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Last updated: Tue, Jan 21
Reporting for Kaiser Health News, in collaboration with The Washington Post, Susan Jaffe writes: "Medicare beneficiaries who have been waiting months and even years for a hearing on their appeals for coverage may soon get a break as their cases take top priority in an effort to remedy a massive backlog" (Jaffe, 1/21). Read the story.
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Reporting for Kaiser Health News, in partnership with NPR, Eric Whitney writes: "Nationally, Republican party leaders say their number one campaign issue for the midterm elections is opposition to Obamacare. But at the same time, a growing number of Republican states are now embracing a major provision of the law – expanding Medicaid, the government-funded health benefit program for the poor. The Supreme Court made doing that optional for states in 2012 and most Republican-led states said 'no.' But now, some states like Ohio, Iowa and Michigan are forging compromises with the White House on Medicaid" (Whitney, 1/20). Read the story.
Kaiser Health News consumer columnist Michelle Andrews writes: "The new health-care law encourages people to get the preventive services they need by requiring that most health plans cover cancer screenings, contraceptives and vaccines, among other things, without charging patients anything out of pocket. Some patients, however, are running up against coverage exceptions and extra costs when they try to get those services. Advocates and policy experts agree that more federal guidance is needed to clarify the rules" (Andrews, 1/21). Read the column.
Now on Kaiser Health News' blog, Mary Agnes Carey reports on Sen. Ron Wyden's plan for Medicare: "If Congress is ever going to overhaul Medicare, it will almost certainly have to happen this way. Sen. Ron Wyden, the Oregon Democrat widely expected to be the next Senate Finance Committee chairman, last week led a bipartisan group of lawmakers, health care experts and seniors' advocates backing a plan to better coordinate care given to Medicare beneficiaries" (Carey, 1/21).
Also on Capsules, listen to the audio of KHN's Daniela Hernandez and CNET en Espanol's Laura Martinez on NPR's Tell Me More Friday morning to talk about how Spanish speakers are struggling with the federal website to buy health insurance (1/17). Check out what else is on the blog.
Kaiser Health News provides a fresh take on health policy developments with "Generation Text?" by John Cole.
And here's today's health policy haiku:
A red state puzzle:
How to expand Medicaid
but not boost health 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.
The New York Times also notes that many of these new Medicaid beneficiaries are people who have not had insurance before. Meanwhile, news outlets continue to track developments regarding how governors continue to wrestle with Medicaid decisions -- including those in Virginia, Michigan and Maine. Also in the news, a problem with Maryland's Medicaid enrollment.
The New York Times: Peace Of Mind Is First Benefit For Many Now Getting Medicaid
As health care coverage under the new law sputters to life, it is already having a profound effect on the lives of poor Americans. Enrollment in private insurance plans has been sluggish, but sign-ups for Medicaid, the federal insurance program for the poor, have surged in many states. Here in West Virginia, which has some of the shortest life spans and highest poverty rates in the country, the strength of the demand has surprised officials, with more than 75,000 people enrolling in Medicaid. While many people who have signed up so far for private insurance through the new insurance exchanges had some kind of health care coverage before, recent studies have found, most of the people getting coverage under the Medicaid expansion were previously uninsured (Tavernise, 1/20).
Politico: State Week: Medicaid Expansion Prominent In Governors' State Of The State
With legislatures geared up, State of the State season is under way in capitals across the country. These addresses are a chance for governors to foreshadow the year ahead and hint at which policy decisions they might pursue. Medicaid expansion remains a live grenade in dozens of statehouses, and Republican governors are using their speeches to reassert themselves on the issue and kick off another year of fierce policy debate. Here's the latest from the states (Cheney, 1/21).
The Washington Post: Terry McAuliffe's Push To Expand Medicaid Rankles The GOP Lawmakers He Seeks To Woo
Gov. Terry McAuliffe intends to wrest the power to expand Medicaid away from a legislative commission and put it in his own hands, one of several moves threatening to undermine the new governor's courtship of the GOP-controlled General Assembly. McAuliffe (D) announced Monday that he will seek that authority through a proposed budget amendment if the Medicaid Innovation and Reform Commission does not agree within the next 60 days to enroll 400,000 more Virginians into the federal-state health-care program for the poor (Vozzella, 1/20).
The Associated Press/Washington Post: McAuliffe Wants Authority To Expand Medicaid
Gov. Terry McAuliffe wants lawmakers to give him the authority to expand Medicaid eligibility on his own if a state commission doesn't act by the end of the 2014 legislative session. The Democratic governor has made expanding the publicly funded health insurance program for the poor and disabled to an additional 400,000 Virginians a top issue for his new administration. But the proposal is staunchly opposed by Republicans in the GOP-controlled House (1/20).
The Washington Post: Maryland Welcomes Wrong People To Medicaid
As many as 383 Medicaid enrollees in Maryland received welcome packets in the mail this month that contained the names and birth dates of strangers, health officials announced Sunday evening. They blamed the mix-up on a "programming error" caused by the chief IT contractor hired to build a health-insurance marketplace for the state. Officials at the Maryland Department of Health and Mental Hygiene said they learned of the problem Friday after a customer contacted a Medicaid enrollment broker and reported receiving the wrong packet in the mail (Johnson, 1/19).
The Associated Press/Washington Post: Programming Error Affects Md. Medicaid Packages
Maryland health officials are blaming a programming error for causing some Medicaid enrollment packages to be sent to the wrong address. The state Department of Health and Mental Hygiene attributed the error Sunday to Noridian, the prime contractor for the Maryland Health Benefit Exchange (1/19).
The Baltimore Sun: As Many As 1,000 Marylanders' Medicaid Enrollment Packets Sent To Wrong Address
The troubled Maryland health exchange is facing another setback after a programming error sent Medicaid enrollment packets for as many as 1,078 customers to the wrong addresses, it announced on Sunday. The packets included the names, dates of birth and Medicaid ID numbers of the customers, but they did not include Social Security numbers or financial or medical information, the Department of Health and Mental Hygiene announced (Campbell, 1/19).
Kaiser Health News: Michigan Republicans Rethink Medicaid Expansion
Nationally, Republican party leaders say their number one campaign issue for the midterm elections is opposition to Obamacare. But at the same time, a growing number of Republican states are now embracing a major provision of the law – expanding Medicaid, the government-funded health benefit program for the poor. The Supreme Court made doing that optional for states in 2012 and most Republican-led states said "no". But now, some states like Ohio, Iowa and Michigan are forging compromises with the White House on Medicaid (Whitney, 1/20).
Modern Healthcare: Despite Governor's Staunch Opposition, Maine Lawmakers Continue To Push For Medicaid Expansion
Although Republican Gov. Paul LePage continues to be a stalwart opponent to expanding Medicaid, providers in Maine are still pushing to make their state the 26th state to do so under the Affordable Care Act. Some Maine lawmakers want to go much further and push the state toward a single-payer system. LePage, a conservative Republican, cites a new feasibility study—which found that Medicaid expansion could cost the state up to $3.2 billion over the next 10 years—as reason to find other solutions to the state's healthcare access problems (Robeznieks, 1/20).
A procurement document posted on a federal website gives the newest Obamacare contractor until mid-March to build the back end of healthcare.gov, predicting dire consequences if the work is not completed on time. Other media outlets report exchange developments from Maryland, Massachusetts, Missouri, North Carolina, Oregon, Wisconsin, Georgia and Minnesota.
The Hill: Document: ObamaCare Contractor Faces Mid-March Deadline Or Disaster
If the ObamaCare contractor brought on last week to fix the back-end of the HealthCare.gov portal doesn't finish the build-out by mid-March the healthcare law will be jeopardized, according to a procurement document posted on a federal website. It says insurers could be bankrupt and the entire healthcare industry threatened if the build out is not completed (Easley, 1/18).
The Associated Press: In Mass., Website Woes Frustrate Health Care Push
Massachusetts has long held a special status in the debate about President Obama's health care law. It was a 2006 Massachusetts law that provided the inspiration for the 2010 national law, and Massachusetts already had near-universal coverage before the federal law took effect. Now the state that gave birth to a sweeping expansion of health coverage nationally is trying to knit the two laws together and struggling to make sure no resident falls through the insurance net (LeBlanc, 1/20).
North Carolina Health News: North Carolina Obamacare Enrollment One Of Nation's Highest
North Carolina's enrollment in the Affordable Care Act federal insurance exchange reached a level in December that was surprising given the state's prior poor performance in signing people up. According to federal statistics released last week, North Carolina had 107,778 people signed up by Dec. 28, up from a total of only 8,970 who had signed up by the end of November (Hoban, 1/20).
The Baltimore Sun: Consumers Trading Up For Better, Cheaper Health Insurance
Barbara Gruber has never been happier to pay a bill. From CareFirst BlueCross BlueShield, the bill confirmed that the 55-year-old Mount Washington woman had new, affordable health insurance. She bought it on the Maryland Health Connection, the online exchange for the uninsured that was created to comply with the federal Affordable Care Act. But Gruber, like many buying insurance on the exchange, was not without coverage before. … The state cannot say how many Marylanders were switching from existing policies when they bought insurance on the exchange (Cohn, 1/19).
