text:
Chronic Obstructive Pulmonary Disease is a long term condition in which the lungs no longer function as well as they should. By far the most common cause is smoking, and although this condition cannot be cured there are various things that can be done to control the symptoms and reduce the impact it has on you, and we know that it's never too late to stop smoking to improve the future course of the condition.
Here at My Clinical Coach our Health Coaches are experienced nurse clinicians who regularly work with and support patients with COPD through clinical health coaching.
They truly understand the impact it has on everyday life - physically, socially and emotionally. They are experts at coaching patients through the challenges of living with COPD, and will help you to better understand your medications, know what you can and can't do, and explore with you much more than just the medical aspects of COPD.
They will help you to understand and overcome your anxieties and the barriers to you living a fuller life despite COPD, and through holistic, personal and thorough coaching they'll help you to become confident and skilled at managing the condition yourself, so that it becomes just a part of your everyday life, rather than something which dominates it.
We'll explore with you, for example, how good nutrition, relaxation, exercise and improved breathing methods can all influence COPD and we'll encourage you to create positive lifestyle changes that will result in more energy, increased confidence and overall improvements in your physical and mental health.
My Clinical Coach, is delighted to reveal it is one of the founding members of the British Lung Foundation's pioneering new Living Well Alliance. The scheme, launched this week, enables the charity's three million website users, Breathe Easy group members and helpline callers to make informed choices in accessing specialist support to manage their lung conditions.
At MyClinicalCoach our aim is to support you by:
We want to help you to enjoy as full a life as possible, and through our holistic clinical halth coaching we'll empower you to be in control, confident, independent and as healthy as possible despite living with COPD.
Join today and get your first two months of clinical health coaching FREE!
For further information watch our "breathing exercise" video:
Content on this page was last reviewed by a clinical lead on Sep 5, 2016. Next review in Sep 2017 (unless national guidelines are updated, and then the page will be updated as necessary).
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What is this Privacy Policy for?
This privacy policy is for this website [www.myclincalcoach.com] and served by My Clinical Coach, owned by Totally Health and governs the privacy of its users who choose to use it.
The policy sets out the different areas where user privacy is concerned and outlines the obligations & requirements of the users, the website and website owners. Furthermore the way this website processes, stores and protects user data and information will also be detailed within this policy.
The Website
This website and its owners take a proactive approach to user privacy and ensure the necessary steps are taken to protect the privacy of its users throughout their visiting experience. This website complies to all UK national laws and requirements for user privacy.
Use of Cookies
This website uses cookies to better the users experience while visiting the website. Where applicable this website uses a cookie control system allowing the user on their first visit to the website to allow or disallow the use of cookies on their computer / device. This complies with recent legislation requirements for websites to obtain explicit consent from users before leaving behind or reading files such as cookies on a user's computer / device.
Cookies are small files saved to the user's computers hard drive that track, save and store information about the user's interactions and usage of the website. This allows the website, through its server to provide the users with a tailored experience within this website.
Users are advised that if they wish to deny the use and saving of cookies from this website on to their computers hard drive they should take necessary steps within their web browsers security settings to block all cookies from this website and its external serving vendors.
This website uses tracking software to monitor it's visitors to better understand how they use it. This software is provided by Google Analytics which uses cookies to track visitor usage. The software will save a cookie to your computer's hard drive in order to track and monitor your engagement and usage of the website but will not store, save or collect personal information. You can read Google's privacy policy here for further information [ http://www.google.com/privacy.html].
Other cookies may be stored to your computer's hard drive by external vendors when this website uses referral programs, sponsored links or adverts. Such cookies are used for conversion and referral tracking and typically expire after 30 days, though some may take longer. No personal information is stored, saved or collected.
Contact & Communication
Users contacting this website and/or its owners do so at their own discretion and provide any such personal details requested at their own risk. Your personal information is kept private and stored securely until a time it is no longer required or has no use, as detailed in the Data Protection Act 1998. Every effort has been made to ensure a safe and secure form to email submission process but advise users using such form to email processes that they do so at their own risk.
This website and its owners use any information submitted to provide you with further information about the products / services they offer or to assist you in answering any questions or queries you may have submitted. This includes using your details to subscribe you to any email newsletter program the website operates but only if this was made clear to you and your express permission was granted when submitting any form to email process. Or whereby you the consumer have previously purchased from or enquired about purchasing from the company a product or service that the email newsletter relates to. This is by no means an entire list of your user rights in regard to receiving email marketing material. Your details are not passed on to any third parties.
Email Newsletter
This website operates an email newsletter program, used to inform subscribers about products and services supplied by this website. Users can subscribe through an online automated process should they wish to do so but do so at their own discretion. Some subscriptions may be manually processed through prior written agreement with the user.
Subscriptions are taken in compliance with UK Spam Laws detailed in the Privacy and Electronic Communications Regulations 2003. All personal details relating to subscriptions are held securely and in accordance with the Data Protection Act 1998. No personal details are passed on to third parties nor shared with companies / people outside of the company that operates this website. Under the Data Protection Act 1998 you may request a copy of personal information held about you by this website's email newsletter program. A small fee will be payable. If you would like a copy of the information held on you please write to the business address at the bottom of this policy.
Email marketing campaigns published by this website or its owners may contain tracking facilities within the actual email. Subscriber activity is tracked and stored in a database for future analysis and evaluation. Such tracked activity may include; the opening of emails, forwarding of emails, the clicking of links within the email content, times, dates and frequency of activity.
This information is used to refine future email campaigns and supply the user with more relevant content based around their activity.
In compliance with UK Spam Laws and the Privacy and Electronic Communications Regulations 2003 subscribers are given the opportunity to un-subscribe at any time through an automated system. This process is detailed at the footer of each email campaign. If an automated un-subscription system is unavailable clear instructions on how to un-subscribe will by detailed instead.
External Links
Although this website only looks to include quality, safe and relevant external links users should always adopt a policy of caution before clicking any external web links mentioned throughout this website.
The owners of this website cannot guarantee or verify the contents of any externally linked website despite their best efforts. Users should therefore note they click on external links at their own risk and this website and it's owners cannot be held liable for any damages or implications caused by visiting any external links mentioned.
Adverts and Sponsored Links
This website may contain sponsored links and adverts. These will typically be served through our advertising partners, to whom may have detailed privacy policies relating directly to the adverts they serve.
Clicking on any such adverts will send you to the advertiser's website through a referral program which may use cookies and will tracks the number of referrals sent from this website. This may include the use of cookies which may in turn be saved on your computer's hard drive. Users should therefore note they click on sponsored external links at their own risk and this website and its owners cannot be held liable for any damages or implications caused by visiting any external links mentioned.
Social Media Platforms
Communication, engagement and actions taken through external social media platforms that this website and it's owners participate on are custom to the terms and conditions as well as the privacy policies held with each social media platform respectively.
Users are advised to use social media platforms wisely and communicate / engage upon them with due care and caution in regard to their own privacy and personal details. This website nor its owners will ever ask for personal or sensitive information through social media platforms and encourage users wishing to discuss sensitive details to contact them through primary communication channels such as by telephone or email.
This website may use social sharing buttons which help share web content directly from web pages to the social media platform in question. Users are advised before using such social sharing buttons that they do so at their own discretion and note that the social media platform may track and save your request to share a web page respectively through your social media platform account.
Shortened Links in Social Media
This website and its owners through their social media platform accounts may share web links to relevant web pages. By default some social media platforms shorten lengthy url's [web addresses] (this is an example: http://bit.ly/zyVUBo).
