solvent, capable of paying claims, and able to process claims in timely fashion. Fact is, the insurance companies have continued to make record profits despite all these regulations, so I'm not exactly going to cry them a river. - Victor Ganata
Switzerland gets by with strict regulation... Admittedly, I doubt they have the kind of catastrophe-only plans you like, but (1) the insurers there make it work, and (2) they achieve better coverage and outcomes than the current US system does. - Andrew C (✔)
I just can't get over the rhetoric. It truly makes me laugh outloud. Slave labor. It's not worthy of further debate. - Brad Nickel from email
It's hardly slavery when health care professionals take oaths to serve society in exchange for the position of privilege it puts them in. And they provide care that isn't fully compensated quite frequently: it's part and parcel of many of the contracts they sign with insurance companies. Are you going to call that slavery too? - Victor Ganata
It is impossible to be a physician without government interference, since license to practice is issued by the state. I'm not sure I'd want it otherwise, personally. Anyway, once again we're straying from the topic at hand: there's nothing in HR 3200 that says you have to accept gov't issued insurance, anymore than you have to accept Medicare or Medicaid. It will still be quite possible to have a nice little boutique practice without getting a paycheck from the gov't. - Victor Ganata
I do medical billing for a nursing home. Those of you who are in favor of a public option obviously don't understand Medicare and Medicaid. We couldn't take care of anybody if we had to rely only on what the government pays. And doctors didn't go to school for all those years and incur all that debt just to be civil servants with tons of red tape and poor compensation. There will be a huge shortage of doctors within a decade. If the bill passes the Senate, we're in for a true disaster. - Dawn
Paul Buchheit
‘Lottery winner’ causes riot at coat store - http://www.msnbc.msn.com/id...
‘Lottery winner’ causes riot at coat store
"A woman being driven around in a rented limousine pulled up at a coat store and announced she'd won the lottery and would pay for everyone's purchases, police said, but she ended up causing a riot when customers realized it was a hoax. Angry customers threw merchandise around and looted, leaving the store looking as though a hurricane had passed through it, police said. Linda Brown was arrested Tuesday after an hours-long shopping spree that began when she hired a stretch Hummer limousine to drop her off at a Burlington Coat Factory store, police Sgt. Lt. Michael Deakins said. Brown walked to a cash register and loudly announced she had won the lottery and would pay for each person's merchandise up to $500, he said." - Paul Buchheit from Bookmarklet
Were you tempted to do this when you sold out to Facebook Paul? :-) - Tim Ostler
It's interesting that people "threw merchandise around and looted" simply because they aren't getting something for free. I wonder how they rationalize their behavior? - Paul Buchheit
An unexpected intervention like that has the psychological effect of suspending normal social conventions, giving people the sense that they have permission to obey different rules of behaviour. When it's frustrated like that, it's unpredictable how it will end. - Tim Ostler
Step one: I'm going to give you $500 of free stuff! Step two: people go looking for the stuff they want. They form an attachment to this stuff as soon as it is in their hands. Step three: Haha, only kidding. Psyche! Step four: All it takes is *one* of the randomly selected crowd of angry people to start expressing their anger as yelling and belligerence and you've got the perfect conditions for things to escalate to a pint-sized riot. - Michael R. Bernstein
Good analysis Michael -- it introduces the idea of people feeling they have been made a fool of, with consequent anger. - Tim Ostler
Paul: people also riot and loot when their favorite sports team wins a championship game. There is unlikely to be any rationalization for that sort of thing. - Gabe
People always have rationalizations Gabe :). I think Michael's explanation is good though (and almost certainly not what any of the people involved would say). - Paul Buchheit
Rationalize is a funny word, since it really means to attempt to make something seem rational, even if it is not (perhaps only if it is not). - Robert Felty
It's unclear that people actually rationalize looting. Like after Katrina, were people really saying "I just lost my house, so I deserve a free TV for when the power comes back on and I find a new place to live"? - Gabe
Daily Book Graphics is a year-long project by Julian Montague where each day he posts, on his blog and his Flickr page, a graphic element from a book that he’s purchased. He started on February 21, 2009 and plans to post something new each day until February 21, 2010. - http://montagueprojectsblog.bl...
