The Frankish Reich
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No offense, but this is what MDs always say. There's a protectionist/limiting competition reason for that. My take: it is better to have access to a primary care provider, even if it is a PA or NP, than it is to have no access at all. And that's kind of where we're heading in a lot of parts of this country. Don't let the perfect be the enemy of the good. Should we allow NPs/PAs to practice without onsite physician "supervision" (supervision that exists more on an org chart than in reality) in underserved areas? Absolutely. All those routine physicals, well-baby appointments, taking blood samples and adjusting blood pressure meds, treating strep, etc., etc. We are spending way, way too much on all those things.
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Famous Communist Ronald Reagan: "anyone, from any corner of the world, can come to live in America and become an American." No stronger statement of American Exceptionalism has ever been voiced.
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Jack Smith et al....Lawyer Up
The Frankish Reich replied to BillsFanNC's topic in Politics, Polls, and Pundits
/ / / / / / / / / / / / / / / Busy little beaver! Assuming narrative control this morning, out Homelanding Homelander! Congratulations. Now pretend that you aren't seeing this. -
I would agree IF there were any reason to believe that the Republicans would negotiate anything. They passed the BBB with only Republican support, using the reconciliation process to jam it through. I doubt this is a good strategy on the part of the Democrats, but I get it. Like the Republicans under the start of Obama, they have leverage only through the budget process, and even worse through the debt ceiling.
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We are getting there, but we are getting there really slowly. @Joe Ferguson forever, we don't need you doing primary care in small town Alabama. We do need an NP or a PA and some other less overeducated health professionals there. The American model of training physicians - 4 years of college, 4 years of residency, etc, etc, is just way too expensive and lengthy for what we really need in these non-major cities. I'm in a big city with leading regional healthcare, but when something more than the old "it'll probably resolve by itself in a week or with antibiotics" hits me, I'm referred to a specialist anyway.
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This is the polar opposite of the original idea of American Exceptionalism. Call it what you want - I call it true love for my country - but I still try to honor that ideal, that we are a country based on an idea, a common goal, rather than just a common ancestry.
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Kansas City.... Who/What do you despise the most?
The Frankish Reich replied to henry jones's topic in The Stadium Wall
It's that ability to bring in guys who don't "fit the culture" and somehow wind up maintaining the culture. -
I have to question the Democrats' strategy here, since they've put themselves in a very difficult position. If they'd signed off on a QR, I think it's obvious that the Republicans would have to 100% own the end of the supplemental Obamacare subsidies. Now? Well, it's kind of a muddle in the eyes of the average low-information voter. I think that's where we're headed, and I still think we'll see very significant blowback from some of the red state members of the House and Senate.
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Milei's "dollarization" plan has gone nowhere. I'm glad his party won, because the alternative was worse. But at best it's Two Cheers for Javier.
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Hmm, 1865 ... I wonder what happened then. Perhaps more accurate to say we're about 406 years into the experiment to forcibly import African workers for the enrichment of your so-called "Americans?"
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Horrible Year To Be Buyers at Trade Deadline
The Frankish Reich replied to BuffaloBillyG's topic in The Stadium Wall
We're gonna get some WR. I'm sure of that. No way this team is going into the second half with the WR room we have now. -
It's Time to Mandate Vaccines
The Frankish Reich replied to The Frankish Reich's topic in Politics, Polls, and Pundits
How about Pets' Rights too! Stop the scourge of Pawtism. I think my dog might be on the spectrum. He's nonverbal and exhibits repetitive "stimming" behaviors. https://www.nytimes.com/2025/10/28/briefing/anti-vax-for-dogs.html -
Horrible Year To Be Buyers at Trade Deadline
The Frankish Reich replied to BuffaloBillyG's topic in The Stadium Wall
Don't sleep on Devaughn Vele. Maybe the Saints want to move one of the starters and give Vele a chance, but right now it looks like they don't value him. He's the one I'd want. -
OJ had 273 yards rushing and the Bills lost...
The Frankish Reich replied to Ethan in Cleveland's topic in The Stadium Wall
Too bad there wasn't anything like TBD back then. I was a kid, but I remember some Bills fans saying things like "I think Marangi could be a good one." He really was that bad. The QBR for "good" QBs in that era was much lower, but Fergy had his best (injury-shortened) QBR that same season: 90.0. And Marangi put up a 30.8 with the same offense. Just horrible. -
OJ had 273 yards rushing and the Bills lost...
The Frankish Reich replied to Ethan in Cleveland's topic in The Stadium Wall
It somehow is a weird source of pride for me that my Bills have had both Nathan Peterman and Gary Marangi under center. #1 and #2 worst NFL QBs of all time (although Peterman getting garbage starts is ruining that) -
Hate to say this … but the Pats are effing good
The Frankish Reich replied to dave mcbride's topic in The Stadium Wall
I will stop hating them when Kraft finally departs. And I don't mean departs New England. -
Love that guy. He just does whatever you ask him to do, and does it efficiently.
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A Few Thoughts about the Panthers Game - Community Edition
The Frankish Reich replied to Virgil's topic in The Stadium Wall
I hope you mean you saw the entire soccer game. No multitasking allowed! You should be busy yelling at the refs. (Thanks for the report!) -
My cheap/realistic trade target: https://www.espn.com/nfl/player/_/id/4569559/devaughn-vele Flashed a bit as a Bronco. 6'5", seems to be able to get open. Broncos WR room was (as we're seeing) loaded. Traded him to the Saints, where he is a victim of terrible QBing. Late bloomer because he did a Mormon mission.
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Bills- Panthers Snap Counts
The Frankish Reich replied to Sierra Foothills's topic in The Stadium Wall
I thought our Flanker played well today. The Split Ends, not so much. -
10/26/25 GAMEDAY Bills at Panthers Gameday thread
The Frankish Reich replied to Chandler#81's topic in The Stadium Wall
That's probably why he's nervous. -
Why does MAGA protect pedos?
The Frankish Reich replied to SectionC3's topic in Politics, Polls, and Pundits
Right. Trump said as much when asked about Comey. Something like "if he's guilty, he's guilty, if not, then he's not." Which is of course not the standard the Department of Justice uses. Under DOJ guidelines, you don't bring a prosecution on a coin flip chance of winning. You bring it only if you are confident that a jury will find guilt beyond a reasonable doubt.