Users are advised to take caution and good judgement before clicking any shortened url's published on social media platforms by this website and it's owners. Despite the best efforts to ensure only genuine url's are published many social media platforms are prone to spam and hacking and therefore this website and it's owners cannot be held liable for any damages or implications caused by visiting any shortened links.
1. These Terms
1.1 What these terms cover. We supply telephone health coaching consultation services ("Services"), of which a full list and description can be found on our website. These are the terms and conditions on which we will supply the Services to you, as part of the option you have selected or what we have advised is the best option for your individual circumstances.
1.2 Why you should read them. Please read these terms carefully before you submit your order to us. These terms tell you who we are, how we will provide Services to you, how you and we may change or end the contract, what to do if there is a problem and other important information.
2. Information About Us and How to Contact Us
2.1 Who we are. We are My Clinical Coach (part of Totally PLC) a company registered in England and Wales. Our company registration number is 10066573 and our registered office is at Hamilton House, Mabledon Place, London, WC1H. Our registered VAT number is 749723004.
2.2 How to contact us. You can contact us by telephoning our customer service team at 0333 004 0043 or by writing to us at firstname.lastname@example.com and City View House, 5 Union St, Manchester M12 4JD or by completing our Contact Us Form on our website at http://www.myclinicalcoach.com/contact/contact.aspx.
2.3 How we may contact you. If we have to contact you we will do so by telephone or by writing to you at the email address or postal address you provided to us when you subscribed to My Clinical Coach.
2.4 "Writing" includes emails. When we use the words "writing" or "written" in these terms, this includes emails.
3. Our Contract with You
3.1 How we will accept your order. Our acceptance of your order will take place when we email you to accept it, at which point a contract will come into existence between you and us.
3.2 If we cannot accept your order. If we are unable to accept your order, we will inform you of this in writing and will not charge you for the Services. This might be because of unexpected limits on our resources which we could not reasonably plan for, because a credit reference we have obtained for you does not meet our minimum requirements, because we have identified an error in the price or description of the Services.
3.3 Your order number. We will assign an order number to your order and tell you what it is when we accept your order. It will help us if you can tell us the order number whenever you contact us about your order.
3.4 We currently only sell to UK citizens from any address in the world. Our website is solely for the promotion of our Services in the UK and abroad.
4. Your Rights to Make Changes
If you wish to make a change to the Services you have ordered please contact us. We will let you know if the change is possible. If it is possible we will let you know about any changes to the price of the Services, the timing of supply or anything else which would be necessary as a result of your requested change and ask you to confirm whether you wish to go ahead with the change. If we cannot make the change or the consequences of making the change are unacceptable to you, you may want to end the contract (see clause 7- Your rights to end the contract).
5. Our Rights to Make Changes
5.1 Minor changes to the Services. We may change the Services:
(a) to reflect changes in relevant laws and regulatory requirements; and
(b) to implement minor technical adjustments and improvements, for example to address a security threat. These changes will not affect your use of the Services.
5.2 More significant changes to the Services and these terms. In addition, we may make the following changes to these terms or the product, but if we do so we will notify you and you may then contact us to end the contract before the changes take effect and receive a refund for any Services paid for but not received:
(a) For example, a change in health coach in the event of long term illness or leaving My Clinical Coach.
6. Providing The Services
6.1 When we will provide the Services. We will provide the Regular Services between 0900 to 1700 (Monday to Friday) or 0900 to 2100 (Monday to Friday) and 1000 to 1400 on Saturday. Each option is charged a different amount and during the order process you will be asked to select which Service you want. When we accept your order we will let you know when we will start to provide the Services to you.
6.2 A full clinical health coaching programme will run for 12 months, though you have a right to cancel at any time during the 12 month period. At the end of the 12 months, you have the option to remain in the Services for a further 6 months in a step-down coaching programme.
6.3 We will supply the Services to you until either the Services are completed or the subscription expires (if applicable) or you end the contract as described in clause 7 or we end the contract by written notice to you as described in clause 9.
6.4 All calls to and from My Clinical Coach are recorded and may be monitored for quality control purposes.
6.5 We are not responsible for delays outside our control. If our supply of the Services is delayed by an event outside our control then we will contact you as soon as possible to let you know and we will take steps to minimise the effect of the delay. Provided we do this we will not be liable for delays caused by the event, but if there is a risk of substantial delay you may contact us to end the contract and receive a refund for any Services you have paid for but not received.
6.6 What will happen if you do not give required information to us. We will need certain information from you so that we can supply the Services to you, for example, the best phone number to contact you on, email address, details of health issues, pre-existing conditions or concerns affecting your wellness. This will have been stated in the description of the Services on our website and the enrolment form you will be asked to complete as part of the order process. If you do not give us this information within a reasonable time of us asking for it, or if you give us incomplete or incorrect information, we may either end the contract (and clause 9.2 will apply) or make an additional charge of a reasonable sum to compensate us for any extra work that is required as a result. We will not be responsible for supplying the Services late or not supplying any part of them if this is caused by you not giving us the information we need within a reasonable time of us asking for it.
6.7 Reasons we may suspend the supply of Services to you. We may have to suspend the supply of a product to:
(a) deal with technical problems or make minor technical changes;
(b) update the product to reflect changes in relevant laws and regulatory requirements;
(c) make changes to the product as requested by you or notified by us to you (see clause 5).
6.8 Your rights if we suspend the supply of Services. We will contact you in advance to tell you we will be suspending supply of the service, unless the problem is urgent or an emergency. If we have to suspend the Services for longer than 1 months in any 12 month period, we will adjust the price so that you do not pay for Services while they are suspended. You may contact us to end the contract for Services if we suspend it, or tell you we are going to suspend it, in each case for a period of more than 2 months and we will refund any sums you have paid in advance for the Services in respect of the period after you end the contract.
6.9 We may also suspend supply of the products if you do not pay. If you do not pay us for the products when you are supposed to (see clause 11.4) and you still do not make payment within 14 days of us reminding you that payment is due, we may suspend supply of the Services until you have paid us the outstanding amounts. We will contact you to tell you we are suspending supply of the products. We will not suspend the products where you dispute the unpaid invoice (see clause 11.6). We will not charge you for the Services during the period for which they are suspended. As well as suspending the Services we can also charge you interest on your overdue payments (see clause11.5).
7. Your Rights to End the Contract
7.1 You can always end your contract with us. Your rights when you end the contract will depend on the Services, whether there is anything wrong with them, how we are performing and when you decide to end the contract:
(a) If what you have bought is misdescribed you may have a legal right to end the contract (or a service re-performed or to get some or all of your money back), see clause 10;
(b) If you want to end the contract because of something we have done or have told you we are going to do, see clause 7.2;
(c) If you have just changed your mind about the Services, see clause 7.3; You may be able to get a refund if you are within the cooling-off period, but this may be subject to reasonable deductions;
(d) In all other cases (if we are not at fault and there is no right to change your mind), see clause 7.6.
7.2 Ending the contract because of something we have done or are going to do. If you are ending a contract for a reason set out at (a) to (e) below the contract will end immediately and we will refund you in full for any Services which have not been provided. The reasons are:
(a) we have told you about an upcoming change to the Services or these terms which you do not agree to (see clause 5.2);
(b) we have told you about an error in the price or description of the Services you have ordered and you do not wish to proceed;
(c) there is a risk that supply of the Services may be significantly delayed because of events outside our control;
(d) we have suspended supply of the Services for technical reasons, or notify you we are going to suspend them for technical reasons, in each case for a period of more than 1 months in any 12 month period; or
(e) you have a legal right to end the contract because of something we have done wrong.
7.3 Exercising your right to change your mind (Consumer Contracts Regulations 2013). For most products bought online you have a legal right to change your mind within 14 days and receive a refund. These rights, under the Consumer Contracts Regulations 2013, are explained in more detail in these terms. If you cancel after we have started the Services, you must pay us for the Services provided up until the time you tell us that you have changed your mind.
7.4 When you don't have the right to change your mind. You do not have a right to change your mind in respect of Services, once these have been completed, even if the cancellation period is still running.
