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Bass, ranked No. 41 in the West, No. 247 nationally and the No. 29 running back in the country, has already scheduled official visits to Ole Miss on Sept. 22, Minnesota on Sept. 29 and Iowa State on Dec. 3. He said he still favors Arizona State slightly over San Diego State, Minnesota, Mississippi and Iowa State. All of his favorites have offered as well as Louisville, Washington State, Washington, Oregon State, Colorado State, Michigan State and others.
"I want to go where I'll be able to come in and play early as a freshman," Bass said.
"Arizona State is recruiting me the hardest and I really like the Pac-10," he said. "They are probably the best Pac-10 team that has offered me and I'd probably rather stay in the west, but I'll go where I have the best opportunity to play.
"It's not too far away and I could really see myself playing for Arizona State. It's a good program that is on-the-rise. I like coach Dennis Erickson and think he'll really help them get back on track to be a top Pac-10 team again."
Bass's brother, Ray Bass, plays defensive end for San Diego State.
"Besides the Pac-10, I also really like the SEC and that's what I like about Mississippi," Bass said. "They play against the best competition every week and I think their running offense fits me well.
"But Minnesota said that I'd be able to come in and contribute early and I think they are gonna have a great year," he said. "They always play good and are a pretty consistent team."
Centennial opens their season against Dominguez High School in Compton on Aug. 31.
He reports a 2.6 core GPA and is taking the SAT on October 4.


text:
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Southern Living MARCH 2007
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So raise your hand if you think Mark is tweeting at 3am because he was at a pub with Harrison and Carrie until it closed.
This was posted 5 months ago. It has 33 notes.
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I choose to believe the latter. However, when I moved to Norway, which is a 9 hour time difference from where I live...
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Bringing this back with an update: today he tweeted at 5:25am London time. Either he's severely jet lagged, or they're...
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Those exclamation points. Awesome.
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text: Mrs. Clause is the star of this glass stocking Christmas ornament designed for Mom, Grandma or other special gal who shines brightly in your life. The quality of the piece and it's vibrant colors will make it an instant classic and one that is treasured for generations. The family collection Mrs. Claus stocking glass personalized Christmas ornament arrives in our custom-made velvet bag that lacks a ribbon for wrapping. Be sure to see related stocking ornaments in our family and relatives ornaments collection for more great gift ideas!


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Selected Sheep Breeds
(The majority of Scotch Lamb is traditionally produced from cross-breeds).
Scottish Blackface Sheep
This is the most numerous sheep breed in the Scottish sheep industry due to its hardiness and adaptability. The history of the breed is lost in the midst of time but there are monastery records going back to the 12th Century that make reference to a Blackface breed of sheep.
The breed was developed to utilise to best advantage the hill and mountain grazings in Scotland and this has lead to the development of distinct types within the breed:
The Perth type which is found mainly in East Scotland and Northern Ireland; The Lanark type, which integrated with the Newton Stewart type, benefiting both milking ability and hardiness, is dominant in much of Scotland and areas of Ireland is of medium size, with shorter wool than the Perth type.
Cheviot Sheep
It is now over 200 years since the first Cheviots came to Caithness, in the far north of Scotland, as part of a programme to improve sheep stock in the area. As a result of their success they became the predominant breed in the north, developing into what is now known as the North Country Cheviot (NCC).
The strong maternal instinct, carcase quality, reliability, thriftiness and adaptability of the breed are widely recognised and the North Country Cheviot ewe produces a quality prime lamb whether bred pure or crossed. NCC rams can also be used successfully with other hill breeds to give added size and improved conformation.
Scotch Mule Sheep
The Scotch Mule is a produced by crossing a Blue Faced Leicester ram with a Scottish Blackface dam and it is only in recent times that this particular cross has been recognised as a distinct breed.
The hybrid vigour produced by this cross ensures that the Scotch Mule ewe is able to produce and rear a prolific crop of lambs under virtually any system including in-wintering. It is also very hardy a trait inherited from its Scottish Blackface mother and the Scotch mule makes optimum use of the food provided. She will lamb with the minimum of attention to any breed of ram and is an ideal dam for today's sheep industry.
Texel Sheep
The first Texels were imported into Scotland from France in the 1970′s by breeders who wanted to improve the conformation and carcase quality of some of the native breeds, particularly with respect to leanness and improving areas such as the gigot.
The Scottish Texel has been bred to have a bit more length than the original imported animals to satisfy the UK meat trade. It is now the main terminal sire breed in Scotland. The Texel has also been found to produce a hardy crossbred lamb when crossed with the Scottish Blackface as well as other breeds.
Shetland Sheep
The Shetland sheep is a distinctive breed unique to the Shetland Isles. Shetland Sheep belong to the Northern 'Finntail' or shortail family of sheep. It is thought that the breed originated from Norway and was introduced to the Islands around 500AD. The genetic make-up of the breed is largely unchanged since that time. Shetland sheep have adapted and evolved superbly to cope with the UK's harshest climate. In contrast, the breed converts very well to improved pastures, adding prolificacy to its existing good mothering qualities, longevity and easy maintenance.
The breed has become synonymous with quality meat and fine quality wool and although white is the most prevalent colour among Shetland Sheep today, there are still over 50 different and very distinctive colour marking varieties.


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In response to:
Here, here!!
In response to:
Sadly you are probably correct.
In response to:
Good column. I actually agree with you here. You didn't offend me a'tall.
In response to:
Tsk-tsk. This is just so wrong!
Good point. "All we are saying, is give peace a chance..."
Is the country truly in that similar a position now? Or are the challenges more complicated?
They agree that the president is not God, and that no one could have fixed this country in 4 years! They are right in that respect.
I'll bet some idiots believed that lie that must have been fabricated by Obama fans.
From dc98.
In response to:
Yes, I suppose so. Instead of complaining about Obama being on talk shows, go on talk shows as well. With an upbeat/can-do attitude!


text:
main index
Anime that, despite its older art style, ran from 2004 to '05. It's an original 26-episode story with plot twists galore, and has received high praise from critics.The story begins with the mystery of a group of five strange white-haired children, who have been sighted at various points throughout history, stretching from the 1600's to the present day. A detective who has heard of this enigma discovers a strange connection between it and a missing persons case he's been working. Meanwhile, an island boy embarks on a journey with a mysterious orphaned girl who never speaks but is constantly painting pictures of bizarre, incomprehensible landscapes. These plots manage to link firmly together into a complex, deeply moving saga. To explain further would ruin things, but let's just say it's a story that links equal parts adventure, coming-of-age, mystery, tragedy, history, the fantastic, and romance. Yep, there's quite a bit going on in this one.Fantastic Children is an
This anime contains examples of:


