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1072603 Posts in 71132 Topics- by 18853 Members - Latest Member: UtahTrombone
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61  Classified Advertisements / Classified Advertisements / Re: BAC Tenor and Shires Bass for sale on: Jun 01, 2017, 02:05PM
PM sent
62  Creation and Performance / The Healthy Trombonist / Re: Air in your parotid? on: Jan 05, 2017, 10:12PM
Wow! I've never heard of it.  Luckily it's rare.  Stenson's duct is pretty tiny. Parotid infections are extremely painful.
63  Practice Break / Polls / Re: What languages do we speak? on: Jan 04, 2017, 10:24PM
.New York English and some Hebrew.
64  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 20, 2016, 02:25PM
I'm guessing most of the people hoping to qualify for Medicaid aren't providers. It's been a great deal for the people I know who are on it. Literally a lifesaver in at least one case.

Funny. 
People/patients have a hard time finding providers to treat them because not many providers want to participate.   
I thought that was obvious in my post.
Almost half of the 62 providers in my area are pediatricians.
Bottom line.  It's not a solution. It works for some patients and new docs just out of residency. But if a doc only saw medicaid patients he/she would be practicing out of a shack with minimum wage employees and nothing more than a stethoscope and a few tongue blades.
65  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 20, 2016, 01:50PM
Medicaid isn't bad. I have a couple of friends who qualify for it and it's zero out of pocket. My premiums are through the roof and I still have to substantially pay for my care out of pocket.
Medicaid is terrible for providers.  That's why the provider list is so short.  Not just low reimbursements. Mountains of paperwork. Payments are delayed. Payments can be denied even after the procedure is approved and completed.
66  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 10:21PM
This kind of nonsense is why I blocked Chit Chat. It has nothing to do with trombones. It shouldn't be part of "The Business of Music."
What "kind of nonsense"?  The OP brought up the topic of health care as a trombone professional. 
67  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 10:19PM
Actually, employer-based health insurance was an accident of history. Because of WWII wage controls (intended to combat wartime inflation), employers competed for employees during a labor shortage, but couldn't offer them higher wages. Benefits were exempt, so we ended up with employer-based health insurance. It worked okay for a while, but not very much lately.

As a logical proposition, employer-based health insurance doesn't make much sense, because one's need for health care has nothing to do with employment.
Employer based health care made perfect sense as you were trying to attract employees with better benefits than the company down the street. Worked great until Obamacare kicked in.
68  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 02:12PM
That does make sense. 

You lost your plan, because it didn't cover everything that was required. 

Your new plan cost more, because it covered more things. 

For you it is lose lose, because you were happy with what you were getting, even though it didn't meet the new standards.  For a larger group it was a win. 
Sounds like Karl Marx. :-P
69  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 10:58AM
I wouldn't say anything about Hispanics.  You folks nearly nominated Marco Rubio and Ted Cruz.  Plus you had another nominee who was married to a Hispanic (and speaks fluent Spanish).

Instead you elected a guy who ridicules them.

Dusty, you and I were both growing up before the Equal Rights act.  We both had family who were prejudiced.  Just because a law was passed saying it's not nice any more doesn't change the fact that some people still are prejudiced.
How about a black supreme court justice? Just for starters.
Condeleeza Rice, Conservativeblackchick.com, Mia Love,Dr Ben Carlson, Sheriff David Clarke,....
The anti black nutjobs are a small minority.
The left has racists just like the right Al Sharpton, the black panthers, many people in black lives matter. ...
70  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 09:30AM
Obamacare is based on a Republican program for Massachusetts (Romneycare).  He chose this over single payer because he thought the Republicans would support something of their own devising.  He was wrong -- the hatred of that "Uppity N*****" exceeded his offer to nearly capitulate.

Note that if he was able to get single payer, your deductible would probably be something like Medicare: around $500 per year.
There's no "hatred for the uppity N*****". You have quite a guilt complex about that Bruce. You've posted that statement quite a bit.
Who cares who's plan it is.  It's a crummy plan and only good in a couple of respects which Trump and Ryan said they'd keep.
71  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 19, 2016, 09:05AM
Here in Texas, some companies pulled out but mine (Molina) and several otheres stayed and my rate went up only about $20/month this year over last year.

How is that their "actuaries" say can make money at it and other's can't?  Maybe it's not Obamacare.  Maybe some of those other companies are just damn wasteful and inefficient. Or crooked?

Why do we presume that it's Obama's fault that some companies do badly? Maybe they are just lousy at the insurance business?

Now that they have to actually do the thing they claim to do and can't just take your money... It turns out some of either weren't very good at it or just don't want to be.


Are any of these companies really getting their money's worth out of compensation like this? Is your healthcare any better because they do? 








One thing is certain. After Obamacare is ruined, those guys salaries will go up. That's why they are rooting for repeal.


Joseph Molina compensation for 2015 10.3 million.  It doesn't matter what the CEO makes. I don't care what they make.  Good for them.
Molina is in now but what about the future? You could have been in any number of the companies that pulled out and said the same thing before they left.

You realize that obama already "ruined" health insurance for millions. So what is ruined for you may be great for others and vice versa. My deductible went to $10,000  a year. So obamacare sucks for me.
72  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 16, 2016, 05:34PM
There are at least two reasons I believe the insurance companies are disingenuous on this.

-Several of them only announced withdrawals after the Justice department moved to block competition-eliminating mergers they wanted. This pure revenge to try to wreck the ACA.

-Some insurance companies are claiming they have to withdraw because of losses but they are actually still highly profitable. They are trying to make the ACA appear unworkable even while other insurers do just fine in it.

