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Health Care: To Reform a la Socialists Part Deux: We've Lost the First Battle, But NOT the War
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Bring on the special interest groups and business lobbyists.
The difficult part is how to create enough elements of necessity to begin pruning the low hanging fruit in the private insurer market while balancing the final mix so as to not unduly burden the Feds with allowing too much care when they have ultimately inherited the whole shebang. Of course by then, the Feds will be the single payer, totalitarian health care provider and may hack away at medical necessity to suit the government's needs.
New Medicaid costs for Ohio expected to exceed $2B
Posted: 04/01/2011
COLUMBUS, Ohio (AP) - State projections show Ohio's Medicaid enrollment will increase by about 970,000 and cost the state an additional $2.3 billion under the new federal health-care law.
I wonder if a waiver is in the cards for Ohio in the near future.
About 18% of Ohioans, 2.2 million, are currently on Medicaid. That number is projected to increase by 44% (970,000) according to projections -- 2,200,000 + 970,000 = 3,170,000 total projected Medicaid enrollees. Yet the cost of Medicaid is expected to only increase by $2.3 Billion, from $18 billion to ~$20 Billion.
- A 44% increase in enrollees only costs an approximate 10% more in spending?
Something's rotten, and it ain't just in Denmark.
Evan Bayh was interviewed by Laura Ingraham. Two articles about it (with video):
Evan Bayh Now Unsure If ObamaCare Reduces Health Costs
Bayh: Yeah, ObamaCare doesn't address rising health-care costs
From the comment section of the last article about Bayh's involvement in passing the legislation:
Democrats Clinch Deal for Deciding Vote on Health Bill
Lawmakers who attended a private meeting between Mr. Obama and Senate Democrats at the White House on Tuesday pointed to remarks there by Senator Evan Bayh, Democrat of Indiana, as providing some new inspiration.
Mr. Bayh said that the health care measure was the kind of public policy he had come to Washington to work on, according to officials who attended the session, and that he did not want to see the satisfied looks on the faces of Republican leaders if they succeeded in blocking the measure.
Mass. discovers abuse of free health care pool
March 29, 2011
BOSTON --The state inspector general says the program that pays for medical care for uninsured Massachusetts residents is spending millions of dollars on bogus claims for ineligible patients and for medically unnecessary procedures.
Inspector General Gregory Sullivan told the Boston Herald that the state's Uncompensated Care Pool spent $414 million on emergency health care for nearly 1 million claims in 2009.
That included $7 million for non-Massachusetts residents, including foreign nationals; $18 million for "medically unlikely" or "medically unnecessary" claims
The pool was established in 2006 by former Gov. Mitt Romney's health care reform law.
Romneycare. You'll have to pass it to see who can abuse it.
"Obama voids Bush conscience rule in favor of decades-old protections
The administration says the rule extended protections too far beyond the scope of abortion services. Meanwhile, House Republicans are pushing several anti-abortion bills."
The article is definitely from the Liberal perspective and does not sufficiently detail what will be different.
IMO, the biggest take home message for Republican Leadership should be that the Left do not recognize prior presidential orders or Congressional laws, and will change or nullify anything they desire if given the opportunity. Boehner et al need to drop the ridiculous notion that what Pelosi did with financing ObamaCare is inviolate.
This week: AARP faces grilling over reform support
By Healthwatch staff - 03/28/11 07:27 AM ET
House Republicans will adopt a new approach to their investigations of the healthcare reform law this week with a public grilling of a powerful lobby group that supported the overhaul.
On Friday, two House Ways and Means subpanels will demand that AARP answer questions about its business practices and political endorsements. Republicans have accused the seniors' lobby of endorsing healthcare reform to make more money from its endorsement of Medigap insurance policies.
Off the Hill, the National Association of Insurance Commissioners may decide during their weekend spring meeting — which runs through Tuesday — whether agents and brokers should be excluded from medical loss ratio calculations. The insurance sales representatives fear new federal rules limiting administrative spending will put them out of business.
Congressional Report Details AARP's Financial Gain From Health Care Law
As a result of the new health care law, the Obama Administration estimates more than 7 million seniors will lose their current Medicare Advantage plans, resulting in a massive migration of seniors to Medigap plans. AARP is the nation's leading provider of Medigap plans and has a contract in which AARP financially gains for every additional Medigap enrollee.
Under the midrange estimate and under their current contract, AARP's financial gain from the health care law could exceed $1 billion during the next 10 years. This is because AARP will see their royalty payments increase as seniors are forced out of MA plans and buy AARP Medigap plans instead.
House Republicans seek audit of AARP
By Julian Pecquet - 04/08/11 05:23 PM ET
Republicans on the House Ways and Means Committee asked federal tax authorities Friday to look into AARP's finances.
AARP says all its revenue supports its mission of helping seniors.
And Democrats say Republicans are simply trying to punish the seniors' lobby for putting its considerable weight behind healthcare reform.
If all of its revenue supports helping seniors, why do they "profit" from seniors who buy Medigap insurance policies they endorse. I would assume those Medigap policies would be cheaper to seniors if the insurance companies didn't have to pay a commission to AARP.
I don't know if AARP did anything illegal, but they (and the Left) need to be exposed and ridiculed for being as much money grubbing as any big corporation, if not more, that the Left love to hate but are duplicitous when it comes to their "side".
AARP wants seniors' money. If they cared about the well-being of the elderly then they never would have supported a bill that guts $500 Billion from the care of the elderly. Except ObamaCare drives dollars into AARP's coffers via their MediGap insurance packages.
AARP is despicable but not necessarily involved in illegal operations.
Some articles I've read this past week.
Judicial Watch Sues Obama HHS for Records Related to Obamacare Propaganda Campaign
Judicial Watch's update on their Freedom of Information Act (FOIA) request.
By law, a response to Judicial Watch's FOIA request was due no later than February 14, 2011. However, to date, no documents have been produced. Moreover, HHS has failed to indicate when a response is forthcoming.
Their conclusion: "The first year of Obamacare has been marked by lies, secrecy, and contempt for the rule of law.
A glimpse of a future with Obamacare
Sally Pipes compares and critiques Romney Care with Obamacare.
Her conclusion: believe this — single payer is the logical and, indeed, likely extension of Romney-Obamacare.
John Goodman writes an interesting article.
Another good Goodwin health care article. If Jer is skimming this thread, I hope he reads it, especially the part about attempts to enroll people in Medicaid:
- "Interestingly, at both institutions, paid staffers make a heroic effort to enroll people in public programs -- working patient by patient, family by family right there in the emergency room. Yet they apparently fail more than half the time! After patients are admitted, staffers go from room to room, continuing with this bureaucratic exercise. But even among those in hospital beds, the failure-to-enroll rate is significant."
Efforts are actively made at various branch points in the health care system - federal, state, and local agencies, physician offices, and medical institutions - to enroll people in Medicaid or analogous state programs. It benefits the individual - they can now have ongoing care from the same individual or groups, the providers - known quantity of reimbursement, and the tax paying public - more or less apportioned to in-state citizens versus federally collected tax money from across the country (which means more or less in-state money to have for other projects).
I found this interesting. From across the pond:
PruHealth Finds the Nation Believes People Should Take More Responsibility for Their Own Health
LONDON, March 25, 2011 /PRNewswire/ -- PruHealth has revealed new research that shows a third of Britons want people to pay for 'self-inflicted' health issues, two thirds believe the nation is unhealthier now than ten years ago and half expect the range and quality of NHS care to decline over the next few years.
Two thirds (66%)* of Britons believe the nation is unhealthier now than it was ten years ago, and taking more personal responsibility (69%) could be the best foot forward.
The latest findings from PruHealth, the insurer that rewards people for engaging in healthy behaviour, found respondents to be in line with Cameron's 'Big Society.' More than two thirds (69%) of the nation believe people should take more responsibility for their own health, while just 19 per cent feel it should lie on the shoulders of the NHS. Nearly a third of Britons (30%) even go as far as believing those with 'self-inflicted' health concerns caused by smoking, alcohol abuse or being overweight should pick up the bill themselves.
While half of respondents (50%) feel the NHS currently offers a good level of care, many believe the range (67%) and quality (49%) of services are likely to decrease in the next few years.
Vt. House Passes Single-Payer Health Care Bill
3:54 pm EDT March 24, 2011
MONTPELIER, Vt. -- The Vermont House of Representatives has given final passage to a bill that would set the state on a path toward a single-payer health care system.
The measure puts off for two years a decision on how the new system would be paid for. Opponents said that leaves too much uncertainty and will hurt economic growth in the state.
Waivers? Already? This can't be good for Shumlin.
IBM makes its case on Vermont health care reform
Apr. 9, 2011
MONTPELIER -- IBM officials said Friday they came away from a meeting with Gov. Peter Shumlin reassured they could agree on a way the state could move forward with planning for a more consolidated health care system while respecting IBM's desire to manage its own health benefit program.
John O'Kane, manager of government programs for IBM, has been vocal for weeks about the corporation's concerns with the pending health reform bill. He has said it would lead to a state takeover of health insurance and result in double taxation for businesses such as IBM that offer health benefits to their employees.
