Surprise! Medical residency programs need more money

Posted By on March 14, 2013

Shocking! [sarcasm] Hospitals need more taxpayer dollars to add residency spots in order to train the additional number of doctors the U.S. needs for Obamacare. So … more taxes or more borrowing? Socialized medicine *(lite -current plan – or full bore – where we are headed)* is not going to be cheap or offer a higher quality of care. Either get use to it, modify it or repeal the federal government’s over-reach.

U.S. medical schools are expanding to meet an expected need for more doctors due to the federal health law. With at least 12 new schools opening and existing ones growing, enrollment is on track to produce 5,000 more graduates a year by 2019.

But medical educators are cautioning that those efforts won’t do anything to alleviate a doctor shortage unless the number of medical residency positions rises as well. The number of federally funded residencies has been frozen since 1997.

Residencies are the three to seven years of on-the-job training in the U.S. that medical-school graduates must complete before they can practice independently in this country. Medicare funds most of the residencies, paying $9.5 billion a year to subsidize 94,000 positions at teaching hospitals. Medicaid and other sources such as hospitals fund about 10,000 more.

Medicare-funded spots were frozen under the Balanced Budget Act of 1997, and numerous bills to lift the cap have stagnated in Congress amid budget-cutting concerns, including proposals to slash Medicare funding for doctor training.

On Thursday, Reps. Allyson Schwartz (D., Pa.) and Aaron Schock (R., Ill.) plan to reintroduce a bill seeking 15,000 more U.S.-funded residencies over the next five years, at a cost of about $1 billion a year—a measure likely to face an uphill climb. “This has to be part of the conversation,” Ms. Schwartz said.

The American Medical Association and other physician groups arguing for the increase say health-care needs have changed markedly since 1997. For one thing, the U.S. population has grown by 50 million people.

full article LINK

Automatic now available for Pre-Order – no subscription fee

Posted By on March 14, 2013

automatic6995

Automatic’s online video and marketing phrase, “save hundreds on gas every year,” seems a little bit hokey, but the idea of a device which connects your smartphone to your vehicle’s OBD port by bluetooth is pretty smart. For a pre-order price of $69.95, the tech gadget should be able to give you plenty of diagnostic information supplied by the computers in modern cars – currently non-diesel cars.

automaticnondiesel

automaticenginemonitoring

Besides monitoring your engine and vehicle’s vitals as reported by the car’s computer, the Crash Alert is an interesting feature too … think Onstar without the monthly plan (or many of the mature features).

Crash AlertBETA

The Automatic Link includes a built-in accelerometer that can detect many types of crashes. Automatic uses your phone’s data connection to immediately report the crash to 911* with your name, location, and vehicle description.

Once help responds, Automatic can send a text message to your loved ones to let them know what happened, where you are, and that help is on the way.

A favorite feature is the airport, ballgame or mall parking locator …

automaticparkingfeature

Least favorites …include the “tracking” and “monitoring” features, which also sends data back to Automatic. Hmm … they say privacy is valued, but call me suspicious of all the data collecting websites and services.

  • Automatic shows how you’re doing on every trip.
  • Automatic scores your driving every week to help you improve. A high score could save you hundreds on gas every year.
  • The Automatic app displays detailed info about your week, like how much you drive and where.
  • Automatic learns about your driving style and gives you subtle audio cues when you do things that waste gas …

Did you know …

In 1969, Volkswagen introduced the first on-board computer system (OBD) with scanning capability in their fuel-injected Type 3 models (advertising video).

Roman Catholics have a new pope today – Pope Francis

Posted By on March 13, 2013

I happened to have the iPad streaming the Slingbox signal from home while sitting in the car (not driving) and noticed that FoxNews just announced Looks like there is a new pope? on Twitpicthat there was white smoke coming out of the chimney at the Vatican. I snipped a screen grab and tweeted the photo.

Pope Francis, Jorge Mario Bergoglio of Argentina the first pope from the “new world.” 

According to reports, he is “a mild-mannered man who cooks his own meals and until now traveled by bus to his job as the archbishop of Buenos Aires, Pope Francis is the first Jesuit to hold the Catholic church’s highest office. His election is likely to shift the role of the papacy from theological teacher to pastor of the flock. It also reflects the shifting demographics of Roman Catholicism: Latin America is now home to more than one-third of the world’s Catholics. (the rest of the story)

Filler up! The Super efficient Volkswagen diesel hybrid XL1

Posted By on March 13, 2013

2014volkswagenxl1_3

The Volkswagen XL1 sure would be a different kind of car to own and would make stopping for fuel every 700 miles almost a pleasurable even. You could even spurge for “full service” and walk away with change from your ten dollar bill! (click for Autoblog “First Drive story)

“The liquid fuel tank of the XL1 holds just 2.64 US gallons of diesel.”

