Sunday, December 27, 2009

Glenn Beck's Inconvenient Book

I am currently reading "An Inconvenient Book" by Glenn Beck; acquired from the library, of course, since I would never buy this book.  I would never do anything that might provide Glenn Beck with even a penny's worth of income when I know that he is trying to sell a crock of sh**t to the unsuspecting.  He's selling his opinion which is based on "nothing".  Some have an opinion worth selling, but Glenn Beck, unfortunately, is not exceptionally bright.  It's clear that he does little research for anything he says. 

Some proof of this:  He has an entire book filled with what he calls facts -- he even has little charts and graphs (some of which he thinks are serious).  That would be great and informative if he had a bibliography to back any of it up!!!!!!  Not one reliable reference is quoted for anything he says in this book. I'm flabbergasted.

Mr Beck seems to think that he is the only person in the world capable of thinking.  I've got news for him; the rest of us think too.  The difference is that we educate ourselves from every side of an issue before opening our big mouths.  At least a large percentage of us do.  People please, read between what he thinks is funny stuff -- see the arrogant jerk who is the author of this "inconvenient" book. He's a ridiculous man with ridiculous opinions.

I am not finding the book particularly inconvenient.  Maybe I'm missing something about convenience or inconvenience? What I am finding inconvenient is my inability to sit back and keep my mouth shut when I see people buying his propaganda.

I'm not done reading the book so I will refrain from more detail until later.  I will have more to say on this subject.

One last thing on this post.  Mr Beck also seems to think that he is a comedian as well as everything else he thinks he is (which is substantial), but I find that his 16-year-old humor is misplaced in reference to his serious subject matter.

Friday, September 18, 2009

Glenn's Scales of Justice

Calling some republicans assholes vs Calling the president a liar during his address to congress.

Thursday, September 17, 2009

Glenn Beck went back to school???


He took history...maybe he should have gotten some education on, oh I don't know, uh, geography and climate.

Saturday, September 12, 2009

In Response to: What is written is not what he said! Check out the following:


Note: The "following" ("following" being pertinent to what is referenced in title) is shown in Blue, the sections of the bill are shown in Black, the referenced lines in Red; my comments are shown in Green.

Note: I copied and pasted much of this and in some cases (page 430 in particular), I wasn't able to change the font or have the page lines come out right.

All of the excerpts and pages referenced are under
Sec. 1233. ADVANCE CARE PLANNING CONSULTATION
(Meaning that was follows in specified section is what an insurer should cover under "consultation".) Consultation means consultation and these pages should not be taken out of context. In a bill or in law, every line must be very specific and nothing can be taken out of context to mean something else.

PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life

Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!

PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death

All of pages 425 and 426 are shown below with the specified lines shown in
red.

425

HR 3200 IH

1 not had a consultation within the last 5 years. Such

2 consultation shall include the following:

3 ‘‘(A) An explanation by the practitioner of ad

4 vance care planning, including key questions and

5 considerations, important steps, and suggested peo
6 ple to talk to.

7 ‘‘(B) An explanation by the practitioner of ad

8 vance directives, including living wills and durable

9 powers of attorney, and their uses.

10 ‘‘(C) An explanation by the practitioner of the

11 role and responsibilities of a health care proxy.

12 ‘‘(D) The provision by the practitioner of a list
(This is no more than other insurance companies do right
now; and it is to insure that an individual who may not be able to decide for themselves (due to being in a coma or whatever) still has their wishes followed. A proxy is the person who speaks for them so assure this. A living will is what many people want because they want to die naturally and not have their life sustained with tubes and machines..... I am thinking of senior citizens and end of life and of people who have said when they are living that they do not want their life to be sustained with machines and because they have not completed a living will or designated a proxy, are put on machines.)

13 of national and State-specific resources to assist con

14 sumers and their families with advance care plan

15 ning, including the national toll-free hotline, the ad

16 vance care planning clearinghouses, and State legal

17 service organizations (including those funded

18 through the Older Americans Act of 1965).

