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An Evil Idea

Today, at one of his signature pre-planned, staged "town hall meetings," in front o a bunch of "willing" seniors from the AARP, Our Commutard-in-Cheese had this to say:
 
"We also want to start rewarding doctors for quality, not just the quantity of care that they provide.  Instead of rewarding them for how many procedures they perform or how many tests they order, we'll bundle payments so providers aren't paid for every treatment they offer when they chronic -- to a patient with a chronic condition like diabetes, but instead are paid for how are they managing that disease overall."
 
Now, call me crazy, but I think what he's saying is that we should be paying doctors on the results of their work, rather than the process of treatment.  Call it Outcome Based Reimbursement if you like. Or, as I prefer, Merit Based Pay.
 
Interesting.
 
I have an idea.
 
An EEEEVIL idea.
 
Let's take this plan and transplant it. Instead of paying teachers on how many students they have, or how many students they graduate, let's pay them on how many of their students can read, and how many can do simple math problems. Merit Based Pay. Exactly what the Republicans have been arguing for for years.
 
Now, I hear the caterwauling: But, Arik, some kids don't do their homework, some kids don't have parental support, some kids are just plain dumb. You can't pay a teacher based on the work their students are willing to do.
 
To this I respond like so: Some patients refuse to take their pills. Some patients refuse to see a doctor until their problems are so far advanced it is impossible to save them. Some people just can't be helped. Medicine is still very much an ART, despite all of its scientific advances of the past century or so.
 
And, just curious: We can't objectively test schoolchildren with standardized tests without cries of racism, elitism, etc, etc, etc. This leads to the question:
 
Who is going to judge what is a successful outcome, and what is not?
 
King Beeyotch Obuttma, on his throne in Washington, just when you think his ideas can't get any more idiotic, comes up with a new one to top it.  If it weren't happening here, we'd all sit back and laugh, as I expect most of the rest of the world is now laughing at us for electing such a moron.
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Patience

Let me start with a word to the wise - Don't start playing Mafia Wars, or Pirates, or any of the games like them on Facebook.  They are like crack for nerds and you will not be able to think of anything else.
 
Hi, my name's Arik, and I'm a Mafia Wars-aholic.
 
Anyway, Despite the fact that I haven't written anything for almost two weeks, I have been paying some attention to the non-Pirates world.  There's been a lot going on. The good news is that, according to Obviously unbiased columnist Paul Krugman from that bastion of unbiased reportage, the New York Times, the recession is over. In fact, some are saying that our economy hasn't been this good since the halcyon days just after Clinton rescued us from the economy of Bush the Elder.  So, let there be no more discussion, King Barry the Munificent  has now saved us from the greedy Wall Street Vampires. It's official.
 
But wait. What exactly are they basing this judgement on? Well, the stock market is up over 9000 for the first time in a while. Never mind that a few years ago it hit 14,400: Barry has brought the market back to life.  And what else do they cite? Well, that's pretty much it.  Remember when it hit that 14,400 under Bush? The only people getting rich, they told us, were the Evil Robber Barons on Wall Street; Main Street wasn't feeling any effect from that. Now that it's finally rebounded to 9000, everybody is apparently rolling in (freshly-minted) greenbacks. So say the media.
 
Now, I see signs that the economy may be sputtering back to life. And I do believe that Oblahma is responsible for that recovery. I just have a different view of how he's doing it.
 
First and foremost, we don't have Tax Cheat Timmy, he of the gigantic prosthetic forehead, trotting out there on a daily basis, telling us how he's going to dismantle the U.S. economy.  I think it is no coincidence that the market started stabilizing shortly after he and his inane, nonsensical blather disappeared from the national radar. When someone who obviously has no clue what they are doing is put in charge of reviving the U.S. economy, things are not going to go well. Now that we don't have to hear him yammer so much anymore, market confidence is slowly returning.  On the other hand, it would just take a few words from him to drop the market again. And Quickly.
 
Next up is a slowly-building rebellion among the so-called Blue-Dog democRats.  These are the guys who can't be out-and-out bugfork nuts, like the rest of the dems, because they face constituents who actually ponder the issues and candidates when voting, rather than just the 'd' or the 'R.'  As they slowly grow a pair of whatever kind of pair they need to grow, they will stand up to the Froot Loops in the rest of their party and start thinking of their constituents, especially as election time nears.
 
Lastly, does anyone remember when Dear Leader said that the market indices were sort of like a tracking poll? Well, guess what, it looks like he was right!  If you notice, as his approval ratings have trended steadily downward, the market has trended steadily upward.  As the Jackarse-in-Chief continues to try to ram his radical agenda down the throats of an unwilling populace, look for his numbers to drop even further. And look for the market to rise even higher.  People are coming to realize that this guy is not only NOT the second coming, but that he is little more than a pompous, arrogant stuffed-shirt who has about as much business being President of this great nation as I do of being President of the NAACP.  I can't even dance.
 
I'm starting to get a little more hopeful, seeing a little glimmer of sunlight from behind the clouds. DoucheBarry is starting to run out of political capital, a lot earlier than I think anyone expected, especially him.  He's resorting to threats and innuendoes now, instead of relying on what the democRats perceived as a mandate from the electorate, which means he's getting desparate, and while a desparate Oblahma may be a dangerous Oblahma, it is also an Oblahma that will soon collapse under the weight of its own self-importance, leaving America a better and safer place.
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