OCinBuffalo

Right, a blatant racist who USED black people, and spawned a legion of followers who USE black people...is a success? 73% out of wedlock births-->1000s of black men being murdered every year? The KKK could never have seen to that many black men being murdered, nor could they have seen to the destruction of this many black lives and families. The majority of black people are now exactly where the KKK wanted them to be: 1. dead 2. in prison and/or working in prison as slave labor for the government, 3. docile, 3/5ths of a person the KKK intended them to be, collecting their pittance from the government, owing their existence to their master and being completely marginalized. Congratulations, you've furthered the KKKs agenda more than they could have ever dreamed of on their own. (Again, if you want something done right, put the left in charge of doing the opposite.) If you wrote out this plan and showed it to Nathan Bedford Forest do you know what he'd say? Answer: "Sounds good. This way the Ns aren't really free. We will retain control of them, and prevent them from becoming a danger to us. Who cares if they are a danger to each other?" And, you call this: Success? W...T....F? Where are you getting "couldn't get it passed" from? Kennedy got shot, or, he would have gotten it passed. Do you know anything about JFK? He did all the work, including the arm twisting and the negotiation in the back rooms, for years, in preparation for a vote, and he created all the policy that would be voted on. Not to mention the executive orders he signed regarding equal pay, and banning discrimination on Federal property. LBJ showed up and merely pretended that all JFK's work was his. LBJ was the opposite of the high minded, "good for the country" guy...he was the "what's in it for me?" guy, and the "how can I use all the stuf JFK did to further my own agenda, and for my personal gain" guy.

Again, the behavior tells us more than most everything else. Lashing out irrationally? Blaming the guy whose job it is to catch wrongdoing? That's like blaming the cop who pulled you over for DUI. That usually means you are guilty as charged, and are just having a hard time blaming the person who is responsible: yourself. Is this inspector incompetent? If so, where is the evidence of that? If not, then that's the end of blaming the cop for doing his job. IF Issa (but really, Sekulow) can stay focused, and disciplined, I'm approaching the thinking that says: this thing has the potential to take Obama down. If we are honest with ourselves I think we all know that. The question I have is: will Issa try to do too much? Will he, rather than only doing the job he is empowered to do, and that must be done, creep the scope of his effort to include trying to manage it towards the 2014 elections? I hope not. This is about criminal behavior, and not about trying to win poltical points. I want the criminals exposed, charged, tried and in jail by the end of the year. If that includes Obama, so be it. I know it sucks for the country, but, having him get away with it sucks worse, long term.

You know, I was gonna say: "Hows about we both delete our posts?" But, now I'm thinking...censorship of political thought in any form gives me that not-so-fresh feeling.

This is it in a nutshell. In every way that matters, the "social engineering" approach, that began with LBJ telling black women that it was OK to have as many babies as they wanted... ....and to stop the idiots before they even get started, LBJ is directly quoted as saying "I'll have those !@#$s voting Democratic for the next 200 years". EDIT: Yes, he did use the N-word, filter or not. Thus, this removes all doubt about just exactly how much the real civil rights vision of Eisenhower and JFK was bastardized by the scumbags like LBJ for political gain, and turned into a business model by scumbags like Sharpton... ...because the government would take care of them? It has failed, miserably. You can no longer be "for progress", and support this. A self-defined progressive that supports obviously failed ideas from 60 years ago, and demands that we do nothing different, is by definition, no progressive at all. No, in every sense of the word, they are a Whig, or, more accuately a "know nothing" = a old school conservative who simply doesn't care that the realities of their world have changed: the old way of doing things has now been proven to be demonstrable idiocy, and no longer has a place in reality. Instead of perscuting Catholics and Chinese, these new know nothings target white people and/or any minority who has proven they didn't need the government to succeed. Why? Because the very existence of the sucessful government-free people of color, or white entreprenuers who have, in fact, "built that", creates an unanswerable challenge to their dogma. And that's what it is: dogma. It's not about what they think. It's about what they believe. My new name for birdog: neo-know nothing.