I looked up earnings info for Aetna, one of the big withdrawers.  Booming profits every year of Obamacare with projections for continued growth.

They want to go back to the good old days when they could collect your premiums for years and then drop you once you got an expensive illness. Of course that would be more profitable... but that's not what we need health insurance for.


Here's another analysis...

Cry me a river, Aetna.





 



Actuaries look into the future.  Not just the present.  Yes, they may be profitable now but what about to the future?
73  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 16, 2016, 03:13PM
Are you on to something I am not/  I haven't heard a peep about a replacement for Obamacare.  Or are you talking about the Health Savings Accounts (which need money to work)?
Here's one plan.
https://www.google.com/amp/s/www.washingtonpost.com/amphtml/news/powerpost/wp/2016/06/22/republicans-have-a-plan-to-replace-obamacare-and-its-costs-are-unclear/?client=safari
http://www.npr.org/sections/health-shots/2016/11/21/502612264/if-republicans-repeal-obamacare-ryan-has-replacement-blueprint
And Dems want changes too.
http://www.politico.com/story/2016/12/democrats-open-to-replacing-obamacare-232589
74  Creation and Performance / The Business of Music / Re: Obamacare explained for musicians on: Dec 16, 2016, 01:17PM
Trump campaigned on "Repeal and Replace".  Unfortunately, it seems a lot of the Republicans only heard the "Repeal". :(
Who are these Republicans?  Insurance companies are dropping out of the exchanges. It's not sustainable.  The new plan will be much better.
75  Creation and Performance / The Business of Music / Re: Open Enrollment for 2017 extended on: Dec 16, 2016, 01:15PM
Open Enrollment for 2017

The open enrollment deadline for choosing a policy at Healthcare.gov has been extended from yesterday, Dec 15, to Monday Dec 19.

The Affordable Care Act has been great for me.  I couldn't get health insurance before, now I can and it is indeed affordable.

I shall be very disappointed to see it go.


Who said it's going anywhere?
76  Creation and Performance / The Healthy Trombonist / Re: TMJ Disorder on: Nov 29, 2016, 12:11PM
Doug thanks for the encouraging news.  Glad to hear that it doesn't have to mean an end to my playing.  Definitely going to get a second opinion.

Thanks again!
Don't give up. That dentist is just wrong. TMD is usually (over 99%) manageable with splints, PhysicalTherapy, Chiro, exercise, rest and diet or sleep modifications. SOme combination of any of those will work.
It's mostly a muscle issue like Doug said.
77  Creation and Performance / The Healthy Trombonist / Re: Swollen Bottom Lip/Labial Glands on: Nov 29, 2016, 12:06PM
I had not heard of mucocele, but I had heard of lymphocele from a doctor.  (he didn't spell it for me, I'm guessing after about 4 decades)

Long ago I caught an elbow in the mouth playing basketball and cut my lip.  Like most people would I used some ice and aspirin and lived with it. 

I saw a doctor about three days later for something unrelated and had him look at it.  He said if I'd come in right a way he probably would have stitched it, but this long ago there was no point.  Then he warned me about something.  He said often in messy injuries like this a little bit of the outer lip could get buried inside, and could later start growing.  If this happened to me he would send me to a specialist, because he had not had good results cutting them out himself.  He called it a lymphocele.  I think.  This was sometime between 1971 and 1975 so memory is not completely reliable. 
Mucolcele's are very common. Lymphocele's in the lip are unheard of. They are usually due to trauma but not always.  It's basically a minor salivary gland that is clogged and dysfunctional. We cut them out with a laser or a scalpel and they heal quickly. They can return in rare cases. They don't need to be removed unless they get annoying.
78  Creation and Performance / The Healthy Trombonist / Re: invisalign orthodontia on: Oct 14, 2016, 07:17PM
I don't know how thick porcelain veneers are but I am expecting some paring down of my teeth to attach them. I'll certainly be asking.
3/10 mm to 1.0 mm
79  Practice Break / Purely Politics / Re: Wake Up, America: Take 3 on: Mar 10, 2016, 07:10AM
Just curious, are these ridiculous foreign jobs from sort of standard practitioners over there? As in, that work is coming from properly licensed and referred orthodontists following the laws in their respective countries, or is it from the shady guy in the back alley who'll do you for 10 bucks?
I really don't know. Lay people, for the most part, have no idea what they have had done in their mouth and by who. They just usually say that the dentist was mean or rough or nice. No matter what their dentistry looks like.
80  Practice Break / Purely Politics / Re: Wake Up, America: Take 3 on: Mar 09, 2016, 08:07PM
It is indeed argumentative (in the precise sense of presenting an argument). Nothing wrong with that.

Isn't it inevitable that the 're-do' work you see from other nations is self-selected? After all, good work from other countries doesn't need to be redone.

It also makes sense that you wouldn't attribute poor work from the US to the country of origin, but might do so with out-of-country work.

I do a pretty good job of thinking, now that you mention it. I can't speak to your qualifications to recognize it.

I rest my case.

i object! :D
Redo work from other countries is at a higher rate than from the US. And it tends to be creatively awful. Very memorable. Not American disasters. Like wood screws in teeth. Silver fillings condensed into the gum and bone. Implants placed in impossible to restore areas. Implants that never stood a chance. Most of the American work I redo is sloppy. It pisses me off. But it's rarely ridiculously creative.   Not ridiculous like foreign work.  Some foreign work is amazing. Better than mine.  Especially a guy from Switzerland named pascal Magne.
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