The Oregonian: Cover Oregon: Health Exchange Failure Predicted, But Tech Watchdogs' Warnings Fell On Deaf Ears
Amid the idealistic fervor of Oregon's effort to build a game-changing health insurance exchange, Ying Kwong did not believe the hype. In one of a series of revealing emails, the Cornell-educated technology analyst at Oregon's Department of Administrative Services wrote last May that Cover Oregon's managers were being "intellectually dishonest" in claiming the project would be ready Oct. 1 (Budnick, 1/18).
Fox News: 'Parallel Universe': Woman Spends 6 Weeks Trying To Disenroll From Obamacare
Think it's hard to enroll in ObamaCare? Try getting out of it. Missouri resident Lesli Hill learned the hard way that terminating an Affordable Care Act plan can be far more difficult than navigating the website to buy one. She spent six weeks being bounced from operator to operator, calling the help line, using the online chat, blasting out emails to anyone who would listen, before ultimately driving to Kansas City last week to enlist her insurance company's help. Only then was she able to break through the bureaucratic logjam, and cancel her policy (Berger, 1/20).
The Milwaukee Journal Sentinel: Obamacare Sign-Ups Skew Older, But Don't Sound Alarm Yet, Experts Say
News of the small percentage of young people who have signed up so far for health plans through the federal and state marketplaces brought ominous predictions last week of higher rates next year. The predictions warrant some skepticism. "At this point, everything is an educated guess, and maybe just a guess," said Dave Osterndorf, chief health actuary for consulting firm Towers Watson (Boulton, 1/19).
Georgia Health News: Where Does Ga. Stand In Exchange Enrollment?
Georgia's enrollment in the insurance exchange in December reached a level that was almost surprising, given the state's anemic figure of a month before. The state had 58,611 sign up by Dec. 28, according to federal statistics released this week, up from 6,859 a month before. "We're starting to see real enrollment momentum after such a rocky start,'" Cindy Zeldin of Georgians for a Healthy Future said Monday, referring to the problem-plagued rollout of the federal exchange website in early fall (Miller, 1/17).
The Star Tribune: Republicans Lean On MNsure To Make Case Against Dayton
Minnesota Republicans searching for a way to defeat DFL Gov. Mark Dayton are seizing on an issue they believe could help upend his bid for a second term — the tumultuous rollout of the state's health insurance exchange. Republicans are escalating attacks on Dayton as troubles with the MNsure exchange threaten to drag into the campaign season. Last week, the Republican National Committee filed a massive data request seeking details on enrollment information and the hiring and abrupt resignation of MNsure's former director, April Todd-Malmlov (Helgeson, 1/19).
The Star Tribune: Health Beat: A Mother's Harrowing Tale With MNsure
Comopsia Stanley was anxious as she watched the middle-aged man in a parka stride across the parking lot toward her car. Was this actually the same man with the soft voice who, just hours earlier, had called and promised to buy insulin for her diabetic son after reading about her family in the newspaper? Was this the man who had asked to meet here, outside a Home Depot in St. Louis Park? (Serres, 1/18).
Minnesota Public Radio: A Clue To MNsure's Problems Found In A Similar Software Precursor
Before MNsure, the state's new online health insurance marketplace, there was HealthMatch, an expensive, problem-plagued software project that foreshadowed MNsure's trouble a decade ago. "It was a complete failure," said longtime state Rep. Tom Huntley, a DFLer from Duluth. "We hired a company to manage it and set it up...and nothing ever happened." The HealthMatch project dragged on for five years, and consumed more than $20 million of taxpayer money to develop software that was never usable (Stawicki, 1/20).
The Wall Street Journal: Bills Proposed In Several States Would Nullify Affordable Care Act
The nullification trend in statehouses seems to be spreading. ... The latest target is the Affordable Care Act. Conservative lawmakers in at least seven states have proposed laws that would prohibit state agencies and officials from helping the federal government implement the federal healthcare law and would authorize the state's attorney general to sue violators (Gershman, 1/17).
The Associated Press/Washington Post: Md. Senate Advances Bill On Health Exchanges
The Maryland Senate has advanced a measure to provide insurance for people who were unable to enroll in the state's health exchange website due to computer problems. The Senate voted 36-8 late Monday to adopt a favorable report on the measure. That sets the stage for a vote Tuesday to send the bill to the House (1/20).
Separate Rand and McKinsey studies examined how coverage will be affected by cost and accessibility of plans on the exchanges. Also, USA Today looked at the less-explored phenomenon of co-ops.
The Washington Post: Study: Allowing People To Stay In Existing Insurance Plans Unlikely To Disrupt Exchanges
Plans to allow people to keep their individual health insurance policies, even if they don't meet the requirements of the health-care law, are unlikely to threaten the short-term viability of the new health insurance marketplace, according to a new Rand Corp. study. The study, released Tuesday, examines the impact of President Obama's decision in November to allow consumers to keep their insurance plans, even if those plans don't meet the requirements of the Affordable Care Act (Sun, 1/21).
Modern Healthcare: Continuing Bare-Bones Plans Won't Cause Insurance Exchange 'Death Spiral,' RAND Study Says
The most detrimental policy move would be to allow new enrollees into noncompliant plans, the study found. It would increase premiums for exchange plans by 10% and decrease enrollment by 3.2 million nationwide. ... The other moves, though, would have a "far smaller" impact, researchers said. ... Some insurance executives appear to be more concerned about the policy changes than others. Humana issued a financial filing warning that more members than it expected are choosing to stay with their current plans (Kutscher, 1/20).
The Wall Street Journal: Exchanges See Little Progress On Uninsured
Early signals suggest the majority of the 2.2 million people who sought to enroll in private insurance through new marketplaces through Dec. 28 were previously covered elsewhere, raising questions about how swiftly this part of the health overhaul will be able to make a significant dent in the number of uninsured. Insurers, brokers and consultants estimate at least two-thirds of those consumers previously bought their own coverage or were enrolled in employer-backed plans (Weaver and Mathews, 1/17).
Marketplace: Who's Enrolling For Health Insurance? Not The Uninsured
Citing a new survey from McKinsey & Co., the Wall St. Journal reports that ... 52 percent said plans were cost prohibitive. Many healthcare observers expect previously uninsured people to sign up for plans prior to the March 31st enrollment deadline. Even if they don't, PricewaterhouseCoopers Ceci Connolly says insurers are well aware the new healthcare law is just beginning (Gorenstein, 1/20).
USA Today: Co-Ops The Underdog In Health Insurance Marketplace
Consumer-run health insurance cooperatives, which were included in the Affordable Care Act to stimulate competition and lower prices, have been stymied by the insurance industry and a lack of publicity, industry and health care experts say. The consumer-operated and run insurance companies, called co-ops, are often funded by government loans. Cooperatives can sell their policies through the state and federal health insurance exchanges where Americans can buy coverage (Kennedy, 1/19).
Meanwhile --
The Boston Globe: With Health Law, Less-Easy Access In N.H.
To keep premiums affordable, Anthem Blue Cross and Blue Shield of New Hampshire, the only insurer in the state offering coverage in the new insurance marketplace, radically reduced the hospitals in its network. Petro's local provider did not make the cut. Petro's case reflects how Obama's health law has upset the previous balance in the insurance landscape. As new coverage begins this month, most policies sold through the insurance marketplaces offer some type of restricted hospital network in exchange for lower premiums (Jan, 1/20).
Worries about being able to afford care and about diabetes were among the biggest health concerns among Latinos -- whether they were born in the U.S. or immigrated here, according to the latest survey by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. Other media outlets explore the limited options of those living in this country illegally.
NPR: Taking The Pulse Of Latino Health Concerns
Latino immigrants to the U.S. say the quality and affordability of health care is better in the U.S. than the country they come from, according to the latest survey by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. But many report having health care problems. More than a third of immigrant respondents (31 percent) said they'd had a serious problem with being able to pay for health insurance in the past 12 months. ... the health issue that Latinos said is most concerning for them and their families — whether they were born in the U.S. or immigrated here — is diabetes (Neighmond, 1/21).
Los Angeles Times: Immigrants Without Legal Status Remain Mostly In Healthcare Limbo
When Alva Alvarez gets sick, she buys over-the-counter medicine from the grocery and takes as much as she can until she feels better. The mother of five resorts to this because she can't afford a visit to the doctor to figure out what's ailing her. Although scenarios like this are supposed to disappear as millions of Americans become newly insured under the national healthcare law, Alvarez's situation isn't likely to improve and could get worse. The San Bernardino resident represents the biggest — and mostly invisible — group of people left out of the Affordable Care Act: immigrants in the country illegally (Karlamangla, 1/19).
