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The death of a 42-year-old Prince Albert man whose all terrain vehicle struck a tree this week is part of a "troubling upward trend" in fatal ATV crashes in the province and underlines the need for mandatory ATV training, says the Saskatchewan ATV Association.
The crash victim, whose name was not released at the request of his family, was pronounced dead at the scene about 24 kilometres west of Prince Albert shortly before 7 p.m. Wednesday. Alcohol is not believed to have been a factor in the crash, but RCMP said the deceased was not wearing a helmet and that speed was a contributing factor.
It was the fifth ATV-related death in the province this year.
Last year, eight people were killed in ATV-related incidents in Saskatchewan — a record number. John Meed, general manager of the Saskatchewan ATV Association (SATVA), said he worries that record could be broken this year.
"There's a very troubling upward trend," he said.
Up to 8,000 ATVs sold are in the province every year, and accidents involving these vehicles will likely increase unless the provincial government steps in to mandate safety training and crack down on people riding ATVs unsafely, he said.
Presently, anyone over the age of 16 can drive an ATV if they hold a driver's licence; youth under the age of 16 must take a safety course and be supervised by someone with a driver's licence. Riders must wear helmets when driving off their own properties.
Meed said these restrictions are not enough.
"It takes a lot of skill to operate these machines, especially in rough terrain," he said. "It's even worse than a car. Things can happen fairly quickly on an ATV if you're bouncing off a rock or bouncing off a branch or trying to climb things."
In December, Meed asked the provincial government to consider requiring ATVs to be registered, which is the case for snowmobiles. He said this would encourage people to be more safety-conscious and make it easier for police to punish people found riding without a helmet or licence. Meed said that if ATVs were registered, a mandatory safety program could be introduced and enforced.
He received a letter in May saying the issue of registering ATVs in Saskatchewan is not being considered because many people only use ATVs on private property and would not register their vehicles.
Saskatchewan Government Insurance spokeswoman Kelley Brinkworth said that while the Crown corporation encourages people to take an ATV safety course, it does not recommend legislative changes to register ATVs and mandate training.
She said it would be "very difficult" to get people to register ATVs, which are considered recreational vehicles, and the only reason snowmobiles must be registered is because they used to be a primary mode of transportation in northern parts of the province.
Meed said the SATVA offers safety training courses on an on-demand basis, but interest in the course is very low for adults.
"This is an area I think we can improve on dramatically if we just get a little support from the government and some legislative requirements."


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Submit Review
Campground Search
224371 User submitted reviews online!!
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Amboy, Illinois
O'Connell's Yogi Bear Jellystone Park Camp-Resort
[ 6/10 ]
This campground was alright, to be generous. The employees were unfriendly, and seemed to scorn the prospect of having to actually do their jobs. The Wi-Fi cost money, but he signal was weak. The slides were good, however, the pools were always really hot, which wasn't very refreshing. The experience wasn't all that great.
Belvidere, Illinois
Thousand Trails-Pine Country
[ 8/10 ]
The sites weren't level, and there was no gravel in the sites, either. It was a decent campground, though. The Wi-Fi was a little overpriced, but a pretty good signal. They had plenty of activities, and a nice little creek.
Remington, Indiana
Caboose Lake Campground
[ 8/10 ]
Only stayed over night but this campground is super clean and has spacious sites. Not a 10 because they do not allow outside firewood and the fact that it is very close to I-65. Road noise at night. Would stay again if passing through.
Clarksville, Indiana
Add-More Campground
[ 2/10 ]
We needed a campground close to Louisville and from the website, this one seemed to fit the bill. However, there were so many rules that weren't listed on the website that this "campground" is little more than an RV storage facility. We've camped in tight sites before but this place is ridiculous. In the over night section most units cannot extend awnings as it would hit the rigs in the next site. A big thing is the bicycle rule. No bike riding!! I brought the kids bikes and they couldn't use them. There were hardly any picnic tables. My wife and I had to carry one from 6 site down to our site. We were lucky it was available. I like a campfire and guess what...no fire rings are provided. In fact fires are not allowed at all unless you have them in an enclosed fire container. I had to drive to Lowe's to spend $60 on that. Pet rule - 30lb or less. We have a small dog but even then, the dog could not be tied on a leash at our site. The only time the dog could be out of the RV is to walk him. They make no mention of these rules on the website. To be fair, there were some positives which is why I gave it a 2 and not 1. The Wi-Fi was free. Good thing b/c my kids had nothing to do - no playground and no biking. Why do they charge more for kids? What are they consuming? One other positive was the water pressure - very strong. I had to complain about the size of the site and they did work with us only because they were not full. On a busy weekend, we'd be staring at the side of another RV. If you want to store your RV for the weekend, sleep in it and nothing else. This place could work. It is RV storage...do not expect to camp.
Utica, Illinois
Starved Rock State Park
[ 8/10 ]
Starved Rock is a very nice campground. We have been there twice. It has lots of shade and trees, and the sites are nice, spaced well. The water is clean. Obviously, it is a short distance from the state park, which is good. It isn't expensive, either. Overall, it is a great campground I recommend for overnights and people looking for some weekend leisure.
Marseilles, Illinois
Glenwood RV Resort
[ 1/10 ]
We have been here several times, because our friends are in a seasonal site, and we usually go on Halloween weekends. The roads are terrible. They are very dusty, and have loads of potholes. I know of a kid there who once had to go to the hospital because he crashed, due to the excessive potholes. The water is atrocious, and the pool is nasty. The rates are much too high for the low-quality campground. I would not suggest going at all. Our first visit was in 2009. We traveled in a Travel Trailer.
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UNREAL Halloween
- For Halloween 2012, UNREAL teamed up with Big Spaceship to create a platform and entertainment hub for the most visually documented Halloween...ever.
UNREALHalloween is an auto-scrolling visual feed that aggregates all Halloween-related photos being hashtagged on Instagram across the U.S., while infusing video, Spotify playlists, movement, and classic movie references into the stream.
- UNREAL is using this Halloween to further ignite the movement to Unjunk the World™, and to prove what was once seen as impossible – Unjunked candy – is now real. 15-year-old Nicky Bonner inspired UNREAL's creation after a post-Halloween feud with his parents over confiscated candy.
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"We really need animation and code to work more closely together, so we can use the code to help offload repetitive tasks from the animators."- Wolfire Games co-founder David Rosen speaking about the value of procedural animation systems during GDC 2014.
|Wendelin Reich
Very very interesting!
However, I did get the impression that David's approach requires that only key/extreme poses be keyed, so that all inbetweens can be generated with his simple (but effective) procedural heuristics. Is this impression correct?
Like many others who animate, I'd like my code to do procedural adjustments and tweaks (like IK, applying physics, blending etc.) BUT I'm not ready to take a 100% procedural approach where all inbetweens are dropped. How would one go about doing that? I'm gonna think out loud a bit, maybe others could chime in.
IMHO, blending should ideally be handled by the game engine (if you, like me, use one). Haven't checked out UE4 here, but Unity's blending (via Mecanim) is getting progressively better, even if there's still lots of stuff missing.
IK is also largely a solved problem. There are really good off-the-shelf solutions available for Unity (Final IK!) and apparently also UE4 (IKinema).
As to physics-based animation adjustments (following gravity by defining mass, joint constraints etc.), articulated rag-dolls, and all that advanced stuff, I'd love to hear more on the details of David's solution, but general solutions are probably complex. Wouldn't it be cool if someone developed a simplfied version of something like Naturalmotion's Euphoria engine (think 'Clumsy Ninja'!) at an Indie-friendly price?!
|Christiaan Moleman
Great talk.
It's good to see these sorts of ideas catching on. Kudos to Mike Jungbluth and co for organizing the Animation Bootcamp at GDC and getting devs both inside and outside of animation to think about this stuff. Haven't had the chance to attend myself but at least I get to enjoy the results via blogs and Vault! I'm glad this exists.
@Wendelin: I think the main point is not do away with hand-keyed breakdowns and inbetweens necessarily but that the larger, macro movement and momentum need to react more to both environment and player input. You can have really fancy animation pieces but if it doesn't feel like the character is physically reacting in a believable way to what is happening in the game, it feels wrong no matter how many cool transitions you put on top of it.
Shadow of the Colossus remains one of the best examples of combining heavy keyframe animation with procedural elements (balance, interaction with complex deforming collision objects and the pendulum thing shown in the video).
There's a good article on the making of Shadow the Colossus here:


