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From: Brumar894/24/2012 1:45:07 PM
4 Recommendations   of 660726
Romney Needs Jefferson

Obama is a tyrant. Not a "nice guy who is in over his head."

Jan LaRue

When all government, in little as in great things, shall be drawn to Washington as the Center of all power, it will render powerless the checks provided of one government on another and will become as venal and oppressive as the government from which we separated. ~ Thomas Jefferson

If Mitt Romney becomes the Republican presidential nominee, he needs to sound more like Thomas Jefferson than Mr. Rogers. Hope and change haven't brought a beautiful day in this neighborhood.

The Founders were brilliant political strategists who didn't need focus groups to tell them that their fellow patriots wouldn't be inspired to pledge their lives, their fortunes and their sacred honor to "throw off" a "nice guy who was just in over his head," as Romney repeatedly refers to President Obama.

Civilized gentlemen of unwavering conviction were not above using condemnation to communicate the truth about King George and his tyrannical government. The Founders knew that insipid slogans would never carry the day.

Jefferson and the 55 co-signers of the Declaration railed against the "evils" committed by King George III. They inspired a revolution against the most powerful nation on Earth through the power of the pen -- no radio, television, Internet, Facebook, Twitter, iPhones, or hiding behind tough talk by super PACs and surrogates. It was the Founders' words in their names, sealing their own death warrants.

They laid out the substantive case against the King in 1,323 elegant, inspirational, compelling and radical words that birthed this nation. The King's abuses of our God-given unalienable rights required more than moderate words:

  • "A Tyrant ... unfit to be the ruler of a free people"
  • "A long train of abuses and Usurpations"
  • "Destructive"
  • "Evil"
  • "Absolute Despotism"
  • "A history of repeated injuries and usurpations"
  • "Absolute tyranny"
Romney should emulate the Founders by stressing the similarities between the King's "long train of abuses" and those of President Obama:

  • "He has refused his Assent to Laws, the most wholesome and necessary for the public good."

  • o Obama's Department of Justice refused to prosecute armed thugs from the New Black Panther Party who violated federal law by intimidating voters at a Philadelphia polling place on the day Obama was elected.

  • o Obama has sued to stop enforcement of immigration enforcement laws enacted by Arizona, South Carolina, Alabama, and Utah.

  • o Obama's Department of Justice has launched a war against state voter ID Laws, as documented by the American Civil Rights Union. The DOJ has sued to stop enforcement of laws enacted by South Carolina and Texas despite a Supreme Court ruling in 2008 upholding an Indiana law requiring a photo ID to vote.

  • "He has erected a multitude of New Offices, and sent hither swarms of Officers to harrass our people, and eat out their substance."

  • o Obama appointed approximately 47 czars without congressional confirmation or accountability

  • o Obama created a myriad of new federal agencies, boards and commissions under ObamaCare, according to the Congressional Research Service.

  • o Obama issued executive orders exceeding his constitutional authority, such as his order to develop a scheme for oversight of oceans and their resources.

  • "He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his Assent to their Acts of pretended Legislation."

  • o Obama's Secretary of Defense Leon Panetta informed a Senate committee that the administration "would seek an international legal basis," such as approval by NATO or the UN, to engage in military action in Syria, but that it does not need congressional approval for military action.

  • o Obama's Secretary of State Hillary Clinton in her report to the UN included a legal challenge by U.S. Department of Justice to Arizona's SB-1070 immigration law as of one the ways the U.S. was protecting human rights.

  • o The Obama Administration is pursuing a renewed relationship with international tribunals and other international bodies, including the International Criminal Court, without a constitutionally ratified treaty authorizing the relationship.

  • "Taking away our Charters, abolishing our most valuable Laws, and altering fundamentally the Forms of our Governments."

  • o Obama is forcing individuals to contract with a private party to purchase government-approved health care insurance against their will in violation of the 10th Amendment.

  • o Obama is nullifying the religion clauses of the First Amendment to the Constitution by forcing private employers to provide employees with insurance coverage for practices that violate the employer's conscientious beliefs, including abortifacients, sterilization and contraceptives.

  • o Obama's Equal Opportunity Employment Commission counsel argued in the U.S. Supreme Court that there is no special protection for clergy in our Constitution." A unanimous Court in Hosanna-Tabor Evangelical Lutheran Church and School v. Equal Employment Opportunity Commission refused "to accept the remarkable view that the Religion Clauses have nothing to say about a religious organization's freedom to select its own ministers."

  • o Obama's Attorney General Eric Holder refuses to defend a federal statute, the Defense of Marriage Act, claiming it is unconstitutional.

