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Tag Archives: Healthcare

Conversations With Conservatives

12 Wednesday Apr 2017

Posted by Paul Kiser in Aging, Business, Crisis Management, Customer Service, Ethics, Generational, Government, Government Regulation, Health, Higher Education, History, Honor, Politics, Public Image, Public Relations, Taxes, Technology, US History

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2008, conservatism, conservative, Conservatives, corruption, deregulation, Drug prices, economy, GOP, Healthcare, healthcare reform, Housing crises, Housing inflation, jobs, Regulations, Republican, Republicans, Unemployment

Recently I have had a couple of face-to-face, civil conversations with conservatives. The conversations gave me a better understanding of how Donald Trump and the Republican party have managed to stay in power for the last 37 years.

The Issues
Among the issues we discussed:

  • Finance regulation:  Banks unethical practices
  • Housing inflation:  Housing prices increasing too fast
  • Economy:  Not growing fast enough
  • Jobs:  Not enough good paying jobs
  • Healthcare:  Taking care of people who can’t afford healthcare, keeping healthcare costs down
  • Drug pricing:  Prescription drug unfettered pricing

Government or Business Corruption?
There are many more issues; however, the ones discussed offer insight to the driving attitude of conservatives. It was not surprising that conservatives believe that the government is inherently corrupt. They also have an unshakable opinion that business and capitalism are the solution to almost every social and/or economic problem.

When asked about the above issues, conservatives will automatically assume the problem can be attributed to government corruption, interference, or mismanagement. They also believe that government is holding back, or preventing from business solving the problem.

It is admirable that most conservatives don’t need, nor care if their opinions have no proof, or facts to support their position. Even when it is apparent that business is/was the cause of the problem, conservatives have the ability to double down on the fallacy and ignore anything that contradicts their opinion.

Cause of the Housing Crisis: Business as Usual Unethical

Regulation:  The False Enemy
In one conversation I was told of how a bank sold the fixed rate housing loan of this person to another bank and the new bank raised the interest rate without the consent of the owner. Though the person kept paying on the loan, they were finally told that they were in arrears on the loan because they had failed to pay the additional interest on the new loan. Ultimately, the person was forced into either spending thousands of dollars on legal fees, or walking away from the house.

Three factors are key to this situation. First is the greed of the banks to make more money for the investors. Second is the lack of ethics by the bank. Finally, the lack of government oversight over the banks to prevent them from selling the loan, remaking the loan, and then forcing the homeowner into foreclosure.

Business was the corrupt party in this situation, and a lack of government oversight was the contributing factor; however, to the conservative, this was another example of a corrupt government.

NEXT:  The Thirty-Seven Year Lie

Republicans Living Down to Expectations

09 Thursday Mar 2017

Posted by Paul Kiser in Aging, Business, Ethics, Generational, Government, Government Regulation, Health, History, Honor, Human Resources, Politics, Public Image, Public Relations, racism, Respect, Taxes, US History, Women

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GOP, health insurance, Healthcare, healthcare reform, Obamacare, Paul Ryan, Republican, Ryancare

GOP’s big loser takes from the elderly and poor to give to the rich

They did exactly what was expected and then went further. Republicans put together a plan to shred our healthcare, and then added more tax breaks for the wealthiest. Ryancare could best be described as the bomb dropped on the United States to distract us from noticing how deep Vladimir Putin is in Trump’s pants.

‘Repeal and Replace’ is, as expected, ‘Flush and Make the Wealthiest, Wealthier.’ By bullet point, this is what the Republicans shot down.

  • Mandatory coverage, gone. A return to pre-Obamacare
  • Subsidies, still there, but smaller
  • Medicare money raided to give the wealthy a big tax cut
  • Elderly and people with pre-existing conditions will pay up to five times more for insurance

Many believe that Ryancare will undergo significant changes; however, none of the discussed changes will improve the existing law. Republicans are committed to carnage and destruction. Business as usual.