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- Welcome! MissinWine = Caroline Henry's personal wine diary. I will use this space to share my experiences of champagne and wine events I have attended,the wineries and growers I have visited and may add some tasting notes of wines that have stood out for me. I hope you like my stories as much as much as I have enjoyed reliving these wonderful moments whilst writing them up:-)
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Category Archives: Caroline's Champagne
One Step Beyond – Franck Pascal's Bio-energetic Champagne
At the beginning of June I spent my birthday learning all about bio-energetic Champagne at Franck Pascal's. Franck and Isabelle had invited me together with the staff of La Truffiere, a Michelin starred Parisian restaurant, to share their 20 year … Continue reading
M is for more meunier and miammiam
Meunier has often been considered the week little brother of the more powerful and structured Pinot Noir, or the ugly wee sister of the elegant Chardonnay. Instead of bringing structure or elegance, it only adds fruitiness to the blend… When … Continue reading
Grower Champagne tasting week falls short of becoming the region's Grands Jours
Six years ago, a group of seventeen Champenois vignerons created a new tasting concept focusing on terroir and wine and called it Terres et Vins de Champagne. The aim was to show that Champagne can also be terroir wine rather … Continue reading
Posted in Caroline's Champagne, Champagne, terroir Tagged Artisans de Champagne, Champagne, Club Trésor de Champagne, Grands Champagne, Grands jours de Champagne, living soil, Mais du Terroir de Champagne, Origine Champagne, Passion Chardonnay, Terres et Vins de Champagne, Terroir, terroir champagne, Trait-d'Union Leave a comment
Avant les bulles – an organic story of vins clairs
Author's note before you read this article – Amanda Reagan accused me of plagiarism because my original title was Before the bubbles – an organic story of vins clairs tastings. She has written an article in 2010 which was called … Continue reading
Posted in Caroline's Champagne, Champagne, vins clairs Tagged biodynamic, biodynamic farming, Caroline's Champagne, Champagne, Emmanuel Brochet, Fleury, Folliage, Hervé Jestin, Leclerc-Briant, organic, organic farming, single vineyard, Victor Dravigny, vin clair, Vincent Charlot, Vincent Laval, vins clairs Leave a comment
St Vincent 2014 in Hautvillers
It was unusually cold on the 22 January, the day St Vincent is celebrated in Hautvillers. 'La St Vincent' gathers the whole village together to give thanks to their patron saint for the harvest that was and to pray for … Continue reading
Posted in Caroline's Champagne, Champagne Tagged brioche, Champagne, Dom Perignon, Hautvillers, St Vincent, wine Leave a comment
Terroir in Champagne:fact or fiction?
A few weeks ago I attended the third International Sparkling Wine Symposium in London. Sparkling wine producers, sommeliers and expert journalist gathered at Denbies Wine Estate to discuss the state of the Sparkling Wine Industry. In an ever more competitive … Continue reading
Posted in Caroline's Champagne, Champagne, terroir Leave a comment
Caroline's Champagne – vins clairs, terroir & savoir faire
This last month I have been very lucky to have been invited to taste vins clairs (in plural!) in lots of different places. The term "vin clair" literally means clear wine – it dates from the time that the wine … Continue reading
Posted in Caroline's Champagne, Champagne, biodynamic, terroir, vins clairs Tagged biodynamic, Caroline's Champagne, Champagne, Champagne Charlot-Tanneux, Champagne Legras et Haas, Champagne Nicolas Feuillatte, Champagne Philipponnat, Charles Philipponnat, Chouilly, Clos des Goisses, Cuvee Exigence, David Henault, Jérôme Legras, natural yeast, savoir faire, Soleras, Terroir, vin clair, Vincent Charlot, vins clairs, vins clairs tasting, wild flowers 2 Comments
Caroline's Champagne – the celebration of St Vincent
January 22nd is the name day of St Vincent – patron saint of the winegrowers in France as in some areas of Spain and Italy. In Champagne it is an important day as most of the 319 villages celebrate the … Continue reading
My first Champagne anniversary – a time to reflect…
As I wandered through the snow dusted vineyards last weekend I was once again stuck for words by the landscape's beauty. I am still amazed by the diversity of the local scenery and realized I am feeling very much at … Continue reading
Caroline's Champagne – Food & Champagne & where to go to eat out around here
Champagne as a food wine? Hmmm I can see some of you frown and look a little unsure, as indeed Champagne is generally more associated with celebrations than it is regarded a gastronomic beverage. Very few people indeed choose Champagne … Continue reading
Posted in Caroline's Champagne, Champagne, restaurant reviews Tagged #vinocamp, Caroline's Champagne, Champagne, restaurant 1 Comment