2014volkswagenxl1

2014volkswagenxl1_in

…the XL1 runs off of the parallel combination of a 27-horsepower electric motor that derives its current from a 5.5-kWh lithium ion battery pack, plus a 47-hp 800-cc turbocharged and direct-injected two-cylinder diesel engine. The whole parallel powertrain is located in back, while the 12V battery for ancillaries and the lithium-ion assembly, which can be charged via plug and gets some energy through brake recuperation, is positioned up front.

2014volkswagenxl1_rear 2014volkswagenxl1_stats

ExxonMobil see growth, but big changes the energy picture

Posted By on March 12, 2013

60electnatgas_ExxonMobil

Seven years ago, it was challenging to find automotive diesel at a car friendly "gas" station here in the U.S., but according to ExxonMobil research, in the next seven years we’ll see diesel use surpass gasoline as the petroleum fuel of choice. (The Outlook For Energy: A View To 2040 – PDF)

The efficiency of gasoline and diesel-fueled automobiles is likely to improve considerably, and these efficiency improvements enable us to continue using gasoline and diesel-powered vehicles, despite increasing gasoline and diesel costs. That said, diesel engines have the ability to be far more efficient than gas engines, and consumers are starting to catch on. (click graphic below for larger chart)

LINK

diesel-graph

It’s Time For A National Conversation – Forbes

Posted By on March 12, 2013

As a strong defense conservative, I do have a difficult time finding fault when our leaders when it comes to keeping our country safe, but does the Department of Homeland Security really need 1.6 Billion rounds of ammunition? As a taxpayer the overkill and waste is very frustrating.

1.6 Billion Rounds Of Ammo For Homeland Security? It’s Time For A National Conversation – Forbes

The Denver Post, on February 15th, ran an Associated Press article entitled Homeland Security aims to buy 1.6b rounds of ammo, so far to little notice.  It confirmed that the Department of Homeland Security has issued an open purchase order for 1.6 billion rounds of ammunition.  As reported elsewhere, some of this purchase order is for hollow-point rounds, forbidden by international law for use in war, along with a frightening amount specialized for snipers. Also reported elsewhere, at the height of the Iraq War the Army was expending less than 6 million rounds a month.  Therefore 1.6 billion rounds would be enough to sustain a hot war for 20+ years.  In America.

Add to this perplexing outré purchase of ammo, DHS now is showing off its acquisition of heavily armored personnel carriers, repatriated from the Iraqi and Afghani theaters of operation.  As observed by “paramilblogger” Ken Jorgustin last September:

[T]he Department of Homeland Security is apparently taking delivery (apparently through the  Marine Corps Systems Command, Quantico VA, via the manufacturer – Navistar Defense LLC) of an undetermined number of the recently retrofitted 2,717 ‘Mine Resistant Protected’ MaxxPro MRAP vehicles for service on the streets of the United States.”

These MRAP’s ARE BEING SEEN ON U.S. STREETS all across America by verified observers with photos, videos, and descriptions.”

Regardless of the exact number of MRAP’s being delivered to DHS (and evidently some to POLICE via DHS, as has been observed), why would they need such over-the-top vehicles on U.S. streets to withstand IEDs, mine blasts, and 50 caliber hits to bullet-proof glass? In a war zone… yes, definitely. Let’s protect our men and women. On the streets of America… ?”

“They all have gun ports… Gun Ports? In the theater of war, yes. On the streets of America…?

Seriously, why would DHS need such a vehicle on our streets?”

Why indeed?  It is utterly inconceivable that Department of Homeland Security Secretary Janet Napolitano is planning a coup d’etat against President Obama, and the Congress, to install herself as Supreme Ruler of the United States of America.  There, however, are real signs that the Department bureaucrats are running amok.  About 20 years ago this columnist worked, for two years, in the U.S. Department of Energy’s general counsel’s office in its procurement and finance division.  And is wise to the ways.   The answer to “why would DHS need such a vehicle?” almost certainly is this:  it’s a cool toy and these (reportedly) million dollar toys are being recycled, without much of a impact on the DHS budget.  So… why not?

Why, indeed, should the federal government not be deploying armored personnel carriers and stockpiling enough ammo for a 20-year war in the homeland?  Because it’s wrong in every way.  President Obama has an opportunity, now, to live up to some of his rhetoric by helping the federal government set a noble example in a matter very close to his heart (and that of his Progressive base), one not inimical to the Bill of Rights: gun control.  The federal government can (for a nice change) begin practicing what it preaches by controlling itself.