"We want to be able to manage our own health-care program and we have a track record of good success holding down health-care costs," O'Kane said. "If we are providing good health care, we shouldn't be asked to pay for it again" if the state moves to government financing of health insurance.
Businesses of all sizes have been buzzing in recent weeks over the health-reform legislation, already passed by the House, which would set the state on a course toward a consolidated health insurance system that would cover all Vermonters.
Many business people worry the bill commits the state to dramatic changes before answering critical questions such as how to pay for it and what the insurance benefit would be.
IBM Workers: Management Wrong On Health Care
April 15, 2011
on Thursday, workers from IBM came to the Statehouse to said they like what Gov. Peter Shumlin and the Legislature are doing on health care reform.
Earl Mongeon of the Workers' Group Alliance at IBM said executives at the company never talked to workers before bringing the company's views before lawmakers.
I didn't realize that IBM management needed their employees permission to express their views of Vermont's single payer legislation.
As long as IBM swoons at the altar of Obama they will be OK. It's only a matter of figuring out the correct amount of bowing and scraping required.
The charlie foxtrot of ObamaCare and the emboldening of Leftist totalitarianism keeps revealing itself day by day.
Weiner is now petitioning for NYC to be given a waiver from the HC law.
Shoe-in, especially if he pulls this off.
SoL, if this poor excuse for a human being becomes Mayor I just may have to move out of the city.
And why not. Four states have been waived so far.
Obama's health care reform is unhealthy for hospitals
Trying to squeeze productivity gains out of hospitals will force many to close
By John D. Hartigan
March 19, 2011
Over the last few months, the U.S. Department of Health and Human Services has exempted a long list of unions and employers from an Affordable Care Act provision that would have made it too costly for them to continue some of their health care insurance plans. But, in sharp contrast, HHS apparently doesn't intend to do anything at all about a new health reform mandate that could eventually force hundreds of badly needed U.S. hospitals to shut their doors.
Many of these hospitals are already struggling to make ends meet because Medicare only reimburses them for 90 percent of what it costs them to take care of Medicare patients. But, instead of helping them out, this rule change does the opposite. In a misguided effort to pressure them to become more efficient, it arbitrarily assumes that they can achieve the same productivity savings as the economy at large and decrees that these hypothetical cost savings must be deducted from any Medicare reimbursements they receive after September.
To quote Medicare's own chief actuary, Richard Foster: "While such payment update reductions will create a strong incentive for providers to maximize productivity, it is doubtful that many will be able to improve their own productivity to the degree achieved by the economy at large. ... Thus, providers for whom Medicare constitutes a substantive portion of their business could find it difficult to remain profitable. ... Simulations by the Office of the Actuary suggest roughly 15 percent of Part A providers would become unprofitable within the ten year projection period."
ObamaCare proceeds from an assumption that hospitals have poorly maximized efficiencies. On the contrary, hospitals have made sequential changes in operations since the beginning of the end, 1983, with the introduction of DRG's (Diagnostic Related Groups) as reimbursement framework. At some point, loss of human assets and equipment (or being unable to upgrade due to economics) in order to maximize efficiencies while attempting to stay on budget, places the hospital into a difficult to escape financial tailspin. Not helping is continued reduction in reimbursement for care given.
Missing from ObamaCare is pressure to control costs incurred by hospitals from their vendors as well as staffing (excluding physicians). The government mandates computerization but is blind to unregulated (except by the market) pricing. Workers need increases in pay otherwise they will go elsewhere for work, or, like nursing, won't even enter into the job field. Yet reimbursement continues to decline overall. Without concomitant control of costs incurred by vendors and staffing, government brews a recipe for disaster when cost containment is one sided. I am not advocating government go Communist and fix pricing in the market, just highlighting why their strategy is doomed to fail in this particular area.
Even in the hospital-rich environment of Cleveland, a place already experienced in hospital closings in recent times, a 15% reduction of hospitals for the area will have grave consequences for the health and lives of residents. These are the lowered expectations that must be readjusted to under increasing government control and manipulation of our health care system. In a couple of generations no one will be the wiser or expecting more, at least that's what the Left's depending on.
A subscription to Health Affairs is required to read the entire article, but the abstract is interesting.
Swiss Experiment Shows Physicians, Consumers Want Significant Compensation To Embrace Coordinated Care
Policy makers in several industrial countries are seeking to limit the rise in health care cost growth by supporting coordinated or integrated care programs, which differ from most prevailing forms of medical organization in how physicians are paid and how they work in groups. However, as long as fee-for-service payment systems remain an option, general practitioners will be reluctant to embrace coordinated care because it would give them less autonomy in how they practice. A study in Switzerland indicates that general practitioners will require a pay increase of up to 40 percent before they are willing to accept coordinated care, and a similar study found that Swiss consumers wanted a substantial reduction in premiums to accept it. These findings suggest that provisions of US health care reform designed to encourage the growth of coordinated care—such as accountable care organizations and medical homes—may face a challenging future.
So the Swiss will need to pay physicians more and charge the citizenry less before their new fad recipe for containing costs can be implemented. Where's the money going to come from - other taxes, screwing specialists, and/or rationing care even more? Stealing money with your right hand and placing it in your left pocket won't trick everyone forever they have been scammed
The concept of "medical homes" is a Clinton retread and was bullshit then and bullshit now with a dress-up of computerization.
Accountable care organization is a bean counter term for trying to shoehorn illnesses into guaranteed outcomes which determine reimbursement. Basically this is hubristic meddling that thinks healthcare can be controlled, ie patients less sick and costs contained, if physicians, though implementing appropriate treatment plans, are held accountable for effects of disease and illness despite the patient's genetics, compliance and lifestyle. More Liberal bullshit that defies the natural world and medical science in order to increase bureaucratic power and deflect reality.
When I was in residency, a fellow resident who had trained in Mexico told me they were required to do service somewhere in the country. His was in a rural area where custom had been that if the people thought the physician had not tried hard enough or did the right things and the patient died, the townspeople would seek violent retribution on the physician, even if that physician had done all that could be done according to professional standards and available equipment and medicines. Makes the Left's fantasies seem tame in comparison.
Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home
A preliminary evaluation of a two-year national demonstration conducted by the American Academy of Family Physicians suggests that it is possible to transform a primary care practice into a patient-centered medical home. The results also suggest that those leading other medical home demonstrations around the country vastly underestimate the magnitude, timeframe, technology, and capital required to implement this transformation.
Key Findings
* Transforming a primary care practice into a patient-centered medical home requires wholesale practice redesign and continuous commitment to enhancing the patient experience. Transformation will likely include a host of interdependent components, such as new scheduling arrangements, better coordination with other parts of the health care system, more point-of-care services, and development of team-based care, among others. "Change is hard enough; transformation to a patient-centered medical home requires epic whole-practice reimagination and redesign."
* Developing and implementing an information technology infrastructure to support this transformation is more difficult and time-consuming than may be anticipated. Information technology is currently underdeveloped to meet the needs of the patient-centered medical home.
* Transformation involves a shift from physician-centered care to a team approach, in which patient care is shared among office staff.
* Rapid transformation can result in staff burnout, turnover, and financial distress
* Moving toward the patient-centered medical home model is a developmental process that can take up to five years to achieve; successful transformation is highly dependent on local conditions that affect health care practices and their surrounding health care system.
The Bottom Line
Transforming primary care practices into patient-centered medical homes will require substantially larger investments than those currently made in time, money, and physician and technology support.
If the startup costs of medical homes are being misunderestimated. :), I have to wonder if the whole concept of cost savings of medical homes is also being underestimated.
The authors warn:
The authors of this report caution that the rush to demonstrate the viability of the patient-centered medical home could undermine its effectiveness.
A hat tip to the authors for their honesty. I know some of the folks at the Case Western Reserve Department of Family Medicine. They are fine folks who truly want to do good Medicine. I had the honor of being mentored by the former Chairman Jack Medalie, M.D., M.P.H., FAAFPMD, a man who was instrumental in promoting the bio-psycho-social model that forms part of the foundation of Family Medicine. For the American Academy of Family Physicians, the Patient-Centered Home Model appears to be a natural extension of the bio-psycho-social model.
The study utilized highly cherry-picked practices:
- "Thirty-six family practices were selected from 337 practices completing a well-publicized, comprehensive on-line application."
This means that even the most motivated of the motivated to complete and participate had trouble "transforming".
The goal of these folks is to have every practice eventually transform into a Patient-Centered Medical Home. It didn't go so well for them. However, they will persevere as they are "Progressives" and will not stop until whatever the fad of the day is bludgeoned into existence regardless of desire, cost or utility.
As I said, PCMH are nothing more than Clinton-era re-warmed Gatekeeper leftovers with a side of computerization. The reality of more work for no or under reimbursement and underwhelming improvements will not enthrall the rank and file. Unfortunately, once government gets involved, which is a distinct possibility since they are already imperiously forcing certain events onto medical practices***, then a wish by some may become a requirement in all.
***Medicare was the first to require computerized billing or else suffer a penalty. Medicare is now requiring a number of prescriptions to be prescribed via computerization or else be penalized a percentage on reimbursements for all Medicare patient encounters. To demonstrate how out of control the government is, the program begins in 2012 but you will incur a penalty in 2012 if you don't E-prescribe beginning in 2011.
