<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: More On The Sicko Issue</title>
	<atom:link href="http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/feed/" rel="self" type="application/rss+xml" />
	<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/</link>
	<description>On-line Opinion Magazine...OK, it&#039;s a blog</description>
	<lastBuildDate>Sat, 11 Feb 2012 03:38:40 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.1.4</generator>
	<item>
		<title>By: hipparchia</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27406</link>
		<dc:creator>hipparchia</dc:creator>
		<pubDate>Wed, 04 Jul 2007 16:58:47 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27406</guid>
		<description>&quot;enough slack for the storm surge&quot; strikes me as the sticking point. ivan proved fairly conclusively that we don&#039;t know as much about predicting the magnitude of storm surge as much as we thought we did.</description>
		<content:encoded><![CDATA[<p>&#8220;enough slack for the storm surge&#8221; strikes me as the sticking point. ivan proved fairly conclusively that we don&#8217;t know as much about predicting the magnitude of storm surge as much as we thought we did.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bryan</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27401</link>
		<dc:creator>Bryan</dc:creator>
		<pubDate>Wed, 04 Jul 2007 01:23:24 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27401</guid>
		<description>The key to anchoring a boat for a storm is anticipating the direction of the wind and the water.  In a small bayou it tends to be obvious, as the water is going to be flowing in and out of the mouth, so you bottom anchor fore and aft parallel to the shores with enough slack for the storm surge.  You also run storm anchors fore and aft to stay in the flow.</description>
		<content:encoded><![CDATA[<p>The key to anchoring a boat for a storm is anticipating the direction of the wind and the water.  In a small bayou it tends to be obvious, as the water is going to be flowing in and out of the mouth, so you bottom anchor fore and aft parallel to the shores with enough slack for the storm surge.  You also run storm anchors fore and aft to stay in the flow.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hipparchia</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27398</link>
		<dc:creator>hipparchia</dc:creator>
		<pubDate>Tue, 03 Jul 2007 21:19:22 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27398</guid>
		<description>i&#039;ve never actually believed that you can successfully anchor a boat for a hurricane. i&#039;ve always thought that if your boat survived, it meant that either mother nature or lady luck took pity on you. but then, i&#039;ve never owned a boat, so what do i know? my strategy is to surround myself with selfless, gregarious boat-owning friends. that way, they invite out on their boats, and i get all the fun of boating without any of the headaches of boatkeeping.</description>
		<content:encoded><![CDATA[<p>i&#8217;ve never actually believed that you can successfully anchor a boat for a hurricane. i&#8217;ve always thought that if your boat survived, it meant that either mother nature or lady luck took pity on you. but then, i&#8217;ve never owned a boat, so what do i know? my strategy is to surround myself with selfless, gregarious boat-owning friends. that way, they invite out on their boats, and i get all the fun of boating without any of the headaches of boatkeeping.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bryan</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27396</link>
		<dc:creator>Bryan</dc:creator>
		<pubDate>Tue, 03 Jul 2007 19:20:43 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27396</guid>
		<description>Most people think of the Gulf, when thinking of water, which requires a really big vessel.  You need a 30-footer to deal with the bays comfortably, but we used to go all over in a 14-foot with a ten-horse that my Dad built.

I have a friend who has built several 40 to 50 foot wooden shrimpers with a farm tractor diesel supplying the power.  That is a good boat for the Gulf.