The New York Times: Nonprofit Clinic Offers 'Bridges of Health' To Philadelphia's Illegal Immigrants
Like many other immigrants, Mery Martinez has no legal status in the United States, no health insurance and no money. But she does have leukemia, and has been struggling to find treatment for the disease ... With rising anxiety, and a rash that she attributed to her illness, Ms. Martinez walked into a clinic last week run by Puentes de Salud, a nonprofit group of doctors, nurses and medical students that provides primary care to Philadelphia's undocumented, uninsured and impoverished Latino immigrants. A co-founder, Dr. Steve Larson, said the organization distinguished itself from other community-health groups by addressing the underlying causes of illness, like poor nutrition, illiteracy or urban violence (Hurdle, 1/19).
Los Angeles Times: Supreme Court To Hear 1st Amendment Challenge To Labor Unions
The Supreme Court will hear a 1st Amendment case this week involving Chicago-area in-home care providers that could end up dealing a major blow to public-sector labor unions. Illinois, California, Maryland, Connecticut and other states have long used Medicaid funds to pay salaries for in-home care workers to assist disabled adults who otherwise might have to be put in state institutions. The jobs were poorly paid and turnover was high. Over the last decade, more than 20,000 of these workers in Illinois voted to organize and won wage increases by joining the Service Employees International Union. But the National Right to Work Foundation, an anti-union advocacy group, sued Gov. Pat Quinn and the SEIU, accusing the state and union of conspiring to relabel private care providers as state employees so they could collect more union fees (Savage, 1/20).
The Washington Post: Unions Circling The Wagons On Court Case
It was a "win-win-win" situation when home-care providers in Illinois unionized, says the lawyer who will represent the state and the public-employee union in Supreme Court arguments this week. Pay and benefits increased for the employees, the state negotiated with a unified and more stable workforce, and clients found that workers were more willing to stay in the demanding jobs, Washington lawyer Paul Smith said. Actually, says Patrick Semmens of the National Right to Work Committee, the whole thing was simply a "political payback" to the powerful public-employee unions (Barnes, 1/19).
NPR: A Union For Home Health Aides Brings New Questions To Supreme Court
The U.S. Supreme Court hears arguments Tuesday in an Illinois case that could drive a stake through the heart of public employee unions. At issue are two questions: whether states may recognize a union to represent health care workers who care for disabled adults in their homes instead of in state institutions; and whether non-union members must pay for negotiating a contract they benefit from (Totenberg, 1/21).
Former Kaiser Permanente CEO George Halvorson and Blue Shield of California CEO Paul Markovich share their perspectives on where Obamacare is headed and how the nation can curb health care spending.
PBS NewsHour: Former Health Care CEO Argues America's Medical System Rewards Bad Outcomes
Judy Woodruff talks to George Halvorson, former CEO of Kaiser Permanente and author of "Don't Let Health Care Bankrupt America," who argues we spend too much money on care that doesn't deliver optimal benefits. How can the U.S. alter its approach to serve all Americans more cost-effectively and with better outcomes? ... We need to have the health care business system focus on improving care (Woodruff, 1/17).
Los Angeles Times: How I Made It: Blue Shield Of California CEO Paul Markovich
As chief executive of Blue Shield of California, Paul Markovich leads one of the country's largest nonprofit health insurers, and he is a major player in the state's rollout of Obamacare. ... Markovich doesn't have to go far to hear complaints nowadays. Frustrated customers are venting about poor customer service in the transition to new health plans as part of the Affordable Care Act. Blue Shield recently apologized for its "unacceptable" performance. "Exchanges and health plans in California and across the country have been overwhelmed by last-minute volume and deadline extensions, which is causing serious delays," Markovich said. "I believe we will work through all of this soon and ultimately make the Affordable Care Act a success" (Terhune, 1/19).
The Department of Health and Human Services moves to break up a big backlog of Medicare claims appeals, with beneficiary hearings taking precedent. In the meantime, The Fiscal Times looks at overpayment in private Medicare Fee-For-Service plans.
Kaiser Health News: As HHS Moves To End Overload Of Medicare Claims Appeals, Beneficiaries Will Get Top Priority
Medicare beneficiaries who have been waiting months and even years for a hearing on their appeals for coverage may soon get a break as their cases take top priority in an effort to remedy a massive backlog (Jaffe, 1/21).
The Fiscal Times: Medicare Execs Are Overpaying $35 Billion a Year … And They Don't Seem to Care
Medicare's Private Fee-For-Service Plans, just one of the many entitlement programs run by the Centers for Medicare and Medicaid Services, overpaid billers by $34.6 billion dollars in 2013, according to its own estimates. With an "improper payments" rate of 10.1 percent of outlays, Medicare FFS is one of numerous government programs that wastes tens of billions of taxpayer dollars annually yet does little to recover any of that cash. The agency's contractors are reasonably good at recouping overpayments when they are identified. They had an 83 percent recovery rate in 2013, according to the annual report released by the Department of Health and Human Services (Garver, 1/21).
Abortion rights have yet again become a central issue in midterm elections while an order of nuns finds itself in the center of the health law's contraception coverage mandate.
The New York Times: Parties Seize On Abortion Issues In Midterm Race
When the Republican National Committee gathers for its winter meeting here on Wednesday, the action will start a few hours late to accommodate anyone who wants to stop first at the March for Life, the annual anti-abortion demonstration on the National Mall. And if they need a lift to the meeting afterward, they can hop on a free shuttle, courtesy of the Republican Party (Peters, 1/20).
Los Angeles Times: Obamacare Lawsuit Forces Order Of Nuns Into The Public Eye
Except for their soliciting of donations, the members of the "begging order," as it's sometimes known, have largely stayed out of the spotlight. But that changed in September when the order became one of the plaintiffs in a lawsuit filed against the so-called contraceptive mandate of the Affordable Care Act, placing them at the center of a debate over health care and religious freedom (Hamedy, 1/18).
And in North Carolina --
The New York Times: North Carolina: Judge Blocks Ultrasound Requirement
A federal judge on Friday declared unconstitutional the state's ultrasound requirement for women seeking abortions, saying it violated the First Amendment by requiring doctors to display a fetal image and describe it even to women who covered their eyes and ears (Eckholm, 1/18).
A selection of health policy stories from Rhode Island, California, Massachusetts, Virginia, Florida, Wisconsin, Missouri and Minnesota.
Providence Journal: Chafee's $43-Million Cut In Medicaid Program Touches Many Sectors Of Health Care In Rhode Island
Rhode Island enthusiastically embraced the expansion of its Medicaid program allowed by the Affordable Care Act. But at the same time, Medicaid is where Governor Chafee has turned to make the biggest cuts as he seeks to close a $150-million budget hole. Chafee's budget would slash $43 million from Medicaid, the health plan for the poor, in the fiscal year that ends June 2015. It's the only expenditure cut that even gets into the double digits (Freyer, 1/17).
Los Angeles Times: New Mexico Judge Affirms Right To 'Aid In Dying'
Now, a New Mexico judge has ruled that terminally ill patients like Riggs have the right to "aid in dying" under the state constitution. "Such deaths are not considered 'suicide' under New Mexico's assisted suicide statute," ruled Judge Nan G. Nash of the 2nd District Court in Albuquerque last week. The state's assisted suicide law classifies helping with suicide as a fourth-degree felony (Hamedy, 1/19).
The Boston Globe: State Protections Still Awaited For Long-Term Care
More than a year after Massachusetts passed legislation aimed at curbing the rapidly rising cost of insurance for long-term care, regulators have yet to adopt new rules that would help protect consumers as they buy products to cover nursing homes and similar services. Regulations were scheduled to be in place by Oct. 31, but the Division of Insurance missed the deadline and recently extended the process to July 1. The state's insurance commissioner, Joseph G. Murphy, said he does not plan to approve premium increases while his agency finalizes rules, but other protections, such as making it harder for companies to deny coverage, will be further delayed (Fernandes, 1/21).
The Washington Post: Mental Health Advocates Try To Seize The Moment In Va.
They were not as easy to pick out as the gun rights advocates with the bright orange stickers that read "Guns Save Lives" or the medical marijuana legalization supporters. But close to 200 advocates for the mentally ill wound their way through the Virginia General Assembly Building on Monday to try to make the most of a moment they know may not last (Shin, 1/20).
The Wall Street Journal: Circumcision Coverage Comes Into Focus
Saleem Islam, a pediatric surgeon in Gainesville, Fla., was surprised a few years ago when he started receiving a steady stream of referrals for older boys from low-income families to be circumcised. … Like a dozen other states, Florida ended Medicaid coverage of routine circumcisions for newborns after the American Academy of Pediatrics issued a lukewarm statement on the practice in 1999. While the organization concluded that removing the penis's foreskin has potential benefits, it found the data were insufficient to recommend it as a routine procedure (Campo-Flores, 1/20).
The Associated Press: Report: Wis. Hospitals Improve Quality, Save Money
More than 100 Wisconsin hospitals have been collaborating to improve the quality of health care, and their efforts have paid off with a decrease in costly outcomes such as readmissions and hospital-associated infections, according to a report released Tuesday. Hospital officials around the state have spent the past few years stepping up efforts to share knowledge and best practices associated with patient care (Ramde, 1/21).
