Friday, April 7, 2017

Dear Trump Voters

Happy now? 

We certainly got something new and different.

For those who voted for Trump because:  
We have do to something different; (We didn’t.)    
We need someone who isn’t a political elite; (We got a financial elite.)    
We need someone with business acumen. (We got the bankruptcy king.)    

Here is a comparison: 
Let’s hire the CEO of Frito-Lay to be principle of our high school!
Let him choose people for the department heads:
English Dept:  CEO of bank!
Math Dept: CEO of restaurant chain!
Social Studies Dept: CEO of landscaping/nursery business!
Art Dept: Hmmmm… CEO of local hospital!
….

Wow! Look at all that business savvy we now have!

But... Oh, dear... They are in charge of something that they know nothing about. 

Isn't that refreshing? New perspectives! A business approach!

Now, let them start firing people and eliminating budgets! Let’s improve the English department by firing half the teachers! Yeah!

Let’s improve the math department by… firing 30% of the teachers and cutting the budget!

Art? We don't need no art! Eliminate the art department.

Etc. Ad nauseum.


But, let’s double the security force! And, double the security budget! Hire a private security firm! 

Put up a wall around our schools! Have ICE officials at the doors! 

Who knew that health care is complicated? Every single thinking person in the USA. And, every single person who doesn't or hasn't had health care.

Who knew that there is a history of effort and diplomacy with North Korea?  Career State Department Officials. And, any informed American. And, everyone over the age of 50.

Who knows all about the Middle East? What has succeeded and what has failed? Not me. Not Trump. Not the new Secretary of State.

Well, I am going to apply for a job teaching physics and nano-technology at MIT! Hope I get the job!

Love, love, love is all there is,

VLL

Thursday, April 6, 2017

Dear Hypocrites

Don't worry! Some of my best friends are hypocrites. Is it the human condition or a passing fad?

The word of the day: HYPOCRITE
noun
1.
a person who pretends to have virtues, moral or religious beliefs, principles, etc., that he or she does not actually possess, especially a person whose actions belie stated beliefs.
2.
a person who feigns some desirable or publicly approved attitude, especially one whose private life, opinions, or statements belie his or her public statements.


Republicans, remember how enraged you were when President Obama issued an executive order? Hypocrisy much?

Oh, remember what a slacker President Obama was – He played golf sometimes. I’m listening for the outrage about #45’s weekend trips to Mar-a-lago.

You didn’t like Mrs. Obama revealing her arms? But, Mrs. T can reveal it all? Oh! She’s a Republican?!? Maybe. Maybe not.

Lordy, remember the fake stories about how much money President Obama’s trips cost? Where are the (real) stories about how much money #45 and his spawn are spending on travel?

You judged President Obama not a Christian but President T can talk openly about grabbing women by the pu$$y and that is OK? Because he began to claim to be a Christian in order to run for president? Because it is OK for Christian men to grab women by the pu$$y? Because he is a Republican? All of the above?


Remember way way way back when Republicans were all outraged by the TV show “Murphy Brown” and living in terror that teen girls were going to follow in her footsteps – by which they meant get pregnant. 

I was hoping that teens would follow in her footsteps and became the best and most daring investigative reporters in the US

I digress. Why aren’t you worried that your teen sons are going to follow in Mr. T’s footsteps and just start kissing every beautiful woman they see and grabbing them by the pu$$y? Hypocrisy much?

Honestly, I have a vision of masses of hypocrites wearing the letter "H" on their clothing. It would be so much fun!

Well, someone has to love hypocrites but it doesn't have to be me! You can all love each other!

VLL

http://www.dictionary.com/browse/hypocrite

Tuesday, March 28, 2017

DEAR DEM PARTY POOPERS

Party Poopers, sit down and listen up.

With nothing but loving kindness in my heart, I say to you, “Get over it already!” Buck up! Quit yer whining! And, for Gawd’s sake, grow up!

While you are at it, quit with the fake news sites already!

You don’t like how the Democratic Party operates? Oh, boo hoo! Those lazy-assed volunteers don’t get around to everything you think that they should do? Bummer. The entire 20 paid staff members for the entire state of Wisco don’t do enough? Lazy slobs.

Why don’t you do it? Yes, you! For free. In your spare time. While you hold down a full-time job, raise a family, and keep your car in running condition.

Wait… You don’t belong ? What!?! You have never belonged!?! Uhhh? You never paid fees. You never donated. You never volunteered.

And, they don’t listen to you? Imagine that. I assume that you have called, written letters, and sent emails outlining your vastly superior ideas. I know that I have – many, many, many times.

You don’t like fund-raisers? You didn’t get an invite? You can’t afford it? They are just for the elite of the Democratic Party?

Why, yes, they are. That is why they are called “FUND raisers.” They are not free. They are not charity. It does take money to run for office, to run the party, to elect Democrats.

