Thursday, October 08, 2009
Looking Back
Almost 4 years ago. It is hard to believe it has been that long. There have been so many things that have changed. I graduated. I started working for Dr. House. Karen graduated. Obama and the Democrats took over. And now my dad has cancer.
I realized while I was looking back that I used to write much more personal posts. I wrote about what we were doing and about what I was thinking. I think a lot of that has been shifted to Facebook, but maybe I will start doing that here again.
I still don't know if anyone actually reads this blog, but sometimes it just feels good to type things out.
Well, I suppose I should go to bed.
Tuesday, October 06, 2009
All the Things Caused by Global Warming:
Acne,
Afghan poppies destroyed,
Africa devastated,
Africa hit hardest,
Africa in conflict,
African aid threatened,
African summer frost,
aggressive weeds,
air pressure changes,
airport malaria,
Alaska reshaped and moves,
allergies increase,
allergy season longer,
Alps melting,
Amazon a desert,
American dream end,
amphibians breeding earlier
amphibians dying,
amphibians not breeding earlier
anaphylactic reactions to bee stings,
ancient forests dramatically changed,
animals head for the hills,
animals shrink,
Antarctic grass flourishes,
Antarctic ice grows,
Antarctic ice shrinks,
Antarctic sea life at risk,
anxiety,
anxiety,
Arctic bogs melt,
Arctic ice free,
Arctic ice melt faster,
Arctic in bloom,
Arctic lakes disappear,
Arctic not warming,
Arctic tundra to burn,
Arctic warming
asthma,
Atlantic less salty,
Atlantic more salty,
atmospheric circulation modified,
atmospheric defiance,
attack of the killer jellyfish,
avalanches increased,
avalanches reduced,
Baghdad snow,
Bahrain under water,
bananas destroyed,
bananas grow,
barbarians,
beer shortage,
beetle infestation,
better beer,
billion dollar research projects,
billion homeless,
billions face risk,
billions of deaths,
bird distributions change,
bird loss accelerating,
bird strikes,
birds confused,
birds decline (Wales),
birds driven north,
birds return early,
Black Hawk down,
blackbirds stop singing,
blackbirds threatened,
blizzards,
blue mussels return,
boredom,
brain eating amoebae,
bridge collapse (Minneapolis),
Britain turned into Siberia,
British gardens change,
brothels struggle,
butterflies move north,
camel deaths,
cancer deaths in England,
cannibalism,
cardiac arrest,
cataracts,
cave paintings threatened,
challenges and opportunities,
childhood insomnia,
Cholera,
circumcision in decline,
cirrus disappearance,
civil unrest,
cloud increase,
cloud stripping,
coast beauty spots lost,
cockroach migration,
cod go south,
coffee threatened,
cold spells,
conferences,
conflict with Russia,
conflict,
consumers foot the bill,
contaminated blood,
coral bleaching,
coral fish suffer,
coral reefs dying,
coral reefs grow,
coral reefs shrink ,
coral reefs twilight,
cost of trillions,
cougar attacks,
crabgrass menace,
cradle of civilisation threatened,
creatures move uphill,
cremation to end,
crime increase,
crocodile sex,
crops devastated,
crumbling roads,
curriculum change,
cyclones (Australia),
damages equivalent to $200 billion,
danger to kid's health,
Darfur,
death rate increase (US),
Dengue hemorrhagic fever,
depression,
dermatitis,
desert advance,
desert retreat,
desert life threatened,
destruction of the environment,
diarrhoea,
disappearance of coastal cities,
disasters,
diseases move north,
Dolomites collapse,
dozen deadly diseases,
drought,
drowning people,
ducks and geese decline,
dust bowl in the corn belt,
earlier pollen season,
early marriages,
early spring,
Earth biodiversity crisis,
Earth dying,
Earth light dimming,
Earth lopsided,
Earth melting,
Earth morbid fever,
Earth past point of no return,
Earth slowing down,
Earth spinning out of control,
Earth spins faster,
Earth to explode,
earth upside down,
Earth wobbling,
earthquakes redux,
earthquakes,
El NiƱo intensification,
encephalitis,
end of the world as we know it,
English villages lost,
equality threatened,
erosion,
Europe simultaneously baking and freezing,
eutrophication,
evolution accelerating,