St. Louis Today: Nixon Wants To Renovate Hospital For Nursing Classes
After Rachael Schulte spent three years watching her name inch up the wait list for Lincoln University's nursing program, she finally started her first semester this year. Needless to say, it was a big deal. It's an even bigger deal that the 26-year-old -- and other nursing students like her -- could have access to a soon-to-be emptied hospital for classes (Stucket, 1/21).
Minnesota Public Radio: Report: Not All Minnesotans Have The Same Opportunity To Be Healthy
The Minnesota Department of Health this week released a draft version of a report to the Legislature that recommends revamping the state's approach to health at all levels of government to eliminate health disparities between racial and ethnic groups. The 64-page document cites state policies that it found have prevented African-Americans, American Indians and members of other minority groups from enjoying the same quality of health as whites. Health Department officials say the report's authors deliberately decided to "lead with race" as a strategy for meeting the challenges of health inequities head on (Benson and Collins, 1/17).
WBUR: Launching A Grand Experiment In Massachusetts: Pricing Health Care
There's a grand experiment underway in Massachusetts and we are all, in theory, part of it. Here's the question: Can we price childbirth, MRIs and stress tests, and will patients armed with health care prices change when and where they "buy" care? One of the first steps in this experiment is a new requirement that hospitals and doctors tell patients who ask how much things cost. It took effect January 1 as part of the state's health care cost control law and we set out to run a test (Bebinger, 1/21).
The New York Times: A Good Start For Health Care Sign-Ups
Enrollments in health insurance plans through state and federal exchanges are rising rapidly, especially among young adults, making it likely that the Affordable Care Act will achieve a large and stabilizing mix of enrollees by the end of the open enrollment period on March 31 (1/17).
Bloomberg: Stop Obamacare's Outrageous Bailouts
The Patient Protection and Affordable Care Act has already achieved "preliminary sustainability," an official recently told the National Journal. And what's making the program sustainable? The prospect of a massive taxpayer bailout. The bailout would come from the law's "risk corridor" provisions. If insurers pay out more than 108 percent of the premiums they collect from customers in Obamacare's exchanges, taxpayers are on the hook for about 75 percent of the extra cost. If the insurers make profits that are more than 108 percent of their collections, they have to pay back a similar proportion (Ramesh Ponnuru, 1/20).
The New Republic: Obamacare's a "Bailout" Now? Conservative Critics Are Getting Desperate
Conservatives used to say Obamacare is socialized medicine. Now they say it is a "government bailout" of insurers. The new claim is just as misleading and cynical as the old one. ... no insurer will be sure about its beneficiaries for many months, until the open enrollment period ends and the newly insured have a few months in which to file claims. That makes it impossible to know what kinds of losses, if any, insurers will take. But even if the losses are significant, the taxpayers won't be in for another Wall Street-style bailout. For one thing, the reinsurance money comes from the insurers themselves, who pay a tax on each beneficiary. It's basically a transfer of funds, from all carriers to those those companies inside the Obamacare marketplaces that end up with unusually unhealthy members. In this sense, it's an insurance policy for the insurers—and one they more or less finance on their own (Jonathan Cohn, 1/15).
The Wall Street Journal: The Young And The Obamacare-less
ObamaCare's defenders say its troubles are over as more people sign up and, by the way, stop griping because the law is here to stay. Much evidence says otherwise, to the extent that the embroidered information the White House is willing to release counts as evidence. Lifting the veil of secrecy last week, the feds revealed that 2.2 million people nationwide had selected a plan through December. ... But even assuming an implausible 100% success rate, the exchanges are still well behind the original target of seven million, much less the 20 million or so necessary to ensure a viable insurance market. This is a failure by President Obama's own standard (1/20).
The Washington Post: Congress Needs To Keep A Lid On Medicare Spending
Even in the $1 trillion appropriations bill that passed Congress last week, a bipartisan achievement in a fractured Capitol, Republicans couldn't resist forcing through a gratuitous shot at the Affordable Care Act , defunding for now one of its most promising elements. This shouldn't become a habit. The Independent Payment Advisory Board (IPAB) has been called a "death panel," but it isn't. The group of health-care experts, appointed by the president in consultation with both parties in Congress, will be charged with making sure that Medicare spending doesn't blast through generous growth caps (1/19).
The Oregonian: Cover Oregon Mess Requires Stronger Response
Credibility has been a critical element of Gov. John Kitzhaber's third-term narrative. Before trying to sell habitually skeptical Oregonians on tax reform and other eat-your-spinach proposals, the thinking goes, it's necessary to foster trust through the determined exercise of responsible governance. Kitzhaber made a large deposit in the credibility bank last year with his leadership on public pension reform, but he's watched much of that advantage melt away over the past few months thanks to the Cover Oregon fiasco, which raises questions not only about those with more direct involvement, but also about the governor himself (1/20).
The Washington Post: Medicaid Expansion Is Right For Virginia
Virginia is one of the richest states in the nation but one of the stingiest in providing health coverage for the poor. Owing to its restrictive eligibility standards, it ranks 48th among states in per capita spending for Medicaid, the federally subsidized health program for the poor and disabled, according to the Virginia Health Care Foundation. About a million people — almost one in eight adult Virginians — lack health insurance. ... Republicans in Richmond, who have advanced no competing plan to provide quality health care for those people, should consider whether leaving available federal funds on the table really advances the interests of Virginians (1/18).
The Washington Post: Exemptions From The 'Contraception Mandate' Threaten Religious Liberty
Exempting ordinary, nonreligious, profit-seeking businesses from a general law because of the religious beliefs of their owners would be extraordinary, especially when doing so would shift the costs of observing those beliefs to those of other faiths or no faith. The threat to religious liberty, then, comes from the prospect that the court might permit a for-profit business to impose the costs of its owners' anti-contraception beliefs on employees who do not share them — by forcing employees to pay hundreds of dollars or more out of pocket each year for what should be covered under the law (Frederick Mark Gedicks, 1/15).
The Washington Post: The Fight For Homecare Workers
On Tuesday the Supreme Court will hear arguments in Harris v. Quinn, ... It was brought by the National Right to Work Legal Defense Foundation (NRTW), whose mission is to use "strategic litigation" to "eliminate coercive union power and compulsory unionism abuses," in this case on behalf of several personal assistants who provide in-home services to persons with disabilities under Illinois's Medicaid program. ... Taking away home health-care workers' collective bargaining rights would destroy the careful balance at least seven states have created to deal with aging populations and increased health-care costs (Moshe Z. Marvit, 1/20).
The Wall Street Journal: The Court And Union Coercion
Illinois uses Medicaid to subsidize home care for the disabled, which the governors used as the legal excuse to redefine home-care workers as state employees and provide the SEIU with some 20,000 new dues-paying members. ... In Knox v. SEIU in 2012, the Justices ruled that forced unionization deserves a high level of First Amendment scrutiny. "Mandatory associations are permissible only when they serve a 'compelling state interes[t] . . . that cannot be achieved through means significantly less restrictive of associational freedoms.'" Let's hope the High Court follows this logic to find Illinois's forced unionization unconstitutional (1/20).
Los Angeles Times: No Excuse For 'Patient Dumping' In L.A.'s Skid Row
It's hardly news that some hospitals have engaged in "patient dumping," the egregious practice of discharging homeless patients and simply dropping them off on the streets of skid row. Patient dumping made headlines in Los Angeles nearly a decade ago when reports of homeless people in hospital gowns and socks wandering skid row — or, in the case of a paraplegic man with a colostomy bag, crawling ... Given the universal denunciation of patient dumping from all corners of the city at that time, it's extremely troubling to learn that it is occurring on skid row again. Or perhaps it never completely went away (1/20).
Los Angeles Times: Doctors And Hospitals Posing As Charity Cases? It's Nauseating
Obamacare was intended, in part, to rein in sky-high healthcare costs. Yet some doctors and hospitals are responding to the reform law with outstretched palms and brother-can-you-spare-a-dime pleas for more money from patients. ... Dr. David Reuben, head of UCLA's Division of Geriatrics, defended the fundraising effort (David Lazarus, 1/20).
Fiscal Times: Medicare Execs Are Overpaying $35 Billion a Year … And They Don't Seem to Care
Medicare's Private Fee-For-Service Plans, just one of the many entitlement programs run by the Centers for Medicare and Medicaid Services, overpaid billers by $34.6 billion dollars in 2013, according to its own estimates. With an "improper payments" rate of 10.1 percent of outlays, Medicare FFS is one of numerous government programs that wastes tens of billions of taxpayer dollars annually yet does little to recover any of that cash (Rob Garver, 1/21).