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York City FA Trophy Final against Stevenage Borough at Wembley | Sport | The Press, York
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Match report: York City 0, Stevenage 2>>
In the aftermath: Your chance to have your say>>
Steve Carroll's Live Wembley blog>>
Fan's view: York City and Stevenage FA Trophy final
11:45am Tuesday 19th May 2009
Easingwold School pupil SPENCER BROWN, 15, relives his trip to Wembley for the FA Trophy final between York City and Stevenage for thepress.co.uk.
Londons' News and Toys, in Heworth wins Wembley competition
10:03am Wednesday 13th May 2009
YORK City may have lost the FA Trophy final to Stevenage but newsagent Ian Simpson was a Wembley winner.
Reality bites for York City at Wembley
3:26pm Monday 11th May 2009
GAVIN AITCHISON and MARK STEAD spent the day with the supporters, as the curtain came down on York City's FA Trophy dreams.
Fans' views
3:21pm Monday 11th May 2009
Travelling York City fans gave their views of their day out at Wembley.
Purkiss: You were simply fans-tastic
3:12pm Monday 11th May 2009
York City right-back Ben Purkiss was in awe of the club's tremendous support for the FA Trophy final at Wembley, as he told STEVE CARROLL.
York City's fury at Wembley flares incident
11:32am Monday 11th May 2009
YORK City chiefs say they are "disappointed" and "embarrassed" after some fans lit flares at Wembley during Saturday's FA Trophy final.
York City manager Martin Foyle plans for next season in wake of FA Trophy defeat to Stevenage at Wembley
9:57am Monday 11th May 2009
STRIKERS and left-sided players will be the priority for York City manager Martin Foyle during his summer recruitment drive.
York City skipper Daniel Parslow glad to see back of FA Trophy goal ace Steve Morison
9:35am Monday 11th May 2009
YORK City skipper Daniel Parslow will be pleased to see the back of Stevenage goalscorer Steve Morison next season.
Gulf chore ahead for Martin Foyle
9:34am Monday 11th May 2009
YORK City's 2-0 Wembley defeat to Stevenage Borough highlighted the "gulf" between the two clubs according to manager Martin Foyle.
Stevenage salute from manager Graham Westley
9:33am Monday 11th May 2009
STEVENAGE manager Graham Westley was full of praise for his players after they bounced back from play-off dismay to lift the FA Trophy.
The key duels that shaped the FA Trophy final at Wembley
9:23am Monday 11th May 2009
York City reporter Dave Flett scrutinises three of the most vital battles at Wembley.
First goal always critical says Shaun Pejic
9:17am Monday 11th May 2009
YORK City man-of-the-match Shaun Pejic admitted Steve Morison's opening goal was crucial to the outcome of Saturday's FA Trophy final.
Mark Greaves to bow out with a sigh
9:13am Monday 11th May 2009
THE Wembley showdown could well have been Mark Greaves' swansong as a York City player.
Richard Brodie seethes at Wembley penalty that got away
9:07am Monday 11th May 2009
RICHARD BRODIE believes York City were denied a "stonewall penalty" in the second half of their FA Trophy final at Wembley.
Good year incentive for York City striker Adam Boyes
9:05am Monday 11th May 2009
YORK City striker Adam Boyes reflected on a "good year" – despite the disappointment of losing the FA Trophy final against Stevenage.
York City 0, Stevenage Borough 2 - FA Trophy final at Wembley
8:52am Monday 11th May 2009
IT'S unlikely to be shortlisted for next year's Mercury Prize but few people would dispute the lyrical accuracy of York City's adopted FA Trophy final song.
Brick hurled through windscreen of bus taking York City fans home from Wembley
11:44am Monday 11th May 2009
THE driver of a coach taking York City fans back from Wembley was hailed a hero after the windscreen was smashed by a brick dropped from a motorway bridge.
York City boss Martin Foyle 'proud' to lead the Minstermen out at Wembley for FA Trophy final
8:20am Saturday 9th May 2009
LEADING York City onto the Wembley turf for today's FA Trophy final against Stevenage will be a proud moment for manager Martin Foyle.
Martin Foyle: City need attacking threat
5:26pm Saturday 9th May 2009
YORK City boss Martin Foyle reckoned attacking cut and thrust was the difference as his side lost 2-0 to Stevenage in the FA Trophy final today.
In the aftermath
4:52pm Saturday 9th May 2009
After all the high hopes and expectation York City finally went down at Wembley 2-0 to Stevenage.
City fans' initial reaction to defeat
4:40pm Saturday 9th May 2009
Dejected York City fans are making their way back north after seeing their team lose 2-0 in the FA Trophy final at Wembley.
Stevenage 2 York City 0 - FA Trophy Final from Wembley
4:08pm Saturday 9th May 2009
DANGERMAN striker Steve Morison killed York City's hopes of Wembley glory by scoring one goal and setting up an injury-time second in the FA Trophy final.
Stevenage vs York City - live FA Trophy Final blog from Wembley Stadium
8:35am Saturday 9th May 2009
4.25: Dave Flett, York City reporter, says: "The better side won on the day. Steve Morison caused City problems throughout and the Minstermen struggled to impose themselves in midfield and only created a couple of clear-cut chances. "Most efforts on goal were hopeful rather than threatening. City's defence, their strongest department all season, came under heavy pressure but will be disappointed with the two goals they conceded."
Where are they now?
8:20am Saturday 9th May 2009
Today York City return to Wembley for the first time in 16 years. Here TONY KELLY catches up with 1993 boss Alan Little and captain Paul Stancliffe, and tracks down the whole squad.
Trophy KO for Press stalwart Malcolm Huntington
8:10am Saturday 9th May 2009
LONG-SERVING York City reporter Malcolm Huntington will miss the club's second-ever trip to Wembley stadium.
Readers tip Greaves and Rusk for final call-up
8:10am Saturday 9th May 2009
YORK City supporters have chosen Mark Greaves and Simon Rusk as the players to fill the team's two vacant places for Wembley.
Kempster's VIP honour
8:10am Saturday 9th May 2009
YORK-BASED non-league webmaster Tony Kempster will watch today's FA Trophy final from the royal box after an all-expenses paid trip to Wembley.
City's day of sport magic
7:40am Saturday 9th May 2009
THIS is it. York City's day of destiny at football's arena of legends. Fifteen years, eleven months and ten days after they last trod the hallowed Wembley turf, City have returned to the home of football. Victory against Stevenage Borough today in the FA Trophy Final would see York lift the first national domestic cup in their 87-year history.
City striker Daniel McBreen eyeing FA Trophy farewell
11:42am Friday 8th May 2009
YORK City's FA Trophy top scorer Daniel McBreen is targeting a Wembley win to compensate for a sorry league season.
Driving ambition for Minstermen's star man
11:35am Friday 8th May 2009
YORK City's drive for Wembley success has been backed by Mercedes Benz.
Minstermen plan to go at Stevenage
11:37am Friday 8th May 2009
MARTIN Foyle is hoping Stevenage still have a play-off hangover when they take on his York City side in the FA Trophy final at Wembley tomorrow.
Sarah is up for the cup!
9:57am Friday 8th May 2009
BUSINESSWOMAN Sarah Wells is bold as bras when it comes to showing her allegiance to the Minstermen.
Capital gains
9:24am Friday 8th May 2009
STEPHEN LEWIS finds out how fans will be following City's biggest game in years.
Red army heads to capital
9:22am Friday 8th May 2009
FANS who can't make it to Wembley tomorrow will be able to watch the game live on Setanta Sports at 2pm at a number of York pubs.
Another Swann gets ready for a big day out at Wembley stadium
9:21am Friday 8th May 2009
SEND Your Coach to Wembley competition winner Peter Swann will revisit the famous stadium 16 years after cheering his brother on to victory under the old Twin Towers.
Knights right behind City
9:20am Friday 8th May 2009
YORK City Knights player-boss Paul March says everyone at Huntington Stadium is behind York City's bid to bring sporting success to the city.
York City winger Simon Russell declares revenge is the spur in Saturday's FA Trophy final against Stevenage at Wembley
8:15am Thursday 7th May 2009
YORK City winger Simon Russell is desperate for revenge against Stevenage Borough at Wembley on Saturday.
All swell for the red army
8:12am Thursday 7th May 2009
YORK City are expecting to take 15,000 fans to Saturday's FA Trophy final at Wembley, writes Dave Flett.
Ex-York City teen Sean Marshall recalls Trophy-winning double
8:03am Thursday 7th May 2009
YORK City players will be striving to land their first FA Trophy Wembley winners' medal on Saturday – but one York-born former player already owns two.
Wembley is a huge boost says 1993 hero Hall
11:46am Wednesday 6th May 2009
FA TROPHY victory could spark a new era of success at York City, declared Wayne Hall, one of the club's 1993 Wembley wonders.
Foyle: Don't write us off
11:43am Wednesday 6th May 2009
Bell's Wembley weekend double
11:43am Wednesday 6th May 2009
WEMBLEY-BOUND former York City striker Phil Bell is hoping to cheer his old club to victory on Saturday before gracing the famous stadium himself.
Send your Wembley wishes to York City
11:58am Tuesday 5th May 2009
Please use the comments section below to send your good luck messages to York City ahead of Saturday's FA Trophy final against Stevenage at Wembley.
City skipper's final honour
2:28pm Tuesday 5th May 2009
Daniel Parslow is dreaming of lifting the FA Trophy at Wembley. DAVE FLETT reports.
Chairman's pride at club's big day in the sun
2:28pm Tuesday 5th May 2009
YORK City chairman Jason McGill is calling on the whole of Yorkshire to cheer the white rose to victory next Saturday.
Ace Brodie top of the Rich twist
2:27pm Tuesday 5th May 2009
Cup conquest has been at the forefront of Richard Brodie's blistering striking form this season. Now he tells DAVE FLETT he hopes fate will strike again at Wembley.
Take or save is no contest for City's brave stopper Michael Ingham
2:26pm Tuesday 5th May 2009
DAVE FLETT hears shoot-outs do not faze Michael Ingham as long as he does not have to attempt a penalty.
Rocky and rolling road to Wembley
2:25pm Tuesday 5th May 2009
What a season. Flirtation with the drop and salvation at Wembley. DAVE FLETT charts City's twisting path.
Foyle poised to reveal City final line-up
8:18am Tuesday 5th May 2009
YORK City's players will know whether they have made the side for Wembley two days before the FA Trophy final against Stevenage.
York City boss Martin Foyle expects Stevenage Borough to field a full strength side for FA Trophy final at Wembley
11:27am Monday 4th May 2009
YORK City's FA Trophy final opponents Stevenage are unlikely to rest key players for Saturday's Wembley showdown according to manager Martin Foyle.
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Litepanels 5600K LED 1x1' Production Spotlight.
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Why Adorama?Easy Returns, Fast Shipping, Trusted for over 35 years.
Need help? Call 800-223-2500 212-741-0052
Our Price$1,199.00


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New dress I just bought online :)
Chloe Moretz for Nylon TV
A moment captured in my living room by Jamie. Dress by Oscar de la Renta.
Anne Hathaway at the LA premiere of Rio yesterday
A magnificent ponytail and dork glasses, Anne Hathaway you are the perfect woman.
Hailee Steinfeld at the Oscars tonight looking like a real life princess.
Those are some kickin' heels! I'm so glad a 14 year old can work a fierce set of heels better than I can even with nearly 20 years on the girl.
She helped design this dress! UGH, love her!
Mila Kunis - Oscars, February 27th 2011
I do love a dark haired girl in a pale shade. Mila looks like a classy sexpot, which is also how I like my ladies! We can't seem to place the designer. Does anyone recognize it? I'll try to update the post with the designers as I discover them.
Natalie Portman at the 2009 Oscars.
I was so in love with this dress, and still am.
Probably my favourite Oscar gown story is the story of Reese Witherspoon's vintage Dior gown. She found it during a shopping trip in Paris, tried it on & it fit perfectly. The gown, which once belonged to a Princess, is now owned by Witherspoon. Such a romantic story for a gown! Such a stunning gown! Witherspoon has said that while she'll never wear the gown again, that her daughter Ava might one day. Ava's so lucky! She gets to look exactly like Reese Witherspoon & inherit her vintage Dior!
Emma Watson leaving the Post BAFTA party at the W Hotel, Feb 13th
I'm alil in love with her soft pink Valentino dress here.
2011 Fall New York Fashion Week: Jason Wu
January Jones in Carolina Herrera


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Wednesday, April 7, 2010 - 18:29
Right here brotha. Long time Kast fan; heard Goodie Mob, then heard OutKast, thought the production sounded similar, found out about Organized Noize, and been a huge fan of the whole DF conglomerate ever since.
Comments for this Reply
biggest fan in miami!!
On April 8th, 2010 demetriius3000 says:
biggest fan in miami!!


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So I followed the advice in a recent tipster and taped a little piece of old film leader over the light meter on my LC-A+ and set it on 100 ISO. Sure enough, this looks like ISO 25 to me so it works great and I can do doubles too. I'm happy. :)This photo was shot on film. Taken by clickiemcpete with a Lomo LC-A+ (available in our Online Shop) loaded with Lomography Redscale XR 50-200 (35mm) film in Salem, Massachusetts, United States. This photo can also be found in the album LC-A on Trial in Salem.
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|Three solutions are combined in alphabetical order.
Solutions A and B produce a red solution. Adding solution C after this turns the solution milky white, then blue after a time.
The hydrochloric acid in solution B turns the 2,4,2',4',4"-pentamethoxytriphenyl methanol (an indicator) red. The addition of solution C causes the pH to increase due to the formation of OH- ions in the IO4- oxidation of S2O32-.
2 S2O32- (aq) + IO4- (aq) + H2O (l) --> S4O62- (aq) + IO3- (aq) + 2 OH- (aq)
When the indicator turns colorless again, the milky-white suspension of Cd(IO4)2+ becomes apparent. The further increase in pH triggers another indicator (thymolphthalein), turning the solution blue.
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Wasting no time at all, Justin Bieber took to YouTube to release a 20-second teaser clip for the video for his latest single "Boyfriend" off of his forthcoming album 'Believe'. The 18-year-old teen sensation had just wrapped up the video shoot with director Colin Tilley, and raved about how fans would love the video. The steamy clip starts off with the Biebster rapping in a dark-lit room before a bunch of hands reach up to touch him.
While on the set of the video, Bieber told MTV News that it's not a typical video with a storyline concept. "I mean it's not like a steady concept. It's not like 'Justin follows this girl to this spot,'" he explained. "No, it's a bunch of amazing scenes: Like a fire scene, we have an ice scene."
"It's kind of like bouncing back and forth," he said. "And then there's scenes of me and just a bunch of girl dancers, and just some great shots, great artistic shots, great shots of me smiling. It's fun."
The single is co-written and produced by Mike Posner, and is currently available for purchase on iTunes now