Did the country club to invite you to their next shin-dig? No, they didn’t because you don’t belong. I cannot afford the country club. I hate the concept of country clubs. But, I am not asking them to invite me and then getting angry because they didn’t.

Have your own party. Make it a pot-luck. Have a keg. Invite anyone you please.

Oh, wait! You didn’t even know about the event?  Yes, people used to ask me all they time why they didn’t know about events. The answer: Read a newspaper. Check the Facebook page every day. Check the web-page. Join and get on the mailing list.

To the best of my very limited knowledge, The Democratic Party and the DNC is a private club. It operates for the sole purpose of electing Democrats and perhaps even sometimes supporting the Democratic Party Platform.

It is not a democracy. The majority does not rule. It isn’t even a constitutional republic.

The purpose is to elect Democrats to the top of the ticket. Whatever other programs exist, I haven’t seen in operation.

As in all such organizations, people seek power, influence, and money even when there is very little to be had – or, none at all. People fight like cats and dogs for county Dem Party offices that pay nothing but a generous headache.


It is a bureaucracy. Doing anything at all requires navigating 5,000 levels of hierarchy. The “We have never done it that way before” crowd wins most decisions.

I am sure that there are county parties that engage in a lot of activism – but, I haven’t seen it.

It isn’t fair and doesn’t claim to be.  I am from a small county and I wouldn’t get to go to a convention if I donated a million dollars. So, if you are new to politics, get used to it.

Or, do what I am doing. Start your own f’ing group of awesome activists! No elections. No bureaucracy.  

Do I love the Dem Party? No. I f’ing hate it. But, I will be voting Democratic till the day I die.

Warmly, 
VLL


Saturday, March 25, 2017

Dear Medical Fraudsters

As people die from lack of health care here in the USA - and, that's ought to be a crime - I am especially incensed by health care fraud including bill padding. Please share your experience!

PERSONAL EXPERIENCE:

Ø     After my aunt’s death, my sister received receipts for medical services rendered after her death.
Ø     Some MD’s keep a list of all Medicare patients being seen by PA’s or MSN’s. Then, they look into the room, ask a brief question and bill Medicare for both the PA or the MSN and a physician consultation.
Ø     A clinic advertises a “Headache Clinic.” This consists of a neurologist and a “float nurse” – not even a HA specialist. The float nurse spends about an hour and 45 mins administering a questionnaire that could be filled out by the patient alone. The neurologist spends about 10 ministering administering a very simple neuro check – and, they bill $700.00. No technology involved. I challenged this bill, even though my insurance was paying, and got it reduced.
Ø     Doctors who prescribe antibiotics for viruses and then have patients come back for follow up – for the common cold.
Ø     Clinics have “quotas” – they want their doctors to see a certain number of patients/week.
Ø     Clinics give bonuses for doctors seeing the highest numbers of patients.
Ø     Clinics encouraging doctors to prescribe medication that require follow-up visits – such as narcotics.
Ø     Hip replacement patients were not purchasing the optional personal care items (which were unnecessary or could be bought less expensively at local stores) so the items were added to the room charge.
Ø     Patients are required to be seen by a PA or nurse who is unable to answer basic questions and must then also be seen by an MD. This should be a cost savings, but is used to “double book” or bad bills instead.
Ø     Doctors bill for every second of your time – even the time spent standing in the hall way.
Ø     Patients cannot compare costs between clinics because the billing is so complicated. Even when you are seeing a doctor for a simple reason and there will be no testing or technology involved, clinics claim that they cannot tell you in advance how much you will be charge.



What Does Health Care Fraud Look Like?

The majority of health care fraud is committed by a very small minority of dishonest health care providers. Sadly, the actions of these deceitful few ultimately serve to sully the reputation of perhaps the most trusted and respected members of our society-our physicians.

The most common types of fraud committed by dishonest providers include:

Ø      Billing for services that were never rendered-either by using genuine patient information, sometimes obtained through identity theft, to fabricate entire claims or by padding claims with charges for procedures or services that did not take place.

Ø      Billing for more expensive services or procedures than were actually provided or performed, commonly known as "upcoding"-i.e., falsely billing for a higher-priced treatment than was actually provided (which often requires the accompanying "inflation" of the patient's diagnosis code to a more serious condition consistent with the false procedure code).

Ø      Performing medically unnecessary services solely for the purpose of generating insurance payments-seen very often in nerve-conduction and other diagnostic-testing schemes.

Ø      Misrepresenting non-covered treatments as medically necessary covered treatments for purposes of obtaining insurance payments-widely seen in cosmetic-surgery schemes, in which non-covered cosmetic procedures such as "nose jobs" are billed to patients' insurers as deviated-septum repairs.