The New York Times: Sex And The Single Senior
What is happening in retirement communities, assisted living facilities and nursing homes? You might imagine quiet reading, crossword puzzles, bingo, maybe some shuffleboard. Think again. Think about sex — unsafe sex. The Department of Health and Human Services released a little-noticed report on Medicare a few months ago that had this startling statistic: In 2011 and 2012, 2.2 million beneficiaries received free sexually transmitted disease screenings and counseling sessions. And more than 66,000 received free H.I.V. tests (Dr. Ezekiel J. Emanuel, 1/18).
The Kansas City Star: Health Scare Can Give New Perspective On Life
The Tikker is a rather understated wristwatch, with a plain, digital face and a simple band that comes in black or white. But it is fancy. It ticks down to death. The goal of the watch — which uses age and habits to establish a user's estimated time of death, and then counts down to it — is to remind people that their time is limited, and that it's not worth it to sweat the small stuff. … As Colting notes, individuals who have battled potentially terminal diseases or narrowly escaped death often describe a marked shift in perspective, a change in how they view the world, how they prioritize things (Dugan Arnett, 1/20).
The Boston Globe: When The Writer Becomes The Patient
Should I have gotten the mammogram that started all this hand wringing? Medical researchers are still trying to answer that question. A study in the December 2013 issue of JAMA Internal Medicine found that a woman in her 40s, after a decade of annual mammograms, is between 7 and 100 times more likely to be needlessly treated than to be spared a breast cancer death. But that's a big range. I've met women with my diagnosis who chose more extensive treatment than I did, and some who chose less. We are all pulling from the same data, and presumably we want the same outcome — a long and comfortable life, with little regret. But we vary greatly in our tolerance for risk-taking, our trust of technology, our appetite for medical intervention (Karen D. Brown, 1/20).
Los Angeles Times: The Global Grip Of Cigarette Smoking
Fifty years ago this month, U.S. Surgeon General Luther Terry announced the bombshell conclusions of a new report to a crowded room of journalists: Cigarette smoking causes lung cancer, is associated with other deadly illnesses and warrants remedial action. That 1964 surgeon general's report on smoking and health spurred profound and lasting changes in tobacco use and policies in the United States, but its call to action has gone unfulfilled internationally. In the intervening decades, smoking has expanded in developing countries and has had devastating consequences for the world's poor (Thomas J. Bollyky, 1/21).
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.


text:
|31 Mar 2012
windows 7 64 bit
Extended display will not hold after restart
I bought my spouse an all in one 23" screen Dell desktop for Christmas this year. Inspiron One 2320 Non Touch UMA, Windows 7 64 bit. He previously was using a Windows 7 laptop with a 23" monitor attached and all was well. Out of the box and to date, all software is fully updated.
This computer has a VGA port on the back so you can add an additional monitor. We did so and it worked like a charm. Until he restarted the computer. Then it reverted back to "Duplicate these displays." We went through the setting again, clicked Keep these settings, Apply and Okay and again all was fine until he shut down and restarted it later on.
Now mind you, if this issue was mine, I'd have no problem with it, but my spouse is, well, technically challenged and despite written instructions on going into graphics properties and changing it back irks him and he always misses a step. He has zero patience. I get that he should suck it up and do it but part of me agrees that this should not be necessary every time he starts up the computer.
I have the same model computer at work but with the touchscreen and sans VGA port on the back. I purchased a Pluggable USB box and use that to add a second monitor to my office computer and it works fine. I brought it home to try on his computer and am experiencing the exact same issue: I set up the Pluggable per instructions and it kicks into Extended Displays without a problem until you shut down or restart the machine. I have never experienced this problem on my work machine.
I did some poking around online and read suggestions that it is perhaps a video driver issue. It's an Intel graphics card with the most up to date driver. I checked the version on the machine and compared that with the most current on Intel's web site. I even downgraded to a prior version to see if that worked and it did not.
Has anyone been able to get Extended Display to stick after restart using the built in VGA port? It's quite the perplexing issue. Thanks for any suggestions.
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text:
Happy National Red Wine Day from San Diego Beer and Wine Tours!
Today is National Red Wine Day! And what a glorious day it is. It's the day when we take a moment to sit back, take a sip, and really appreciate red wine. What, you say? That's every day? Well, read on for tips on how to appreciate it more!
First of all, wine is history in a glass. No matter what you drink, you're sipping on the sun, the sky, the soil, the climate, and the temperament of the place your wine was born. It contains the minerals that nurtured it, the light that warmed it, the chill of the starry nights that helped the grapes grow. In short, it embodies the character of a place like nothing else you could eat or drink, and in the most delightful and delicious way possible.
And while people have been fermenting beverages throughout human history, red wine has a special place in history. Egyptians associated it with blood and therefore considered it sacred. Europeans loved red wine so much that explorers brought and planted their own grapes wherever they landed.
Second, red wine is great for you. Red wine contains polyphenols and antioxidants that provide many anti-aging benefits, from preventing wrinkles to protecting your heart.
This is not to say that white wine, or orange wine, or green wine, or rosé are not glorious things to taste as well. We just think that red wine deserves an appropriately reverent attitude today, and really, every day. That's why we have our wine tours, so you, too, can enjoy the complexities of California's history and delicious climate in every glass.
Brooke B., Oenophile
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Posted in bus tours, Food and Vine, Happy Hour, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Tours, Uncategorized, Walking Tours, Wine, Wine Train, Winemaking, Wineries |
San Diego Beer and Wine Tours Loves Food, Too!
We know we're called San Diego Beer and Wine Tours, but we don't just deal with beer and wine. In fact, we never have. We understand that beer and wine without wonderful food pairings is like having peanut butter without the jelly, ice cream without the sprinkles, yin without yang – you get the picture.
All of our tours, as a matter of fact, include food tastings to go with your beverages – the equivalent of a full meal. We don't just tour the finest wineries and breweries in San Diego. Our tours are filled with the best food this town has to offer, no matter what you're in the mood for!
It's a great way to savor the best gourmet, farm-to-table fare while you sip without having to commit to the price of a full meal. Plus, you get to answer one of life's eternal questions: what's better with pizza, beer or wine? (Answer: Both, of course. And don't forget champagne, too.)
Worried about calories? Don't be! First of all, you won't be getting overprocessed food – we deal with only the best food made with the highest-quality ingredients, and our walking tours will burn them right off.
We don't stop with beer and wine pairings. We also have whiskey tours – we've found that Chedi Thai Bistro's food works beautifully with owner and chef Pia's creations.
And in case you're not in a drinking mood, rejoice. We have suggestions for wonderful non-alcoholic drinks to pair with food as well!
In other words, we have something for everybody and we proudly support the small businesses that produce the tastiest and freshest foods in San Diego.
Here's to health, good food, and lip-smackingly delicious libations!
Brooke B., Epicure
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Posted in Beer, Breweries, bus tours, Food and Vine, Happy Hour, Health, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Tours, Uncategorized, Walking Tours, Wine, Wine Train, Winemaking, Wineries |
Happy Autumn from San Diego Beer and Wine Tours!
The temperature's a-changing and fall's on its way. We have talked at length before about our love for southern California in the autumn, haven't we? Well, we'll talk about it again. It's one of the most beautiful times of year – drought notwithstanding – because while we don't get the spectacular rainbow-hued leaves and chilly weather you might find elsewhere, we have our own unmistakable signs that the seasons are changing.
One such sign is the marine layer. It lingers a little longer this time of year, making the mornings just a little cooler and more overcast. When the sun finally peeps through the coastal clouds, it's not so warm. In fact, the conditions are perfect for a day at the beach so that you can watch the rays sparkle on the waves. Further inland, the mountains and foothills are spectacular under a sky that isn't that particular shade of azure anywhere else in the world.
But one of the best parts of San Diego's fall season is the grape harvest. That's when you know autumn has arrived! Harvest time is the best time of year for winemakers and wine lovers alike, although we know it's a bit more exhausting for them than it might be for us. There are parties, wine tastings galore, and – our most favorite of all – a grape stomp. Who doesn't love a good stomping? They're all over the place for the next couple of months, from Julian to Escondido and beyond!
If you're interested in joining the party, contact us! We're all about a good harvest celebration, and we know where the best ones are.
Here's to the changing of the seasons!
Brooke B., Seasoned Wino
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Posted in Food and Vine, San Diego Wine Country, San Diego Winery Tour, Tours, Wine, Winemaking, Wineries |
Honor the Spirit of `45 with San Diego Beer and Wine Tours!
The second Sunday in August is a very special day. As of 2010, it's been "Spirit of `45 Day." It was passed unanimously by Congress, and the first Spirit of `45 Day fell on August 14th, the 65th anniversary of the end of World War II.
Spirit of `45 Day was created first and foremost to commemorate the ordinary people who lived through the Second World War and the mettle shown by surviving members of the Greatest Generation as they rebuilt the United States after the end of the war. Another, very important reason was to remind the world that the United States is committed to never allowing a world war to happen again..