For me, saying "go back to Jersey douchebag(no comma)" is as innate as "let's go Buffalo". Frenkle: perhaps you should re-read that first sentence about 5 times. You've stated it. Now, the question I have is: in terms of pure volume of black young men getting killed, if you are in fact truly concerned about that(and not being your usual phony self), where should your focus be? I've been busy, and away from here, but I did see that interview and I am shocked nobody, especially B-Man, posted it. To wit: http://www.theblaze.com/stories/2013/07/17/greta-van-susteren-vs-trayvon-martin-family-attorney-who-claims-to-be-a-social-engineer-ill-put-my-career-up-against-yours-any-day-you-want/ Social engineer. See, this is what separates me from ...lybob. I look around here, and I'm happy to see all this talent on display, regardless of where people come down on stuff. How is that not a positive thing? Doesn't that say a lot about WNY in general? For all of our bluster, trolling, and field house grabassery, if we are to be objective, the brains here are relatively impressive. And, no, I am not bucking to replace Tony Robbins: Spend some time at some other team's TBD equivalents, and the difference becomes obvious. But, good old inferior, thus insecure ...lybob? What does he see? He's on the outside, looking in, isn't he? B-Man: I enjoy your posts, and find the cartoons hilarious. But, not this one. I simply think it's in poor taste. There's nothing funny about lynching. There are a lot of ways to get the same laugh/make the same point. This isn't necessary. Just my opinion. Or, it means: The numbers correspond to the amount of $ they were able to raise, and this is the extent of what a protest composed solely of paid protesters and/or protestors with future personal aspirations. Notice the similarity to OWS? This is what the paid campaign staff, who weren't valuable enough to get jobs working at OFA, do for money when there isn't an election and/or they weren't able to parlay their campaign service into a useless government job. So, when can we expect you to run for political office in Chicago, using a platform of "get the idiots"? There are no shortage of idiots, who aslo have guns, getting people killed right now, today. What is your plan? What shall we do about them? Continue to let them run the streets, and, because none of them know how to fire a weapon properly, keep missing each other and killing kids instead? That's what you've been supporting, how is it working? Where is your demand for immediate action from Rahm Emanuel, to quit his cowardly enabling of these idiots in trade for political gain, and target them instead? When are Democrats going to get serious about running the cities they control...properly? I'll ask again: does the last 30 years of Democratic policy in Chicago, Detroit, etc. represent progress? I'll ask again: what is the difference between what has been done in NYC for the last 15 years and what has been done in Chicago? I personally lived through the changes in NYC, so please, do not try to BS me.

Here's a nice little nugget: Melissa Harris-Perry, yeah, the lady with a history of unabashed idiocy, just admitted that basically, the system worked, the jury gave the correct verdict based on the evidence that was presented to them. Then she said the system is bad, and the laws that we have are bad. If, by her own admission, the system worked, and produced the right result, based on the evidence, how the F is it ...bad? These people on MSNBC are contorting themselves hilariously. This is the best night of cable news since 2010.

1st picture That's not even worth asking "why the long face"? It's not exotic, it's F'ing bizarre. I gotta say, looking at that page, that both sets of Jills twins are easily holding their own. There are some blatant butterfaces. I am thinking of updating the Urban Dictionary's butterface entry with this page. I mean, look at this poor girl: http://ultimatecheer...2010/01/Rob.jpg Hey at least she's active and in good shape, and I credit her for that...but...her face...

I've been in 40 states now, and Florida is the dumbest, by far. I've actually spent more time in FL than in all but 4 of the ones I've been, and lived there for a cumulative of 15 months, so, no, this is not about the bad time I had one weekend. This is about treating blatant stupidity as no big deal. An attitude that is most prevalent in FL. 1(one) story: It's the only place where I've been proofed for a 12 pack of Coke, twice, in 2 separate stores, 2 miles from each other, in the same week. Another: Drive around Tampa. Laugh. There's no point in getting angry, because you can't keep getting pissed off every 10 seconds...for an hour straight. I doubt even DC_Tom could maintain that, and he has to deal with the beltway. There is no doubt that saying ALL people in FL are dumb is wrongheaded. It's just as ignorant as saying all people from NJ are annoying. However, that is only because the rest of us force ourselves to this conclusion, and not because the people in FL and NJ do a good job of disproving it.

Do you hear that whooshing sound? Like something is flying...right over your head? I don't, but, I'm here. What's happening in Illinois?

Hehe...I'm thinking of a fat-ass scout that got assigned to my patrol. The scoutmaster in that troop meant we weren't going to camp someplace close to the road. No. Only after a 10-20 mile march. Every time we went out, the fatass meant that we were always setting up our tents in the F'ing dark. And, rather than giving fatass the schit I wanted to, as the leader, I had to encourage him. So... I learned, and I'm glad for that experience. Didn't see that coming, did you?

approach". http://www.rawstory....n-front-of-her/ Talk about killing your game, for all time, in public. Imagine reading that on your facebook profile? In all seriousness, this smells like Democrat on Democrat crime. And, as always with these things: why come out now, if you knew about this for months, years, etc.? Only now he's "tragically unsafe"? We'll see....