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Challenge Response: Jesus Can't Be God - Here's my response to this week's challenge:15 hours ago
Preparing for Sunday Worship - ...we should also expect to prepare even as we expect the pastor and musicians to prepare for their participation in the Sunday morning service.21 hours ago
Why fornication is peculiarly evil - by Phil Johnson *From 2006 to 2012, PyroManiacs turned out almost-daily updates from the Post-Evangelical wasteland -- usually to the fear and loathing of...23 hours ago
Book Briefs (Mark Jones) - *Okay, readers, listen to me, listen to Ignacio:* Banner of Truth, the publisher that makes the most beautiful books in the (Reformed) world, have a great ...1 day ago
A "Liver-Shiver" from a Pilgrimage to Charles Finney's Grave - Revialist Dutch Sheets recounts a "liver-shiver" upon visiting the grave of America's leading Pelagian, Charles Grandison Finney (h.t. Gary Johnson). She...1 day ago
ceremony vs. reception - TIME magazine has an interesting piece on the Ethics and Religious Liberty Commission conference in Nashville. This paragraph caught my attention: "Russell...1 day ago
WHI-1229 | Renaissance - At the very time that many Christians have shifted their focus from the unchanging gospel to the transformation of culture, countless churches have been tr...4 days ago
The Future of Business is Here (and is Already Largely Obsolete) - Don't miss this month's business book of the year.2 weeks ago
Gun Control: A Conversation with a Friend (5) - *This series of posts is a conversation about gun control between me and an American friend living in Canada. Today's, the last one, comes from my friend J...1 month ago
Crumbs from the Master's Table - Sermon on Matthew 15:21-282 months ago
Agents of Shield vs. Winter Soldier - You though this blog was dead, right? Or was at least hoping? Everyone else is either at T4G or writing about it; I'm about to uncork on the Marvel Cinema...6 months ago
Can Leviticus Actually Be Good News? - It was said of Willie Mays that his glove was the place where triples went to die. I suppose it could be said that Leviticus is the place where Bible read...8 months ago
Spesifikasi Dan Harga TVS Dazz, Matic India Citarasa Dunia - *Harga TVS Dazz* – Irit!! Itu yang pertama kami simpulkan tentang TVS Dazz, sesuai dengan taglinenya "Kamu dan Dompet setuju" motor ini emang irit banget b...11 months ago
Reflections on WWI - My very first blog back in 2010 was regarding the last living veteran of WWI. He has now past away. However, my focus has once again returned to this "War ...1 year ago
New Gut Check Smackademic White Paper! - Remember that one book that every high school and college-aged Evangelical female read during the nineties, called *I Kissed Dating Goodbye*? Remember *Sei...1 year ago
Not All Cake - Levi Heiple has graciously interacted with my post on technology and education here. As he notes, we have a good bit of common ground -- and so what foll...1 year ago
::big brother - Ok, folks. Time for my triumphant return to the blogosphere. I felt the urge to write when the Sandy Hook atrocity was first reported, but I find that the...1 year ago
Paperback Now Available! (plus sale) - The long-awaited paperback of *Beauty and the Mark of the Beast* is now available, just in time to make your apocalypse reading list! Also, check out the...1 year ago
We Must Do the Impossible - Do we have a part in sanctification? Absolutely we do. Here is a part that you may, nay must play: And Jesus came and said to them, "All authority in heave...1 year ago
Here We Go Round The Mulberry Bush - The mulberry trees that run along the back side of our fence seem to be the only trees still holding onto their leaves. The leaves have turned a bright y...2 years ago
Adventures in Churchland: Finding Jesus In The Mess Of Organized Religion - new blog, web site and book launching August 15 - On August 15 the new book I have written "Adventures in Churchland: Finding Jesus In The Mess Of Organized Religion" will be launching with a web site, new...2 years ago
Switching Gears - Ever have too many things going on? Of course you have. That's why you're wasting time on the Internet right now. You need a breather! Well, I definitely ha...2 years ago
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Everybody's Talking About Hero Worship
But in all these articles, one thing's been glaringly absent: any acknowledgement that, in today's technological world, many of these bloggers themselves are the objects of hero worship. I had been blogging for quite some time when I finally began to realize just how popular some young, restless, reformed bloggers have become. While I was putting together the initial blog list for www.calvinati.com, I became familiar with dozens and dozens of blogs. And when I realized which ones were super-popular (and which ones had tiny or non-existent reader bases), I was incredibly suprised--both by the gap between the reader-rich and read-poor and by the sometimes questionable taste of the masses.
As with most niche demographics these days, the YRR movement has its Internet darlings. I would guess that each of the ten most popular boasts more readers in a year than any fifty scholarly biblical commentators who pour decades of their lives into producing insightful, accurate, helpful studies and commentaries. This both saddens me and reminds me of the unfortunate situation among emergent types, wherein the most vocal leaders with the most loyal minions claim no particular insight into the text, no special level of study, and no desire to rectify that.
You see, it dawned on me a few days ago that most of the uber-popular bloggers of the reformed persuasion do not have a seminary education. I'm not going to start listing people, but even among those you would assume have been to seminary, upon a little investigation it seems that most have not. Those bigtime blogs with multiple writers?--yeah, one or maybe two contributors studied systematic theology, Koine Greek, and exegetical method under qualified men and women.
Does it matter? Hmmm, that's a tough one to answer. Certainly, there is no Scriptural mandate that pastors need to get an MDiv (and make no mistake--most of these bloggers are effectively functioning as pastors to many of the hundreds who loyally come back day after day to receive the next post.) In fact, Spurgeon didn't even have a seminary degree (something about a pig's tail). And certainly, the Holy Spirit has often called people into ministries whether or not they've got the standard outward credentials (think Moses, Gideon, or the Virgin Mary).
But how do we discern what is valuable to the church among the almost infinite number of blogs and websites out there? Is it based on who has the soundest doctrine? The most insightful perspective? The most ready-packaged application? The largest cache of free online materials? The sharpest looking presentation? Most stylish graphics? Most lively debate in the comments section?
I'd never suggest that only the seminary educated and ordained are fit to blog about the faith. Such a thought would be pure folly--Heaven save us from ivory tower Christianity. I'm just asking: what makes someone a superstar in our tiny little sub-culture on the web? And based on these criteria, is the level of authority attributed to each man really warranted?
Your thoughts, please.
7 reader comments:
- Seth McBee said...
I only read blogs that make me think more about the deeper meanings of the Scriptures. I want it to be done where the reading is interesting and the writer is willing to talk out his convictions...
If I want to learn sytematic theology...I don't go to blogs. If I want to learn about contemporary understandings of historic orthodoxy? That is where the blogging world can be great.
I like to interact with others who have different perspectives so that I can discuss with those I don't necessarily worship with corporately. But, if the blogger won't respond to his own posts...I won't read them.
I like discussion. If I want just their opinion with no discussion, I will just read their books and listen to their sermons...this is why I don't read a lot of the popular preachers out there on their blogs...
Anyways...not sure if I answered your questions in any way at all...sorry.
- June 15, 2009 at 1:51 PM
- Mark said...
You have much the same dynamic going on with Christian pop artists and performers. The theology they spew ad nauseum in between songs is accepted without question by their adoring fans.
We make someone prove their credentials and rigorously check backgrounds before we allow someone into our pulpits ... but hey, if you can play a guitar and carry a tune, anything you say is fine by me!
Tell me about what inspired you to write the song ... share anecdotes about the band ... tell me how Jesus impacted your life if you can do it without preaching at me ... but perhaps we would all be served best if you just let your words and music stand on their own.
It's the classic advice to new writers: write about what you know. If you don't know it, leave it for someone else.
That's why you seldom see any theology on my blog, though I hold Christ and His church dear to my heart.
- June 15, 2009 at 2:38 PM
- ZSB said...
> We make someone prove their credentials and rigorously check backgrounds before we allow someone into our pulpits ... but hey, if you can play a guitar and carry a tune, anything you say is fine by me!
Good point!
- June 15, 2009 at 7:07 PM
- Jonathan Shelley said...
I just try to be thoughtful, honest, and discerning, even if I look foolish.
- June 15, 2009 at 8:53 PM
- mikewittmer said...
That is an interesting point about the education level of bloggers. I wonder if the blogosphere, and the number of readers that follow them, might inadvertently contribute to the belief that theological education really isn't that important for Christian ministry.
- June 16, 2009 at 6:36 PM
- ZSB said...
Dr. Wittmer,
I do think you're on to something there. The blogosphere in general seems to imply that it doesn't matter if you have studied something for years and years and are an expert on the subject--everyone has an equal "voice." And the voices that are heard the most are generally of skilled web page designers, rather than knowledgable or qualified experts in their fields.
- June 16, 2009 at 10:48 PM
- happyscottsman said...
Contribute to or reenforce the belief? I remember people being distrustful of the seminary-educated long before we were all on MyFacebookSpaceTweeter, or whatever it's called these days. I think the blogosphere is just the latest technological advance that allows the disenfranchised masses to express themselves in a way that combines celebrity (or at least notority) with a sense of pseudo-anonymity.
All that being said, I think Mark really hit the nail on the head in his comment. As long as you can entertain me, say whatever you want.
- June 17, 2009 at 1:59 PM
My Home Page
Everything you've never wanted to know about Pastor Zach (and had no desire to ask...)
About Me
- Zachary Bartels
- An award-winning preacher and Bible teacher, Zachary Bartels has been serving as senior pastor of Judson Baptist Church for nearly a decade. He earned his BA in world religions from Cornerstone University and his Masters of Divinity from Grand Rapids Theological Seminary. He enjoys film, fine cigars, stimulating conversation, gourmet coffee, reading, writing, and cycling. His writing, with its combination of clean prose, tight action, and cutting humor, has been highlighted by The Grand Rapids Press, www.speculativefaith.com, uber-popular blog TeamPyro, and elsewhere. His next two books (both supernatural suspense novels) will be published by Thomas Nelson and will hit stores in October of 2014 and July of 2015, respectively. He lives in the capital city of a mitten-shaped Midwestern state with his wife Erin and their son.
Book First
Click here to buy the emergent satire Kinda Christianity, written by Ted Kluck and myself.
Book Second
Click here to buy the new satire Younger, Restlesser, Reformeder by Ted Kluck and Zach Bartels.
Book Third
Click here to buy my novel, 42 Months Dry.
Book Fourth:
Click here to snag our end-times thriller satire, written by committee (only $2.99).
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2 Comments
I love stories like this.
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I think my barometer is about 2.2 kpa over the actual value. Could be due to my altitude or something.
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The Mentalist
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Release Date: 2014-03-23 Logline Jane and Rigsby race to save Van Pelt from the killer who is hunting former CBI members, but it will take all of Jane's skills to locate her before it's too late. Synopsis When Grace is kidnapped by the killer who has been hunting former CBI members and the prime suspect […]
Golden Globe Award nominee Simon Baker stars as Patrick Jane, an independent consultant with the California Bureau of Investigation (CBI) who has a remarkable track record for solving serious crimes by using his razor sharp skills of observation. Within the Bureau, Jane is notorious for his blatant lack of protocol and his semicelebrity past as a psychic medium, whose paranormal abilities he now admits he feigned. Jane's role in cracking a series of tough high-profile cases is greatly valued by his fellow agents. No-nonsense Senior Agent Teresa Lisbon (Robin Tunney) leads the CBI team, which includes agents Kimball Cho (Tim Kang), Wayne Rigsby (Owain Yeoman) and rookie member Grace Van Pelt (Amanda Righetti), who all think Jane's a loose cannon but admire his charm and knack for clearing cases. Created and executive produced by Bruno Heller ("Rome"), the series is produced by Warner Bros. Television and distributed internationally by Warner Bros. International Television.


