birdog1960

" well, Floyd is pretty close to Mount Airy ("Mount Pilot") from the Andy Griffith show. I'm not ashamed to say that I loved that show.

wow. ya gotta think we're living in a golden age of live music. interesting that there's some crossover to the two fests. some will be driving right down route 81, i suspect after the festival youre going to. have you seen the avett bros? on my most played on the ipod: http://www.youtube.com/watch?v=16FWRMjW8Uo

i hope to see yarn. i really liked them when i saw the at bristol rhythm and roots a few years back. will try to see Anders Osborne too...so much music, so little time. I love these festivals with almost too much music. i realized that my explanation of dbt and dawes didn't make much sense as melody and harmony or obviously to different things. i'm thinking better terms would be consonance and dissonance. i like consonant or more simply "smooth" sounding melodies over less subtle ones. to each his own....there's enough for everyone!

Listened to the audiobook version of "All Cry Chaos" by Leonard Rosen on the long drive back and for to Rochester. Very enjoyable : a thriller involving fractals, chaos theory and economics. I recommend it.

they just didn't get me going when i saw them in bristol a couple years ago. they'd just gotten off a plane from europe so may have been jet lagged. i just wasn't into their sound. obviously it's a very subjective thing. heaven forbid, i felt the same way about the drive by truckers when i saw them...i'm into more melodic harmonies, i guess. don't go for dischordant stuff and there seems to be quite a bit of that in both groups music. i suspect the people we're going with will want to see bioth these bands so i'll be giving them another listen. their son is in a band that does similar stuff.

won't let me look at the link at work, but i will when i get home. i'm so excited about this cuz we weren't planning on going. kinda like found money. and the lineup looks really good. my wife is trying to swear me off it before we go but they have trapeze lessons at this event. gotta try that! i'm assuming they have a net.

ask yourself what successful players like the koch's are spending their money on.

no, i object to people who think that grassroots party funded by big money remain grassroots. i object to self deception. and i don't much care for anyone being treated like a rube. it's no secret that soros is a huge political donor on the left and has power and influence. same for spielberg and his clan. no one i know is under any illusions. i happen to agree with them on many issues. seems tea partiers may be operating under some misconceptions. but if you're ok with big money pulling the strings of your independent, lily white, everyman tea party candidates, then i'm ok with it too. just making sure you're aware.

you must, therefore be in disbelief of the romney campaign memo re the tea party. reality sucks.

A friend had an extra room in a rented house for this and we're goin as of tonight. Can't miss for me include alison krauss, darrell scott and brandi carlisle. any can't misses i'm missing ? sorry, i know it's sacriledge here but i'm not a dawes fan.

ok, so the formal waltz falls prey to your two left feet... still think this http://www.youtube.com/watch?v=UQAY9NS1GwQ should be on the short list to consider for a wedding. from the aptly named "pure" album. disregard the stupid titanic imagery in the vid - that's just bizarre and so out of place with this beautiful song and voice. if you can count 1-2-3, you can belly rub to this song on a dance floor.

ok, plan b if you're still interested in the dance: there's a series of dvd's called "anyone can dance" that you could get next day from amazon. i would recommend the waltz disc (waltz is only 3 basic steps). probably cost you about $10. spend a couple hours a night for 2-3 nights and learn the basic step, a turn and another move called a promenade. i think those are all the moves on the disc. you get those and you and your guests will be amazed - i guarantee it. alternatively, hold her close and shuffle to the music. not as impressive, but just as effective.

congrats on your wedding. i'm old so take this advice with a grain of salt but think it through: consider learning a dance for the first song. it's something you prepare together and will likely remember for a long time. get a teacher that's done this many times before. it may even kindle an interest in an activity you both might enjoy for years. since your fiancee likes country, maybe a texas 2 step to "forever and ever". a beautiful waltz is always appropriate. one of my favorites is "dark waltz" by hayley westerna. and if you reject either of thgose you could head bang to "white wedding" or foxtrot to "white trash wedding" by the dixie chicks. wouldn't be my choices but... if you can't be romantic at your wedding, when can you be? Good luck.

trust you? why should we? you come off as cynical and superficial. you have doctor friends who inconvenience and possibly endanger pts by cancelling appts at the last minute and you find that act to be human nature and innate. sorry, not everyone is primarily motivated by money. i know a doc who drove a 15 year old subaru, worked past 70 all the while having several million in his retirement account. i know another doc that by all appearances, lives for appearances. the finest of everything and likes to be seen conspicuously consuming. which o ne do you think cosidered med school, finance and law simultaneously? which one only considered medicine? and logic? you draw a conclusion based on a golf game with a few self centered people who happen to be doctors? not exactly a representative sampling based on my experience which includes much more than a golf round or two.

