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Kidney cancer
Duke's kidney cancer specialists use the latest medical and surgical advances to find and treat kidney cancer at the earliest possible stage and provide you with the latest treatment options. As a high-volume center, we routinely perform complex procedures, both with intent to cure as well as to provide the best possible future therapy that is needed. You receive personalized care and access to clinical trials based on your type of kidney cancer.
Medical advances in kidney cancer
Physicians and surgeons in our nationally ranked cancer center — one of the first National Cancer Institute-designated Comprehensive Cancer Centers in the nation — care for kidney cancer patients daily. If your kidney cancer has spread to blood vessels or other organs, our surgeons are expertly equipped to perform complex surgery, give you the latest treatment options and achieve the best possible results for you.
Choose Duke for your kidney cancer treatment because we offer:
- Experience with more complex surgeries. When kidney cancer spreads near or into the heart and other organs, our experts are equipped to perform the complex surgeries needed to achieve positive results.
- Convenient, same-day appointments. Whenever possible, your appointments are arranged within a week of your first contact with us. Our doctors work together to schedule and offer you convenient, same-day appointments for oncology, surgery, and imaging. You leave with a comprehensive treatment plan for your care.
- Access to clinical trials. You may be eligible to participate in our ongoing clinical trials, which are testing new anti-cancer targeted therapies, as well as other new approaches before they become available elsewhere.
- More minimally invasive surgery options. Depending on the size of your tumor, its location, and other factors, we may recommend minimally invasive surgery options to remove the tumor. These treatment options help you recover faster.
- A team of specialists. Our urologists, radiation oncologists, medical oncologists and surgical oncologists work together to ensure you receive the best and latest treatment options.
- Comforting environment. Our new Duke Cancer Center features spacious waiting areas, a Quiet Room, large infusion rooms, and a rooftop garden area where patients — based on their treatment regimen — can receive chemotherapy outdoors.
- Good outcomes for advanced cancers. Our ability to remove kidney cancer, and the areas to which it may spread, continually results in good outcomes, including long-term survival.
- Support for you and your family. Our comprehensive cancer support services range from helping patients minimize the side effects of treatment, to coping with the emotional and psychological effects of diagnosis and treatment. View all of our cancer support groups in our event calendar.
Small, slow-growing kidney tumors are monitored to avoid the need for more aggressive treatment before it becomes medically necessary.
Minimally invasive surgery, which requires small incisions passed through lighted tubes, may be a treatment option depending on the size and stage of your kidney cancer. CT, MRI and ultrasound create high-quality images that guide surgeons during the procedure, and allow them to remove as much cancer as possible.
Extreme heat and freezing temperatures are used to remove or "ablate" small kidney tumors during these minimally invasive techniques, which are performed as outpatient procedures. Radiofrequency ablation relies on heat generated through electrodes at a high frequency. Cryotherapy uses freezing gases in a similar fashion. Both types of energy are targeted at the kidney through a needle-like probe which is inserted into the kidney with advanced imaging guidance.
Vascular surgeons and surgical oncologists work together to perform complex surgery, including blood vessel reconstruction, when tumors spread to other organs. Our patients experience positive outcomes as a result of our experience performing more of these surgeries than most centers in the Southeast.
Kills kidney cells with high-energy rays that reach the tumor through external beams emitted from a machine, or through inserted special wires, seeds or wafers implanted near the tumor.
Medications that block the growth of blood vessels that feed kidney tumors may help shrink your tumor. Other medications we give block certain biological pathways that keep the tumor from growing as it typically would.
Delivered by self-injection, this therapy improves the body's ability to fight cancer by boosting biologic substances, called BRMs (biologic response modifiers) in the body. BRMs regulate and enhance the body's immune response, which helps the body fight disease.
Administered orally or through an IV, chemotherapy may be recommended after surgery to slow cancer cells or kill cancer growth. Not considered a standard treatment for kidney cancer, but may be used when kidney cancer doesn't respond to immunotherapy or targeted therapy.
Finding kidney cancer early and getting an accurate diagnosis are key to your health and outcomes.
Find clues to indicate cancer, such as blood in your urine. We monitor levels of your body's byproducts that may show how your disease is progressing. We also check for conditions brought on by cancer through careful assessment of specific blood tests.
In addition to X-rays, CT, MRI and ultrasound may be used to produce high-quality images of your kidney and assess the presence and stage of kidney tumors.
A small amount of low level radioactive material is injected into a vein to determine if cancer has spread to your bones.
A long, thin needle is inserted into the kidney to remove a tiny sample of tissue for examination under a microscope for the presence of cancer.


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Diarrhea, Age 12 and Older
Topic Overview
Diarrhea occurs when there is an increase in the number of bowel movements or bowel movements are more watery and loose than normal. When the intestines push stools through the bowel before the water in the stool can be reabsorbed, diarrhea occurs. It can also occur when inflammation of the bowel lining causes excess fluid to leak into the stool. Abdominal cramps, nausea, vomiting, or a fever may occur along with the diarrhea.
Diarrhea is one of the most commonly occurring health problems affecting all ages. Most adults will have 4 episodes of diarrhea each year. Diarrhea that comes on suddenly may last up to 14 days.
Diarrhea has many causes.
- Diarrhea is often caused by stomach flu (gastroenteritis) or food poisoning. Diarrhea is your body's way of quickly clearing viruses, bacteria, or toxins from the digestive tract. Since most cases of diarrhea are viral, they will clear up in a few days with good home treatment. E. coli is a common bacteria that causes diarrhea. E. coli infection is related to improper food preparation.
- Drinking untreated water or unpasteurized dairy products can cause viral, bacterial, or parasitic infections, such as Giardia lamblia. Giardia lamblia parasite can cause diarrhea that develops 1 to 4 weeks later. These infections can also occur when you use untreated water to brush your teeth, wash your dishes or vegetables, or make ice for drinks.
- Many
prescription and nonprescription
medicines can cause diarrhea.
- Antibiotics may cause mild diarrhea that usually clears up without treatment. A more serious type of diarrhea caused by the bacteria Clostridium difficile (sometimes called C-diff) may occur while taking an antibiotic or shortly after finishing the antibiotic.
- Laxatives, such as Correctol, Dulcolax, Ex-Lax, or Feen-a-Mint, may cause diarrhea.
- Using too much of products that contain sorbitol (such as chewing gum) or fructose can cause diarrhea.
- Some people get diarrhea while traveling (traveler's diarrhea).
- For some people, emotional stress, irritable bowel syndrome, anxiety, or food digestion problems (such as lactose intolerance) cause diarrhea.
- Repeated episodes of diarrhea may be caused by inflammatory bowel disease.
- Diarrhea may also be caused by malabsorption problems and certain types of cancer.
- Diarrhea may develop after stomach, bowel, or gallbladder surgery, or after bariatric surgery for obesity.
Many times the exact cause of diarrhea is difficult to determine. Almost everyone has an occasional bout of diarrhea. Although diarrhea is annoying, most cases are not serious and will clear up with home treatment.
Use the Check Your Symptoms section to decide if and when you should see a doctor.
Home Treatment
Home treatment can help you treat your diarrhea and avoid other related problems, such as dehydration.
- Take frequent, small sips of water or a
rehydration drink and small bites of salty crackers.
- Try to increase your fluid intake to at least 1 qt (1 L) per hour for 1 to 2 hours or until diarrhea symptoms disappear.
- Begin eating mild foods the next day or sooner,
depending on how you feel.
- Avoid spicy foods, fruits, alcohol, and caffeine until 48 hours after all symptoms have disappeared.
- Avoid chewing gum that contains sorbitol.
- Avoid dairy products for 3 days after symptoms disappear. Milk products may be harder for your body to digest when you have diarrhea.
Nonprescription medicines for diarrhea
If you are pregnant, talk with your doctor before taking any medicines for diarrhea.
Nonprescription medicines may be helpful in treating your diarrhea. Follow these tips when taking a nonprescription medicine for diarrhea:
- Use nonprescription antidiarrheal medicine if you have diarrhea for longer than 6 hours. Do not use nonprescription antidiarrheal medicines if you have bloody diarrhea, a high fever, or other signs of serious illness.
- Read and follow all label directions on the nonprescription medicine bottle or box. Be sure to take the recommended dose.
- Long-term use of nonprescription antidiarrheal medicine is not recommended. To avoid constipation, stop taking antidiarrheal medicines as soon as stools thicken.
- If your child or teen gets chickenpox or flu, do not treat the symptoms with over-the-counter medicines that contain bismuth subsalicylate (such as Pepto-Bismol and Kaopectate). Subsalicylate has been linked to Reye's syndrome, a rare but serious illness. If your child has taken this kind of medicine and he or she has changes in behavior with nausea and vomiting, call your doctor. These symptoms could be an early sign of Reye's syndrome.
There are several types of antidiarrheal medicines: those that absorb water and thicken the stool, and those that slow intestinal spasms.
- Thickening mixtures, such as psyllium, contain clay or fruit pectin which break down in the intestine and become food for the bacteria and toxins in the intestine. This gives the stool more bulk.
- Antispasmodic antidiarrheals, such as Imodium A-D and Pepto Diarrhea Control, slow intestinal spasms. Some products contain both thickening and antispasmodic ingredients.
- Probiotics, such as Lactobacillus, are available in either pills or powder. This bacteria occurs naturally in the intestine and may help with digestion. When diarrhea is present, the number of these bacteria is reduced.
General tips
To clean up diarrhea from hard surfaces, such as a toilet seat or bathroom floor, you can use diluted chlorine bleach. To do this, mix 5 tablespoons of 6% household bleach in 1 gallon of water. The solution needs to stay on the surface area for 10 minutes to be effective. Let the surface air dry if possible. Protect your hands with gloves while using the bleach solution. Wash your hands after you are done cleaning up. Soiled linens and clothing should be handled as little as possible and washed separately in a hot water cycle.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to evaluate your symptoms if any of the following develop during home treatment:
- Signs of dehydration develop.
- Severe diarrhea (large, loose bowel movements every 1 to 2 hours) develops.
- Diarrhea is present for longer than 1 to 2 weeks.
- Black or bloody stools develop.
- A fever develops.
- Other symptoms develop.
- Your symptoms become more severe or more frequent.
Food poisoning is a common cause of diarrhea in children and adults. Most cases of food poisoning may be prevented by taking a few precautions when preparing and storing food at home. Perishable foods, such as eggs, meats, poultry, fish, shellfish, milk, and milk products, should be treated with extra care. Also, precautions should be taken if you are pregnant, have an impaired immune system or a chronic illness, or you are preparing foods for other high-risk groups, such as young children or older adults. For more information, see the topic Food Poisoning and Safe Food Handling.
The U.S. Department of Agriculture (USDA) recommends the following steps to prevent food poisoning:
- Prepare foods safely.
- Shop safely.
- Cook foods to a safe temperature.
- Store foods safely.
- Follow labels on food packaging.
- Serve foods safely.
- When in doubt, throw it out.
Many counties in the United States have extension services listed in the phone book. These services can answer your question about safe home canning and food preparation.
For information on how to prevent traveler's diarrhea, see traveler's diarrhea.
Preparing For Your Appointment
To prepare for your appointment, see the topic Making the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
- How long have you had diarrhea?
- How many times per day are you having diarrhea?
- What does your diarrhea look like? Describe the color, consistency (watery, mushy), and other characteristics (contains blood or mucus).
- When was your last episode of diarrhea?
- Have you recently increased the amount of fiber in your diet (more fresh fruit, vegetables, or other high-fiber foods)?
- What prescription and nonprescription medicines do you
- Are you taking any new medicines?
- Did you recently increase the dose of a medicine?
- Have you taken any antibiotics recently?
- Did you recently receive an antibiotic while in the hospital?
- Do you routinely use laxatives or stool softeners?
- Have you been under an unusual amount of stress at home, work, or both?
- Does anyone you live with or work with have diarrhea?
- Did your diarrhea start after eating at a restaurant? Has anyone who ate there with you become ill?
- Did you drink lake or stream water or untreated well water?
- Have you recently visited a foreign country or taken a ship cruise?
- Do you have any risk factors that make you more susceptible to diarrhea, such as irritable bowel syndrome?
- What home treatment measures have you tried? Be sure to include any nonprescription medicines you have taken.
- Do you have other symptoms, such as vomiting, fever, or dehydration?
- Do you have any health risks?
Related Information
Author | Jan Nissl, RN, BS |
Editor | Susan Van Houten, RN, BSN, MBA |
Associate Editor | Tracy Landauer |
Primary Medical Reviewer | Martin Gabica, MD - Family Medicine |
Primary Medical Reviewer | William M. Green, MD - Emergency Medicine |
Specialist Medical Reviewer | William H. Blahd, Jr., MD, FACEP - Emergency Medicine |
Specialist Medical Reviewer | Jerome B. Simon, MD, FRCPC, FACP - Gastroenterology |
Last Updated | April 28, 2008 |
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Check Your Symptoms
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Topic Overview - Top of Page
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Home Treatment
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Prevention - Top of Page
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Related Information
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Last Updated: April 28, 2008