7.5 How long do I have to change my mind? You have 14 days after the day we email you to confirm we accept your order. However, once we have completed the Services you cannot change your mind, even if the period is still running. If you cancel after we have started the Services, you must pay us for the Services provided up until the time you tell us that you have changed your mind.
7.6 Ending the contract where we are not at fault and there is no right to change your mind. Even if we are not at fault and you do not have a right to change your mind (see clause 7.1), you can still end the contract before it is completed, but you may have to pay us compensation. A contract for Services is completed when we have finished providing the Services and you have paid for them. If you want to end the contract in these circumstances, just contact us to let us know. The contract will end immediately and we will refund any sums paid by you for Services not provided but we may deduct from that refund (or, if you have not made an advance payment, charge you) the equivalent of 1 month's subscription fee as compensation for the net costs we will incur as a result of your ending the contract.
8. How to End the Contract with Us (Including if You Have Changed Your Mind)
8.1 Tell us you want to end the contract. To end the contract with us, please let us know by doing one of the following:
(a) Phone or email. Call customer Services on 0333 004 0043 or email us at firstname.lastname@example.com. Please provide your name, home address, details of the order and, where available, your phone number and email address.
(b) Online. Complete the Cancellation Form on our website.
(c) By post. Print off the Cancellation Form and post it to us at the address on the form. Or simply write to us at that address, including details of what you bought, when you ordered or received it and your name and address.
8.2 How we will refund you. We will refund you the price you paid for the Services, by the method you used for payment. However, we may make deductions from the price, as described below.
8.3 Deductions from refunds if you are exercising your right to change your mind. If you are exercising your right to change your mind, we may reasonably deduct from any refund an amount for the supply of the service for the period for which it was supplied, ending with the time when you told us you had changed your mind. The amount will be in proportion to what has been supplied, in comparison with the full coverage of the contract.
8.4 When your refund will be made. We will make any refunds due to you as soon as possible. If you are exercising your right to change your mind then your refund will be made within 14 days of your telling us you have changed your mind.
9. Our Rights to End the Contract
9.1 We may end the contract if you break it. We may end the contract for Services at any time by writing to you if:
(a) you do not make any payment to us when it is due and you still do not make payment within 14 days of us reminding you that payment is due; or
(b) you do not, within a reasonable time of us asking for it, provide us with the information that is necessary for us to provide the Services, for example, details of health issues, pre-existing conditions or concerns affecting your wellness.
9.2 You must compensate us if you break the contract. If we end the contract in the situations set out in clause 9.1, we will refund any money you have paid in advance for products we have not provided but we may reasonably deduct or charge you reasonable compensation for the net costs we will incur as a result of your breaking the contract.
9.3 We may withdraw the Services. We may write to you to let you know that we are going to stop providing the Services. We will let you know at least 30 days in advance of our stopping the supply of the Services and will refund any sums you have paid in advance for Services which will not be provided.
10. If There is a Problem with the Services
10.1 How to tell us about problems. If you have any questions or complaints about the Services, please contact us. You can telephone our customer service team at 0333 004 0043 or write to us at firstname.lastname@example.com or City View House, 5 Union St, Manchester M12 4JD.
10.2 Summary of your legal rights. We are under a legal duty to supply products that are in conformity with this contract. See the box below for a summary of your key legal rights in relation to the product. Nothing in these terms will affect your legal rights.
11. Price and Payment
11.1 Where to find the price for the Services. The price of the Services will be the price indicated on the order pages when you placed your order and will vary depending on which subscription package you have selected. We take all reasonable care to ensure that the price of the Services advised to you is correct. However please see clause 11.3 for what happens if we discover an error in the price of the Service you order.
This is a summary of your key legal rights. These are subject to certain exceptions.
For detailed information please visit the Citizens Advice website or call 03454 04 05 06.
11.2 What happens if we got the price wrong. It is always possible that, despite our best efforts, some of the Services we sell may be incorrectly priced. We will normally check prices before accepting your order so that, where the Service's correct price at your order date is less than our stated price at your order date, we will charge the lower amount. If the Service's correct price at your order date is higher than the price stated to you, we will contact you for your instructions before we accept your order.
11.3 When you must pay and how you must pay. You can only pay for Services using a credit card or a debit visa card. We accept payment with all major banks and card holders. You will be asked to set up a payment system with us. You must make an advance payment of the first month's subscription fee, before we start providing them. You will be asked to set up a payment system with us for the balance. We will take monthly payment in advance for the Services until the Services are completed. You must pay each invoice within 30 calendar days after the date of the invoice.
11.4 We can charge interest if you pay late. If you do not make any payment to us by the due date we may charge interest to you on the overdue amount at the rate of 5% a year above the base lending rate of the Bank of England from time to time. This interest shall accrue on a daily basis from the due date until the date of actual payment of the overdue amount, whether before or after judgment. You must pay us interest together with any overdue amount.
11.5 What to do if you think an invoice is wrong. If you think an invoice is wrong please contact us promptly to let us know and we will not charge you interest until we have resolved the issue.
12. Our Responsibility for Loss or Damage Suffered by You
12.1 We are responsible to you for foreseeable loss and damage caused by us. If we fail to comply with these terms, we are responsible for loss or damage you suffer that is a foreseeable result of our breaking this contract or our failing to use reasonable care and skill, but we are not responsible for any loss or damage that is not foreseeable. Loss or damage is foreseeable if either it is obvious that it will happen or if, at the time the contract was made, both we and you knew it might happen, for example, if you discussed it with us during the sales process.
12.2 We do not exclude or limit in any way our liability to you where it would be unlawful to do so. This includes liability for death or personal injury caused by our negligence or the negligence of our employees, agents or subcontractors; for fraud or fraudulent misrepresentation; for breach of your legal rights in relation to the Services including the right to receive Services which are: as described and match information we provided to you and supplied with reasonable skill and care.
12.3 We are not liable for business losses. We only supply the products for domestic and private use. If you use the Services for any commercial, business or re-sale purpose we will have no liability to you for any loss of profit, loss of business, business interruption, or loss of business opportunity.
13. How We May Use Your Personal Information
13.1 How we will use your personal information.
(a) to supply the Services to you;
(b) to process your payment for the Services; and
(c) if you agreed to this during the order process, to give you information about similar Services that we provide, but you may stop receiving this at any time by contacting us.
13.2 We will only give your personal information to other third parties where the law either requires or allows us to do so and we will not sell your data.
14. Other Important Terms
14.1 We may transfer this agreement to someone else. We may transfer our rights and obligations under these terms to another organisation. We will contact you to let you know if we plan to do this. If you are unhappy with the transfer you may contact us to end the contract within 14 days of us telling you about it and we will refund you any payments you have made in advance for Services not provided.
14.2 You need our consent to transfer your rights to someone else. You may only transfer your rights or your obligations under these terms to another person if we agree to this in writing.
14.3 Nobody else has any rights under this contract. This contract is between you and us. No other person shall have any rights to enforce any of its terms.
14.4 If a court finds part of this contract illegal, the rest will continue in force. Each of the paragraphs of these terms operates separately. If any court or relevant authority decides that any of them are unlawful, the remaining paragraphs will remain in full force and effect.
14.5 Even if we delay in enforcing this contract, we can still enforce it later. If we do not insist immediately that you do anything you are required to do under these terms, or if we delay in taking steps against you in respect of your breaking this contract, that will not mean that you do not have to do those things and it will not prevent us taking steps against you at a later date. For example, if you miss a payment and we do not chase you but we continue to provide the Services, we can still require you to make the payment at a later date.
14.6 Which laws apply to this contract and where you may bring legal proceedings. These terms are governed by English law and you can bring legal proceedings in respect of the products in the English courts. If you live in Scotland you can bring legal proceedings in respect of the Services in either the Scottish or the English courts. If you live in Northern Ireland you can bring legal proceedings in respect of the products in either the Northern Irish or the English courts.


