90 Miles From Tyranny

Wednesday, November 27, 2019

The Things The Left Protects...

Price Transparency Rule Will Help Patients Make Better Choices

Last week, the Centers for Medicare and Medicaid Services issued one proposed and one finalized rule, both with the aim of providing patients with transparency in prices for health services.

These two rules came as a result of an executive order signed in June by President Donald Trump directing the Department of Health and Human Services to require hospitals and health insurance to communicate their prices in a plain and easily understood manner.

The final rule will take effect on Jan. 1, 2021.

According to the executive order, these rules are intended to enable patients to use this additional information to make better choices for themselves.

Health care in the United States is paid for almost entirely through third parties, whether by insurance companies or by a federal government program such as Medicare or Medicaid. Most prices for health services are thus negotiated out of sight of patients and kept hidden from the public between these third parties.

Many states have their own form of transparency laws, but they generally do poorly in the goal of making actual prices easily accessible and understandable.

Currently, all hospitals do keep what is called a “chargemaster,” which is a complete roster of services provided by the hospital and a listed price for each. But they frequently are difficult to find and more often incomprehensible to anyone but medical billers.

Furthermore, the chargemaster does not reflect actual prices paid; rather, the chargemaster prices are akin to asking prices that insurance companies negotiate down.

By contrast, the new finalized rule requires hospitals to post rates they have negotiated with insurers as well as the discounted cash prices for patients who choose to pay directly. The rule also requires this pricing information to be presented in an easy-to-read, “consumer-friendly list of standard charges for a limited set of shoppable services.”

This latter requirement is intended to make the price information readily accessible in health care apps, electronic health records, and even in a common file format that a patient can find usable without specialized applications (such as XML or CSV.)

Providers also will find this information useful as they often are as ignorant as patients are of the price of the hospital services they order. Having the price information available through an electronic health records system will also enable patients to...

Mahdi Mohamud, 26, today pleaded guilty to three counts of attempted murder
The 26-year-old shouted 'Allahu Akbar' and 'Long Live the Caliphate' in attack
He stabbed Anna Charlton and James Knox at Manchester Victoria Station
He also slashed officer Lee Valentine as he was Tasered and pepper sprayed
Mohamud was found to be in possession of a terror manual titled 'the seven most lethal ways to strike with a knife' and footage of terror preacher Anwar al-Awalaki

Shocking CCTV footage shows the moment a terrorist launched a frenzied attack on train commuters - as the hero police officer who tried to stop the attacker recalls how he 'lunged' at his head with the blade.

Sergeant Lee Valentine, 31, has spoken of the moment he pulled the trigger on his Taser but failed to stop crazed lone wolf Mahdi Mohamud who was armed with a fillet knife.

He was with colleague Pc Tom Wright, 27, on duty at Manchester Victoria railway station when he heard a shocking scream as Mohamud launched the attack.

Sgt Valentine said he felt 'massively' lucky not to be more seriously injured in the attack last New Year's Eve.

CCTV footage shows the moment the knifeman, 26, had walked up behind unsuspecting James Knox, screaming 'Allahu Akbar!' and 'Long live the Caliphate!' as he stabbed his victim repeatedly in the back, shoulders and head.

He then turned the knife on Mr Knox's companion, Anna Charlton, slashing her across the face after the couple, in their 50s, randomly crossed his path heading for a tram platform shortly before 9pm last December 31.

Sgt Valentine said: 'I didn't even get the chance to take the fired cartridge off the top before he just started running towards me.

'He probably closed a seven foot gap in half a second. 'It was just like a dive, he flew, he probably jumped three or four foot off the ground and...

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Please Only Do So If You Are Over 21 Years Old.

If You are Easily Upset, Triggered Or Offended, This Is Not The Place For You.

Please Leave Silently Into The Night......

You have come across a mystery box. But what is inside?

It could be literally anything from the serene to the horrific,

from the beautiful to the repugnant,

from the mysterious to the familiar.

If you decide to open it, you could be disappointed,

you could be inspired, you could be appalled.

This is not for the faint of heart or the easily offended.

You have been warned.

Girls With Guns

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Some Phrases Mean Different Things In Different Cultures...

ICE: Illegal immigrant released under "sanctuary" laws murdered teen girl

Another day, another story about an illegal immigrant committing a violent crime.

This time it occurred in Durham, North Carolina, according to Breitbart News. Of course Durham County is a so-called “sanctuary county”, another word for a safe haven for law breaking illegal aliens to take up residence.

In this case it was Jose Bryan Guzman from El Salvador, accused of murdering 19-year-old Marlene Yamileth Portillo-Posada on August 24. Police say Portillo-Posada was strangled to death because Guzman believed she was cheating on him.

Guzman left North Carolina and went to Louisiana in September, where investigators from the Durham Police Department and St. Landry’s Parish Sheriff’s office were able to find and arrest him.

According to law enforcement sources, Guzman is an illegal immigrant who came to the US in September, 2015, most likely under the “DREAM Act”. The DREAM Act of course was designed to allow “children” of illegal aliens to remain in the US, and is a current point of contention with the Trump Administration. More on that later.

Guzman arrived as an Unaccompanied Alien Child and was released into the interior of the country. Guzman remains in...