subset: commoncrawl


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Contents |
[edit] On Oblivion
"Cast spells to breathe or walk on water, open locks, shield from physical and magical damage, and alter encumbrance. Alteration spells and spell effects are rated by Mastery Levels; you can only cast spells rated at or below your current Mastery Level."-Oblivion Manual
Argonian, Breton, and High Elf races get an initial 5+ bonus in Alteration.
[edit] Skill Perks
- A novice can cast novice spells.
- An apprentice can cast apprentice spells.
- A journeyman can cast journeyman spells.
- An expert can cast expert spells.
- A master can cast all spells.
[edit] Spell Effects
[edit] Training
You gain 4 experience every time you cast an Alteration spell.
- The best spell for training is Protect, it's convenient since you can cast it on yourself and it's fairly cheap.
- Once you've completed the Recommendation quests for the Mages Guild, create a custom Protection spell with the lowest magnitude. It will only take one or two magika points to cast so by the time you've cast the spell you should of regenerated the magicka anyway.
- Cast Protect spells everywhere you go.
- Equip a weapon and hold block, and you'll cast spells quicker.
[edit] NPC Trainers
Basic Training (0-40)
- Deetsan (Located in Cheydinhal Mages Guild)
- Dovyn Aren (Located near Ida Vlinorman in the Imperial City Elven Gardens District)
Advanced Training (0-70)
- Abhuki (Located in Faregl Inn south of Imperial City)
- Athragar (Located in Chorrol Mages Guild)
Master Training (0-100)
- Tooth-in-the-Sea ( Swims off the coast of Niben Bay north of Bravil)


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Set your phone to see if this item is compatible.
Use the Nokia phone selector.
My Pocket Office - docx
by: Divum
Utilities - 0.19 MB
The first ever document reader for Nokia phones is ready and absolutely free for you. Grab it! Now, no need to check docs only on your desktop. My Pocket office is designed to read docx files in a mobile friendly UI.
This is the beta version of the app and much more features to follow. Download and stay tuned for updates!
Contact publisher for issues found in content:
http://divum.in |
For all other issues, please go to support.ovi.com


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Sorry this item is currently sold out. Please use this discount coupon for an additional 5% off during checkout:
The DC Fuzzy PH Hoodie is ideal for your needs in a cool climate. Its kangaroo pockets make the 96% cotton blend very comforting when your hands need refuge from sudden exposures to cooler winds without requiring you to carry cumbersome gloves, or to place your hands into the pockets of your jeans. There is always a need for insulation in a quality hooded sweatshirt, and the mid-weight insulation provided here is more than adequate. Picking up the DC Fuzzy PH will be the best decision you''ve made all week!
Fuzzy PH


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Information sessions are held regularly. View upcoming session dates and RSVP for a session.
You can also contact us for more information about our degree programs here, and one of our staff will be in touch with you shortly.
Visit the Available MPH Tracks page for detailed descriptions and curriculum for each of the
5 available tracks: 1- Biostatistics 2- Community and Behavioral Health Promotion 3- Environmental Health Sciences 4- Epidemiology and 5- Public Health Policy and Administration.
The Zilber School of Public Health is known for its emphasis on health equity, social and environmental justice, and community partnerships. The MPH degree program prepares students to make a difference in the public health field by building practical knowledge and skills, including the applied use of public health research to promote population health and health equity.
And employment prospects are bright for public health practitioners.
According to the most recent Wisconsin Public Health Workforce Report,
as many as 55% of workers in the Wisconsin Division of Public Health are
currently eligible for retirement.
The MPH curriculum includes required core courses that help prepare students to analyze information and consider solutions to public health problems at the community, institutional and societal levels. Students then put their skills into practice through a required field experience and capstone project.
Students in the Master of Public Health program complete 42 to 48 credits (depending on the track). MPH students take a common core curriculum of 20 credit hours, including a 3-credit field experience and a 2-credit capstone, as well as a variable number of track-specific credit hours. All MPH students can expect to learn how to:
1. Explain the foundational principles and historical perspectives that shape the field of public health.
2. Describe how multiple determinants, including socioeconomic, biological, behavioral, and environmental, and the interrelations among these determinants shape population health and health inequities.
3. Integrate principles of social and environmental justice within public health practice and research.
4. Employ ethical principles and protocols in public health practice and research.
5. Implement approaches to public health practice and research that recognize the social, cultural and environmental circumstances of individuals, communities and populations.
6. Utilize appropriate quantitative and/or qualitative methods in public health practice and research.
7. Apply inter-disciplinary theories, research methods and best practices to address public health issues and promote population health.
8. Collect, synthesize and critically analyze information and data to identify and address, and inform public health issues and interventions.
9. Practice a high standard of professionalism, demonstrated by integrity, respect, transparency, sound judgment, and constructive interactions with colleagues, community members, stakeholders and the public at large.
10. Demonstrate leadership and partnership skills that foster and support collaborations across diverse communities, settings and sectors.
11. Communicate effectively about public health issues with diverse audiences using a variety of strategies and modalities.
12. Advocate for the public's health and health equity.
Learn more about the MPH program from the Graduate School Bulletin
Apply now to enroll in Fall 2015. Apply by January 15, 2015 for full consideration.
For application questions, email email@example.com or call 414-227-3001 to speak with an advisor.
Information sessions are held regularly. You can find upcoming session dates and RSVP for a session here.
To be considered for admission, applicants must complete the required online application and meet Graduate School requirements, plus the following program requirements:
The admissions committee may consider GMAT, LSAT or MCAT scores in place of GRE scores. Applicants must request this substitution in writing. Applicants with a JD, MD, DVM, PharmD, or PhD do not need to submit GRE scores.
Some scholarships are available for all five tracks. Recently, scholarships were announced for the three newest tracks - Biostatistics, Epidemiology, and Public Health Policy and Administration - through the Vera Zilber Public Health Scholars Program.
Visit the Resources page for information on tuition & fees, Academic Calendar, and other helpful links.
Learn more about the Biostatistics track
Learn more about the Community and Behavioral Health Promotion track
Learn more about the Environmental Health Sciences track
Applicants with a desire to employ the tools of epidemiology for the purpose of advocating for social justice and the amelioration of health inequities would be interested in our Epidemiology program. Strong candidates will have previous experience working or volunteering with social service, public health, community organizations and/or in other capacities which demonstrate a commitment to social justice. Through their essays and transcripts will demonstrate that they have strong critical thinking and analytical skills and be able to articulate clearly how their previous experiences have prepared them to undertake study in the field of epidemiology.
Learn more about the Epidemiology track
The PHPA track takes a holistic approach to assessing student fit. We value academic achievement and concrete experience in professional, volunteer and advocacy roles. Prospective students should demonstrate, through their essays, transcripts and test scores, that they have strong analytical thinking skills and the capacity to apply quantitative and qualitative analyses to public health issues. They will be able to articulate how their academic and practical backgrounds prepare them for public health study. We also expect that prospective students are able to demonstrate a basic understanding of public health principles and practice, and how study in this field will help them to achieve their learning, advocacy and/or professional objectives.
Learn more about the Public Health Policy and Administration track