I am...this is close, but not as bad as the bumble F I just witnessed. That guy literally was prepped, prior to show. His is an actor, but stumbled on his script. That's because Matthews failed to frame the question in a way that would have fit the script. HOLY MORON: The man has been found not guilty, morons. That means that the criminal aspect of this : IS over. Jesus Christ on the Cross.

Thank you for reminding me. I just saw the most acute set of inane babble, ever, and I work in IT. That was F'ing hilarious. The speaker clearly had heard someone use the word "confluence"...but...he didn't quite remember the whole phrase. So, in his strain to try an parrot what he heard, he actually described the opposite of a confluence, while saying confluence, at the same time. He eventually sorta corrected it. And the kicker? Chris Matthews ended the segment by saying they didn't have time for a thoughtful discussion. Yeah, that's it Chris, there wasn't time. It wasn't that the speaker wasn't incapable of having a thoughtful discussion: because nothing he was saying were his own thoughts....nah. The truth is: there wasn't time for the clown to get his parroting out properly.

crap, I forgot to turn on MSNBC. Is it as funny as usual?

Oh, I don't know...how about: the real world? The real world, where Obamacare does actually suck, on wheels. The real world, where the IRS, and government in general, has obvious and massive corruption problems. The real world, where cowardice in the face of the enemy gets you court martialed. The real world, where real law breaking, done by law enforcement/intelligence services, is the ONLY criminal case we should be focused on right now. The real world, where Obama F'ing about in fairyland/leftist ideology for the first 4 years, is causing massive damage to our standing in the world, is causing real people to get dead. Yeah, none of it comes from fairyland, the land of wishes and magic, unicorns and rainbows, where you live. The land where everything comes out OK in the end, because the bad guy isn't really bad, he's just misunderstood, and all it takes to turn him around is some magical fruit and lots of hugs, because he's really just hungry and lonely. The land where magic wands are real and they solve all our problems. Who doesn't want to live there? We can, if only we really believe hard enough...and repeat "yes we can" enough times...entitlement programs won't destroy our economy, the debt they create won't destroy our currency, massive immigration won't destroy the middle class's wages, and every evil a-hole in the world won't use poision gas on his own people. Yes, we should spend more time on race relations, because all the other issues(that actually matter) are: yucky and no fun. Yeah all of this is

The verdict is in clowns. Deal with it. Enough of your straw grasping distractions. Let's get back to how: 1. Obamacare is an abject failure that is costing us jobs/$ 2. The IRS managed to break the law multiple times, and clearly isn't fit to run Obamacare 3. The POTUS showed cowardice under fire, by running to his bed, when we had Americans engaged in a fire fight 4. The DOJ has abused their power, over and over, both in investigating reporters, when people in their admin are the leakers, and they leaked for political gain 5. Obama foreign policy ideology fail has created Obama disaster in 5 different countries, at the same time. ...and, the real issue that Ds have been trying to avoid forever, by throwing in gay marriage, global warming and every other non-priority... 6. You have no plan to fix entitlements, so, you have no plan to fix the country's budget and finances as a whole, and you've stated this publicly, numerous times Since you can't raise any political $ from unions, gays/hollywood, and environtologists, because all of their issues have expired...do you really think that you can fleece the black community some more, and that this will not only help you win in 2014, but, will give you the distraction from 1-6 that you are so desperate for? Make no mistake, by the end of this week? We are back to 1-6. So, I ask you: now what?

Of course. Why would you involve yourself in something whose outcome you cannot control, that has marginal upside at best if you win, and massive downside/ridicule if you lose? The very real and large damage Obama is doing to his party's future agenda? It is no longer a question about whether it happens, now, it's about to what extent it happens. And, I want to hear more about this Judicial Watch thing. If true, then we need to take to the streets and force Holder out of office.

So, if we are keeping score, what is that? 3-452? I'm waiting to be called racist, because I missed the first round. For me, the fact that it changed, as you say, from a reasonable case, to an unreasonable one, alone, is a perfectly valid reason that it needed to go to trial, and that's why I am pleased that it did. Not to be a LAMP, but, why do you think they used a marshal's badge?