Daily Book Graphics is a year-long project by Julian Montague where each day he posts, on his blog and his Flickr page, a graphic element from a book that he’s purchased. He started on February 21, 2009 and plans to post something new each day until February 21, 2010.
Daily Book Graphics is a year-long project by Julian Montague where each day he posts, on his blog and his Flickr page, a graphic element from a book that he’s purchased. He started on February 21, 2009 and plans to post something new each day until February 21, 2010.
Daily Book Graphics is a year-long project by Julian Montague where each day he posts, on his blog and his Flickr page, a graphic element from a book that he’s purchased. He started on February 21, 2009 and plans to post something new each day until February 21, 2010.
Illustrated missed connections - sara from Bookmarklet
Paul Buchheit
How American Health Care Killed My Father - http://www.theatlantic.com/doc...
How American Health Care Killed My Father
How American Health Care Killed My Father
"Would our health-care system be so outrageously expensive if each American family directly spent even half of that $1.77 million that it will contribute to health insurance and Medicare over a lifetime, instead of entrusting care to massive government and private intermediaries? Like its predecessors, the Obama administration treats additional government funding as a solution to unaffordable health care, rather than its cause. The current reform will likely expand our government’s already massive role in health-care decision-making—all just to continue the illusion that someone else is paying for our care. But let’s forget about money for a moment. Aren’t we also likely to get worse care in any system where providers are more accountable to insurance companies and government agencies than to us? Before we further remove ourselves as direct consumers of health care—with all of our beneficial influence on quality, service, and price—let me ask you to consider one more question. Imagine... more... - Paul Buchheit from Bookmarklet
This is a very good article. - Paul Buchheit
My paternal grandfather died pretty much the same way (hospital-borne infection), so this article hits home. But is the proposed solution workable in the current political environment? - Dennis Jernberg
Yeah, unfortunately it may be impossible to actually fix the system due to all of the vested interests, though the author points out that perhaps after the current round of changes fails, perhaps greater change will be possible. Regardless, we should spend some time thinking about what the "right" system would look like instead of limiting ourselves to that which is perceived to be politically feasible. - Paul Buchheit
Great read indeed, thank you Paul for sharing this article which is highly thought provoking and sad all at the same time. Why do we as a country only wake up after Epic Failures?! - Susan Beebe from BuddyFeed
Personally, I want more options for small businesses that want to innovate in healthcare. If we just get rid of the major powers and allow for competition again, I think we'll see serious change. - Jesse Stay
I say this, having worked for UnitedHealth Group, one of the largest health care companies in the world. I learned there that these Health Care companies themselves are too big, and at the same time the government isn't any better. - Jesse Stay
I've consulted to both Gov't and BCBS Heathcare Plan clientele across the U.S. My Govt customers had better operational maturity than BlueCross and way less red-tape and politics. healthcare is deep in the hole. - Susan Beebe from BuddyFeed
Susan, and Gov't Healthcare still has problems! That shows you how bad it actually is. Dealing with Healthcare EDI technologies at UHG the government entities we worked with were always the ones still sending data over dial up, breaking HIPAA rules, and were the hardest to deal with from a technology standpoint. There are huge problems and huge holes in both the big health care and government if you ask me. - Jesse Stay
Maybe on really good health care plans nearly all expenses are covered, but on more basic plans only a minimum might be. - Mike Chelen
You can't order health care a la carte. That's simply not the way medicine is practiced in this country. You also have to get the people who actually provide the health care to play along. Atul Gawande http://www.newyorker.com/reporti... covers a lot of the same ground that David Goldhill covers, but Gawande seems skeptical that a consumer-driven system would actually succeed in keeping costs down. - Victor Ganata
Yeah, I think Goldhill's proposed solutions aren't workable. ( http://friendfeed.com/silas21... ) - Andrew C (✔)
The problem with the LASIK vs MRI scenario, is that a consumer knows enough to seek elective LASIK surgery on their own, but what consumer can determine whether they need an MRI, CT, contrast MRI, Ultrasound, etc? Self-referral has its own share of misallocation of resource issues. It's a traditional libertarian model that is simple and appealing, but I'm not sure it solves the problems... more... - Ray Cromwell