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Catch Grizzly Fest Today 1-4 pm ET And Hear Special Message From Gov. Palin
Posted on February 25 2012 – 11:12 AM – Posted by: Nicole Coulter
Greetings Palinistas! Grizzly Winter Fest is here. You can listen live on C4P (or other sites) from 1-4 pm ET today. Or catch the podcast later!
Gov. Palin has recorded a special message just for Grizzly Festers that will be featured today. We're so grateful for her support and acknowledgement.
Our goal today is to inspire ordinary Palinistas everywhere that we can all make a difference in our communities. All of our efforts, collectively, make a difference in advancing the cause of limited government and free markets. I'm especially excited about interviewing Professor Luigi Zingales, whom Gov. Palin mentioned in America By Heart. Dr. Zingales is a passionate defender of the free market and is wrapping up a book on the perils of crony capitalism and what we need to do about it. He grew up in Italy where political connections often mattered more than good ideas. He worries that in a Solyndra-world, we're headed down that same path.
We've got whistleblowers and reformers galore at today's summit … Peter Schweizer, Lt. Governor Rebecca Kleefisch of Wisconsin … and you'll hear from Thomas Schmitz, the chairman of American Grizzlies United, about grassroots efforts to elect reform-minded conservatives at all levels of government.
So, grab your hot cocoa, fire up your laptop or SmartPhone, and join your friends in the Palin movement once again for some Corruption Bustin' fun.
The Winter Fest Line-Up – Sudden and Relentless Reform
The following websites also will be hosting the Livestream broadcast:
Plan on settling back at your preferred website for all the events! You'll see a show page pop up with a player. In addition to watching the Livestream broadcast, you'll also be able to participate in our dedicated chat room.
And, please support the future of Grizzly Fest by going to the DONATE page and contributing now. If everyone that listened to the first Grizzly Fest contributed a small amount, we will be able to sustain Grizzly Fest through the 2012 elections and provide transcripts of our summit.
Article source: http://conservatives4palin.com/2012/02/catch-grizzly-fest-today-1-4-pm-et-and-hear-special-message-from-gov-palin.html


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Alright tacomaWorld.... first off. I did some searching and couldnt find anything real conclusive.
Just wanted to know if there is a list of differences over the years of the 1st gen.
At the moment we have a 04 Trd xtended cab 2wd and its been a damn good truck... but i want one of my own and am looking at a 00 TRD 4wd xtended cab... and was wondering if there are any signicant differences as far as motor / running gear.
I really dont think there is, i have been around the toyota world for some time and the good ole 3.4 i dont think has changed since 95.5 haha.
Anyways thanks!


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Food – Restaurants Bath
We work hard to make it look easy.
Situated in the heart of the West Country, The Olive Tree restaurant has the choice of a plethora of local suppliers and it is simply a no-brainer that Chris and his team are committed to sourcing locally.
The menus read like a who's who of the most committed and high quality artisan food producers to be found in this part of the country.


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Wi-Fi is not a new story, but it's a newly invigorated one. There has been a noticeable increase over the last six months in the level of interest it generates. Whether it is mobile phone manufacturers, like Nokia, mobile network operators, like O2, or transport services, both underground and overground, partnering with communications companies, it seems like the promise and potential of free Wi-Fi may finally be realized.
Wi-Fi interest in raging around the globe
Each of the above examples is based in London, but the free-to-access public Wi-Fi trend is raging globally.
All of a sudden, unlicensed spectrum is looking attractive, while researchers like Informa recognize that indoor and outdoor Wi-Fi coverage, usage and offload are growing substantially. Indeed, Informa and the Wireless Broadband Alliance (WBA) have forecast that global public Wi-Fi hotspot numbers will grow from 1.3 million in 2011 to 5.8 million by 2015, representing an increase of 350%.
This Wi-Fi news will be greeted warmly by the nine out of 10 iPad owners who have opted for Wi-Fi-only versions of their device. The price difference between a Wi-Fi-only versus 3G tablet is considerable. On top of the device price, the requirement for data connection and monthly subscription has proved to be a deterrent.
These developments would most certainly have played some part in persuading mobile operator trade body, the GSM Association, to team up with the WBA with the aim of finding a way to simplify the process by which mobile devices connect to Wi-Fi networks. Convergence is coming, but we're not quite there yet.
It looks like LTE could change all that; mobile VoIP clients will be comparable with carrier voice services and will be available beyond smartphones. This could see a migration in carrier service like voice and SMS from 'phones' to 'tablets' – and when we start seeing more tablets used for voice calls, we'll start seeing those lines blur between mobile and the Internet.
Cellular and Wi-Fi operators need to come together
It takes two to tango, though. Both the Wi-Fi players and the cellular players need to come together, hence why it's important that the GSMA and WBA team up. Most free-to-access public Wi-Fi hotspots require some form of registration or log-on before granting access, and while people are willing to spend a few moments entering details when stationed at a regular location (i.e. home or the office), they tend not to bother when the location is more temporary, such as at a coffee shop.
In addition to the inertia caused by this fiddle-factor, mobile users and providers of free public Wi-Fi are also concerned with security. Unfortunately, the open access that enables a person to find a hotspot quickly becomes the security hole through which hackers capture data as it flies through the air.
It seems obvious, but if carriers can find a way to simplify and quicken the process of secure log in to public Wi-Fi hotspots, then it is likely more people will offload onto Wi-Fi. Carriers can enable end -users to choose and prioritize traffic to be offloaded to Wi-Fi, according to whether they are offloading to a public or private hotspot. And by doing this, carriers and users can avoid the offload of particularly sensitive traffic to public hotspots, eliminating inconsistent performance but enabling the automatic offload of all traffic when users are logged on to a reliable private hotspot.
This sounds easy in principle, but how can this work in practice?
Authentication and encryption must be in-place for secure Wi-Fi
The first step is to help devices know what they are getting. An SSID of "coffee_shop" is quaint for local access, but in reality this coffee shop access point (AP) could become a proxy for service providers like iPass, Boingo, the Cloud or even AT&T. Rather than broadcasting an open AP name, the device would query the AP to determine a whole range of information, including authentication and security mechanisms.
The second step is authentication. Perhaps the coffee shop has agreed to proxy service for a range of providers. A device may have the username and password credentials pre-loaded to use Boingo's service. Rather than being the endpoint, the AP takes the Boingo credentials from the device and then queries Boingo's servers directly to enable (or reject) connectivity. For smartphones or other SIM-based devices, the process may rely on the SIM credentials, thus moving to a completely automated authentication process.
The final stage is focusing on security. A key security hole in today's networks is that APs need to be open (unencrypted) for a device to begin to attach. It's this 'over the air' interface which is most vulnerable. Next-generation APs will appear locked, but will have the ability for the device to query for specific information about the AP and begin the authentication process securely.
These capabilities are all inherent in the cellular network today. Applying the same principles to the world of public Wi-Fi will only serve to ease connectivity, increase security and begin transforming Wi-Fi into a credible sidekick to the outdoor macro network for the colliding worlds of the smartphone and tablet.


