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Balloon Juice

Come for the politics, stay for the snark.

Something needs to be done about our bogus SCOTUS.

A thin legal pretext to veneer over their personal religious and political desires.

I like political parties that aren’t owned by foreign adversaries.

One way or another, he’s a liar.

The National Guard is not Batman.

People are complicated. Love is not.

Wait, what?

Conservatism: there are people the law protects but does not bind and others who the law binds but does not protect.

The Giant Orange Man Baby is having a bad day.

Since when do we limit our critiques to things we could do better ourselves?

People identifying as christian while ignoring christ and his teachings is a strange thing indeed.

Republicans in disarray!

Speaker Mike Johnson is a vile traitor to the House and the Constitution.

Sitting here in limbo waiting for the dice to roll

Let me file that under fuck it.

Giving in to doom is how we fail to fight for ourselves & one another.

You cannot love your country only when you win.

We can’t confuse what’s necessary to win elections with the policies that we want to implement when we do.

Baby steps, because the Republican Party is full of angry babies.

She burned that motherfucker down, and I am so here for it. Thank you, Caroline Kennedy.

Nothing worth doing is easy.

Mediocre white men think RFK Jr’s pathetic midlife crisis is inspirational. The bar is set so low for them, it’s subterranean.

Seems like a complicated subject, have you tried yelling at it?

Most of you should go to bed and try to be better Jackals in the morning.

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You are here: Home / Archives for 2014

Archives for 2014

Proving Why We Need Net Neutrality

by John Cole|  November 12, 20148:03 pm| 46 Comments

This post is in: Science & Technology, Assholes

It’s like they are trying to confirm the President’s argument:

AT&T Inc (T.N) on Wednesday raised pressure on the U.S. telecom regulator’s work on new “net neutrality” rules, saying it would stop investing in new high-speed Internet connections in 100 U.S. cities until the Web traffic rules are settled.

The statement from AT&T Chief Executive Officer Randall Stephenson is the first business move by an Internet service provider in response to President Barack Obama’s unexpected call on the Federal Communications Commission on Monday to regulate such companies more like public utilities.

The statement came as AT&T has been spending heavily on acquisitions and days after it had cut its capital spending estimate for 2015.

The industry and Republican lawmakers have been protesting Obama’s proposal, saying stricter Internet traffic regulations would stifle growth and investment.

“We can’t go out and invest that kind of money deploying fiber to 100 cities not knowing under what rules those investments will be governed,” Stephenson said at an analyst conference.

Net Neutrality and expansion of a fiber network are not incompatible- in fact, I would expand more because of the chance net neutrality will pass, as it will mean that if you have the best services for the best price, people will use you, as opposed to using your monopolistic power to squeeze other companies and trap users and provide sub-par service. Which I guess is why AT&T is freaking out.

According to a recent study by Ookla Speedtest, the U.S. ranks a shocking 31st in the world in terms of average download speeds. The leaders in the world are Hong Kong at 72.49 Mbps and Singapore on 58.84 Mbps. And America? Averaging speeds of 20.77 Mbps, it falls behind countries like Estonia, Hungary, Slovakia, and Uruguay.

Its upload speeds are even worse. Globally, the U.S. ranks 42nd with an average upload speed of 6.31 Mbps, behind Lesotho, Belarus, Slovenia, and other countries you only hear mentioned on Jeopardy.

So how did America fall behind? How did the country that literally invented the internet — and the home to world-leading tech companies such as Apple, Microsoft, Netflix, Facebook, Google, and Cisco — fall behind so many others in download speeds?

Susan Crawford argues that “huge telecommunication companies” such as Comcast, Time Warner, Verizon, and AT&T have “divided up markets and put themselves in a position where they’re subject to no competition.”

***

If a market becomes a monopoly, there’s often nothing whatever to force monopolists to invest in infrastructure or improve their service. Of course, in the few places where a new competitor like Google Fiber has appeared, telecoms companies have been spooked and forced to cut prices and improve service in response to the new competition. But that isn’t happening everywhere. It’s very expensive for a new competitor to come into a market, like telecommunications, that has very high barriers to entry. Laying copper wire or fiber optic cable is expensive, and if the incumbent companies won’t grant new competitors access to their infrastructure, then the free market forces of competition don’t work and infrastructure stagnates, even as consumer anger and desire for competition rises due to poor service.

American business is no longer about making the best product. It’s about using political clout to squeeze the most amount of money out of the user and the government as is humanly possible.