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A 2 Week itinerary that takes in the highlights of both countries, all the way from Dubrovnik in the very south to Hvar, Plitvice and ending up in Ljubljana, the charming Slovenian capital.
We specialize in Central and Eastern Europe tours. Whether you want to stay within one country or combine countries and regions as diverse as Croatia, Czech Republic, Hungary or the Baltic states or anywhere in between, our expertise in this region enables us to create seamless customized itineraries for multi-destination Eastern Europe trips that mean our guests can enjoy their vacations knowing that all the details have been taken care of.
Specializing in this area allows us to provide a level of expertise that greatly benefits our guests in all aspects of their vacations. We have first hand knowledge of the accommodation and day trips we offer in each of our selected destinations as well as the various ways of getting between them. This means we can provide the best service to our guests and ensures a stress-free Europe vacation package for you.
Whether you are planning a romantic honeymoon or a group vacation, our travel specialists will work with you to create the perfect Eastern Europe vacation package. We provide a complete service; to begin with you will have a free pre-trip consultation with one of our experts to craft your ideal vacation then before and during your travels you will be taken care of by our team of local representatives, first by email then after you arrive, also by JayWay Traveler phone.
Design your own trip with our interactive booking process. Start by choosing your destinations from the 16 countries we offer. You can build your trip yourself by selecting your destination and accommodation, as well as a variety of activities and excursions available in each place, or base your trip on one of our suggested itineraries, or leave it all to us and start with a free pre-trip consultation. Our Eastern Europe travel experts are always available to assist by phone.
It's late October and that can only mean one thing, the release of the travel press charts. We love seeing our destinations do well and this year is no exception. Lonely Planet Best in more...
Goose and wine are the stars of this November 11 holiday celebrated across the Czech Republic. If you are familiar with the French tradition of Beaujolais you already know pretty much what more...
We talk a lot about Croatia's fabulous food but we can't help it. We like food and just thinking about the freshness and flavor makes our mouths water. And now there's a more...


text: Fardeen Khan`s sister killed in Delhi car crash Rosn February 28, 2012 News No Comments It's so ironic! Fame & wealth do not guarantee happiness & long life. And Bollywood had its brush with this horrifying truth yet again as actor Fardeen Khan's half-sister lost her life in a tragic car accident Read More


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Alexander Nurulaeff Shoes
The folks behind Dandy Shoe Care give s a clever look into the process that goes into making high quality men's shoes in an equally entertaining and interesting way. Enjoy!
The Shoemaker
Made In Brooklyn gives us a look at 91 year old Bensonhurst, Brooklyn shoemaker Frank Catalfumo . He first opened the doors to F&C Shoes in 1945 and continues to work five days a week alongside his son Michael. Enjoy!
Adidas Presents Adi Visionairies – Mr.Omori
The first in a new series of films, Adidas focuses on visionaries' aimed in shedding light on those who have been the trailblazers of the brand into what we know it as today.With the popularity in technical running footwear ever …
Rancourt & Co Blake Shoe Crafting Process
Maine based Rancourt gives us an inside look at the Blake shoe crafting process. A must watch for any footwear aficionado.
Hostem Chalk Room
Hypebeast gives us a look at the Chalk Room inside the basement of veritable London retail destination Hostem. The special space gives the customer the opportunity to create Made to Order bespoke products ranging from Footwear from Sebastian Tarek to …
The Innovator – Nike's Mike Friton
Mike Friton's multi disciplinary approach to design is more that of an innovator than designer. Honing his craft with over 30 year s of experience at Nike the freelance shoemaker, weaver, paper sculptor is responsible for many elements of athletic …
New Balance 3D Printing Innovation
3d Printing is quickly gaining momentum as a means of prototyping and manufacturing. New balance gives us a look at how they are using this technology to innovate their running shoes. Enjoy!
Tod's No Code SS13
Tod's take on a modern approach for their latest 'No Code' collection featuring the classic styles with a design twist or two. The collection is showcased in this video lookbook shot in the streets of london. Enjoy!
Unmarked AW13 Preview
Mexico based footwear brand Unmarked showcases their AW13 collection in this simple video in a setting that is as classic and timeless as the shoes they are presenting. Enjoy!
Gotta Be The Shoes – Michael Jordan
As Michael Jordan turns 50 next month ESPN takes look back at his career through his footwear in a special edition Gotta Be the Shoes. Jordan's contribution to the athletic footwear industry is unmatched sparking interest in would be footwear …
Red Wing Crafting Sole Molds
The folks at Red Wing give us insight into the technical steps each master mold craftsman takes to make the perfect sole. Enjoy!
Martine Rose X Bates AW13
Straight from London Collections, we get a look at Martine Rose collaboration with Bates military boot maker for Aw13..Enjoy!


