God forbid, the DEMS may actually may have to stop sitting on the fence - Page 3 - Mercedes-Benz Forum

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post #21 of 33 (permalink) Old 11-06-2006, 02:55 PM
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Originally Posted by Professor
Very good example there! It's the insurance companies that want the status quo, the fleecing needs to go on thanks to lawmakers being paid by those voltures.
Insurance companies are a powerful lobby that can twist the arms of both parties. Until 'the way the game is played' is changed, we can't possibly expect a fix in the near future.

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post #22 of 33 (permalink) Old 11-06-2006, 05:55 PM
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So if you want to know what's broke, it's the fact that individuals cannot get the same discounts as insurers even though the law requires that they 'bill' the same. So much for 'self insurance'.
Very true. I work in home infusion. If a patient has insurance we are paid a negotiated rate by the insurance company. If a patient is a 'self pay' the rate is about twice as high. The insurance company pays us average wholesale price (AWP) minus a certain percentage for the drug and then a per diem for the supplies (tubing, ambulatory pumps, etc.) So, if the supplies cost us $20/day and the per diem is only $15/day, we end up eating some of the cost. (That per diem is also applied to our delivery costs.) But, that's the price we pay, literally, to keep contracts with big insurance companies.

A self pay patient is billed per supply and also pays the AWP for the drug, which equals big bucks. Needless to say, we don't have many self pay patients. They just have to stay in the hospital for their treatments.

Most of the time, the margin we make on the drug is enough to warrant taking a loss on the reimbursement for the supplies. Example: October thru April we dose Synagis to premature or otherwise at risk babies. A 100mg vial of Synagis costs the insurance companies about $1200.00. We pay our distributor about $1000.00 per vial. The drug is given according to the chiild's weight (15mg/kg) once a month and most of the kids require two vials. We don't receive a per deim for that particular drug, but the supplies only cost us about $1.00. (BTW, if a child is a candidate for Synagis but does not have private insurace and is not eligible for Medicaid, they just don't get the drug. That's really sad because Synagis helps to reduce the severity of RSV should a child contract it. For premature babies, because of their underveloped lungs, RSV can be fatal. )

Wow--I'm rambling like a mofo.
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post #23 of 33 (permalink) Old 11-06-2006, 06:02 PM
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Originally Posted by Jillian80
Very true. I work in home infusion. If a patient has insurance we are paid a negotiated rate by the insurance company. If a patient is a 'self pay' the rate is about twice as high. The insurance company pays us average wholesale price (AWP) minus a certain percentage for the drug and then a per diem for the supplies (tubing, ambulatory pumps, etc.) So, if the supplies cost us $20/day and the per diem is only $15/day, we end up eating some of the cost. (That per diem is also applied to our delivery costs.) But, that's the price we pay, literally, to keep contracts with big insurance companies.

A self pay patient is billed per supply and also pays the AWP for the drug, which equals big bucks. Needless to say, we don't have many self pay patients. They just have to stay in the hospital for their treatments.

Most of the time, the margin we make on the drug is enough to warrant taking a loss on the reimbursement for the supplies. Example: October thru April we dose Synagis to premature or otherwise at risk babies. A 100mg vial of Synagis costs the insurance companies about $1200.00. We pay our distributor about $1000.00 per vial. The drug is given according to the chiild's weight (15mg/kg) once a month and most of the kids require two vials. We don't receive a per deim for that particular drug, but the supplies only cost us about $1.00. (BTW, if a child is a candidate for Synagis but does not have private insurace and is not eligible for Medicaid, they just don't get the drug. That's really sad because Synagis helps to reduce the severity of RSV should a child contract it. For premature babies, because of their underveloped lungs, RSV can be fatal. )

Wow--I'm rambling like a mofo.
Fascinating


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post #24 of 33 (permalink) Old 11-06-2006, 06:35 PM
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Fascinating

Hey, cut me some slack--it's 7:30 and I'm STILL at work.

Anyway, you're just jealous 'cause your fingers are too ginormous to type that much.
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post #25 of 33 (permalink) Old 11-06-2006, 06:47 PM
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Hey, cut me some slack--it's 7:30 and I'm STILL at work.

Anyway, you're just jealous 'cause your fingers are too ginormous to type that much.
Sorry. Just lashing out after getting dumped for a citrus-masticating gimp.

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post #26 of 33 (permalink) Old 11-06-2006, 07:11 PM
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Originally Posted by ThrillKill
Sorry. Just lashing out after getting dumped for a citrus-masticating gimp.
Sorry, buddy. Mr. DR once called someone a 'sheep shagging fuckwit' and I've been in love ever since.
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post #27 of 33 (permalink) Old 11-06-2006, 07:30 PM
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Crap!

Quote:
Originally Posted by Jillian80
Sorry, buddy. Mr. DR once called someone a 'sheep shagging fuckwit' and I've been in love ever since.


I've been using "Passing stranger! you do not know how longingly I look upon you."


Whitman is a pussy.....
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post #28 of 33 (permalink) Old 11-06-2006, 07:34 PM
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He was gay actually.

818. The Wound-Dresser

Walt Whitman (1819–1892)


1

AN old man bending I come among new faces,
Years looking backward resuming in answer to children,
Come tell us old man, as from young men and maidens that love me,
(Arous’d and angry, I’d thought to beat the alarum, and urge relentless war,
But soon my fingers fail’d me, my face droop’d and I resign’d myself,
To sit by the wounded and soothe them, or silently watch the dead
Years hence of these scenes, of these furious passions, these chances,
Of unsurpass’d heroes (was one side so brave? the other was equally brave)
Now be witness again, paint the mightiest armies of earth,
Of those armies so rapid so wondrous what saw you to tell us?
What stays with you latest and deepest? of curious panics,
Of hard-fought engagements or sieges tremendous what deepest remains?