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Secor Farms is a farm for all seasons! Stop by and enjoy the superb selection of flowers, produce and other specialty items each season brings. Meet with our knowledgeable staff who will help you find that perfect item for your home and garden.
Our doors open in the spring, right before Easter, with palm crosses, pansies, tulips and hyacinths to fill your home and garden with spring. Our greenhouses are filled with the largest selection of bedding plants in Bergen County. With hundreds of varieties of annuals, perennials and hanging baskets, as well as vegetable and herb plants, you will be sure to find the right plants for container or garden planting.
Just in time for the 4th of July, our farm's market is filled with locally grown produce. August is the time to "U-Pick" raspberries for that batch of homemade jam or a refreshing treat.
Fall is a great time for family fun at Secor farms. Enjoy a hayride to our pumpkin patch and corn maze. Group hayrides are welcomed!! Kids will delight with our petting zoo and hay maze while colorful mums, gourds and Halloween decorations abound. Stop inside our farm's market for locally grown produce, NY state apples, fresh pressed apple cider and our homemade donuts is a must!
December concludes our seasons with pre-cut Christmas trees, plain and decorated wreaths, grave blankets and poinsettias. Santa also stops by for pictures in his workshop!
January - Mid March: closed
Mid March - June: Open everyday 8am-6pm
July and August: Closed Monday and Tuesday; Wednesday- Sunday 8am-6pm
September - October: Open everyday 8am-6pm
November: Closed
December: Open everyday 8am-6pm; open until 8pm Thursday-Saturday
Call for additional information: (201) 529-2595
Group Hayrides are welcomed during the week for parties of 15 or more beginning September 24, 2012.
The price per person includes the hayride to our u-pick pumpkin patch, a pumpkin of choice, entrance to our corn maze, an apple, and a "Farmer for a Day" sticker! Picnicking is available as well in our indoor glass greenhouse.
Students can explore and learn how cotton and potatoes are grown on our Self Guided Tour.
Hayride Hours: Monday through Friday from 9 AM to 5 PM
Cost: $10.00 Per Person
Reservations can be made on the Class Trip Registration page.
Our hayrides will now be open to the public during the week!!
Join us for a fun family day on the farm! Enjoy your day with a hayride to our pumpkin patch and corn maze. Public hayrides begin September 29th. The hayride runs continuously and tickets can be purchased in the farm stand. The hayride takes you on a scenic ride of the farm, where you will pass by our pond, willow trees and fall decorations. Once in the field, feel free to explore the corn maze, pick a pumpkin or relax under our rustic pergola.
Hours: Monday through Friday 3 PM to 5PM. Saturday and Sunday 10:30 AM to 4:30 PM
Cost: $2.00 Per Rider


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(Source: theselfmademan91, via muppetsandmilkshakes)
Been looking for this for YEARS
From Robert Tucker, Sallie Mae agent:
Your student loan payment is seriously past due! We have tried unsuccessfully to contact you about this important matter. It is critical that you take care of your past-due student loan immediately.
From me:
This really speaks to how wildly perspectives can vary. To you, my student loans are seriously past due. To me, my student loans are hilariously past due. It should be noted, I think, that as the only male descendent of deposed, exiled Bavarian royalty (to one day reascend to the throne, I assure you), I am protected from loan defaults by a permanent state of forbearance by the Foreign Sovereign Immunity Act of 1976. Come to think of it, I haven't had so much as a sniffle—let alone a cold—since our family fled the raving villagers with their torches and pitchforks. I've come to suspect that I could do away with the condoms altogether. If only the government opened up Foreign Sovereign Immunity to the public at large, imagine how healthcare costs would plummet!
Although you haven't mentioned any such action, I feel it is incumbent upon me to remind you that in the case of The Schooner Exchange v. M'Faddon, the Supreme Court in 1812 concluded that you cannot sue me for title and possession of my war ship. I've read, though, that in 1815, M'Faddon was able to successfully sue for the return of the missing 'c' in his name.
Yours In Royalty,
His Inestimable Highness, the Prinzregent of Bavaria (deceased)


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Roddy Boyd's new home — The Financial Investigator
Sarah Ferguson: "I'm very honest and real and authentic to it, but, whatever. I'm a tiny little newborn chick." — Jezebel
"Mr. Buffett has elected to provide written testimony" — FCIC
Get well soon Floyd Norris — NYT
We welcome comments that advance the story through relevant opinion, anecdotes, links and data. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. For more information on our comment policy, see http://blogs.reuters.com/fulldisclosure/2010/09/27/toward-a-more-thoughtful-conversation-on-stories/
Rather, Mr. Buffett has elected NOT to provide written testimony. As in, he will testify only in person (and did).
http://www.c-span.org/Watch/Media/2010/0 6/02/HP/R/33689/Financial+Crisis+Inquiry +Commission.aspx
I'm with you on Floyd Norris. I hope he has a Refuah Shlema.


text: Fall 2011 New York Fashion Week: Jill Stuart Jill Stuart Fall 2011 by POPSUGAR Fashion News 2/12/11 0 Reactions 0 Shares Print 0 0 0 0 0 Previous Photo 1 of 49 View on One Page ADVERTISEMENT ( more slides) Next What's Your Reaction? Thanks for your reaction Don't forget to share this with your friends! 0 0 0 0 0 0 1 Jill Stuart Fall 2011 Read More 2011 Fall New York Fashion Week Gallery2011 Fall New York Fashion Week2011 Fall Fashion Week2011 Fall2011 New York Fashion Week2011 Fashion WeekJill StuartNew York Fashion Week Jill Stuart Let's All Have a Feel at Jill Stuart 2/08 You Can Actually Get Jill Stuart's Rock-Glam Look 2/08 Jill Stuart Channels Kate-Moss-Cool 9/07/13 Jill Stuart Spring 2014 9/07/13 Jill Stuart Has a Party Dress For Every Girl in Her Fall '13 Lineup 2/10/13 Jill Stuart Creates a Beauty Look So Easy, Even You Can Do It 2/09/13 Get a Personalized Fashion & Beauty Newsletter Help us customize your newsletter by selecting your interests (optional): Celebrity Style Fashion & Beauty News Beauty Tips Street Style What's Your Reaction? Thanks for your reaction Don't forget to share this with your friends! 0 0 0 0 0 0 0 0 0 0 0 0Reactions Link Love Why health goth is the latest trend in sportswear — HuffPost Style It's totally OK to wear your PJs to work if you layer like this — Who What Wear When it comes to accessories, put a bug on it — InStyle This model's diary will change your perspective on Fashion Week — The Cut Will a Louis Vuitton smartwatch be next? — Style.com Things aren't looking so hot for ModCloth . . . — Fashionista When it comes to your shoe size, this is the real deal — Racked Your guide to navigating all the friends and family sales — Stylelist Let yourself be inspired by some very chic racegoers — The Fashion Spot Latest Fashion