I have no problem with electronic billing or E-prescribing. I do have a problem with forcing everyone to do it under threat of penalty, especially the old timers who will need to make large capital investments they will never make back or who prefer to not change for whatever reason.
Bolding mine.
In Year Two of the Health Care Overhaul, the Wonks Will Really Go to Work
What's Next
The way HHS officials structure the core benefit package arguably will have a more direct impact on consumers than anything else they do in the coming year of implementation.
The law requires insurers to cover treatments in general categories, such as outpatient and inpatient care, emergency services, pediatric dental visits, wellness care, rehabilitation therapy and mental health benefits. But HHS officials now must translate that into specifics that patients can count on from insurers.
"The lobbying has begun," said Ian D. Spatz, senior adviser to Manatt Health Solutions and the principal in the Rock Creek Policy Group. "Along with the individual mandate, it is the unresolved question of health care reform."
Spatz predicted that because the issue of benefits is politically sensitive, the administration may delay final decisions until after the 2012 elections.
"The balance there is to make sure there is enough in there that's important without saddling the plans with too much cost burden," said Dan Mendelson, a former Clinton administration official and CEO of consulting firm Avalere Health.
"without saddling the plans with too much cost burden" - Who really thinks that HHS isn't going to add too much cost burden to a core benefits package, especially if lobbyists get their way. This is one of the major reasons I didn't think Obamacare was going to be able to reduce premiums, even though we were told it would.
Health care lobbying boom continues
Jennifer Liberto
March 25, 2011
To date, more than 180 groups have registered to continue shaping the law, the Sunlight Foundation and center reports. President Obama's drive for health care reform has been a years-long boon for lobbyists. Over 2009 and 2010, $1.06 billion was spent on lobbying, with more than $500 million spent on lobbying the issue in each year, according to the Center for Responsive Politics. In addition, lobbyists for 1,251 organizations disclosed that they worked on health care reform in 2009 and 2010, according to the center and an analysis by the Sunlight Foundation. The number of individual lobbyists who reported working on health related legislation last year hit 3,154 in 2010.
In the Obama model of governance, healthcare lobbying will be a method of rewarding political patronage and the lobbyists helpful idea men to help HHS to more quickly bankrupt private insurers.
Shortly after the details began emerging about ObamaCare it became apparent that one of the major mechanisms of driving private insurance companies out of business, the goal of all good statists, is ever increasing mandatory coverage combined with ceilings on what can be charged to cover costs. Require insurers to cover all manner of procedures, illnesses, and flavors of the day holistic fads and you can drive insurers out of business if they can't raise premiums for increased coverage/usage. If insurers are granted rate increases, it will be used against them by a compliant media regardless of the legitimacy of the insurers' position. This has already occurred. The result/goal is people herded towards government exchanges, further consolidating the single payer statist model until eventually it is the sole portal to and of care.
Unfortunately the Republican leadership, beginning with Boehner in the House, has been spineless in defunding ObamaCare other than a symbolic vote to repeal. Ditto for their fecklessness in reducing the budget and debt. I just heard that the $100 Billion cut the Repubs promised was for an entire fiscal year, so, since this year is partly over, they will try for the $100 Billion in September for the next fiscal year. Add to this their scuttlebutt of not being able to defund ObamaCare because it's already built into the bill and my worries of "business as usual" old guard Republicans seems more and more borne out.
We need more of the likes of Bachmann, West, Rubio, Demint, Ryan, etc. ASAP to do what the country mandated in the last elections - get rid of ObamaCare and fix the debt.
The result/goal is people herded towards government exchanges, further consolidating the single payer statist model until eventually it is the sole portal to and of care.
Your observation has been confirmed Strat:
Conyers: Obamacare Is 'Platform' for Creating Single-Payer System
March 14, 2011
Rep. John Conyers (D-Mich.), the ranking member of the House Judiciary Committee, told CNSNews.com today that the health-care law that President Barack Obama signed last March is a "platform" for building a single-payer health care system in the United States.
During a newsmakers program at the National Press Club on Monday, Conyers said that after discussing the issue with Rep. Dennis Kucinich (D.-Ohio) he voted for the health-care law because he saw it as a necessary "platform" for building toward a single-payer health-care system in the United States.
Thanks for the article, Par. I can't claim the observation as my own. A video of one of the people responsible for designing ObamaCare, as well as others, have stated Socialist Medicine as the end game, necessitating the extinction of private insurers.
This is one of those times I believe what the Left says. They think they are teflon on this topic. I'm hoping the American people are not suckered and continue to vote these fools out in 2012 as they did in the 2010 elections. Same goes for spineless Republicans who fail to work to defund ObamaCare and make significant inroads on overspending and debt.
From the CBO's March, 2011 report - Reducing the Deficit: Spending and Revenue Options
The Congressional Budget Office (CBO) regularly issues a compendium of budget options to help inform federal lawmakers about the implications of possible policy choices. This volume—one of several reports that CBO produces regularly for the House and Senate Committees on the Budget—presents more than 100 options for altering federal spending and revenues. Nearly all of the options would reduce federal budget deficits.
On page 215: Revenues—Option 32; Repeal the Individual Health Insurance Mandate
The option would eliminate the requirement that individuals obtain health insurance, while maintaining other provisions of the new health care legislation. The loss of revenues from eliminating the individual mandate penalties would increase the deficit; but the estimated savings from reduced subsidies are greater—yielding net savings of about $282 billion over the 2012–2021 period. Most savings (about $149 billion) would come from lower Medicaid enrollment. On balance, federal subsidies for the purchase of insurance through the exchanges would be about $69 billion lower. Primarily because reductions in employer coverage would result in more taxable compensation for employees, the removal of the mandate would increase tax revenues by about $80 billion. The remainder of the budgetary effect would come from a modest increase (about $8 billion) in employer penalties and a modest reduction (about $3 billion) in tax credits for small businesses.
The tentacles this ObamaCare monster grows, is already growing, and galaxy devouring appetite it has will eventually overwhelm any tumors they cut out today. This beast is unidirectional, ever expanding and never satiated.
NO! Get rid of ObamaCare completely. Start over again.
Durbin takes aim at Obama's detente with drug industry
By Alexander Bolton - 03/12/11 01:31 PM ET
Two Democratic members of President Obama's fiscal commission are taking aim at a deal the president struck with the drug industry to pass healthcare reform in the last Congress.
Senate Democratic Whip Dick Durbin (D-Ill.) and Rep. Jan Schakowsky (D-Ill.) have introduced legislation that would require the secretary of Health and Human Services to negotiate lower prices for beneficiaries of the Medicare prescription drug program.
The legislation threatens a behind-the-scenes agreement Obama forged with Pharmaceutical Research and Manufacturers of America (PhRMA) in 2009 to win the powerful trade association's support for healthcare reform legislation.
In exchange for the president agreeing not to push a Democratic-favored proposal to empower the Secretary of Health and Human Services to negotiate drug prices on behalf of all Medicare Part D beneficiaries, the drug industry also agreed to provide $80 billion worth of drug discounts to seniors, according to media reports and Democratic sources.
Families USA, the National Committee to Preserve Social Security and Medicare, SEIU and AFSCME support the Durbin-Schakowsky proposal.
Granted, that Durbin has been an advocate of this even prior to the "behind-the-scenes agreement" between Obama and PhRMA. However, I can't help but wonder if Obama would fight to keep his agreement in place if need be.
Mechanisms are in place for extensions on drug patents. See here, here, and here for examples and explanations of what happens, why it happens and how some want to expand the pathways to extension based on improving research and more concretely proving outcomes (such as the rarer head-to-head clinical trials of two drugs versus placebo stacked up against the drug under consideration).
I don't know of any proof of the Obama Administration interfering with drug patents... yet. Politicizing drug patents would make for a nightmare, one that we have been warning against in general with ObamaCare's road to perdition. This kind of ideological tinkering, favors for your goombahs, in the medical research field will smother innovation and development of new drugs, equipment and procedures which will contribute to actual deaths in the population. Having a single payer government run system that is the sole determinant of what will be granted approval for use, ie reimbursed, is the other side of the research killing coin.
You are most welcome, Georgia Girl.
Do you recall the name of the drug that received a patent extension?
No, but I know it was one to treat migraines. I recall her telling me that none of the cheaper ones worked for her -- the only one that did was one of the most expensive ones -- of course! ^_^
I found this list of drugs going off patent beginning in 2009. There are several migraine drugs listed for the timeframe you mentioned: Ortho-McNeill's Topamax (topiramate); Novartis' Migranal (dihydroergotamine); and GSK's Imitrex (sumatriptan). Merck's Maxalt (rizatriptan) is scheduled to go off patent in 2012.
Of these listed, Topamax would be the most expensive, Imitrex a distant second, and then the others for about the same, generally speaking. YMMV depending on use, insurance and the pharmacy you obtain medications.
Topamax is primarily used as an anti-seizure medication that is sometimes used to prevent migraines. The other meds listed above are used when a migraine is occurring.