During hurricanes we get a lot of people moving their larger boats into the bayous, and then demonstrating that they don&#039;t know how to anchor a boat.  We lose a lot of docks to those idiots.  My Dad would pull the engine and sink the 14-footer for hurricanes.</description>
		<content:encoded><![CDATA[<p>Most people think of the Gulf, when thinking of water, which requires a really big vessel.  You need a 30-footer to deal with the bays comfortably, but we used to go all over in a 14-foot with a ten-horse that my Dad built.</p>
<p>I have a friend who has built several 40 to 50 foot wooden shrimpers with a farm tractor diesel supplying the power.  That is a good boat for the Gulf.</p>
<p>During hurricanes we get a lot of people moving their larger boats into the bayous, and then demonstrating that they don&#8217;t know how to anchor a boat.  We lose a lot of docks to those idiots.  My Dad would pull the engine and sink the 14-footer for hurricanes.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hipparchia</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27393</link>
		<dc:creator>hipparchia</dc:creator>
		<pubDate>Tue, 03 Jul 2007 16:30:28 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27393</guid>
		<description>it didn&#039;t even occur to me to think of bayous. i wonder how many other unrecognized, knee-jerk prejudices i&#039;ve got running around in my brain besides &lt;i&gt;if it hasn&#039;t got salt in it, it&#039;s not water.&lt;/i&gt;</description>
		<content:encoded><![CDATA[<p>it didn&#8217;t even occur to me to think of bayous. i wonder how many other unrecognized, knee-jerk prejudices i&#8217;ve got running around in my brain besides <i>if it hasn&#8217;t got salt in it, it&#8217;s not water.</i></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bryan</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27391</link>
		<dc:creator>Bryan</dc:creator>
		<pubDate>Tue, 03 Jul 2007 15:52:13 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27391</guid>
		<description>Group practices normally mean that the doctors are taking orders from a manager, and shift from being small business owners to an employee.  I&#039;m not sure that they make any more money, they are simply losing less to the overhead.  He certainly will have to conform to the standards of the practice on matters of decor.

Turtle grass?  There&#039;s no turtle grass in bayous, which is where he&#039;s sucking up the sand and trying to fish.  If there were more boat launches, he could get away with a jon boat.</description>
		<content:encoded><![CDATA[<p>Group practices normally mean that the doctors are taking orders from a manager, and shift from being small business owners to an employee.  I&#8217;m not sure that they make any more money, they are simply losing less to the overhead.  He certainly will have to conform to the standards of the practice on matters of decor.</p>
<p>Turtle grass?  There&#8217;s no turtle grass in bayous, which is where he&#8217;s sucking up the sand and trying to fish.  If there were more boat launches, he could get away with a jon boat.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hipparchia</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27384</link>
		<dc:creator>hipparchia</dc:creator>
		<pubDate>Tue, 03 Jul 2007 05:39:42 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27384</guid>
		<description>what a wonderful story! 

probably, joining a group practice would mean having to &quot;clean up his act&quot; somewhat, which would be a real shame, especially when sacrificed on the altar of more profits for insurance executives. i&#039;ve had some really good doctors who were lousy at making human connections, and i worship the ground they walk on just because they&#039;ve taken such good care of me, but that&#039;s not necessarily an ideal way to take care of sick people.

he&#039;d better not be uprooting the turtle grass with that sucky engine.</description>
		<content:encoded><![CDATA[<p>what a wonderful story! </p>
<p>probably, joining a group practice would mean having to &#8220;clean up his act&#8221; somewhat, which would be a real shame, especially when sacrificed on the altar of more profits for insurance executives. i&#8217;ve had some really good doctors who were lousy at making human connections, and i worship the ground they walk on just because they&#8217;ve taken such good care of me, but that&#8217;s not necessarily an ideal way to take care of sick people.</p>
<p>he&#8217;d better not be uprooting the turtle grass with that sucky engine.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bryan</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27382</link>
		<dc:creator>Bryan</dc:creator>
		<pubDate>Tue, 03 Jul 2007 05:07:17 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27382</guid>
		<description>Actually the boat thing is pretty funny.  He hated the boat about a month after he bought it, but won&#039;t admit it because he spent so much on it and it has never been what he thought it should be.  He should have bought a smaller boat because the one he has still isn&#039;t big enough for the Bay when it&#039;s choppy, and it&#039;s too big for the area where he wanted to fish [the engine cooling system sucks up sand].

His wife has to be the last person on the planet not to know that he hates the boat.  He spends a lot of time on it, mostly taking it in for repairs.  My Mother likes going to him because the office is like a sit com.  She rags on the doctor about how ratty his office looks, and he says his wife decorated it.  Except my Mother knows that the stuff in the office are things the wife didn&#039;t want after she bought them at garage sales.

