Bharat Rakshak

shiv wrote:Well CIA aqints could be dumb hicks as they were during the Bay of Pigs fiasco and the hostage rescue from Iran. Maybe this episode could be called the Oink of Pigs fiasco.

US achieves major mile stone in women's protection, Pagan Rice eaters need to learn

Authors for the top part had access to the bottom image and its editable code, the robot hardware and the software. The first author had been in Baltimore for only a few days! If you think there is any way in the world these can still be independent, let me know. If you think the top is copied from the bottom, let me know. It can't be the other around (bottom copied from the top), the timeline does not allow it. IF you think the differences (marked) make ANY difference at all, let me know too.

Last of Libya's Chemical Arms Destroyed - Neuj ij Pojitive but we don't know what collateral damage took place? Maybe a few vultures?

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Libya: The remaining stores of former Libyan leader Muammar al-Qaddafi's chemical weapons have been destroyed. Over the past three months, Libyan contractors working in secret used portable ovens in the Libyan desert to destroy the final two tons of Libya's chemical arsenal.

Touted as a success story as the United States prepares for the more difficult task of disposing of Syria's larger chemical weapon stocks, the announcement marks the end of a process that began in 2004 when Qaddafi turned over cache to the international community. At that time, Libya declared 24.7 metric tons of sulfur mustard, though an additional two tons, already loaded into shells and rockets, was found after the Qaddafi's fall. When the war broke out in 2011, roughly half of the country's declared stock had been destroyed.

The project of destroying the final two tons relied on a custom-built oven, called a static-detonation chamber, which heated the munitions to between 750 and 1,000 degrees Fahrenheit. Syria has agreed to destroy 1,300 tons of chemical weapons.

Meanwhile back at the Afghan Ranch where the world is a toilet

Exclusive: An investigation into whether top Marine Corps officers may have illegally classified evidence in a war crimes case has found new life as a top civilian official has become involved in the case, Foreign Policy has learned. John Fitzgerald, the director of the U.S. Information Security Oversight Office in Washington, has met with a Marine Corps lawyer regarding the classification of a video of snipers apparently urinating on the corpses of Taliban insurgents in Afghanistan, which caused a firestorm when released in January of 2012. Maj. James Weirick, a Marine lawyer, has claimed that Gen. James Amos or people acting on his behalf meddled in the prosecution of the snipers and classified information to cover up the involvement of Marine Corps Leadership.

This influx of money was due to the fact that the U.S. government wanted to fund the Rest and Recreation sites in order to ensure good morale among the soldiers.  However, the American government knew that the money could not be directly invested for fear that they would be held accountable for perpetuating the cycle of military base prostitution.  Therefore, the United States and Thailand solicited a number of international investors such as Chase Manhattan Corporation and Bank of America Corporation to “loan” money to the Thai government.  These moneys (approximately $4 million) were loaned under the pretense of investing in Thai hotels, bars, and restaurants.  In reality, the laundered money funded the construction of numerous Rest and Recreation sites.

TSJones wrote:Yes, all those Indian doctors held in slavery. What a horrible thought..

I pity their servants that's for sure.

The latest version of an annual survey from Medscape/Web M.D., shows dissatisfaction among U.S. doctors rising. In an online questionnaire of 24,000 doctors representing 25 specialties,only 54%, said they would choose medicine again as a career, down from 69% in 2011. Just 41% would choose the same specialty again. Only a quarter of doctors said they would choose the same practice setting, compared with 50% a year ago.

Why such frustration and discontent among physicians? The Medscape survey cites declining incomes, excessive paperwork, and vast uncertainty about changes dictated by the Affordable Care Act.