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Last updated: Fri, Jun 7
Kaiser Health News consumer columnist Michelle Andrews answers a question from a reader about who pays first when there is coverage from two insurance plans (6/7). Watch the video or read the transcript.
This Story: Print | Link to | Top
Now on Kaiser Health News' blog, Jenny Gold reports on the Obama administration's outreach strategy for Latinos: "President Barack Obama, who was re-elected with strong support from the Latino community, is in California today to endorse a plan that focuses on getting Latino Americans signed up for coverage under his health care law" (Gold, 6/7).
Also on Capsules, Julie Appleby reports on a new study about the costs of individual coverage: "People who bought their own health insurance last year saved $2.1 billion because of the federal health law, mainly because of a provision that limits how much of their premium can go to insurers' administration and profits, says a report out today from the Kaiser Family Foundation" (6/7). Check out what else is on the blog.
Kaiser Health News provides a fresh take on health policy developments with "But Wait, There's More!" by Rex May.
Meanwhile, here is today's health policy haiku:
House Republicans
have high HOAPs they can undo
Obamacare law.
If you have a health policy haiku to share, please send it to us at http://www.kaiserhealthnews.org/ContactUs.aspx and let us know if you want to include your name. Keep in mind that we give extra points if you link back to a KHN original story.
President Barack Obama is slated to speak in San Jose, Calif., about the implementation of the health law and point to the coordination among public and private groups there as a model for the rest of the country. Latinos -- in California and across the nation -- will be one of his target audiences.
CBS News: Obama Looks To California For Health Law Success
Republicans in most of the country are still fighting Obamacare tooth and nail, but President Obama Friday is in one state where the Affordable Care Act has escaped the GOP's obstruction tactics: California. On his second day in the Golden State (where he's attending fundraisers and meeting with Chinese President Xi Jinping), Mr. Obama on Friday morning will make a statement about the ongoing implementation of his three-year-old health law and point to California as a model for the rest of the nation (Condon, 6/7).
The Associated Press/Washington Post: Obama Pleads For Californians, Latinos, Young People To Get Coverage Under New Health Care Law
President Barack Obama is making a personal plea to Californians, Latinos and young people to sign up for coverage under the new health care law. Obama on Friday will use his visit to California to highlight how the state is implementing the Affordable Care Act. He also will discuss California's collaboration with non-government groups to promote, primarily to Hispanics, the health care exchanges that are being created to help millions of now-uninsured consumers afford coverage, White House officials said (6/7).
State Of Health: President Obama To Speak In San Jose On Health Law
President Obama is expected to deliver remarks about the ongoing implementation of his signature health law, the Affordable Care Act, Friday morning in San Jose. Last month the state's health insurance marketplace, Covered California, released preliminary plans and premiums they expect to offer. Average premiums for these plans were lower than had been anticipated. Senior administration officials say they are "encouraged by what we see in California" in terms of "competitive choices" (Aliferis, 6/7).
The Washington Post: California Is The White House's Proof That Obamacare Is Working
President Obama will try to allay anxiety over his signature health-care law Friday during a visit to California, a state that the White House is highlighting as proof that the law is working. With the focus in recent months on the law's shaky rollout and continuing political battles, the president wants to draw attention to a state that has embraced the law and yielded some good news: Officials in the Democrat-led state recently released figures that show insurers expect to charge lower-than-expected premiums for individual policies sold under the law (Somashekhar and Kliff, 6/6).
San Jose Mercury News: Obama Arrives In Bay Area To Raise Money For Senate Dems, Tout Obamacare
As controversy swirled in the nation's capital about the power of Big Data, President Barack Obama arrived in the heart of Silicon Valley on Thursday to raise money for Senate Democrats and speak Friday about California's success in implementing Obamacare. After Air Force One touched down at Moffett Federal Airfield at 5:40 p.m., Obama emerged from the plane about five minutes later and was greeted by NASA Ames officials and Sunnyvale Mayor Tony Spitaleri and Mountain View Mayor John Inks, among others. The president then shook hands with dozens of invited guests on a rope line, including a few kids dressed in their Sunday best, before being whisked to Palo Alto for a Democratic fundraiser (Richman, Bender, and Eslinger, 6/7).
Modern Healthcare: Obama To Spotlight Calif. Effort Promoting ACA
President Barack Obama today will promote a California effort to educate Americans about the health reform law and insurance coverage enrollment that the administration hopes will serve as a model for other states. In California on Thursday to attend events for the Democratic Senatorial Campaign Committee, the president continued his trip in the Golden State and is expected to provide a statement about the Patient Protection and Affordable Care Act at the Fairmont Hotel in San Jose around 9 a.m. Pacific Time Friday (Zigmond, 6/7).
ABC News: Obama To Promote Affordable Care Act To Latinos In California
As he travels to San Jose, Calif., today, President Obama will highlight how the Affordable Care Act (ACA) will impact Latinos across the country. Obama plans to use the trip to explain how the ACA aims to expand medical coverage for all Americans, and specifically work to improve coverage among the Latino population. More than 10 million uninsured Latinos will qualify for healthcare insurance exchanges through the ACA, according to the White House (Avila, 6/7).
Kaiser Health News: Capsules: Latinos Key To Obama's Health Law Strategy
President Barack Obama, who was re-elected with strong support from the Latino community, is in California today to endorse a plan that focuses on getting Latino Americans signed up for coverage under his health care law (Gold, 6/7).
Bloomberg: Obama Targets Hispanics For Healthier Exchange Enrollees
The Affordable Care Act's initial success next year depends on President Barack Obama's ability to coax at least 2.6 million people who are young and healthy to sign up for health insurance. Hispanics may be the key. About one-third of the young and healthy people the government wants to enroll in new health exchanges live in California, Texas and Florida, a senior Obama administration official told reporters yesterday (Wayne, 6/7).
The Wall Street Journal's Washington Wire: Ohio Complains Of Higher Health-Insurance Premiums
President Barack Obama is heading to California to tout premiums for new health plans that will be sold on the state's insurance exchange. Ahead of that visit, his officials are getting early incoming fire from officials in Ohio, who say that premiums for their state have jumped dramatically because of the health-care law's new requirements for richer benefits (Radnofsky, 6/6).
The Fiscal Times: Battles Over Obamacare Take On Campaign-Style Fervor
As President Obama prepares to deliver an address in California Friday heralding the benefits of the Affordable Care Act, a political-style campaign is taking shape between supporters who seek to sign up tens of millions of uninsured Americans for new health care insurance – and opponents working feverishly to try again to stop the program in its tracks (Pianin, 6/7).
Politico: House GOP's New Anti-ACA Group
House Republicans are planning a coordinated messaging operation against Obamacare starting this summer. They call it HOAP — the House Obamacare Accountability Project (Haberkorn and Cunningham, 6/7).
As planners race to finish building the online marketplaces that consumers can begin using Oct. 1 to shop for health insurance, experts expect some difficulties, according to The Wall Street Journal. Meanwhile, CQ HealthBeat examines whether the deductibles and out-of-pocket caps applied in these marketplaces will be too high.
The Wall Street Journal: Planners Expect Glitches In Health-Exchange Sites
Teams of technology experts are racing to finish building government websites that will allow people to shop and sign up for health insurance this October. People involved in the effort say to expect some problems, at least initially. The functioning of the websites—which will enable people without health insurance to enroll in plans offered through a federal or state insurance exchange—will play a major role in determining whether the Affordable Care Act is deemed a success or failure, since the 2010 law's prime objective was to bring coverage to those who lack it (Dooren, 6/6).
CQ HealthBeat: Are Deductibles And Out-Of-Pocket Caps Too High In Marketplaces?
High cost-sharing in the new marketplaces may deter some healthy people from buying coverage, the chief executive of CareFirst BlueCross BlueShield said in an interview Thursday. Chet Burrell, CareFirst president and CEO, said the plans insurers will offer that are set at the bronze level and silver level of benefits called for under the health law "have huge amounts of cost sharing for members" (Adams, 6/6).
Also in the news, state implementation developments from New Hampshire and Maryland -
The Associated Press: NH Senate Kills Health Overhaul Bill
The state Senate on Thursday killed a bill aimed at aligning state insurance rules with President Barack Obama's health care overhaul law, but the same provisions will be revisited when lawmakers negotiate over a separate bill. Opponents cast the bill as an attempt to move New Hampshire toward a state-operated marketplace, something specifically prohibited by a state law passed last session (Ramer, 6/6).
CQ HealthBeat: Maryland Outreach Groups Get a Heavy Dose Of Health Law's Complexities
Maryland officials convened a summit this week to fire up outreach groups charged with enrolling the uninsured in health coverage this fall, and the daunting size and complexity of the job quickly became apparent. It was clear from the morning-long meeting Wednesday of several hundred community, church, social services, and local health officials that even in a well organized, committed state like Maryland, expanding health coverage this fall and winter under the health law is going to be a heavy, heavy lift (Reichard, 6/6).
The Wall Street Journal: How The New Health Law Could Raise Costs For Young, Healthy Employees
The younger and healthier a small business's workforce, the greater its chances of facing a big spike in health-insurance premiums next year. That is because the Affordable Care Act's impact on small employers will split largely on generational and industry lines, putting entrepreneurs like Eileen Hasson, owner of a technology-services firm with mostly male employees in their 20s and 30s, at a disadvantage (Needleman, 6/6).
The Wall Street Journal: Will New Health Insurance Be Too Expensive For America's Lowest-Paid?
For people like Salvador Martínez, a 50-year-old grounds crewman, the health-care law seems to be a potential game changer. Because of the law, his employer, a landscaping service in Santa Clarita, Calif., will begin offering coverage to him, and to its 230 other low-wage workers, next year. But Chris Angelo, a second-generation owner of the landscaping firm, Stay Green Inc., doesn't expect a groundswell of enrollments next year from lower-wage workers such as Mr. Martínez (Maltby, 6/6).
Los Angeles Times: Health Led To $2.1 Billion In Savings For Consumers, Report Says
A new report estimates that U.S. consumers who purchase their own health insurance saved $2.1 billion last year due to tougher rules in the federal healthcare law. Thursday's report by the nonpartisan Kaiser Family Foundation estimates that individual premiums would have been $1.9 billion higher in 2012 without the requirements in the federal Affordable Care Act. In addition, the nonprofit group said individual policyholders nationwide should receive $241 million in rebates this summer (Terhune, 6/6).
Kaiser Health News: Capsules: Study: Consumers Saved $2.1B On Individual Coverage
People who bought their own health insurance last year saved $2.1 billion because of the federal health law, mainly because of a provision that limits how much of their premium can go to insurers' administration and profits, says a report out today from the Kaiser Family Foundation (6/7).
The Hill: ObamaCare Rule Lowered Premiums, Analysis Finds
ObamaCare's rule that insurance companies spend no less than 80 percent to 85 percent of premiums on medical care has allowed many consumers to pay less for their coverage, according to a new analysis. The Kaiser Family Foundation studied the figure, called the medical loss ratio (MLR), and reported that it led to $1.9 billion in premium savings and $1.1 billion in consumer rebates last year (Viebeck, 6/6).
The law also sometimes leads to new jobs in some locations --
Los Angeles Times: Affordable Care Act Spurs Hiring Blitz
The nation's complicated healthcare overhaul is proving to be a surprising source of work: People are needed to explain the law's provisions to consumers. In addition to the expected demand for more nurses and doctors to treat millions of newly insured patients, the federal Affordable Care Act is feeding a cottage industry in call centers (Lopez, 6/6).
On Capitol Hill, Rep. Raul Labrador says he disagreed with others in the talks about health provisions for immigrants who are here illegally now but would gain legal status under the bill. Also, CMS announces that it cannot stop sequestration cuts to Medicare's reimbursement for cancer drugs.
The New York Times: In House, Immigration Spurs Push By G.O.P.
Late Wednesday, a bipartisan group of representatives who had been meeting to write a broad immigration bill announced they had completed their negotiations. But a prominent Republican in the group, Raúl Labrador of Idaho, said he was leaving. Mr. Labrador said that he disagreed with the other lawmakers over health care provisions for illegal immigrants who would gain legal status under the measure (Parker and Preston, 6/6).