text:
When it came to charity in 2012, Taylor Swift and Lady Gaga know how to give back.
The two pop stars topped DoSomething.org's list of Top 20 Celebs Gone Good Of 2012.
According to the report, Swift donated over $4 million to the Country Hall of Fame Museum, alone along with various other charities, while Underwood donated portions from her "Blown Away" tour ticket sales (as she announced to the crowd), as well as raising $350,000 for her hometown, and working with The Humane Society, and PETA.
Gaga started the Born This Way Foundation with a personal $1.2M donation and donated another $1M to victims of Superstorm Sandy, which devastated her hometown of New York City.
Also on the list were Demi Lovato, for her work with anti-bullying campaigns; Jay-Z and Beyonce for their work fundraising for their respective charities; P!nk for her work with PETA; and Justin Bieber for his work with his Believe charity and Pencils of Promise.
-Steve Koscik, US99.5/Chicago

subset: commoncrawl


text:
News & Events
For the Media
Celebrate Launch of North Country's First Green Data Center & New Research Facility at Clarkson University Monday
[A photograph for media use is available at http://www.clarkson.edu/news/photos/oldmain.jpg .]
The community is invited to join Clarkson University President Tony Collins this Monday, December 5, for a public celebration that recognizes a tremendous partnership grant from IBM in support of research, advanced computing analytics and the University's commitment to sustainability; and for a special announcement with Assemblywoman Addie Russell that initiates renovation plans for Clarkson's historic Old Main building as a research facility for Beacon Institute for Rivers and Estuaries, a subsidiary of Clarkson University, that will include the North Country's first green data center.
Monday, December 5, Clarkson University Student Center:
8:15 a.m. - Coffee Reception with the Campus, Presenters and Guests (Java City in Student Center)
9 a.m. - Celebration Announcement (Student Center Forum)
9:30 a.m. - Faculty & Student Presentations: Virtualization and Smarter Water (Student Center Forum)
Noon - Introduction to Beacon Institute for Rivers & Estuaries, its mission and research with focus on IBM (Student Center Multipurpose Rooms)
To RSVP by Friday, December 2, or get more information, please contact Maureen Fisher at firstname.lastname@example.com or 315-268-4153.
Clarkson University launches leaders into the global economy. One in five alumni already leads as a CEO, VP or equivalent senior executive of a company. Located just outside the Adirondack Park in Potsdam, N.Y., Clarkson is a nationally recognized research university for undergraduates with select graduate programs in signature areas of academic excellence directed toward the world's pressing issues. Through 50 rigorous programs of study in engineering, business, arts, sciences and health sciences, the entire learning-living community spans boundaries across disciplines, nations and cultures to build powers of observation, challenge the status quo, and connect discovery and engineering innovation with enterprise.
Photo caption: Clarkson University's Old Main.