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Filed under: Health Care Economics, Health Law
A few years ago, I noted that the American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) has a dominant role in suggesting payment levels to CMS. It raises hard questions about price-setting in the health care sector, many of which cannot be answered because its processes are opaque. Now we know that judicial relief will not improve things any time soon. As Brian Klepper reports, "On January 7, a federal appeals court rejected six Georgia primary care physicians' (PCPs) challenge to the Centers for Medicare and Medicaid Services' (CMS) 20-year, sole-source relationship with the secretive, specialist-dominated federal advisory committee that determines the relative value of medical services." What was the complaint?
The core of the … physicians' legal challenge was that the RUC is a "de facto Federal Advisory Committee," and therefore subject to the stringent accountability requirements of the Federal Advisory Committee Act (FACA). This law ensures that federal bodies have panel compositions that are numerically representative of their constituencies, that their proceedings are open, and that methodologies are scientifically credible. In other words, FACA ensures that advisory practices are aligned with the public interest.
The RUC adheres to none of these and is an object lesson in how special interests can be insinuated into and capture regulatory processes, displacing the public interest. For example, when the legal challenge was first filed, only 3 of 29 RUC panelists (10 percent) represented primary care, even though some 30 percent of US physicians practice primary care. RUC meetings are closed to the public, unless an invitation is extended by the Chair, and admission is tied to the guest signing a nondisclosure agreement. Determination of a procedure's value has been based on as few as 30 survey responses by physicians who know that their reimbursement will be linked to how they have answered the questions.
This is a sad example of opacity in health pricing. In ordinary markets, publicity would tend to narrow the price differential between similar quality services. In health care, however, there is a triple layer of agency between care and patients whose physicians' recommendations are often constrained by an insurer that is chosen by the patient's employer or government. Even if we assume away the agency problems in such an arrangement, it is difficult for buyers and sellers to truly understand "market" dynamics, or even the governmental processes that underlie them.
Originally posted at Health LawProf Blog.
An Uncertain Future for ICD-10
Filed under: Physicians
On February 14, 2012, Marilyn Tavenner, the acting Administrator of CMS, told reporters that CMS will "re-examine the timeframe" of the planned conversion to the ICD-10 code standard. Presently, covered entities under HIPAA must fully convert from the ICD-9 coding system to ICD-10 by October 1, 2013.
ICD-10, which stands for the International Classification of Diseases, 10th Revision, is a coding system that providers use for billing purposes and medical researchers also use for statistical analysis. ICD-10 consists of 68,000 codes that will expand upon the 13,000 codes currently being used with ICD-9. The codes, each representing a separate medical service or diagnosis, are used by providers and hospitals when they submit their bills to the insurer. The providers receive payment for their services based upon the codes and the terms of their reimbursement agreement. From these codes, medical researchers are able to evaluate kind and frequency of care; with more than five times as many descriptive codes in the new system, many researchers and evidence based medicine proponents are said to look forward to the far greater depth of analysis the new coding system will offer. The United States already lags behind many countries in ICD-10 implementation and it is said that this compliance extension will widen the gap even further.
Two days after Ms. Tavenner's announcement, HHS issued a news release stating that "HHS will initiate a process to postpone the date by which certain health care entities have to comply with ICD-10." Kathleen G. Sebelius, the Secretary of HHS, states in the news release that "we have heard from many in the provider community who have concerns about the administrative burdens they face in the years ahead. We are committing to work with the provider community to reexamine the pace at which HHS and the nation implement these important improvements to our health care system."
HHS's news release leaves a lot of questions unanswered. There is no hint at which "certain health care entities" will be granted an extension for compliance and how far off the new deadline will be. HHS claims they will "initiate a process," which leads many to believe a formal rule making process with public comments will occur. This process could possibly take years to complete, which undoubtedly has caused a giant sigh of relief for providers and institutions across the country that feel ill-prepared for the 2013 deadline. Analysts at Health Care IT News estimate that the deadline could be pushed off a year or two if there is a formal rule-making process.
As the news of Ms. Tavenner's announcement spread, members of the industry sent out messages cautioning that a complete overhaul of the current plan is unlikely. Ms. Tavenner's announcement, which happened at the American Medical Association (AMA) Advocacy Conference in Washington, D.C., was fittingly met with applause by AMA members. The AMA has publicly and vehemently opposed the current October 1, 2013 deadline. In a January 17, 2012 letter addressed to Speaker of the House John A. Boehner, the Executive Vice President and CEO of the AMA James L. Madara M.D. pleaded with Speaker Boehner to stop the implementation of ICD-10. In the letter, Dr. Madara argues that the conversion "will create significant burdens on the practice of medicine with no direct benefit to individual patient care, and will compete with other costly transitions associated with quality and health IT reporting programs." Of course, Dr. Madara is referring to the task of implementing an electronic health records (EHR) system in accordance with CMS's meaningful use criteria, which entitles a covered entity to receive incentive payments from CMS. Dr. Madara also cites to what he deems to be the competing tasks of dealing with financial penalties for non-participation in Medicare programs, including e-prescribing and the Physician Quality Reporting System.
ICD-10 opponents also cite to the industry's recent failure to comply with the January 1, 2012 deadline to comply with the transition to Version 5010, a HIPAA electronic transactions upgrade that is necessary to support ICD-10, as evidence that the industry is not ready for the ICD-10 change. In November 2011, CMS gave in to industry pressures to extend the 5010 compliance deadline an additional ninety days. It is undeniable that providers are already subject to tremendous demands under HIPAA and the HITECH Act, on top of Medicare cuts, which are placing significant financial stress and compliance burdens on the industry. It is not surprising that ICD-10 has met a lot of resistance from providers. However, it is no secret that providers and institutions are consistently successful lobbyists for their concerns and beliefs and it remains to be seen how CMS will proceed with the scheduled ICD-10 implementation and what compromises will be made.
Proponents of the ICD-10 system argue that the new coding system will create significant positive changes in the industry because it will help collect important data that will improve the quality of patient care, decrease costs, and collect statistics for medical research. CMS and the Center for Disease Control and Prevention believe that the new codes will create more accurate and exact descriptions of diagnoses and inpatient procedures, which will improve efforts to track care, detect emerging health issues and improve quality. A report from Deloitte, a consulting firm, reported that the increased size and scope of the ICD-10 codes is expected to provide potential benefits in cost and quality measurement, public health, research, and organizational monitoring and performance measurement. Whether a provider supports the change or not, Deloitte echoes the sentiment of many that advance planning is essential. Providers and institutions that have already invested time and money into the ICD-10 implementation are frustrated and upset by CMS's decision to "reexamine" the current compliance deadline. After all, no provider wants to see its large investment in the ICD-10 system put to waste.
The fact is that no one, perhaps even CMS and HHS, is certain about the date of the future ICD-10 implementation plan so perhaps the smartest choice for providers is to proceed with steps to continue the ICD-10 implementation. Considering the prospect of the financial disincentives attached with non-compliance, it seems like a risky choice for any provider to sit around and wait and see what may happen, especially when the ICD-10 implementation cannot happen overnight. There are providers that started the ICD-10 conversion process back in 2009 when it was first introduced and they still have not completed the task. Unfortunately for providers, the ICD-10 conversion requires time, manpower, training, testing with payers, and significant technological changes that will carry high administrative and financial costs. The Medical Group Management Association (MGMA), which opposes the ICD-10 implementation, estimates that it will cost a ten doctor practice more than $285,000 to convert to ICD-10, with software upgrades accounting for only $15,000 of that amount. According to the MGMA, the bulk amount would be for increases in claims queries, reductions in cash flow, and increased documentation time. What it comes down to is that if a provider wants to be paid for its services, noncompliance with ICD-10 is not an option. The risk for successful claims processing and receiving payments in a timely fashion is present, but adequate preparation and testing well before the compliance deadline is the best way to combat this significant risk.
One thing is certain – until HHS releases a new rule and schedule for ICD-10 implementation, opponents will continue to argue that the costs to adopt the new system are too high, the task too onerous, and the rewards too speculative to justify such an undertaking. Unless the industry comes together to find a solution for an easy transition, this could be a bumpy road until the ICD-10 transition is complete.
Medicare Payment, a System in Need of Fixing
Filed under: Medicare, Physicians
[Ed. Note: We are pleased to welcome Andy Braver, Esq. back to Health Reform Watch. Andy is a health care attorney who recently completed an LL.M in Health Law at Seton Hall Law. Prior to entering the LL.M. program, Andy spent five years as a healthcare provider, running a state of the art medical diagnostic imaging center. During that time, he dealt with many important health law issues faces by providers today, including Fraud and Abuse, Medicare and Medicaid licensing and reimbursement, state and private accreditation organizations, private payers, electronic health records, and HIPAA and other privacy issues, to name just a few.]
Medicare's fee for service payment system has many problems that need fixing. While recent studies have predicted that Accountable Care Organizations (ACOs) may very well achieve better care and lower costs, any savings generated as a result of these new groups of providers will be just a drop in the bucket solution to a vast problem.
Medicare was projected to spend over $500 billion on patient care in 2010. Notwithstanding the fact that the White House Office of Management and Budget believes $36 billion of the Medicare and Medicare Advantage payments made in 2009 were improper.
The problem is, there is no distinction made for the provision of quality medical care. Conversely, there is no check in the system to make sure that the care provided is inadequate. If you provide the service, you get paid.
I realize that in many areas of medicine, it is difficult or even impossible to create a system to accurately and impartially judge the adequacy of care provided. How in fact do you measure the 'quality' of healthcare? Do you look at the structure of an entity, its organization and ability to provide what is generally regarded as good care? Or do you look at the actual process or provision care, measuring relative malpractice claims among other objective factors? Many believe that better outcomes suggest better care. While I do not believe that outcome or evidence based medicine is the answer to every problem, it certainly can be a solution to some of these challenges.
There are differences in the Medicare program based on geography, and local coverage determinations and reimbursement rates, whether using the PPS or RVU systems (Part A & B), vary greatly across the country. That part of the system makes sense by taking into account cost of living, cost of employment, property costs, and local tax rates.
In my mind, however, these processes fail because they do not further take into account advances in technology, or reward investment in the future. For example, Medicare pays the same amount of money for an MRI exam regardless of the type of machine that was used to take the picture, and without a thought given to the type of storage system employed by the medical provider. Imagine a facility with a two decade old system, state licensed and able to take pictures, with a machine equivalent to the first generation digital camera I owned 15 years ago, and printed pictures that are stored in a file room. Then imagine a state of the art facility with an HD camera taking high resolution digital pictures, stored in an electronic file system, in a format that is able to be sent electronically to specialists all around the country (or world), and accessed by the patient quickly and securely on the internet. Are those two pictures worth the same to Medicare? There certainly is increased value to the patient in the 'new' system. Better picture quality undoubtedly leads to better diagnostic capability (better medicine), and fewer picture redos over time; long-term storage and record portability is certainly going to lower future treatment costs if the issue is a chronic one. HITECH and the new EHR incentive programs recognize the importance of electronic medical records, but it remains to be seen how those requirements will affect licensing and reimbursement rates. Will there be a license ranking and a tiered payment system based on perceived quality or outcome?
I certainly hope that payments are tiered when advanced technology is used, but not according to self-assessment rankings and quality benchmarks. I would argue that medicine is the one area where any kind of ranking and result (or outcome) based assessment is virtually impossible. People are not cars, and JD Power cannot provide meaningful answers when it comes to medicine; there is no way to objectively determine a specific course of treatment for a particular patient is better at one hospital versus another. No two patients are the same, though it is entirely possible they might both drive the same car. Determining quality in healthcare is exceedingly difficult. Patient bases are different, whether because of socio-economic reasons, or geography. So do you then look to the education of the physician to determine quality? We don't do the same for lawyers? Or do we? Do you look at healthcare structure (how an entity is organized, its equipment, etc…) to determine quality? Or process (the # of lawsuits against it, for example)? Better outcomes alone do not mean better healthcare, and none of these items taken alone should affect licensing of healthcare providers. In the end, this highlights the fact that designing a system that is fair and without major flaws may never be possible with so much money in the system and with so many parties having opposed interests. But that doesn't mean we shouldn't try to fix the expensive and broken (the status quo is unsustainable), it just means that attainable reform could very well mean significantly less unfairness and less major flaws. Because ultimately, in this context, the perfect may be the enemy of the good.
Physician Payment Sunshine Act Proposed Regulations Out
Filed under: Bioethics, Drugs & Devices, Transparency
CMS has published proposed rules for its implementation of the Physician Payment Sunshine Act (SUNSHINE ACT or Act), which was enacted by Congress as part of the 2010 Patient Protection and Affordable Care Act. In short, the SUNSHINE ACT requires life science companies to report annually to CMS their conferral of anything of value, whether it be payment for services or a dinner, in connection with a particular product of the paying company. By requiring CMS to post the information on its website, the Act seeks to ensure that interested patients become aware of physicians' conflicts of interest that could affect their prescription of a branded drug or choice of a specific medical device.
The SUNSHINE ACT represents another example of the transparency movement, which has had varying degrees of success in either changing the behavior of the parties subject to disclosure, and/or enabling consumers to make better decisions based upon their access to the disclosed information. It is likely that the SUNSHINE ACT will impact physicians and manufacturers' behavior more than it will enlighten consumers about conflicts of interest. Some physicians will simply conclude that accepting certain gifts or benefits from pharmaceutical or medical device companies isn't worth having their names on the CMS website. Some companies have already discovered that they haven't necessarily reaped the value of the costs of gifting many physicians, or that the cost of recording certain activities simply isn't worth the return on investment. Unquestionably, certain transactions will continue to be valuable to both physician and company, and will continue.
It is unlikely that most patients will access the information either before or after a physician visit, or know what to do with the information even if they discover that their physician has an equity interest in the knee she plans to use in next week's surgery – does such a close relationship with the knee manufacturer signal that the physician is great, or that something nefarious is going on? The information is likely to be used by consumer watchdog groups, as well as hospital formulary committees and medical school deans interested in knowing the sources and amounts of outside income being earned by faculty. Divorce attorneys are likely to find the information useful if their client's soon-to-be ex-spouse hasn't reported significant pharma consulting fees as income.
CMS rulemaking is behind schedule, thereby delaying the SUNSHINE ACT's implementation. It is likely, however, that the ultimate rules will still require that 2012 data be submitted, even if not by the deadline originally contemplated by Congress.
The statute requires manufacturers of drugs, devices, biological or medical supplies covered by Medicare, Medicaid or the Children's Health Insurance Program (CHIP) ("applicable manufacturers") to report annually to HHS payments or transfers of value to physicians and teaching hospitals ("covered recipients"). Failure to comply will result in Civil Monetary Penalties. HHS, in turn, must publish this information on a public web site which is searchable, downloadable and able to be aggregated. Compliance with the SUNSHINE ACT's reporting requirements does not exempt applicable manufacturers from application of fraud, waste and abuse laws.
Applicable Manufacturer
The proposed rule merges the SUNSHINE ACT definition of "manufacturer of a covered drug, device, biological, or medical supply"[1] with the statutory section clarifying that the entity covered by the SUNSHINE ACT must be "operating in the United States, or in a territory, possession, or commonwealth of the United States"[2] to define applicable manufacturer as one
(1) Engaged in the production, preparation, propagation, compounding, or conversion of a covered drug, device, biological, or medical supply for sale or distribution in the United States, or in a territory, possession, or commonwealth of the United States; or
(2) Under common ownership with an entity in paragraph (1) of this definition, which provides assistance or support to such entity with respect to the production, preparation, propagation, compounding, conversion, marketing, promotion, sale, or distribution of a covered drug, device, biological, or medical supply for the sale or distribution in the United States, or in a territory, possession, or commonwealth of the United States.
The operative activity that invokes statutory coverage, then, is sale of a product in the United States, as opposed to where the product is produced, or where the entity is located or incorporated. Pursuant to the rationale that risks inhere in conflicts of interest irrespective of where the manufacturer is located if the product is sold in the United States, any entity under common ownership with the manufacturer that is involved in the production, distribution or sale of at least one covered product in the United States must report all payments and conferral of value upon covered recipients. Further, as proposed, the product sponsor (i.e., the entity that obtained FDA approval) is subject to the reporting requirement, even if the sponsor is not involved in the manufacture of the covered product. CMS is considering alternative interpretations of the common ownership concept.
Covered Drug, Device, Biological, or Medical Supply ("covered product")
The SUNSHINE ACT focuses upon those products for which Medicare, Medicaid and CHIP pay. This is relatively straightforward in many contexts, but CMS seeks to ensure that it captures situations where such products are part of a composite rate payment, such as the inpatient or outpatient hospital reimbursement, or the end-stage renal disease prospective payment system. As such, CMS proposes to define "covered drug, device, biological, or medical supply" as:
Any drug, device, biological, or medical supply for which payment is available under Title XVIII of the Act or under a State plan under title XIX or XXI (or a waiver of such plan), either separately, as part of a fee schedule payment, or as part of a composite payment rate (for example, the hospital inpatient prospective payment system or the hospital outpatient prospective payment system). With respect to a drug or biological, this definition is limited to those drug and biological products that, by law, require a prescription to be dispensed. With respect to a device or medical supply, this definition is limited to those devices (including medical supplies) that, by law, require premarket approval by or premarket notification to the Food and Drug Administration.
CMS seeks comments on its plan to exclude from the scope of regulation those manufacturers who produce and sell only over the counter (OTC) products. More specifically, this exemption would not extend to a manufacturer who sells even one prescription product who is otherwise subject to the reporting requirements of the SUNSHINE ACT. Similarly, CMS seeks to interpret the SUNSHINE ACT to cover only those medical devices that require premarket approval, on the theory that this is the segment of the market most likely to have extensive provider relationships. If a device manufacturer produces a single product that requires pre-market approval, it would have to report all payments and conferrals of value to covered recipients.
Covered Recipients
The SUNSHINE ACT defines "covered recipients" as (1) a physician, other than a physician who is an employee of an applicable manufacturer; or (2) a teaching hospital. The term physician includes both doctors of medicine and osteopathy as well as podiatrists, optometrists and licensed chiropractors. CMS interprets the statute to include within its scope those who act on behalf of covered recipients. Teaching hospital is not defined by the statute; CMS seeks comments on its proposal to identify such entities by virtue of their receipt of Medicare graduate medical education funds. CMS will publish this list annually on its website for manufacturers' reference.
CMS plans to utilize the National Plan & Provider Enumeration System, which it maintains on its website, to collect the data regarding covered recipients required by the SUNSHINE ACT: covered recipient's name and business address, and, for physicians, the National Provider Identifier and specialty.
Payments or Other Transfers of Value
The report must also include the date, form (i.e., cash, stock, ownership interest), nature (i.e., education, research, consulting fees, food) and amount of payment, and the market name of the product associated with the payment. CMS continues to consider how to handle payments made to a single covered recipient related to multiple products. CMS seeks to generate data in a form most easily understood by consumers.
The statutory definition requires such conferrals to be reported irrespective of whether they were requested by the physician or hospital and includes those made by third parties as long as the applicable manufacturer knows the identity of the covered recipient. CMS proposes that payments made through a group practice be reported under the specific recipient physician's name. If a physician requests the conferral to be directed to another physician or entity, the manufacturer should report the conferral under the requesting physician's name as well as the name of the actual recipient.
Charitable contributions by an applicable manufacturer to, at the request of, or on behalf of a covered recipient are reportable.
The SUNSHINE ACT excludes from its reporting requirement the following payments:
- Transfers of value less than $10, unless the aggregated amount exceeds $100 in a calendar year
- Product samples not intended to be sold that are intended for patient use
- Educational materials that directly benefit patients or are intended for patient use
- The loan of a covered device for a period not to exceed 90 days, to permit evaluation
- Items or services provided under a contractual warranty
- A transfer of value or payment to a covered recipient when that person is receiving the conferral in his/her capacity as a patient
- Discounts, including rebates
- In-kind items used for the provision of charity care
- A dividend or profit distribution from ownership or investment interest in a publicly traded security or mutual fund
- Self-insurance payments to covered employees by an applicable manufacturer
- Non-medical services
- Transfers of value made by third parties where the applicable manufacturer is unaware of the identity of the covered individual
CMS will be moving rapidly to respond to comments and finalize these rules, which will likely involve changes from the discussion here. State laws that pre-date the Act are pre-empted to the extent that they require reporting of the same information, which leaves them the discretion to retain those reporting requirements that are not redundant. States seeking to impose as much of a burden on manufacturers as possible are likely to retain their individualized reporting requirements, others may find the costs not worth the benefits now that the feds have finally stepped in.
[1] Section 1128G(e)(9).
[2] Subsection (e)(2) further clarifies that the entity covered by the SUNSHINE ACT must be "operating in the United States, or in a territory, possession, or commonwealth of the United States."
Why Reduce Health Care Costs?
Filed under: Drug Pricing, Drugs & Devices, Health Reform, Hospitals, Medicare, Social Justice
One rare point of elite consensus is that the US needs to reduce health care costs. Frightening graphs expose America as a spendthrift outlier. Before he decamped to Citigroup, the President's OMB director warned about how important it was to "bend the cost curve." The President's opponents are even more passionate about austerity.
Journalists and academics support that political consensus. Andrew Sullivan calls health spending a "giant suck from the rest of the working economy." Gregg Bloche estimates that "the 30% of health care spending that's wasted on worthless care" is "about the price of the $700 billion mortgage bailout, squandered every year." He calls rising health spending an "existential challenge," menacing other "national priorities." Perhaps inspired by Children of the Corn, George Mason economist Robin Hanson compares modern medicine to a voracious brat:
King Solomon famously threatened to cut a disputed baby in half, to expose the fake mother who would permit such a thing. The debate over medicine today is like that baby, but with disputants who won't fall for Solomon's trick. The left says markets won't ensure everyone gets enough of the precious medical baby. The right says governments produce a much inferior baby. I say: cut the baby in half, dollar-wise, and throw half away! Our "precious" medical baby is in fact a vast monster filling our great temple, whose feeding starves our people and future. Half a monster is plenty.
But when you scratch the surface of these sentiments, you have to wonder: is the overall level of health care spending really the most important threat facing the country? Is it one of the most important threats? There are many ways to raise revenue to pay for rising health costs. Aspects of the Affordable Care Act, like ACOs and pilot projects, are designed to help root out unnecessary care.
I am happy to join the crusade against waste. But why focus on total health spending as particularly egregious or worrisome? Let's explore some of the usual rationales.
Terrible Tax Expenditures and Suspect Subsidies?
Employment-based insurance gets favorable tax treatment, and much Medicare and Medicaid spending is drawn from general revenues. So, the story goes, medicine's big spenders don't have enough "skin in the game." Once health and wealth are traded off at the personal level (as the Harvard Business School's Clayton Christensen advocates), people will be much less likely to demand so much care. Government can attend to other national priorities, or individuals will enjoy higher incomes and will be free to spend more.
I respect these arguments to a point, but I worry they partake of the "nirvana fallacy." If I could be certain that leviathan would repurpose all those wasted health care dollars on infrastructure, or green energy, or smart defense, or healthier agriculture, I'd be ready to end tax-advantaged health insurance in an instant. But I find it hard to imagine Washington going in any of these directions presently.
Giving tax dollars back to taxpayers also sounds great, until one processes exactly how unequal our income distribution is. In 2004, "the top 0.1% — that's one-tenth of one percent — had more combined pre-tax income than the poorest 120 million people." To the extent health-related taxes are cut, very wealthy households may see millions per year in income gains; the median household might enjoy thousands of dollars per year. Sure, middle income families will find important uses for those funds (other than bidding up the price of housing and education). But at what price? What if the insurance systems start collapsing without subsidies, and more physicians (who are already expressing a desire to work less) start seeking out pure cash practices? A few interactions with the the very wealthy may be far more lucrative than dozens of ordinary appointments.
Consider the math: billing a $20,000 retainer from each of 50 millionaires annually may be a lot more attractive to physicians than trying to wrangle up 500 patients paying $2000 each—or, worse, getting the money from their insurers. There are about 10 million millionaires in the US; that's a lot of buying power. One $10,000 score by a cosmetic dentist from such a client could be worth 400 visits from Medicaid patients seeking diagnostic procedures. Providers are voting with their feet, and a Medicaid card is already on its way to becoming a "useless piece of plastic" for many patients. Given those trends, simply reducing health care "purchasing power" generally risks some very troubling outcomes for the very people the health care cost cutters claim to protect. No one should welcome a health care plutonomy, where the richest 5% consume 35% of services, regardless of how sick they are.
Is Anyone Underpaid in Health Care?
Health commentators rightly draw attention to big insurer CEO paydays. Top layers of management at hospitals and pharma firms are also getting scrutiny. Wonks are up in arms about specialist pay. Read more