sorry people, but I think you are missing the real point: HEALTHCARE IS NOT A BUSINESS! and I would run away from any system that would see me primarily as a customer. Putting a price on something is NOT a way to make it work better for my health and that of my family is priceless to me. Now tell me which economic system will take that into account? The only reasonnable approach is to... more... - Yann Abraham
Ultimately, things do have a price, since we live in a world of scarcity and there will be limits, therefore, some people will encounter economic rationing or time delay, and hence die waiting. The arguments are over the best way to allocate these things, simply ignoring that things do effectively have prices won't solve the problem. - Ray Cromwell
@Ray I am not ignoring the fact that someone has to pay for doctors, hospitals and drugs; I am questionning the fact that we accept some people will die because those things are expensive. The point is: are we, as a society, wealthy enough to afford it for everyone? Since I think the answer is yes, I think politicians hiding behind cost arguments are just dishonest - Yann Abraham
Yann: the problem is that everybody will eventually die of something. Researchers can keep inventing more and more expensive ways of keeping us alive, but at some point you have to accept that it's not worth it and must cut people off. Right now the cut-off point is determined by what people can afford. How would you determine a cut-off point? - Gabe
@Gabe is this a joke? Are you suggesting it is perfectly fine to let poor people die from a disease because they cannot afford a cure? And if you are asking me for a cut-off point, may I offer that one: http://tinyurl.com/nseyjq ? - Yann Abraham
@Gabe Indeed, choices must be made. But having the cutoff point determined by what people can afford is heartless. Cost/benefit analyses can be made, even in emotionally fraught circumstances. (Witness the 9/11 Victims Fund) What I would argue is that the analysis should be made as a society, as a group, as a family, together-NOT to enrich Aetna's CEO. - Michael
@Otto I live in a country that has a health care plan (Germany), which means that a percentage of my monthly salary goes to pay for my health insurance and that of my family: so much for the hypocrisy. And, your point goes back to what Michael and myself are saying: I want doctors to decide what to do and when to stop. Not you, me or anyone: doctors, and certainly not 'money'. To quote... more... - Yann Abraham
The point where you withdraw care is going to be different for everyone, but I do agree with the sentiment that when that decision is made, it should be made with the patient's best interests in mind, and not in the best interests of the CEO or the shareholders of an insurance company. - Victor Ganata
And health insurance coverage for only catastrophes strikes me as foolish, because, unlike fires, floods, earthquakes, or tornados, a lot of medical catastrophes are actually preventable--or at least they can be mitigated--if you come in for timely care instead of waiting for the paramedics to wheel you in. - Victor Ganata
In response to this quote from the article "Imagine my father’s hospital had to present the bill for his “care” not to a government bureaucracy, but to my grieving mother. Do you really believe that the hospital—forced to face the victim of its poor-quality service, forced to collect the bill from the real customer—wouldn’t have figured out how to make its doctors wash their hands?" My... more... - FFing Enigma
FFing Enigma: that is where the article seems incomplete, it lists a number of legitimate issues, then asserts somehow these would be addressed if patients were billed directly - Mike Chelen
Hypothetical scenario: civilization becomes so rich, that food, water, shelter, transportation, power, and other basics are practically non-scarce. Everything else produced is surplus. In this scenario, why would it be bad if 80% of GDP was spent on HealthCare and Education? You've got to spend the money on something (foreign aid?). What I'm saying is, IMHO, improving health and life... more... - Ray Cromwell
Mike, it somehow implies that billing a crying family would make it all more 'real' and 'important' to the doctors giving the care than if they're billing an insurance company. Which is a load of crap: doctors already deal with the crying family, it's the hospital's business office that handles the billing and they don't see the crying family until they can't pay the bill and come in to try and make arrangements after the fact. - FFing Enigma
@Otto setting aside your argument with Andrea, could you please tell me what makes you so certain that your judgement is better than the one of doctors, and by the way, how good would you trust your judgement after a stroke that left you with no speech and hemiplegic? And, just to emphasize it once again, I want (and currently enjoy having) doctors deciding what's best for me: it's... more... - Yann Abraham
I'd also like to point out that anyone who has had treatment for a serious disease has probably paid less money for their health insurance than the cost of the care they have received. That is really the whole point of insurance - to spread risk. Why is it that the same people who don't want the government option also don't want to get rid of Medicare? - Robert Felty
