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Now I remember why I was an independent all those years.


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I mean, it says right there on the top: "We, the people." It does not say, "Me, the person and a bunch of other fuckers I don't care about, because I mistakenly think I succeed in a vacuum and that the welfare of others has no impact on mine."

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Michael Shwartz, Senator Tom Coburn’s Chief of Staff – the comment was made at the recent Value Voters Summit:

 

SCHWARTZ: And one of the things that he said to me, that I think is an astonishingly insightful remark. He said, “all pornography is homosexual pornography because all pornography turns your sexual drive inwards. Now think about that. And if you, if you tell an 11-year-old boy about that, do you think he’s going to want to go out and get a copy of Playboy? I’m pretty sure he’ll lose interest. That’s the last thing he wants.”

 

Mr. Schwartz obviously has never been an 11 year-old boy.

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If someone told me at age 11 that pornography leads to internalization of one's sex drive, I'd have changed the subject completely out of embarrassment while thinking about how I could get out of the conversation as soon as possible to go masturbate.

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If someone told me at age 11 that pornography leads to internalization of one's sex drive, I'd have changed the subject completely out of embarrassment while thinking about how I could get out of the conversation as soon as possible to go masturbate.

 

:lol

 

I think there’s some sort of rule that states, the more an individual obsesses over the sins associated with viewing pornography, the greater the chance that that individual never leaves the house with less than a full duffel bag full of the nastiest shit available.

 

Edit: Schwartz probably jerked little schwartz at least a good half dozen times while writing that speech, and then another half dozen times following its delivery.

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Well sure, but have you tried to inflict it on an 11 year old boy?

 

Truth. But something tells me that inflicting my homosexuality upon them wouldn't elicit the feared consequences.

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Bullshit. I've tried.

10.0

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If Obama is planning on guaranteeing that everyone has health insurance, he'd better do something about physician shortages. At some point in its history, Medicare took over the funding of residencies. While medical schools have been continuously expanding class sizes to increase the number of physicians, Medicare has not increased funding for residencies, meaning that there are going to be a lot of people walking around with MDs that can't practice medicine because there weren't enough residency spots. Not to mention the fact that Obama has some very ominous proposals about Medicare reimbursements. For example, they want to increase something called the utilization rate used to determine reimbursements on imaging from 50% to 95%. This means that Medicare assumes (whether or not it's true, and usually it is not) that you run your MRI machine 95% of the available time and thus deserve less reimbursement per scan. If this passes, a lot of imaging centers, especially in rural areas are going to go out of business.

 

Also, I am still waiting for the explanation of how Obama = Hitler

 

I don't think any of the people espousing those views post here.

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If Obama is planning on guaranteeing that everyone has health insurance, he'd better do something about physician shortages...especially in rural areas [that]are going to go out of business.

 

Immigration for physicians and nurses, especially in rural areas, is cap-exempt, and a number of otherwise standard fees and limitations are waived. Has been this way for a few year, and the program is fairly effective. The path to permanent residence is also (a teeny-tiny bit) easier for physicians in rural areas.

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Immigration for physicians and nurses, especially in rural areas, is cap-exempt, and a number of otherwise standard fees and limitations are waived. Has been this way for a few year, and the program is fairly effective. The path to permanent residence is also (a teeny-tiny bit) easier for physicians in rural areas.

 

I think you misread my post. I was making 2 separate points, neither of which has to do with immigration (maybe you read "imaging" as "immigration"):

 

1. Medicare has not increased funding for residency programs (and by "residency" I don't mean the place that they live but instead the training programs that all physicians are required to complete after med school to be licensed to practice in their chosen specialty) despite increased class sizes in medical schools. This means that while the number of students graduating medical school is increasing, the number of residency spots is staying roughly the same. There is a small increase due to individual residency programs increasing their funding, but this isn't enough to keep up with the number of graduating med students, especially when you account for foreign medical graduates competing for the same residency spots. This has nothing to do with rural vs. urban areas (most residencies are in urban areas), but the number of physicians that are being trained and licensed to practice medicine.