text:
FreakScore is a weighted average of all aggregated professional and user review scores. Read more
This product has a FreakScore of 3.8* out of 10 based on 2 scores.
*Score is uncertain and deviates toward category average due to low number of scores.
5.8GHz Digital Expandable Accessory Handset with Full Color Read more


text:
Reds being cautious with ailing Cairo
By Mark Sheldon / MLB.com
Bruce, Votto have faith bats will find life
WASHINGTON -- The Reds' profound hitting skid to start the season has felt infinite to frustrated fans. For the hitters actually going through it, it hasn't been fun either. But they have optimism that it will end."I personally know we're going to hit," Reds right fielder Jay Bruce said on Sunday morning. "We always hit. In my opinion, it's better to do this now than in July or August. We absolutely have to do a better job, and that's the bottom line. With the exception of a few guys, no one is really hitting." Cincinnati entered Sunday's game vs. the Nationals batting .191 as a team, including .138 with runners in scoring position. Bruce had three home runs through the team's first three games, but the team came into the series finale homerless in the previous six games. The individual batting averages have been low from key hitters. Scott Rolen entered batting .111; Ryan Ludwick was batting .150, and Bruce had dipped to .235. Reds manager Dusty Baker gave center fielder Drew Stubbs, batting .147, the day off from the lineup and started Chris Heisey, who came in hitting .188. The club's best hitter, first baseman Joey Votto, is batting .290, and believed that the team's good hitters will eventually rise to the level of their track records. "Whenever we start being like ourselves, we're one of the best offenses in the National League," Votto said. "We've got a choice. We can either panic through this whole thing, or be determined and continue to grind through and treat this as a nice early-season challenge that we'll overcome, and let the season play out. We'll prep for the rest of the season, and not today's shortcomings." One bright side during the Reds' skid -- the pitching staff had a 2.81 ERA over the previous five games. However, their record was 1-4. "We've played solid defense, I think, and have been pitching well," Votto said. "We're not hitting near where people expect. At some point, it will come around. If not, then oomph, poor Reds fans." Bruce didn't think it would come to do that. "It's still early," he said. "I don't think you can win or lose the season in the first couple of weeks. You can obviously put yourself in a better position."
Phillips returns to lineup for DC finale
WASHINGTON -- Following a five-game stretch out of the starting lineup because of a cramp in his left hamstring, Reds second baseman Brandon Phillips was back on Sunday vs. the Nationals.Phillips was 1-for-4 in the Reds' 8-5, 11-inning win, but clearly wasn't 100 percent. On a sacrifice bunt in the seventh, he stopped running hard halfway down the line. He said he didn't aggravate the injury, however. "When I was pushing, I felt it grab and decided I should take my time for a little bit," Phillips said. "In the field, I had forgotten all about it." Phillips also hit a one-out double in the ninth inning and could not run at full speed. He was lifted for pinch-runner Wilson Valdez as a precaution. Phillips was in his customary leadoff spot, after manager Dusty Baker initially considered batting him further down in the order. He was thinking about preserving his legs from running, a usual requisite for the top spot. "With [Nationals starter Ross] Detwiler being left-handed, we probably won't try to steal that much anyway," Baker said before the game. "He has a pretty good move. [Phillips] is the best candidate. I talked to [Phillips] about it and he said he'd rather bat leadoff. I told him to not do anything excessive." Without Phillips, who pinch-hit once on Friday and struck out, the Reds lost four of their previous five games. "We need an igniter in that position, and he's it," Baker said pregame. "He hits well against left-handers, so everything pointed towards Brandon."
Reds honor Jackie on 65th anniversary of debut
WASHINGTON -- Major League Baseball celebrated Jackie Robinson Day on Sunday, the 65th anniversary of the day the Brooklyn Dodgers' great broke the color barrier and integrated the game.Beginning a tradition started by former Reds star Ken Griffey Jr. in 2007, all uniformed personnel in the league donned Robinson's No. 42. That included Reds second baseman Brandon Phillips. "It's an #HONOR 2 wear #42 on my back 4#JackieRobinson Day! Thank u AGAIN 4 changing the world & letting me LIVE MY DREAM!" Phillips posted on Twitter before Sunday's game.
Mark Sheldon is a reporter for MLB.com. Read his blog, Mark My Word, and follow him on Twitter @m_sheldon. This story was not subject to the approval of Major League Baseball or its clubs.


text: Hey, I am having an issue with a partner. I love her to death. She is a wonderful person. I mean, there is not an evil bone in her body. I look forward to playing with her; she has a sunny disposition and is perpetually happy. But here's what happened today (practice match with friends). About five times when I was receiving serve today, she called the serve long. In each case, I was surprised that she called it long. I couldn't be sure, but I started to wonder if those serves weren't catching the back of the line. I tend to ignore the service line completely when I'm receiving and focus instead on not screwing up the service return (again), so I certainly didn't think I could overrule her. Maybe they were just barely out? I have not seen her err on other calls (baseline calls, sideline calls, center line service calls). In my experience, one tell-tale habit of the Tight Line Caller is that they tend to find it objectionable when you don't call the line tight and are always asking you whether "in" balls were "out." Like, if I don't call a serve long, a Tight Line Caller will miss the return and say, "Wasn't that deep?" over and over again in a match. 'Cause they see close balls as out. This partner doesn't question me about my service line calls even when it was painfully close or I gave benefit of the doubt, which I take as a good sign. I'm not sure what to do about this, though. The thing that makes it really curious is that I don't get this feeling from other partners. In other words, I can go many matches with other partners without being frequently surprised at the service line out calls. So how come the only time I'm getting that feeling is with this partner? I can either ignore it and just trust her, tell her I want to call my own service line, overrule her a few times, or tell her I think she is calling the service line too tight. Choices Two, Three and Four will upset her deeply. I know I wouldn't like it much at all. Is there an issue here I need to address? Any thoughts on what to do about this without offending her needlessly? Cindy -- who will save for another day the problem of the person who promises to call the service line for you and then repeatedly forgets