Medscape: No Stopping Sequestration Cancer Cuts, Says CMS
There is no stopping the cuts to Medicare's reimbursement of cancer drugs mandated by the federal budget sequestration, according to a June 3 letter from the Centers for Medicare and Medicaid Services (CMS) to members of the US Congress. The cuts have infamously caused cancer clinics across the country to turn away Medicare patients. The letter from CMS to members of Congress who had appealed for a workaround of the cancer-specific cuts was first reported yesterday by the Huffington Post (Mulcahy, 6/6).
A federal judge issued a second ruling in as many days allowing another dying child onto an adult transplant list -- a move that could have ramifications for thousands of adults waiting for donated organs.
The Associated Press/Washington Post: Judge's Rulings In Heart-Wrenching Cases Raise Questions Of Fairness In U.S. Transplant Policy
It's a life or death matter: Who gets the next scarce donated organ? In an unprecedented challenge to the nation's transplant system, a federal judge has allowed one dying child -- and a day later another -- to essentially jump the line in rulings that could have ramifications for thousands of people awaiting new organs (6/7).
Politico: Court Steps Into Second Child Lung Transplant Case
A federal judge in Philadelphia has granted a temporary restraining order in the second case involving children needing lung transplants in as many days, raising questions among ethicists about political pressure, emotional media coverage and case-by-case decision making about allocating scarce organs (Norman, 6/7).
Meanwhile, another lawmaker asks the Health and Human Services secretary to intervene in the case of a child with end-stage cystic fibrosis --
The Hill: Toomey Calls On Sebelius To Change 'Flawed' Organ Donation Policy
Sen. Pat Toomey (R-Pa.) called on Health and Human Services (HHS) Secretary Kathleen Sebelius Thursday to change an organ donation policy. … Toomey said a 10-year-old Pennsylvania girl named Sarah Murnaghan needs a lung transplant otherwise she "might only have a few weeks to live" (Cox, 6/6).
And ethicists weigh in on the issue --
USA Today: Ethicists Weigh In On Pediatric Lung Transplant Case
There are almost 1,700 people in this country on the waiting list for a lung transplant, including 31 children under age 11, according to the Organ Procurement and Transplantation Network. But none captured the public's attention like the case of Sarah Murnaghan, age 10, who suffers from end-stage cystic fibrosis (Hellmich, 6/7).
Despite some concern over whether the diabetes drug Avandia can increase heart problems, an FDA panel Thursday loosened restrictions on how doctors can prescribe the drug.
The New York Times: FDA Vote Is Minor Victory For Troubled Diabetes Drug
A panel of experts voted Thursday to loosen restrictions on a controversial diabetes drug, saying doctors should have more freedom to prescribe it to patients. But the decision was unlikely to improve prospects for the drug; sales have sagged since a highly publicized episode in 2007, when a doctor showed evidence that it increased the risk of heart problems (Tavernise and Thomas, 6/6).
The Associated Press/USA Today: FDA Panel Favors Easing Safety Limits On Avandia
Federal health experts are recommending changes to safety restrictions on former blockbuster diabetes pill Avandia, in light of a new analysis suggesting that the drug may not increase the risk of heart attack as much as previously thought (6/6).
Medpage Today: FDA Panel Loosens Noose On Avandia
A panel of FDA advisers thinks it is time to ease restrictions on access to Avandia (rosiglitazone), a onetime multimillion dollar blockbuster drug brought low by reports that it increased the risk of heart attacks. In a combined meeting of separate FDA advisory committees, 20 of 26 panelists voted Thursday to recommend removing or modifying rosiglitazone's highly restrictive label and distribution system. Five voted to keep the product's risk evaluation and mitigation strategy (REMS) as it is now. One panelist voted to remove the product from the market. Of the 20 panelists who voted to remove or modify the labeling and distribution system, 13 voted to modify it and seven voted to remove the REMS entirely (Pittman, 6/6).
Medpage Today: Law Weakens FDA Conflict-Of-Interest Regs
More drugs with dangerous side effects could get onto the market as the result of recent legislation that loosens conflicts of interest restrictions on experts serving on panels that advise the FDA, according to a new analysis. The analysis, published in the journal Science, reviewed a 2007 law that placed caps on the number of waivers that could be granted allowing experts with conflicts of interest and a 2012 law that removed those safeguards (Fauber, 6/6).
Reuters: New Health Care Model Cut Even More Costs In Year Two: Insurer
The nation's largest experiment in delivering medical care in an innovative way has reduced costs and improved the quality of care even more in its second year than in its first, according to the insurance company behind it. The nonprofit CareFirst BlueCross BlueShield launched its "Patient-Centered Medical Home" program in January 2011 among primary-care providers serving about one-third of its 3.4 million members in Maryland, Washington, D.C., and northern Virginia (Begley, 6/6).
A selection of health policy stories from Wisconsin, Oregon, Arizona, New York, Minnesota and California.
Los Angeles Times: Wal-Mart's Wages Drive Employees Onto Public Benefits, Report Says
Wal-Mart Stores Inc. wages are so low they force many of its employees onto the public doles, creating a drag on taxpayers and the economy, according to a new report from the staff of congressional Democrats. The report analyzes data from Wisconsin's Medicaid program, estimating that a single 300-person Wal-Mart Supercenter in that state likely costs taxpayers at least $904,542 per year and could cost up to $1,744,590 per year, or roughly $5,815 per employee (Lazo, 6/7).
Lund Report: Legislators Pave The Way For School Districts To Join Cover Oregon
School districts now have a choice. Starting in 2015, they can either purchase insurance coverage from the exchange, known as Cover Oregon, or remain in the Oregon Educators Benefit Board. Earlier this week, the Senate gave districts that authority. This wasn't the first time the issue surfaced at the Legislature. Actually, lawmakers made that decision earlier and state officials have already signaled to the federal government that they want a waiver to proceed (Gray, 6/6).
The Associated Press: Anti-Abortion Group Pushes Clinic Inspection Law In Arizona
A powerful anti-abortion group is pushing for last-minute legislation to allow unannounced inspections at Arizona abortion clinics, saying the change is needed because they are the only medical facilities in the state that don't have such snap inspections. Cathi Herrod of the Center for Arizona Policy said Thursday that her proposal in the waning days of the legislative session isn't designed to either derail Gov. Jan Brewer's Medicaid expansion proposal or avoid public scrutiny that proposed laws normally undergo through legislative hearings beginning early each year (6/6).
The New York Times: Council Bill Would Crack Down On Proliferation Of Adult Day Care Centers
New York City officials said on Thursday that they would introduce legislation to crack down on Medicaid-supported senior day care centers that lure relatively healthy clients with enticements like free takeout food and even cash (Bernstein, 6/6).
MinnPost: The Telemedicine Tourniquet
Inside the Mayo Clinic's Center for Innovation in Rochester, a new initiative is taking shape: the development of Mayo's Center for Connected Care. … Mayo, like many other health care systems, is already engaged in virtual care on a number of fronts: in radiology, dermatology, infectious diseases, and other fields (Logeland, 6/6).
Oregonian: Senate Passes Bill Tightening Rules For Parents Who Opt Out Of Vaccines For Children
Parents could have a harder time opting out of vaccinations for their children under a bill passed Thursday by the Oregon Senate. Under Senate Bill 132, parents opting out for non-medical reasons would need to obtain the signature of a doctor or other health care practitioner certifying that the parents received immunization education, or provide a certificate confirming they'd watched an approved online educational video (Zheng, 6/6).
California Healthline: Reversing Medi-Cal Cuts Priority For Latino Lawmakers
Members of the legislative Latino Caucus on Tuesday laid out their agenda that includes some form of reversal of the 10 percent reduction in payments to Medi-Cal providers. The Legislature passed the 10 percent cut in 2011, but it was delayed until a federal appeals court ruling upheld the reduction two weeks ago. State officials said the bulk of the cutbacks will begin in September. Although the case may be appealed to the U.S. Supreme Court, the federal appeals court ruling May 24 puts pressure on the Legislature to come up with an alternative (Gorn, 6/6).
California Healthline: Another Arrow In The Quiver For Attempt To Reverse Medi-Cal Cut
The Legislature in 2011, mired in a seemingly hopeless economic morass, ordered a 10 percent across-the-board reduction in Medi-Cal provider reimbursement rates. That move is worth an estimated $458 million in general fund savings to the state in fiscal year 2013-2014, according to H.D. Palmer of the Department of Finance. That number jumps to $725 million in general fund dollars when annualized, Palmer said. Until now, cuts were in limbo awaiting court rulings in lawsuits challenging them. But that changed on May 24 when the Ninth Circuit U.S. Court of Appeals ruled that the Medi-Cal reduction was legal. Now the only legal avenue left is appeal to the U.S. Supreme Court (Gorn, 6/6).
Each week, KHN reporter Alvin Tran compiles a selection of recently released health policy studies and briefs.
Health Affairs: Recession Led To A Decline In Out-Of-Pocket Cost Spending For Children With Special Health Care Needs – Between 2008 and 2010, the rate of growth for health care spending declined. The recession, many researchers believe, was a key contributor to this decline. In this study, researchers explored whether the recession also had an impact on health care spending for children, especially those with special health care needs. They analyzed nationally representative survey data to examine trends in out-of-pocket spending for privately insured families from 2001 to 2009. "We found that the recession of 2007-09 was not associated with a decline in out-of-pocket spending for most children. However, adults in those children's families experienced significant declines in out-of-pocket spending during the recession," suggesting that parents may have cut back their own care to continue to provide for their children, the authors write. They found, however, "a significant reversal in the spending trend for children with special health care needs." The authors suggests that "policy efforts to bolster coverage for families with children are needed to protect the health care use of both children and parents during times of economic hardship" (Karaca-Mandic, Yoo, Sommers, 6/2013).
American Journal Of Preventive Medicine: Menu Labeling Regulations And Calories Purchased At Chain Restaurants –The federal menu labeling law will soon require all large chain restaurants to post caloric information on menus. Currently, 21 U.S. jurisdictions have adopted similar regulations. The authors examined the impact of menu labeling on calories purchased across 50 sites from 10 chain restaurants in King County, Wash., which includes Seattle. Using survey data and receipts of purchases collected from consumers, the researchers compared the averages of calories purchased at intervals before and after restaurants adopted the regulations. They found no significant changes in calorie intake for the first six months, but after 18 months calories purchased at some chain restaurants and among women in King County decreased. "Implementation of similar regulations nationwide could reach millions of Americans, given the large number of restaurant patrons and the high frequency of eating out," the authors conclude (Krieger et al., June, 2013).
The Kaiser Family Foundation: Key Lessons From Medicaid And CHIP For Outreach And Enrollment Under The Affordable Care Act -- The authors of this issue brief review five lessons learned through past enrollment campaigns for Medicaid and CHIP to help give perspective for the outreach and enrollment challenge for the online insurance marketplaces created by the federal health law. Those lessons are: Individuals want coverage and value Medicaid as a choice; outreach campaigns must combine both broad-based messaging and targeted efforts to eligible families; enrollment procedures must be simple and accessible; one-on-one assistance needs to be available; simplifying renewals and extending eligibility or lengthening the time between renewals will help cut costly drop-offs in coverage. "The Affordable Care Act (ACA) will significantly increase coverage options through an expansion of Medicaid and the creation of new health insurance exchange marketplaces," the authors write. "However, effective outreach and enrollment efforts will be key to ensuring these new coverage opportunities translate into increased coverage. ... it is important to recognize that enrollment into new coverage options will likely be a long-term effort. As such, it will be important for there to be adequate resources for outreach and enrollment over time to identify and utilize lessons learned as new enrollment efforts and experiences unfold (Stephens and Artiga, 6/4).
The Heritage Foundation: The Obama Medicare Agenda: Why Seniors Will Fare Worse – Current seniors are already facing high Medicare costs, according to the authors of this brief. They add that these costs will only grow over the next five years as a result of the federal health law. "Through the enactment of the Patient Protection and Affordable Care Act (PPACA), the Obama Administration and its allies in Congress have already committed to increasing seniors' out-of-pocket costs," the authors write. They add that the 2012 Medicare trustees report suggests seniors' standard Medicare Part B monthly premiums will increase from $99.90 to $128.20 between 2012 and 2017. In this brief, they also raise concerns regarding President Barack Obama's latest budget proposal for the 2014 fiscal year. "It does not substantially reform the financially desperate Medicare program; it simply shift costs to seniors," the authors assert. "America needs a sound Medicare policy. The Obama Administration's agency for increase costs for Medicare beneficiaries, plus the latest budget tweaks to administrative payments, will not reverse the troubled program's unsustainable course," they conclude (Moffit and Senger, 5/23).
