Thursday, June 20, 2013
Beach Walker And Watcher
Wednesday, June 19, 2013
A Walk, A Read and A Loss
Tuesday, June 18, 2013
Tim Egan New York Times Obamacare
A friend of mine has an adult child with cancer, a young man just old enough to be beyond the age of coverage under his parents’ health care plan. After nearly killing him, the dreaded Hodgkin’s lymphoma is in remission. But he’s still a pariah in the eyes of the insurance industry, which means they can deny him a policy that might save his life.
Not for long. In six months’ time, the heartless practice of refusing to let sick people buy affordable health insurance — private-sector death panels, the most odious kind of American exceptionalism — will be illegal from shore to shore.
“I can’t wait for Obamacare,” my friend gushed the other day. And she’s not alone. About one in 10 people with cancer in this country have been denied health coverage.
The cartoon version of the Affordable Care Act, that much-loathed government takeover of one-sixth of the economy, is now moving from Beltway gasbags and caricaturists into the hands of consumers. Its fate will be determined by the countless anecdotes of people who will apply the law to their lives.
The early indications are that most Americans will be pleasantly surprised. Millions of people, shopping and comparing prices on the exchanges set up by the states, are likely to get far better coverage for the same — or less — money than they pay now. The law, as honest conservatives predicted, before they orphaned their own idea, is injecting competition into a market dominated by a few big names.
What will happen if, in the end, Obamacare really works?
But out among the states that are actively building the foundations of Obamacare, the law seems to be doing what it was supposed to do. In Washington State, nine companies have filed paperwork to offer policies in a region that has long been controlled by three big entities.
“The surprise is that, for many in the individual market, the premiums will be lower and the benefits so much richer,” said Mike Kreidler, the state insurance commissioner in Washington. “Eventually, I can see the Affordable Care Act being embraced like Medicare, because once people get used to this kind of coverage, it’s going to be a pretty abhorrent thing to try and take it away.”
In Oregon, brisk competition will mean real choice for consumers. Starting in October, a 40-year-old resident of Portland can choose between one insurer charging $169 a month or another asking $422 for the same plan. When these rates were first posted not long ago, some of the companies requested a do-over so they could submit lower rates. Yes, lower rates. So much for a government takeover.
In California, 13 companies will compete for the business of 5.3 million or so people expected to purchase insurance through the new exchanges. Officials say the average monthly premium will be $321 — that is, $110 less than the national average predicted by the Congressional Budget Office.
All of the above are for individuals, shopping for their own health insurance as required by the new law. For the majority of Americans, those with employer coverage, Medicare or Medicaid, little will change except that insurers can no longer put a lifetime cap on benefits. The biggest change, the one likely to drive public perception, will be felt by people long denied care because of “pre-existing conditions.” Soon, they will pay the same insurance rates as healthy people, and get second chances at life.
As well, there’s a bonus opportunity for those stuck in jobs they hate, holding on only because they need the health care, for a take-this-job-and-shove-it moment. Moderate-income families qualify for significant bargains, using the subsidies of Obamacare.
Of course, you can expect scare stories and Fox News alerts about higher premiums. These anecdotes will focus on young, healthy people with no coverage who will have to join the rest of the country in the insurance pool, or pay a fine. Some employers will also choose to pay the government rather than insure their own workers, but you won’t find too many of those listed among the best places to work. And we’ve already seen claims of skyrocketing premiums under the new plan, but those have been widely debunked as fraudulent comparisons between the bottom-of-the-bin teaser rates of today and the substantial packages of coverage required in the new law.
It’s a fascinating moment, akin to the dawn of Social Security or Medicare. Republicans in the last three years actually did the country a favor by wildly overstating the case against a middle-ground approach to getting the United States closer to universal health care. As in 1935 and in 1965, the ossified right is warning once again of an impending end to American life as we know it. Thankfully, they’re right.
Brown And White Food
Because I grew up in Italy, land of the colorful food I tend to joke with my wife that Jewish food is all brown and white, a suggestion she rejects pointing to the use of beets to make soup. Russian food I reply, as we load up with knishes and pastrami and challah. There's plenty to choose among at Flakowitz's:
Brown and white? You decide, but I see whitefish, meatloaf, mashed potatoes brown gravy etc...
My wife likes to make soup so when I was coming home from Pennsylvania I stuck to the shopping list she sent, including chopped liver which I put firmly in the in edible category alongside whitefish in brine.
I am quite find of prune hamentashen which she ,ysteriously left off the list so I added a couple for me.
It ended up being a fifty dollar picnic which we spread over a weekend of proper Jewish food in the Keys.
I am reminded of all this as today is the day I take my chompers to the dentist for a check up. Good teeth need good food.
Monday, June 17, 2013
A Nursemaid's Holiday
Let's face it, speed limits tend to be a drag, designed to force distracted drivers to make like they're paying attention. Drive the limit and fiddle with your phone and no one will notice. But for me on my holiday ride the limit was perfect.
Perhaps even a little too fast as the speedometer on the ET4 reads five miles over according to the GPS in my phone.
I know the 150 cc scooter is technically a motorcycle capable of sixty miles an hour at least but I wasn't wearing anything remotely like gear unless a t-shirt and Crocs can be considered protective.
As always on these side roads there's nowhere to go except to the water's edge and I had to get back to my duties so I didn't go far down this longest of side roads, all eight miles of it.