How about you clowns start using the word progress properly? As in: "empirical, then quantifiable, and then reproducable improvement"? The minute that you do, you will join me, not the other way around. There is nothing at all progessive about demanding that we keep Medicare, and HHS as a whole, SSI and Medicaid as it is(doomed to fail). Teddy Roosevelt would kick all of you "no refom of entitlements, protect ideas from 50+ years ago" people square in the nuts, and then throw you out of his party. Teddy Roosevelt invented the concept. Hint: it is not "duplicitous, claims moral superiority, yet is in fact morally inferior, corrupt, closeted Communist/socialist who talks a lot about IT stuff(they don't understand, at all), yet clings to the solutions of 50-70 years ago, and demands more backward looking/legacy protection". It is not a person that proceeds to demonstrate their "progressive solutions" in the form of Obamaphones and calls that not only "more moral" but, "progessive"? The Obamaphone: the single, best culmination of evidence that you sir, are no progressive. You and your pals are from Tammany Hall. You are the people TR was fighting, when he coined the term progressive, and defined himself as one. The only reason you don't know that? You lie so often, so large, and so much, to yourselves, never mind the rest of us, that you really have no idea that's precisely where you belong, do you? You define yourself based on distortion and lies. No schit. This whole metaphor has been lost on you. Oh well, let's deal with the rest.... Dude. I've literally met nurse consultants who do nothing at all other than teach people how to write notes and/or teach them to write them so that they can extract more $ from Mediciare. It's pathetic. These are well paid people who could add infinitely more value to society(in birdog-ese "think of all the children they could treat ")...yet this is what they do? Want to lay claim to this "progress" there, Mr. "Progressive"? Why the F not? It's your government-centered idiocy that has created this situation, where legions of FTE nurses don't nurse at all, and instead, F about with paper. If the cookie cutter vomitus = boiler plate had actual value, to anyone but lawyer douchebags, it wouldn't be boiler plate. Driving our business off of lawyers is patently stupid. Been saying it for years: it's far past time to go on offense on that front. You know who says it isn't? The other lawyers. Shocking. The reason: my plan for going on offense...doesn't require those lawyers. Again, a mighty shock. Anyway, the metaphor, explained literally, is this: "vibrant picture"? My ass. This isn't story time, and you ain't Allistar Cooke, or his audience, receiving your wonderfully prepared "story of the patient". There is nothing "vibrant" about this data set whatsover. It's a set of raw data that you use to either make decisions, or request that more tasks be done such that your observations can be coupled with empirical study to produce more/better info, and then you use that to make decisions with. It's value dissipates relative to the condition of the patient and the # and scope of decisions you have to make. Patient dies/gets better...value drops. Patient stays the same? Ordering what you ordered yesterday doesn't require prose. It certainly doesn't require anything: vibrant. Moving on, if you hate typing: Stop. Stop buying into systems/the lie that says you need to type. Realize that the emporer has no clothes, and that your notes are are more about Clara F'ing Barton, and less about getting the job done. The only way the bad goes away is: we make it go away. Hehehe...and then we(and our partners) came along and blew this whole thing up. We'll see. By the time we do, it will be obvious, or it won't, and there won't be any point in discussion. You know, I actually wrote out exactly how? I cut it. Why would I tell you anything? It's not like you will get it, like it, or want to see it. As I've been rolling this over and over in my mind: Atilla crossing the Danube, despite the shameful allegory, keeps coming up. Um system integration '= activity based costing, or cost accounting in general. Nor does it do a lick for improving business process, or more importantly adapting business process. People that should be in charge of Obamacare, or what is actually needed: "the solution to rising costs and the need, NOT to insure more people, but to deliver the low level care most people require at an efficient rate and for a reasonable price", know this both didactically and experientially. Unfortunately, the people that were put in charge of this have no idea what many of the words above mean individually, never mind understanding what they mean in combination, and double never mind, how to actually deploy anything in the context of those words. Exactly. This is why I ain't talking about either. I'm talking about solving the F'ing problem, which absolutely is: Even if IT saved money, they can't tell you how much or if it even did, because these clowns, for all their North Korean bravado...have no idea what it costs them per patient, per day/visit. Yes, 1/6th of our economy cannot tell you their cost of doing business...but I'm the a-hole, for demanding that they start acting like real managers, given the amount of $/GDP they are responsible for. And, I have news: another idiotic note about "the patient presented with a gerbil up his ass"...or another EMR that plans care...but does nothing about unplanned care(ahem = the real world), or unplanned work in general, or another Ph.D idiot nurse who secures yet another $20 million from the government, only to bumbleF around trying to do my job? None of this solves the real problem: management of cost and resources.