JAMA Pediatrics: Reducing Racial/Ethnic Disparities In Childhood Obesity – In this study, researchers aimed to determine the extent to which racial/ethnic disparities in obesity and overweight are explained by differences in risk factors during pregnancy, infancy, and early childhood. The researchers recruited women during early pregnancy from a Massachusetts hospital and garnered data regarding their children through interviews and surveys. They found that black and Hispanic children by the age of 7 were twice as likely as whites to be overweight or obese. "Our findings suggest that racial/ethnic disparities in childhood obesity may be explained by factors operating in infancy and early childhood and that eliminating these factors could eliminate the disparities in childhood obesity," they wrote. "These factors include differences in modifiable early feeding behaviors, such as breastfeeding and timing of the introduction of solid foods, accelerated infant weight gain, and early childhood obesity-related risk factors, including insufficient sleep, the presence of a television set in the room where the child sleeps, and consumption of sugar-sweetened beverages and fast food, all of which have been found previously to be more prevalent among blacks and Hispanics than among whites" (Taveras et al., 6/1).
Here is a selection of news coverage of other recent research:
MedPage Today: Just 1 Doc In 10 Meets Meaningful Use Criteria
More physicians are using electronic health records (EHRs), but a significantly smaller proportion of eligible physicians say they have met the first stage of meaningful use criteria, a study found. In a national survey, 43.5% of physicians in March 2012 reported having a basic EHR -- up from 34% in 2011 -- but only 9.8% said they met meaningful use criteria, reported Catherine M. DesRoches, PhD, of Mathematica Policy Research in Cambridge, Mass., and colleagues (Struck, 6/5).
Reuters: Quit-Smoking Treatments Safe, Effective: Review
Popular smoking cessation treatments - such as nicotine replacements and antidepressants - improve people's chances of kicking the habit without much risk, according to a review of past research. "It seems very clear that medications can help. They're not the magic bullet but you do improve your chances of quitting -- generally -- if you try them. And as far as we can tell, they're safe to use," said Kate Cahill, who led the study (Seaman, 5/30).
Several columnists explore the difficult questions raised by the case of Sarah Murnaghan, a 10-year-old with cystic fibrosis who needs a lung transplant to survive.
Los Angeles Times: The Rules Of Organ Transplant Vs. A Dying Little Girl
Was U.S. Health and Human Services Secretary Kathleen Sebelius being rigid and cruel when she refused an exception to the rules so a 10-year-old girl could receive a lung transplant from an adult? The girl, Sarah Murnaghan, was placed on the adult transplant list — she also remains a priority patient on the pediatric transplant list — after a judge ordered the change to be made. As much as transplants save lives that half a decade ago couldn't be saved, the world of transplants is also a heartbreaking one, and one that often seems heartless to outsiders. There are never enough organs for all the need, so doctors and medical ethicists lay down rules intended to do the most good with what's available (Karin Klein, 6/6).
USA Today: Letting A Child Die For A Voluntary Ideal
And this brings us to the most wrenching question of all: what about the people who will die to save Sarah? Think about it: If adult lungs become available within the next ten days – the extent of Judge Baylson's suspension – and Sarah's doctors surgically reduce them so that they fit, will another person, say a young woman whose 21 year-old life is also hanging by a thread, now die instead? That's an agonizing question to pose. ... The answer, of course, is to increase the organ supply. But with annual voluntary donations falling far behind demand, we need to give people an incentive to donate. Sarah's ordeal should force a re-examination of the 1984 National Organ Transplant Act (NOTA), the law that makes it illegal for anyone to give or acquire an organ for material gain (Sally Satel, 6/6).
Bloomberg: Sick Girl May Get A Lung But It's Not A Happy Ending
The case points up the tragic and, despite efforts to the contrary, inherently arbitrary nature of organ allocation. As long as there is an absolute shortage of organs, giving one person a transplant means denying it to someone else. Contrary to what many people assume, merely signing an organ donor card doesn't mean your organs will be transplanted when you die. You have to die in exactly the right way, and very few people do. The shortages are especially acute for pediatric organs since, fortunately, relatively few children die from massive brain trauma. The separate pediatric and adult lists reflect the need to make sure those rare organs go to children who can't tolerate transplants from adults (Virginia Postrel, 6/6).
National Review: A Lung For Sarah Murnaghan
Talk radio and TV have been ringing with strident and even hysterical accusations that HHS Secretary Kathleen Sebelius is "letting this little girl die," or "choosing who will live and who will die." Some are linking Sebelius's supposed callousness to the terrible, politicized rationing of health care that Obamacare will inaugurate. This is all backwards. The people calling upon Sebelius to intervene and grant a waiver from the usual rules regarding children and transplants are the ones urging the politicization of medical care — at least in this case. They would be the ones responsible for setting a terrible precedent. The lesson would be this: If you can muster public pressure through social media, the press, and politicians, your loved one can get an advantage over others waiting for a lung or kidney or liver. Photogenic patients or those with media-savvy or even politically well-connected relatives would go to the head of the line. That is exactly what conservatives ought to fear (Mona Charen, 6/7).
Philly.com: Needed: A Conversation On Organ Donation
A national debate on organ transplant waiting list rules would draw attention to what is really at issue here—that the demand for organs in the United States far outpaces the supply. ... even though polls show that the vast majority of Americans are willing to donate organs, in practice, fewer than half are willing to donate a family member's organs upon request by a doctor. Possible solutions include shifting to an opt-out system, whereby individuals would be presumed to be donors unless they, at the time of applying for or renewing a driver's license or state ID card specifically opted out of being a donor (Michael Yudell, 6/6).
The New York Times: Why Rate Shock Might Matter
Any plausible health care reform, the various conservative alternatives to Obamacare included, would necessarily have losers as well as winners, and as far as potential losers go single young men with above-average incomes are not precisely the country's most disadvantaged demographic. If you think the current system is flawless, then I suppose any rate increase anywhere is a strike against health care reform. But conservative and libertarian wonks don't think the system is flawless. ... The unanswered question, though, is whether that "a little more" will actually be — or gradually become — a lot. And that's what's getting left out of some of the liberal brush-offs ... of the "rate shock" issue (Ross Douthat, 6/6).
The New York Times: The Spite Club
Sure enough, a number of Republican-dominated states seem set to reject Medicaid expansion, at least at first. And why would they do this? They won't save money. On the contrary, they will hurt their own budgets and damage their own economies. Nor will Medicaid rejectionism serve any clear political purpose. As I'll explain later, it will probably hurt Republicans for years to come. No, the only way to understand the refusal to expand Medicaid is as an act of sheer spite. And the cost of that spite won't just come in the form of lost dollars; it will also come in the form of gratuitous hardship for some of our most vulnerable citizens (Paul Krugman, 6/6).
The Wall Street Journal: Michigan's Medicaid Maelstrom
The Wolverine State is one of several still sitting on the fence when it comes to the ObamaCare expansion of Medicaid. Michael Reitz of the Mackinac Center, a conservative think tank, tells us that he is increasingly worried that "Republicans may be on the brink of caving on Medicaid." ... An idea gaining traction is to accept the Medicaid dollars but place a four-year lifetime cap on eligibility for able-bodied adults. After four years on the program, Michigan residents would be cut off from any further benefits. Another Republican reform would allow health savings accounts for Medicaid patients as a way to save money. Some Republicans are also demanding a "cancellation" policy that would allow the state to take the money now but opt out of the Medicaid expansion later if costs escalate out of control. Until 2017, the federal government covers 100 percent of the costs (Stephen Moore, 6/6).
Bangor Daily News: Medicaid Expansion In Hands Of Seven GOP Lawmakers
We have tried to present reasonable arguments to Maine's Republican lawmakers to urge them to accept federal funding to expand Medicaid. We have emphasized the good financial deal Maine is projected to get, according to independent, outside analyses. We have highlighted the obvious, practical health reasons why tens of thousands more Mainers should have access to care. We criticized lawmakers when they blocked a previous Medicaid expansion proposal. ... There is still a little time, however, for a few Republicans to stand up for their communities' poorest — on whose doors they've knocked and asked for votes. It will take only 12 Republicans in the House and Senate for the bill to be veto-proof; five are already on board (6/5).
USA Today: Retiree Benefits And ObamaCare Collide
Oct. 1, 2013 is a focus of increasing anxiety in this country. That's the date when enrollments begin for the federally run health insurance exchanges, created under the Affordable Care Act (ACA). No one really knows what to expect, but it could be far worse than advertised — and for a reason that has more to do with the federal deficit than health care. ... Amid all these concerns and speculations, almost no attention is being paid to the opportunity that the ACA's insurance exchanges could represent for state and local governments' retiree health care programs. It's time to think about it because the consequences could be far-reaching (David Walker, 6/6).
Fox News: Is America Prepared For The Coming ObamaCare Disaster?
For years I have been writing about the failures of the UK's National Health Service (NHS) as a warning for what the Affordable Care Act (aka ObamaCare) will do to health care here in the U.S. London's Daily Mail has chronicled the growing problems with the NHS, which include declining quality of care and availability of services coupled with increased costs. This is what is in store for us, if Congress does not repeal ObamaCare (Cal Thomas, 6/6).
National Journal: Separate And Unequal Access To Health Care?
Segregation is still real. Although black-white segregation has, overall, declined steadily since the 1970s, major American metros remain split into black and white areas. … One of those consequences is the disparity when it comes to health care between blacks and whites. The fact that black patients have poorer outcomes in surgery has been well documented. ... Recently, researchers at the University of Michigan sought a more-rounded answer to the problem. Their results, published in the journal Health Affairs, highlights a frustrating contradiction. While black patients live closer to high-quality facilities, they are still more likely to get care in low-quality facilities (Brian Resnick, 6/5).
The New York Times Room For Debate: Can The Human Blueprint Have Owners?
The Supreme Court is expected to decide soon whether human genes can be patented. The case involves patents by Myriad Genetics on the BRCA1 and BRCA2 genes, which, when mutated, heighten a woman's risk of getting cancer. Because of the patents on these genes, which Myriad isolated, the company controls all testing for the mutations. ... Should companies be allowed to patent genes? Read the discussion (6/6).
Tampa Bay Times: Paying Too Much For Too Little Health Care
Exotic prescription drugs and extraordinary end-of-life efforts are not the only factors driving up the cost of health care. It turns out that routine procedures such as colonoscopies cost far more in the United States than in other countries, and vary widely in price. In Tampa, for example, patients pay from $980 to $3,496 in out-of-pocket and insurance costs for a colonoscopy. There is no legitimate reason for such wide differences, and bringing health care costs under control will require increased efforts by consumers and government to demand more openness about pricing and to comparative shop (6/6).
JAMA: Eliminating Wasteful, Unnecessary Care Is The Best Way To Preserve Medicare
The release this past week of the Medicare Trustees' report was met with widespread enthusiasm among health economists and supporters of the federal health reforms in the Affordable Care Act (ACA). … Reduced Medicare spending might be a small silver lining of the recession, but it is not a strategy anyone would pursue to preserve the program (Andrew Bindman, 6/6).
Roll Call: Message To Congress: Immigrants Pay More Than Their 'Fair Share' Of Medicare
Immigrants don't just pick our fruit, deliver our take-out food and design our computers — they pay for our medical care. As Congress debates immigration reform, some would have us believe that immigrants are draining the Treasury. But it turns out that closing the borders would deplete Medicare's trust fund (Steffie Woolhander and David U. Himmelstein, 6/6).
Stephanie Stapleton
Andrew Villegas
Lisa Gillespie
Shefali Luthra
The Kaiser Daily Health Policy Report is published by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation. (c) 2014 Kaiser Health News. All rights reserved.
© 2014 Henry J. Kaiser Family Foundation. All rights reserved.