Trying to get a med not on formulary is a tremendous time killer and a paperwork hassle. I believe the gub'mint and their proxies purposefully created these obstacles to dissuade physicians and staff from attempting to secure off-formulary medications in the first place, not because they are so busy when you call. It's operant conditioning using punishment and extinction techniques to teach physicians how to behave within the collective. (sarcasm, but not by much)
In regard to prescriptions, do you know if several patent extensions (longer than normally would be given) were "blessed" during this time (2009)? In other words, was that part of the deal with certain pharmaceuticals? One of my friends was waiting, waiting, waiting for a patent for an expensive drug she takes to expire in 2009 and go generic -- and it was extended to 2023! It seems like that was another one of the deals that I heard about at the time, but it's hardly ever talked about.
I haven't heard or read anything about patent extensions in the PhRMA "deal". The most extensive article I have read about the deal is
which doesn't mention anything about patents.
Panel Republicans want further WH probe
By Jason Millman - 03/10/11 06:43 PM ET
The House Energy and Commerce Committee last month asked the White House's health reform office to provide in-depth details about meetings it held with outside groups as the healthcare reform law was crafted.
White House counsel Bob Bauer rejected the committee's request last week.
"To provide all possible information encompassed by your request – 'every meeting, briefing or telephone call' – would constitute a vast and expensive undertaking," Bauer wrote to the committee.
"We are concerned because your letter suggests that there have been more secret meetings than we originally thought – otherwise a search for records would be neither 'vast' or 'expansive,'" Energy and Commerce Committee Republicans wrote.
My first thought, after reading "would constitute a vast and expensive undertaking" was, how many of these "outside group" type meetings were there?
I thought the Obama Administration was to be the most "plugged-in" (computerized) gang evah. Computer searches don't take long to see who met with whom and then pull up the documents from those meetings. Unless there are statements and visitors the Obama Administration would rather not divulge. Nah, that couldn't be the reason, could it?
Counsel cannot refuse to divulge documents just because it would take a while or cost money. Boo hoo hoo. Let sunlight in to illuminate the collusion and Machiavellian plotting of these Marxists. Then let's disinfect ObamaCare from America.
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I say before you listen to any tracks on this CD, stick it in and skip to track 11 and then listen to track 12. Tack 11 is just very short, and should be their theme song "All Hail the Ancient Goat!" It makes me want to scream it at everyone I pass on the street. Track 12 is surprisingly original. Listen to that harmony. One of the riffs in the middle of the song sounds like an impression of Gregorian Monks humming, but it's black metal guitar. The rest of the album is filled with "catchy" tunes that I want to listen to over and over again. But trust me on the Track 11-12 thing.
Metal Album Reviews[RSS]
I notice with alot of these reviews they compare this band either by European Black Metal Bands or other projects they are in to determine the style of this band.Here's how I see it personally.These guys totally brought back the sprit of old black metal and I'm not talkin Circa 1991.I'm Talkin about Hellhammer,Venom,Bathory,That was straightforward black metal dude.But what I like about this band is they take the influences of these bands,and put in a little modern flavor of their own bands for what I feel is a awesome record that recaptures the spirit of old school black metal but in a very original, modern way without being totally retro sounding.I think you'll like this record if you are into any of the above bands but into newer stuff and not a total 80's black metal cave dweller.New one is great also.But it's my opinion so check em out.ALSO THESE GUYS RULE LIVE!! SEE THEM!!!
goatwhore is an amazing band composed of members of acid bath, soilent green, etc. their music is full of devilish rage and this cd is a must have for any black metal fan. if you ever get a chance to see these guys perform live, you should check them out cause they put on an awesome show.
OK, it starts of like this. Goatwhore is opening for GWAR, i'm not much of a GWAR fan, but dying to see their live show. Goatwhore and God Forbid are the openers. I know God Forbid, but nothing of Goatwhore ( i love their name!),amazons cheesy little sample of The Beauty in Suffering made me decide to hear this whole CD. Went out and bought it (as i was buying the GWAR tickets) and have been amazed ever since. EVIL – nice and evil. And, i don't know jack about their previous bands so this is from a whole new ear. So, i'm going to SEE GWAR, bt i'm WAY more exited about seeing (and hearing) GOATWHORE!!GOATWHORE!!Fave 2: Invert the Virgin, and Under a Dark God – The whole CD is great.Hail SATAN – HAIL GOATWHORE.now
Since the black metal hayday of the early 1990's, most black metal bands have split off into two camps(There are exceptions such as Immortal). There is either the new, modern, well-produced, death and progressive influnced black metal; or the necro, Bathory-esque, minmialistic black metal bands. As a result, the two major complaints about current black metal bands of extreme metal fans who hear both styles are that they either lack the depressing and gloomy atmoshpere that separates black metal from other genres, or they lack diversity and fail to distinguish themselves from the many other bands.
This album is the solution to these problems. It is an extremely diverse album, yet does not sacrifice the depressing, yet aggressive atmosphere prevalent on albums such as Under a Funeral Moon or Pure Holocaust. I have NEVER heard a black metal album that mixes these two traits so well(Immortal's-ATHOW is an excellent album, but has a different type of atmosphere). This lies in many factors. One is the vocals. Ben Falgoust is an extremely talented black metal vocalist, who can switch from black, to death, to doom vocals all within the same song. His shrieks and low growls are convincing and placed well within each song. Furthermore, his actual singing has two traits that other bands lack. 1) It is good, unlike Attila from Mayhem's "De Mysteriis Dom Sathanas". 2) It has a depressing and sad sound, and is not whiney or annoying, unlike Vortex of Dimmu Borgir.
Another great aspect of this album is the drumming. It goes from grind, to thrash, to death, to doom, and even throws in a rock beat on "Invert The Virgin." This goes a long way in adding to the variety from song to song and helps carry the listener through the album without boredom. Likewise, the bass is well-placed, and sounds good when it comes to the forefront.
However, the best part of this album are the guitar riffs. Again, they are diverse, yet they add an extra dimension to Goatwhore by providing the gloomy atmosphere and separates Goatwhore from other genre-mixing black metal bands. There are so many good riffs that it is impossible to mention them all, so I will go over a few. For example, if anyone wants to know what a black metal riff is, have them listen to "Upon This Deathbed of Cold Fire." From about the 1:30 mark on, you get what are, in my opinion early-Darkthrone/early-Immortal quality riffs. Yes, they are that good. Simple in structure, yet complex in their emotional structure, which is both depressing and angry. Then, there are great sludge riffs on "Invert The Virgin." "Nocturnal Holocaust and Path To Apocalyptic Ruin" have tremendous death-metal type riffs, while "As The Reflection Slowly Faces" has great doom-metal riffs and note picking which is further emphasized by Falgoust's tremendous vocals.
I could rave about this album forever. The production is crisp, yet not flat, and even the lyrics are better than typical balck metal bands. In short, it has a great deal of diversity, yet mixes it all together without eliminating the traits of any of its various styles(Unfortunately, their later album is guilty of this.) For black metal fans, or any extreme metal fans that enjoy diversity in their music, this is simply a must buy. Period.

subset: commoncrawl


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RAPIDES PARISH, La. (KALB News Channel 5) Rapides Parish
Sheriff's Office investigation leads to arrest of Pineville man for aggravated
According to the Rapides Parish Sheriff's Office, on Dec. 27, 2013, RPSO responded to a complaint of sexual
criminal acts that had occurred in the Pineville area. The suspect, Ronald Lynn
Herring, 68, had allegedly committed multiple criminal sexual acts upon
juvenile family member(s). During their investigation RPSO Detectives said
they were able to establish sufficient evidence for Herring's arrest.
RPSO said On Feb. 3, 2014, detectives made contact with
Herring at the RPSO Criminal Investigation Division where he was taken into
custody without incident. Herring was charged with six counts of
Aggravated Incest, and he was booked into the Rapides Parish Detention Center.
Ronald was released after posting a $60,000.00 bond.


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Murder at the church hall (From Salisbury Journal)
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Murder at the church hall
10:00am Monday 11th February 2013 in New Forest News
HUNDREDS of residents had a roaring good time at a 1920s murder mystery bash at St Mary's Church Hall in Fordingbridge on Saturday night.
This year the annual event held by the Fordingbridge-Vimoutier Twinning Association was entitled A First Class Murder, with a jazz trio providing the musical atmosphere.
Ian Newman, the evenings MC, transformed himself into Flapper McClue.
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Then & Now // Plane Seats
By: Taking Off
Fashion in flight has evolved since the post-war 40's, but safety, comfort and convenience are still our priority. Celebrate 85 years of aviation history at our flight museum grand opening June 17!
Sneak Peek // May Sky Cover: Tory Burch
By: Hal Rubenstein, Delta Sky Contributing Writer
All-American fashion designer toryburch is as sophisticated, determined and inspiring as the city she calls home: New York.
Read More
Style Inspiration // Harrods
By Elizabeth Doyle, Delta Sky Fashion Editor
Shop our favorite gifts and goodies from London's world-famous department store.
Cool Hunting // Aether SF
By: Cool Hunting Video
As longtime fans of Aether's sophisticated line of outerwear, we jumped at the chance to visit their first brick and mortar retail location.
Happy Labor Day
By: Taking Off
We make wearing white year-round look good — just check out our planes. What are your thoughts on this style rule? Hope you're enjoying your Labor Day holiday!
