Posts Tagged ‘datechguy's magnificent seven’

Treating military members as health care expenses

Posted: February 17, 2024 by navygrade36bureaucrat in News/opinion
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Not a week goes by without someone remarking that I must be lucky to have military medical insurance. A few years ago I would agree that military health care, despite the ups and downs, was actually not too bad. I’ve had surgery, preventative and acute care, and almost all the time it was decent.

The Military Sealift Command hospital ship USNS Comfort (T-AH 20) makes her way through the Panama Canal to cross into the Pacific Ocean on June 3, 2009. The Comfort is participating in Continuing Promise 2009, a four-month humanitarian and civic assistance mission providing medical and other services in seven countries throughout Latin America. DoD photo by the U.S. Navy. (Released)

That’s not true anymore. It’s now taking months to schedule an appointment. I called in January and was given first availability in April. The visits I have had recently are rushed, and I notice more doctors being borrowed between facilities to make appointments happen. Increasingly, I have to seek care at facilities more than an hour’s drive from my home.

What happened? Well, to put it bluntly, the military decided that health care is an expense, not an investment. Last year the services combined all military health records and scheduling into one system called MHS Genesis. This in itself is a good thing, since it means if I seek care at an Air Force hospital, they can get my records electronically without me having to bring physical records along from a Navy hospital

But someone used the merger to lay off thousands of employees. From the perspective of a twidget sitting behind a desk, heath care is an expense. You do everything in your power to minimize expenses, including firing people, shuttering facilities and offering less services in the pursuit of “finding efficiencies.” I’m sure it padded someone’s pockets, but it’s now resulting in less and less health care.

I’ll use myself as an example. I need a routine surgery. Normally it takes 2-4 weeks to schedule. Right now I’m looking at summer time at the earliest, because the USNS COMFORT is deploying, and when she deploys, they empty the nearby Naval hospitals of doctors to go underway. Great for Central America, terrible for our own military members.

Gee, the US government caring more about foreign citizens than their own people? Where have I seen that before?

If you need mental health appointments, better schedule a month out. While there are lots of suicide resources available on the spot, they are almost all over the phone and haven’t made a dent in suicide rates:

“Active Component suicide rates have gradually increased since 2011.  While the 2022 Active Component rate is slightly higher (3%) than 2021, both years remain lower than 2020.” -Department of Defense Releases Annual Report on Suicide in the Military: Calendar Year 2022

Surprising no one, the military’s solution to lack of care is…bring more dependents into military health care?

Seriously, I’m not joking, read about it here.

Hicks laid out a plan to grow the number of patients who receive care in a military treatment facility by 7% by the end of 2026, compared to the number of beneficiaries in December 2022. That would mean 3.3 million people would be using the MTFs in three years, according to Military Times calculations.

So let me get this straight. You can’t see patients in a timely fashion now. You “right sized” health care so that it barely gets by. You prioritized treating foreign citizens over your own. You did one thing right, which was move dependents out into civilian care so they can get treated and not suffer. And instead of hiring more people, or changing how you man the USNS COMFORT, or any number of ways to address the inability to provide health care, you want to bring on MORE patients into an already stressed system?

This makes no sense except in one case: financial. In the FY2024 request for funding, there is this section:

Controlling Health Care Costs
DOD’s budget request noted that private sector care accounted for 65% of the total care delivered to
beneficiaries and that it “will continue to represent an important part of the overall health system in [FY2024] and beyond.” DOD did not state a long-term strategy to control these health care costs while sustaining military medical readiness requirements and other health-related program investments.

So well over half of military health care is delivered by the private sector. Literally, the military couldn’t make it work if it tried. But that’s expensive, and in typical fashion, the military thinks it can do it cheaper, despite not having a great track record in doing so.

Treating health care as an expense, rather than a mission enabler, means we’ll never get the surge capacity needed to deal with wartime injuries and never get appointment scheduling to a reasonable level. This limits the use of Tricare as a recruiting and retention tool, and will exacerbate an already difficult recruiting problem. It’ll force more people, including myself, to pay out of pocket for care we were promised when we first signed up. And for some reason, the military wants to shoot itself in the foot over this.

I don’t recommend it…I heard gunshot wounds take 4-6 weeks to schedule an initial appointment.

This post represents the views of the author and not those of the Department of Defense, Department of the Navy, or any other government agency.