David Korn, a former dean of medicine at Stanford and former vice president at the Association of American Medical Colleges says that, although it’s a “third rail” for the Republican party and for many doctors, the lack of a single payer system is responsible for much of the frustration. Especially for patients over 65, doctors must fill out multiple layers of insurance forms. A single elderly patient can have Medicare, and then secondary and tertiary insurance coverage, all of which require separate forms. “It’s a crushing burden that no doctor enjoys,” says Korn. According to the survey, 33% of doctors spend more than 10 hours a week on paperwork and administration.
12 images Photos: The Worst-Paying Jobs For Doctors Jacquelyn Smith Jacquelyn Smith Forbes Staff
Obamacare Billionaire: What 1 Entrepreneur's Rise Says About The Future Of Medicine Matthew Herper Matthew Herper Forbes Staff

The Medscape survey also describes how hospitals are buying up private practices both in primary care and other specialties. This makes some doctors feel less independent and discouraged, says Howard Forman, a professor at the Yale School of Management who researches diagnostic radiology, health policy and healthcare leadership. “The transformation of the field from independence and professionalism to being commoditized and feeling like you’re just another worker is disheartening to some,” he says.

Korn and Forman both say that many doctors are concerned about the way doctors will be paid under the Affordable Care Act. The Act mandates that Affordable Care Organizations (ACOs) will receive payment from insurers, and the ACOs will divvy up the money among doctors and hospitals. Many doctors worry that their reimbursements will come down under this system, since they will no longer directly receive fees for services. Forman points out that the ACOs are also aimed at reducing inefficient services but, he points out, “somebody is providing those services and making money off them.” Many medical professionals are nervous that their jobs will be deemed unnecessary.

The Medscape survey documents declining compensation in a number of specialties, like general surgery, which is down 12%, orthopedic surgery, down 10% and radiology, also down 10%. But Forman points out that doctors are still among the best-compensated professionals in the U.S. Forman posits that some doctors may feel remorse about their job choice because they see their peers in finance or other lines of business, making far more than they do. “Physicians have not gotten poorer over the last decade,” he says. “But more and more you’re witnessing physicians who feel they could have done better if they had done something different.”

Forman also takes issue with the survey’s point about paperwork. “I don’t think that’s changed since 1982, when managed care became a dominant force and Medicare became more complicated,” he says. Nevertheless, he concedes that doctors do a great deal of paperwork.

What does this all mean for the future of medicine and the number of young people aspiring to become doctors? Korn is concerned about the short term. “Having great numbers of physicians unhappy, disgruntled, who can’t wait to retire, is not a great promotion for the profession,” he notes. That said, he notes that the number of medical schools in the U.S. continues to rise, as do the number of med school applicants.

One problem that has already manifested itself: Fewer medical students are going into lower-paying specialties like family and internal medicine.

Forman believes that surveys like Medscape’s are a healthy contribution to the field. “People should have a better notion of what they’re getting into,” he says, “rather than a fantastic view of what they watched on a TV show.” If young people pursue the profession with full knowledge of what’s in store, “they’ll be more satisfied than if they believe they’re going to be thanked every 15 minutes,” says Forman. “It’s a tough job.”

shiv wrote:A classmate of mine now in the US told me that his expenses are so high that if he makes 250,001 and one dollars a year - he has made one dollar for himself, because 250,000 is his expenses.

All doctors and their spouses drive high-end fully loaded BMW, Merc, Lexus, Audi SUVs.

matrimc wrote:Shiv:

shiv wrote:A classmate of mine now in the US told me that his expenses are so high that if he makes 250,001 and one dollars a year - he has made one dollar for himself, because 250,000 is his expenses.

Gastro-Enterologists make $450K PA, Neurosurgeons a $1 million a year. All doctors and their spouses drive high-end fully loaded BMW, Merc, Lexus, Audi SUVs. Doctors' remuneration is 33% of the total healthcare spend. A measly 15% goes towards drugs but AMA shouts from the rooftops that big pharma is the real culprit. Even small hospitals have the latest equipment and since they are non-profits, they get lot of tax-breaks on real estate taxes from the local city/county governments. The profits are given out for studies and verification of the latest cutting edge "in the labs" diagnostic equipment which has little chance of going any where. But doctors of course have their own private for-profit LLCs and work as consultants to the hospital which they own. They own nice offices, all-expense paid junkets, gifts from pharma, first-class air travel domestic and international. The rest 50% goes into maintaining the hospitals, equipment, payroll to nurses, support staff, etc. What are the salaries of nurses and other healthcare professionals? They are peanuts - a highly-qualified experienced nurse would get may be $70 K just before retirement. A technician would get may be $35K. All these people would get healthcare benefits as a big group which the doctors can be a part of and get good low-premium health insurance as well. Since they own the non-profit hospitals, they can write the rules even if they have LLCs on the side. Hospitals used to have triage nurses with whom one can talk and resolve issues on the phone instead of going to the emergency for every small thing but to cut costs these positions have been eliminated so as to not impact doctors' cash flows.