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Nev Schulman
Remember 2010′s Catfish? The documentary film followed the story of Nev Schulman who met what he thought was his dream girl on Facebook. He had an intense seven month online relationship with her only to eventually discover that everything about her online identity had been a complete and elaborate fabrication. As it was described (charitably) by an interviewee in the documentary, she was a "catfish," someone who keeps you on your toes and keeps you guessing.
The film was a big hit on the festival circuit, even though some viewers were suspicious that parts of it had been staged to heighten the drama. Regardless, the story resonated with a lot of people because misrepresenting one's self online is becoming an increasing phenomenon.
In fact, right here on AfterElton we've had several instances of very active members, people we felt we came to know well online, who turned out to be totally fictional creations. The troubled gay teen is actually a Minnesota housewife; the hunky gay Scottish cabler who befriended dozens of people on the site and then tragically "died" in a car accident – only it turns out he never really existed.
Do you truly know your online buddies? And are you really the person you represent yourself to be online?
Interesting questions and MTV aims to explore them with a new reality series. It's also named Catfish, and the adorable Nev Schulman will be traveling the country interviewing people who have misrepresented themselves in an online relationship and want to set things right.
I bring it up now because they are currently in the process of casting for this project and the producers reached out specifically to AfterElton to see if any of our readers might have a personal "catfish" story of their own they'd like to share.
- Do you spend hours talking or texting with someone you met online? Are you afraid to meet them because you haven't been completely honest?
- Are you in a long distance relationship with someone you've never actually met in person? Have you been holding something back from them…or have a secret you need to tell them?
- Are you using a fake profile on Facebook, Tumblr, Twitter, Plenty of Fish or some other site? Has someone fallen for your online alter-ego?
- Do you keep making excuses for not meeting in person because you have something you're avoiding telling them? Are you afraid they won't accept you for who you really are?
- Do you have a talent for creating believable online alter-ego's but have gotten in too deep?
- Are you currently using another online identity to get to know someone you have a crush on or…to keep track of an ex, a former friend, or someone who your ex left you for?
- Do you need help figuring out the best way to finally tell them the truth? Are you looking for a safe way to explain yourself and reveal the real you?
If any of these apply to you then the producers of MTV's Catfish would love to hear more about your story. The link below will take you to an online casting application. We'd love to see an AfterElton member make it on the show, so give it some consideration!
- MUST be between the ages of 18 and 30
- MUST have never met in person
- MUST live within the U.S. or Canada