Time to Repeal Republicans

07 Thursday Jan 2016

Posted by Paul Kiser in Branding, Business, Communication, Ethics, Government, Government Regulation, Health, History, Opinion, Politics, Public Image, Religion, Respect, Taxes, US History, Women

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2016, Congress, conservative, Conservatives, Election, GOP, Healthcare, Obamacare, Paul Ryan, Republican, Republicans, Speaker of the House, Tea Party

The Republican party can’t help themselves. They are born to do the wrong thing.

Paul Ryan - Leader of the Stupid (Image credit: Wall Street Journal
Paul Ryan – Leader of the Stupid (Image credit: Wall Street Journal
Cliven Bundy - Created in Ronald Reagan's Image (photo credit cnn.com)
Cliven Bundy – Created in Ronald Reagan’s Image (photo credit cnn.com)
Edgar Votes GOP (Image credit: Columbia Pictures
Edgar Votes GOP (Image credit: Columbia Pictures

The United States of America was established on the principle that everyone is equal. Yes, there were some many of our founders who didn’t see African Americans as equals, nor were women seen as equals, but they probably also didn’t believe that the Earth orbited the Sun.

Over time we learned that all humans are truly equal. Over time we adopted a system of government that was committed to protecting the rights of ALL people. Over time we became the greatest country in the history of the world not only because of the principles that were the framework of our country, but because we took that framework and made it greater than the people who wrote it.

But there are always those who want to tear it all down under the belief that it is not ‘our’ country, but ‘my’ country. Those people who are too stupid to be let out in public, but want a gun in their purse when they our out among our citizens just in case they see someone they want to kill.

Conservatives have a history of tearing down great things. Guided by the concept that “we can’t,” conservatives have constantly battled for less for everyone else and more for them.

After fifty attempts the Cliven Bundy’s of Congress have finally passed a repeal of Obamacare. Nope, they don’t have a plan ‘B’, except they want American healthcare run by the greedy, not by compassionate. Republicans have proven again why they are the party of anti-Americans. They hate equality. They hate being told to be ethical. They hate paying for the privilege of being citizen of the United States of America.

It’s time we repeal Republicans and put our country back into the hands of the intelligent, the compassionate, and the true patriots.

Reno NBC News Station Runs Another Conservative-Laced Story

07 Monday Apr 2014

Posted by Paul Kiser in About Reno, Branding, Business, Communication, Customer Relations, Customer Service, Ethics, Government, Government Regulation, Information Technology, Management Practices, Opinion, Politics, Pride, Public Image, Public Relations, Technology, Traditional Media

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A Block, ACA, AEI, Affordable Care Act, American Enterprise Institute, biased, Chris Vanocur, Columbus, Fox News, Galen Institute, Grace-Marie Turner, health insurance, Healthcare, Joe Antos, Jon Lovitz, journalism, KRNV, KSNV, NBC, NBC News, Obamacare, Ohio, SBGI, Sinclair Broadcast Group, WSYX

Image b Paul Kiser

Is KRNV a Fox or NBC affiliate?

On April 1, Reno’s NBC affiliate, KRNV, has ran another biased ‘A’ Block (headline news) story attacking the Affordable Care Act (ACA) featuring a reporter from the Sinclair Broadcast Group (SBGI) network. This is at least the third incident of Fox News-type reporting on KRNV in less than a week. This report suggested that the most of the seven million people who signed up for health insurance under the Affordable Care Act already had insurance.  

As in the other biased news stories on KRNV, a non-local reporter presents an anti-government tirade. Chris Vanocur of the ABC affiliate, WSYX in Columbus, Ohio, one of Sinclair Broadcast Group’s 167 stations, starts out by saying:

“Seven million Obamacare new enrollees sounds like a lot, but…”

Image by Paul Kiser taken from video of KRNV newscast 1 April 2014

Grace-Marie Turner, crusader against healthcare reform

Vanocur then introduces Grace-Marie Turner, who has only one mission: oppose any change to healthcare’s broken free-market system. She founded the Galen Institute in 1995 to combat healthcare reform. According to her website, one of the key goals is to:

“Educate policymakers about the dangers that government control over the health sector pose to our economy and our society”

Turner clearly is dedicated to maligning anything regarding the Affordable Care Act. Despite her anti-ACA crusade, Vanocur refers to her as an ‘expert.’ Turner doesn’t hesitate to bear witness against the seven million new enrollees in Obamacare:

“Many of these, if fact, the great majority, are not newly insured people..”