@Otto: No. Health care decisions involve at least two parties. The patient and the physician. You have no right to compel your doctor to do something against their judgment, either. - Victor Ganata
Which people are you referring to Rob? There are obviously many points of view on this topic (all of them wrong ;). This article does a good job of explaining many of the fundamental problems with all of the present systems. Unfortunately it's very hard to fix because there are so many vested interests and because it's such an emotional topic (as demonstrated by this thread). - Paul Buchheit
Otto: shouldn't that be a joint decision between the patient and doctor? installing piping in my house is at my discretion, but i'm certainly going to involve a plumber in the discussion - Mike Chelen from IM
Otto, the idea with normal insurance (such as car insurance) is that most people pay in more than they get out so that nobody risks bankruptcy by being unlucky. Health "insurance" is broken in part because it covers all costs, just as car insurance would be broken if it also covered gas. - Paul Buchheit
@Otto: yes, you can choose your physician, and yes, you can refuse treatment, but you can't compel anyone to treat you in a certain manner just because you feel like it and are willing to pay. That's all I'm saying. Of course it's your call. Except when you no longer have decision making capability. - Victor Ganata
@Robert, there are public option opponents who oppose Medicare as well. They're usually either fringe nutjobs or keep the latter opinion under wraps because they know it won't fly. - Andrew C (✔)
@Paul, I think making people pay for checkups has as big a downside as upside. ... see Victor's comment from yesterday. - Andrew C (✔)
How inefficient is it? - Andrew C (✔)
@Otto: Trust me, there are lots of things people ask for that no doctor who had an interest in keeping their license and not going to jail would ever perform. Obviously, there are those who are willing to cross that line, like Conrad Murray. - Victor Ganata
Medicare has been far more successful than private insurance at keeping costs down. - Victor Ganata
@Otto: Sorry, but I don't know anything about you. But all I'm saying is that, in the bigger picture, the idea that only the patient and no one else has any say in the treatment they receive is simply flawed. - Victor Ganata
"You have the internet, people. Use it." ... Thing is, "I don't have my supporting evidence at hand, please google it for me" is never convincing. - Andrew C (✔)
The reimbursements from private insurance and from Medicare are usually pretty close, since most private insurance companies peg their payments to Medicare RVUs. But most physicians will say that Medicare pays them less than private insurance does. - Victor Ganata
So Medicare sucks because it pays double what private insurance pays AND because it pays less than private insurance. This is better than having tea and no tea at the same time. - Andrew C (✔)
According to CMS, since 1970, the cost per Medicare beneficiary has gone up by 8.8% every year. In contrast private insurance premiums have gone up by 9.9% every year. http://www.cms.hhs.gov/Nationa... - Victor Ganata
@Otto You still have not answered this very basic question: how do YOU know what is good for you when anybody else is taking the opinion of someone who was trained for at least 5 to 6 years before even coming close to a patient with a simple cold?!? I mean you sound a little extreme when you claim that you know better, and again, what if you suffer from a stroke or other disabling disease that takes your judgement away? - Yann Abraham
@Otto and last but not least, I disagree with you as much as you disagree with me, but in the end, my position does not deny you the right to die your way, while your position is denying me the right to be cured regardless of what I can pay for. Sorry to say but I would favor the position that gives most people the most options - Yann Abraham
Paul, I can't cite anyone in particular who opposes a public option and supports medicare, but I haven't heard many people arguing that we should get rid of Medicare (mostly because people on Medicare would have a fit, and old people like to vote). Unless I am mistaken, I think that health insurance functions under the same principal as auto or home insurance. People who are healthy pay... more... - Robert Felty
If I had to decide how to cure my cancer, I think I would try bloodletting. I have heard that works pretty well. - Robert Felty
On a more serious note - thanks to Victor for pointing out that Medicare actually does keep costs down more than private insurance. On a related note, Canada spends about half as much per capita on health insurance than the U.S., and has lower infant mortality rates and longer life expectancies. http://www.yesmagazine.org/issues... - Robert Felty