Remember the Sequester?  The president is claiming its budget cuts will inconvenience travelers by squeezing essential services provided by the (opulently armed and stylishly uniformed) DHS.  Quality ammunition is not cheap.  (Of course, news reports that DHS is about to spend $50 million on new uniforms suggests a certain cavalier attitude toward government frugality.)

Spending money this way is beyond absurd well into perverse.  According to the AP story a DHS spokesperson justifies this acquisition to “help the government get a low price for a big purchase.” Peggy Dixon, spokeswoman for the Federal Law Enforcement Training Center:  “The training center and others like it run by the Homeland Security Department use as many as 15 million rounds every year, mostly on shooting ranges and in training exercises.”

At 15 million rounds (which, in itself, is pretty extraordinary and sounds more like fun target-shooting-at-taxpayer-expense than a sensible training exercise) … that’s a stockpile that would last DHS over a century.  To claim that it’s to “get a low price” for a ridiculously wasteful amount is an argument that could only fool a career civil servant.

Meanwhile, Senator Diane Feinstein, with the support of President Obama, is attempting to ban 100 capacity magazine clips.  Doing a little apples-to-oranges comparison, here, 1.6 billion rounds is … 16 million times more objectionable.

Mr. Obama has a long history of disdain toward gun ownership.  According to Prof. John Lott, in Debacle, a book he co-authored with iconic conservative strategist Grover Norquist,

“When I was first introduced to Obama (when both worked at the University of Chicago Law School, where Lott was famous for his analysis of firearms possession), he said, ‘Oh, you’re the gun guy.’

I responded: ‘Yes, I guess so.’

’I don’t believe that people should own guns,’ Obama replied.

I then replied that it might be fun to have lunch and talk about that statement some time.

He simply grimaced and turned away. …

Unlike other liberal academics who usually enjoyed discussing opposing ideas, Obama showed disdain.”

Mr. Obama?  Where’s the disdain now?  Cancelling, or at minimum, drastically scaling back — by 90% or even 99%, the DHS order for ammo, and its receipt and deployment of armored personnel carriers, would be a “fourfer.”

  • The federal government would set an example of restraint in the matter of weaponry.
  • It would reduce the deficit without squeezing essential services.
  • It would do both in a way that was palatable to liberals and conservatives, slightly depolarizing America.
  • It would somewhat defuse, by the government making itself less armed-to-the-teeth, the anxiety of those who mistrust the benevolence of the federales.

If Obama doesn’t show any leadership on this matter it’s an opportunity for Rep. Darrell Issa, chairman of the House Oversight and Government Reform Committee, and Rep. Michael McCaul, chairman of the House Committee on Homeland Security, to summon Secretary Napolitano over for a little national conversation. Madame Secretary?  Buying 1.6 billion rounds of ammo and deploying armored personnel carriers runs contrary, in every way, to what “homeland security” really means.  Discuss.

 

JB and JB performing together in 2013 on May 2nd & 4th

Posted By on March 11, 2013

This content is restricted.

Repaired a long overdue dripping faucet this past weekend

Posted By on March 11, 2013

replacedmoencart130307After 30 years of replacing seats, springs and stems in Delta style faucets, I had my first Moen cartridge repair this weekend. Ours has been dripping for about a year now (hot side only) and after the basement flooding I’ve decided it was time to finally fix this kitchen faucet too. The all in one cartridge is a bit more expensive (especially as the local hardware store) and surprisingly not as straight forward of a repair as I expected. (if you have hard water and lime, a cartridge puller might be helpful.)

After a disassembly and cleaning, the new cartridge fit in easily … what wasn’t quite as simple for me was reassembly since I didn’t pay as close of attention as I should have when taking the faucet apart. After a few tries, voila … what an improvement!

moenstempuller

Moen cartridge puller can be helpful if you have older faucets and calcium/lime water

 

Made a few tweaks to Postie and the Twitter feed plug-in

Posted By on March 10, 2013

After noticing that Twitterfeed has been stalling regularly, I’ve added a new WordPress plug-in to avoid using a third party site in order to feed updates to MyDesultoryBlog to Twitter.

I’m purposely adding a few links and a photo (Katelyn and Drew’s wedding invitation stamps) in an email in order to test a couple Postie tweaks.

Be honest, you want to take an i-Road for a spin, don’t you?

Posted By on March 10, 2013

The all-electric TOYOTA i-ROAD makes its first global appearance at the 2013 Geneva Motor Show. With a width of only 850 mm, the i-ROAD can manoeuvre easily in urban areas. Turn corners smoothly with the i-ROAD’s Active Lean technology.

Desultory - des-uhl-tawr-ee, -tohr-ee

  1. lacking in consistency, constancy, or visible order, disconnected; fitful: desultory conversation.
  2. digressing from or unconnected with the main subject; random: a desultory remark.
My Desultory Blog