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Wallowa-Whitman National Forest
Contact Information
1550 Dewey Ave PO Box 907 Baker City, OR 97814 541-523-6391
Office locations and contact information
Please contact us with questions and comments. Information you share may be used to update trail conditions on the website. Thank You!
Contact Us
Where is this Forest?
FOREST PLAN REVISION: Blue Mountain Forest Plan Revision DEIS & Proposed Forest Plan Comment Letters Public Reading Room
39 ROAD UPDATE: The Wallowa Mtn Loop Rd. (FSR 39) is open as a designated snowmobile route.
East Face of the Elkhorn Mountains Project Scoping Letter and Maps
View the Blue Mountains Forest Plan Revision Draft Documents, 1990 Forest Plans and supporting documentation.
Forest Access and Travel Management: View the Existing Condition Road Maps and View the Public Remarks & Clarifications on the maps. Please submit corrections by March 31, 2015.
The Wallowa-Whitman National Forest, 2.3 million acres of varied landscape, extends from the Blue Mountains and rugged Wallowa Mountains down to the spectacular canyon country of the Snake River on the Idaho border.
The forest ranges in elevation from 875 feet in the Hells Canyon National Recreation Area to 9,845 feet in the Eagle Cap Wilderness Area.
We manage the forest as sustainable ecosystems providing clean water, wildlife habitat and valuable forest products. This setting offers a variety of year-round recreation opportunities.
Across the nation and in the Pacific Northwest, there is broad public support for actively managing forests to be more resilient to the uncertainties of climate change and the effects of insect outbreaks, disease, and destructive wildfires that follow decades of fire suppression in fire-dependent forests. Read more about Accelerated Restoration.
Learn more about premier accessible recreation sites in the Wallowa-Whitman National Forest
Subscribe to this feed
Release Date: Mar 3, 2015
The East Face Analysis Area is a multi-agency collaborative restoration project designed to restore and maintain resilient landscapes, create fire adapted communities and respond to wildfire. Learn more about this exciting project by clicking the link!
The Lower Joseph Creek Restoration Project Draft Environmental Impact Statement was released on November 14th for a 90 day comment period. The 100,000 acre project goals are to contribute to local economic and social vitality, reduce the risk of wildfire, restore forest health, enhance fish and wildlife habitat, and improve future forest range and fire management across the project area.
Comments may be submitted in the following ways:
View More Features
Please click on this link for information about Big Game Hunting on the Wallowa-Whitman National Forest.
Information about upcoming prescribed burning project areas, as well as maps of prescribed burns from prior years on the Wallowa-Whitman National Forest.
Forest Access and Travel Management Project Information.
Restrictions are phased in collectively as conditions warrant. The fire danger adjective and IFPL are used as indicators to consider when implementing restrictions.
Quick Links
Alerts & Warnings
View All Forest Alerts
Related Links
Yours to explore and celebrate!
Employment Opportunities


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For many out there, Google Play Music has been a reliable way of uploading and accessing collection anywhere anytime. However, the process of using the Music Manager app to transfer your songs into the cloud was a tiresome one. But the search giant has made it easy for you, kind-of. The new feature can be found in the 'Labs' section of the music streaming service, allowing users to upload up to 20,000 tracks for free using a simple drag and drop method.
Additionally, the new feature allows you to choose a number of folders that the service will keep a tab on and grab music from whenever it detects new songs. The old Music Manager app could soon be termed obsolete as the web interface allows its users to download the entire music library directly.
Google has said that the new feature has been built using its new technology that now backs its new Chrome Apps platform. It enables building complex, standalone apps easily. There is also an all new Google Play Music mini-player app that can be found in the Chrome apps launcher, provided it's enabled. It makes your experience pretty easy as all controls are right there and you no more have to keep going back to your full browser window.
Want to know how to upload music to Google Play Music via Chrome? Simple. Go to Google Music website, press the cog-shaped settings icon and choose 'Labs' from the menu. On top of the page will be an option named 'Google Play Music for Chrome' with the option of Enabled and Disables on its side. Press the circle next to Enabled and you will then be asked to install an app. Click Add to install it. You will then have to wade through the process of setting up music folders that Google Music can instantly upload in case it finds new items. You will then find a new Upload button in the toolbar of Google Music. Hitting this will open a new screen where you can drop files for instant uploading. You are set!
Source: The Verge


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Come to Depot Street trail head and get ready to take off for the Harvest Moon Run! The 10K event is held along the Dick & Willie Passage and begins at the Depot Street trailhead. It will get a bit dark -- some lighting is supplied, but do consider bringing your own light source. Starting time is 7 o'clock sharp.
Packet pick-up will be from noon to 4 o'clock on Friday, September 11 at the Martinsville YMCA and then at the trail from 5 to 6:45 p.m. Registration for the race opens in January 2015 and the cost is $35 until August 3, then $40 from August 4 to race day. On-line registration will be available through Wednesday, September 9. After that time please plan to register in person at the Y or at the trail head before the start of the race.
Overall awards will be given for the top three male and female participants, master, and grand master. Age group awards will be given to the top three male and female finishers in ten year age groups beginning with 14 and under, and ending with 70 and over.
Spectators and cheering sections are invited to attend this fun evening under the stars, complete with music, food, dancing, glo sticks, craft brews, and awards.


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Using the Billy Rose Theatre Divison's Collections: Strategies for Research
Located in the heart of the Lincoln Center complex on Manhattan's Upper West Side, the Billy Rose Theatre Division is housed on the third floor of the Library for the Performing Arts, along with the Music, Recorded Sound. and Dance research collections. Staff members, knowledgeable in all aspects of theatre history, are available to assist users in their research.
Begin your work at the 2nd floor Theatre reference desk, located near the stairway leading up from the first floor entrance. A large collection of circulating items on theatre, television, film, and allied arts may be found in open stacks on the 2nd floor. All Research Collection materials are noncirculating and must be used on the 3rd floor. Materials from the noncirculating Research Collections are retrieved from closed stacks upon receipt of a call slip at the Delivery Desk on the 3rd Floor. Additionally, a growing portion of our collection is stored at NYPL's offsite facilities. Researchers may request offsite items for delivery to the library, as identified in NYPL's online catalog.
Archival materials, rare books and other special collections materials may be used in the 3rd floor's Katharine Cornell-Guthrie McClintic Special Collections Reading Room. The Theatre on Film and Tape (TOFT) Collection can be viewed in the Lucille Lortel Screening Room also on the 3rd floor.
Locating Materials
Strategies for locating materials in the Division depend on the type of materials users seek. The Collection can be broadly divided into two categories: book and non-book material. Different approaches should be used to access each type of information. For a helpful guide to researching theatre at LPA and in other collections at NYPL, see "Welcome to the Theatre, to the Magic, to the Fun!"
Books and Periodicals
Easy access to books and periodicals can be obtained by searching NYPL's online Catalog. To consult published plays, users should visit the Circulating Drama Collection on the 2nd floor of LPA, or the General Research Division of Stephen A. Schwarzman Building at Fifth Avenue and 42nd Street. The Billy Rose Theatre Division does not house such literary works, unless a copy has been used as a promptbook during production. For unpublished plays, you should also check out the scanned catalog cards.
Non-book Items
To locate the Division's extensive nonbook materials—including scrapbooks, clippings, programs, photographs, reviews, posters, and original artwork—start by consulting the free-standing card catalog on the 2nd floor near the Theatre Reference Desk. Material may be found under title (play, film, or television program), personal name, company, or subject heading. Programs and reviews are arranged chronologically. Users may also consult the 30-volume Dictionary Catalog of the Theatre and Drama Collections, Part III: Non-Book Collection, published by G. K. Hall and Company for non-book materials cataloged before 1974. Available onsite and at reference libraries throughout the United States, this resource is particularly valuable to out of-town researchers. These non-book materials must be used in the Katharine Cornell-Guthrie McClintic Special Collections Reading Room.
Archival Material
Archival collections held by the Theatre Division may be found by using the NYPL's Catalog. In many cases, detailed inventories called finding aids will provide in-depth information about the materials in each collection, and these documents are linked from the records in the Catalog. Archival collections must be used in the Katharine Cornell-Guthrie McClintic Special Collections Reading Room.
Theatre on Film and Tape
The Lucille Lortel Room, adjacent to the Special Collections Reasing Room on the 3rd Floor, houses the Theatre on Film and Tape Archive. Material can be located in NYPL's Catalog by searching under production title, author, theatre company, and/or dialogue participants. Advance appointments are required for viewing. Users may contact TOFT to ascertain tape availability at (212) 870-1642.
Reference Services
We provide basic reference services in person at the Theatre Reference Desk on the 2nd floor. For reference assistance by email, please contact firstname.lastname@example.com. If you aren't able to visit the library to conduct your own research, you may use NYPL's Premium Services research staff.
Copy Services
Information about obtaining photocopies of materials at LPA may be found here. Please note that although there are limitations on obtaining photocopies of some items in the Research Collections, patrons are allowed to bring their own digital cameras to photograph most items for their own personal use. The library's Photography and Photocopying Policy may be consulted for more specific information. Additionally, high-quality scans and photocopies may be ordered through NYPL's Premium Services.
Publication of Materials
Permission to reproduce materials from the Division for publication in books, magazines, documentaries, calendars, greeting cards, and advertisements, or for other use, including broadcasting, must be requested through NYPL's Premium Services. Users are responsible for obtaining reproduction and/or copyright clearances, which often do not rest with the New York Public Library.
Interlibrary Loan
In rare cases, books and periodicals may be requested to other libraries through interlibrary loan. However, the core of the Division, non-book materials, archives, AV, and scripts, may not be borrowed. For more information, please visit our ILL page.