Vanocur continues to say:

“Turner says only one-quarter to one-third of those who signed up didn’t have health insurance before.”

Turner claims to know that 25% to 33% of the seven million had insurance before and switched to Obamacare. She cites no study, nor does Vanocur offer any evidence of the source and/or reliability of the data. Rather, Vanocur offers another ‘expert’:

“…and she’s not the only one questioning the seven million number” 

Vanocur is referring to Joe Antos, his next ‘expert,’ of the conservative think tank, American Enterprise Institute For Public Policy Research (AEI.) Antos also claims to have reliable data on the new enrollees:

“It’s very likely that it’s no more than 1.5 million people who are actually new customers who were not already insured.”

Antos testifies that only 21% of the total enrollees had no insurance. Again, no source is presented for the ever dwindling number of previously uninsured. The only thing that kept this new story from becoming a Jon Lovitz sketch was Antos saying, “Yeah, yeah, 21%, That’s the ticket!”

Like other Sinclair generated anti-government ‘news’ stories (See articles on KRNV news stories of March 26 and March 28,) only one-side of the topic is presented and no data supports the claims made by the reporter, nor his sources. The irony is that on the same day, KRNV’s sister NBC affiliate in Las Vegas, KSNV, ran a locally produced news story on the ACA enrollment that discussed sign up issues, but kept a more balanced perspective.

NEXT:  How Sinclair Broadcast Group is using a FCC loophole to control multiple stations in one market. (Read article) 

Romneylans: A New Species of Stupidity

21 Tuesday Aug 2012

Posted by Paul Kiser in Ethics, Generational, Government, Government Regulation, Health, Higher Education, Honor, Politics, Religion, Science, Taxes, US History, Women

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ACA, Affordable Care Act, Christianity, Climate change, Conservatives, economy, George W. Romney, Global warming, guns, Healthcare, Immigration, Jesus Christ, jobs, Mitt Romney, New Testament, NRA, patriotism, Romans 14:10, Romneylans, Romulans, Todd Akin, Unemployment

Romulans of the Star Trek kind

Romulans (Star Trek Series): A alien race ruled by a hierarchical society that is always at war or in an uneasy truce with almost everyone, noted by an almost illogical egocentric society using cunning and deception to gain the advantage. Also identifiable by their pointy ears and uni-haircut.

Todd Akin: Romneylan of the stupid kind

Romneylans (rom-nee-lans): Similar to Romulans, but without the pointy ears and the spiffy haircut. 

Romneylans have invaded Earth (specifically the United States) and if they are not defeated we risk losing everything that makes America great.

Ironically, Romneylans are NOT identified by their alleged support of candidate Mitt Romney. Romneylans are actually united by an irrational hate for President Obama. If Bozo the Clown were running against President Obama, Romneylans would vote for Bozo. (NOTE: Mitt Romney is NOT Bozo the Clown and my apologies to any clown named Bozo.)

Romneylans are also noted for their hate for liberals, rejection of reason, and an unshakable commitment to stupidity. Some examples:

Patriotism: Romneylans (A.K.A.: Conservatives) believe that if you don’t agree with them then you are not an American. That in itself is stupid, but what takes it to a new level is the idea that beating your breast about America’s military might is considered patriotic, but it is unpatriotic if you support the civil servants that serve our country with honor and have made America the envy of the citizens of most other countries. Romneylans think that dismantling our government is patriotic. 

Religion:  Romneylans claim to be Christians. Christianity is identified as the belief in Jesus Christ and his teachings that can be found in the New Testament. Romans 14:10 of the New Testament states:

But why do you judge your brother? Or why do you show contempt for your brother? For we shall all stand before the judgment seat of Christ.