Proving Why We Need Net NeutralityPost + Comments (46)

What Not To Wear To A Comet Landing

by Tom Levenson|  November 12, 20145:37 pm| 243 Comments

This post is in: Women's Rights Are Human Rights

Amidst all the (justified) celebration of Rosetta and Phylae today — it really is a big deal when a ten year mission ends with the first landing on a comet evah!) — there  was one truly sour note.  This:

Screen Shot 2014-11-12 at 4.59.54 PM

That’s Matt Taylor, Rosetta project scientist.  If you read the profile at (where else) The Daily Mail, you’ll get two impressions. One, that Dr. Taylor really loves his job, his science and this mission — all of which is great.  But two:  he and his interviewer are oblivious about what it might mean to stand in front of millions of science fans, wearing that schmatte.

Nah, this is just dudebro fun, no worries, no-harm-no-foul, why don’t you have a sense of humor stuff.

But it’s not.  There’s not a lot to say that isn’t f**king obvious.  This was and is a truly special occasion.  Lots of people thrilled to witness human reason and ingenuity reach towards the stars have been playing really close attention. Many of them are women.  Some, lots, are girls who might be thinking science could be a really fine life’s work.  That shirt tells them, pretty explicitly:  science ain’t no crap-free zone.

We’ve ample evidence that’s true, sadly.  But damn, way to drive the message home, Matt!

I’ve had friends, women in science, contact me today, asking when this shit will ever stop.  I don’t know.  Not soon enough.

My son is taking his first high school physics class this year.  Last night I was helping him with his homework on momentum, impulse and collisions — kind of relevant to today’s events.  I don’t know if his teachers broke with the curriculum today to watch the Rosetta live feed, but now I’m almost hoping they didn’t.  The girls — and the boys too, dammit — in that class deserve better.

I’ve never met Taylor.  I wouldn’t be surprised if he’s against discrimination in science (or anywhere else),  one who would defend any woman on his team.  I don’t know.

Maybe he’s just clueless stem to stern, with no idea how what he might say or do affects anyone around him.  Or, in fact, he could be a sexist asshole.  Still don’t know.  I generally, perhaps naively, default to that “clueless” rather than “f*cked-up” explanation, until I have affirmative evidence to the contrary.

But as we’ve learned over and over again in issues of race, of gender discrimination, of same-sex rights, it’s not what you believe that matters.  It’s what you do — and Taylor chose to wear this shirt in front of the largest audience he’s ever likely confront.  He may or many not be a sexist guy; he did a sexist thing, one with real world implications.

Repair work is needed.  The ESA/Rosetta folks should to do some, and so should Matt Taylor, however much of a goof he thought he was having.

Oh, and just in case he might accept some fashion advice, here’s Skepchik’s Dr. Rubidium with some very good natured suggestions.  A possible path to improvement lies there, Dr. Taylor.

 

What Not To Wear To A Comet LandingPost + Comments (243)

Comet Pix

by @heymistermix.com|  November 12, 20142:44 pm| 58 Comments

This post is in: Open Threads

Here are some pictures from the successful landing of Philae on Comet 67P/Churyumov-Gerasimenko. Nice to see humanity doing one thing right this month. Open thread.

Comet PixPost + Comments (58)

A Father-Daughter Dance in Prison

by Elon James White|  November 12, 20141:41 pm| 12 Comments

This post is in: This Week In Blackness

A Miami prison is making news by holding the first ever father-daughter dance. The goal is pretty admirable:

“You are a key to the success of your father,” Federal Bureau of Prisons Director Charles E. Samuels, Jr. told the daughters,according to a bureau press statement which said “connections to families and children are critical aspects” of inmates’ reentry into society. Samuels encouraged the fathers to take an active part in the lives of their daughters, even if seems difficult from behind bars.

No pressure on these little girls, right? But this is a smart motivation–remind the prisoners that there are children counting on them.

Team Blackness also had some choice words for Andrew Sullivan, looked at hip hop therapy, and covered an uncomfortable line of questioning for Rick Perry at Dartmouth College.

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A Father-Daughter Dance in PrisonPost + Comments (12)

It’s a Day Ending with “Y,” And Here Is What Wingnuts are Pissed About

by John Cole|  November 12, 201412:58 pm| 144 Comments

This post is in: Just Shut the Fuck Up

Forunate Son was sung at the Concert for Valor.

The US and China are trying to do something for the environment.

Winning the Senate.

Obama is still President.

It’s a Day Ending with “Y,” And Here Is What Wingnuts are Pissed AboutPost + Comments (144)

Just talking does not pay the bills

by David Anderson|  November 12, 201411:29 am| 24 Comments

This post is in: Anderson On Health Insurance, C.R.E.A.M.

Health Affairs has a damning indictment of our technophilia in medicine:

Each year in the United States, nonadherence to diabetes treatment alone accounts for 699,000 emergency department visits, 341,000 hospitalizations, and nearly $5 billion in health care spending, according to a 2012 study by Ashish Jha and colleagues.