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AbeBooks is an online marketplace that connects you with professional booksellers selling new, used, rare and out-of-print books, as well as cheap textbooks. Each month, select booksellers offer their books for sale on our site at huge discounts, making it easy to buy cheap books online. Whether youre a crime fiction fanatic, a science fiction fiend or you only have time for textbooks, you'll discover thousands of books in our bookseller sale all for a bargain.
Please note: Sale refers to books from participating booksellers only. Prices shown have already been discounted. Sale ends February 27. We reserve the right, in our sole discretion, to terminate or modify this promotion.
Emma&Ray of Lempster, NH, U.S.A.
The Bowral Bookmen of Bundanoon, , Australia Specialty: Military History, Australian Art, American West & Civil War, Australian fiction, British Isles, Natural History, Australian & Pacific History, Ancient & Modern History
Country Books of Claremont, ON, Canada Specialty: General all-around mix with emphasis on humor and children's books, Biographies/Autobiographies, Westerns, Great selection of hard to find/out of print titles., Some modern/other first editions, Substantial inventory of general fiction and science fiction
F.I.Chagnon of Chula Vista, CA, U.S.A. Specialty: General Stock, Art & Photography, Yearbooks, Religion, Native Americans, Roleplaying Games
September Books of Church Stretton, ., United Kingdom Specialty: Over 250,000 books on all topics-fiction and non-fiction, Children's Collectables, Comics/ Magazines, Modern First Editions, Crime Fiction
Gravelly Run Antiquarians of Dorothy, NJ, U.S.A. Specialty: Modern First Editions, Regional Americana, New Jersey, Nautical, Art and Illustrated, General Stock, Rare books
Elkhorn Books, IOBA of Portland, OR, U.S.A. Specialty: Religion and Theology, Foreign Language, Hemingway, Bibliotheca Teubneriana, Science and Technology, Bibliography
David H. Gerber Books (gerberbooks) of Austin, TX, U.S.A. Specialty: General Stock, Rare, scarce, out-of-print, & used books
Paul Kennedy, Bookseller of Chatsworth, CA, U.S.A. Specialty: Mysteries, Science Fiction
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Baker's Books of Hope, BC, Canada Specialty: Used books, rare books, collectible
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E Ridge Fine Books of Lake Elsinore, CA, U.S.A.
Book 'Em of Portland, OR, U.S.A. Specialty: poetry, 19th Century literature, first editions, science fiction, collectible paperbacks, mysteries, fiction, illustrated, juvenile
Cody & Cody of New Paltz, NY, U.S.A. Specialty: Modern signed & unsigned first editions, Ephemera, Dramatic works and programs, Poetry, African American history, Civil Rights, Digned & unsigned ARCs and galleys, Art monograms, Small press poetry, Photography, Caribbean Slavery, Slavery
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Abound Book Company of Overland Park, KS, U.S.A. Specialty: Ernest Hemingway, Contact us at:firstname.lastname@example.com, University Press editions, Fine and Rare books, Harper Lee, Fine Leather bindings, First editions, William Faulkner, John Steinbeck, F. Scott Fitzgerald
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Olivarez Media, Inc of Woodland, CA, U.S.A. Specialty: 95% Used, 5% New books, less than 1 % mass market paperback, 80% Hardback, 20% Softcover, 40 + categories of Non-fiction, Classic fiction and most genres of fiction, Large portion are older, pre-ISBN, rare & collectable
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Noella Racine Bookseller of Richford, VT, U.S.A. Specialty: Livres francais, Exploration & Travels, Reference, Religion, Anthropology, Fiction, Histoire
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Scholar & Poet Books of Wauwatosa, WI, U.S.A.
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Mad Hatter Books of Auckland, , New Zealand Specialty: Children's Books
Geata Buidhe - Yellow Gate - Books of Co. Kilkenny, Ireland
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Steven Temple Books of WELLAND, ON, Canada Specialty: General o.p. and antiquarian, Literary books, Canadiana, Canadian literary books
Elliot's Books Since 1957 of Northford, CT, U.S.A. Specialty: Anthropology, Linguistics, Yale University Press, Blacks, Women, Children, Asia, Africa, Latin America, Technical, Scientific, Sociology, Psychology, Economics, Political Science
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! Turtle Creek Books ! of Mississauga, ON, Canada Specialty: Hard to find editions, Collectible Books, Books for Investment, Antiquarian Books
Dragonfly Books of Victoria, BC, Canada
Norman Macdonald's Collection of Mold, United Kingdom Specialty: HISTORY, COSTUME, FASHION, ART, GENERAL, MISCELLANEOUS, ANTIQUARIAN, ILLUSTRATED BOOKS, LOCAL HISTORY
Noble Knight Games of Janesville, WI, U.S.A. Specialty: DUNGEONS AND DRAGONS, HISTORICAL BOOKS, WARGAMES - TENS OF THOUSANDS IN STOCK, BOARDGAMES, COMICS, MAGIC THE GATHERING AND CCG'S, RPG'S,
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Affordable Collectibles of Columbia, MO, U.S.A. Specialty: Out of Print, Textbooks, Academic titles, Low Price, Collectible Books
Snow Crane Media of Vauxhall, NJ, U.S.A.
Bucks County Bookshop of Doylestown, PA, U.S.A. Specialty: Scholarly Books, Antiquarian, First Editions, World Literature individual catalogs, Philosophy & Religion
Mima Mia Books of Boston, MA, U.S.A. Specialty: some scholarly books on history, math, philosophy, sociology, literature criticism
michael diesman of flushing, NY, U.S.A. Specialty: rare and out of print books
Cosmic Express Books of Rochester, MN, U.S.A. Specialty: Fantasy, Science Fiction
Heroes Bookshop of Niagara Falls, NY, U.S.A. Specialty: Fiction, Signed First Editions, Antiquarian, Canadian History, General History and Biography
PASCALE'S BOOKS of North Reading, MA, U.S.A. Specialty: Scholarly Non-Fiction, Quilts & Textiles, History of Doctors and Medicine, Architecture & Antiques, Business & Economics & Advertising, New England Region, Science & Technology, Sociology & Philosophy, Astronomy & Aviation, History Of Our Laws, Crimes & Punishments


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Here's today's assessment of media coverage, issues and trends. I go through the papers so that the HonestReporting staff (and now you too) don't have to. Commentary • Must-read: Amir Taheri (Asharq al-Awsat) persuasively asks if Palestine is a nation or a cause. He points out that neither Fatah nor Hamas describe themselves as "national"…
Globe & Mail's Cracked Mirror Images
Doug Saunders, the Globe & Mail's European bureau chief, thinks there's no difference between Hamas and the Israeli parties that make up Prime Minister Netanyahu's governing coalition. He'd be correct if Likud, Yisrael Beiteinu, Shas, United Torah Judaism, and Haatzmaut maintained their own armed groups, fired rockets at neighbors, restricted media freedom, brainwashed children, and tossed…
When Big Media is "More Palestinian" Than the Palestinians
Israeli officials who favor concessions to the Palestinians — get labeled by Big Media as "pragmatic," "moderate," and "dovish." What about the Palestinian officials outed as favoring concessions to Israel? Is the MSM describing them as "moderates," "doves," and "pragmatic" now? Not Robert Fisk: It will be – and is – an outrage for the…
Will the Media Remember Gilad Shalit?
After 4 years in Hamas captivity, make sure that the mainstream media doesn't forget the tragic plight of the kidnapped Israeli soldier.
Breaking the Silence: More Rumor & Hearsay
The media rushes to promote another report based on unverifiable allegations from Gaza.
"War Crimes" and Shoddy Journalism
Ha'aretz and The Guardian's war crimes allegations debunked.
Did Israel Shell a UN School? The Truth Exposed
Canada's Globe & Mail finds out what really happened.
Iranian Propaganda TV Increases its Reach
Press TV sends a shocking response to an invited guest.
Something Fishy at Fatah
Trying to sort out the maze of Palestinian military forces and Yasser Arafat's role in terror.
The Inconvenience of Terror
A rash of articles criticize roadblocks and school closings — in Israel, but not in DC.


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Stephen Colbert's first holiday special, A Colbert Christmas: The Greatest Gift Of All, premieres this Sunday, November 23 @ 10 p.m. on Comedy Central.
Stephen Colbert "The Early Show" Video (11/18/08)
Stephen Colbert, host of Comedy Central's Colbert Report, spoke with CBS correspondent Harry Smith about his upcoming Christmas special during The Early Show on Tuesday.
Stephen Colbert David Cook "Good Morning America" Video (11/17/08)
"Heroes" Comedy Central's Stephen Colbert dropped by ABC's Good Morning America on Monday, where the funny guy was treated to a live set by American Idol David Cook, whose self-titled debut album drops in stores Tuesday.
Comedy Central Stephen Colbert Jon Stewart "Indecision 2008″ Video
Comedy Central's Jon Stewart and Stephen Colbert teamed up for Indecision 2008, a live one-hour comedy special culminating their satirical coverage of the campaign, which aired Tuesday night.
Stephen Colbert Christmas Special: Comedy Central "A Colbert Christmas" November 23
Stephen Colbert will host his own one-hour Christmas special this holiday season.


