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Showing posts from February, 2011

right now...

...is heaven. Oh my, bacon wrapped asparagus has got to be the best weekend morning treat, add the soft boiled egg for dipping, and it sends this breakfast right over the top. I have to tell you all that I'm a bit on a asparagus kick at the moment. I love the stuff. Grilled, roasted, boiled, all of it. I know it might not be the most elegant of kicks considering some of it's fall backs. You know the one's I'm talking about. Yes, asparagus might make your pee smell or the stringy bits will get caught in your teeth, but when you love something as I do these, you can set those slightly unpleasant things aside.
Oh and this down there, just some dill roasted potatoes... which I might need to make again pretty soon.

Accountable Care Organizations

The Affordable Care Act encourages experimentation with a new method of delivering health care called an Accountable Care Organization. Currently, Medicare/Medicaid reimburses under a payment method called fee-for-service, wherein providers receive payment for each visit, hospitalization, and procedure. A criticism of fee-for-service is that it encourages overtreatment and therefore overspending. Former Democratic Party Chairman Howard Dean, also a one-time primary care physician, says of fee-for-service,
Fee-for-service medicine is the No. 1 driver of health-care cost inflation in this country, and everything else is such a distant No. 2 [that] it almost doesn't pay to debate about it. Fee-for-service medicine – that is 'the more I do, the more you pay me regardless of the outcome.' Accountable Care Organizations offer an alternative to fee-for-service. Here, Medicare compensates an ACO with periodic payments for each member of a population served, based on that member'…

Money Won't Buy You Health Insurance

Donna Dubinsky writes:
This isn't the story of a poor family with a mother who has a dreadful disease that bankrupts them, or a child who has to go without vital medicines. Unlike many others, my family can afford medical care, with or without insurance.Instead, this is a story about how broken the market for health insurance is, even for those who are healthy and are willing and able to pay for it.Click here to read Ms Dubinsky's story.

Co-founder of Palm, Inc and Handspring, Ms Dubinsky has been called "one of the most important businesswomen in the United States" for her pioneering work in the development and strategic marketing of handheld computing devices.

back to basics: crumble

Why don't I ever write things down when they pop in my head? Especially when at night in bed you start thinking of something great and you got it all worked out, exactly what you're going to write. There's that small sigh of relief and you're happy because you know just what you're going to do, yet you're too lazy to reach for a pen and paper so you tell yourself you'll remember it in the morning... yeah that pretty much never happens.
Or maybe could be just starting to forget things? Anybody with me here? Anybody?
What does all this have to do with crumble? Nothing. I just had a hankering for a little bit of comfort food and crumble for me is just right along those lines.


Walnut, coconut and apple, blueberry crumble serves 4
1 handful of walnuts, toasted an chopped 1/4 cup of coconut 1/2 cup of rolled oats 1/2 cup plain flour 4 tsp brown sugar 1/4 cup of butter 3 granny smith apples, peeled, cored and sliced 1/2 cup of orange juice 1 cup of blueberries 2 tbsp of vanil…

The United States of Obesity

Click to enlarge.

Obesity has reached epidemic proportions, and not only in the United States. In the wealthy world, only Finland and Canada have reversed national trends. Here, some estimate that as many as 60% of Americans are overweight and that more than 30% are obese. Obesity is a risk factor in cancer, depression, heart disease, diabetes, and even asthma.

In their article "Halting the Obesity Epidemic: A Public Health Policy Approach,"Marion Nestle and Michael F. Jacobson make a series of public health policy recommendations in areas of education, food labeling and advertising, food assistance programs, health care and training, transportation and urban development, taxes, and policy development. I've selected one from each area to provide an idea of the complexity and extent of an issue that has little to do with individual willpower (see the others on p20, Figure 3 in the article linked above).

Require instruction in nutrition and weight management as part of the s…

State Profile: Hawaii

Based on what happened here to me, I don’t think there’s one thing wrong with the American health care system. It is working just fine, just dandy.-Rush Limbaugh, speaking about his experience with Hawaii's health care system. Was the billionaire broadcaster correct about health care in Hawaii? And is it indicative of the health care offered by the other 49 states? Yes and no. According the American Human Development Report (2005), Hawaiians live longer than residents of any other state (81.4 years). According the New York Times, Hawaiians are bullish about a system that leads the nation in breast cancer cure rate and where insurance premiums are among the lowest in the country as well as the lowest Medicare costs per beneficiary, despite Hawaii's high cost of living.

There's another major difference in Hawaiian health care, one that sets it apart from every other state: Employers must purchase health insurance for any employee who works more than twenty hours a week. All i…

Battle Joined

Last March, Washington state Attorney General Rob McKenna joined twelve other Republicans and one Democrat in suing to overturn the Affordable Care Act. McKenna, a rare Republican to hold statewide office in Washington state, has been AG for seven years and is regarded as the presumptive nominee for governor in 2012. Should McKenna be elected, he would be Washington's first Republican governor since 1985.

Historically, McKenna has positioned himself as what long-time Washingtonians call a "Dan Evans Republican," after the popular moderate who occupied the state house from 1965-1977. From this light, McKenna's decision to join the lawsuit seemed puzzling: The ACA is by no means unpopular in western Washington, where the great majority of the state's population resides. To be elected governor, McKenna must peel off a significant number of western Washington's Democrats and Independents. Why McKenna has risked alienating them and galvanizing liberal opposition in…

just in time for valentines...

Weather you have a special someone or not there's no reason not to indulge a little on valentines and break out the homemade side of yourself with some baking and possibly a little art and crafts. Who wouldn't love a little handmade gift?
The cupcakes are a simple vanilla cupcake recipe with vanilla buttercream icing then dipped in a bowl of coconut, easy peasy. I made the little flags out of bamboo skewers and cardstock cut into little flags and the 'I love you' banner is a wee smaller version of this.

Hope your all having an amazing weekend and I'll be wishing you all the loveiest of valentines.

Emergency Emergency

This afternoon, I went on a hard-hat tour of a satellite emergency facility, expected to open next month as part of my local community hospital's health care system. Besides state-of-the art equipment, the building will house twenty primary care physicians, specialty care, a test lab, and a diagnostic imaging lab. Patients will sit in comfort in chairs that will unfold into examining beds, blood tests will occur on site with results returned as close to instantaneously as possible, and Electronic Medical Records will be instantly synced with the main hospital IT system.

The facility will include a conference room for group consultations -- for example, a dozen diabetics might meet with their doctor and a nurse for instruction in lifestyle changes. Should I have the misfortune to need the emergency room, the expected wait time is 15-17 minutes. This will be at least the fourth such facility in my suburban area to go with three hospitals, each of which has its own Emergency Departmen…

right now...

Man, I don't do salad's very often -eeek really I should- but this sexy piece of greenery has got me good. I seriously could eat this everyday. This warm salad has all the right bits, texture, flavor's and healthy goodness.

recipe (or more like what I threw together)
arugula and spinach leaf mix 1/2 cup cucumber sliced thinly 1 cup of edamame beans, frozen 2-3 rashers of bacon 1 handful of whole pecans crushed fresh mozzarella ripped apart (optional)
dressing
2 tsp rice wine vinegar 2 tsp olive oil a light drizzle of sesame oil 1 pinch of garlic powder salt and pepper to taste (this makes more then enough)
Make the dressing and set aside. Microwave the edamame according to packets instructions. In a pan fry the bacon till crispy, drain on a paper towel then cut up into small pieces. Mix the rest of the ingredients into a bowl then add bacon, edamame and top with the dressing, toss and eat straight away.