Romans 14:10  King James version

No need to interpret what is being meant by not judging others. Yet, Romneylans feel compelled to declare that the Bible gives them the right to persecute and pass judgement on almost anyone. Ironically, Jesus Christ is one of the most compassionate religious figures in human mythology, but Romneylans love saying “hate the sin, not the sinner,” which is quite possibly the stupidest thing ever said by a group of people known for stupid remarks. A glance at any Romneylan Facebook page and it is easy to determine that their hate is boundless and their compassion for anyone they hate is nonexistent.

Economy: The depth of stupidity of Romneylans is most evident with their take on the economy. The 2007-09 economic collapse in America occurred as a direct result of unbridled greed in private business and a lack of ethics throughout business in general. That is documented.

However, Romneylans believe that the economic collapse was caused by government regulation and that our economy can be restored by eliminating any of the safeguards that make ethical business possible. Romneylans depend on a permanent state of denial about what Conservatives and conservative policies did to bring America to the brink of disaster.

US Employment Data

Jobs: The impact of the 2007-09 Recession on jobs was felt through the first quarter of 2010. There is no magic bullet to recover the jobs lost during that time, but what is not going to help our nation’s unemployment is to eliminate civil service jobs that employ millions of middle class citizens. Romneylans rabid hate for government is the classic ‘biting the hand that feeds you’ syndrome.

Healthcare:  One of the biggest problems America has faced in the last thirty years is the rising cost of healthcare. A major component of this issue is the uninsured citizen without access to affordable healthcare. The uninsured person can’t afford to see a doctor for preventive, or minor health issues, so this often results in that patient receiving no care until it becomes a major health problem. That increases the cost of treatment for which we all indirectly pay. The Affordable Healthcare Act (ACA) solves this problem.

However, Mitt Romney, nor his major contributors will ever have to worry about access to proper medical treatment, thus they don’t care about the millions of Americans who have no access. Ironically, many Romneylans will benefit from ACA either directly or indirectly. Unfortunately, stupidity rules the day with conservative voters and they have convinced themselves that ACA is akin to the Apocalypse, thus it must be stopped before it can take effect.

Another issue is women’s health, in particular, contraception and abortion. While some may say this is another religious issue, for Romneylans it seems to have more of a tie to the gender that is making most of the noise. (See Conservative Pig Influenza of 2012.)

Science:  Anyone who seriously believes that Creationism should be taught in public and or private schools as an alternative option to evolution is certainly a Romneylan. Creationism has no basis as a rational explanation for how the universe and humans came into existence but that doesn’t stop Romneylans from declaring mythology as science.

Regarding climate change, science has demonstrated that we are witnessing an extraordinary change in Earth’s climate on a scale that exceeds any climate change during the last 600,000 years. A study funded in part by conservatives to disprove the science of global warming ended up confirming the data.

This doesn’t stop a Romneylan.  They dispute science by being ‘skeptical.’ Skeptical is another way of saying, “I’m being stupid.”

Immigration:  The Hispanics population in America is growing; however, Mexicans coming to America is not what is driving Conservatives panic attack on this issue. They are just scared white men. That’s sad, but Romneylans are taking their panic and turning into an issue that is long on fear mongering and short on facts. Romneylans are now trying to arm themselves and monitor the border. Guns and vigilantes can be entertaining, but not very smart.

One of the ironies is that most Romneylans nay not know that Romney’s father was born in Mexico when his family fled there to avoid prosecution by the United States of America. His family returned when they became concerned about violence in Mexico.

Romneylan with an open mind?

Guns:  I was raised in one of America’s prime hunting communities. I was one of the first to complete an NRA (National Rifle Association) safety course. In addition, I was taught that guns and people don’t mix, so we had a rule to not come back into town with a loaded gun after hunting. Safety and respect for others was key.

Then the NRA became political and this was the cry of gun owners:

When guns are outlawed, only Outlaws will have guns

Clever. Here’s the reality. Almost every person will at some point in their lives be filled with so much anger that they will have a fleeting desire to injure or kill someone else. The NRA wants that person to have a gun accessible so they can act on that impulse. Does that seem smart or stupid?

