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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: i-node who wrote (795762)	7/20/2014 6:00:43 AM
From: puborectalis	Read Replies (1) \| Respond to of 1580088

The Association of American Medical Colleges reiterated last week an earlier warning that there will be a shortfall of 45,000 primary care physicians and 46,000 surgeons and medical specialists by 2020, leaving too few doctors to care for an aging population and for the millions of patients who will gain health coverage and seek treatment under the Affordable Care Act. Some experts, however, believe that the real problem is not an overall shortage of doctors but an imbalance in the use of existing resources. For example, there may be too many specialists and too few primary care doctors; too many professionals in cities and affluent areas, too few in rural or impoverished areas; too many doctors doing routine procedures that could be handled by advanced-practice nurses, physician assistants or pharmacists. In any case, there is a desperate need for accurate, up-to-date information. But congressional Republicans, who refuse to cooperate in any way with the Affordable Care Act, have blocked a commission that was supposed to sort it all out and make recommendations. The reform law created a National Health Care Workforce Commission, whose members were appointed in late 2010, but the panel has never met and it has no staff or budget to support its operations. This year, President Obama gave up even requesting $3 million for the panel, after losing that battle in previous years. The problem is that primary care pays much less than the specialties but the work conditions are horrendous. There is not enough money in... One obstacle to producing enough doctors is a shortage of residency slots in teaching hospitals to provide clinical training for doctors who have just graduated from medical school. Medical school enrollments and the number of medical schools have soared over the past decade, statistics show, but the number of residencies to train graduates has increased only modestly, largely because of a congressional cap on paying for the slots. Another hurdle that will potentially affect nurses and physician assistants — as well as students in medical and osteopathic schools — in coming years is an expected shortage in clinical training sites in community hospitals and clinics. This is where students get the hands-on experience they need to supplement classroom instruction and earn their degrees. There are bills in Congress to increase the number of residency slots for new doctors by 15,000 over a five-year period. This seems entirely warranted, given the increase in doctors who will be pouring out of the medical schools. Whether Congress will appropriate the money needed for that purpose — on top of spending large sums to rehabilitate the Department of Veterans Affairs health system — is questionable. Beyond that, attention must be given to expanding the number and use of other health care professionals, as well as to improving the efficiency of health care delivery with the help of new technologies and new organizational structures.

To: i-node who wrote (795762)	7/20/2014 12:36:01 PM
From: tejek	Read Replies (1) \| Respond to of 1580088

>> ..if I were a gov't employee and I was threatened with 11 years imprisonment, I would plead the 5th too. Sure, as would I. But I would only be threatened with imprisonment if I had broken the law. No, there is no evidence she broke the law. There is only innuendo just like in the McCathy era. Rs are on witch hunts again......if they ever stopped..........and we all know that innocent people get fucked over during witch hunts. It is pretty evident that there was a conspiracy to go after the conservative organizations and that is something the IRS simply cannot be permitted to do. The Republicans didn't permit it when Nixon did it and they sure as hell shouldn't when Obama is doing it. Where is your evidence? >> No matter what reasonable explanation is given, these issues which might provide Rs with a way to hang Obama never die. Apparently, you don't understand what has happened. There has been no explanation, reasonable or otherwise. There has been an unapologetic IRS administrator, an essential witness taking the 5th, a lot of unexplained, unusual IRS traffic at the White House, inexplicably missing emails that were required, under the law, to be kept, found emails that are incriminating, plus the circumstantial statistical evidence that crimes were committed. Dude, you're confused............there has been a lot of reasonable explanation......just like with all the other witch hunts undertaken by the right. You all don't want to hear it: Ryan Chittum of the Columbia Journalism Review reported in 2011 that a number of non-profit news organizations saw their applications delayed for years after being flagged for additional review. [55] In 2013, Chittum linked that scrutiny to the investigation, reporting that non-profit news organizations and Tea Party groups were placed in the same "Emerging Issues" category by IRS reviewers, which was a category flagged for additional questioning. He stated that "Rather than the Nixonian conspiracy that George Will and The Wall Street Journal editorial page so darkly warned about—with zero evidence—you have a routine bureaucratic procedure meant to bundle potentially problematic applicants together for further review." [47] Media Trackers, a conservative organization, applied to the IRS for recognition of tax-exempt status, and received no response after waiting 16 months. When the organization's founder, Drew Ryun, applied for permanent tax-exempt status for an existing tax-exempt organization with what he said was a "liberal-sounding name" ("Greenhouse Solutions"), that application was approved in three weeks. Ryun has stated he believes that Greenhouse Solutions benefited from its name (although the quick approval might also be due to the fact that Greenhouse Solutions was already operating as a nonprofit and was already on-file with the IRS.) [56] Catherine Engelbrecht, founder of conservative group True the Vote, filed a lawsuit claiming that her organization's tax-exempt status was unfairly delayed for three years, and alleging that she and her family's small manufacturing business were chosen for retaliatory investigations by the IRS, OSHA, the ATF, and the FBI. [57] [58] [59] An investigation by The New York Times reported that several organizations selected for scrutiny by the IRS engaged in activities that could be construed as political. The Ohio Liberty Coalition, whose application was delayed in excess of two years, sent emails to their members regarding Mitt Romney presidential campaign events and handed out Romney "door hangers" while canvassing neighborhoods. Former IRS officials and tax experts say this type of behavior would provide a "legitimate basis" for additional scrutiny. Ohio State University law professor Donald Tobin said: "While some of the I.R.S. questions may have been overbroad, you can look at some of these groups and understand why these questions were being asked." [60] en.wikipedia.org >> It didn't bother me because Bush/Cheney was screwing up big time. So, in your eyes Bush and Cheney are bad so these investigations are good. Never even OCCURS to you that most people see what Obama has done as bad. Never crosses your mind that you are in a minority who stills believes your votes were sensible. Wake up and smell the coffee. The Obama administration is a failure and it isn't because of Darrell Issa. It is because the man is grossly incompetent. That he is black has nothing to do with it. I warned you he was incompetent before you voted for him. All you had to do was open your eyes. Not just in my eyes. Most Americans saw Bush/Cheney as screw ups by the end their administration. Only you and a few Rs think they were brilliant. They were jackasses........big ones...........and they hurt the nation badly. As for Obama, he is one of our better presidents. His ratings would be much higher if the GOP lying machine wasn't so active and Rs hadn't become so partisan/ideological. Even with that, Obama is the second president since WW II to win more than 51% of the vote in a presidential election...........which means, Dave, you are FOS and your fantasy world has taken over your reality.........again.