@Otto: I don't dispute the fact that patients are entitled to autonomy in their decision-making (unless, of course, they don't have the capacity to make decisions.) All I'm saying is that a patient can't just demand whatever the hell they want and expect to get it. That would be just as abusive to the doctor-patient relationship as the doctor trying to force the patient into undergoing some procedure or treatment. - Victor Ganata
@Otto well if I go to doctor and he tells me I am going to die in a month, however much I disagree with him does not make a single difference and going to a different doctor will not change the diagnosis. What kind of decision am I supposed to make when I do not have a single clue about what is going on? And please, don't try to tell me that you would ask a doctor to cut your life support simply because it's getting too expensive... - Yann Abraham
Otto: patients have a right to refuse treatment which supersedes the doctor's suggestion, still the medical opinion is crucial to the process - Mike Chelen
Paul: probability is a relative measurement, on a reasonable timeline all events can be determined to occur at a statistical rate - Mike Chelen
Health insurance no longer works in the presence of side information like family history, genetic predisposition, and pre-existing conditions. Even if the insurer isn't allowed to use some (or all) of these in determining rates, there is nothing keeping the consumer from using it. As a result, there will be an inevitable trend for those likely to need more medical converge to choose the... more... - Eric Borisch
@Otto: *shrug* All I'm saying is that just because you pay good money for your health care doesn't mean you can order health care providers around like you own them. It's a partnership, and if you don't accept that fact, all your encounters with health care professionals are going to be adversarial, and you're probably not going to get very good care. - Victor Ganata
@Otto: so basically you're talking a lot of trash about something you have no experience with even as a consumer. Excellent. - Victor Ganata
@Otto: At this stage I think it's pretty disingenuous to be disavowing your stance on the health care debate. Of course, maybe I'm wrong, and you don't really think doctors (and other health care professionals) should always do as you say. - Victor Ganata
You can't have that telepathy near the reception desk - http://www.flickr.com/photos...
You can't have that telepathy near the reception desk
Bret Taylor
Thousands call for Turing apology - BBC News - http://news.bbc.co.uk/2...
Thousands call for Turing apology - BBC News
I had no idea they forced him to get chemically castrated after he admitted he was gay. Disgusting. I hope the government officially apologizes for killing one of the great minds of that generation. - Bret Taylor from Bookmarklet
More here. Includes link to the Downing St. petition: http://www.manchestereveningnews.co.uk/news... - Richard Chen
Pretty bad for the "good guys" in WWII, eh? Doubly sad that it (apparently) caused him to commit suicide. So we lost one of the greatest minds in computer science in his early 40s. - Joel Webber
What a sad story... I hope they do apologize. Here's a link to the petition, but you have to live in the UK to sign: http://petitions.number10.gov.uk/turing... - Shannon Jiménez
If the British government doesn't apologize for murdering Turing, they will be no better than the Nazi enemy that threw homosexuals into the gas chambers alongside the Jews and Gypsies. Wasn't he supposed to be on *our* side? The *Law* didn't think so... - Dennis Jernberg
We're still not very nice to gays. Apologizing for the past makes a statement. Correcting the present makes a difference in people's lives. I hope we do both. - Andrew Warner from iPhone
The man was an absolute genius, its a pity he could not live further to expand our horizons of thinking. His abstract computing device called "Turing Machine" is for computer scientists what speed of light is for physicists, an ultimate limit of computation - thequark
They should apologize for throwing Oscar Wilde in the clink as well. - Joel Webber
If we follow the line of reasoning where the current government must apologize for all previous governments then it eventually reaches the point of absurdity. Besides how meaningful is an apology on behalf of someone else? - Adewale Oshineye
Ok, I was being a bit silly about Wilde (there are plenty of things the Victorians could apologize for). But Turing was abused by what could be argued to be the "current" government (or at least political system), and that we still think of as the "good guys" (for wont of a better term) in WWII. And it was only ~50 years ago. - Joel Webber
ACM Statement Regarding British Prime Minister Gordon Brown's Apology on the Treatment of Alan Turing ACM (09/11/09) Hall, Wendy ACM applauds Prime Minister Brown's statement on the treatment of Alan Turing, writes Dame Professor Wendy Hall, ACM President. ACM has long celebrated the fundamental contributions of Alan M. Turing not only for his instrumental role in British code-breaking... more... - eugenio
At the new Japanese Sweet place that just opened on Market and Montgomery. - sara
Tim Tyler
On the Effectiveness of Aluminium Foil Helmets - http://people.csail.mit.edu/rahimi...