Will The Supreme Court Hand The Election To Obama?

30 Friday Mar 2012

Posted by Paul Kiser in Ethics, Government, Government Regulation, Health, Politics, Public Relations, Women

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Affordable Care Act, Conservatives, Healthcare, insurance, Mitt Romney, Obamacare, Supreme Court

This week the Supreme Court became Hand of God regarding the fate the Affordable Care Act of 2010. Conservative Justices seemed to indicate that they were heading to a decision that would at the very least gut the heart of the law and void mandated health coverage for all Americans. This legislation has been one of the few new laws that Conservatives have allowed to pass during the Obama administration and they are panting over the possibility that they may be able to thwart it before it fully takes effect.

Equal Justice?

The irony is that if the Supreme Court rules against the law, they will likely be handing the 2012 election to President Obama. The ramifications of their ruling might even end Republican domination of Congress.

Why?

Conservatives desperately need an issue to unite the Republican party and bring moderates to their side; however, the key issues that they hope will sway the majority of voters are wearing thin:

  • Illegal Immigration is going to be a hard sell in an election year where racism has become a central issue in the country. Recent state laws regarding illegal immigration have been proposed and voted into law almost exclusively by Conservative, white males. The issue is becoming more about the motivations of the white politicians and less about the non-existent threat they have tried to create.
  • Abortion and contraception has become an issue that is so toxic to Conservatives that women are rallying together to take on the Taliban-like Church stance on the issues. Even Christians are beginning to question the extremism of the issue.
  • The cry to kill government is getting old and some people are beginning to link government with jobs and economic prosperity, especially since every effort to reduce government has consistently resulted in higher unemployment and major economic recessions.
  • The flat tax concept inherently raises taxes on everyone but the rich and the more people discuss it, the more people see the stupidity of it.
  • The rich, oil companies, big banks, etc. are our saviors. Is anyone but Conservatives really buying it?
  • Gay marriage is an issue that has turned on Conservatives and bitten them right in their own family. The whole ‘save marriage’ campaign has run its course and is now looking as stupid whoever it was that came up with the idea in the first place.
  • It’s hard to justify changing Presidents when the economy is growing, and even harder to argue that considering the economic disaster of 2007-09 was caused by Conservatives, that they should be the ones to make it better. Sure oil prices are outrageously high and the economy might suffer, but since Conservatives run the oil companies and the speculation market, how is that President Obama’s fault?
  • The National Debt is certainly an issue that Conservatives would like to use, but the reality is that America’s debt is not at 100% of our Gross National Product (GDP,) which is where Franklin D. Roosevelt had to take it (actually he exceeded 100% of GDP) to get America out of the Great Depression. We recovered from that and enjoyed some of the most prosperous years in our history.

So what is left?

The Affordable Care Act. By labeling it, “Obamacare” and seeding the media with wild statements of doom if it is allowed to be fully enacted, it has become the only issue in which almost all Conservatives can come together; however, if the Supreme Court takes that issue away by gutting the law then there is no rallying point for Conservatives.

Yet, for Americans in general, the blatant use of political power by the Conservative Justices on the Supreme Court to take away affordable healthcare may serve as a banner for the opposition. Republicans already have a reputation for acting with America’s worst interest at heart (unregulated banks, unbridled greed, laws targeting Hispanics, and obstruction of legislation and federal appointments) and the death of the Affordable Care Act may breathe life into America’s growing dislike for Conservative destructive meddling. In a year when Republican Presidential candidates are not exciting anyone in large numbers, the Supreme Court could eviscerate any hope that Romney might have of winning the White House.

Positive Harm Part II: Downs and Ups

06 Tuesday Apr 2010

Posted by Paul Kiser in About Reno, Lessons of Life, parenting, Random

≈ 2 Comments

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Doctors, Healthcare, Nurses, Renown, tonsillectomy

Play Surgery before the big day.