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The CSP Summit based in San Francisco dealt with the issues that solar companies with CSP projects need to deal with including transmission capacity grid conextion working with utilities storage ITC and much more
A new bill passed in California could be on the right path to revolutionising the residential solar market with little or no risk to all benefiting parties.
California's Senate Bill 843, the Community-Based Renewable Energy Self-Generation Program, that just passed 9-2 in the Assembly Utility & Commerce Committee hearing on June 25th, would give virtually any Californian the option of choosing power from a nearby solar project and being credited for its energy on their utility bills, creating a novel way for homes, businesses, schools and public agencies to harness renewable energy.
Customers of the state's major investor-owned utilities (IOUs); PG&E, SCE and SDG&E could opt for solar built locally by a solar developer, much as if those renewable energy systems were located at their own home or business - but with no cost to participate.
With almost a decade as an environmental advocate in Washington, Tom Price, who heads policy development and market strategy at Clean Path, designed the legislation to make the choice of solar as straightforward as signing up for any electricity service.
"The real genius of this legislation is that it does not require either a high credit score or big cash upfront to participate," he told PV-Insider. "It just requires you be a customer of a utility."
Distributed solar
It could catapult the development of distributed solar even more effectively than Feed-in Tariffs did for Germany or Spain - but at no cost or risk.
Currently, it takes a reasonable credit score (or cash) to go solar in the state. Even signing a contract with a solar PPA provider like SunRun (or leasing from SolarCity) takes a relatively high credit score, because of the risk to capital investment. Price proposes a very neat solution that removes the requirement for high creditworthiness.
"If I put a solar array worth forty thousand dollars on your roof, and you stop paying me, I'm out forty thousand," explains Price. "But if I give you bill credits, and you stop paying me, I can give those credits to someone else."
SB843 also easily hurdles another sales obstacle for solar: that so many potential customers rent, or have roofs that are unsuitable: shaded, or atop multistory buildings, or just badly designed for solar. "We're trying to do something about the fact that 75 per cent of the residents and 75 per cent of the businesses in California, have zero option," explains Price.
Solar developers would sign up interested subscribers and then build neighbourhood solar projects on nearby open space, industrial buildings or big box store rooftops to supply their electricity.
Proven concept
Clean Path has already proven its concept, in a ten year 1 MW PV-USA pilot project for the City of Davis, which is cosponsoring the legislation, along with the Superintendent of Schools. It is strongly supported by solar advocates, environmental organizations, and organized labour.
A Feed-in Tariff priced high enough to be an incentive can risk becoming too expensive for taxpayers. But under SB843, there would be no risk to taxpayers, customers, solar developers, investors or utilities, even if literally every Californian chose to go solar this way. The City of Davis alone already plans to commission 10 MW, based on the pilot's success.
There is also no limit on enrolling in the plan, so it has much greater potential to grow solar adoption than the community solar bill passed in Colorado that limits participation to 6 MW for the entire state, and is self- limited to those with cash to buy the panels in a panel-purchasing co-op.
"We don't think it's good public policy if it requires people to have thousands of dollars to participate," says Price. "Everyone benefits from renewable energy. Everyone should be able to vote with their money to support renewable energy."
There is a strong argument by Price and others in the solar industry that this policy is better for utilities than net metering, since it reduces only the energy generation portion of the bill.
Keeping everyone happy
They can lose nearly their entire former income from ratepayers who install solar and cut their bill by up to 100 per cent under net metering rules, yet utilities must still maintain, repair and build new transmission and distribution lines and develop new generation with less and less income from ratepayers as more and more people go solar using net metering.
It is also carries low risk for solar developers, by aggregating large numbers of small, consistent payments over time. That likelihood of payment also makes investors comfortable. The way it would work, says Price, is that just the energy generation portion of the bill would go to the solar developer, instead of to the utility. Payments would be handled on a monthly basis, the way electricity is.
A ratepayer would get a credit for the generation from their electric utility, and a debit from the developer to help pay for the portion of the solar generation they use, and net a small savings. "You'd cut your bill, but not a lot, just 5 or 10 percent," concedes Price.
The legislation is well thought out to grow distributed solar power faster than the Feed-in Tariff, not only because anyone can participate, but because it benefits every party fairly, from the industry, to ratepayers, IOUs, investors and taxpayers, and at no cost or risk to any of them.
The CSP Summit based in San Francisco dealt with the issues that solar companies with CSP projects need to deal with including transmission capacity grid conextion working with utilities storage ITC and much more
Dr Gianluca Ambrosetti, head of research at Airlight Energy, explains why his company's recent tie-up with IBM could be a winning formula for CPV-powered 'poly-generation'.
Compared to flat-plate PV, CPV maintenance is a relatively costly affair. But system developers and component manufacturers are working to change the picture.
As KOC's newly awarded PV project moves into the construction phase, other local entities are examining the use of rooftop PV. Is the Kuwaiti solar market finally ready to take off?