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Mary Barber received her B.A. from Vassar College and her Ph.D. in Ecology and Evolutionary Biology from Johns Hopkins University. She is Director of the Ecological Society of America's (ESA) Sustainable Biosphere Initiative (SBI) Project Office. Previous to her current position she was a Senior Environmental Scientist with Science and Policy Associates, Inc. During that time she also held positions with the National Oceanic and Atmospheric Administration, the Oceanic Society, and the National Science Foundation. She is actively involved in a number of organizations which support women and minorities in science, including WISE (Women in Science and Engineering), AWIS (Association of Women in Science), and WAN (Women's Aquatic Network). Back to Culminating conference participants |


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After Ferrari yesterday today was McLaren's day. Vodafone McLaren Mercedes presented the MP4-23, the team's 2008 Formula 1 car, at the Mercedes-Benz Museum in Stuttgart.
Following today's unveiling the car will be transported to the Circuito de Jerez in Southern Spain, where on Wednesday 9th January Heikki Kovalainen and Pedro de la Rosa will start the test programme with two MP4-23 chassis at a private test. The team will remain at the circuit for five track days, excluding the weekend. Lewis Hamilton will drive the 2008 car for the first time on Thursday 10th January alongside Heikki.
I do like the new Ferrari more, but at the end, it will not be about the looks of the cars
And here is what the McLaren guys had to say aboutall this:
"The Vodafone McLaren Mercedes MP4-23 is the coolest birthday present you can get, well it is for me anyway! To see the car for the first time at such a great place as the Mercedes-Benz museum makes it an even more memorable day. I have had the past three weeks off and spent the time training and relaxing with family and friends. I know how much work has been going on in Woking, Brixworth and here in Stuttgart and it is a great looking car. My engineer has told me that approximately 14,000 manufacturing man hours have been involved to produce the car in time for today. I will be testing it for the first time on Thursday. It is going to be a busy time but myself, Heikki, who I welcome as my new teammate, and everyone within the team is looking forward to it as we push forward together."
"Today is my first official event as a Vodafone McLaren Mercedes driver and it hasn't come soon enough. After joining the team on the 14th December, I have already spent some time at the McLaren Technology Centre getting to know everybody and working with my engineers. It is also great to be here at the Mercedes-Benz Museum in Stuttgart today to meet the Mercedes-Benz employees, media and VIP guests for the first time as a Vodafone McLaren Mercedes driver. I was able to learn a lot last year, and hope to take that knowledge into the 2008 season. I am looking forward to contributing to the development of the car during the six main tests in the build-up to Melbourne. It is a really exciting time for me to be joining Vodafone McLaren Mercedes."
Dr DIETER ZETSCHE, CHAIRMAN OF THE BOARD OF MANAGEMENT OF DAIMLER AG AND HEAD OF MERCEDES-BENZ CARS
"I am confident that, with Heikki and Lewis, we'll have a very strong driver team on the track. All of us at Daimler are extremely proud of the tremendous track record of the Vodafone McLaren Mercedes team. They prove once again: You can't be with Daimler or Mercedes-Benz without wanting to belong to the best – that's in the DNA of our company in a way. And that applies also for the motorsport."
RON DENNIS, CHAIRMAN & CEO, McLAREN GROUP
"The ultimate goal of the Vodafone McLaren Mercedes team is to fight for both the Drivers' and Constructors' World Championships. We are looking forward to another competitive season as we look to build on the momentum of last year. Every single member of the team has worked extremely hard since the end of the 2007 season to get the MP4-23 on track as soon as possible, to ensure we have the maximum amount of testing time available before the cars leave for Australia. We are all extremely pleased to have the opportunity to launch our new car at the Mercedes-Benz museum in Stuttgart underlining the strength of our partnership."
MARTIN WHITMARSH, CEO FORMULA 1, VODAFONE McLAREN MERCEDES
"Development of the MP4-23 began in earnest 10 months ago and everyone in Woking, Brixworth and Stuttgart have worked very hard during the last few weeks, and particularly over the Christmas period, to make today's presentation here in Stuttgart happen. In addition we have continued to benefit from tremendous support from all of our Technology Partners. We are confident, based upon the simulation and analysis which has been an integral part of the development process, that the MP4-23 represents a step forward. Of course we will continue to develop the car from now until the first race in Australia and see whether we have done enough to be at the level where we want to compete this coming season. From today we have 68 working days until the Australian Grand Prix, and everybody within the team is highly motivated to travel to Melbourne with the most competitive package possible."
Good luck to McLaren, may they have less troublesome year than 2007.