i don't see any reference to forced compliance. incentivized compliance was discussed. and if the converse was proven true, ie that non nuclear families were found to have an adverse effect on mental health and stability resulting in excessive costs to society, then yes, they should be disincentivized. doesn't current tax law already do this? don't some people still get married primarily for the tax breaks when they otherwise might not? i don't see a problem with it. tax laws have long been used to steer behavior deemed beneficial to society. but that's not the same as forced compliance. seems a majority of scotus felt the same way about the aca.

the system is better for it because some people listen. if it's even 10% (as i would estimate success in initial smoking cessation discussions) that makes a significant economic and health impact on the system. it matters. probably more than many of the glamorous, expensive procedures and tests that so many ill informed pts believe will save them from themselves. and you would be wrong about docs preaching screening universally. the newly covered medicare wellness visit, during which all of this preventive planning is reviewed has been ignored by the vast majority of docs. the low number of exams that have been coded for in the 1.5 years of it's availability is astounding. it's actually fairly well reimbursed but it takes time and i suspect some believe they can do better seeing 3 or 4 uncomplicated sick visits in the time. maybe they can. that's where changing the incentives comes in.

any such system would need to take pt compliance into account. my current incentive pay does. if i document that i strongly recommended a screening test but it was refused, that generates the same credit to me that it would if accepted. it's really not that difficult to incentivize docs to do the right thing. getting them to agree on what is the right thing is more difficult but there are plenty of widely accepted guidelines to begin with.

a good place to start would be prenatal care...ya know like they do in the UK. a home nurse assigned to at risk mothers to guide them through the time. then move to covered and comprehensive management of chronic diseases with affordable generic meds and treatment algorithms, dietary classes etc. keeping only several thousand diabetic pts off dialysis would save big bucks as would keeping heart failure and copd pt out of the hospital. pushing immunization programs for adults as well as children. ensuring generic meds without fail for everyone with chronic diseases would save millions if not billions in hospital costs.(europe has a pill with aspirin, beta blocker,statin and ace in 1- guess why the us doesnt? think that might help compliance for cardiac pts?) discussing end of life care and advanced directives at every physical (aca already provides for this) cost effective proven screening at reasonable intervals aimed at those most likely to benefit. elective interventions and heroic measures offered on the basis of most likely to benefit and rationed on that basis. Like it? didn't think so... oh, and i forgot, repressive sin taxes on tobacco, alcohol and junk food to pay for their full cost to public health and simultaneously decrease consumption.

and i'm sure he'd be more than happy to return all the grocery carts and clean the store in place of those who are uninsured due to poor choices. btw, grocery stores might be a poor example, at least in the case of wegmans. was just back to wny for a family reunion and the store we were in was amazing. i did a little research and they're highly ranked for employee issues as well. now, it seemed more expensive than the local chains around me but if that's the price for quality and fairness to employees, i'm willing to pay it. we could use a few more businesses like wegmans. i wish they'd go national.

well, if you consider a system that costs multiples of many other systems while rendering measurable results for it's entire population greatly inferior to those same systems a "golden goose" then you won't likely find your way out with a garmin.

your cited quotation is often (over)used as a summation of machiavelli's principles. there are several fine examples of that philosophy at work in the prince. not that any of that has to do with outcomes or measures such as infant mortality, life expectancy and rehospitalization rates. not providing services to people based on insurance or lack there of is economic rationing. the guy that works at the supermarket for minimum wage without insurance didn't choose to be uninsured.

i'm guessing there aren't many teachers, social workers, nurses, clergy or underpaid academics at your club. mine neither...

maybe you should reread "the prince"...i'm pretty certain a better understanding of machiavelli is a prerequisite in finance. maybe you should get sick without insurance and then your definition of rationing might be altered.

and you've missed the point. outcomes are what most rational people would see as th e important measure. if you have great access to a system with relatively bad outcomes, it's really not doing you much good now is it? and rationing happens here every day just not to you and the rest of your foresome. if you haven't heard there's 40+ million uninsured. th etwo are related in the sense that if applicants are primarily motivated by money to enter a profession, their actions may also be motivated by money within their profession. i suggest you look to the field of finance for some recent examples.

there are plenty of places where docs make much less than in the USA, especially specialists. yet, there's no shortage of applicants nor practitioners in many of these places. in this environment, it would be less likely that people choosing between high earning professions would choose medicine. but outcomes in such places often are better than outcomes in the usa. would you rather have a doctor that scored in the top 5th of his peers in the mcat that put your health highest on the priority list or one in the top 1/10th that might be prone to ordering questionable and possibly risky tests or procedures for his own monetary benefit? there are still few physician jobs with flexible schedules. pathology and dermatology come to mind but not much else. most docs work long, often unpredictable hours. and even ther specialties mentioned go through the arduous rite of passage known as residency. there are few jobs with less flexible scheduling.