Another Reason to Avoid Single Payer Health Care – The Government Doesn’t Pay

29 Aug 2018

‘Medicare for all’ would decimate New York hospitals – Crain Business New York, 2018/08/29

Hospitals and health care providers throughout New York remain reliant on government, both Medicaid—and on Medicare—for patient revenue. In fact, Medicare is the largest payer upstate, because of the aging population. For upstate hospitals Medicare accounts for 47% of hospital inpatient revenue, while Medicaid only accounts for 15%. Private insurers account for 20% of total inpatient revenue.

In dividing the tab for hospitals three ways between Medicaid, Medicare and private insurance, government (Medicare and Medicare) is the entity footing most of the bill. Unfortunately, government as a payer hasn’t exactly been a win for the hospital industry. Nearly half of all IHA member hospitals reported negative operating margins in 2016, and the median operating margin for IHA hospitals was a meager 0.3% that year.


A single-payer health system can only be examined, discussed and debated when the payer is known—and most importantly, when the reimbursement structures are known. Single payer that uses rates similar to what private insurers pay downstate hospitals per day would be positive for upstate hospitals. A system based on the current rates being paid by Medicaid and Medicare would hurt all hospitals, particularly devastate upstate hospitals, and likely reduce access to health care in many communities.

If the schedule for receiving revenue is not solid, how can you ever operate of solid footing?

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People Quietly Moving Back to Hometowns to Start Businesses

29 Aug 2018

The Great Re-homing: Why people are moving back to their hometowns to start small businesses – The Sociable, 2018/08/23

The most interesting trend I noticed was small business entrepreneurs returning to the communities where they came from. There is an invisible shift happening where people who once wanted to spread their proverbial wings somewhere else are returning to their hometowns to make things happen. This has always been the case to some extent, but I believe that technology is enabling people to be successful in ways that were very difficult or impossible just a decade ago.

Why are people coming home? After all, at some point they left for the allure and glitz of a larger city, a greener pasture, a shinier future, a perceived better career.

The reasons were…

  • A lower cost of living
  • A Sense of Community and Belonging
  • Technology Changes

3% of T-Mobile Subscribers Had Their User Accounts Hacked

27 Aug 2018

Up to 2 million T-Mobile accounts were hacked. Here’s how to check yours – Fast Company, 2018/08/24

As many as two million user accounts across T-Mobile and Metro PCS could have been compromised by hackers. That’s about 3% of T-Mobile’s subscriber base. In a post on T-Mobile’s site, the company has assured the public that the most compromising personal data wasn’t stolen–like your password or social security number–but that leaves a lot on the table that may have been.


So how do you know if you were one of the unlucky millions? You should be contacted directly by T-Mobile today via a push notification. But if you just want to check to be sure, you can also call 611 on any T-Mobile phone to check with customer service, too.

T-Mobile Letter dated Aug 20


Summer Snow in the Northern Plain States

27 Aug 2018

Summer Snow Falling In Montana, Idaho And Wyoming – CBS 4 Denver, 2018/08/27

An unusually cold late August storm system is bringing a chilly rain and some high altitude snow to parts of Wyoming, Montana and Idaho.

The National Weather Service says as much as 4-8 inches could fall in elevations above 9,000 feet in the mountains of Montana and Wyoming.


Who Died? August 2018

27 Aug 2018

Neil Simon – Playright, 91, Aug 26

John McCain – US Senator, 81, Aug 25

Robin Leach – Columnist, TV Host, 76, Aug 24

Ed King – Guitarist, 68, Aug 22

Kofi Annan – United Nations Sec. General, 80, Aug 18

Aretha Franklin – Singer, 76, Aug 16

Charlotte Rae – Actress, 92, Aug 5


Hawaii Braces for Hurricane Lane Impact

23 Aug 2018

With no place to run, people in Hawaii brace for Hurricane Lane – PBS, 2018/08/23

The category 4 storm could slam into the islands Thursday with winds exceeding 100 mph (161 kph), making it the most powerful storm to hit Hawaii since Hurricane Iniki in 1992.

Unlike Florida or Texas, where residents can get in their cars and drive hundreds of miles to safety, people in Hawaii are confined to the islands and can’t outrun the powerful winds and driving rain.

Instead, they must stay put and make sure they have enough supplies to outlast prolonged power outages and other potential emergencies.

It’s been a tough year for Hawaii between this hurricane and the volcanoes earlier this year. Praying for minimal damage and loss of life…


Study: Better Cardiovascular Health Lowers Dementia Risk

22 Aug 2018

The more you do to promote your cardiovascular health, the lower your risk of dementia – LA Times, 2018/08/21

A study of more than 6,600 senior citizens found that the better they scored on seven measures of cardiovascular health, the lower their risk of dementia over the ensuing years.

The difference was dramatic: Among those with the lowest scores, dementia developed at a rate of 13.3 cases per 100 people. But among those with the highest scores, there were only 7.1 cases per 100 people.


There have already been many clues that vascular problems can translate into brain problems. Narrowed, blocked or leaky blood vessels can lead to strokes, which are the No. 2 cause of dementia (after Alzheimer’s disease). Observational studies have turned up connections between cardiovascular conditions in midlife and cognitive conditions in late life.


There have already been many clues that vascular problems can translate into brain problems. Narrowed, blocked or leaky blood vessels can lead to strokes, which are the No. 2 cause of dementia (after Alzheimer’s disease). Observational studies have turned up connections between cardiovascular conditions in midlife and cognitive conditions in late life.