text:
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text:
I sound my horn when approaching bicyclists, on my bike or in my truck and they usually show there appreciation by telling me I am #1, at least I think that is why they are holding up one finger for me.
I sound my horn when approaching bicyclists, on my bike or in my truck and they usually show there appreciation by telling me I am #1, at least I think that is why they are holding up one finger for me.
As a cyclists as well as a motorcyclist I have to start with the statement that there are a$$holes in every mode of transportation. The notion of treating bicyclists as one would deer is unfortunately appropriate. When cycling I can appreciate a toot of the horn from a way back so that I not surprised by a vehicle passing. When tootled by a prolonged horn blast at close range it can be startling to the point of being dangerous. Bicyclists are much more vulnerable than motorcyclists (although some don't ride that way) and they are the recipients of menacing, road rage and assault by motorists who see them as "others" who rightly deserve hatred and random meanspiritedness.
I am not a pack rider, not a "Lance" or a hipster, but more of a Clydsdale/Fred. Even as a law abiding old guy, I have been on the receiving end of bike-hater agression several times including startling horn blasts for no reason other than the blaster was being a dick.
If a bicyclist is riding stupid it may be because he/she is inexperienced or just stupid. Still they have a right to use the road (at least here in Oregon) and most cyclists just want to go along and get along. Guess I'm just say'n that it is just as easy to be an ambassador of good will when riding as not.
Yeah, like the cager honking at the motorcycle.
I forgive the bicyclists. I'm one of them, also.
The bicycles can do the least amount of damage to me. But I can do the most amount of damage to them. It would hurt me financially, and emotionally. I do not want to hurt a bicyclist.
I have had dirt bikers cut me off in exactly the same manner as these bicycles, with the op.
Mean bicyclists kicked my R60/6 down an embankment where it was parked at the side of the road. I guess they thought they owned the road, and didn't like the idea of sharing the parkway (yes, a state park). It took me a while to drag the thing up. I was just down by the river enjoying the view, and happened to look up as they passed, about 6 to 8 of them when one of them reached out with his foot and kicked it on over. Luckily, I had duct tape to re-hang the rear turn signal bar and broken turn signals. Always carry duct tape with you in case of mean bicyclists! They tried to kick the '48 Indian Chief over, as well, but that thing is a lot heavier...my buddy helped to drag the R60 up the embankment. Those mean bicyclists were long gone by then.
Virginia Beach
current:16 R1200R 75 R60/6
past: 14 R1200RT 11 R1200RT 10 R1200RT 03 R1200CLC
A lot of them (not all) like to point out their bicycle is more eco-friendly than whatever you are riding/driving. As such they've developed a "holier than thou" attitude.
I pulled up at a red light for a right turn and made a complete and full stop to check all was clear before proceeding. A bicycle rider pulls up along my left side and without slowing hooks a sharp right turn in front of me just as I'm pulling out into my turn.
Another time, I'm approaching a controlled crosswalk. There are people standing on the sidewalk (to my right) along with one person on a bicycle. The crosswalk light showed a red hand for do not enter. Just as I'm about to reach the crosswalk, the bicycle rider pulls out into the street. I hit the brakes and my horn. The bicycle rider makes a panic stop right in front of me (...didn't see me?). He then points to the white lines and yells he has the right of way, then proceeds on towards the "red Hand" which was telling him not to be in the crosswalk in the first place.
As others have said, the best way to approach bicycle riders is to expect them to NOT follow the road rules of polite society.
Last edited by Artiee; 05-02-2012 at 07:03 PM.
Experience IS NOT the best teacher! Someone else's experience is the best teacher.
I think we can agree that there are smart and truly dumb people on or in every type of vehicle. The smart (aware) ones try to make the drive/ride safer not only for themself but also other road users. The dumb think only of themself. The dumbest don't think of themselves either.
It boggles my mind that any adult would ride a bicycle on a public road without a mirror. You HAVE to know what is coming up behind you! And if you are on a narrow back road, see a wide vehicle approaching you in a blind left bend, it makes good sense to move to the middle of the lane to block any attempted pass by the vehicle behind you. When safe, move to the right, wave them by, and give them a thumbs up.
Just an example, but I think the idea of taking charge of a situation, and then acknowledging the person who respected you is THE way to diffuse road rage. Let's practice it, even as we know not all will. Have to start somewhere.
I'm an x bicycle racer who spends more time on a bicycle than I do on my motorcycles, putting on hundreds of miles a month riding the two lane costal and twisty mountain roads of Santa Cruz.
The latest statistic from Cal-Trans is "Single vehicles running off the road to the right are causing 33% of traffic fatalities,"
If you feel vulnerable at all on a motorcycle regarding car/motorcycle collisions, try spending a few hundred miles on a bicycle in traffic now days. It is not an activity for the faint of heart or the timid.
A strong case can be made for the bicyclist taking the lane in certain situations, and in many states it is legal to do so.
Of course, as has been said already, there are idiot bicyclists much like there are idiot motorcyclists.
A recent law here, PA., requires motorists passing a bicyclist to give the bicyclist four clear feet of room when passing. That means crossing a double yellow into oncoming lane at the motorists risk. Also, here, we cannot lane split, pass on the right, run stop signs and lights, ride the sidewalk when inconvenienced on the street, ect.. all things routinely going unobserved by the bicyclist. Recently a bicyclist, while making an illegal left at an intersection, was hit by a motorist. Who's paying for that hospital bill? Who's paying for the damage done to the motor vehicle? Rules of the road need to be observed by all users of public thoroughfares. Licensing and testing should be required for the same.
Yes, the law requires them to give the bicyclist 4 feet of space, even if it means crossing the double yellow line with danger to the racing maniac motorist, or, he can slow his raggedy a** down and show some courtesy to someone else in this world. And wait for a safe moment to pass. Oh, no, wait, he can't. He is too big and important to do anything other than race his car like a maniac. Big and important, just like a pizza delivery boy.
Here is Los Angeles (I haven't been to PA for a few years) they drive like frantic maniacs. Like 'get this pizza over on Main Street in 5 minutes, or you have to pay for it.'
Training? Are you joking? What training or education do the car drivers get? None, as far as it showing.
The bicyclist that made the illegal left WAS delivering a pizza.
As far as training ,you are correct. ALL need more training and education to navigate the roads SAFELY.
My main 'rule' when riding my bicycle, motorcycle, or car: "Don't do anything that will cause another driver to have to put on his brakes or turn his steering wheel." Overly simple, perhaps, but still effective.
Mike Davis
"Old n Slow" It's a way of life!
Pizza delivery on a bicycle? I find that extremely difficult to believe. That pizza will be cold, if it ever gets there.