19 ‘‘(E) An explanation by the practitioner of the
(Although I can't see where these lines say that the Gov. will instruct & consult regarding living wills, durable powers of atty. Mandatory!; I don't see what could be wrong with it if it did say that. It is important that a person understand their rights with regard to being put on machines and that they are aware that they can have a living will and they can have a proxy to speak for them if they are unable to do so themselves. This way, they can specify what they want and designate someone they trust. If God has chosen to end our life, does anyone else have the right to put us on machines?)
20 continuum of end-of-life services and supports avail
21 able, including palliative care and hospice, and bene

22 fits for such services and supports that are available

23 under this title. (Pg 425 only goes to line 23)

426

HR 3200 IH

1 ‘‘(F)(i) Subject to clause (ii), an explanation of

2 orders regarding life sustaining treatment or similar

3 orders, which shall include—

(Here again, I don't see where this says: Govt provides apprvd list of end of life resources, guiding u in death; what it doesn't say is that what an order regarding life sustaining treatment should include and that is in the following lines not those referenced.) An "order" as explained here is a doctor or provider's order for life sustaining treatment.
4 ‘‘(I) the reasons why the development of

5 such an order is beneficial to the individual and

6 the individual’s family and the reasons why

7 such an order should be updated periodically as

8 the health of the individual changes;


PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends

12 ‘‘(3)(A) An initial preventive physical examination

13 under subsection (WW), including any related discussion

14 during such examination, shall not be considered an ad

15 vance care planning consultation for purposes of applying

16 the 5-year limitation under paragraph (1).

17 ‘‘(B) An advance care planning consultation with re

18 spect to an individual may be conducted more frequently

19 than provided under paragraph (1) if there is a significant

20 change in the health condition of the individual, including

21 diagnosis of a chronic, progressive, life-limiting disease, a

22 life-threatening or terminal diagnosis or life-threatening

23 injury, or upon admission to a skilled nursing facility, a

24 long-term care facility (as defined by the Secretary), or

25 a hospice program.


Here again, I don't see any mandate for orders for end of life or how the gov has a say in how my life ends. The 5-year plan is in reference to a grace period defined on page 17; and "order" mentioned in any portion of the bill is defined right up front and is nothing more than the order doctors already give to have a person put on life sustaining equipment.


Pg 429 Lines 1-9 An "adv. care planning consult" will b used frequently as patients health deteriorates

PG 429 Lines 10-12 "adv. care consultation" may incl an ORDER 4 end of life plans. AN ORDER from GOV
Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
-------------------------------

429

HR 3200 IH

1 ‘‘(4) A consultation under this subsection may in

2 clude the formulation of an order regarding life sustaining

3 treatment or a similar order.

4 ‘‘(5)(A) For purposes of this section, the term ‘order

5 regarding life sustaining treatment’ means, with respect

6 to an individual, an actionable medical order relating to

7 the treatment of that individual that—

8 ‘‘(i) is signed and dated by a physician (as de

9 fined in subsection (r)(1)) or another health care

( I don't see "An "adv. care planning consult" will b used frequently as patients health deteriorates" however, the frequent consult is mentioned in another section and should be viewed as a good thing because the consulting is all about educating and informing a patient of their rights and letting them know what to expect and if their expectations change (as they will in cases listed), they should be informed.)


10 professional (as specified by the Secretary and who

11 is acting within the scope of the professional’s au

12 thority under State law in signing such an order, in

13 cluding a nurse practitioner or physician assistant)

14 and is in a form that permits it to stay with the in

15 dividual and be followed by health care professionals

16 and providers across the continuum of care;

17 ‘‘(ii) effectively communicates the individual’s

18 preferences regarding life sustaining treatment, in

19 cluding an indication of the treatment and care de

20 sired by the individual;

21 ‘‘(iii) is uniquely identifiable and standardized

22 within a given locality, region, or State (as identified

23 by the Secretary); and (429 only goes to line 23)


PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life

4 ‘‘(B) The level of treatment indicated under subpara
5 graph (A)(ii) may range from an indication for full treat
6 ment to an indication to limit some or all or specified
7 interventions. Such indicated levels of treatment may in
8 clude indications respecting, among other items—
9 ‘‘(i) the intensity of medical intervention if the
10 patient is pulseless, apneic, or has serious cardiac
11 or pulmonary problems;
12 ‘‘(ii) the individual’s desire regarding transfer
13 to a hospital or remaining at the current care set
14 ting;

15 ‘‘(iii) the use of antibiotics; and
16 ‘‘(iv) the use of artificially administered nutri
17 tion and hydration.’’.


( This is all in reference to medical intervention when someone is dying.... when you are laying in a hospital bed and you are about to die....do you want to die naturally or be put on life sustaining equipment....These are the same decisions that doctors already make and inform family members of; please note what is in bold. I personally want to go when my time comes; I don't want to be hooked up to machines meant to keep me alive....if God has decided it's my time to die, please let me die. Our medical advances are great and when they can make me well, I'm all for them, but when they are just machines meant to keep my body alive when my soul is already departing, I don't want them. ) and I think everyone should have that choice....before man invented these machines, people died when God wanted them to die.

Pg 469 - Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?

469 •
HR 3200
IH 1 and in close collaboration with the primary
2 care or principal care physician or nurse
3 practitioner designated by the beneficiary
4 as his or her community-based medical
5 home provider.
6 ‘‘(iii) The organization employs com

7 munity health workers, including nurses or
8 other non-physician practitioners, lay
9 health workers, or other persons as deter

10 mined appropriate by the Secretary, that
11 assist the primary or principal care physi

12 cian or nurse practitioner in chronic care
13 management activities such as teaching
14 self-care skills for managing chronic ill

15 nesses, transitional care services, care plan
16 setting, medication therapy management
17 services for patients with multiple chronic
18 diseases, or help beneficiaries access the
19 health care and community-based resources
20 in their local geographic area.
21 ‘‘(iv) The organization meets such
22 other requirements as the Secretary may
23 specify.
24 ‘‘(C) HIGH NEED BENEFICIARY.—In this
25 section, the term ‘high need beneficiary’ means


I have highlighted in red, the only place where Community Based Home Medical Services is mentioned. There is no reference to non-profit; and it is mentioned only as the "individual's" designated health provider. From this, I have no idea how Acorn could come into play. When a bill is drafted, it is meant to be very explicit, nothing is to be read into any part of it. It must stand alone before it can be drafted into law.

VerDate Nov

& Page 472."

1 sents to receive medical home services through

2 such medical home, as follows:

3 ‘‘(i) PAYMENT TO COMMUNITY-BASED

4 ORGANIZATION.—One monthly payment to

5 a community-based or State-based organi

6 zation.

7 ‘‘(ii) PAYMENT TO PRIMARY OR PRIN

8 CIPAL CARE PRACTICE.—One monthly pay

9 ment to the primary or principal care prac

10 tice for such beneficiary.

11 ‘‘(C) PROSPECTIVE PAYMENT.—The pay

12 ments under subparagraph (B) shall be paid on

13 a prospective basis.

14 ‘‘(D) AMOUNT OF PAYMENT.—In deter

15 mining the amount of such payment, the Sec

16 retary shall consider the following:

17 ‘‘(i) The clinical work and practice ex

18 penses involved in providing the medical

19 home services provided by the community

20 based medical home (such as providing in

21 creased access, care coordination, care plan

22 setting, population disease management,

23 and teaching self-care skills for managing

24 chronic illnesses) for which payment is not


The only place this is mentioned is in regard to payment to a facility...

basically saying that it shall be one monthly payment. This is how a lot of things are handled right now -- in order to help keep costs low .. rather than a payment every time something is done. This is how it was done with my mother-in-law before she died. One monthly payment rather than for each time she had to have medication, etc.

VerDate Nov