Lost In The Shuffle

Way too many times, when we're busy sniping and ducking fire, we forget to look at what's actually happening.

WaPo:

Over at Health Affairs, Andrew Steinmetz, Ralph Muller, Steven Altschuler and Ezekiel Emanuel decided to see how health reform looked to hospital executives. They surveyed 74 C-Suite executives from institutions that, on average, employed 8,520 workers and saw annual revenues of $1.5 billion. The survey wasn't scientific by any means, but in a speculative conversation that's proceeding mostly by anecdote, these individuals have a better vantage point on the changes that health reform is making to actual health-care systems than virtually anyone else.

The results? Hospital executives think health reform is going to make the health care they deliver a whole lot better -- and a bit cheaper:

Fully 65 percent indicated that by 2020, they believe the healthcare system as a whole will be somewhat or significantly better than it is today. And when they were asked about their own institutions, the optimism was even more dramatic. Fully 93 percent predicted that the quality of care provided by their own health system would improve. This is probably related to efforts to diminish hospital acquired conditions, medication errors, and unnecessary re-admissions, as encouraged by financial penalties in the ACA.

These are the guys who make money on your being sick.  Not like the docs and nurses who mostly earn every penny trying to take care of us - an awful lot of these guys are cut-throat MBA types with no clinical background, who often speak of their patients as products, and who just as often believe they can't afford the luxury of having honest human emotions when it comes to the business of healthcare.

65% of 'em think healthcare in USAmerica Inc will be better under ACA.
91% think the cost aspects will improve.
And 93% are convinced that the quality of care at their own facilities will improve.

How can there possibly be any question as to why Repubs (and their Press Poodles) are constantly slagging Obama and "Gubmint Healthcare"?

A Bit Shocking

...cuz, when you think of "librul pinko-socialist utopia", you just automatically think - Utah(?)

From NationSwell, via Democratic Underground

Utah has reduced its rate of chronic homelessness by 78 percent over the past eight years, moving 2000 people off the street and putting the state on track to eradicate homelessness altogether by 2015. How’d they do it? The state is giving away apartments, no strings attached. In 2005, Utah calculated the annual cost of E.R. visits and jail stays for an average homeless person was $16,670, while the cost of providing an apartment and social worker would be $11,000. Each participant works with a caseworker to become self-sufficient, but if they fail, they still get to keep their apartment.

And did you catch the part about saving tax dollars?  Wow - turns out the sensible, business-like thing to do is to be generous and charitable.  Hoodathunkit!?!

So, when the clear-eyed rational tough-love austerians are talking about how "we just can't coddle these people because all we're doing by giving them handouts is teaching them to be dependent"? - well, now we have some more very good empirical evidence that they really are just being the short-sighted narrow-minded pricks we tho't they were in the first place.  Not that this particular bit of very good empirical evidence won't be lost on 'em, like it usually is.  To wit:

In a new HuffPost/YouGov poll, only 36 percent of Americans reported having "a lot" of trust that information they get from scientists is accurate and reliable. Fifty-one percent said they trust that information only a little, and another 6 percent said they don't trust it at all.

Science journalists fared even worse in the poll. Only 12 percent of respondents said they had a lot of trust in journalists to get the facts right in their stories about scientific studies. Fifty-seven percent said they have a little bit of trust, while 26 percent said they don't trust journalists at all to accurately report on scientific studies.

So it's a complete crapshoot on whether we get our collective head out of our ass, but hey - there's never a bad time to throw some Carlin at ya:

Prison Break

I'm Dressin' Up Like Santa --Bob Rivers

Sometimes Small Is Big

Sarah Jarosz via NPR's Tiny Desk Concerts
w/ fiddler Alex Hargreaves and cellist Nathaniel Smith

Today's Rant

Nobody ever went broke underestimating the intelligence of the American consumer.

Happy Solstice

Have Yourself A Merry Little Christmas --Bob Evans

Today's Pix

What Comfort Can Be Found

Of all the aspects of religiousness that make my skin crawl, that's kinda the big'un - the fact that a "Christian" like Erick Erickson is comforted by the thought of other people suffering because they don't believe in his imaginary friends.

That's pretty fucked up right there.

hat tip = Little Green Footballs

God Love The Onion

Meanwhile, Back At The Executive Mansion

From WaPo, via Richmond Times Dispatch:

Federal prosecutors told Gov. Bob McDonnell last week that he and his wife would be charged in connection with a gift scandal, but senior Justice Department officials delayed the decision after the McDonnells’ attorneys made a face-to-face appeal in Washington, according to people familiar with the case.

Dana Boente, the U.S. attorney for the Eastern District of Virginia, told the McDonnells’ legal teams that he planned to ask a grand jury to return an indictment no later than this past Monday, people familiar with the conversations said.

The governor and his wife, Maureen McDonnell, would have been charged with working together to illegally promote a struggling dietary supplement company in exchange for gifts and loans from its CEO, the people said.

The legal teams for Vaginal Bob and Lady McDonnell met with a Deputy USAG and got something of a reprieve.  Nobody's talking about it, but it could be just the usual delaying tactic of pleading for the indictments to be postponed until after McAuliffe's inauguration.  That way (per conventional wisdom), we can pretend that the stench of corruption is totally (and only) attached to these two people, and doesn't point directly at a political system that's growing into a full-blown institutionalized scheme of coin-operated politicians.

I'm not convinced yet that McAuliffe has what it takes, but it sure would be nice for him to start things off by declaring simply and straight out that taking the big bucks from the big donors doesn't mean he'll be manufacturing policies that are custom made to fit an agenda that has practically nothing to do with - and may well do some real harm to - the people who can't afford to make those high-dollar contributions.