Hey Progressives Nudge This

Posted: February 15, 2024 by Jon Fournier in Uncategorized
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A small percentage of Leftists, which includes Progressives, Socialists, Communists, and Fascists, see themselves as elite shepherds to the remainder of the population. These self appointed masters of the universe believe they have the right to rule over the masses who they believe to be unwashed and brainless.  These privileged leftists believe they are Pavlov and the common folk are the dog.

It is obvious that the Democratic Party is infested with this class of elitist Marxists   The paternalistic nature of the laws and edicts crammed down the throats of Americans by Democrats is a dead giveaway. 

Democrats found that most Americans were more resistant to outright rule by leftist masters than those that had never lived in the land of the free.  The Democrats learned they had to be more subtle in their attempts to impose their rule on Americans.  Bludgeoning Americans into submission did not work.  They found that nudging us in the direction they chose for us was more effective.  Barack Obama implemented the philosophy of nudge on the federal level.  He used the federal bureaucracy to infect the rest of the nation with this vile crap. When Trump took office this nudge nonsense faded into the background.  When I saw this article, The Obama ‘Nudge Unit’ Rides Again – American Thinker, I knew that we would soon be up to our eyeballs in this Marxist crap again.

The American Thinker article was good, however, I found that the original source material cited in the article was far more informative.  I used those sources as the backbone of the rest of this article. 

As you can see from this official White House document, 09-2022-Policy-Development-in-the-Social-and-Behavioral-Sciences-Subcommittee.pdf (whitehouse.gov), the Biden Regime is using nudge to force woke crap down our throats with subtlety.

The Biden-Harris Administration formally rechartered the Social and Behavioral Sciences Subcommittee (SBS) of the Committee on Science of the National Science and Technology Council in April 2022. The SBS coordinates policy action to address pressing social issues and Biden-Harris Administration priorities using the tools and insights of the social and behavioral sciences.

The social and behavioral sciences offer unique tools for describing, understanding, and addressing societal challenges, and assessing and evaluating initiatives, programs, and policies. As described in its Charter, the SBS leverages these tools to advance the Biden-Harris Administration’s agenda, to carry out short-term, high-priority tasks, and to lay the groundwork for longer-term coordination of agency efforts related to the social and behavioral sciences. The first short-term task of the SBS is to deliver a whole-of-government framework or “blueprint” for the use of social and behavioral science research to advance evidence-based policymaking by April 30, 2023.

The SBS is co-chaired by the Office of Science and Technology Policy, the National Science Foundation, and the National Institutes of Health, and comprises membership from a diverse range of Agencies, Departments, and Executive Offices. It provides a forum for collaborative, interagency work towards advancing equity through the activation of social and behavioral science evidence

This article, Obama’s effort to ‘nudge’ America (politico.com), contains a wealth of background information from the Obama era. It was not surprising to me that the author of this Politico article practically purred with delight as he describes this Marxist brainwashing because of how far to the left Politico leans.

For the past year, the Obama administration has been running an experiment: Is it possible to make policy more effective by using psychology on citizens?

The nickname is “nudging”—the idea that policymakers can change people’s behavior just by presenting choices or information differently. The classic example is requiring people to opt out of being an organ donor, instead of opting in, when they sign up for a driver’s license. Without any change in rules, the small tweak has boosted the number of registered organ donors in many states.

Nudging has gained a lot of high-profile advocates, including behavioral-law guru Cass Sunstein and former budget czar Peter Orszag. Not everyone likes the idea—“the behaviorists are saying that you, consumer, are stupid,” said Bill Shughart, a professor of public choice at Utah State University—but President Obama was intrigued enough that he actually hired Sunstein, a law professor at Harvard who co-wrote the best-known book about the topic, “Nudge.”

The president officially adopted the idea last year when he launched the White House’s Social and Behavioral Science Team (SBST), a cross-agency effort to bring behavioral science research into the policymaking process

OK, but is this really nudging?

The team’s projects were definitely a form of prodding—giving people little pokes to improve their behavior in some way. But the more muscular form of “nudge” involves what experts call changing the “choice architecture”—automatically enrolling employees in an optional 401(k), for instance, or making organ donors opt out.

