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Why the GOP IS the root of all evil...
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techno900



Joined: 28 Mar 2001
Posts: 1485

PostPosted: Fri Aug 17, 2012 10:27 am    Post subject: Reply with quote

Another Dr. story.

At my last visit, my GP gave notice that his practice will change into (as I recall) "designer medicine", where he will no longer take insurance and medicare/medicaid.

Most GPs are finding that they are being over run with patients, many with medicare/medicaid which generally don't cover the Doctor's costs and result in VERY little time with the patient. Plus both parties want to reduce the Dr's reimbursements ($700 billion), so what to do?

Like my Dr, if they are good and have well to do clients, they bail on the vast majority of patients to serve just a few of those willing to pay cash for quality time, care and service. Obviously, not all Doctors can do this, but how many can?

How wide spread is this? I have no idea, but the bottom line is that even with medicare/medicaid and/or Obama care, getting in to see a GP in a reasonable amount of time (assuming one will see you at all) WILL only be a pipe dream. Welcome to the Emergency room where those with insurance will have to wait a dozen+ hours to see a Dr along with the illegals. Doctors aren't stupid and many will figure a way to reduce the work load and increase profits, and it will be at our expense, both health and $ wise.

The question is, who has the better plan to fix this? No reason to debate this since we know where the parties stand, but the problem is real and funding will dry up shortly, so we have to do something. This of course is from the perspective of someone on medicare. Those on private insurance are in a better situation at the moment since Dr reimbursements are higher than the government, but that could also change.

Even with the spin and lies from both parties, at least the issue is now on every one's mind (well not everyone, there are plenty of ignorant soles out there that don't have a clue).
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mac



Joined: 07 Mar 1999
Posts: 5261

PostPosted: Sun Aug 19, 2012 12:24 am    Post subject: Reply with quote

Here's what avoiding regulation can do for corporate profits, and how the fire at the Richmond refinery shows how these battles play out.

Quote:
January 8, 2010 9:40 AM PrintText
Suits Threatened Over New EPA Rules

ByJarrett Murphy .The Bush administration on Friday eased clean air rules to allow utilities, refineries and manufacturers to avoid having to install expensive new anti-pollution equipment when they modernize their plants.

However, lawsuits to block these changes are already in the wind, as CBS News Correspondent Bob Orr reports. The rollback of clean air rules is a bonanza for hundreds of the nation's oldest and dirtiest power plants, reports Orr.

The long-awaited regulation issued by the Environmental Protection Agency was immediately attacked by environmentalists, state air quality regulators and attorneys general in several Northeast states who promised a lawsuit to try to reverse the action.

EPA Administrator Christie Whitman rejected critics' claims that the changes would produce dirtier air, saying in a statement they would encourage emission reductions by providing utilities and refinery operators new flexibility.

She said the old program has "deterred companies from implementing projects that would increase energy efficiency and decrease air pollution."

But as Orr reports, the Administration still faces a fight. Senator Joe Lieberman has called for EPA Administrator Whitman to resign. Attorneys general in Connecticut and New York say they're heading to court to stop the change.


So to save profits, the Bush administration rolled back requirements to meet current air quality standards when owners propose to modernize refineries. And here's how it is playing out in Richmond:

Quote:
RICHMOND -- Chevron and environmental groups are poised for an epic clash over the repair of the oil giant's century-old refinery in the wake of the Aug. 6. fire.

The conflict could delay a return to full production at the refinery and prolong a period of high gas prices for Northern California motorists.

Environmentalists have seized on the fire damage as an opportunity to force Chevron to update the huge refinery, one of the Bay Area's biggest polluters, to make it safer and cleaner. But Chevron, eager to preserve exceptions the aging refinery enjoys from compliance with the 1970 Clean Air Act, appears ready to resist a major update.

"This is our most opportune time to put pressure on Chevron," said Andres Soto, an activist with Communities for a Better Environment. "We definitely want a complete modernization of the refinery."

A spokesman for San Ramon-based Chevron, though, expressed skepticism about the environmental groups' motives. He said the same environmental and community groups now calling for modernization of the refinery have in the past used litigation and other tactics to delay upgrades that, the company says, would have made the refinery more efficient and reliable while reducing emissions.

Spokesman Justin Higgs said the groups' actions "continue to impede improvements, stymie job creation and cost Richmond much-needed revenue."
Community activists respond that they sued Chevron in 2010 because it had
not undertaken a sufficient environmental review. They won a court order forcing the oil giant to produce a new environmental impact report. Chevron is preparing a report that should be completed by 2013. This time around, activists are pressuring Chevron not merely to replace the crude oil distillery unit destroyed in the fire but to replace aging equipment, pipes, devices and other gear with state-of-the-art, modern components. They want a thorough probe of the fire and rigorous oversight of the repairs and upgrades.

"Modernize this damn old refinery," said Denny Larson, a representative of El Cerrito-based Global Community Monitor, which provides support for community groups in their activities.

Chevron's 110-year-old Richmond plant is one of numerous aging U.S. refineries that were largely exempted from the 1970 Clean Air Act because their already creaky equipment wouldn't have passed muster under the rules established by that law.

To avoid being forced to comply with today's Clean Air Act rules, refinery operators have typically avoided major expansions.
Instead, they have cobbled together modifications and repairs in fits and starts as components wore out or broke down.

"The activists sense this fire has created the opening to push for a modern plant," said Dara O'Rourke, an associate professor of environmental policy at UC Berkeley. "This Richmond refinery is really old. At some point you have to bring it up to 2012 standards."