Ø      Falsifying a patient's diagnosis to justify tests, surgeries or other procedures that aren't medically necessary.

Ø      Unbundling - billing each step of a procedure as if it were a separate procedure.

Ø      Billing a patient more than the co-pay amount for services that were prepaid or paid in full by the benefit plan under the terms of a managed care contract.

Ø      Accepting kickbacks for patient referrals.

Ø      Waiving patient co-pays or deductibles for medical or dental care and over-billing the insurance carrier or benefit plan (insurers often set the policy with regard to the waiver of co-pays through its provider contracting process; while, under Medicare, routinely waiving co-pays is prohibited and may only be waived due to "financial hardship").

https://www.nhcaa.org/resources/health-care-anti-fraud-resources/the-challenge-of-health-care-fraud.aspx

 

Medicare Funds Totaling $60 Billion Improperly Paid, Report Finds:  http://abcnews.go.com/Politics/medicare-funds-totaling-60-billion-improperly-paid-report/story?id=32604330


What's the Problem?

Health care fraud perpetrators steal billions of dollars each year from Federal and State governments, from American taxpayers, and some of our country’s most vulnerable citizens. Fraud drives up the costs for everyone in the health care system, in addition to hurting the long term solvency of the Federal health care programs, like Medicare and Medicaid, upon which millions of Americans depend.
Health care fraud can occur in many ways. One example is when an insurer (e.g., Medicare or a private health care insurance company) is intentionally billed for services or supplies that were never provided. Other examples of fraud include, but are not limited to the following:
·                     A health care provider bills for services or supplies (e.g., home health services, diabetic supplies, hospital visits, exams) that were never provided
·                     A health care provider bills an insurer for services or treatments that are medically unnecessary and, in some cases, potentially even harmful to the patient (e.g. power wheelchairs, therapy sessions, ambulance transports)
·                     Patients’ insurance numbers are stolen and sold to criminal organizations and then used to bill for health care services, supplies, or equipment that were not necessary or never provided
·                     A health care provider is paid bribes to refer patients for services and treatments which may be medically unnecessary or substandard (e.g. mental health services, physical therapy)
·                     An insured individual sharing their health insurance information with someone else so that the uninsured person can obtain health care services under the insured’s name.



TEN COMMON HEALTH CARE PROVIDER FRAUD SCHEMES  

Ø     Billing for services not rendered.
Ø     Billing for a non-covered service as a covered service.
Ø     Misrepresenting dates of service.
Ø     Misrepresenting locations of service.
Ø     Misrepresenting provider of service.
Ø     Waiving of deductibles and/or co-payments.
Ø     Incorrect reporting of diagnoses or procedures (includes unbundling).
Ø     Overutilization of services.
Ø     Corruption (kickbacks and bribery).
Ø     False or unnecessary issuance of prescription drugs.



HEALTH CARE FRAUD:

When a health care fraud is perpetrated, the health care provider passes the costs along to its customers. Because of the pervasiveness of health care fraud, statistics now show that 10 cents of every dollar spent on health care goes toward paying for fraudulent health care claims.




Tuesday, March 21, 2017

Dear Narcissists and Those Who Love Them

Beloveds, our watch-dog media are chasing Twitter squirrels while the GOP steals our democracy through the device of a ranting raving ignorant narcissist.

In defense of normal/healthy people: Many people have never had the privilege of interacting with/being closely related to a serious narcissist. It is... disgusting. That's what it is.

Narcissists are a gaping maw of greed - for money, attention, fame, love, respect... with absolutely no feelings that they should reciprocate. It hurts the healthy person's eyes to look at a narcissist.

Most of us cannot believe our eye. We think it is all a giant misunderstanding. It isn't.

We think that the vile behavior is covering up a sad lack of self-esteem. It isn't.

The faster that we face reality the faster we can address reality:

> Narcissists are irrational.

> Narcissists lie. It is what they do.

> They do not experience shame or embarrassed.

> When caught in a lie, they deny and deny and deny.

> They are perfectly confident lying to witnesses of their actions.

> They do not experience remorse.

> They do not feel sad or happy for others.

> They have -0- empathy.

> They do not change directions.

> They are not influenced by anything except their own needs & wants.

> If they appear to love someone, it is because that person is a source or gratification to them. A "supply."

> They do not feel love.


"Narcissistic personality disorder is indicated by five or more of the following symptoms:

"Exaggerates own importance

"Is preoccupied with fantasies of success, power, beauty, intelligence or ideal romance

"Believes he or she is special and can only be understood by other special people or institutions

"Requires constant attention and admiration from others

"Has unreasonable expectations of favorable treatment

"Takes advantage of others to reach his or her own goals

"Disregards the feelings of others, lacks empathy

"Is often envious of others or believes other people are envious of him or her

"Shows arrogant behaviors and attitudes
50%-75% of the people diagnosed with narcissistic personality disorder are male. Additionally, it is common for many adolescents to display the characteristics listed above; this does not indicate that they will later develop narcissistic personality disorder.