This article contains a great definition: The Best—and Worst—Nudges, According to CHIBE Affiliates    – Center for Health Incentives and Behavioral Economics (CHIBE) (upenn.edu)

A nudge, as we will use the term, is any aspect of the choice architecture that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives. To count as a mere nudge, the intervention must be easy and cheap to avoid. Nudges are not mandates. Putting fruit at eye level counts as a nudge. Banning junk food does not.”

This Nudge business is absolutely repugnant to the text and spirit of the Constitution. It reeks of collectivism whereas the Constitution was written to protect the liberty of each and every individual living in the United States.

Escaping today through tales of yesteryear

Posted: February 13, 2024 by chrisharper in Uncategorized
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By Christopher Harper

I’ve found an antidote to the swirling morass of bad news and vibes in current affairs. I’ve started reading a variety of books—both fiction and fact—about even worse times in history.

Author Bernard Cornwell provides an incredible array of terrible tales.

I just finished a quartet of books, The Grail Quest, which follows the trials and tribulations of an English archer, Thomas of Hookton, during the Hundred Years’ War between England and France in the 14th Century. In the books, the English are ravaging and raping their way through Frances, including some of the bloodiest battles I have ever read. Two of his women die, and another is blinded. He’s excommunicated from the church as a heretic, and his village has been destroyed.

At the time, the Catholic Church was corrupt and split between Avignon, France, and Rome. The plague has killed one-third of the European population. Much of the population lives under corrupt counts and lords.

In the books, Thomas, the bastard son of an English priest, becomes entangled in the search for the grail, the cup used at the Last Supper. He runs into cardinals and kings who are trying to find the grail. Eventually, he locates the grail and tosses it into the sea because of all the evil it has wrought.

If you think times are tough now, you wouldn’t survived England or France in the 1300s!

Another book, The Wager by David Grann, puts today’s troubles into perspective. The nonfiction book isn’t about a bet but an English ship called by the name.

The ship left England in 1740 on a secret mission to capture a Spanish ship during a war between the two countries. En route, The Wager was wrecked on a remote island off the coast of South America. There, roughly 100 men divide themselves into three groups: those who follow the captain, those who follow the first mate, and those who follow neither. Many sailors die from starvation or extreme weather. 

Amazingly, each of the three groups sees some of the followers make it back to civilization, where some are considered mutineers, and the captain is a murderer for shooting one of them without due process. 

As accusations of treachery and murder flew, the government convened a court martial to determine who was telling the truth. The stakes were life and death—for whomever the court found guilty could hang. 

The final rulings reflect the desire of nearly all governments to put some sort of spin on what events happened and what they mean. 

Happy escape to historical reality!

Declining birth rates have nothing to do with taxes and everything to do with society

Posted: February 10, 2024 by navygrade36bureaucrat in abortion, catholic
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There, I said the quiet part out loud.

People are finally beginning to pay attention to declining birth rates, since it will send Social Security into a death spiral, and there are plenty of efforts in Congress to provide tax cuts to promote people having more children. These efforts are doomed to fail, because more tax dollars motivates exactly zero people to have more children.

I have five kids at home, and in honor of them today, I’ll give you the top five reasons people don’t have more kids.

Number 5: Our public schools suck

I live in a fairly nice community, and my oldest daughter goes to a high school “academy” which has a specialized track for medicine. You have to apply to get in, so you would think it would be a fairly rigorous education. Sadly, you’d be wrong. There are kids that have failed classes in multiple semesters still hanging out, and just like how not prosecuting criminals brings more crime, not punishing poor performance brings more poor performance.

The older families at our church say “Well just homeschool,” but that is NOT cheap if you use a co-op, online curriculum, or anything other than doing it yourself…which takes a lot of time. Worse still, the child-hating Democrats in my state shot down bills that let homeschoolers participate in sports or get tax credits for expenses, so you get punished socially and financially for choosing homeschool. Worse still, the price of private education has skyrocketed, so if you’re a one-income family with mom or dad at home with lots of kids (like my family is), you better be loaded with money or else it’s a non-starter.

The fact is most large families have to rely on public school, and because they suck so bad, parents spend more time than they did in the past to supervise them, which takes away time from their own activities. You either tolerate loser teachers that don’t understand history, homeschool your kids or pay out the nose for education. Not exactly desirable. And speaking of the time suck…

Number 4: Most after school activities are run by inconsiderate people with no children

My son was in rec league baseball for a while. Good fun, but he would be out at games until 9 pm some nights…on school days, when he’s in middle school. When I was growing up, 9 pm was considered late as a middle schooler. You might be awake at home, but certainly not doing regular activities.