expansion of university climate groups,
experts muzzled,
extinctions (bats, pandas, pigmy possums, koalas, turtles, orang-utan, elephants, tigers, gorillas, whales, frogs, penguins,)
extreme changes to California,
fading fall foliage,
fainting,
famine,
farm output boost,
farmers benefit,
farmers go under,
fashion disaster,
fever,
fir cone bonanza,
fish bigger,
fish catches drop,
fish catches rise,
fish deaf,
fish downsize,
fish get lost,
fish stocks at risk,
fish stocks decline,
five million illnesses,
flesh eating disease,
flood of migrants,
flood patterns change,
flood preparation for crisis,
floods of beaches and cities,
floods,
Florida economic decline,
flowers in peril,
food poisoning,
food prices rise,
food prices soar,
food security threat (SA),
football team migration,
footpath erosion,
forest decline,
forest expansion,
frog with extra heads,
frost damage increased,
frostbite,
frosts,
fungi fruitful,
fungi invasion,
Garden of Eden wilts,
gene pools slashed,
genetic diversity decline,
giant oysters invade,
giant pythons invade,
giant squid migrate,
gingerbread houses collapse,
glacial earthquakes,
glacial growth,
glacial retreat,
glacier grows (California),
glacier wrapped,
global cooling,
global dimming,
glowing clouds,
god melts,
golf course to drown,
golf Masters wrecked,
Gore omnipresence,
grandstanding,
grasslands wetter,
Great Barrier Reef 95% dead,
Great Lakes drop,
greening of the North,
Grey whales lose weight,
Gulf Stream failure,
habitat loss,
haggis threatened,
Hantavirus pulmonary syndrome,
harmful algae,
harvest increase,
harvest shrinkage,
hay fever epidemic,
hazardous waste sites breached,
health affected,
health of children harmed,
health risks,
heart attacks and strokes (Australia),
heart disease,
heat waves,
hibernation affected,
hibernation ends too late,
hibernation ends too soon,
high court debates,
HIV epidemic,
homeless 50 million,
hornets,
human development faces unprecedented reversal,
human fertility reduced,
human health improvement,
human health risk,
human race oblivion,
hurricane reduction,
hurricanes fewer,
hurricanes,
hydropower problems,
hyperthermia deaths,
ice age,
ice sheet growth,
ice sheet shrinkage,
ice shelf collapse,
icebergs,
illness and death,
inclement weather,
India drowning,
industry threatened,
infectious diseases,
inflation in China,
infrastructure failure (Canada),
insect explosion,
insurance premium rises,
Inuit displacement,
Inuit poisoned,
Inuit suing,
invasion of cats,
invasion of crabgrass,
invasion of herons,
invasion of jellyfish,
invasion of midges,
island disappears,
islands sinking,
itchier poison ivy,
jellyfish explosion,
jet stream drifts north,
jets fall from sky,
Kew Gardens taxed,
kidney stones,
killer cornflakes,
killing us,
kitten boom,
koalas under threat,
krill decline,
lake and stream productivity decline,
lake empties,
lake shrinking and growing,
landslides of ice at 140 mph,
landslides,
lawsuit successful,
lawsuits increase,
lawyers' income increased (surprise surprise!),
lawyers want more,
legionnaires' surge,
lightning related insurance claims,
little response in the atmosphere,
lives saved,
Loch Ness monster dead,
locust plagues suppressed,
lush growth in rain forests,
Lyme disease,
Malaria,
malnutrition,
mammoth dung melt,
mango harvest fails,
Maple production advanced,
Maple syrup shortage,
marine dead zone,
marine diseases,
marine food chain decimated,
Meaching (end of the world),
Mediterranean rises,
megacryometeors,
Melanoma decline,
Melanoma,
melting permafrost,
mental illness (Alberta),
methane burps,
methane emissions from plants,
methane runaway,
microbes to decompose soil carbon more rapidly,
Middle Kingdom convulses,
migration difficult (birds),
migration,
migratory birds huge losses,
minorities hit,
monkeys on the move,
Mont Blanc grows,
monuments imperiled,
moose dying,
more bad air days,
more research needed,
mortality increased,
mortality lower,
mountain (Everest) shrinking,
mountaineers fears,
mountains break up,
mountains green and flowering,
mountains melting,
mountains taller,
mudslides,
Myanmar cyclone,
narwhals at risk,
National security implications,