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Tag Results
5 posts tagged Brooklyn
5 posts tagged Brooklyn
Nardwuar vs. Fabolous
Nardwuar interviews Fabolous in Vancouver, BC Canada http://www.twitter.com/nardwuar
Watch Nardwuar vs. Pharrell (2013) http://bit.ly/YA7lGp
Watch Nardwuar vs. The ATL Twins http://bit.ly/ATLtwins_nardwuar
More Nardwuar interviews here: http://bit.ly/Nardwuar_Playlist
StereoTypes - Mama Said You Knock Out
Does race matter when it comes to punishing the kids? Ryan Hall mixes it up and asks the question, "Spare the rod, spoil the child"?
StereoTypes - Hit It And Quit It
Are you down with a one night stand?
Host Ryan Hall penetrates those in's and out's that makes people desire those screams and shouts.
StereoTypes - A Woman's World?
Pharrell Williams and StereoTypes host Ryan Hall speak to men and women on the street about what a woman's role is in today's society and in politics. One woman goes toe-to-toe with Pharrell.
OTHERS by Hypebeast - DJ A-Trak of Fool's Gold Records
Brooklyn-based DJ, producer, record label and store owner A-Trak talks about growing his misfit brand Fool's Gold Records into a creative empire.
Watch more Hypebeast here: http://bit.ly/OTHERSbyHypebeast