Yesterday our 4 1/2 year-old son, Alexander had his tonsils and adenoids removed.  In Part I of this story

(See Positive Harm to Our Son Doesn’t Feel Okay)

I talked about the concerns of harming our child in order to make him healthier and our efforts to prepare him for the experience.  It is impossible to know whether that preparation was good or bad, but we certainly have seen the downs and ups of the experience and the problems of too much knowledge.

The Downs of Surgery Eve

On Sunday night we did another session of play surgery before bed and then just before he went to sleep I reminded him that there would be some pain after the surgery and that we would be with him until he went into the OR. That was probably a mistake. Alexander woke up just before 1:00 AM crying.  He said his throat hurt, then his ears, then his head.  His Mom took it at face value, but he didn’t have a fever and at times the pain was only the throat, so I was more suspicious.  He was clearly scared and violently battled to stay with Mom and wanted me to stay away.

We were able to get him to sleep in 10 minute chunks, but he always woke up crying.  To me it was clear he was terrorized by the thought of going to the hospital in a few hours.  Needless to say, none of us slept the rest of the night.

Mood Recovery Before Surgery

Alexander at home a few hours post op

At the hospital he fell asleep in Mom’s arms in the waiting area and got about an hour in before we were moved into a pre-op room.  When he woke up he was still in a foul mood, but he wasn’t crying.  In the pre-op room I decided to see if I could get his mind off of the surgery.  He had been given a stuffed duck during his tour of the surgery area the week before so I began flying ‘Quackers’ around the room.  That got him to laugh and lifted his spirits some.

A Boy Rests

The staff at the Renown was aware of his fears (I got the sense they had experienced one or two patients with a similar concern) and they all worked to help him get his mind off of the surgery.  Nurse Toni, (the nurse that gave us a  tour of OR the week before,) checked in on him, and his pre-op nurse (I can’t remember her name) did a great job of asking him questions and involving him in the conversation.  By the time the anesthesiologist came in Alexander was no longer focused on the surgery and he continued to talk directly to Alexander…and listening to him.  By the time the star of the show, Dr. Jenny Van Duyne, entered the room Alexander was ready to hold court.  When it came time for Alexander to go to the OR, he had no problem taking a wagon ride away from Mom and Dad.

The next 45 minutes were blessfully short and when Dr. Van Duyne came out we knew everything went as planned.  She explained that he had one very large tonsil and she put in one stitch to keep the back of the mouth symmetrical, but everything else looked good.

Recovery Room Down and Up and Down

Post surgery was no cake walk, but the important note is that it was after the surgery…meaning the scary part for us was over.  Alexander was groggy and hurting post op but he did what he need to do.  He drank liquids and rested.  Again the Renown staff did great.  Nurse Kim was his post-op nurse and she kept close tabs on us and did not hesitate to give pain meds if she thought they were needed.

If either of us had felt that Alexander wasn’t getting the best care we could have been difficult parents for the staff.  We were both exhausted and feeling very protective; however, I don’t remember any time where I felt that Alexander was being neglected.  Alexander did his part by drinking water, eating two Otter Pops, and he even went potty.

All was going as planned until we were ready to leave.  Just as I picked Alexander up he lost his cookies, or in this case his Otter Pop.  It could have been a lot worse but Nurse Kim had made sure we had the emesis (sick) bag at the ready.

Roller Coaster at Home

Alexander - 26 hours post op...vacuuming

Since being home we have dealt with the challenge of getting Alexander to take his medicine (which tastes horrible), vomiting right after taking medicine, sleep in four-hour stints at night, and a really sad and hurting boy.  We have also experienced a boy who wants to vacuum and clean the furnace air filter.  He feels good for about two hours at a time today and then he doesn’t.  Hopefully, each day he will feel stronger.

Our journey is long from over, but we are able to see that doing positive harm to our child was for the best.  We know that he will sleep better and feel better.  In hindsight I would have not discussed the scary parts of the surgery as much.  The pain is best dealt with at the time it hurts, not feared before it happens.

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