native wildlife overwhelmed,
natural disasters quadruple,
new islands,
next ice age,
NFL threatened,
Nile delta damaged,
no effect in India,
noctilucent clouds,
Northwest Passage opened,
nuclear plants bloom,
oaks dying,
oaks move north,
oblivion,
ocean acidification faster,
ocean acidification,
ocean deserts expand,
ocean waves speed up,
oceans noisier,
opera house to be destroyed,
outdoor hockey threatened,
oyster diseases,
ozone loss,
ozone repair slowed,
ozone rise,
Pacific dead zone,
penguin chicks frozen,
personal carbon rationing,
pest outbreaks,
pests increase,
phenology shifts,
plankton blooms,
plankton destabilised,
plankton loss,
plant viruses,
plants lose protein,
plants march north,
plants move uphill,
polar bears aggressive,
polar bears cannibalistic,
polar bears deaf,
polar bears drowning,
polar bears starve,
polar tours scrapped,
popcorn rise,
porpoise astray,
profits collapse,
psychiatric illness,
psychosocial disturbances,
puffin decline,
radars taken out,
railroad tracks deformed,
rainfall increase,
rainfall reduction,
rape,
refugees,
reindeer endangered,
reindeer larger,
release of ancient frozen viruses,
resorts disappear,
rice threatened,
rice yields crash,
riches,
rift on Capitol Hill,
rioting and nuclear war,
river flow impacted,
rivers dry up,
rivers raised,
roads wear out,
robins rampant,
rockfalls,
rocky peaks crack apart,
roof of the world a desert,
rooftop bars,
Ross river disease,
ruins ruined,
Russia under pressure,
salinity increase,
salinity reduction,
salmon stronger,
Salmonella,
satellites accelerate,
school closures,
sea level rise faster,
sea level rise,
seals mating more,
severe thunderstorms,
sewer bills rise,
sex change,
sexual promiscuity,
shark attacks,
sharks booming,
sharks moving north,
sheep shrink,
shop closures,
short-nosed dogs endangered,
shrimp sex problems,
shrinking brains,
shrinking ponds,
shrinking shrine,
ski resorts threatened,
skin cancer,
slow death,
smaller brains,
smog,
snowfall heavy,
snowfall increase,
snowfall reduction,
soaring food prices,
societal collapse,
soil change,
songbirds change eating habits,
sour grapes,
space problem,
spectacular orchids,
spiders invade Scotland,
squid aggressive giants,
squid population explosion,
squid tamed,
squirrels reproduce earlier,
stingray invasion,
storms wetter,
stormwater drains stressed,
street crime to increase,
subsidence,
suicide,
swordfish in the Baltic,
Tabasco tragedy,
taxes,
tectonic plate movement,
teenage drinking,
terrorism,
threat to peace,
ticks move northward (Sweden),
tides rise,
tigers eat people,
tomatoes rot,
tornado outbreak,
tourism increase,
trade barriers,
trade winds weakened,
traffic jams,
transportation threatened,
tree beetle attacks,
tree foliage increase (UK),
tree growth increased,
tree growth slowed,
trees could return to Antarctic,
trees in trouble,
trees less colourful,
trees lush,
trees more colourful,
tropics expansion,
tropopause raised,
truffle shortage,
truffles down,
tsunamis,
turtles crash,
turtles lay earlier,
UFO sightings,
UK coastal impact,
UK Katrina,
uprooted - 6 million,
Vampire moths,
Venice flooded,
volcanic eruptions,
walrus displaced,
walrus pups orphaned,
walrus stampede,
war between US and Canada,
war,
wars over water,
wars sparked,
wars threaten billions,
wasps,
water bills double,
water scarcity (20% of increase),
water stress,
water supply unreliability,
weather out of its mind,
weather patterns awry,
weeds,
West Nile fever,
Western aid cancelled out,
whales lose weight,
whales move north,
whales wiped out,
wheat yields crushed in Australia,
white Christmas dream ends.
wildfires,
wind reduced,
wind shift,
wine - England too hot,
wine - harm to Australian industry,
wine - more English,
wine - no more French ,
wine -German boon,
wine industry damage (California),
wine industry disaster (US),
wine passƩ (Napa),
wine stronger,
winter in Britain dead,
winters in Britain colder,
witchcraft executions,
wolves eat less,
wolves eat more moose,
workers laid off,
World at war,
World bankruptcy,
World in crisis,
World in flames,
World War 4,
Yellow fever,
Thank you to Number Watch for this list.