We, too, would like to honor these ordinary heroes, the men and women of World War II, so in the Spirit of `45, we are offering $4.50 off any of our Train Tours or our Chauffeured Wine Country Tour between now and the end of August. There's no better way to celebrate than tipping back a locally brewed ale. San Diego's beer scene emphasizes the solidarity and the can-do spirit that characterizes the United States at its best.
Here's to the Spirit of `45, and we'll see you on a tour!
Brooke B., Andrews Sister
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Posted in Beer, Breweries, bus tours, San Diego Wine Country, Tours, Wine, Wine Train, Winemaking, Wineries |
It's Earth Day! Help Save the Planet with San Diego Beer and Wine Tours!
We're not gonna lie – Earth Day is one of our favorite days of the year around here. Since our inception, we've been all about saving the planet. Just check out some of the information on our carbon-footprint-reducing train tours and our emphasis on buying local!
By the way, if you're a beer and wine nut, one of the best things you can do is buy locally. It's not just that you'll get better beer and wine, even though you will, or feel more connected to the local environment while you sip, even though you are.
No, the best reasons to drink locally is twofold: first, you're supporting our vibrant Californian wine and beer culture and keeping local jobs coming, and second – and this is a biggie – by directly supporting all the local brews, you're reducing the enormous, gigantic fuel consumption that comes when global mass producers of beer and wine ship it to your neighborhood.
Plus, there are all the benefits that come from getting out and getting to know your beers and wines and the communities and neighborhoods around you that passionately love and support them.
So remember: Think globally, drink, locally!
To your health and the health of the planet,
Brooke B., Recyclist
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Posted in Beer, Breweries, Food and Vine, Health, holiday, Local Business, San Diego Wine Country, San Diego Winery Tour, Tours, Travel, Walking Tours, Wine, Wine Train, Winemaking, Wineries |
San Diego Beer and Wine Tours Loves Our Mother, and Yours Too!
There's no such thing as a perfect child. Admit it – you were a brat growing up just like all the rest of us. Do you see those grey hairs on your mom? Those are your fault, every single last one of them. That time you came home three hours late without calling? The time you got under the sink and tried to eat Drano? How about the time you brought home that really inappropriate "friend" in high school? Oh, we know. We've all been there.
At this point, the only appropriate question is, "How can I make this up to my mom?" The answer is simple: with wine. That's why we at San Diego Beer and Wine Tours have put together a wonderful Mother's Day gift to help you apologize for all those months as a kid you spent refusing to eat anything but Oreos and mayonnaise sandwiches. We offer special packages for this time of year that include a wine (or beer) and food tour, plus a deep discount on a spa day for her! We're offering it now through the end of May.
Trust us on this one: your mom will love it. And if you're a mom, you know what we're talking about.
Happy Mother's Day to all you wonderful moms out there. We salute you!
Brooke B., Mamacita
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Posted in Beer, Breweries, bus tours, Food and Vine, holiday, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Tours, Walking Tours, Wine, Wine Train, Winemaking, Wineries |
Happy April Fool's Day from San Diego Beer and Wine Tours!
Today is April Fool's Day, also called "The Worst Day on the Internet." In an age where just about anything can go viral, and gullibility is compounded by clickbait, it's best not to trust anything for the next 24 hours or so.
We promise to not be part of this trend. We, instead, embrace an original rite of spring, the "renewal festival," which occurred in many cultures throughout the world and were characterized by lighthearted pranks and a temporary reversal of the accepted social order. (Yes, we know that the whole mockery mess supposedly began when France shifted from the Julian calendar to the Gregorian one somewhere in the 16th century, thereby switching the New Year to January 1st instead of April, but we prefer the friendlier origin story.)
So, we are taking this opportunity to announce that we are expanding from beer, food, and wine tours into beer, food, wine, and koi pond tours. We're looking forward to three hours of showing you the best koi ponds that San Diego County has to offer after every beer and wine tour!
Okay, that was a joke. Sorry. We caught the April Fool's spirit for a moment. Or should we say, April Fish? But this is no joke – mention "springtime" to us and you'll get $5 off a tour through the month of April.*
No foolin'!
Brooke B., Poisson d'Avril
*Call (858) 551-5115 for discount. Not to be combined with past purchases or other offers. Discount good now through April 30th.
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Posted in Beer, bus tours, holiday, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Tours, Walking Tours, Wine, Wine Train, Wineries |
Happy Vernal Equinox from San Diego Beer and Wine Tours!
Happy Spring!
The vernal equinox is the first day of spring. That's when the day and night are roughly equal in length. Now nighttime is just going to keep getting shorter, until we're at summer's glorious peak!
Not that springtime in San Diego is anything to sneeze at, unless you're allergic to pollen, of course. In fact, it's one of the most gloriously beautiful times of the year here, with rare flowers popping out of the desert and cherry blossoms adorning Balboa Park.
It's also a great time of year to sit outside and sip some light springtime wines. We recommend light-bodied wines. Here are a few to try:
Prosecco is a light and sparkly wine, and at its best it's fruity without being oversweet. It's also quite wallet-friendly, running about $10 a bottle. Perfect for sipping with or without peach juice as you sit on the porch in the springtime sun. Try something from Nino Franco to start.
California has a serious rosé issue — it's serious about rosés. And so are we! Dry, balanced rosés make life worth living, and Napa Valley produces some of the best you'll find anywhere. Trefethen Family Vineyards produces a wonderful fruity rosé that's made with Pinot Noir grapes and has hints of cherries and strawberries. Perfect.
Red wine that carries just a touch of sweetness will be welcome on any sunny day, too. Modesto's Tisdale Vineyard carries a wine called Sweet Red of California that's a springtime favorite. It's great for summer, too! Pair it with your favorite barbecued food.
Enjoy the sparkling days and clear nights of springtime in San Diego. Here's to the equinox!
Brooke B., Spring Blossom
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Posted in Food and Vine, holiday, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Tours, Uncategorized, Walking Tours, Wine, Wine Train, Winemaking, Wineries |
Beware the Ides of March?
Statue of Dionysius, the Roman god of wine and the harvest. Also the most fun god. True story.
Who is it in the press that calls on me?
I hear a tongue shriller than all the music
Cry "Caesar!" Speak, Caesar is turn'd to hear.
Beware the ides of March.
What man is that?
A soothsayer bids you beware the ides of March.
March 15th supposed to be a day that bad things are bound to happen. The phrase "beware the ides of March" comes, like so many other things in the English language, from Shakespeare.
There's actual history behind the saying. As you may have guessed, March 15th is the day that Julius Caesar was assassinated, setting the stage for the Roman Republic to become the Roman Empire. But the middle of March wasn't always considered an unlucky day, and we agree that it shouldn't be. Back in the Roman days, it was also the feast of Anna Parenna, which was supposed to complete the cycle of the year.
This was a day of festivities, which included drinking as much wine as your belly could hold. It was thought that each cup of wine you drank meant you'd live yet another happy and healthy year. We can't say that's something you shouldn't do, but just keep in mind that wine back then was not as potent as it is now, since they mixed it with seawater (a thought which frankly horrifies us.)
Be that as it may, don't beware the ides of March… enjoy them, and have a glass of wine. Or two. Or three. One way or another, it'll make you happier!
To your health!
Brooke B., Haruspex
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Posted in holiday, San Diego Wine Country, Tours, Travel, Uncategorized, Wine, Winemaking, Wineries |
Laissez les Bon Temps Rouler with San Diego Beer and Wine Tours!
It's almost that wild and wonderful day, Fat Tuesday, where you're expected – no, commanded – to wear feathery hats, colorful clothes, and beads. It's also the last hurrah before the start of Lent, which is a time of fasting and repentance for those who observe the Catholic faith.
The origins of Mardi Gras as it's known today are traced back to medieval Europe, where farmers would slaughter and eat a fatted calf and drink enormous quantities of red wine. In fact, Carnival or Carnaval, as the week leading up to Mardi Gras is called in some regions, comes from "carna vale": farewell to the flesh.
However, the story of these traditions go back even further than that, to ancient Roman or possibly pre-Roman pastoral times, to Lupercalia, the festival of Lupercus, the god of shepherds, and Lupa, the she-wolf who suckled Romulus and Remus. According to Plutarch, during this festival young people would guzzle red wine and run up and down the streets naked and smacking people they met with "shaggy thongs." It was supposed to ensure fertility in the new year. They also wore fine clothes and feathered masks as they do today, presumably when they weren't running around in their altogethers.
If any of this sounds familiar, it's because this festival also serves as a basis for what is now known as Valentine's Day. (Our Valentine's Day was a little more subdued than that this year, but at least we had red wine!)
If you're looking for something to drink to get into the true spirit of Fat Tuesday and don't feel like slaughtering a fatted calf, here are a few suggestions:
If you're doing it up New Orleans style and eating spicy gumbo, consider a low-tannin pinot noir like Point Concepcion's Salsipuedes Pinot Noir. Its fruitiness plays well off the spicy richness of a gumbo. If you've decided on an oyster po-boy or a shrimp etouffe, pair it with a light, sweet white like ZD Chardonnay. And if you're having King Cake (and why wouldn't you?) any sweet sparkling wine is a must!