The PACT project was one of a few community health worker programs that had begun to address the complex psychosocial issues underlying the problem of nonadherence. PACT conducted a study in which a random selection of patients with type 2 diabetes at high risk for complications were paired with community health workers. Compared to the control group of similar patients who were not paired with health workers, these patients saw an average HbA1c reduction of 1.0 point at six months—a level of improvement that corresponds to a 37 percent reduced risk for vascular complications and about a 10 percent reduction in health care expenditure.

Yet in mid-2011, six months after I met Marie, PACT’s diabetes initiative was cut. Two years later the entire PACT project was closed. Our philanthropic funding had run out, and despite our demonstrating the potential for cost savings, there was minimal state or federal money allocated to programs such as ours.

A lot of talking, a lot of relationship building and a bit of organizational knowledge led to massive health improvements, better quality of life for people and lower system costs.  This should be a clear win for the individual with a chronic condition and for the system as a whole.  And yet, funding got cut.  This is not a single isolated incident.  Health Quality Partners which is a face to face care coordination entity is continually struggling to have its Medicare waiver extended despite showing amazing results:

Health Quality Partners is all about going there. The program enrolls Medicare patients with at least one chronic illness and one hospitalization in the past year. It then sends a trained nurse to see them every week, or every month, whether they’re healthy or sick. It sounds simple and, in a way, it is. But simple things can be revolutionary….

Health Quality Partners’ results have been extraordinary. According to an independent analysis by the consulting firm Mathematica, HQP has reduced hospitalizations by 33 percent and cut Medicare costs by 22 percent.

Some of the problem is our technological obsession.  Some of it is a misalignment of incentives due to churn.  Another Health Affairs column argues that insurance contracts with more than a year’s term would lead to better outcomes:

Insurers, too, have few incentives to invest in their enrollees’ health through wellness and disease management programs because those investments, studies show, may not pay off for up to three years. By then, enrollees may have moved on to another insurer. Thus, a greater role for exchange plans and price competition might inadvertently counteract current efforts to shift the payment system toward one that rewards providers for providing long-term health care management for their patients…A possible solution is to introduce multi-year insurance products on insurance exchanges. Under a five-year plan, for example, insurers would find it more attractive to invest in services with long-term benefits. These investments, in turn, would reduce health care costs and some of those savings could result in lower premiums for consumers.

Churn, especially in Medicare and probably in the Exchange markets argues against insurers spending money today for results that will show up in three years.  Longer contracts would change that incentive structure, but we also have to confront our societal wide inclination to allow technology to solve problems instead of relying on proven, basic, social face to face “soft” solutions that deliver better results at far lower costs.

 

Just talking does not pay the billsPost + Comments (24)

Reading the labels through the windows

by David Anderson|  November 12, 20149:54 am| 14 Comments

This post is in: Anderson On Health Insurance

I was having a good productive discussion with a commenter via e-mail yesterday on window shopping.  We were trying to figure out what plan made sense, and the big challenge was reading the label at Healthcare.gov.  During the discussion, I had some fun with SnagIt on an example plan, and realized that this could be useful for a lot of people when they look at their health insurance choices:

So let’s work our way through the label:

Reading the Label FFM

1) Insurer name and Insurer plan name.

2)  Metallic band level and basic plan design.  The band levels are rough estimates as to how valuable the coverage is.  Bronze covers 60% of expected average costs, Silver usually covers 70% of expected average costs,  Gold covers 80% of expected average costs and Platinum covers 90% of expected average costs.  I don’t like that there is no indicator of Silver Cost Sharing Subsidies nor the level of cost sharing assistance as a Silver with maximum assistance is better than Platinum.

3) Network — insurers can call their networks anything, so this is moderately informative.  My company has Mayhew Narrow, Mayhew Middle and Mayhew Broad, so you can compare like to like.

4) Premiums are what you pay every month

5) Deductible is what you pay before any insurance kicks in.  There are non-deductible services (Annual wellness exam, Ob/Gyn, contraception, vaccines etc) but if you are having surgery for itchy elbowitis (and yes, I was watching a show about a slightly bossy 6 year pig last night) , you would be liable to pay $150 before insurance does a thing.

6) Copayments are what you pay every time you use a service.  In this case, a visit to a primary care doctor for illness costs $40, while a visit to an orthopedist or other specialist costs $60.  This particular plan is pushing real hard to keep people out of the Emergency Room with a very high co-pay.  Coinsurance is your share of the cost after the deductible is paid but before the out of pocket maximum is reached.

7) Out of Pocket Maximum is the most you’ll pay over and above your premiums in a year.  It is the sum of your deductible, your co-pays, and your coninsurance.

So let us walk through an example. 

show full post on front page

Reading the labels through the windowsPost + Comments (14)

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