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Hijack the Hijack: Medical care and misconceptions
Wow ladies, we maxed this one out! This is my to be contiunued post.
Wry...No offence taken to the Libertarian comment. I actually agree with much of the Libertarian political positions (not all), but many of their ideas. I like that they stand for limited government and a true focus on what our founding fathers entended for our country.
Obviously Public roads, police, etc. are necessary and it would be financially daunting to have private security for all private citizens who coul afford it. However, the function of government should be limited and it shouldn't be up to taxpayers to support the masses. I've read Atlas Shrugged by Ayn Rand and agree very much with her political viewpoints and I'm impressed that you have researched both sides of the issue. Many people tend to only take into account viewpoints that support their already made up minds. Please don't think of me as a Ron Paul supporter though...I think many of those people showed themselves to be pretty out there. I think there is a proper role of government and I don't believe in anarchy and I don't think all government should be abolished. I would just like to see the federal government limited in its power and more powers delegated to the states, as the framers intended.
No worries about the median post...I've been feeling a bit ornery myself...It's kinda fun when the debate gets heated. ;-)...I guess when we get tired of the debate, we will have to agree to disagree.
ima...I agree that food stamps should not be allowed to purchase junk food, but as far as the extra tax...you know that might cost people who work for Pepsi and the other places if they are taxed extra just because it's not something that is healthy for you. Again, I don't think it should be the function of goverment to mandate what we should and should not put into our bodies.
raek, I agree with wrychoice, I disagree with the political philosophy of the authors of the article you wrote, and don't agree with their solutions. But I would also point out that they made all the exact same arguments against our current system that I have been making all along. It doesn't work well, and it doesn't work well for all the exact reasons they point out. Ironic that we are in total agreement about the problems and total disagreement about the solutions, but we sure are.
kkny, i'm not necessarily opposed to toll roads, used properly. I would agree there is no need to drive into Manhattan, and DC and its burbs has pretty good public transportation as well (at least for the time being), so if tolls were targeted to primary commuter routes and we made a long-term dedication to maintaining public transportation systems, I think toll roads in and of themselves could be a good idea. I'm not so sure about the idea of privately owned public highways, though, which is what's being proposed. I suppose it's not fundamentally different from privately owned utilities which we already have, but I'm still not sure it's such a good idea.
"and DC and its burbs has pretty good public transportation as well (at least for the time being)"
You're kidding me right?
DC does not have good public transportation from the burbs. Not in the least.
Most people commuting into DC are from the outer burbs. The toll roads from VA are pretty much up to $5 now. The price is expected to soar with gas.
Not to mention you sit in traffic while you pay.
Its funny that Ayn Rand and Atlas Shrugged are turning up now. Actually, IÂve read almost everything IÂve found by Rand and Atlas Shrugged is one of my favorite books. I think the idealology behind her writing is great; in a perfect world.
I think universal healthcare is so heated because it involves so many complex issues, and at the heart of it, itÂs what people believe. ItÂs hard to argue with beliefs because everyoneÂs entitled to Âem.
I agree to disagee.
I am Canadian by the way.
What an exciting discussion. Medicare hrmph. I guess most areas have been discussed except stealing from the poor to help the rich, which is exactly what is happening regarding our health care. US and Canada are the worst culprits.
In Canada a physician will be educated and trained almost fully subsidized by Canadian taxpayers, including the person who works for minimum wage scrubbing floors. Do they get benefit from their money? NO, because after graduation that doctor will be recruited to the US because they can make more money of course. Can you blame them? I can't.
Many rural hospitals have been transformed from clinics into community health centres mainly due to lack of doctors, funds, and most of those centres are NGOs.
We in Canada are stealing doctors from third world countries, most notably Africa. Politicians view that as real coup. How so? Many people ponder why is it that Africa is so underdeveloped and they cite tribalism as the cause. Hmmmmmmmm? They just aren't picking up a mitt and getting into the world economy. Right!
I do not think for one minute health care is a basic right. What about the people in Africa? Where are their basic rights? We in the western world are about to receive a lesson in hard knocks. You know, it is more than passing strange people will pay $3,000 a year to insure their car, but are up in arms if they are asked to fork over a few bucks to insure their health.
It is an ugly reality that people who have more money are healthier. What are the determinants of health? Income and social status number one. Now who would have ever thought that status was so important to overall health? And, which came first income or social status, obviously income. Because we accept that income is the yardstick to measure of the value of a person.
I always get quite a chuckle when people discuss their income as though it is some kind of indication of working harder mainly. Some people forget that there is a large measure of luck involved in earning high incomes. Granted you have to work hard as well, but working hard will not guarantee it for you.
By the way our medicare system is in huge trouble, and unfortunately the bureaucrats aren't acting smart enough to avert the crisis.
I am not sure where you get your statistics from, Colleen. They are sadly out of date.
There are 70,000 ( give or take a few hundred) practicing physicians in Canada.
In 2002, 225 doctors left Canada for the United States.
In 2003, 147 doctors left for the United states.
In 2004-2005, less than 120 each year left .
2006 is the last year that stats are available. In that year, more doctors returned to Canada from the USA, than left to go there, by about 35. Of course, that may have been spurred by the disgust of a lot of people for the Bush administration, and could have been a one time anomoly.
In each of those years, the number of returning doctors, who had previously moved to the states, was greater than 75% of the number of those who left. Statistically, 70 percent of doctors who leave Canada return within five years. The grass isnt exactly greener.
The top reasons that doctors give for returning, the higher crime rate in American cities, the burdensome paperwork involved in private practice, the restrictions on treatments by insurance companies, and the number of default cases that have to go to collections, and the crazy cost of malpractice insurance.
You are partially correct in your assumptions though. More of the doctors who leave and then stay away, are specialists.
There was a time in the 1970's, when there was a mass exodus of doctors from Canada. There was another smaller exodus in the mid 90's. But since 2000, there has only been a small trickle of doctors leave, and most of those come back.
My own family doctor when I lived in ONtario, moved to New York State in the late 90's, with his American born wife and four children. He was back within two years. Apparently living in a gated community and dealing with insurance companies who decided what treatments he could or could not offer his patients, was an antithesis to all he had been taught in medical school.
Two of my siblings are doctors. Both remain in Canada, even though one of them is married to an American. One of the two practiced in Germany for a few years immediately out of medical school.
Its worthwhile to also note that the United States is facing a shortage of physicians. Apparently American doctors are being lured away as well. The United States projects a shortfall of 82 thousand physicians this year. Of course, that most likely is caused by the high cost of medical school in the USA, and the extreme cost of malpractice insurance. The United States health care system, dollar for dollar, is extremely inefficient. Bureacracy rules, and lobbyists pretty well set health policy.
Whatever the problems that Canada has with its medical system, doctors leaving the country isnt a big part of it. Changes are needed. I, for one, think there should be a user fee, or an opt out ability. I think the number one thing that p*sses me off about Canadian health care is the inability to get private care if desired. But the premise, that health care is the right of everyone is something I truly believe in, and so do most Canadians. That is why it is self destruction for any politician who advocated privatization in Canada.
Geez, I ain't that old Kathline:P
I see that you are partially right, and I am glad that I looked a little deeper as I was basing my comments on mid nineties in Saskatchewan where I lived at the time and where they was a very serious problem.
Another interesting thing to note is that more and more doctors are females who aren't prepared to put in the long, long hours, so patient care actually is declining which is of course their perogative. Also average age of physicians is increasing.
A two tiered medicare system isn't going to ever be allowed in Canada at least not in the near future and yes any politician who has raised it has seen the results of their efforts at the polls.
And I was looking for data, but on a superficial level didn't find it. Do you know happen to know the percentage of provincial and federal tax dollars go to support health care? Last I saw 97.6 billion from all levels of government, and would you also happen to know how many units of service is provided for that cost, minus administration of course. With a population of 33 million that amounts to $3,174 for every man, woman and child living in Canada. Of course not everyone uses the health system.
As the percentage of the general population ages those costs are going to rise hugely, unless of course our immigration policies change.
It's been a few days & I've been very busy...only now getting a chance to respond. Sorry to say I have only vague memories of my reading of The Fountainhead & Atlas Shrugged. First read them at the behest of a fellow I was dating in college back 35+ years ago (that really dates me now, doesn't it!) --- he was an economics major...I was in Social Studies Ed and had been required to take several economics classes which I enjoyed. Anyway, he was an Ayn Rand fan and a Milton Friedman/Chicago School of Economics devotee. I, on the other hand, was more enamored of Keynesian economic thought, so he & I had some interesting discussions...alas, the relationship did not last...not to say this is true of all fans of Rand's Objectivism, but his infatuation with Ms. Rand's philosophy really meshed well with and supported his narcissism...I was lucky to get out of that relationship.
Thanks for the debate!
LOL Wry...I think there are Narcissistic people on both sides of the arguement. I hope his personality doesn't color your opinion of all Rand fans.
I heard an analogy yesterday about Atlas Shrugs...There was a man (a politician, I think) who suggested that Baby-Boomers should wait a few more years to retire because if they do, it would account for a significant amount of tax dollars going into the system that will not be there otherwise. The analogy was that the Baby Boomers retiring is essentially the same as Atlas Shrugging and allowing the weight of the world to roll off of his shoulders. I guess the burden will then shift to my generation and that of our children. It's just a legacy I would like to keep off of the shoulders of my children if I had the option. I will vote to try to keep it off, but I'm not very optimistic about the state of the union we are leaving to our children. (Yes, I don't have any now, but would like to have some one day.)
The debate was good. I'm tired though. I'm agreeing to disagree :-)
This was the original Post...
Not at all stepfamily related, but Stargazer hit a nerve.
I HATE the term "socialized medicine". What a ridiculous, fear-mongering phrase.
Tell me, honestly, which you think is better:
a) You have to pay thousands of dollars a year for insurance, in addition to your taxes. You can probably get essential or non-essential surgeries right away. A large number of your fellow citizens don't have the money to get insurance and are deprived of proper medical care.
b) Your health insurance is included with your taxes, and therefore is dependent upon your income. You may have to wait a year to get a non-essential surgery, but essential surgeries will still be very prompt. Everyone in the entire country, regardless of the financial situation, has access to proper medical care.
No medical system is perfect, but I like the security of that I cannot be denied health care because I cannot afford it.
Here's an example of why I like our system:
About 20 years ago, a friend of my family had a triple bypass surgery. It cost him $2.55 (he wanted to upgrade his hospital lunch one day because he didn't like the free option that day). A few months later, on an airplane, he met a guy from the States who had the exact same surgery. He inquired of our friend "Can I ask how much yours cost? My insurance didn't provide me full coverage, so I had to pay some of my own costs."
He chuckled about the $2.55 bill the hospital asked him to settle upon going home, and he thought his seatmate was going to punch him... The other guy's cost $66000 and some odd. They had to sell their house and move in with their kids to pay for it.
...it seemed as though most were in support of a government takeover of health care. The question is if most of the people who felt that way then, still feel that way today.
I don't remember participating in this thread in 2008 -- though I probably did because as a self-employed person, health care has been a HUGE issue for me for years.
Point 1 - Under our current health care system, no matter how much money I throw at the problem, I am simply not able to insure my family's financial security against medically-induced disaster. And since I have a disabled child who will probably need some level of help forever, that is a HUGE problem. Why can't I insure my family's financial security against medically-induced disaster? Because if I get sick enough, or my husband or son gets sick enough, the insurance company will find a way to rescind our coverage. And right now, it's legal.
Point 2 - The most reliable information I can find indicated that 30-35% of our healthcare dollars go to cover the costs/fees of insurance company administration. You know -- The people who invent the red tape procedures they throw at doctors and customers making them jump through hoops to get paid/reimbursed. The same people who sit on 'medical review boards' second-guessing your doctor's recommendations and insisting that you don't really need the (expensive) treatment or (brand name) medication your doctor feels is best for you. But then, since lots of folks eventually give up (I do, for small amounts) -- that practice makes sense. I'd rather that money go to pay the doctors, PA's and nurses who actually provide the care.
Point 3 - It may not be perfect in Canada, but the parts of the system I've encountered have been pretty darned good. One Saturday morning my MIL fell and broke her clavicle while vacationing with us in Toronto. Of course we brought her to the emergency room. Three hours later, we were seen by the triage nurse and sent back to the waiting room. (Oops! That's the American version!) Three hours later, she had been screened by the nurse, promptly pulled in, X-rayed, seen by the doctor, splinted, prescribed-for, handed a copy of her X-Rays for follow up with her regular doctor, given her full and complete bill (under $500, which we paid on the spot) and discharged. Surely that's not what we want for Americans!
My DD22 gets Universal Care as everyone else in UK, DD is college student and gets it even though she is not permanent UK resident. She never waited in any line for any reason, gets prescription with no problem and a lot of different medications are just free or inexpensive. She also had to be taken to emergency room due to a concussion and was treated immediately. Their dental care is bad though. But other medical care is fine.
Does anyone really know everything that is in the bill that has been passed?
We are now covered under my husband's plan... but it is taking a HUGE chunk out of our budget, which is already tight. We have a family plan & SD (a minor) and my DS (a full time college student) are covered. DD is not covered, she is 19 and not in school.
My concern is that I am a small business owner (at the moment, no employees.. just me & DH on the weekends) and in the next month, I will need to hire at least 2-3 employees. Our gross is down 60% of last year, if I am required to pay health care benefits for my employees, then I will probably not hire anyone and work 16 hours a day to do it all myself. I am already working 10 hours a day because business is so slow, I'd have to borrow capital to pay wages & workers comp.
On the other hand, it seems like a good thing that my daughter, who is 19 & not in college, could be covered under my husband's group policy.
I guess if I ever get time off from work, I should download and read the entire bill.... maybe by the next election!
Finedreams...from the information I have seen, adult children under the age of 26 do have to be dependents in order to qualify for coverage under their parents plans.
Ima...I'm attaching a link to an article that does a decent job of explaining how the Healthcare bill will affect individuals.
My biggest concerns in all of this is
1) How business and therefore the economy and jobs will be effected by the changes.
2) How premiums will be effected especially given the fact that the mandatory fine for not buying insurance is so much cheaper than buying insurance would be. I think that many healthier individuals will opt to pay the fine and then insurance companies will be forced to accept them once they do get sick, therefore driving up costs and the premiums for people who are already covered. The CBO estimates that premiums will increase by 13% by 2016.
3) How taxes will increase to pay for the entitlements and what the tax increases will do to business, jobs and the economy. Several companies have already announced expected losses due to the heath care overhaul.
4) How health care providers will handle the influx of new people into the system and what that will do to waiting lines and availability as a whole.
5) I'm concerned that there is a reason that the largest portions of the bill do not go into effect until after the next presidential election. I feel that if it is a matter of such great importance, that it should go into effect immediately and I feel as if there are political reasons for its delay. I'm also concerned that those who wrote the bill and voted for it are not subject to it. I feel that if it's good enough for us, it should be good enough for them.
6) I'm concerned with how the cuts in medicare funding will effect those who are currently covered under medicare. If Doctors are forced to accept a reduced rate of pay in addition to all of the red-tape involved in processing medicare payments, that the number of doctors who accept medicare will decrease as a result.
7) I don't understand why student loan legislation was included in this bill and how that will effect student lending.
It doesn't take much to figure out that if businesses are forced to cover employees, they will have less employees with likely lower wages and/or the cost of coverage will be passed on to consumers in the way of higher prices on goods/services.
I'm a small business owner (I own two small businesses) and in a good year, we would employ 10-15 people. In this economy, we are going to try to get by with 3-4. If we have to pay for health insurance for employees (in this bad economy), we won't hire or try to get by with 1.
In big business, I don't know if it's just a coincidence but my son works for Wal Mart. The week the health care bill passed, he says his store let go of nine people... then dropped everyone down to 8-12 hours a week. One guy that commutes 30 miles, got one 4 hour shift. If it's not a coincidence, I'd really hate to see what large (and small) companies do when it's in effect to cover everyone.
I worked in social services for 10 years and the (lack of) care provided to those that have government benefits based on need. Doctor's offices refused to accept Medi-Cal so recipients were forced to see the few that would take it or go to clinics where there are long waits and mediocre care. Twenty years ago, Medi-Cal was reimbursing 49 cents on the dollar. Doctors (clinics) and hospitals that are forced to take Medi-Cal seem to be crowded, dirty & sub standard... at least that has been my experience. Before I married DH, I went two years without health insurance & I would have qualified for Medi-Cal based on my children's deprivation of a parent, but instead I found a doctor and was a cash patient because it was too much paperwork & red tape to go through to get a card for free sub standard care.
If I get a minute tonight, I will read the link. (I responded without reading it so maybe it may change my response later)
"I'm also concerned that those who wrote the bill and voted for it are not subject to it. I feel that if it's good enough for us, it should be good enough for them. "
Agreed. Rep. Virginia Foxx (R-NC 5th District) suggested this idea, for a 28th amendment to the Constitution, in a letter to President Obama, Sen. Richard Burr, and Sen. Kay Hagan on November 10, 2009.
Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators or Representatives, and Congress shall make no law that applies to the Senators or Representatives that does not apply equally to the citizens of the United States.
First of all, if someone is young and healthy and doesn't want health insurance (maybe they get sick once a year and it doesn't benefit them to pay for a policy), why should they HAVE to buy it? The answer is that those young and healthy people spending $X,XXX a year on health insurance, but only using a very small amount of it, will be paying for the people who use more than their $X,XXX of health insurance. How is that democratic?
Let me put it this way...say you take great care of yourself. Don't smoke, don't drink alcohol, workout, take vitamins, get plenty of rest, go to your wellness exams, blah, blah, blah. Your neighbor, on the other hand, stays up late, parties all night, smokes like 2 packs of ciggarettes a day, drinks like a fish, never works out, smokes something out of a pipe, and has already had a heart attack or two.
It's his right to treat his body however he wants.....right, but still pay the same amount of insurance premiums you do?
I believe our health insurance industry needs reform. How about starting with taking the government's hands out of it?
The government isn't a business. Businesses create jobs and produce something, whether it be a product or a service. The government creates jobs, sure, but doesn't produce a single product or service. Yet they suck the money out of the businesses that DO produce a product or service in the form of regulations, taxes, and CAFE standards.
Here's my other major problem with this whole 'health care' reform:
I know a girl who is 29, married and has 3 kids. Her last 2 kids were very pre-term due to her hereditary high blood pressure (which she knew about after the 1st one). She doesn't plan to take any precautions to not get pregnant again, even though she would be risking her life and the baby's if she did. Not my problem. I love her and I would never want anything to happen to her or a baby of her's, but ultimately it's her decision.
Also, she is receiving Medicaid for herself and her 3 kids and lying to get it. She sent an e-mail out about how she can't wait for universal healthcare (but aren't we really talking about health 'insurance' and not 'care'; let's face it...we can get health 'care' in any emergency room in the US). Her point is that her family can't afford $200/month for insurance, and she asked "how are we supposed to afford health insurance?" I answered her back and said "It's all about priorities...you have 2 vehicles, a motorcycle (that has been wrecked and repaired), 2 laptops, and 2 flat-screen TVs. If health insurance was a priority for you, you would give anything to have it, and maybe forgoe things that aren't essential to living."
She is representative of SOOOOOO many people! Cell phones, fake nails, expensive hair-dos, cars, computers, iPods and what-not are a bigger priority to them than health insurance. And these are the people that are screaming for universal health insurance when they already have it! See, they have this misconception that it will bring their standard of care up. But in reality, it will bring everyone else's down to their level.
My parents, my sister and her family and my brother all have Tricare (military insurance). You can't find a doctor, dentist or pharmacy within 20 miles of my house that accepts it. Why? Beacause they never pay what they say they will, and payments are 6 months behind.
Ashley...I completely agree with you. I think if Government would stay out of it completely, or be in it only for the sake of regulating and making sure that the insurance companies do what they say they will do. We would be better off. I also believe that government could get involved in the form of tort reform. I think that a good bit of the reason that the cost of health care in general is so high is because of the enormous premiums that are being paid to malpractice insurance companies by doctors. If we had tort reform, those premiums would be reduced and doctors could charge less and still have their expenses covered.
I think that government mandates on what must be covered under health insurance is part of the problem with high premiums in the first place. If a woman has no intention of ever having children, or cannot have children for that matter, if she buys insurance then she must be covered under that policy for pregnancy. Also, if you do not drink, if you buy insurance, it must cover you for alcohol treatment. That is why premiums are high and they are getting ready to go even higher, esspecially for young, healthy Americans.
"First of all, if someone is young and healthy and doesn't want health insurance (maybe they get sick once a year and it doesn't benefit them to pay for a policy), why should they HAVE to buy it?"
...I agree that they should not HAVE to buy it, but I think if they get cancer or some other condition while they are not covered, then they should also not complain when the insurance companies will then not accept them as customers and will not cover their pre-existing conditions.
I just feel that people don't understand the purpose of insurance in the first place. We don't expect our car insurance companies to pay for maintenance on our cars. We only expect them to pay in the event that something unplanned happens (an accident). If we treated car insurance companies in the same way we treat health insurance companies, car insurance would be extreemly expensive as well.
You are right, people just don't want to give up their luxury items in order to pay for their health insurance. They expect the taxpayers to pick up the tab for them.
Being healthy/living clean does not mean you will not get sick. So many use the emergency room as a doctors office and we end up paying for that too.
I think incentives for being healthy would be great. They make money, and interest on the money we pay in. How about paying out dividends for those who live a cleaner lifestyle. Exercise credits, etc...?