It was enough to stop and watch the clouds scudding across the sky and the windflowers nodding in the breeze. Some days you'd like a mountain or a pasture or a winding bit of mountain lane. So would I. Those days you enjoy what you've got and not lament the absence of more.
This road will be eminently rideable with the wind in my hair and a t-shirt only on my chest come January and that's a lot for a cold weather wimp like me.
I found some jalapeño kettle chips as I perused the aisles of the Shell station pondering the meaning of life and the role of high fructose corn syrup. Check this out, remember all the kerfuffle about Twinkies disappearing (and good riddance!)? The competition just steps in. Ain't capitalism great?! Dreamies indeed.
Sunday, June 16, 2013
Ride To Work
I am not one of those people who gives much thought to social events built into calendars. I am indifferent to National 911 Dispatcher Week, or Mother's Day, or Breast Cancer Awareness. Is there anyone not aware of breast cancer? In a country with no health insurance coverage worth a damn we need Co-Pay Awareness Month (how much is 20% of any cripplingly expensive "proceedure"?) or National No Coverage Week for the 60 million Americans with no health care plan outside a Hope and a Prayer. With that sort of attitude you might think I am not likely to give much credence to Ride To Work Day. Alongside Andy Goldfine, the founder of this awareness campaign I believe everyone should ride to work, to save resources, support national energy independence, conservation, reduce traffic jams and chaos and make people at large happier (even me). Goldfine is the owner of Aerostich the motorcycle gear company and thus he has a vested interest in getting people to ride. But that is not really the point. Aerostich makes gear in Minnesota with local people getting paid real money to do real work so if anything we should praise him even more for trying to get people to ride and buy his stuff, if that were the point, but I don't think it is. I am a fan of Aerostich gear, it is of good quality and works as advertised. That Goldfine has a sense of humor and enjoys his passion is a bonus. That he wants to share it with the world at large is evidence of his joi de vivre.
To that end Goldfine has written this piece about why people should ride as a social good. I've cut it short but you can find it online Ride To Work 2013 , under the Resources For Advocates or in the Aerostich catalogue which in itself makes for fun reading, really, you would be surprised! Aerostich.
Andy Goldfine:
Part 1: The Missing Piece
Two pieces, actually…First, riding is a social good. Same as eating healthy, exercising and higher education. Everything we do that makes us stronger, clearer, smarter, and sharper means we can better help ourselves and our species.We become better husbands, wives, parents, and workers…better leaders and followers.
Riding motorcycles does all of this,…and it gets us from A to B with a smaller ‘footprint’, and saves us time, and reduces congestion and increasesavailable parking. Win, win, win. Win. So why isn’t everyone riding?
Because it is harder. Sitting on a comfortable couch eating junk food, watching TV, smoking cigarettes, drinking, and uh,…it’s all bad. As are cars, pizza and ice cream. But that stuff all feels soooo good…and I like every bit of it, too. The people selling us our cars, pizza and ice cream are not going to tell us those things are bad for us. And I’m keeping my car, pizza and ice cream. I’m already eating about as healthy, exercising as much, and riding as often as I can.
What’s missing?
Incentives! I want to be rewarded for doing the right thing. Because, (ahem…) this is America! Everyone here deserves this. There are only two meaningful incentives. (I already can easily ride in almost any weather to almost any destination—comfortably, efficiently and cost-effectively. Not enough.)
1. I also want to be able to save time filtering between all of the cars, just like riders in
California (…and the entire rest of the world). It’s statistically well-proven to be far safer for everyone, and it’s super-easy once you’ve done it a few times.
2. I’d also like some legal protection in case something goes wrong. Like a ‘vulnerable road user’ law for all us walkers, bicyclers, skaters, skateboarders and motorcyclers. For everyone who uses roads not surrounded by glass, metal and airbags. We all need the same level of legal protection highway workers in states like Michigan enjoy. “Kill a worker: $10,000 fine + a year in jail” roadside construction zone sign there read. We want that level of protection, too.
Those are the two missing pieces: Lane sharing (‘splitting’ or ‘filtering’) tolerance and Vulnerable Road User protection law.
It’s that simple…
Part 2: How do we get there?
Begin with “all politics is local”. There’s no reason any municipality cannot enact a law
to allow lane sharing and separately another to better protect vulnerable road users. Yes, such laws would be extremely tough to pass (of course!), and anything like that is certain to be court-challenged at state and federal levels. But this is where the pressures for reform and social change must begin.
It could happen.
—Andy Goldfine 2013
That's my favorite line from the Aerostich library of catchphrases, "Every day. No Excuses. Have fun." Of course in my neck of the woods it seems easy to ride every day. Of 13 dispatchers on staff (officers get to take their patrol cars home) only three of us ride to work, and the other two ride scooters less than a mile each. I ride in the rain and my colleagues, who already think I'm crazy to live 25 miles out of town, think I'm stupid for not using my air conditioned car. I've given up explaining the pleasure I get from riding and the self knowledge I get from riding in the cold, in high winds or in rain heavy or light. Its not much of a challenge to drive a modern car in rain even though judging by other dirvers tentativeness you'd think so because mere puddles cause tremendous traffic jams as though they were lakes. As to whether I will ride tomorrow, it depends if I'm on duty! Actually I'm off, but I look forward to my commute by Bonneville...every other day.



