2

O maidens and young men I love and that love me,
What you ask of my days those the strangest and sudden your talking recalls,
Soldier alert I arrive after a long march cover’d with sweat and dust,
In the nick of time I come, plunge in the fight, loudly shout in the rush of successful charge,
Enter the captur’d works—yet lo, like a swift-running river they fade,
Pass and are gone they fade—I dwell not on soldiers’ perils or soldiers’ joys
(Both I remember well—many the hardships, few the joys, yet I was content).

But in silence, in dreams’ projections,
While the world of gain and appearance and mirth goes on,
So soon what is over forgotten, and waves wash the imprints off the sand,
With hinged knees returning I enter the doors (while for you up there,
Whoever you are, follow without noise and be of strong heart).

Bearing the bandages, water and sponge,
Straight and swift to my wounded I go,
Where they lie on the ground after the battle brought in,
Where their priceless blood reddens the grass, the ground,
Or to the rows of the hospital tent, or under the roof’d hospital,
To the long rows of cots up and down each side I return,
To each and all one after another I draw near, not one do I miss,
An attendant follows holding a tray, he carries a refuse pail,
Soon to be fill’d with clotted rags and blood, emptied, and fill’d again.

I onward go, I stop,
With hinged knees and steady hand to dress wounds,
I am firm with each, the pangs are sharp yet unavoidable,
One turns to me his appealing eyes—poor boy! I never knew you,
Yet I think I could not refuse this moment to die for you, if that would save you.

3

On, on I go, (open doors of time! open hospital doors!)
The crush’d head I dress (poor crazed hand tear not the bandage away),
The neck of the cavalry-man with the bullet through and through I examine,
Hard the breathing rattles, quite glazed already the eye, yet life struggles hard
(Come sweet death! be persuaded O beautiful death!
In mercy come quickly).

From the stump of the arm, the amputated hand,
I undo the clotted lint, remove the slough, wash off the matter and blood,
Back on his pillow the soldier bends with curv’d neck and side-falling head,
His eyes are closed, his face is pale, he dares not look on the bloody stump,
And has not yet look’d on it.

I dress a wound in the side, deep, deep,
But a day or two more, for see the frame all wasted and sinking,
And the yellow-blue countenance see.
I dress the perforated shoulder, the foot with the bullet-wound,
Cleanse the one with a gnawing and putrid gangrene, so sickening, so offensive,
While the attendant stands behind aside me holding the tray and pail.

I am faithful, I do not give out,
The fractur’d thigh, the knee, the wound in the abdomen,
These and more I dress with impassive hand (yet deep in my breast a fire, a burning flame).

4

Thus in silence in dreams’ projections,
Returning, resuming, I thread my way through the hospitals,
The hurt and wounded I pacify with soothing hand,
I sit by the restless all the dark night, some are so young,
Some suffer so much, I recall the experience sweet and sad,
(Many a soldier’s loving arms about this neck have cross’d and rested,
Many a soldier’s kiss dwells on these bearded lips).

Recall that earlier generations faced down fascism and communism not just with missiles and tanks, but with sturdy alliances and enduring convictions. They understood that our power alone cannot protect us, nor does it entitle us to do as we please. Instead, they knew that our power grows through its prudent use; our security emanates from the justness of our cause, the force of our example, the tempering qualities of humility and restraint.

-President Barack Obama, 1st Inaugural address

Last edited by FeelTheLove; 11-06-2006 at 07:37 PM.
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post #29 of 33 (permalink) Old 11-06-2006, 07:39 PM
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Cosmic Consciousness



--------------------------------------------------------------------------------


A consciousness of the cosmos, knowing the life and order of the universe. It is considered a higher, yet at present an exceptional peak in human evolution which the race is expected to reach in a distant future.

According to Dr. Richard M. Bucke (1837-1902), a friend of Walt Whitman, some individuals, mostly of the male sex, between 30 and 40, and who are highly developed with good intellect, high morals, a superior physique, and an earnest religious feeling can acquire this consciousness.

Dr. Bucke considered thirteen individuals to have possessed such a consciousness: Gautama, Jesus, Paul, Platinus, Mohammed, Dante, Las Casas, John Ypes, Francis Bacon, Jacob Behmen, William Blake, Balzac and Walt Whitman.

The experience comes suddenly without warning with a sensation of being immersed in a flame or rose-colored cloud and is accompanied by a feeling of ecstasy, moral and intellectual illumination in which, like a flash, a clear conception in outline is presented to the mind of the meaning and drift of the universe.

The man or woman going through this experience knows that the universe is a living presence, that life is eternal, the soul of man is immortal, the foundation principle of life is love, and the happiness of every individual in the long run is absolutely certain. All fear of death, all sense of sin is lost, and the personality gains added charm and is transfigured. In a few moments of the experience the individual will learn more than in years or months of study and will learn much that no study will teach.

Walt Whitman described cosmic consciousness as "ineffable light, light rare, untellable, light beyond all signs, descriptions and languages."

Dr. Bucke, whose conclusions was presented in his remarkable book Cosmic Consciousness, was a descendent of Sir Richard Walpole, and was in the position of superintendent of the Asylum for the Insane at London, Onterio, Canada, for 25 years.

Distinctly there are many degrees of higher consciousness from the elementary awareness of shared consciousness with other individuals to the perception of profound scientific insight, and the transcendental experience of the mystic. These represent the varying degrees of creative intelligence of the cosmos, the infinite divine principle represented in the anthropomorphic symbolism of "God" in the many religions of the world. A.G.H.
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post #30 of 33 (permalink) Old 11-06-2006, 07:39 PM
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Bearded lips.......
Talk about feeling the love....
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