  • o Nine State Attorneys General have accused the Obama administration of using federal agencies to circumvent federal law: "Whether it is through the EPA, NLRB, Office of Surface Mining, FCC or other entities, the Obama Administration has aggressively used administrative agencies to implement policy objectives that cannot gain congressional approval and are outside of the law."

  • o Obama usurped the constitutional authority of the Senate by making appointments to federal agencies without advice and consent of the Senate.

  • "He has excited domestic insurrections amongst us."

  • o Obama endorsed the OWS movement, and his failure to condemn its violent civil disobedience and destruction of private property has encouraged further unlawful behavior.
"Nice guys" get second chances. Obama must not. Making the case against a tyrannical king or the most radical president in U.S. history cannot be entrusted to faint-hearted moderates.

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To: Carolyn who wrote (484274)4/24/2012 1:51:04 PM
From: Justin C
12 Recommendations   of 660726
And he spared us Al Gore and John Kerry.

[Bush 43] is an honorable man with a lot of character

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To: Justin C who wrote (484278)4/24/2012 1:55:55 PM
From: Carolyn
   of 660726
Perhaps the best gift of all.

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To: TideGlider who wrote (484242)4/24/2012 2:01:23 PM
From: Brumar89
1 Recommendation   of 660726
Yeah, the top shades the water and keeps it from evaporating so quickly.

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To: longnshort who wrote (484251)4/24/2012 2:02:37 PM
From: Brumar89
   of 660726
No prob. People beat me to posting stuff all the time.

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To: Tom Clarke who wrote (484258)4/24/2012 2:14:55 PM
From: Joe Btfsplk
2 Recommendations   of 660726
says he needs a license to advocate dietary approaches

Should we start a bail fund on LBill's behalf?

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From: Joe Btfsplk4/24/2012 2:24:34 PM
   of 660726
Wonder who'll take the blame (Bush? Reagan? Corporate greed?) when the failure is too obvious to ignore:

Hospital of Cards Mises Daily: Tuesday, April 24, 2012 by Andrew Foy, MD

The US healthcare system is a huge bubble fueled by misguided policies that are sustained by the government's ability to borrow money at artificially low interest rates. When either the policies change or the flow of credit to the US government stops, the bubble will burst.

For some perspective on the magnitude of the healthcare bubble consider that from 1990 to 2007 the cost of all items, as measured by the Bureau of Labor Statistics (BLS), rose by 159 percent while housing rose 163 percent and medical care rose a staggering 216 percent. A recent study by the Kaiser Family Foundation found that between 1999 and 2011, health-insurance premiums increased 168 percent while workers' total earnings increased only 50 percent. Over that same time period, government spending on healthcare increased 240 percent while GDP increased 62 percent. The BLS reported that over the last 50 years, the percent of workers employed in private-sector healthcare has gone from 3 percent to over 11 percent and employment has continued to grow throughout the current recession. BLS further projects that "Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry," and that "The number of wage and salary jobs in pharmaceutical and medicine manufacturing is expected to increase by 6 percent over the 2008–18 period, compared with 11 percent projected for all industries combined."

As figure 1 demonstrates, healthcare spending increased dramatically when the government (represented by total CMS spending in green in the figure) began subsidizing healthcare for the poor and elderly through Medicare and Medicaid. It continued to increase as legislation, most notably the HMO Act of 1973, and regulatory policy shifted the responsibility of health maintenance from the individual to all of those in his or her insurance pool. This was accomplished through regulations requiring insurers to cover medical services (e.g., office visits, cancer screenings, pharmaceuticals, and a wide range of therapeutic and rehabilitative services) for conditions that were not insurable events but rather part of routine health maintenance. Throughout the expansion, out of pocket spending (represented by the blue line) declined dramatically.

Figure 1

Source: US Census Bureau, The 2012 Statistical Abstract

America's healthcare system today can best be described as what economics professor Thomas DiLorenzo has termed "fascialist." According to DiLorenzo, "Fascialism means an economy is part fascist, part socialist." Fascism is characterized by private enterprise that is comprehensively regulated and regimented by the state, ostensibly "in the public interest" (as arbitrarily defined by the state). A variant of fascism is crony capitalism. Socialism started out meaning government ownership of the means of production, but it has come to mean egalitarianism promoted by progressive taxation and the institutions of the welfare state. According to DiLorenzo,

The problems of the American healthcare system are caused entirely by the fact that the government subjects the system to massive interventions, some of which are fascist in nature, while others are socialist.

Under the current system, consumers play virtually no role in shaping the pattern of resource use and the assignment of resource rewards. The outputs being produced, the methods of production being employed, and the rewards being given to the various owners of productivity are not dictated by healthcare consumers but rather by government and industry lobbyists, or the medical-industrial complex. This mechanism is directly responsible for inflating the healthcare bubble and costs have grown rapidly to reflect whatever the system will bear.

