In addition to a few hundred dollars in miscellaneous items, the two basic Sloan-Kettering charges are $414 per hour for five hours of nurse time for administering the Flebogamma and a $4,615 charge for the Flebogamma.
According to Alan A., the nurse generally handles three or four patients at a time. That would mean Sloan-Kettering is billing more than $1,200 an hour for that nurse. When I asked Paul Nelson, Sloan-Kettering’s director of financial planning, about the $414-per-hour charge, he explained that 15% of these charges is meant to cover overhead and indirect expenses, 20% is meant to be profit that will cover discounts for Medicare or Medicaid patients, and 65% covers direct expenses. That would still leave the nurse’s time being valued at about $800 an hour (65% of $1,200), again assuming that just three patients were billed for the same hour at $414 each. Pressed on that, Nelson conceded that the profit is higher and is meant to cover other hospital costs like research and capital equipment.
I could totally see how someone could think Huckleberry Finn was hell of racist if they didn't finish it. And it is a long book.
But all of that is just the nescessary buildup to the main character realizing how deeply shitty and racist his culture and religion and everything he had been brought up to think was good really was. That just because someone does the right and Christian thing doesn't mean they aren't terrible people.
It is worth slogging through that long, long book just for this if nothing else.
"All right, then, I'll GO to hell"--and tore it up.”
No no, these papers I'm talking about are not written by silly or stupid people.
They have very, very specific examples and opinions and they deconstruct every single moment where Huck Finn is supposedly 'doing the right thing' or having a moral crisis moment and explain why he hasn't changed a bit and is still really racist and sort of awful.
If I were allowed to write about the book like they are, these would actually be very good papers.
But the essay topics are like "discuss the symbolism of the river as it relates to social constraints."
And none of these essays care to talk about any of that, they are all interested in breaking down Huck and/or Twain's racism.
This is my very last lit class i think. I will be very, very happy to be done with them. I do not like studying anything in the humanities and I particularly want to get away from the instructors.
my pet suspicion is that you can't get political pressure to control costs in hospitals until you get some way to relieve hospitals of a duty to treat
Other countries seem to control costs way better than we do and don't give up the duty to treat.
because they adopted the universal duty to treat after they introduced state healthcare
moving in the opposite direction requires hospitals pushing back against being driven to bankruptcy in a difficult direction
Hospitals don't have a duty to treat in the US.
Emergency departments do, but that covers the ED only.
Emergency costs are one driver of overall healthcare costs, but they're not a primary driver.
it's ballooning admin costs, if I followed the debate correctly
Ballooning administrative costs and overutilization are the least controversial drivers. (But of course no two people will ever agree on what exactly constitutes "over"utilization versus appropriate utilization.)
Rising costs were masked for a little while in the 90s by insurance companies profiting more off of float via stock market investments.
Diversion of patients from low-cost primary care offices into high-cost emergency departments due to lack of health insurance is a cost driver. On an overall national scale it's not that big of a cost driver, but when looking at public expenditures specifically it's important because EDs receive a disproportionate share of public funds.
Poor record-keeping and inter-provider coordination cause more medical errors, which can be ameliorated by better use of electronic health records, but the adoption of EHR usually turns out to be much more expensive in the short-run than the medical errors that it prevents, which is why Medicare is offering incentives for it.
I also firmly believe that the AMA and the AAMC are flagrantly rent-seeking by trying to keep the supply of MDs artificially low and their value artificially high, but I recognize that this is a controversial interpretation.
Feral on
every person who doesn't like an acquired taste always seems to think everyone who likes it is faking it. it should be an official fallacy.
I'm reading one right now where this lady bitches at length about how terrible America is because Huck Finn is popular and Uncle Tom's Cabin isn't.
I'm just gonna go out on a limb here and say that maybe it's because Uncle Tom's Cabin is long as fuck and horrifically boring from start to finish.
wait... Uncle Tom's Cabin?
what the hell was her problem?
Huck Finn is racist and Uncle Tom's Cabin tells a better story about oppression and should therefore be taught widely in schools instead of Huck.
Every single essay I have read on Huck Finn so far begins with the assumption that it's a horrible racist novel.
I have to assume that is the academic hivemind view on the book.
it is not.
Mark Twain was basically a giant troll. He was a Southerner and obviously had a lot of love for the Southern culture. But at the same time he was hardly a fan of slavery and wrote about it in the msot cynical sarastic way possible. Hr reduced both the salves and the slave owners to cartoon stereotypes to make fun of the whole ridiculous thing.
someone needs to explain the meaning of the word satire to your class
nexuscrawler on
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JacobkoshGamble a stamp.I can show you how to be a real man!Moderatormod
I'm reading one right now where this lady bitches at length about how terrible America is because Huck Finn is popular and Uncle Tom's Cabin isn't.
I'm just gonna go out on a limb here and say that maybe it's because Uncle Tom's Cabin is long as fuck and horrifically boring from start to finish.
wait... Uncle Tom's Cabin?
what the hell was her problem?