Not anymore. I regularly have kids in activities until 9 or even 11 pm at night! Ballet dance competitions and late night sports are by far the biggest offenders, but it’s everywhere now. These involve driving at night, getting home late, and then (for you as the parent anyway) waking up early to drive the 30-60 minutes to get to work (or more if you live in a big city). Talk about wearing you down! Worse still, half of these places have no pauses for dinner, so if you have a big family with small kids, pray you can pack enough food and that your little ones aren’t tired and cranky.

I particularly hate people that plan meetings or activities over dinner or lunch…pet peeve of mine.

All of this means most of my friends with two kids can manage a grueling rec softball season, but I have to balance five kids desires against my desire to get some sort of sleep. All at the expense of any hobbies I might want. Which brings up the next point…

Number 3: Society constantly tells you to not have kids

Now, I won’t begrudge people their hobbies, just like I don’t begrudge people that make more money than me. Everyone makes choices, and having more kids is a choice. But I’d be a rich man if I had a nickel everytime someone offered me advice along the lines of “You know how birth control works right” ***insert snicker here***.

A more salty friend of mine once, in a group conversation, replied with “I do, and I know your wife does too!”, which was the most alpha-male verbal throat chop I’d seen in a while. But I digress.

It’s already hard enough to find alone time with your spouse as a Catholic who follows the Marquette Method. It sucks having doctors push birth control on you every. single. visit. It’s even more fun to have them tell you that NFP doesn’t work and that you’re stupid for doing it (their words, not mine). And it’s rare to have anyone respond to “I have five living kids” with “Wow, what a beautiful family,” when the more common response is one of disdain. Speaking of disdain…

Number 2: Companies making having kids hard

Car seats used to be thin. Now they are thrones. And you can’t fit three across without making a sacrifice to the car seat goddess. It’s so bad that it is a form of birth control. And before you chime in about “safety ratings,” I looked up the safety ratings of these thrones, and I found the changes between seats to be similar to how professors change chapters in a book to force students to buy new books. The ratings are getting a whole lot better compared to the real estate they consume.

Unless you can explain how adding 5 pounds of side force to an already high rating significantly affects the safety rating, I’m going to always say that car seat manufacturers hate large families. I’ve done the math, it doesn’t add up.

Try eating out now…even McDonalds (which I don’t visit) is expensive. Now multiply it by 7. Try finding a home with enough bedrooms and fighting off investors to buy it, and definitely don’t tell your friends that your kids have to share a bedroom, because you’ll get looked at like some sort of monster. Or try fighting the little old lady HOA President that drives around your neighborhood and issues you tickets for your kids bikes in the front lawn.

Screw that lady…so glad I don’t live in a HOA…

Companies in general appeal to DINKs (Dual Income, No Kids), and if they do appeal to kids, they like you to have two. Anymore and you better be loaded. Which brings me to the last point…

Number 1: Society values work, not your family

If you say “I’m a homemaker” as a woman, you get looked down upon. Even if you manage five kids, which involves feeding them, balancing a checkbook, driving them everywhere, answering school emails and helping out on homework…somehow that isn’t “real work.” But you could sit in an office, drink coffee, chit chat with your office mates, and put in a whole 3 hours of work a day, and that’s “real work.”

Don’t worry though, like the Bobs, work will value you up to the point you are told your services are no longer required!

Face it, we stopped valuing stay-at-home parents a while back. We think they are lesser for picking their family over full-time paid employment.

And that’s the rub right there. When you create a toxic environment for people that have or want large families, you will get smaller families. The societal pressure permeates everything, far more than any financial incentive. Even if you got paid $20,000 a year per child, you’d be called a welfare rat for taking the money. It goes farther than even children, because when the point of getting married isn’t to raise kids, it makes it easy to simply “shack up,” which is why the current marriage rate is less than half that in 1976.

Until our society treats raising kids as a noble goal and worthy of the respect it deserves, we will continue to have declining birth rates among the majority of people that feel societal pressure.

This post represents the views of the author and not those of the Department of Defense, Department of the Navy, or any other government agency.

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