Prior to Medicare and Medicaid and the significant regulatory changes that have taken place, the healthcare system actually operated under near-capitalist conditions (it was never pure capitalism). I will term this the capitalist period of US healthcare. During this time, individuals paid for the majority of medical goods and services out of their own pockets and utilized health insurance as a rational tool for mitigating financial risk posed by catastrophic events. Although still a relatively new concept, participation in private insurance plans was growing, and by 1960 nearly 75 percent of Americans had some form of private health-insurance coverage. [1]During this period, rapid advancements were being made in pharmaceuticals, diagnostics, and surgical techniques (e.g., the heart-lung machine, which made coronary artery bypass surgery possible). Furthermore, charitable institutions and hospitals often run by religious groups and fraternal organizations such as the Freemasons, whose mission was to take care of the indigent, abounded. Most importantly, the price of medical goods and services remained remarkably stable as measured against the consumer price index (CPI) for all items:

Figure 2

Source: BLS, CPI

As figure 2 demonstrates, medical-care price inflation corresponded with the change from the capitalist to fascialist model. The practice of medicine under the current system is less about providing patients with what they value and instead providing them with what is profitable to the medical-industrial complex. The game is rather simple; the outline follows:

  • Create a new drug, lab test, or device, or find a new indication for an existing product or service.

  • Sponsor a clinical trial to show that it has a statistically significant benefit for the indication in question.

  • Hire "experts" in the field to promote it.

  • Incentivize those experts to influence changes to the traditional "standard of care" through their professional societies.

  • Hire "lobbyists" who may or may not be the "experts" mentioned above to persuade Medicare to approve the new standard and thus assure coverage by nearly all third-party payers.

This process may seem rather benign, if not beneficial — it may even seem like good capitalism — but it is not. Obscured by this process is the fact that what often passes for "statistically significant" would be viewed by many patients as "clinically irrelevant" and thus not worth near the amount that Medicare or their insurance carrier reimburses. I'm not suggesting that these products and services should not be allowed to come to market. I'm simply suggesting that, given their risk-reduction profiles, under free-market conditions many of them would need to cost much less to be attractive options.

A great example is the drug Rivaroxaban. It has been approved for usage to lower the risk of stroke in patients with atrial fibrillation. However, a recently hyped clinical trial may expand its use significantly. The trial, reported on in the Janurary 5 issue of the New England Journal of Medicine, showed that Rivaroxaban, when combined with standard therapy, lowered the absolute risk of death, heart attack, or stroke by 1.9 percent over a two-year period in patients who had recently had a heart attack. [2] To be precise, those taking Rivaroxaban had an 8.9 percent risk while those not taking it had a 10.7 percent risk. Also of note, taking Rivaroxaban increased the risk of a major bleeding event by 1.5 percent (those taking it had a 2.1 percent risk, while those not taking it had a 0.6 percent risk).

Given this information, how much would this drug be worth to you for the above indication, if at all? If your answer is not hundreds of dollars per month then you can appreciate why I believe healthcare is a bubble. The above example is not an exception but rather the rule. Just within my own field of cardiology there are numerous examples (e.g., whether or not to get a stress test and what kind of stress test to do, how often to do an echocardiogram for a patient with asymptomatic valvular heart disease, how often to check cholesterol levels in patients with and without known heart disease, whether to use a stent or thrombolysis to treat an acute heart attack and what type of stent to use, whether to use brand name or generic drugs for blood pressure and cholesterol lowering and when to start these agents in the first place). In my opinion, these few examples demonstrate how and why the healthcare bubble has grown so massive. In almost each case, the standard of care for the particular issue in question endorses more frequent use and the use of expensive agents and modalities over less frequent and less costly alternatives; however, the absolute benefits of the more frequent and expensive options are usually quite small (if they exist at all) as in the case of Rivaroxaban above. These examples demonstrate why government-subsidized healthcare has been a panacea for the medical-industrial complex. But unfortunately, what cannot go on forever must come to an end.

Government healthcare spending has continued to accelerate rapidly over the last decade. The government now directly pays for over half of all healthcare costs in the United States. But more importantly (and this point cannot be overemphasized), Medicare approval drives reimbursement for nearly all medical goods and services whether paid for by the government or private insurers. At present, nearly half of Medicare is financed through general revenue (revenue not generated through dedicated payroll taxes and premiums charged to beneficiaries) and the federal government is running huge budget deficits that are not sustainable.