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Gail Wilson Duggan Rabbit, Wheel Barrow, Basket Kits
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Sold Date: 12/24/2006
Channel: Online Auction
Source: eBay
Gail Wilson Duggan made many types of kits, the rabbit patch was one of the many. This display from my store in Woodstock, NY held the Rabbits, Wheel Barrel, and basket.This kit The Rabbit Patch has patterns and material to make two rabbits with cloths and clog shoes and a basket full of carrots. Scond kit makes a wheel barrow and the third a small basket. all three kits for one priceThe paint in wheel barrow kit may not be liquid. any acrylic paint can be used.
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The wagon rolled off the assembly line in salmon (pink) with the proper interior trim. Nope, you just don't paint a mean ol' thumpin' hot rod pink. With this in mind Alloway opened up the wide array of colors at his disposal—black. While the crew at Alloway's labored away on the bodywork the application of the PPG black to the body, Cloud White to the roof was applied by Bobby himself and fellow shop member Scotty Troutman.
Inside the body the majority of the flooring was kept stock with the exception of moving the driveshaft tunnel up and the widening of the wheel tubs via a 2-inch band to accommodate the 20x10 wheels. On the subject of wheels … and tires, Billet Specialties manufactures the ET-style slugs exclusively for Alloway's. The fronts are 17x7 and the rears are 20x10. Michelin 225/55R17 rubber is used in front, and 275/55R20 are used in the rear.
When asked what was the most challenging part of the build, we envisioned a number of responses but never did we think we would hear what Bobby uttered. "The roof." (Bobby is a man of few words!) For those familiar with stock mid-'50s Ranch Wagons you will know the term "bubble look" when referring to the roof. Bobby wanted to remove this visual and give the roofline a cleaner more pleasing appearance so between his shop and the Barillaro's the roof saga begins. First step was to cut 2 inches (the bubble) out of the roof skin and then weld up the top. There, it's finished. Well, not quite. Turns out Bobby didn't like that look either. Second step was to remove the newly massaged top and replace it with a '65 Plymouth roof from a four-door wagon—and turn it around. Yep, what was once pointed forward is now pointed backward! The end result is a pleasant and sleek looking line to the roof.
The grille is stock but straightened and dipped in fresh chrome at Dan's Polishing in Adamsville, Tennessee. Other stock items retained were the front and rear bumpers but all the bolts and studs were removed and smoothed over along with the factory headlight buckets now running modern sealed beams and followed up with OEM taillights nestled within new chrome trim. Other sheetmetal that was modified were the firewall and inner fender panels handled at Alloway's and Barillaro Speed Emporium.
Inside the wagon the factory dash was retained but the radio and air control holes were filled. In place new vent holes were drilled for the Vintage Air A/C and heat system and Classic Instruments gauges grace the OEM cluster. Other dashboard appointments include the ididit tilt column topped with a Lecarra wheel. The pair of '63 Ford Galaxie bucket seats are stitched in black leather by Steve Holcomb of Pro Auto Custom Interiors in Halls, Tennessee. They also handled the black Daytona weave carpeting over liberal amounts of Dynamat insulation. Several of the custom interior appointments include the door panels with billet trim, the center console that houses the modified Lokar shifter, and the Alloway shop–fabricated rear bench covered again in black leather.
It's a shop truck, albeit a very nice one but one suitable to take to a rod run and show off your shops talent as well as chase parts.


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This story by Thomas Mucha originally appeared in GlobalPost.
As Toyota careened from one recall crisis to the next, the contrast was almost funny.
In one corner, we had pure Kabuki theater — a highly-stylized corporate drama playing out on the world stage.
At a hastily-called news conference in Nagoya on Feb. 5, Akio Toyoda — Toyota president and grandson of the company's legendary founder Kiichiro Toyoda — bowed deeply in remorse before a gaggle of Japanese photographers. He then, dutifully, uttered phrases like "personal responsibility," "deeply regretted," and "very sorry."
Finally, Toyoda announced a new "taskforce" under his control to look into quality problems, and skedaddled.
It was everything you'd expect from a Japanese mea culpa (minus the ritual suicide) — stoic, very public and, of course, entirely predictable.


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Tattoo specialists and tattoo wearers share the pros, cons and costs on what you need to know before you get laser tattoo removal treatments.
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Your Vegansaurus November 2012 ballot measure voting guide! »
Have you voted yet? There aren't a ton of animal- or food-related measures on the ballots this year; still, it is important to vote. It's not always easy or clear, but we have to make an effort.
We used Ballotpedia to research the propositions, just like last time, but for further information you can check your local secretary of state's site, or your preferred nonprofit political group's voting guide (i.e., Vote411 from the League of Women Voters). Because this is Vegansaurus, we're limiting our guide to animal-related issues.
Alabama: Amendment 1 - YES—maybe!
Why: We don't understand the complexities of the Forever Wild Land Trust, but it seems good, and the World Wildlife Fund is for it. Alabamans who know more about the FWLT should opine.
Arizona: Prop. 120 - NO!
Why: Arizona appears to be full of jerks who think they can do whatever they want to anyone and anything within their borders, just because they're Arizonans. This could undermine all kinds of federal protections on public lands, including those on wildlife. Shades of Prop. 109, eh guys? Quit being stupid jerks already.
California: Prop. 37 - YES—maybe!
Why: Honestly, there are good arguments for and against Prop. 37, but ultimately we are really uncomfortable voting in agreement with Monsanto, so, provisional yes.
Idaho: HJR 2 - NO!
Why: This amendment "forever preserve[s]" the right to "hunt, fish, and trap" in Idaho, which makes it immediately gross to us, but it would also make it more difficult both to protect the populations of the animals being hunted, fished, and trapped, and to conserve other wildlife.
Kentucky: House Bill 1 - NO!
Why: Again, guys, "mandat[ing] that hunting and fishing should never be outlawed in the state without the vote of the people" isn't going to make there be more animals to hunt and fish.
Maine: Question 3 - YES!
Why: It appears to make it easier to buy land for protection and preservation by the state? Save the land and its wildlife!
Nebraska: Amendment 2 - NO!
Why: For the billionth time, amending a state constitution to protect your residents' right to hunt forever and ever is ridiculous pandering to hunters. Also, "stat[ing] that public hunting, fishing, and harvesting of wildlife shall be a preferred means of managing and controlling wildlife" rubs us the wrong way. You gonna take up hunting cats to reduce feral populations, too? Gross.
Mountain Lion Hunting Permit Measure - NO!
Why: It sets up a fee-based lottery for mountain lion hunting permits, without limiting the number of permits or specifying recipients of the money raised by the lottery tickets. Also, we hate hunting.
North Dakota: Measure 3 - NO!
Why: It "calls for a constitutional amendment that would block any law 'which abridges the right of farmers and ranchers to employ agricultural technology, modern livestock production and ranching practices.'" In other words, it is a big Fuck You to any future farm animal protection legislation, through the state or federal government. This is because North Dakota is afraid of the Humane Society.
Measure 5 - YES!
Why: No, it doesn't extend its protections far enough regarding the animals or the abuse, but it is far better than the law now. Plus it is supported by adorable North Dakotan animals, which is a weak reason, but still valid.
Oregon: Measure 81 - YES!
Why: If you're going to allow fishing, better make it harder to overfish. Honestly, Oregon, are you looking to fish wild salmon to extinction?
Wyoming: Constitutional Amendment B - NO!
Why: This is the fourth HUNTING FOR ALL FOREVER ballot measure in this election (just like 2010!), which we find pretty gross. What are you hunters so afraid of, that you think you have to amend your state constitution to protect your right to kill (mostly) wild animals? This type of legislation is a slap in the face of every citizen without equal rights. How dare you put the rights of animal-killers ahead of any other human being? You're all fucking jerks.
Good luck, compatriots! Please, get out there and vote!
[Photo by Jocelyn Augustino for Obama for America via Flickr]
∞ posted at 05:28 by seriousmeaveness
Hey, animal-rights advocates in North Dakota! Here is some news you can use!
North Dakota Pets Rally to Fight Animal Cruelty
There are only two states in the U.S. that don't recognize animal cruelty as a serious crime: North and South Dakota. A measure on the ballot this November seeks to change that in North Dakota.
Pets of all stripes have come out in support of Measure 5, which would make extreme animal cruelty to dogs, cats and horses a felony in the state.
If your pet supports this measure, you can upload his pic here.
Get it together, North Dakota. South Dakota is the superior Dakota by dint of Mount Rushmore alone; by protecting your pets, you can achieve the higher status your geographical location would seem to warrant!
If you don't believe us, trust the endorsements Measure 5 has received by organizations you love, like HSUS, Best Friends Animal Society, and the Animal Legal Defense Fund. And if you don't care about them, care about these 100 percent adorable animals who are all about protecting their brethren and sistren. Yes on 5, North Dakotans!
∞ posted at 13:59 by seriousmeaveness


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Fostoria Colony crystal Punch Bowl Set.....Large...
Fostoria Colony crystal Punch Bowl Set.....Large...
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Sold Date: 04/05/2008
Channel: Online Auction
Source: eBay
Category: Glass
You are bidding on a Fostoria Colony Punch bowl set that is marked crystal. It is still in the original box. This is large and heavy. The base plate is 22 inches across and weighs almost 14 pounds. The Bowl is 14 inches across and 8 inches deep. It is 1/2 inch thick and weighs almost 14 pounds also. By the time it is packed with the cups it will weigh about 33 lbs. The pattern is pinwheel and stars. thanks for looking..chuck... oh and it is all clear crystal...the pictures look a little off is all.... no chips or cracks either..chuck
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Road Work Ends for ElkFest Weekend
Jackson state highway officials are planning to have West Broadway completely clear in time for ElkFest this year. Jackson Hole Daily says painting and stripping crews have been working on the 5-way intersection causing traffic on Broadway and Snow King Avenue. Teton county resident engineer for the Wyoming Department of Transportation Bob Hammond says they should be off the road by Saturday morning