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Off Key - General Discussion

A place to talk about whatever you want

2.4k Topics 17.1k Posts
  • Anybody else notice this latest Trump policy flip flop?

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    D
    @Amanda Well, it's a joint Federal/ States program. The states actually run it by subcontracting it to private insurance companies (classic neoliberalism). It has been my understanding that Medicare and Medicaid, are under the same bureaucratic Federal umbrella (there's a name for that agency). Any negotiation on price is truly piecemeal and kind of a joke compared to what real negotiation across the board would be. Florida's Medicaid program pays 100% retail for drugs, but only offers generic, and denies authorization for some (many?) drugs. The elephant (sic) in the room is that drug companies were exempted from Federal anti-trust law in the '40's and nothing has been done about it. There are huge disadvantages to Medicaid in Florida. PCPs have a heavy disincentive to make specialist recommendations. You'd practically have to fall down in front of a PCP and break an arm or a leg to get one. Florida pays for Medicaid prescriptions on the assumption that almost all Medicaid receipts have literally no money. Of course, we'll have to see, if we live long enough, what effects Trump cutting almost $1 trillion from Medicare, Medicaid, and the ACA will have in the immediate and long term. I think it's a two party set up (I'm cynical that way) but I confess Trump II has been a wrecking ball the likes of which I did not predict.
  • Wow. You should listen to this.

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    R
    Yeah, that’s pretty sad. I mean, that’s not a genre of music I normally listen to but it does nail the angsty self-involved thing.
  • Relentless heat

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    Every day for the next week below 90 as low as 83 as high as 88 a single day. Lots of rain. It definitely feels like the climate has changed somewhat. I'd have to say after this month long heat wave with no rain and no wind, the fact it was a dry heat only made it worse.
  • Welcome to the new America

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  • Happy birthday, rontuner!

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    RontunerR
    Thanks all - I had a nice day with family on a beautiful sunny Chicago day!
  • Gem of the day; jewelry as well

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    I want this platinum bracelet. https://7879.co/products/forte-chain-bracelet?variant=45074201182385&metal=platinum Notice the links are oval and the top and bottom of each link is flat. This is my favorite style of chain. Notice it has a lobster claw clasp and Is 4 mm. The 7.5" platinum bracelet is around $1,700 with the discount code. I don't know why I have experience taste. The 18 kt gold one is $3,000 before the discount. People seem to want gold badly these days give the economic system is thought to be under threat by many people for multiple reasons. I don't know how close to market price per weight these pieces might be. I haven't looked at it. I think it's something of a gimmick.
  • Lake O 6x too toxic for humans

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  • New Printer, Again (2025)

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    Copy Copy? We have nothing like that if it's what I think. You have to have your own office, know someone you trust, or go to the library. We had Kinkos back in the day in Tampa. Why did those businesses go away? I don't know.
  • New NYT game

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    MikM
    Yes, and sometimes it hits pop culture stuff I have little knowledge of. Got them all today though.
  • Patterns in art

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    R
    Interesting, I think this would correspond in some way to the repetition and variation in Western classical music that keeps the mind interested.
  • Chairman Powell's Jackson Hole remarks

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    MikM
    Not so good for retirees it seems, although I am one. Still, we're not heavy on interest income. https://www.msn.com/en-us/money/markets/retirees-the-news-from-jackson-hole-is-ominous-for-you/ar-AA1L2ZD6
  • Lonely Men ...

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  • If the UK monarchy falls soon this will be why

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    Link to video
  • If I Won the Lottery--OR--presenting the WTF retirement home

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    rustyfingersR
    Nice. The tradition continues.
  • What are you reading?

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    I have a couple books going at the moment. Breakfast reading: "A History of the Arab People" by Albert Hourani, (c) 1991 Other reading: "The Darkening Age, The Christian Destruction of the Classical World" by Catherine Nixey, (c) 2017
  • Is the time ripe for the progressive movement?

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    @Steve-Miller Ditto
  • Coming soon...

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    C
    Enjoying Dark Library. Thank you
  • Meanwhile, in Cleveland

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    LA managed to build their fabulously expensive stadium with all private money when the city said no. If Cleveland can’t do that then the project is not viable. And then there is the question of paying off the old stadium…
  • Well, they will eat you

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  • No, I don't agree

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