There is simply no way the federal government can indefinitely prolong the trend in healthcare spending. According to John Embry, chief investment strategist for Sprott Asset Management,

One of the few reasons that this remarkable debt edifice is still standing is the Fed's zero interest rate policy … in conjunction with massive Fed monetization of Treasury debt [which] has kept the interest rates on government debt ridiculously low, and thus the charade has been allowed to continue. If the interest rates on US government debt truly reflected both the real level of inflation in this country and the rising risk of some form of default, rates would already be sky-high and the US would resemble a massive Greece.[10]

There is no circumstance under which this degree of government spending can be financed indefinitely, and when it's not, the slack won't be taken up by individuals. Dr. Gilbert Berdine emphasized this in a 2011 Mises Daily article. Some of the salient points he highlighted include the following: In 2008, HHS estimated that national health expenditures per individual were $7,845 — over $31,000 for a family of four. At the same time, the Census Bureau claimed that the average household size was 2.63 and thus, the average household share of national health expenditure was $20,632. The census estimated that almost one-fifth of US households earn less income than their share of national health expenditure.

Regardless of their desire to do so, US citizens as a whole cannot afford what the United States spends on healthcare, and therefore I believe that, when government spending on healthcare declines, the healthcare bubble will burst. This could be brought about in several ways, such as a failure to raise the debt ceiling, as Dr. Berdine has pointed out; a failure by the government to raise capital at historically low interest rates, as John Embry alluded to; or government policies that actually reduce healthcare spending, like not renewing the infamous "doc fix," using the Independent Payment Advisory Board (IPAB) to restrict which patients are eligible for certain medical care, or simply having CMS reduce reimbursement rates, which doesn't require any new laws or changes to existing law.

Conclusion Entangled in the current debate over the constitutionality of the Patient Protection and Affordable Care Act (PPACA), there are very few who have given much thought to the idea that healthcare could be a bubble. At the moment, I'm engaged in a debate with a reviewer at a particular medical journal who flat out denies that a healthcare bubble is even plausible. According to this reviewer,

Basic needs of life, such as basic food supplies, clothing, healthcare, water, etc. are things that are necessary to the maintenance of life. These things may all increase in cost secondary to the economic cycle and devaluation of the currency, but they do not become bubbles unless they somehow become luxury items, such as fur coats, etc.

On this point, I challenged the reviewer that shelter is a basic need of life, yet the housing bubble collapsed. I got no response. This reviewer, who I assume is a physician, displays the same hubris as so many others in the medical field — the idea that all healthcare goods and services are indispensable and, ultimately, either save or have a tremendous impact on the quality of one's life. The fact is that very few healthcare goods and services immediately impact whether an individual lives or dies, and most of their benefits will go unnoticed by the individual patient. Instead, most of these goods and services, whether consumed in the inpatient or outpatient, setting lower the medium- or long-term risk of something or another by a few percentage points and, in the end, we still die anyway.

The value of this risk reduction is ultimately subjective, but because of the policies mentioned in this paper, and the government's ability to support those policies by borrowing money at artificially low interest rates, many individuals have never had to give much thought to the value they would place on the medical goods and services they consume.

Unfortunately, due to our deteriorating fiscal condition as a nation, the day will soon come when the government can no longer subsidize healthcare to the extent required to keep the bubble inflated. At that point, individual patients will have to choose whether or not to pick up the slack.

When that day comes, look out!

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To: Thehammer who wrote (484210)4/24/2012 3:32:01 PM
From: LindyBill
2 Recommendations   of 660726
You can't depend on someone's statement to change a birdbath. Decorate it during Mosquito season, as he did. and have water in the non-mosquito season.

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To: Joe Btfsplk who wrote (484283)4/24/2012 3:37:23 PM
From: DMaA
2 Recommendations   of 660726
Does anyone think when we're standing in the bread line someone is going to say
"That ol George Bush. He shore was an honorable man."

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To: Brumar89 who wrote (484277)4/24/2012 3:50:29 PM
6 Recommendations   of 660726
Boycott Best Buy for Supporting Terrorist-Tied CAIR

Opened on April 23, 2012

We, the undersigned, pledge to refrain from purchasing products from Best Buy until the company rescinds its financial support for the Council on American-Islamic Relations (CAIR), as exposed in the article, “ Best Buy: Computers, TVs and Hamas.”

CAIR was labeled by the federal government as an “unindicted co-conspirator” in the trial of the Holy Land Foundation, a “charity” shut down for serving as a fundraising arm for the Hamas terrorist group. A federal court filing in 2007 states that, “From its founding by Muslim Brotherhood leaders, CAIR conspired with other affiliates of the Muslim Brotherhood to support terrorists” and “the conspirators agreed to use deception to conceal from the American public their connections to terrorists.”

On July 1, 2009, District Judge Jorge Solis ruled that the government provided “ample evidence to establish the associations of CAIR…and with Hamas,” justifying the label.

We, the undersigned, demand that Best Buy end its support for CAIR.

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