Because that's what blzurl does. Case in point 3rdnlng: Instead of addressing your objection to her ridiculous assertion, before, in her mind, you can start pressing her on it: she attacks you and anyone else, again, as college freshmen? She doesn't do this consciously. It's pretty much an automated response. Aside: This comes from the poster who was most likely to repeat what you would hear from a college freshman from 2005-2009. Hilarious irony. And, irony that will never dawn on blzurl, because she defines ignorant. But, her entire approach means: her racist assertion stands. The focus changes from how you aren't racists, to how you aren't a college freshman. Of course, to me, this is the opposite of clever: it is easliy broken down, as I have done, and put on display. But, blzurl thinks this means she wins, because she called you all racists, and got away with it. Phony. Don't forget blzurl's phoniness. She's in the top 3 for biggest phony at PPP, and her nastiness is easily surpassed by her lack of intellectual honesty. I agree with this. This is perhaps the most reasoned, and therefore most correct post in this thread. We have an adversarial judicial system, and thank God for that. We don't have these ridiculous Judge/Prosecutor European systems that are clearly inferior, because they take forever and are (ahem, Aruba) prone to corruption, incompetence, and the personal whims of the Judge/Prosecutor. Therefore, by definition, we have 2 sides, and each side's job is to do their very best for their side. It isn't and cannot be based on the merits of each side's position, that is for the jury to decide, and that is why we have: trials. I think we have become distracted from the basics of the system, because of the media's propensity to try the case themselves, because so many cases get plead instead of tried, and becaue TV shows portray a false sense of how this really works. Freudian WTF? here. Consider: why a Federal Marshal's badge? They could have used the badges of their own police. They could have used their state police. The could have used a badge from f'ing Disney World. Why a Federal Marshal's badge? Why the personal police force of the DOJ, and not the FBI? Who prepared this slide? Or, if the DA's office did prepare it, why would they choose this badge? Perhaps some subconscious influence of the people that are in their offices, into their desks, and up their asses every day? Seems like B-Man's Judicial Watch article has some unintended corroboration. Hehehehe....then WTF are you doing here? Absolutely... Consider: if you were Data, and this guy kept putting his foot up on/near your armrest, such that his nuts were always danger close to resting on your shoulder? You'd be glad you're an android, and that you don't really understand humans all that well. The worst thing, if you watch the episodes again, is that whenever Riker does that, he always has a disturbing little "check these out" smile. I believe I would end that smile with a nice quick stretch, elbows out, fists near my head.