Monday, September 28, 2009
Yom Kippur
Tuesday, September 15, 2009
Mr. Schrader,
You wrote,
"In HR 3200, healthcare reform revolves around guaranteeing everyone a basic level of healthcare in America. Every new or modified health plan 4 years from now must cover hospitalization, outpatient care, doctors and other health professionals, equipment and supplies needed for physician authorized care, prescription drugs, rehab services, mental health services, preventative services, maternity care and well baby and child care (including dental, vision and hearing up to age 21). A broadly representative Health Benefits Advisory Committee chaired by the Surgeon General will develop the details of the basic services with public input. Everyone and every business must share in the cost of their own healthcare services except the extremely poor, generally those under 133 percent of poverty level (about $14,400 for an individual), or the very small business with a payroll under $500,000 (originally $250,000, amendments proposed have raised the level)."
In addition to Medicare, healthcare delivery in HR 3200 will be through three major options regulated by an overarching Health Exchange to make sure the system is working correctly and everyone is playing by the rules. Private insurance will still provide the bulk of healthcare access in the House Plan. After 10 years the Congressional Budget Office estimates that employer-based coverage does not change very much at 58 percent of health care coverage for Americans. Non-group and other health plans will cover 9 percent. A new "Public Option" will cover 10 percent and Medicaid/Chip 16 percent. Approximately 7 percent will remain uninsured including unauthorized immigrants and those choosing to opt out.
All employers with a payroll over $500,000 must provide healthcare or pay a graduated payroll tax starting at 2 percent going up to 8 percent for higher payrolls. Very small businesses with 10-25 employees whose average wage is less than $20,000 to $40,000 will be eligible for up to a 50 percent tax credit to help them provide coverage. The employer is responsible for 72 percent of the cost for his employee or 65 percent if also covering the employee's family. The employee contributes the remainder. Employers may opt to get their insurance under the exchange or with another private plan. Private and public plans are allowed under the exchange.
Individuals can get employer-based healthcare through their employer as outlined above or get care on their own including through a public option provider. If an individual does not get health insurance he is penalized 2.5 percent of his adjusted gross income. "Affordability credits" will be given to people on a graduated basis with incomes up to 400 percent of poverty ($88,000 for a family of four), with non-employer based healthcare to help them pay for their share of their health insurance. Out of pocket expenses above the premium are limited to $5000 per individual and $10000 per family adjusted for the consumer-price-index.
The public option will be offered by 2013. It must compete on a level playing field with private plan choices. It will receive no taxpayer assistance other than a loan for start up costs which it has to repay over 10 years. It will have to negotiate its own rates (not tied to Medicare according to recent amendments), maintain reserves and pay its own administrative costs.
Childless, able-bodied poor adults (under 133 percent of the poverty level) are added to Medicaid with 10 percent cost sharing with the states (originally 7 percent). Medicaid and Medicare benefits are not reduced. Many efficiencies, productivity improvements and anti-fraud/waste measures are affected in the bill that save billions of dollars and provide better service for the individual, provider and insurer. The "doughnut hole" in Medicare prescription drug coverage is reduced $500 in 2011 and completely phased out by 2023. Asset tests are eased, application and reimbursement improved and physician Medicare payments elevated so that physicians can afford to take on senior Medicare beneficiaries. Training and transparency in nursing home care is made a priority as well.
HR 3200 recognizes that improving access requires investments in adequate primary and care providers to handle the increased caseload. The House bill encourages graduate medical education, expands loan repayment provisions for the national health service corps, recognizes America's rural needs for healthcare professionals, not all of whom have to be physicians, promotes training in family, general internal and pediatric medicine, geriatrics, dentists, and physician and dental assistants and nurse practitioners. Scholarships and loan repayment programs are expanded for students aspiring to a career in primary care especially in underserved areas.
Public health, community based health centers and school based health clinics are expanded. Preventative care strategies with evidence based results are to be developed. There will be no co-pay for preventative healthcare and primary care providers will be reimbursed for providing you care and information at 100 percent of the cost. Expanded delivery of public healthcare and preventative care are recognized as ways to curb the long term healthcare cost curve thereby reducing costs to individuals and the system as a whole while providing a healthier life.