Sneak Peek // September Sky Cover: Heidi Klum
When you board a Delta flight in September, don't be worried if you experience some deja vu. Heidi Klum - model, businesswoman, and judge on America's Got Talent and Project Runway - returns to Sky Magazine this coming month. We loved her then and we love her now!
Hot in LA // Mohawk General Store
By: Elizabeth Doyle, Delta Sky Fashion Editor
In arguably the most on trend neighborhood in Los Angeles (Silverlake), just down the street from the best coffee experience you'll ever have (Intelligentsia), you'll find what is soon to be your favorite store. Or at least that was my experience with Mohawk General Store.
Style News // Dream Team: Isabel Marant for H&M
By Elizabeth Doyle, Delta Sky Fashion Editor
Mark your calendars! Design darling Isabel Marant recently announced she will release a collaboration with mega-retailer H&M this November. A native Parisian, Marant says her collection for the high street giant is influenced by the easy can't-be-bothered French aesthetic, an aesthetic that has had her on the radar of fashion insiders for years.
Style News // Tommy Hilfiger Surf Shack
By: Liz Doyle, Delta Sky Style Editor
Diverging from his tried-and-true Americana aesthetic, Tommy Hilfiger has released a limited edition capsule collection called Surf Shack, just in time for summer.


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Saginaw Online
Thursday, August 23, 2012
Sheriff Federspiel continues to back off outsourcing proposal
Now he says that he doesn't know if his own proposal will work.
Posted by Timothy O'Brien at 8:25 AM 6 comments:
Saginaw Art Museum likely to move out of historic mansion
Posted by Timothy O'Brien at 8:11 AM 4 comments:
Saginaw man's attempted murder conviction vacated
Read more at MLive
Posted by Timothy O'Brien at 8:07 AM 7 comments:
Tuesday, August 21, 2012
Update: Opposition to police outsourcing fizzles
Organizers fear that Campaign's low turnout may signal declining momentum in fight against outsourcing Saginaw police to sheriff.
Posted by Timothy O'Brien at 8:48 AM 1 comment:
Monday, August 20, 2012
Citizens oppose Saginaw police outsourcing to sheriff
A group of citizens plan to start a door-to-door campaign today in their fight against a proposal outsourcing the Saginaw Police Department's services to the Saginaw County Sheriff's Department.
Organizers are family members of police union members.
Posted by Timothy O'Brien at 6:06 PM 1 comment:
Saturday, August 18, 2012
Sheriff Federspiel backs off proposal to police city
Saginaw County Sheriff
William Federspiel
"I'm not going to get in the middle of any labor strife, I'm not a union buster."
Posted by Timothy O'Brien at 10:15 AM 3 comments:
Justice Department joins Saginaw shooting probe
Civil rights investigators for the Justice Department on Friday opened a federal probe into the controversial shooting death of Milton Hall of Saginaw whose family says he had a history of mental illness.
Posted by Timothy O'Brien at 9:26 AM 1 comment:
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In addition to the OpenStack release, the company has led two other cloud projects. One is Red Hat CloudForms, which provides the ability to manage virtualized workloads across different cloud services. The other, Red Hat OpenShift, provides a platform-as-a-service (PaaS) for developers who wish to run their applications directly on a hosted infrastructure.
OpenStack has been criticized for not yet being sufficiently developed for enterprise use. Red Hat, of course, disputes this idea. "There has been so much that has already happened with Fulsom release," Stevens said.
Red Hat will not be the sole provider of enterprise grade Open Stack software. Piston Computing currently offers a distribution. And Nebula, started by OpenStack cofounder Chris Kemp, plans to offer its own commercial products based on OpenStack within the next few months.
Joab Jackson covers enterprise software and general technology breaking news for The IDG News Service. Follow Joab on Twitter at @Joab_Jackson. Joab's e-mail address is firstname.lastname@example.com


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Kraft Food Groups is recalling more than 7,000 cases of cheese.
JONESBORO, AR (KAIT)- Most kids look forward to summer months to spend time in the pool, but more time in the pool could result in more ear infections.
Kids are more prone to ear infections during the summer months when they are excessively exposing their ears to water such as swimming.
According to the Centers for Disease Control, swimmer's ear is a common problem that can cause pain and discomfort for children and swimmers of all ages. In the U.S. alone, swimmer's ear results in an estimated 2.4 million health care visits every year.
"It's hard
to keep from getting ear infections in the summer, you do a lot of swimming," said grandmother Jala Erby.
brings her 2 grand kids to swim lessons at the Jonesboro Pool Center and said
they have both had ear infections in the past.
"Not too
often but they do occasionally especially this one. I think they go swimming at
the lake and kind of tend to get dirty water then," she said.
Erby said her
daughter takes certain precautions when taking her grand kids swimming.
"She'll make
sure they have that swim ear that they put in their ear or they wash out their
ear with alcohol," she said.
With ear infections,
Dr. Shane Speights with St. Bernards says it's all about location, location, location.
"Is it on
one side of the eardrum or is it on the inside of the eardrum," Speights said. "Anywhere
where they may be getting their head under water and exposing the inner ear to
He said swimmer's ear is more common in children during the summer months when
kids are more active in water.
going to be pain to the ear, certainly whenever we tug on the ear and pull on
the ear the child will be complaining and sharp pain," Spights said.
But not to
worry, he said parents can easily make their own home remedy.
"If you just
get a bottle and put half vinegar and half alcohol and after your children have
been swimming whether it be a pool or a pond or anything, if you put a few
drops in each ear," he said.
Speights said if parents take good preventive measures they can significantly reduce the risk of
swimmer's ear.
He said parents can also
protect their kids from swimmer's ear by keeping their ears clean and dry and by
using earplugs.
Copyright 2013 KAIT. All rights reserved.
472 Craighead Co. 766
Jonesboro, AR 72401
(870) 931-8888
FCC Public File
(870) 336-1816
EEO Report
Closed Captioning


text:
By C.V. Moore
Register-Herald Reporter
Nearly all budget increases in this year's general fund budget for Fayette County can be traced to drug addiction and drug-related crime, officials say.
County commissioners approved the new budget Friday, which increases by 5 percent to a total of $9,927,799.
"We have to make known the tremendous cost to Fayette County of the drug issue," said Commission President Matthew Wender.
"I think it's very unfortunate that a county the size of Fayette spends as much as we do on the drug issue. I think about how many good things we could be doing for the citizens of Fayette County if it wasn't for the cost of this incurable problem."
Three new positions will be created at the county level — new assistant prosecutor, a secretary for that prosecutor and a new secretary for the Sheriff's Department.
Officials say the need for these positions — with salaries totaling $164,300 — is driven by the increase in the criminal caseload related to drugs.
Fayette County Prosecuting Attorney Carl Harris has said on many occasions that at least 95 percent of the criminal cases that come through his office can be traced back to illegal drugs.
The regional jail bill will also increase by $200,000 to $1 million, though Wender says he also expects this year's jail bill to exceed the current budgeted amount.
Fayette County Sheriff Steve Kessler said in his department, longevity pay for deputies and an increase in overtime, uniform allowances and supplies account for a $25,181 jump in the budget.
Though the law enforcement and criminal prosecution agencies received a boost, there are no budget increases this year for treatment or prevention programs.
A net increase in benefits and additional overtime at the County Clerk's office accounts for the remaining $40,463 in budget increases this year.
The general fund budget did not include any significant cuts.
The coal severance side of the budget will increase by 1 percent over last year, though coal severance revenues have decreased by 14 percent. A carry-over balance from last year allows the fund to stay fairly steady.
Coal severance line items — which are paid for by a portion of statewide coal severance tax revenues and must be used for "public purposes" — total $892,939 this year.
Significant increases include $10,000 for a new farmer's market in Oak Hill, a $27,000 budget overrun for a new animal shelter, $3,000 in other non-operating expenses, a $41,000 match for the Meadow River Rail Trail grant and $16,500 for Citizens Conservation Corps volunteer projects in coordination with the Boy Scouts of America.
The fire ($1,753,040), law enforcement ($1,171,922) and library ($518,164) levies this year total $3.4 million.
The budget approved on Friday is not final. It will be sent to the state auditor for review and potential adjustments. The county will lay its levy in April.
In other county commission business, Shawn Wolford was welcomed as the new Emergency Management Agency director for Fayette County.
He will occupy a reinstated position that heads up three county departments: fire, emergency services and 911. Wolford previously served as the chief of Rainelle Volunteer Fire Department.
"What I liked most (about your resume) is it says, 'I see both the 911 Center and the combined emergency services recognized as the best that West Virginia has to offer," said Wender. "We appreciate hearing that and we want to support you in that endeavor in any way we can."
Dr. George Becker and Carolyn Milam-Becker, residents of Winona, notified the commission of an "emergency situation" with the Winona pool hall, which has crumbled and fallen in, partly in the roadway.
The old pool hall is on the county's list of dilapidated structures to tear down, but "chasing down" the owner of the building has been difficult, said officials. The commission will notify the Division of Highways that the building has collapsed onto public property and ask that it be removed from the road and right of way.