The nurse knows the truth about everything but swears you silence, because she enjoys the &quot;show&quot;.

The possibility of a divorce is from zero to minus 1000, but the problem is real.</description>
		<content:encoded><![CDATA[<p>Actually the boat thing is pretty funny.  He hated the boat about a month after he bought it, but won&#8217;t admit it because he spent so much on it and it has never been what he thought it should be.  He should have bought a smaller boat because the one he has still isn&#8217;t big enough for the Bay when it&#8217;s choppy, and it&#8217;s too big for the area where he wanted to fish [the engine cooling system sucks up sand].</p>
<p>His wife has to be the last person on the planet not to know that he hates the boat.  He spends a lot of time on it, mostly taking it in for repairs.  My Mother likes going to him because the office is like a sit com.  She rags on the doctor about how ratty his office looks, and he says his wife decorated it.  Except my Mother knows that the stuff in the office are things the wife didn&#8217;t want after she bought them at garage sales.</p>
<p>The nurse knows the truth about everything but swears you silence, because she enjoys the &#8220;show&#8221;.</p>
<p>The possibility of a divorce is from zero to minus 1000, but the problem is real.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: hipparchia</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27380</link>
		<dc:creator>hipparchia</dc:creator>
		<pubDate>Tue, 03 Jul 2007 04:47:01 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27380</guid>
		<description>he could stand losing his wife, but not the boat?

thanks for the link.</description>
		<content:encoded><![CDATA[<p>he could stand losing his wife, but not the boat?</p>
<p>thanks for the link.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bryan</title>
		<link>http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/comment-page-1/#comment-27376</link>
		<dc:creator>Bryan</dc:creator>
		<pubDate>Tue, 03 Jul 2007 03:59:28 +0000</pubDate>
		<guid isPermaLink="false">http://whynow.dumka.us/2007/07/02/more-on-the-sicko-issue/#comment-27376</guid>
		<description>&lt;p&gt;Hipparchia, I just updated to include your post on the US-Canadian comparison.&lt;/p&gt;
&lt;p&gt;Andante, one of my Mother&#039;s best doctors is having to consider joining a group practice to deal with billing because it is currently being done by his wife, and she has threatened divorce [and taking his boat in the divorce] if he doesn&#039;t do something.  He admits his wife spends more time billing, then he spends on medicine, and they can&#039;t find a competent clerk who doesn&#039;t get hired away as soon as they are trained.&lt;/p&gt;
&lt;p&gt;Steve, it amounts to a huge cross-referenced database combined with a series of forms templates.  The program is expensive enough, but you have to subscribe for the updates.  I fixed a couple of things for them, but refused a job on ethical grounds.  I didn&#039;t like the people or their business practices, and didn&#039;t want to get involved.  After I said no I tracked down a couple of the guys who had quit and found out they ripped off their programmers, as well as their clients.&lt;/p&gt;
&lt;p&gt;When a small company sells a piece of software that none of the managers understands, I get a feeling that they ripped off the original programmer and cheated him/her of their copyrights.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Hipparchia, I just updated to include your post on the US-Canadian comparison.</p>
<p>Andante, one of my Mother&#8217;s best doctors is having to consider joining a group practice to deal with billing because it is currently being done by his wife, and she has threatened divorce [and taking his boat in the divorce] if he doesn&#8217;t do something.  He admits his wife spends more time billing, then he spends on medicine, and they can&#8217;t find a competent clerk who doesn&#8217;t get hired away as soon as they are trained.</p>
<p>Steve, it amounts to a huge cross-referenced database combined with a series of forms templates.  The program is expensive enough, but you have to subscribe for the updates.  I fixed a couple of things for them, but refused a job on ethical grounds.  I didn&#8217;t like the people or their business practices, and didn&#8217;t want to get involved.  After I said no I tracked down a couple of the guys who had quit and found out they ripped off their programmers, as well as their clients.</p>
<p>When a small company sells a piece of software that none of the managers understands, I get a feeling that they ripped off the original programmer and cheated him/her of their copyrights.</p>
]]></content:encoded>
	</item>
</channel>
</rss>