Oregon should benefit from the emphasis on quality not quantity of care embedded in the bill. Oregon and some other states have historically been penalized in their reimbursement rates from the federal government for providing high quality, low cost care. Forty years ago the original Medicare system was based on the "fact" that healthcare just costs more in some states. That is simply not true in today's national and global economy. Dartmouth, OHSU and others can document Oregon gets only half the reimbursement of other high cost states that deliver poorer health outcomes at greater expense. An amendment to the base bill provides that over the next three years the federal government transition from a strict fee-for-service payment schedule to one that recognizes good outcomes. Oregon will also benefit from the emphasis on accountable care organizations, medical home delivery systems, pay for performance incentives, evidence based research on best procedures, medications and delivery systems because we are already pioneering in these areas.
About half of the cost of the House healthcare bill comes from efficiencies in our current Medicare and Medicaid system as referenced earlier. The other is from a surcharge on those families earning over $350,000 adjusted gross income ($280,000 for an individual). It is estimated that the surcharge would apply to only the top 1.25 percent of earners today. The Congressional Budget Office (CBO) has not responded favorably to the House Bill controlling long term costs. However, CBO has concerns that the bill as originally written actually increases long term costs given the improved access and subsidies given to individuals and businesses. CBO does not give credit in its formulas for the potential long term benefits of improved public health, preventative care, and moving to a quality based versus quantity based reimbursement methodology for providers. Nevertheless, the long term cost issues identified need to be addressed before final passage.
As HR 3200 advances through the legislative process, I will follow it closely and take your concerns into consideration prior to any action.
Thank you again for contacting me and should you have any further questions or concerns, please contact my office by calling (202) 225-5711 or 1-877-301-KURT. To keep updated on my activities and to contact me through email, please visit my website at: www.schrader.house.gov.
Sincerely,
KURT SCHRADER
Member of Congress
Unfortunately when I sent this email, I got the message:
"Google tried to deliver your message, but it was rejected by the recipient domain."
Thursday, September 10, 2009
Obama's Speech Last Night


Tuesday, August 25, 2009
Maybe I'm just thinking too much.
"We know what a failure to act would bring: More of the same. More of the same exploding costs. More of the same diminished coverage. If we fail to act, the crisis will grow. More families will go without coverage. More businesses will be forced to drop or water down their plans."
"Democracy is talking itself to death. The people do not know what they want; they do not know what is the best for them. There is too much foolishness, too much lost motion. I have stopped the talk and the nonsense. I am a man of action. Democracy is beautiful in theory; in practice it is a fallacy. You in America will see that some day."
"I happen to be a proponent of a single payer universal health care program. I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care cannot provide basic health insurance to everybody. And that’s what Jim is talking about when he says everybody in, nobody out. A single payer health care plan, a universal health care plan. And that’s what I’d like to see. But as all of you know, we may not get there immediately. Because first we have to take back the White House, we have to take back the Senate, and we have to take back the House."
"The importance of the State is rapidly growing. The so-called crisis can only be settled by State action and within the orbit of the State"
"Here I wish to reaffirm with no weaker energy, the formula I expounded at the scala in Milan: everything in the state, nothing against the State, nothing outside the state.
“We’ve been debating this stuff for decades. It’s time for us tomove forward.”
"It has never been easy, moving this nation forward. There are always those who oppose it, and those who use fear to block change."
"A nation, as expressed in the State, is a living, ethical entity only in so far as it isprogressive. Inactivity is death. Therefore the State is not only Authority which governs and confers legal form and spiritual value on individual wills, but it is also Power which makes its will felt and respected beyond its own frontiers, thus affording practical proof of the universal character of the decisions necessary to ensure its development. This implies organization and expansion, potential if not actual. Thus the State equates itself to the will of man, whose development cannot he checked by obstacles and which, by achieving self-expression, demonstrates its infinity."
"In America, we have this strong bias toward individual action. You know, we idolize the John Wayne hero who comes in to correct things with both guns blazing. But individual actions, individual dreams, are not sufficient. We must unite in collective action, build collective institutions and organizations.”
"It is thus necessary that the individual should finally come to realize that his own ego is of no importance in comparison with the existence of the nation, that the position of the individual is conditioned solely by the interests of the nation as a whole."