"Causes

Causes of narcissistic personality disorder are not yet well-understood. Genetic and biological factors as well as environment and early life experiences are all thought to play a role in the development of this condition. "

https://www.psychologytoday.com/conditions/narcissistic-personality-disorder

My love to you healthy normal compassionate people!
VLL

Tuesday, March 14, 2017

Dear Health Care Dummies

Health Care for Dummies

Lack of insurance = lack of health care.

Lack of health care = dying. Dying now. Or, dying early. 10 years early? 20 years early?

Lack of health care = no physical exams, no testicular cancer tests or treatment, no PAP tests, no pre-natal care, no breast cancer screening, no Viagra, no treatment for … anything.

Small medical problems become big ones. Ewww, that spot on your nose is getting bigger. That lump in your testicles - WTH is it? Just watch it grow!

You don’t think the government has the right to force you to buy insurance? They have the right to tax me to pay for you and I do not fucking want to pay for your care when you are in an accident and paralyzed or burned or get cancer or.... Get insurance.

No, charities do not provide health care to anyone or everyone who needs it. They do not compensate for lack of insurance.

No, ER’s do not provide treatment for diabetes, cancer, problem pregnancies, high blood pressure, cardiovascular disease, depresson…

ER’s stabilize patients and discharge them.

Oh, so you were seen “for free” in the ER and then had to be admitted? Surprise! You will still get a bill and when your old mum passes away and the hospital will claim her falling down old house.


 I promise that I will visit you in the hospital, just before you die, when you finally had to be admitted from the ER. And, I will attend your funeral.

But, I cannot send flowers because I have to pay for my insurance.

Love, V

Thursday, March 9, 2017

Dear Dear Dear PP Fact-Impaired Friends

Oh, my dear, dear, dear me! Get your facts straight on Planned Parenthood.

Friends, get off the propaganda sites! Read a real newspaper - a reliable and reputable one... or two or three. Use reliable and reputable on-line news sites. 

I am too old, too tired, too hungry, too sunshine depleted to do your research for you.  If I challenged every falsehood or every misunderstanding that see or hear or read on FB every single stinkin' day of my life, I would do nothing else.

If you don't know the difference between fact and fiction, step away from your computer right now. 

Do your own research! If you don't know how, take a class! Take a journalism class or psychology class or a research class - they usually cover the basics.

Just the facts, ma'am - about Planned Parenthood.

"Just like other kinds of health insurance, Medicaid reimburses Planned Parenthood’s doctors and nurses for the preventive medical services they provide, including life-saving cancer screenings, HIV testing, and birth control. There are no special favors here."

The "government" does not fund PP: "At least 60% of Planned Parenthood patients rely on public health programs like Medicaid and Title X for their preventive and primary care. So, when you hear extreme politicians talking about “defunding” Planned Parenthood, they really mean blocking patients who rely on public health care programs from getting their care at Planned Parenthood centers..."

"Planned Parenthood health centers focus on prevention: 80 percent of our patients receive services to prevent unintended pregnancy.

"Planned Parenthood services help prevent approximately 579,000 unintended pregnancies in a single year.

"Planned Parenthood provides more than 270,000 Pap tests and more than 360,000 breast exams in a single year, critical services in detecting cancer.

"Planned Parenthood provides more than 4.2 million tests and treatments for sexually transmitted infections, including more than 650,000 HIV tests.

"Three percent of all Planned Parenthood health services are abortion services.

"Planned Parenthood affiliates provide educational programs and outreach to 1.5 million young people and adults in a single year.

"Planned Parenthood has more than 10 million activists, supporters, and donors working for women's health and safety and our fundamental reproductive rights.

Join us in the fight for commonsense policies that foster the sexual and reproductive health and rights of individuals, families, and communities."

""What is the Hyde Amendment?

Passed by Congress in 1976, the Hyde Amendment excludes abortion from the comprehensive health care services provided to low-income people by the federal government through Medicaid. Congress has made some exceptions to the funding ban, which have varied over the years. At present, the federal Medicaid program mandates abortion funding in cases of rape or incest, as well as when a pregnant woman's life is endangered by a physical disorder, illness, or injury."

I have used PP services & my daughter has used their services - and, neither of us has ever had an abortion.


https://www.aclu.org/other/public-funding-abortion

https://www.plannedparenthoodaction.org/blog/how-federal-funding-works-at-planned-parenthood

- See more at: https://www.plannedparenthood.org/about-us/who-we-are/planned-parenthood-at-a-glance#sthash.ksbkZNRm.dpuf


https://www.plannedparenthood.org/learn

I really love you. I really really do!

Vivian