— E-mail: email@example.com


text:
The Joe Nuxhall Memorial CORKY CORKY CORKY CORKY CORKY CORKY
Corky Miller is seven feet tall! He kills pitchers by the hundreds! And if he'd played the whole game, he'd have consumed the Cubs with fireballs from his eyes and bolts of lightning from his arse!
Alas, said Corkster was relegated to a supporting role for the majority of the game, and he was unable to unleash more than just one stachebash before the laws of baseball dictated that the time for playing had passed. But the Cubs shan't sleep easy this evening, for they will certainly know that Corky hath revenge upon his mind...and upon his mustache.
Nobody else deserves a parable of their plight, for none are Corky other than Corky himself.
Key Plays
- Spaghetti's poor back was stabbed with a fork, twisted around until secured, and eaten for the better part of two innings before busboys cleared the plate and decided it was time for desert. They put Reynolds wrap on the main course to preserve its ability to be devoured for later, and the Cubs proceeded to quench the thirst of their Partched palettes.
- The resulting disaster fell in the lap of said Corkster, and Cork cork'd as admirably as one could expect a Cork to cork when given the opportunity. The 'stache doubled to score a piping hot Cozart, thereby accounting for the entirety of the Reds offense for the evening. It will require more than the feats of mere mortals to provide worthy comparison, nay compliment, to the actions provided by the stache of Corky displayed this evening; one can but hope the power of Corky will demand said actions sooner rather than later. Cubs prevail, more to fewer.
FanGraph Section that Belies the Valiant Nature of His Corkness
Source: FanGraphs
Other Notes
Tonight needs Wu-Tang.
- That is all.


text:
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Activists dressed as 'La Calavera Catrina' hold a placard reading: 'Make Fashion Without Pollution' outside a Levi's store in central Mexico City.
© Diego Uriarte / Greenpeace
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Dobson House is your gateway to the romance, beauty, and outdoor adventure of Taos. NM. The contemporary solar adobe sits on a hill overlooking the Rio Grande Gorge. Hot springs are a short walk away. Spectacular views....
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|Link Code


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Unikator Doppelbock - Einhorn Beer Company
Displayed for educational use only; do not reuse.
Ratings: 20 | Reviews: 14 | Display Reviews Only:
2.75/5 rDev -27.1%
08-03-2014 17:19:31 | More by sammy806
3.75/5 rDev -0.5%
09-25-2012 23:14:07 | More by t0rin0
4/5 rDev +6.1%
09-14-2012 05:54:58 | More by beerpadawan
3.2/5 rDev -15.1%
Poured from a bomber into a tulip glass.
A: Slightly hazy, medium amber color with a peripheral ring of off-white bubbles. Scant lacing remains on the glass.
S: Caramel and toffee is prominently featured, decadently sugary, with ripe mid-range fruit also suggested, but well integrated.
T: Begins almost dry, with early malt that is bready, caramelized, and slightly cheesy. Strong carbonic acidity emerges into the middle where only a whiff of clean caramel malt remains. Fruit is minimal, even at its height, while bitterness comes on a bit early and aggressively. Malt persists all the way to the end, but finishes thin and one-dimensional.
M: Thin to medium viscosity, acidic and slightly oily on the palate, with moderate carbonation.
D/O: This amber lager is recognizable as a doppelbock in aroma only. Other qualities are consistently unremarkable, ultimately judged here as average because they do not provide special offense to the senses. Rarely does one encounter a beer with so little agreement between suggested sweetness in the nose, and actual flavor.
05-18-2012 17:42:30 | More by beagle75
4/5 rDev +6.1%
01-08-2012 05:08:08 | More by rob99er
5/5 rDev +32.6%
12-01-2011 17:09:37 | More by hoserking
5/5 rDev +32.6%
11-16-2011 04:45:09 | More by EinWeizenbitte
3.53/5 rDev -6.4%
Clear dark amber colored beer with a small tan colored head. Calling this amber might be a stretch, it is really closer to reddish brown.
Smell is strongly malty, smells like malt syrup with a bit of molasses in it. Not hop scent to speak of. Roasted grain and a slight chocolate scent.
Starts out malty with lots of roasted grain flavor. Moderate bitterness in the finish. A little bit nutty but really this is just a bock beer.
Mouthfeel is good.
Overall this is a good Bock. Not outstanding here but no faults either.
10-31-2011 01:01:44 | More by Zorro
3.5/5 rDev -7.2%
Bomber poured into a wine glass, showing a deep reddish brown in color with half an inch of off white foam. Bit of haze in the light and more orange than red. Retention is a bit brief.
Traditional nose of sweet caramel and some brown sugar. Light head retention gives the beer a sweet wine character with notable alcohol esters. There is more malt depth and some woody hop notes when agitated, but they don't linger, yet expanding a bit with warming.
Taste, like the aroma, is somewhat light for the style and showing only moderate depth. Lightly viscous caramel notes and a faint background hint of fig. Caramel notes linger well for such a light presence however. Overall rather subtle but pleasant.
Feel is lightly viscous and moderate, matching the general constructs of the beer. A bit thin a times but I see that as more of a carbonation issue than anything else. Overall a tasty beer, somewhat subtle at times, yet pretty solid. A little more gas would show it all a bit better I think..
08-19-2011 06:21:41 | More by HalfFull
3.58/5 rDev -5%
533rd Review on BA
Bottle to Pils
Thanks Doug for this one!!
App- A very blended mix of fresh browns, golds. Reminded me of fresh cooled caramel. A nice two finger head but no cling.
Smell- Very soft malts, lite purple fruits and a very mild. No real punchy flavors.
Taste- It's a small dopplebock, very tame, very reserved. The flavors are well crafted but need a little more oomph.
Mouth- Medium bodied and medium carbed. A little damp raisin flavor.
Drink- Einhorn did me a solid for the free bottle. This was a nice intro dopplebock for someone who needs one. Well crafted, layered and flavorful, just needed more oomph.
06-02-2011 23:00:54 | More by FosterJM
3.95/5 rDev +4.8%
Thanks to BA einhorn for the samples of this and his brewery's wonderful weizenbock, Der Kommissar!
American breweries producing traditional German-style beers are few and far between, especially west of Texas. As such, it's my selfish hope that Einhorn becomes a raging enough success to eventually find distribution all the way over here on the East Coast. Even if that's not in the cards, folks out west need to be exposed to their stuff; unbeknownst to many in California, Oregon, and Colorado, not all beers are (or should be) hop bombs!
Anyway, on to Unikator. I brought this unique brew to a tasting, where several other local Beer Advocates shared it with me and compared notes. These are our collective findings.
Appearance: A confident pour produces a deeply copper-hued, mostly translucent body with a fleeting, one-finger amber/mahogany head. It is immediately apparent that Unikator is doppelbock in the tradition of Paulaner Salvator and Samichlaus, not the dark, roasty likes of Weihenstephaner Korbinian and Ayinger Celebrator. (Side note: much like weizenbocks, it's my view that doppelbocks could easily be divided into two substyles -- golden/sweet and opaque brown/roasty.) Held up to the light, Unikator looks awfully nice.
Smell: This is a beer whose rather mild nose belies its flavor, at least to some extent. Very light, biscuity maltiness is at the forefront, with a faint hint of sweetness. While the smell is certainly appetizing and therefore not a problem by any means, most of us agreed that this was the beer's weakest suit due simply to its subtlety -- the aroma doesn't exactly jump out of the glass, so you've got to put some effort into smelling it.
Taste: Although Unikator essentially looks and smells like a traditional German doppelbock, its taste is quite unique for the style...in a good way. Sure, the expected brown-sugary maltiness is there, along with a glimmer of earthy noble hops and a slight hint of roastiness. But the backbone of this beer is a distinctly "juicy," fruity malt flavor I associate with English barleywines. At first, some tasters were put off by this, as I think we were all expecting the brew to taste like Salvator et al. But after a few sips, it grew on us, and we all ultimately found it quite tasty. As long as you're not surprised by Unikator's prominent juiciness, I think you'll agree.
Mouthfeel: The classic "golden doppelbock" experience. Unikator is relatively thick, viscous, and vaguely honey-like (but not mead-like) in the mouth. As with other doppelbocks, this works out nicely for the flavor profile, as the beer coats the palate and allows its bouquet of flavors to develop gradually and keep unwinding long after each sip. As such, Unikator is definitely a sipper -- not due to high ABV or alcoholic heat but to its slowly unfurling carpet of distinct flavors.
Drinkability: Traditional doppelbocks' ABV can vary widely, with notable examples as low as 6.5% and as high as Samichlaus' massive 14%. Unikator's 7% ABV checks in on the low end of that range, which I think is nice. For my tastes, a bomber of 7% ABV beer can reasonably be enjoyed over the course of an hour or two, while even a ten-ounce serving of something over about 11% can be tough to enjoy before it grows tepid. As such, and given the uniquely refreshing quality afforded by Unikator's unusual juiciness, this is among the more drinkable doppelbocks out there (especially among those served in bombers).
On the whole, I'd certainly recommend Unikator to anyone who enjoys the likes of Paulaner Salvator, Urbock 23, etc. Just don't be caught off-guard by its unusual malt profile -- if you're ready for it, I believe you'll find Unikator to be a traditional-yet-unique doppelbock worthy of enjoyment, especially on a cool spring/fall evening.