surely this is disinformation designed to lure people into removing their hats when it's not safe to do so - Robin Barooah
Robin - you might be right! Perhaps the best thing to do is to employ protection - but to make sure that you are properly grounded. - Tim Tyler
and they deliberately neglect to consider the effect of wearing more than one hat - Robin Barooah from IM
polly hall
The coordinated shirt and shoes are very garranimalistic. - berchman
I'd think you'd know enough about Jon to guess that any matching is purely coincidental. - sara
In a window in North Beach - http://www.flickr.com/photos...
In a window in North Beach
What, exactly, is coming soon you might ask . . . a workplace safety school? a limb removal service? - sara
Buy the new Slim Jim's Soylent Green Single Serving Pak. - Michael Muller
Jim Norris
Scalia's Death Row Lunacy - The Daily Beast - http://www.thedailybeast.com/blogs-a...
Scalia's Death Row Lunacy - The Daily Beast
"“This court,” Scalia pointed out, “has never held that the Constitution forbids the execution of a convicted defendant who has had a full and fair trial but is later able to convince a court that he is ‘actually’ innocent.”" - Jim Norris from Bookmarklet
"Scalia represents an extreme example of a certain kind of judge that positively revels in coming to conclusions that are morally revolting but "legally" sound." - Andrew C (✔)
"If I were to attempt a sympathetic translation of Scalia’s dissent into nonlegal terms, it would go like this: “The defense in this case is claiming that there’s something unusual about Troy Davis’ situation, requiring extraordinary action on the part of the Supreme Court. But there’s nothing unusual about his situation. The American legal system routinely sentences people to long... more... - Kevin Fox
What's the point of any appeals court, if this is the case? The logical conclusion from this argument is that any trial court's decision shouldn't be overturned, despite evidence to the contrary. - Joel
There's a subtle difference between what the Daily Beast is portraying and what the actual case is: right now, Davis has not actually been proven to be innocent. The ruling was to force the lower court to hear new evidence that supposedly exonerates him: instead of actual innocence, it's supposed innocence. The precedent Scalia is concerned about is whether the Supreme Court should... more... - Mark Trapp
No argument from me about the inherent immorality of the death penalty. Stevens made the better argument: that AEDPA does't apply when its application would undermine the core foundation of the constitution; that an innocent man should not be put to death. - Mark Trapp
I live in Georgia, and have been watching this play out for years. The sad fact is that we're one of those states (like Texas) that seems to be incapable of accepting the idea that we fucked up and prosecuted an innocent person. Scalia seems to be arguing that the federal courts can't force state courts to hear these kinds of appeals, because it would mean potentially retrying every... more... - Joel Webber
Casey Muller
In Gotham City, the people are represented by three separate, yet equally important groups: the police, who investigate crime, and the district attorneys, who prosecute the offenders and *Motherfucking Batman*. These are their stories. - http://www.reddit.com/r...
In Gotham City, the people are represented by three separate, yet equally important groups: the police, who investigate crime, and the district attorneys, who prosecute the offenders and *Motherfucking Batman*. These are their stories.
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