Huck Finn is racist and Uncle Tom's Cabin tells a better story about oppression and should therefore be taught widely in schools instead of Huck.
Every single essay I have read on Huck Finn so far begins with the assumption that it's a horrible racist novel.
I have to assume that is the academic hivemind view on the book.
it is not.
Mark Twain was basically a giant troll. He was a Southerner and obviously had a lot of love for the Southern culture. But at the same time he was hardly a fan of slavery and wrote about it in the msot cynical sarastic way possible. Hr reduced both the salves and the slave owners to cartoon stereotypes to make fun of the whole ridiculous thing.
someone needs to explain the meaning of the word satire to your class
This.
Mark Twain is in many ways the precursor to Stewart/Colbert. Especially Colbert.
SW-4158-3990-6116
Let's play Mario Kart or something...
It was. But if you are discussing English Literary Criticism and you use the word "deconstruct" as analogous to "critique/analyze" you are adding to a big big big problem of people co-opting very specific and abstruse philosophical tools and using them willy-nillly to spew bullshit.
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I got pretty decent at that once I understood how to play
let's talk gif sizes
details!
when he says something shout THAT'S NEWS TO ME
I don't think that is a very rigorous comparison! Are you remembering Crysis 1 from memory?
YOU UP
i started out in english lit
after moving to philosophy and mathematical logic, I now believe sitting in on an English class should have been covered at the Geneva Convention
No no, these papers I'm talking about are not written by silly or stupid people.
They have very, very specific examples and opinions and they deconstruct every single moment where Huck Finn is supposedly 'doing the right thing' or having a moral crisis moment and explain why he hasn't changed a bit and is still really racist and sort of awful.
If I were allowed to write about the book like they are, these would actually be very good papers.
But the essay topics are like "discuss the symbolism of the river as it relates to social constraints."
And none of these essays care to talk about any of that, they are all interested in breaking down Huck and/or Twain's racism.
Apropos of nothing
The new suit is hideous.
I want to be home, playing Revengeance...
But I'm stuck at school.
Fuck this not-having-a-car state of affairs
Check out my site, the Bismuth Heart | My Twitter
Can you tell what I meant by what I said though?
Was I clear enough for you?
Someone was a dick in the parking lot
Lady cuts in front of me in line at Starbucks
Friend canceling lunch
No job
Stupid cat
I want someone to fail for not following a prompt properly
More like the book infantilizes the main character from what I have heard.
Deconstruct doesn't have to refer to Derrida or post structural whatevers.
It can just mean "to disassemble or break down."
I mean we already have analyze, but that's a more positive synonym
Raining like cats and dogs now too
Ballooning administrative costs and overutilization are the least controversial drivers. (But of course no two people will ever agree on what exactly constitutes "over"utilization versus appropriate utilization.)
Rising costs were masked for a little while in the 90s by insurance companies profiting more off of float via stock market investments.
Diversion of patients from low-cost primary care offices into high-cost emergency departments due to lack of health insurance is a cost driver. On an overall national scale it's not that big of a cost driver, but when looking at public expenditures specifically it's important because EDs receive a disproportionate share of public funds.
Poor record-keeping and inter-provider coordination cause more medical errors, which can be ameliorated by better use of electronic health records, but the adoption of EHR usually turns out to be much more expensive in the short-run than the medical errors that it prevents, which is why Medicare is offering incentives for it.
I also firmly believe that the AMA and the AAMC are flagrantly rent-seeking by trying to keep the supply of MDs artificially low and their value artificially high, but I recognize that this is a controversial interpretation.
the "no true scotch man" fallacy.
Mark Twain was basically a giant troll. He was a Southerner and obviously had a lot of love for the Southern culture. But at the same time he was hardly a fan of slavery and wrote about it in the msot cynical sarastic way possible. Hr reduced both the salves and the slave owners to cartoon stereotypes to make fun of the whole ridiculous thing.
someone needs to explain the meaning of the word satire to your class
and starts being about your ability to keep ten thousand authors and their bullshit pet theories straight
Gooey is sitting next to Kevin Nealon though, so there's that
QEDMF xbl: PantsB G+
This.
Mark Twain is in many ways the precursor to Stewart/Colbert. Especially Colbert.
Let's play Mario Kart or something...
Can't even get myself to write anything, just a lazy lump
What is the proper way to use the word 'deconstruct?'
the "no true scotch man" fallacy.
The private insurance system is the cause of this.
For ever doctor doing work you need like 2 people filling out paperwork and yelling at the insurance companies to get paid.
This is why even though it pays less doctors like Medicare, because the government just pays their damn bills.
You can do it, SIG, i belieeeeeeve in you.
Check out my site, the Bismuth Heart | My Twitter
what are you trying to write, sig?
It was. But if you are discussing English Literary Criticism and you use the word "deconstruct" as analogous to "critique/analyze" you are adding to a big big big problem of people co-opting very specific and abstruse philosophical tools and using them willy-nillly to spew bullshit.
Don't do that.