 

2. Medicare fixes the amount that it reimburses for services, and for many types of services the Obama administration is trying to decrease the amount it reimburses. One glaring example that affects the specialty I plan on going into (if I can manage to get into a residency program) is the utilization rate for radiology imaging. From what I understand, Medicare uses some sort of formula to calculate what it will pay for imaging, and one of the factors it uses is called the utilization rate. This basically is the percentage of available time that a machine is running. So if the imaging center is open for 50 hours per week and the utilization rate is 50%, it is assumed that you are running your machines for 25 hours. The higher the percentage, the lower the reimbursement per scan because the cost of running the machine is spread out over more usage. The Obama administration wants to increase the rate to 95% from the current 50%. This is way higher than the actual rate at most places and especially rural areas.

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"Fascism should more properly be called corporatism because it is the merger of state and corporate power." - Benito Mussolini.

 

That's why they compare him to Hitler. I don't agree with it as far as healthcare goes but definitely agree with it economically speaking. What makes Limbaugh's and co. argument laughable is they still support the bailouts. Bush started our descent and Obama is finishing it. His job is to oversee the contraction of the economy for the international bankers.

 

The socialism argument is also way off as far as it pertains to Hitler. There were some Nazi's early on that did really believe in creating a socialist state, but Hitler thought he needed the support of the conservatives and the military so he killed the actual socialists in the Night Of The Long Knives and the national socialist economy was abandoned. Obama is the anti FDR and will do nothing for workers or the middle class.

 

And since nobody pointed it out that Obama Joker poster was made by a Kucinich supporter from Chicago. I don't endorse the poster just pointing out who actually created it. There goes the vast right wing conspiracy argument.

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I think you misread my post. I was making 2 separate points, neither of which has to do with immigration (maybe you read "imaging" as "immigration"):

 

I did not, in fact, misread that part of your post, but I did misread other parts of your post. The fact remains, though, that immigration laws for physicians (and nurses) are set up in such a way that applicants are exempt from numerical caps, and immigrants who choose to do their residencies and early practice as physicians in rural areas are exempt from a 2-year foreign residency requirement, during which they would otherwise have to return to practice medicine in their home country for two years. Additionally, several immigrant application fees are waived for physicians and nurses.

 

This addresses a shortage in medical students=>doctors, and how the government is encouraging people to practice medicine in rural areas, but you're right, it does not address the shortage of residency programs in the United States.

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"Fascism should more properly be called corporatism because it is the merger of state and corporate power." - Benito Mussolini.

 

That's why they compare him to Hitler. I don't agree with it as far as healthcare goes but definitely agree with it economically speaking. What makes Limbaugh's and co. argument laughable is they still support the bailouts. Bush started our descent and Obama is finishing it. His job is to oversee the contraction of the economy for the international bankers.

 

 

I just knew we could count on you.

 

If Mussolini’s quote is the real reason why they compare Obama to Hitler, what’s with the frequent references to ovens? Is it because the cabal of international bankers really likes baked goods?

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Is there demand for more physicians than what the residency program provides? I honestly don't know... but just because the med schools are churning out more graduates doesn't necessarily mean that we need all these people practicing medicine.

 

how many Art History majors actually work in museums? ;)

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I just knew we could count on you.

 

If Mussolini’s quote is the real reason why they compare Obama to Hitler, what’s with the frequent references to ovens? Is it because the cabal of international bankers really likes baked goods?

 

So their arguments are not taken seriously and the agenda moves forward. I didn't say I agreed with all their arguments but when you have no answer for the economic policies then it's time to make ridiculous straw men arguments, which this board seems to eat up. Both sides are equally compromised. Limbaugh won't point out that Obama is simply expanding Bush's policies. And Olberman won't criticize Obama for it and defends the same policies he use to denounce. That's called hypocrisy.

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Is there demand for more physicians than what the residency program provides?

 

In my experience over the past two or three years, rural facilities are scrambling for qualified physicians.

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In my experience over the past two or three years, rural facilities are scrambling for qualified physicians.

But is that because there's a shortage of physicians overall, or a shortage of physicians willing to live in the sticks?

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