08-30-2010 02:28:36 | More by UGADawgGuy
3/5 rDev -20.4%
Appearance - This poured a lazy brown in color with a modest, off-white head.
Smell - This smells more like a brown than a DB. The malts were sweet but lacked structure and overall punch and the alcohol was too prominent for such a low ABV offering.
Taste - The raw molasses was spot-on but again the malt structure was lacking. I didn't get the sense that I was consuming a glass of quality ingredients. The beer seemed put together well enough but just lacked quality.
Mouthfeel - I thought the bitterness was clumsy and, again, the vodka notes were way off-style.
Drinkability - This is one of my favorite styles but this effort disappointed.
08-29-2010 01:42:42 | More by RoyalT
3.53/5 rDev -6.4%
A- deep amber red, surprisingly dark, almost no foam, and a few strains of carbonation
S- roasted coffee, Malt, something sweet and fruity, like grapefruit, tabacco
T- Very malty at the beginning, whole wheat toast, biscuits, then gets sweet, like toasted almonds, or some other nutty flavor, Flavors of wild honey is also there. then a weak but bitter coffee flavor finishes it out. No hops
M- good carbonation, not bad aftertaste, nothing overpowering
D- Its a good beer, i'm not a huge doppelbock kind of guy, but there is some interesting flavors that are going on here. Go good with something spicy or some cheese.
06-13-2010 21:49:41 | More by Dlish
2.45/5 rDev -35%
Reviewed from notes
Pours an effervescent copper/brown with a small half finger of head. The aroma is somewhat bland, with a bit of toasted bread and acetone being the only noticeable scents. The flavor also is quite bland. A bit of plastic and bready maltiness, not much more. This wasn't horrible by any means, but there was nothing redeeming about it at all.
06-09-2010 21:14:50 | More by alcstradamus
3.68/5 rDev -2.4%
drank on 5.17.10. thanks to EinWeizenbitte for enabling me to try this beer.
beautiful looking beer. pours a nice clear dark copper with red tints - off white almost tan head that dissipated rather quickly. decent lacing. smell was of roasted malts, very slight smokiness, some syrupy caramel sweetness and a faint smell of spice in there.
The taste was a tad metallic up front which was a bit of a turn off. the flavor was a malty sweetness that followed the nose with some hop presence as well. it was crisp and well carbonated with a nice medium body.
decent beer - well worth trying. so far i like what is being done at Einhorn.
05-18-2010 12:57:24 | More by Hophead101
4.15/5 rDev +10.1%
Another winner from Einhorn!
From the bottle it pours an orange rust beauty with a thick head and plenty of carbonation. Malt malt malt..with dark bread and maybe cabbage on the nose. Alcohol is there but not at all overbearing. Malty, carmel, pumpernickel with a touch of bitterness, finely balanced by a good dose of hops. The mouthfeel is smooth and inviting.
Overall this is an excellent doppelbock I'd recommend to anyone, anytime of the year. Prost!
03-19-2010 04:17:24 | More by decafron
3.2/5 rDev -15.1%
Pint at JJ Brewsky's last night for around six dollars, had been wanting to try something from this San Luis Obispo brewery and glad I finally got the chance
A-Medium brown with some golden orange color, one inch foamy off white head that did not last long, although the retention was weak, there was some lacing
S-Brown sugar, ginger, honey, sweetness, caramel, lots of malt with both bread and toffee, hint of booze
T-Starts off with sweet malts and mild fruit, toffee and caramel make up the middle, slightly toasted in the finish but still sweet and a little warm as well, got more malty as time went on
M-Slightly toasted, sweet, and slightly warming mouthfeel, medium bodied, mellow carbonation, taste lingers a little bit
D-Could not drink much more than a glass, stuff is heavy and quite filling, alcohol is not too strong but too much for how low in ABV it is for the style
Interesting dopplebock that was lower in alcohol than most others I have had in the past but still felt heavy and strong, probably would not drink again, still worth trying
05-10-2009 18:35:22 | More by Floydster
4.45/5 rDev +18%
I've had this on-tap at Creekside twice now, and I plan on getting it again. Fantastic job with this one Doug!
Served in a wide-mouthed, dimpled mug.
Appearance: Deep crimson body with good clarity - gorgeous. Creamyish, off-white, head sits on top and drags some pretty good lacing. Decent retention. Once again, gorgeous color!
Smell: Sweetened tea, loads of malt, smoke (a little bit like bbq), leafy greens, and a touch of alcohol. I must admit that I stole the "vegetal" idea from the Einhorn website, but it does smell like sweet, crisp, leafy veggies.
Taste: This is one of the best doppelbocks I've had. No joke. I'll have to try Celebrator, Salvator, and the likes again; I think this one could definitely hang! Lots of leafy hops in this one, smoke, wet veggies, and some great sweet and roasty notes. Similar to the smell with some added bitterness. A good amount of malt, but a pretty strong hop character for the style, which I really appreciate. Excellent job Doug!
Mouthfeel: Good carbonation provides gentle stimulation throughout the mouth. Medium bodied with a clean, dry finish. Nicely balanced as well. Maybe a little lacking in terms of creaminess.
Drinkability: I'm hooked. I've been craving this so much since having it again last night. Chances are I'll make another bike ride over to Creekside today to get some more. (EDIT: Had another glass this afternoon and loved it again.) If you're lucky enough to ever find this beer in a bar, try it!
04-11-2009 20:09:07 | More by ThreeWiseMen
4.55/5 rDev +20.7%
On tap at Creekside in SLO.
Poured a reddish-amber with a nice two-finger head into a german style mug (nice touch). Very tight foam, a perfect head. Probably a bit too cold for this style, so I let it warm up just a bit before sipping. Great caramel and sweet aroma, very inviting. Alcohol smell is also up front. Tastes a bit over-carbonated. Beer leaves a nice lacing on my mug - this is excellent. A bready-malty brew with not much sweetness, but enough to balance the malt and hops. Finishes like a lager should.
All in all an extremely well balanced beer. The somewhat lower alcohol level for the style makes this very drinkable. I am surprised at the quality.
04-11-2009 00:19:06 | More by DijonKetchup
4.22/5 rDev +11.9%
Leave it to Doug to make another good beer.
My first beer of the day at Central Coast gathering.
Poured a dark amber color with a reddish tint in the light, nice white head and good carbonation. Nose is malty, bready with a big chewy flavor. Taste is malts, breadiness, I almost detected some caramel, slight roastiness and sugary. Mouthfeel is sticky and coating. This is one full beer and treat to drink.
04-05-2009 19:47:45 | More by barleywinefiend
Unikator Doppelbock from Einhorn Beer Company
85 out of 100 based on 20 ratings.


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Waterstone Hampton Hot Faucet With Cross Handle: Satin Nickel
Model: 1250H-SN
Shown in Caribbean Bronze With Lever Handle
- Filtration Faucet - Hot Only
- Compatible with Reverse Osmosis
- Solid brass construction.
- 1/4 turn ceramic disk valve cartridge.
- Cross handle.
- 1.1 gpm maximum flow rate.
- 360 degree swivel spout.
Product Dimensions
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Tuesday, July 16, 2013
The welcome mat is often the first greeting of a home. It usually reflects the owners' personalities or another personal characteristic. As you step up to the door, you know if the homeowner likes to sail, hunt, fish, where they like to vacation, derivatives of their surname, etc…The welcome mat says so much while working effortlessly lying there.
Tourism is the welcome mat of most, if not all, states. The great state of Oklahoma is no different. The landscape, topography, people, hospitality, food and recreation all in part reflect the characteristics of our history and heritage. Oklahoma boasts an abundance of successful industries: energy, agriculture, bioscience, and aerospace, just to name a few. Interestingly, the third highest grossing revenue industry is tourism.
Tourism consists of many shapes and sizes public and private: parks, lodging, restaurants, agri-tourism, recreation, genealogy, sports, and much more. As Lieutenant Governor in my monthly columns, radio and television, I have encouraged our state to use tourism at every opportunity. As families we should attempt to have at least one "staycation" a year in state. During holidays, family reunions and other family celebrations we should plan events around a local festival or event or invite your family to a unique in-state venue. As professionals we should encourage our businesses and associations to have their annual picnics, meetings and conferences right here in Oklahoma. Monica and I want our children to love Oklahoma as much we do. We have always taken family "staycations". Professionally, I am honored to be hosting the National Lieutenant Governors Association (NLGA) in Oklahoma this July. (I'll write more on that next month).
Tourism is a tool that provides a positive glimpse of Oklahoma. As a state, we must continue to use it to our advantage. Oklahoma has so many natural assets that distinguish us from other states.
- Forests cover 24 percent of Oklahoma.
- Oklahoma has four mountain ranges: Ouachita, Arbuckle, Wichita and Ozark.
- Oklahoma has more man-made lakes (200) than any other state, more than 1 million surface-acres of water and 2,000 more miles of shoreline than the Atlantic and Gulf coasts combined.
-The world's largest single deposit of pure alabaster is found in the Alabaster Caverns near Freedom, Oklahoma.