Wait, you didn't expect me to leave the Fortune 500, just so I could bring you something somebody has already done that sucks, or something else that is equally inferior, all lame-dick rehashed with few new added features, did you? Does that even kinda sound like me? I spent years in feasibility study, performed properly, before I left. I determined what was needed after testing tons of different hardware and software against the very long(imagine ), granular and specific set of requirements I created. I spent F'ing hours and hours on nights and weekends in hospitals and SNFs, smelling the poop, seeing the gunshot victims come in, and observing. That's before I wrote a single line of code. The notion that I haven't spent time in hospitals = hilarious. Why do I need to control what you call things? I couldn't care less. Our stack = call ALL of it what you want, and this can be done per user, per department, and completely changed over and over, as many times as you/others want: no consequences, no data conversion, and all of this can be resurrected at any time. But, it's not just limited to terms, you design the ENTIRE process of how the "thinger"(you name it) you build works, from end to end, with only a few basic, experience-based rules to keep you from hurting yourself. It's like gun safety: too many rules is counter productive. If you want more rules, we can build them, but you own them. (There is a hell of a lot more to this than just this stuff) A wise doctor could actually end up making money on this deal, because he could charge others for some or all of his "thinger". Or, a group of docs could all be birdogs, share everything they do, and have little parties where they tell each how moral they are for sharing, and talk about squash. I do not care. (Edit: I also do not care if you have parties and charge each other for use of your thingers, consenting adults...etc. ) The reason that you find what you hate elsewhere is specific to the underlying data model that was used to create the software. I can explain in detail, but, it's merely: inferior. Si Senor. (Always wanted to use that, the right way) Now you've described a core concept of our transactional storage facility(sorta). You've also kinda backed into one of our workflow concepts. But actually, consider this: what if the "proper lists" were infinite, and also user defined in any level of granularity? Of course we'd have the lists for "corporate"/standard purposes, but, if you just wanted to do your own thing, and study your own thing, or, get the hospital/nursing home to give you "your own thing" data? It's actually easy, for us, without causing major disruption of process/testing/implementation costs. In fact I've filled a doctor's custom data "order" like that in .5 hour, and that was PT rehab along with nurses responding to doctor's order crapola, delivered remotely, and delivery timing was purely rule/data-driven. The PTs and RNs spent under a minute in making the adjustment, because they've designed every aspect of their respective systems, the same as you. So no, we don't text you every 5 minutes with the irrelevant, whether you want it or not(see Epic's relatively recent $750k mobile software project debacle...or Epic FAIL as it were. ) That is what happens when you ask maintence workers to suddenly become architects and project managers. How about 0 keyboard and note entry, other than doing your login(and that's only because HIPPA says we have to + Meaningful Use = 2 factor authentication)? Health care is the single most quantifiable industry I've ever been in, period. Consider: everything is big, medium, small, that presented 1, 3, 25 times, etc. Consistent, sporadic, rare. Etc. The only reason you all think you're Earnest Hemingway, and that your notes are wildly valuable pieces of prose that must be saved for posterity? You grew up in paper. Notes are a function of the limitation of paper, as a vehicle for communication, and, the Hemingway thing. I cut out all the reasons why I am right. If you want them, just ask. But I will tell you now: Argue with me all you want, when you get done, I will prove the need for notes to be a myth, and a hindrance to doing this better. I had a specially designed browser responding to voice commands on mobile device and doing stuff with our first RC...in 2003(that browser went nowhere = IBM stikes again). As I say often: I don't care how you enter the data, as long as you do it, correctly, and stop making excuses for not doing it. Rather than leaving you to it, I take away your excuses, and, "correctly" is defined by you, so if you don't do it right, you only have yourself to blame. We create the conditions for you to find a way to make it work for you. That's how we do it. That ain't how GE/Cerner/McKesson/etc does it. They find a way to have you buy what they have on their shelf. Well, here's where I am going to sound like you: I made a self-sacrificing choice to get into this because I knew I could make a difference. Really. A real consultant is attracted to the biggest/riskiest problems, because boredom is worse than death. A kitty gets his 8-5 job at IBM. Not many 20-somethings are going to miss good drinking time to hang out in a poop and desperation-infested inner city hospitals or nursing homes on a Friday night. I've met 2 guys out of a 1000+ in health care that made that same choice. Almost all of the other 998 wouldn't last an hour where we come from, because they couldn't bill for that hour, because nobody would pay for that hour. How some health care software was developed: 6-8 nurses in their focus group, 10 docs in theirs, etc. This approach works great, if you are one of those nurses or docs. Everybody else: the shaft. Health care is not manufacturing, so, no, that requirements gathering approach, that produces that form that those 6 nurses like is not going to make sense to other nurses. In manufacturing, a form similarly designed will make a lot more sense from one group of factory foreman to another. The job is different. We aren't simply reporting on what the machine did and what we did as a result, the combinations of which are finite, and where the process is the only thing. No, in health care we are reporting what we did in repsonse to a patient, the combinations of which are infinite, and where the patient(WRONGLY) is the only thing. How the rest was developed? Docs/Ph.D nurse clowns, who've never taken a single IT class in their life, setting themselves up as project managers and technical architects(which they patently are not), hiring programmers(that they don't know how to hire or...manage ), writing specs(that they don't know how to write), and designing DBs(that they don't know how to design), and creating UI based on nothing other than: it makes sense to them. This is because most of these companies were started by the untrained, inexperienced, bottom of the barrel. In the 80s, the real deal was making billions coding for Wall Street. These guys were making thousands coding for St. Mercy General. Again, you can't expect very many janitors to suddenly show prowess as architects and project managers. You can't expect people who learned the job from Barnes & Noble, to be on par with me. I've been too well-trained, and far too many elite people have spent too much time(for which I owe, which why I train kids just as hard) on me to expect that. No, no and no, and as many more no's as are required. The generalist in IT works in India, if he has a job at all anymore. You don't hire a "programmer" like we once did, for the long haul, and train him/her as you go along, system to system. Now, you hire a javascript programmer with some json for the server stuff. You hire a Jquery guy for the UI. You hire another guy who only does DBs, and only if he has both SQL and NoSQL, etc. All specialists, but all of them are cross-trained as well. Thus, you expect that they will leave for more $ in 3 years max, and that is fine, because you may not want/need them by then. Relevant IT is becoming less about hierarchy and generalists, and more about small groups or...guilds? of master craftsmen. This doesn't include the Drupal, etc. people, or the implementers of somebody's accounting package. Put simply: is the guy who grabs the metal out of your trash a generalist? Neither are they. Hospitals don't have a rep for paying well, or, paying at all sometimes. I had to come up with a business model that could provide the high level IT stuff that I was doing elsewhere...for a price that health care could afford. I then had to come up with the stack that could be run within that business model. That's because: my interest here is in solving the problems. If somebody comes along and drops F U $ on me for the firm, that's fine, as long as it allows me to solve the problem. Apple/Microsoft have no motivation for doing that. Their interest is solely in making $, with the least amount of North Korea Health Care attitude as possible.