There are plenty of beers to pair with your Mardi Gras celebration, but our favorite one comes from San Diego's Modern Times Brewery. It's called Neverwhere. Why do we love it for this celebration? Because its pineappley, mangoey flavor is perfect for the subtropical party atmospheres of Carnaval and Fat Tuesday. It's a perfect pairing with your purple and green beads.
We're off to start baking our King Cake. After all, Fat Tuesday only comes round once a year.
Laissez les bon temps continuer a rouler toujours!
Brooke B., Bead-Tosser
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Posted in Beer, Breweries, Food and Vine, holiday, Local Business, San Diego Wine Country, San Diego Winery Tour, Theme Tours, Travel, Walking Tours, Wine, Wine Train, Wineries |


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"Say what men may, it is doctrine that moves the world. He who takes no position will not sway the human intellect.
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BUFFALO, NY ( WKBW ) Western New York's premeire political analyst is part of the Eyewitness News team.
Bob Davis.
Bob is the former chairman of the Republican party, and has worked on hundreds of campaigns ( for all parties ) in the course of his career.
Tonight on Channel 7's Eyewitness News and online at wkbw.com, Davis and his team will contribute to Vote 2011 coverage.
Watch for Bob's live reports with Keith Radford and Joanna Pasceri.
Bob tells Eyewitness News the biggest race is obviously the one for Erie County Executive, and his sources confirm what the polls say...it is neck and neck.
Davis is also closely watching the race for Erie County Clerk between Jacobs and Whyte, a seat open since Kathy Hochul moved on to Washington.
Bob notes that the races for mayor in Niagara Falls, Lackawanna, and Lockport will be on his watch.
What about the possible changes in the Erie County Legislature?
For that, you will have to watch Channel 7's Eyewitness News, your Vote 2011 station!


text:
By Rodger M. Wood After a 5-1 dubbing by the Sabres with four games to go in the regular season, the Caps playoff future looked bleak. Led by the whitewash goaltending of Ryan Miller, the Sabres looked like a team of destiny headed for a late season playoff position comeback win and Caps fans would […]
Category Archives: Uncategorized
By Rodger M. Wood The Caps choked last night losing a vital playoff race game to 9th place Buffalo 5-1. They were in a prime position to take charge of the pennant race but fell on their faces against the hard skating, tough forechecking and outstanding goaltending of the rival Sabres. In other important road […]
Now this is what we are talking about! Three games in a row, keep the faith, could be a springboard.
Welcome to the CapitalPowerPlay.com. We are slowly rebuilding the site on the new web server, so check back soon for new content. Hopefully we will have the dust cleared and things back to normal soon. Thanks for visiting.


text:
|Rodeway Inn Mason properties are listed below. Search for cheap and discount Rodeway Inn hotel rates in Mason, OH for your business gathering or personal travels. We list the best Rodeway Inn Mason hotels + motels so you can review the Mason Rodeway Inn hotel list below to find the perfect place.
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text:
I played at Asbury Park, NJ with Led Zeppelin
This was the second day of Woodstock and we played Asbury Park. By that time, the city was awash with tales, stories and rumours of what was happening at the festival. 25 years later, Robert Plant and I recorded and filmed in a Welsh leafy glade 'No Quarter', the title track of the Unledded project.
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Hey hi someone already doing my reblogging 4 me, let's collab!! :-D I write up Jimmy's fictional excuses for not...
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Jimmy Page, 1969
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Web Analysis for Animalsextubevideos - animalsextubevideos.com
animalsextubevideos.com is 4 years 1 month old. It has a global traffic rank of #1,338,070 in the world. It is a domain having .com extension. This site has a Google PageRank of 1/10. This website is estimated worth of $ 480.00 and have a daily income of around $ 2.00. As no active threats were reported recently by users, animalsextubevideos.com is SAFE to browse.
PageSpeed Score
Siteadvisor Rating
Traffic Report
|Daily Unique Visitors:
|Daily Pageviews:
Estimated Valuation
|Income Per Day:
|$ 2.00
|Estimated Worth:
|$ 480.00
Search Engine Indexes
|Google Indexed Pages:
|Yahoo Indexed Pages:
|Bing Indexed Pages:
Search Engine Backlinks
|Google Backlinks:
|Not Applicable
|Bing Backlinks:
|Not Applicable
|Alexa BackLinks:
Safety Information
|Google Safe Browsing:
|No Risk Issues
|Siteadvisor Rating:
|No Risk Issues
|WOT Trustworthiness:
|Very Poor
|WOT Privacy:
|Very Poor
|WOT Child Safety:
|Very Poor
Website Ranks & Scores
|Google Pagerank:
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|Domain Authority:
|DMOZ Listing:
Web Server Information
Page Resources Breakdown
Homepage Links Analysis
Social Engagement
|Facebook Shares:
|Facebook Likes:
|Not Applicable
|Facebook Comments:
|Not Applicable
|Twitter Count (Tweets):
|Not Applicable
|Linkedin Shares:
|Not Applicable
|Delicious Shares:
|Not Applicable
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Website Inpage Analysis
|H1 Headings:
|Not Applicable
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|Total IFRAMEs:
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|Not Applicable
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|Not Applicable
Websites Hosted on Same IP (i.e. 220.127.116.11)
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|2012-02-23 2 years 8 months 2 days ago
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|2013-09-09 1 year 1 month 2 weeks ago
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Scars are proof of bravery, courage, loss, and love. Photographer David Jay's "Scar Project" captures the stories behind them.
A wise woman told me, "You are not your breasts." So my breast does not define who I am, my faith in God does.
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Two weeks after I celebrated being cancer free for one year, I received a phone call from my sister. Unfortunately, with our busy lives it is not every day we have the opportunity to chat on the phone unless there is something to be planned or a question to be asked. This wasn't either one of those calls. Immediately, I knew there was some news; there was something just a little off with this conversation.
After a few minutes went by I asked her when her mammogram was scheduled again. For some reason I just could not remember the day she told me it was scheduled. I'm sure I had asked her three times in the last month and a half, and of course I felt guilty for asking again. Then it hit me! This was the reason for the phone call. The reason everything seemed off.
I braced myself for what was to come. My sister, whom I have admired from day one, was telling me about an MRI biopsy she had a week prior. The pathology report came back as Atypical Lobular Hyperplasia (Stage 0, also known as pre-cancer.) Her diagnosis differed from my original one, but the chosen treatment path would be the same. Here we go again...


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So I changed my allegiance. In truth I'm agnostic when it comes to pro baseball--I just love the game--but Giants and A's games are what I get for free on my radio, and those are the teams I can see in person without getting on a plane. As a friend of mine said recently, "I'd watch the Marlins play the Rockies if somebody turned it on." I would, too, although I recognize that it's more fun to watch when you've got skin in the game.
Very recently the Dodgers got good again. The new owner is pouring money into Chavez Ravine, and even conservative prognosticators are predicting the team to win a hundred games in 2014. The farm system is apparently healthy again, and they've locked up their most important young stars. Now would be a good time to move my allegiance back to L.A.
But I can't--and it has nothing to do with the Giants. To me (and I imagine lots of fans still angry from the McCourt years) the Dodgers are like an ex-girlfriend who, ten years after you broke up, shows up on the cover of a magazine. She looks good, much better than you remember, and she's gotten rich. So what do you do? Swallow your pride and send an email of congratulations? That would be nice, but who does that? (Not you. Be honest.)
It has become a cliche to say that the Dodgers have become the Yankees. Not for me. I have always hated the Yankees. To continue the girlfriend analogy, the Yankees are the girl who never even knew your name in high school, because she was dating college guys. When she turns up on the cover of a magazine, you don't get that knot in your stomach, because it's nothing new for her. She's always been on magazine covers. The Dodgers are different. The Dodgers have a long history of sucking. In fact to the day he died, my grandfather, who loved the Dodgers as a boy in New York, called them "Da Bums."
So what will I do? Probably keep listening to the Giants and A's. I'll watch the Dodgers if someone turns them on. I might even cheer for them. If they're playing the Yankees.