Local environmental groups have the backing of the 1.4 million-member Sierra Club, which has called for a thorough investigation of the fire and a careful monitoring of repairs.

"It's time to move beyond oil," the Sierra Club wrote in an email to its members. "Let your friends know that you're sick of Big Oil's spin machine."


It's pretty simple. Refinery expansion and modernization projects can go forward if they meet air quality standards that protect public health of the surrounding community. But the oil companies would rather lobby for exemptions, and have Republicans in office that will give them those exemptions.
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coboardhead



Joined: 26 Oct 2009
Posts: 1952

PostPosted: Sun Aug 19, 2012 8:52 am    Post subject: Reply with quote

Mac

I don't deal these days with regulations on the clean air act and its enforcement. But, as a structural engineer, I often design upgrades to structures and bridges. Sometimes an owner of a deficient structure will be interested in reinforcing his structure to provide a "safer" condition. Depending on the whim of the local bureaucrat, the owner may not be allowed to perform this work unless it meets full compliance to the building codes. Often, it is simply too expensive to do this and the work is shelved.

I, recently, designed a new fire escape on an historic building. However, the new geometry required the relocation of a non-complying propane tank. I proposed moving the tank six inches (actually closer to code compliance). This was denied by the fire official. So, the old stair will be left in place.

I do not know if some of this has occurred in the Chevron plant. But, it is worth noting that sometimes strict enforcement of the rules can produce the opposite of the intended purpose. Enforcement agency personnel are afraid, unable or unwilling to allow compromises that could produce significantly better results.
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mac



Joined: 07 Mar 1999
Posts: 5261

PostPosted: Sun Aug 19, 2012 11:18 am    Post subject: Reply with quote

CB--I agree in the context of relatively small projects like housing or commercial development. City planning and code staff can be inflexible and you can get contrary results. More flexibility is often provided in rehabbing a historical structure. The Chevron situation is dramatically different. While some of the enviros fighting are absolutely bats, and unwilling to compromise, the issue I wanted to point out is that the Bush administration essentially gave the oil industry a way to avoid--for a very long time--meeting Clean Air Act standards. This, and the pressure on operations people to be efficient, is the backdrop to the battle over modernization at the Richmond refinery.
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swchandler



Joined: 08 Nov 1993
Posts: 5834

PostPosted: Sun Aug 19, 2012 12:50 pm    Post subject: Reply with quote

mac, I'm a bit confused about your first quote in your 05:24 post. It shows a January 8, 2010 date, but it goes on to indicate that the Bush Administration eased clean air rules. Should the date have been 2009? The Bush Administration was long gone by 2010.
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mac



Joined: 07 Mar 1999
Posts: 5261

PostPosted: Sun Aug 19, 2012 1:06 pm    Post subject: Reply with quote

Chandler--the date must reflect a reposting. I remember the rule relaxation, and Christie was a Bushie (not that bad), but I didn't bother to run down the actual rule-making.
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mac



Joined: 07 Mar 1999
Posts: 5261

PostPosted: Sat Sep 15, 2012 2:50 pm    Post subject: Reply with quote

Quote:
The controversial law that curbed the collective bargaining rights of public employees in Wisconsin has been struck down by Dane County Circuit Judge Juan Colas.

The law, if you remember, was championed by Gov. Scott Walker and it unleashed massive protests and even led to Democratic law makers to flee the state to forestall its passage. After it became law, union activists mobilized and triggered a recall vote, which Walker ultimately defeated.


Politicians from both the left and the right will enact laws that are certain to be overturned. But the GOP's losing streak (Arizona anti-immigration law, various voter prevention laws, anti-collective bargaining in Wisconsin and, I believe Ohio) is very impressive for ineptitude.
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stevenbard



Joined: 11 Nov 1993
Posts: 4160

PostPosted: Sat Sep 15, 2012 5:07 pm    Post subject: Reply with quote

ineptitude is 22 counties around the world burning.
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swchandler



Joined: 08 Nov 1993
Posts: 5834

PostPosted: Sat Sep 15, 2012 5:51 pm    Post subject: Reply with quote

Come on Bard, you could give a crap about the Islamic world, so it comes out as patently pretentious on your part that you show a false concern for these North African and Middle Eastern countries with problems right now, and easily pile the blame on President Obama.

If you were really honest about things, I think you readily know that Romney doesn't even come close to having the knowledge, sophistication and credibility to handle anything in much of the world, let alone in the Islamic world. I think it's fair to say the President Obama's record over the last 4 years hasn't been impeccable or without flaws, nevertheless, he's made great strides over the policies of the Bush/Cheney Administration. Based on the advice Romney is receiving on international politics, it arguably represents a return to the poor policies of the Bush/Cheney Administration. Why go back to such nonsense that stained American's reputation in the world.
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stevenbard



Joined: 11 Nov 1993
Posts: 4160

PostPosted: Sat Sep 15, 2012 7:09 pm    Post subject: Reply with quote

So how is Obama different from Bush?

Taxes? The Same.
Wars? More of them
Jobs? less of them
Bailouts? The same, even more
Immigration? The same.
Abortion? The same
Deficit? Way more
Food Stamps? More


Putin thinks he's a fool. Germany thinks he's a fool. Riots and burning in 22 countries filled with American hatred. China is building their military while we disassemble ours.

The only thing he can say is the stock market is higher, (after trillions in steroidal injections of cash.

99% of the bureaucrats who worked for Bush now work for Obama. What difference? What change except of bad change?
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