Monthly Archives: March 2014

No Solutions for Uninsured Americans

We have predicted before that the ACA will not solve the problem of the 40 to 60 uninsured American’s.  In fact, it doesn’t even begin to address the problem.

It appears we have 6.0 million to 7.0 million now enrolled in ACA.  Many of these (a number unknown because no one seems to want to tell us) were already covered in a plan that was canceled, or were on Medicaid, etc.  Only a small portion of these insureds were uninsured before their enrollment.

Check out this blog:

This blogger is one of the better informed on the subject.


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Filed under Healthcare, Politics

One of Your Most Dangerous Medical Risks Will Surprise You

We believe a visit to the hospital can be loosely interpreted as one of those to avoid.  We give full credit and recognize the important contribution our local hospitals provide, but simply stated, no matter what hospital in the country you may have to visit, they can be a threat.  The threat takes many forms, the simplest being bacteria and disease that exists within the hospitals walls, beds, operating and treatment rooms.  The threat continues when considering the possibility of the wrong or conflicting medications or dosage being administered, and at the extreme, would include a surgeon operating on the wrong person or body part. Just how threatening can a visit to the hospital really be… can be downright frightening.  Here are some facts.

1.   Each year it is estimated as many as 100,000 Americans die in hospitals from preventable medical mistakes;

2.  An estimated 86% of medical mistakes are not reported;

3.  HHS Study reveals one in seven Medicare patients suffered serious or long-term injuries or died as a result of hospital care, and 44% of these problems were preventable.

These are staggering statistics, but there are positive steps being taken.  And, while these are national averages, we know many local hospitals perform at a very high level of safety thus do not incur these types of percentages.  Medical Checklists are becoming commonplace and remove or reduce many surgical risks.  Patient safety advocates have been able to increase awareness and eliminate risks.

Another and perhaps the most important method of avoidance of hospital risks is “Wellness”.  That’s right, simply stated, stay well and stay out of the hospital.

Emphasizes wellness with such basics as an extensive annual physical exam and a flu shot, to reviewing your proclivity for disease from your heredity and then taking appropriate steps to avoid illness or disease and thus remove the risk from hospitalization.

“Practice” wellness and you will not need to treat illness.


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Filed under Healthcare, Uncategorized

ACA Can Be Very “Painful”

The issue of replacing health insurance coverage that many liked and used with an ACA “acceptable” plan continues to be painful for many. They often lose doctors they have used for years, and the new plan often becomes more costly. See this excellent article in the New York

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Statehouse Trumps City Hall

Governor Cuomo came out yesterday with a strong endorsement of New York City charter schools. He was responding to a 10,000 plus demonstration of charter school parents and students and against the much smaller union organized rally.

Perhaps fairness will reign in this ongoing battle that appears to be union organizers and supporters vs. concerned parents and corporate funding for better education.

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Filed under Children, Education, Governance of the Government, New York City

Two Enemies of Good Government

Ideologues and Political Rhetoric without Action

Good governing only comes with compromise, and ideologues seem to lack the common sense that they can’t prevail at all times.  Simply stated they are incapable of compromise.  Rhetoric without action can be worse since nothing is there to be discussed, modified and ultimately agreed.  Great pronouncement speeches are soon forgotten without the requisite follow through of action.

We have all witnessed these two shortcomings in our politicians, and unfortunately our well-intended new Mayor of New York seems to embrace both.  His Pre-K stance on tax the rich as the only path to offering universal Pre K even though the state has offered to fund it, is an excellent example of an ideologue that refuses to compromise, even when he is getting most of what he wants. He then goes on to embrace the second failing of rhetoric without action by announcing multiple projects and trashing existing ones without any specific plans to launch or improve them.  Take your pick, a rejuvenated Sandy, a “reset” of mid-town zoning, specifics on Pre-K, etc.

I for one am also tired of hearing the new mayor was elected with a 73% mandate.  Let’s take a quick look at those pesky facts:  There are 4.6 million registered voters in New York City.  Only 1.02 million actually voted which is only 22.2 % of eligible voters.  Of this 22.2 percent he did receive 73% of the vote.  This translates, mathematically and factually into 16.3 % of the vote of New York City voters…hardly a mandate.

However, it was clearly a mandate by the unions of New York City.  If 75% of the 300,000 union members of NYC voted for DeBlasio and their partner/spouse also voted for him, along with one parent or parent-in-law, that group alone would have accounted for almost the entire vote he received.  And, let’s not forget, union members are democrats, they vote regularly, and the new Mayor was promising retroactive pay increases.  They totally supported him and if the truth were known, single handedly, elected him. This calculation would leave 3.0 million registered voters who did not cast a vote (shame on them) and gave the Mayor his often-stated “mandate”.

The mayor must start delivering.  Compromise on the Pre-K, and you’ll be lauded and known as the Mayor who gave everyone Pre-K not the Mayor who compromised away his tax increase.  Release specifics on projects and “resets” that make sense and then follow through.

And, a few more thoughts Mr. Mayor.  Those nasty one-percenters are at their desk in the financial district long before your first meeting is scheduled and they show up on time, each and every day.  They are not 40 to 60 minutes late for their scheduled meeting and certainly not for their first of the day.  You’d be surprised to see how active the “street” is at 6AM or 7AM each morning.  Try getting up one morning and checking it out.  You’ll find the “other city” you often refer to up and working very hard long before you’ve had your first cup of coffee.

And above all, don’t become the Mayor Ed Koch spoke of in his memorable words:  “The people have spoken…and now they must be punished”

Good Luck Mr. Mayor.  Everyone really does want you to succeed, as that would be best for the city we all love.  But, you’ll have to get up early, show up on time and avoid the two enemies of good government.



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Filed under Governance of the Government, New York City, Politics