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Former Rangers commercial director Imran Ahmad has failed in his attempts to have a sum of money set aside ahead of his bid to secure a compensation payout of over £500,000 from the Scottish League One side.
A hearing has been scheduled for April where Ahmad is looking for the cash he claims he was owed from his time at the club under former chief executive Charles Green.
During his 12-month stay at Ibrox, which came to an end in April of last year, Ahmad insists his contract included an entitlement to a bonus of £500,000, which is backed up by a letter from Green promising the money for his part in negotiating commercial deals.
And with Rangers' much-publicised financial difficulties, Ahmad attempted to 'ring fence' over £500,000 claiming the club, who were forced to borrow £1.5m of 'working capital' earlier this week, would be unable to meet any amount should the court find in his favour in April.
Last December current chief executive Graham Wallace warned the money at Ibrox 'could run out by the end of April' and earlier this month the playing squad refused to take a 15 per cent cut in their salaries as he sought to reduce monthly outgoings.
But Rangers mounted a challenge to the claim and at the Court of Session in Edinburgh Lord Tyre found in their favour, insisting the evidence failed to back up Ahmad's assertion that the club's finances were in such a parlous state.
Lord Tyre insisted it would be unreasonable to take such a sum out of circulation just days after they had secured an injection of cash to help with the day-to-day running of the club.
The case is scheduled to begin at the Court of Session in Edinburgh on Tuesday, April 1.