Oh please. As if they would even try. As if some of them, even here, would even conceive, under conditions you describe, that the pill existed, or that decency, and intellectual honesty, requires that they at least try to to swallow it. Or, as if they wouldn't try to redefine the pill as not a pill, but merely, a gas? And as such, they do not have to swallow it, because, come on, how can anybody really swallow a gas, entirely? It's not their fault that gas is tricky, and, jeez, your insistence that they swallow this gas thing is really getting out of hand. Of course, you wouldn't be so crazy if it wasn't for Rush/Fox News. But, ultimately, all they want to do is seek the truth here anyway, so let's have a reasoned discussion about it...and we can explore the many points of view on the subject...and Rachel Maddow our way out of the entire thing. The fact that they have a pill to swallow, that they created, with the polar opposite of a reasoned or nuanced approach during the Bush years, and that if they want to be considered, reasoned, or intellectual, it's their duty to swallow what they created? Long gone.

Gotta love it when 2 Lowest Common Denominator cultures collide. Specifically, the "make any money we can off celebrity crap, immediately...and those who consume that" vs. "make any money we can off exploiting racism, immediately...and those who consume that" cultures go at it in a cage match. The funny part? Now that this has got some run? There will be 5 more games at the App Store/Play by the end of the month. The click traffic alone, of idiot group #2 rushing to the website to prove how offended they are, makes it totally worth it. Hell of a business model.