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The Morning Mix
Feb 14, 2012, 8:05 AM EDT
- Seth Davis provides his weekly Hoops Thoughts, which is a weekly must-read.This week he discusses UConn's new athletic director and a host of other interesting basketball tidbits
- A fantastic statistical comparison of Steve Lavin and Ben Howland's time at UCLA. (If you have 15 minutes to spare, I highly suggest you read this)
- The referees that worked Saturday's game between Niagara and Rider have been suspended by the MAAC for their egregious clock error
- The NCAA is looking to streamline their rule book. Jon Solomon of the Birmingham New has some solid suggestions on how to make it more efficient
- The CAA is likely to only get one team into March Madness, but that may depend on how the conference's teams fare in BracketBusters this week . Speaking of the CAA, they have signed a five-year media deal with NBC Sports
- The Summit League is the "Anti-Big Ten". The conference has had more players produce 3-point performances than any other conference this season. The Big-Ten? They've had just two. But surprisingly enough, the SEC has had as many 30-point performances as both you and I combined
- Louisville might have lost last night, but you have to feel much better about them going forward
- Eamonn Brennan provides his weekly Poll Thoughts
- We're all aware of the widespread mediocrity sweeping the Pac-12 landscape. But maybe, just maybe, there could be an exciting finish in store for us
- Say what you will about Jon Calipari. But there is not a coach in the country who "gets it" as much as Coach Cal does
- You probably didn't think that Tennessee would even be near the this year, but they've gotten some big wins this year, and well, the Volunteers while likely be in the discussion come Selection Sunday
- NC-State is another team that is likely to be firmly planted on the bubble come Selection Sunday, but Duke head coach Mike Krzyzewski likes the Wolfpack's chances
- Oregon may be on the wrong side of the bubble now, but if they want to improve their chances, Carlos Emory is going to have to be a key contributor
- While we're on the subject of bubble teams, we might as well show a little love to the West Virginia Mountaineers
- Remember when Iowa head coach Fran McCaffery got all pissed off and superplex'd a folding chair a few weeks back? Well, that chair is being auctioned off for $2,100
- Rush the Court's Zach Hayes tells us about what he learned from Rivalry Week
- It looks like the MWC and C-USA will indeed merge to form a super-mid-high-major conference
- UConn has six games left on the regular season schedule. Can the Huskies solve their chemistry issues before the Big East Tournament? Speaking of UConn, both Jeremy Lamb and Andre Drummond sat out of practice on Monday due to injuries
- The key the Michigan State's recent surge has been their stifling defense. Considering the old adage about defense and championships, and coach Izzo's track record, this team should not be left out of the Final Four discussion
- It is likely that two of the four suspended Alabama players are allowed back on the court for tonight's game against Florida. Speaking of Florida, both will Yeguete and Mike Rosario will miss the game for the gators due to injuries
- Don't look now, but Butler is making a very "Butler-like" late-season surge
- Jeff Withey had himself one helluva ball-game last night. There is no doubt that he is the most improved player in the country
- Ken Pomeroy on Murray State. Nothing more needs to be said.Just go read it.
- Video of Peyton Siva grabbing his teammate's butt? There's a joke about his two late-game turnovers to be found somewhere in there
Top Posts
- Top 25 Countdown: No. 7 North Carolina Tar Heels 0
- Dayton's Elite 8 run, Archie Miller's decision to stay help continue Atlantic 10's success 0
- 2014-15 Season Preview: Jahlil Okafor, Frank Kaminsky lead a strong crop of big men 0
- 2014-15 Season Preview: Toledo looks to end a 35-year NCAA Tournament drought and rep the MAC 0
- Top 25 Countdown: No. 8 Texas Longhorns 1
- 2014-2015 Season Preview: Stanley Johnson, Sam Dekker lead wing forward rankings 1
- Green Bay's Keifer Sykes maintains the chip on his shoulder 0
Most Commented
- Five-star 2015 power forward down to five schools (2)
- Roy Williams says he was 'dumbfounded' following Kenneth Wainstein's report (VIDEO) (2)
- Hawaii considering its options regarding NCAA investigation of basketball program (2)
- VCU's band 'The Peppas' will be doing Haka War Chants this year (VIDEO) (2)
- Mark Emmert calls UNC scandal 'troubling', 'disturbing', 'shocking' (2)


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Boker Plus Bat Karambit Black G-10 Folding Knife - Bead Blast Plain
- Overall Length: 8.25"
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Andrew Zimmern comes to New Mexico where the frontier spirit can still be found, even when it comes to the food! Andrew goes out hunting buffalo on horseback and learns to roast prairie dogs with members of a ...Go to Episode
Tia Sophia's
Andrew meets up with food writer Rocky Durham for a food crawl through some of Santa Fe's best restaurants. They begin at Rocky's favorite, Tia Sophia's.
210 W San Francisco St, Santa Fe, NM 87501
El Parasol
Andrew and Rocky go to the walk-up order restaurant El Parasol, which features a menu first created for a street taco stand 50 years ago.
1833 Cerrillos Rd, Santa Fe, NM 87505
Bobcat Bite
Andrew and Rocky go to Bobcat Bite, which specializes in a traditional New Mexican meal: cheeseburgers covered in green chili!
418 Old Las Vegas Hwy, Santa Fe, NM 87505
More New Mexico Travel Guides
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Visit the haunted St. James Hotel, and follow the footsteps of the Ghost Adventures Crew.
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Explore the locations from America Declassified that are not off-limits to curious visitors.
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HGTV Urban Oasis 2014
Enter daily for a chance to win a grand prize worth over $1.5M, located in Atlanta.
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Food Network's Back to School Recipes
Win over the kids with these easy, time-saving dinners the family will love.


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Rolex Rankings #29
Rolex Rankings #52
Will Suzann Pettersen defend her title?
Will Teresa Lu defend her title?
Ernst's victory another big step in her career
The Social Scene for October, 2014
Paula Creamer made her return to the LPGA Tour at the ShopRite LPGA Classic after being sidelined by a thumb injury.


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(CMT Offstage keeps a 24/7 watch on everything that's happening with country music artists behind the scenes and out of the spotlight.)
Photo Credit: Brian Tipton
The All-American Rejects? Never heard of them. Until this morning, when I heard they'd done a song for Taylor Swift at the CMT Artists of the Year taping. At the Nashville event last night (Nov. 29), the band blended her song, "Mean," and their own hit, "Gives You Hell." I'll have to wait until the show airs on Dec. 13 to actually see and hear it, but for now, I am loving that Swift has introduced me to a song, band and sound I might not have discovered otherwise. And mash-up-wise, this song makes a pretty perfect partner for the message in "Mean." Like that song, "Gives You Hell" is all about not always seeing eye-to-eye with someone. To put it mildly. Now if you'll excuse me, I have almost nine years of this Oklahoma-born band's songs to download.


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[Mondo Piece] Single: Review
I absolutely love this single. How do I words.
Track 1. Mondo Piece | Of course, we've been hearing this for a while, but I love it. It's great. Definitely worth a moment to say that, deshou? :D
Track 2. パニックワ―ルド。Panic World | This song worried me at first because I thought I had two songs open at the same time in different programs. Then I realized it was just the song. :) This reminds me of their older stuff, which I'm completely cool with! I love it. I do, I love it a lot. I love it more each time I hear it.
Track 3. 魑魅魍魎マ―チ。Chimibouryou March | I am completely in love with this song. COMPLETELY. I have no words for how much I love it. The music changes are brilliant. And the title, with the song…I get chills. The chorus is amazing. The structure of the song is completely crazy, and perfect. I can't stop listening to it. And NOBUTO. DAT. BASS.
While I don't think this is UVER's BEST single, it's definitely an UVERsingle and well done, as always, as expected. They didn't disappoint. They never do. I will cherish this single forever :D
While I always recommend you support the guys by purchasing their singles and albums, I am willing to share. Do you guys want a link to download Mondo Piece? Let me know if you do and I will post one up! :D


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Sat Sep 3, 2011 1:15 pm
Latest Player Updatesclose
Paul Pratt
Wed Mar 2, 2011 8:54 pm Lions tendered exclusive rights free agent DB Paul Pratt.
Fantasy Source Spin: Pratt, 26, appeared in two games last year, allowing the line pass thrown his way to be completed for 15 yards. He projects as a long-term dime back at best.
Source: Dave Birkett on Twitter
Thu Dec 30, 2010 2:56 pm Lions signed DB Paul Pratt off their practice squad.
Fantasy Source Spin: Pratt is needed for secondary depth with Chris Houston's (shoulder) status in doubt for the season finale.
Source: Detroit Free Press
Wed Oct 20, 2010 7:27 pm Lions waived DB Paul Pratt.
Fantasy Source Spin: Pratt passed through waivers and re-signed to the practice squad.
Source: Dave Birkett on Twitter
Sun Oct 17, 2010 8:16 am Lions signed DB Paul Pratt from the practice squad.
Fantasy Source Spin: Pratt spent time with the Lions this preseason, but failed to make the team out of camp. He'll provide secondary depth with Nathan Vasher sidelined.
Source: Chris McCosky on Twitter
Sat Aug 7, 2010 7:09 pm Lions re-signed DB Paul Pratt and waived DT Robert Callaway.
Fantasy Source Spin: Pratt, undrafted out of Nevada in 2007, spent much of last season with the UFL's New York Sentinels. He was released by the Lions last month after the team signed Dre' Bly.
Source: John Niyo on Twitter
Fri Jul 2, 2010 1:36 pm Lions waived DB Paul Pratt.
Fantasy Source Spin: A practice squad-caliber player, Pratt was waived to make room on the roster for Dre' Bly. Pratt, 25, is a former undrafted free agent from Nevada.
Source: MLive.com


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