text:
LAKEWOOD CREST, Fla. - The 12-year-old daughter of Florida Sen. Marco Rubio was airlifted to Miami Children's Hospital after a golf cart accident Saturday.
A Rubio spokesman said Amanda Rubio, the senator's oldest daughter, is in stable condition after a head injury.
According a statement released by the senator's office, Amanda was a passenger on a golf cart involved in a collision in a private gated community while she was visiting with classmates.
The 12-year-old was airlifted to the hospital, where she was admitted to the pediatric intensive care unit.
Miami-Dade Commissioner Rebeca Sosa spoke about the girl's condition at Miami Children's Hospital just before 9 p.m. Saturday.
Sosa said Rubio was praying for his daughter at her bedside.
"He was there next to his daughter, which is the most important part," said Sosa.
The Republican senator was notified of the accident while coming off stage after a rally with GOP presidential candidate Mitt Romney Saturday afternoon.
The senator campaigned with Romney at two Florida rallies, including one event in Kissimmee, on Saturday and was scheduled to attend a third before being picked up by a state police cruiser along Romney's motorcade route.
Rubio has received an outpouring of support after the accident, including a personal message from Romney and calls from both President Obama and Vice President Biden, Rubio's spokesman said.
Copyright 2012 by News4Jax.com. The Associated Press contributed to this report. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
Although Rex Ryan has been a head coach just two seasons in the National Football League, he has already been given legendary status.
What has not been determined yet is whether Ryan has become a legend in the sense of Lombardi, Shula, Belichick -- and other NFL coaching icons -- for winning.
Or whether he is only legendary in the same way a knucklehead from your graduating class in high school was renowned for being a clown.
Ryan cussed up a storm on HBO's "Hard Knocks," causing the saintly Tony Dungy to call him out publicly for swearing. Ryan's reaction: Swear some more.
He's mocked his twin brother's hair, called out Belichick and the Patriots endlessly. Then beat them in the postseason. His strength and conditioning coach kneed an opposing player deliberately during a play. Oh, and there's YouTube and those videos of his wife's feet danging out the window of a car.
Although Ryan has become fodder for headlines on both the front and back pages of the New York Post, he is the toast of the Big Apple these days. It's because his teams have a propensity for going on the road and winning improbably during the postseason. It happened twice last year. Has happened twice again this year.
It's led a love-hate thing with Ryan. Coaches are supposed to be modest. They are expected to be humble leaders. Anything they say can and will be used against them in the court of public opinion. Ryan doesn't care. Pardon the pun, because it wasn't intended to be yet another Rex Ryan "foot joke," but the man keeps putting his foot in his mouth.
And he is living proof that none of it matters, if his team keeps winning.
I would think the Steelers will beat the Jets Sunday in the AFC championship game. They have the more experienced quarterback, two-time Super Bowl winner Ben Roethlisberger. They have a championship pedigree, while the Jets have generally disappointed their faithful since the days of Joe Namath.
The game is in Pittsburgh.
But there is just something about Rex Ryan that seems difficult to knockout. He is kind of football's version of a barroom brawler, who keeps getting up for more. Don't forget, the Lions should have dealt the Jets' a near death blow to their playoff chances at Ford Field in November, but somehow Ryan and his crew slipped away.
Rex Ryan's father is Buddy Ryan, so we shouldn't be too surprised. Buddy Ryan won a couple Super Bowls as a defensive assistant, with the Jets in the late 1960s, and the Bears in the mid-1980s. He also had a decent run as an NFL head coach. However, his accomplishments were overshadowed by feuds (with Bears head coach Mike Ditka, and he once punched the offensive coordinator on the same staff, Kevin Gilbride, when both were with the Houston Oilers) -- and outlandish statements.
Like father, like son? Seems like Rex Ryan is taking it a step further. And it's all been blown even more out of proportion because Ryan is in New York.
Personally, I like the emergence of Ryan and the Jets. As much as I love the NFL, it does often seem devoid of personalities.
Belichick, for example, doesn't seem like he is having much fun.
Rex Ryan seems to have nothing but fun.
Belichick never gives a straight answer to a straight question. He resorts to a bunch of coaching cliches.
Ryan never gives a straight answer to a straight question, either, but at least it's not boring.
Different isn't always bad. Sometimes it can be, well, interesting.
In that sense, it doesn't seem like Rex Ryan hurts the game, but rather helps it.�����������
Pat Caputo is a senior sports reporter and a columnist for The Oakland Press. Contact him at firstname.lastname@example.com. You can read his blog, "Open Book" by clicking here http://patcaputo.blogspot.com/ You can follow him on Twitter at patcaputo98


text:
Tamar Braxton announced, on Instagram yesterday, that she is expecting her first child with husband/ manager Vince Herbert. We rejoiced at the "Love & War" singer's baby bump as she posed in a white Alexander McQueen dress with her elated hubby cradling her midsection.
Last night, the ecstatic couple hit the red carpet of the NYC premiere for "Braxton Family Values." flaunting their love as they posed for photos. We must say, Vince has never looked happier!
We just adore them!
MUST READ: CONGRATS: Tamar Braxton Is Pregnant!
MUST READ: The 5 Star Treatment With Tamar Braxton: "My Last Moment Of Lust Was 5 Minutes Ago…"
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Tamar Braxton Shows Off Baby Bump At 'Braxton Family Values' NYC Premiere [PHOTOS]
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Tamar Braxton Shows Off Baby Bump At 'Braxton Family Values' NYC Premiere [PHOTOS]
1. Tamar Braxton1 of 9
2. Tamar Braxton & Vince Herbert2 of 9
3. Tamar Braxton & Vince Herbert3 of 9
4. The Braxton Sisters4 of 9
5. Tamar Braxton & Vince Herbert5 of 9
6. Tamar Braxton & Vince Herbert6 of 9
7. Tamar Braxton & Vince Herbert7 of 9
8. Tamar Braxton8 of 9
9. Tamar Braxton9 of 9
comments – Add Yours


text:
The NFL loves its fans, just not when they're also officials of the team they root for.
The league has removed a replacement official assigned to Sunday's New Orleans at Carolina game after it was revealed that he's a Saints fan.
FOLLOW: NFL Week 2 live scoreboard
Side judge Brian Stropolo posted pictures of himself in Saints apparel to Facebook, tailgating for the team's Aug. 25 preseason game. ESPN.com contacted league offices Sunday morning to make them aware of the photos, which then removed Stropolo from the game.
According to the report, one Facebook commenter wrote under an earlier post: "That's awesome you get to be an official for a Saints game! I didn't think they would let you since your (sic) from Louisiana."
The league is locking out its regular officials while the two sides continue talks over a new collective bargaining agreement.
The report is especially troublesome considering the NFL did not know about its official's allegiance, which was public knowledge on Facebook, until contacted by a media outlet.


text:
I've tacked the following at the end of your userscript:
var deps = document.evaluate(
"//a[contains(text(),'CPAN Dependencies')]",
document, null, XPathResult.UNORDERED_NODE_SNAPSHOT_TYPE, null );
if ( deps.snapshotLength > 0 ) {
method: "GET",
url: deps.snapshotItem(0).href,
onload: function ( resp ) { mashupDeps( resp, deps ) }
function mashupDe
Your wish is my command.
Oooh... Very cool... Thanks!
*hack* *hack* *tinker* *hack*
Here! What do you think of this: CPAN_Dependencies [userscripts.org]?
It doesn't want to install for me (or possibly I just don't know how to install it)
Drat! Hmm... Silly question, but, you do have Greasemonkey installed, right?
if there's anything I can do to the XML to make it work better for you, please let me know.
Thanks! I'll remember that.
I'll add a link to the script from my site shortly.
Excellent. Fame, here I come!
Errm, no. I thought it was part of Firefox.you do have Greasemonkey installed, right?


