ChezGiven

Ironic twist on the Bret Easton Ellis novel. Stevie, MDMA or mud as its sometimes called nowadays is canny gear, if you bomb little bits you can control how high you get as it metabolises pretty quickly. If you get decent gear, its much better than a mitsibushi, not as intense but more 'uppy'. Great for dancing.

Nice shrubbery.

Yes, they are looking to expand medicare and medicaid, increase their power to negotiate physician rates (what docs get paid per consultation) and other payments (like the NHS has the power over e.g. vaccines). The NHS is just a block purchaser, you already have this in the US with the Veterans Association, Kaiser Permanente and the existing social programmes i mentioned. Obama has also made $1.1bn available for what is known as 'comparative effectiveness research', which is what Rents does for a living. Unbelievably, there is opposition to having a research agenda on comparing which drugs are the best. Obama's challenge is in contracting a sector where private interests are so strong. To reduce costs, someone has to get paid less. He will therefore probably try to freeze health expenditure growth, grow the economy and thus shrink the share of GDP it takes up. Would be my guess on how this will play out anyway.

See Tazers being ok'd for traffic police now. Our next office off-site is going to be a tazer-quest apparently. Rules are similar to laser quest, the only difference being its chasing fop around an empty warehouse with a Bill Gates t-shirt on.

I was at ASCO a couple of weeks ago and it was scary how political it was. The underlying theme for everything being discussed outside the science was healthcare reform from republican and democrat constituents. (very amusing to listen to an ex-Reagan administration aide defending the right of docs to make 600k a year and a democrat talking about the UK system as a beacon of rational healthcare ). One of the speakers said 'the reform is going through, its all being done in secret and once they have ironed out the details, it will happen and happen quickly'. Dont doubt Obama too much, this boy is taking on the medical and insurance industries face on. I reckon one of my colleagues got it right when he tried to simplify the US system into one issue; all of the actors in the system are profit makers. Taken by itself, it probably suggests that each one charges a lot of money to provide it's service but its more complicated than that. Its not the fact they make profit, its how they make profit that is the issue. Docs are paid on a fee for service basis, meaning that each time the doc says you need to have something, you agree with him and he gets paid from the insurance company. Therefore, they are incentivised to provide services with margins, rather than those that meet medical need. The example cited at ASCO was the use of expensive radiological imaging technology to track the development / progression of tumours. These imaging processes earn the docs thousands of pounds a year each, yet none have been shown to lead to better patient health. If they were incentivised to provide better patient outcomes, rather than being paid to perform activity as if it were some proxy for productivity, they'd be able to attain much more for much less. Its the way you pay em, thats the trick. To this threads orginal idea, public funding of healthcare is now even more fucked, we need to dredge up even more cash to offset the fiscal deficits in the pipeline. Of course at the same time ensuring that the costs dont runaway like in the US.

Yep, the tone is sympathetic and stresses that the image of the typical fan is not the reality. Still think someone should email him pud's response.

The 'Internal market' of 1992. Seperated all NHS institutions between Payers (PCTs) and Providers (Hospitals and community practices).

Hmm, let me see, well travelled poster takes break from forum? He's been working on a bid for the club?

Well he's also (partly) responsible for introducing the minimum wage and working tax credits, and investing a fortune in the NHS and education (not all which has been wisely spent, admittedly). So perhaps some people here have selective memory. I'm not really familiar with the basic tax rate in the low paid, but I'm pretty sure the way you've worded that is misleading at best. Still, you're an Alex Salmon man iirc so no surprises there. NHS is basically screwed before talking about spending cuts isn't it? Don't want to think what it will be like with them. Don't worry the Conservatives will privatise it for you. They'll have to do something. I'll be dishing out advice on here when they do too. It could be saved, but the combination of the problems that are going to occur anyway (due to general issues, and indeed to the way the "extra spending" was stupidly used), and add to that the big old spending cuts that are going to have come in when we start to try and repay everything and it really is looking like a difficult job. Don't worry though when the "privatised" model combined with our benefits system causes everything to collapse Fop should have already perfected the android body, a few billion deaths and then the new world order will arise Thats what the flu virus is for.

Well he's also (partly) responsible for introducing the minimum wage and working tax credits, and investing a fortune in the NHS and education (not all which has been wisely spent, admittedly). So perhaps some people here have selective memory. I'm not really familiar with the basic tax rate in the low paid, but I'm pretty sure the way you've worded that is misleading at best. Still, you're an Alex Salmon man iirc so no surprises there. NHS is basically screwed before talking about spending cuts isn't it? Don't want to think what it will be like with them. Don't worry the Conservatives will privatise it for you. They'll have to do something. I'll be dishing out advice on here when they do too.

Well he's also (partly) responsible for introducing the minimum wage and working tax credits, and investing a fortune in the NHS and education (not all which has been wisely spent, admittedly). So perhaps some people here have selective memory. I'm not really familiar with the basic tax rate in the low paid, but I'm pretty sure the way you've worded that is misleading at best. Still, you're an Alex Salmon man iirc so no surprises there. NHS is basically screwed before talking about spending cuts isn't it? Don't want to think what it will be like with them.

He just made up the 'all sector output index' data?

My money is ever so slightly on the chemotherapy. It will be if "his condition" means the cancer itself, but as the milk is supposed to help his immune system, that may well be exactly what it's doing and helping in a more general context of "his condition". Although most of these "cancer diets" tend to be evil fuckers marketing at increasingly desperate people. Immunotherapy is part of the modern approach to treating cancer, they use unusual elements of the cancer cell (which is really your own cells therefore the immune system doesnt recognise it as foreign) to eliminate the fucked up cell replication process (which is what cancer is). This is what monoclonal antibodies do more or less. So, the idea is well established in cancer care but getting the immune system to look at the cancer as foreign is the trick. Boosting the immune system cant really do any harm though.

My money is ever so slightly on the chemotherapy.

Going to see them play live at the Big Chill this summer. One-off concert. They're doing a few dates....including the toon.... http://www.loopz.co.uk/begin.html My info was poor then. Makes more sense with 20 being released.

Have a look at this on his blog, certainly looks promising. http://krugman.blogs.nytimes.com/2009/06/0...british-bounce/

Our all sector output index has risen above 50, its the highest index of the top 5 economies and suggests we are beginning to expand rather than contract more slowly. (just had a read of his blog )

Going to see them play live at the Big Chill this summer. One-off concert.

Go and die in a house fire you retarded dwarf cunt?

Definitive proof that people are getting stupider iyam.

What a twat.

thats a VERY sweeping statement. most yanks i've met are actually quite polite and intelligent. maybe i've just met the nice ones... Even the polite and intelligent ones can be pretty stupid. We were walking back from a restaurant along the rue de Rivoli the other week with a very very senior colleague from NY. "Oh look" he exclaimed, pointing at the cobbled street, "they've made it look old". I excused him on accout of his boffin-ness.