- Oklahoma is home to four distinct topographical regions.
Whether you are native to Oklahoma, recently relocated, or just passing through, stop, smell the roses and check out Oklahoma's welcome mat. You'll be glad you did.
As always, my office is open and ready to assist you in any way we can. I am excited to hear your ideas. Feel free to visit our website at www.ok.gov/ltgovernor, find us on Facebook and Twitter (@LtGovToddLamb) or call our office at 405.521.2161.


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Obituary: Dr. William Vilensky
Date: July 31, 2012
by: Observer Staff
Dr. William Vilensky, of Longboat Key and formerly of Margate, N.J., died July 30. He was 84.
Born Feb. 1, 1928, to Benjamin and Deana Vilensky, Dr. Vilensky was raised in Atlantic City, N.J., and graduated from Atlantic City High School. He was a prominent pharmacist and physician, specializing in family medicine, addiction education and forensic medicine.
Dr. Vilensky began his early career working in his family's Atlantic City pharmacy and later attended the Philadelphia College of Pharmacy. Following in his father's footsteps, he opened his own pharmacy in the Wildwood, N.J., area. After several years operating the pharmacy, Dr. Vilensky returned to school to earn his medical degree from the Philadelphia College of Osteopathic Medicine, practicing in Camden County, N.J. Dr. Vilensky was a professor at the University of Medicine and Dentistry of New Jersey, where he became a sought after lecturer and expert in forensic medicine.
In 1991, he resigned from UMDNJ and founded Forensic and Educational Consultants. An avid world traveler and professional photographer, Dr. Vilensky also enjoyed scuba diving and snow skiing.
Dr. Vilensky is survived by his wife of 25 years, Joyce; sister, Leonore Kaplan; sister, Jill Vroegop; brother, Lewis Vilensky; daughter, Dr. Louisa Sanders; son, Lee Vilensky; and two granddaughters.
Dr. Vilensky also leaves his four stepsons, Steven Sinderbrand, Gary Sinderbrand, Richard Sinderbrand and David Sinderbrand; and 10 grandchildren.
Graveside services were held Tuesday, July 31. The family requests that contributions in Dr. Vilensky's memory be made to RNS, 102 N. 35th Ave., Longport, N.J., 08403 or Congregation Beth Israel, 2501 Shore Road, Northfield, N.J., 08225. Arrangements were made by Roth-Goldsteins' Memorial Chapel, in Atlantic City, N.J.
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- Oct
2 Florida's Children First 2014 Sarasota Reception
5:30 pm - 7:30 pm
- Oct
16 Pillar of Hope Open House
5:00 pm - 9:00 pm
- Oct
17 Taste of St. Armands
5:30 pm - 8:30 pm
- Oct
17 Night of Fish, Fun & Fright
6:30 pm - 9:00 pm
Goliath grouper lives up to name
Talk about a real big fish.
Mazel tov to Klauber and Mancini
The West Coast Florida Region of AJC (American Jewish Committee) will honor Michael Klauber and Phil Mancini, of Michael's On East, with its Civic Achievement Award in November.
Bob Havel celebrates 90 years with family members
Bob Havel recently celebrated his 90th birthday on Longboat Key with 24 members of his family.


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Farhad Berahman March 20, 2014Posted by Geoffrey Hiller in Nepal.
Tags: Nepal
comments closed
Wedding band rehearsing. Bhaktapur, Nepal 2006
Farhad Berahman (b. 1981, Iran) is a documentary photographer based in the Middle East and the UK specializing in social documentary, travel and editorial photography. He began his professional career with Associated Press in the UAE and Middle East in 2006. Farhad was nominated from the World Press Photo as the best young talented photographer in the MENA region in 2009 and his work has appeared in publications around the globe such as The New York Times, The Guardian, Figaro, The Washington Post and El Pais.
About the Photograph:
"It was the third month of my journey through Asia, when I had to go to Nepal to change my visa and return back to India. I was amazed by the beauty of Nepal- the views of the Himalaya's, the architecture and culture. The most interesting place, which made me stay longer, was the ancient city of Bhaktapur, known as the Living Heritage. It was a Friday afternoon when I was walking through this historical place and I heard a music playing from far away. I walked through the narrow streets to find the source. There was a band rehearsing for a wedding. They specialized in performing at weddings, festivals, and street processions. Their role has been vital from the very beginning of times, as it signified the groom traveling miles to bring the bride home with the sound of joy. The music lifted the spirits of all in the wedding parade that followed."
Zakaria Zainal October 14, 2013Posted by Geoffrey Hiller in Nepal.
Tags: Nepal
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Retired Singapore Gurkhas, Dharan and Pokhara Nepal 2011
Zakaria Zainal (b. 1985, Singapore) graduated from the School of Communication, Nanyang Technological University in 2010. His work has been published in The Straits Times, Nepali Times and The Invisible Photographer Asia among others. His photographs have also been exhibited at the 3rd Singapore International Photography Festival, Valentine Willie Fine Art Gallery, The Philanthropic Museum and the upcoming Dali International Photography Festival. In 2012, he published his first monograph: Our Gurkhas: Singapore Through Their Eyes, an anthology of portraits and anecdotes of the retired Singapore Gurkha and also organized a traveling exhibi in Nepal of the work.
About the Photograph:
"These two photographs are part of a series titled "Our Gurkhas". In 2011, I spent three months visiting three states in Nepal searching, interviewing and photographing Singapore Gurkhas. When people talk about the Gurkhas, they mainly refer to those from the British or Indian army. Little is known about the stories and memories of those Gurkhas who have served in the Singapore Gurkha Contingent. Working with the Singapore Gurkhas Pensioners' Association (SGPA), I would refer to a telephone list of the Gurkhas. There were some numbers I could not call, because some were already dead or have moved overseas with their families. Both Mr Youm (left) and Mr Bhabindra (right) were kind enough to share with me what they could remember from their time in serving Singapore. Through their foreign eyes, they witnessed the rapid pace of change of this small island they once called home. In their current homes, both in Dharan and Pokhara respectively, they adorn their houses with tangible memories of Singapore — especially photographs of them in uniform."
Greg Constantine January 6, 2010Posted by Geoffrey Hiller in Nepal.
Tags: Nepal
comments closed
Southern Nepal, 2008
Greg Constantine (b. 1970, USA) has been based in Southeast Asia since early 2006. For the last four years, he has been working on a project entitled, Nowhere People, which documents the struggles of stateless people around the world. His photo essays have been widely published and he has been the recipient of numerous international awards, including POYi and NPPA Best of Photojournalism. In 2008 he received the SOPA Award for Feature Photography from the Society of Publishers in Asia, an Amnesty International Human Rights Press Award and the Harry Chapin Media Award for Photojournalism. In 2009, Greg was part of a team of journalists from the International Herald Tribune who received the Osborn Elliott Prize for Journalism on Asia presented annually by the Asia Society. Most recently, Greg was a recipient of a 2009 Open Society Institute Distribution Grant.
About the Photograph:
"This photograph was taken in a remote Dalit village in southern Nepal. It is part of my long-term project on stateless people, called Nowhere People. Before 2007, some four million people in southern Nepal (in a region along the border called the Terai) had been denied Nepalese citizenship for generations. After the monarchy was overthrown and in the creation of a 'New Nepal', some 2.6 million people in the Terai were finally issued Nepalese citizenship, yet hundreds of thousands of the poorest and most vulnerable found themselves excluded, primarily because of deep-rooted caste-based discrimination. Large numbers of Dalit or 'untouchables' were among the people who were left behind. While the Terai region is the breadbasket of Nepal, and while Dalit are the ones who primarily work the land in the Terai, little or no resources are allocated to the Dalit in the region."


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We would love to meet you! With a visit, you can talk to an advisor at the Transfer Student Resource Center and/or the college or department of your major. Explore the campus and find out what it's like to be a Raider.
Meet Other Transfer Students
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a collaboration of ´idea magazine´ and ´raster-noton´. ´idea mag - magazine for international graphic design and typography´, issue 2009.1, # 332, contains an exclusive supplement called ´aiff-tiff´.
´aiff-tiff´, booklet, 64 pages, color print, 17 cm x 23 cm, texts english and japanese
compact disc audio, 8 tracks (some previously unreleased)
preview http://www.raster-noton.net/download/aiff-tiff.pdf
in connection with ´raster-noton´ japan tour in december 2008 ´aiff-tiff´ shows the different concepts of audio visualisation of the artists involved. ´aiff-tiff´ was given away with ´idea magazine´ issue january 2009. we are happy to offer a special off-print-edition, limited to 300 copies.
compact disc:
01 alva noto - u_03 - from unitxt, r-n095
02 alva noto - xerrox teion - from xerrox vol.2, r-n103
03 alva noto - xerrox teion acat - from xerrox vol.2, r-n103
04 byetone - capture this (II) - from death of a typographer, r-n092
05 frank bretschneider - ventilator - previously unreleased
06 nibo - 25461604853501412845836947 - previously unreleased
07 cyclo - c31_basscorner - previously unreleased
08 signal - naplafa - from robotron, r-n069
release date: 2009-01-20
media: book + cd
label: raster-noton