text:
Lightweights Mac Danzig (21-9-1 MMA, 5-5 UFC) and Takanori Gomi (33-8 MMA, 2-3 UFC) are headed to China.
That's according to Danzig, who today tweeted that he's scheduled to fight Gomi at UFC on FUEL TV 6.
The event takes place at Venetian Macau Resort Hotel's Cotai Arena in Macau, a special administrative region of China. It's not yet known whether the bout is part of the event's main card on FUEL TV or prelims on Facebook.
"I finally have a fight!" Danzig wrote on his Twitter account.
It, after all, has been four months since "The Ultimate Fighter 6" winner stepped into the octagon. Danzig took on "TUF 8" champ Efrain Escudero and won a hard-fight decision, which put him back in the win column. In his time since the reality show, however, Danzig has struggled to gain traction in the division; he's alternated between wins and losses in his past six outings.
Gomi, meanwhile, is struggling just to stay in the UFC. Although the former PRIDE champion most recently earned a second-round TKO win over Eiji Mitsuoka at UFC 144, he's 2-3 overall in the promotion and has fallen short to top-tier lightweights Kenny Florian, Clay Guida and Nate Diaz.
The latest UFC on FUEL TV 6 card includes:
- Rich Franklin vs. Cung Le*
- Tom DeBlass vs. Riki Fukuda*
- Stanislav Nedkov vs. Thiago Silva*
- Mac Danzig vs. Takanori Gomi
- Jeff Hougland vs. Takeya Mizugaki
- John Lineker vs. Yasuhiro Urushitani
* – Not officially announced
For more on UFC on FUEL TV 6, stay tuned to the UFC Rumors section of the site.
(Pictured: Mac Danzig)


text:
Perfect compact design and sound
Crutchfield Customer Review (What's this?)
I bought this unit because of it's reputation as a brand and because of the size I needed for the space that I had available. The features that it came with were also a bonus. I am running a pair of in wall speakers in the kitchen, and a pair of outdoor speakers for our patio. When running just one pair it sounds great. However, when running both, you can tell that it bogs down a little, but even at that level it still performs and sounds great. Works perfect for my application.


text:
Think Robbie Findley's biggest problem is a routine scoring drought? It's actually Edson Buddle.
Or maybe it's Conor Casey. Or Herculez Gomez. Or maybe it's all about that precious first touch.
No matter how U.S. fans look at the current dilemma facing coach Bob Bradley before next month's all-important roster deadline, Findley has some work to do to get back into the mix as the World Cup draws closer.
The Real Salt Lake star is no closer to getting Bradley's call today than he's been in the past, and his numbers thus far this season haven't helped his cause. He has two assists but no goals yet in 2010, while Buddle and Casey have enjoyed strong starts to a pivotal season that could define their futures.
Gomez, meanwhile, has found a magical scoring with Puebla, scoring 10 goals in 14 matches and sitting atop the goal scoring ledger for the Mexican Primera División.
For his part, Findley is keeping his thoughts on the matter largely to himself.
"I think about it a little bit," Findley said this week. "It's pretty big."
Whether he gets the initial call into camp or not, even those close to Findley admit he clearly has some work to do to round out his game.
"He's certainly one of the fastest players in the league and has the ability to stretch defenses," Real Salt Lake general manager Garth Lagerwey told MLSsoccer.com. "To me it's less about his touch, and more about whether or not he's able to maintain possession when he needs to."
His touch and ability to hold the ball have not historically been his strong points, but Findley's been working hard on making the necessary improvements. And RSL coach Jason Kreis has praised Findley's ability to handle the expectations that will come with a USMNT call-up.
"He's very even keel," Kreis said. "He's very humble. He has all the tools to handle it."
The prospect may be overwhelming, but it's one that Findley is willing to embrace, if given the chance.
"It's just something that everybody dreams of," Findley said. "It'd be an honor to represent your country and to be part of something like that."


text:
The White House decision to jettison trust-fund accounting in its budgetary treatment of Medicare is understandably causing controversy. Within the trust-fund framework, Medicare is running a large surplus. Within the cash accounting framework adopted in the White House budget, Medicare is deep in deficit.
The Concord Coalition supports this change because it has always believed that cash accounting provides a more honest measure of Medicare's fiscal burden.* In recent years, the improvement in Medicare's trust-fund balance has persuaded many that the program will be self-financing for decades to come. The White House correctly shows that Medicare will require a massive general revenue subsidy this year and every year.
However, Concord strongly disagrees with the inference the White House draws--that if Medicare isn't running a surplus there is more room for tax cuts. If anything, just the opposite is true: The bigger Medicare's fiscal burden, the more compelling the case is for saving projected budget surpluses and the less room there is for either tax cuts or spending hikes.
An Accounting Fiction
Trust-fund accounting obscures the fiscal bottom line by counting prior-year surpluses, together with the interest-earned thereon, as genuine savings. In reality, these assets are simply claims on future taxpayers. According to the White House, Medicare will run a trust-fund surplus of $526 billion over the next ten years. Excluding interest, its cash surplus of earmarked tax revenue over outlays will be just $277 billion.
These figures, moreover, only refer to Hospital Insurance (HI) or Medicare Part A, which brings us to a second problem. Trust-fund accounting lets leaders ignore Supplementary Medical Insurance (SMI), Medicare's other half. The SMI or Part B trust fund is always solvent since general revenues plug any gap between beneficiary premiums and outlays. Solvency, however, is not the same as sustainability. The White House projects that SMI's general revenue subsidy will total $1,171 billion over the next ten years. Subtracting this from HI's cash surplus yields a combined deficit of $894 billion.
Critics object to combining HI and SMI. But why, when they pay benefits to the same people for the same general purpose? Old-Age and Survivors Insurance and Disability Insurance, which have much less in common, are routinely totaled up and called Social Security. The critics are right that SMI was never designed to be self-financing. But that is precisely the point. Its general revenue subsidy gives Medicare a large, growing, and permanent claim on the rest of the budget.
Some defenders of trust-fund accounting acknowledge that Medicare's surpluses may be a fiction, but argue that they provide a useful justification for saving budget surpluses. Let's be clear: The Concord Coalition favors saving a share of budget surpluses at least equal to Social Security's and Medicare's trust-fund surpluses. However, the economic case for doing so--boosting national savings in advance of the age wave--has nothing to do with trust-fund accounting. In fact, putting too much emphasis on positive trust-fund balances, by making the programs seem more affordable, may actually undercut the case for savings.
An Anachronistic Distinction
Trust-fund accounting is a major obstacle to Medicare reform. It papers over the program's cash deficits. And it perpetuates an anachronistic distinction between hospital care and physician care. Most health policy experts, liberal and conservative, agree that Medicare needs to be modernized by turning it into a single comprehensive and flexible insurance package. This means erasing the old distinction between HI and SMI.
The White House accounting change is a first step in this direction. Unfortunately, both sides have confused the issue by mixing it up with the entirely separate question of whether to save or spend budget surpluses.
* See Facing Facts, issues I:8 (September 27, 1995); II:6 (June 10, 1996); and VI: 6 (May 30, 2000).
FACING FACTS AUTHORS: Neil Howe and Richard Jackson CONCORD COALITION EXECUTIVE DIRECTOR: Robert Bixby


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