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As many of you know, our weekly dining and drinking newsletter features all the coolest epicurean events in the city. Sign up for it here! This week, we bring you a ramp hunt and a lox and herring tasting. Mark Federman of Russ & Daughters will host a guided tasting of its most famous products lik ... More >>
Another fall begins with the Police Commissioner's henchmen in control
Another recent case of police as heavies in local schools


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|Doug Macron is the editor of GenomeWeb's Gene Silencing News. He covers research and therapeutic applications of RNAi, miRNA, and other gene-silencing technologies. E-mail Doug Macron or follow his GenomeWeb Twitter account at @Genesilencing.
With Cancer Drug Nearing End of Phase Ib/IIa Trial, Senesco Exploring Partnership Opportunities
New to GenomeWeb? Register here quickly.


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Sep 6, 2014
93 notes ▮
The Phoenix Witch never gets enough love.
The Phoenix Witch never gets enough love.
(Source: airows)
(Source: dear-monday)
So hey can we have a Killjoys movie now
No Danger Days makes me fucking angry because in the space of three songs it makes me miss my girlfriend then get horny then cry about the band ending
Who the hell had that idea
Anyone know what became of the car after Danger Days? Does Gerard still have it? Because if it's been auctioned off, I will offer a damn large sum of money for that thing. Always loved Trans Ams.
So I finally got physical copies of Danger Days and Revenge(it's been a long time coming!) and the funny thing was
On Revenge, there was a sticker saying it was "the new album"
I mean how fantastic is that
You know what's gonna happen
In 2019, Danger Days is going to become reality and everyone's going to wish that they had heard of My Chemical Romance sooner


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In all of her history with you, has she ever displayed true empathy? Concern for another human being without regard to how she will look?
She had no concern for other humans, even when I thought she was being nice!
The computer is now hers, and so is the house it is in. I have no control over this. Whether what she says is true or not, these circumstances make it practically true: I don't have those pictures anymore, and probably won't see them again.
She is VERY good at being a manipulative twat.
The best thing about hitting rock bottom is that everything after that looks fucking fabulous
But she doesn't want YOU to have them, so they conveniently got erased. Huh. I hope someday she morphs into a less bitchy woman and gives you access to the photos of your kids.
I'm sorry friend. If it is true then leave her to explain herself to your boys.
I'm thinking bad thoughts about her tonight. Bad JuJu from the Southern Hemisphere is not a good thing. Nasty, nasty POS.
My sister did this after her moving van caught fire and destroyed all her photo albums.
"If you carry joy in your heart, you can heal any moment."
- Carlos Santana
Now, I've spent the last 20 years thinking I was LUCKY to have her, and of course hoping that I wouldn't do anything to screw it up. And she is pretty by times, BUT she is not smiling in any of the pictures she is in with me or the kids. She looks like she is ENDURING us. I had never noticed this before, but it probably started the first time that I told her that her smile brings me so much joy! She wouldn't want to do that.
However, in my online dating adventures, the quickest thing to get me to say "Next!" was to see someone with no smile in any of their pictures. Even though I hadn't really noticed this in The Princess, I guess I had subconsciously figured it out. She was/is a foul person, and I will not put up with that again - even from someone I'm just dating casually!
Feeling some empowerment this week!


text: Bring together a theme of beauty and style in a room of your home with this stunning Mattress. A perfect way to accent existing furniture or to compliment a complete overhaul and start fresh. This Mattress as is the case with all of our items comes with our guarantee of high quality standard sourced from only the best materials.


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Your life in the kitchen will never be the same.


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Summary: Part 3 (Silencer), Chapter 31
Summary: Part 3 (Silencer), Chapter 31
In this short section, the narration switches to the point of view of one of the Others. He is a Silencer, though he says they actually call themselves "finishers." He's been observing Cassie for months, unable to kill her even though that is his job. He is impressed with her courage and spirit; he even reads her diary when she goes away from the tent. At this moment, he's watching Cassie bleed from his gunshot wound to the knee. He's obviously in love with her and is struggling between the human and alien parts of himself. When Cassie pulls herself out from under the car and turns to face him, he can't bring himself to kill her. Instead, he runs away.
Analysis: Part 3 (Silencer), Chapter 31
This section introduces yet another point of view, that of one of the Others. For the first time in the novel, we have clear insight into what the others actually are and, just as Vosch and Dr. Pam have suggested, they appear to be human. Perhaps they are embedded within humans; perhaps they have been within humans for a long time or only briefly—either way, they think and, it seems, feel the way humans do. At least they are capable of feeling human, as evidenced by this Silencer's obvious admiration and love for Cassie. This turn of events adds a new dimension to the plot. As readers, we have grown to loathe the Others completely; after all, they are destroying humanity and torturing our protagonists. Providing insight into the thoughts and feelings of one of the aliens complicates things. We begin to feel sympathy. Like the reader, Cassie will soon have to confront this dramatic change of her emotional landscape.
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Summary: Part 2 (Wonderland), Chapters 25-30
Next Section:
Summary: Part 4 (Mayfly), Chapters 32-36 >>
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