Disclaimer: Not that I expect birdog, or most of you to read this, but, it is not only fair, but accurate, and dare I say: insightful? So why not write it, even it if it falls on idiot/deaf ears? Quite literally? With so many of you saying "I'm a doctor" and pretending that means you know not just something, but everything, about IT design, construction, integration and MANAGEMENT, and the various other disciplines we use, which often take just as much study, and just as much "interning" to master, as your work? And, when we actually do bring these to the problem, you fight us right up until the point that you are embarassing yourself, then you slink off and refuse to participate...because it's not "your idea"? (When in reality, my design doesn't work, unless it is 100%: your idea. But, the ego is blinding...) Add to that nurses saying things like "I know my patients", when doing so is to claim ominpotence, or at the very least, insomnia, since college. Add to these the facts that the weakest consultants I have ever seen operate in your industry, that 90% of the code/architecture I've seen is atrocious, and most importantly: that I have consisently found that Health Care is where the incompetent/scared of their own shadow IT/health care managers hide? It's a tossup for whom exactly is more responsible for holding your industry back. There is more than enough blame to go around, birdog. You could have saved yourselves, years ago, had you all been able to get your egos out of the way of the projects that were necessary, and hire the people that were necessary. Example: I've now met 5 doctors/wannabe Bill Gates...with complete server racks in their basement/office/office basement. I'd estimate an average of ~$30k of equipment per guy, all ready to go, and not one of them with the first F'ing clue how to build the software they need. (I thought the last guy was going to cry when I told him what "the cloud" actually means) But...the hardware proves they know what they are doing, right? No, they don't, which is how I came to be standing in their basement, next to their kid's toys. I am the panic button that gets pushed when the hubris comes crashing down. But, please understand, that's been the story many other places too. The upside? Nobody can say you guys don't care. But caring is not a replacement for proper standards and practice. You only get that from guys like me. This is the polar opposite of what is required, what I think, what I do, and what I plan to do. Hilarious. In fact, it is this very thinking that is the root of so much idiocy in health care. Clinical software, which, in other industries would correctly be called "quality assurance", should never, ever, have been allowed to drive things like reimbursement or used as a replacement for operations software. This is flat out illogical. Other industries have operations software, you do not. CRM software is not the answer here either. Care planning/clincal plans, without proper operations software, is like preparing a battle plan, but going into the battle with all the radios turned off, no real time information, ignoring how the plan went, whether the planned work was done, and more importantly how we did with the unplanned work, and then, preparing the next battle plan, and repeating the process. That is precisely what health care does today, and then, when called on it? They talk about the F'ing patient. (Imagine Walter Sobchak, conducting the choir, but instead of "their gonna kill that poor woman", it's "we have to be patient-centered". ) I have news: basing your business process on an unpredictable standard, which changes constantly, is inconsistent from one to the next and whose flavors may or many not even show up this month? That is the opposite of a standard. People aren't widgets(u starting to see why applying your screed, to me, of all people, is hilarious?). Using the patient as the core design pole is the height of idiocy. Your business process is what you do, therefore, it must be based upon and measured by, what you do. The patient may effect what you do, but it is an input, a variable, it is not the equation, and should never be the core of the architecture. Put simply: you don't learn how to hit a baseball based on the pitcher. You learn how to hit by focusing on the fundamentals. You start with where you feet go, and then move on to your knees, etc. You improve your hitting by doing the same. As the pitchers get "better", and start to throw curveballs, again, you focus on what you do, and learn new fundamentals to deal with it. Most health care organizations do not learn or operate this way. At no time does the pitcher define what you are doing, or your improvement of what you're doing. It's merely an input. While you adjust what you are doing to the input from the pitcher, you don't try to come up with a different batting stance, swing, etc. per pitcher, or per pitch. This is precisely how we ended up with a bazillion ICD 9-10 codes, and within that design concept, there are actually too few. Are you feeling me on any of this? Do you get how stupid this all is? Do you get WHY and HOW I have already proven how stupid this all is? Any health care organization that is trying to hit, based solely on the pitcher(patient, state regs, Joint commission, whatever), will fail. Clearly what I wrote above not only invalidates this idiocy, what you've written here merely underscores the veracity of what I'm saying.. Frankly, health care is the only industry I've worked in where IT has been allowed to be this bad, for this long. There are many reasons why. Edit: #2 = Answer to why no Apple, Microsoft, etc.: Chief among them is bad profit margins, which keep the elite away, bad attitudes (doctors and nurses saying things like "my job is more important than anyone else's, so that means I don't have to be a manager or a leader, or even try"...so why should Apple or Microsoft want to bother?...before I got into this, I had an E&Y partner screaming at me on a plane not to do it, and come work for him, because "Health care is nothing but A-holes who refuse to learn"), and constant meddling from the insurance/pharma companies and the unions/government. Again, there is enough blame to go around. One thing is certain: if you can't tell me what you did today, how it went, by patient, and what it cost, literally, by patient, not financial accounting nonsense, and the same thing tomorrow, then the rest of what you have to say is irrelevant. This is because, by definition it cannot be based on fact, or anything that is actually relevant to determining how health care is performing as an industry, a group, or an individual. Or, put another way: It's impossible to get a handle on health care costs, if you don't know what they are. Edit: It's hilarious that birdog's posts actually agree with mine at a high level at least, however, he doesn't actually know why EHR's aren't the answer, does he? Maybe he will if he chooses to read the above.

This is why I asked the questions I did a few pages back. It's already happening. They(the rational left who were looking to use this to fuel an agenda, the rational leftist media, the usual suspects) know they are going to lose, again. Unfortunately, they failed to learn from the Duke Lacrosse thing, and they think they have to do something, anything, desperately, again. (They will deploy the irrational left to do the something, as per normal) This will blow up in their face, again, and I will at them, again. Look at it this way: at least dog's idiocy appears to be about locking in to a faulty set of facts, and not wanting to face the ones we have now. That's merely unwise, and his focus appears to be on the trial itself. No, the real scumbags(more blatant immorality from birdog's "party of the more moral") here are those that simply don't care about the facts, or the trial, are looking to manufacture the whatever is necessary to prove their delusion, and will stop at nothing to see that idiot delusion forced upon us, even if it takes a mob of irrational left cheering an innocent man being sent to prison, irrational left riots, or whatever else they can get their useful idiots to do.