If they are suffering, why do you think all the PIO doctors send their non-qualifying children to India (moneypal etc. places) or St. Croix, East Europe, or West Indies for MBBS and come back and take STEP 1,2,3 in US?

It is different in Europe. German doctors get $100K per year. No wonder Indian docs want to be in the US.

matrimc wrote:Shreeman: Looks like I hit a nerve

matrimc wrote:Hitesh

Yes I readily agree that I do not know much about being a medical doctor. But then how to square what I see around me about how thw doctors are living. I live in the same upscale neighborhood as several doctors but have to get by with 7 BR house full basement with natural oak only where as the doctors have more expensive more BR houses with enormous amount of landscaping, Brazilian cherry cabinets and all wooden floors, imported marble baths, teenage kids get Beamers. If they are in penury why all these gee-gaws? Almost all of them to the man/woman are very attached to everything physical. Talk anything abstract, they run a mile.

I have seen several doctors in India who are lot more down to earth and have very simple living. All of them work in rural areas and provide the much needed primary care and a few surgeons too. Of course, it used to be that whatever doctors do in India is never questioned. I lost my dad probably due to incompetence during Angioplasty (or something like that where they push a balloon through the vein and clear the block). I was talking to a doctor friend of mine (who is an MD PhD and worked with several Nobel Laureates and could be a junior to shiv ji if I my guess about our good hakim's alma mater is right) and her opinion was that they were aggressive in this surgery. What did I do? Nutting because what can I do? That is what is going to happen if you let the doctors off the hook for incompetence. Don't get me wrong - I agree that the malpractice awards have gone through the roof and a litmit is certainly required. But I am still mystified as to why they are living beyond their means or even going to the extent of forcing their kids to become doctors? I have seen several cases in my immediate circles of doctor friends.

• Do statistics support my observations before I make a strong statement (in favor? against?) what exactly: That hakimullah is a doctor and posts here? Or that doctors become rich? Or that doctors do not have any ethics left? That they somehow make more money than me? Why am I even bringing this up?
  
  What class am I a member of, before I launch a class action suit against successful business people? Would it be any different if one lived in a neighborhood full of bankers? Are Indian doctors somehow more or less ethical than their peers? Do we not want Indians to be doctors?
  
  Am I suddenly proposing communism for some and capitalism for others? Are we suggesting redistribution of wealth? Are we assuming and evaluating net worth of anonymous internet entities?
  
  And many many more, before there is even scope for legitimate discussion.

matrimc wrote:Yes. I dived into the caves with 230 small rooms and came back with why there should be short lease. Sure one can have substantial land holding in boondocks. I am hypocrite and also believe in what is that a fool and his money and all that. It may be a little known fact that the silver haired one with whom people talk after getting down on their knees designed a stent which is 1/3 the cost of the imported ones. But Indics in India who have the money to go to corporate hospitals prefer imported from US maal. I am a simpleton who is simply holding up the mirror to show that the docs themselves are the ones who are suggesting commie for some and Adam smith for others. If they want to reach out and take money from moi pocket of course I am going to give a small tap on their wrist. Shouldn't I? Also there are other beliefs than commie and hedge fund management. May be some people can't get their head around it. Figures.

Are we getting jealous of claims of high net worth by internet entities now? May be I live in a small 7x7 padded room right next to some who are posting here. May be I am a high school dropout with nary a worthwhile thought in my head? People on shirt leashes should not tug at them so hard. Might choke on own bile against successful or happy non-hakims.

And why this sudden lapse into samskritam hain? To show the more Indic than Indicness?

Oh I was talking about all the docs in us not limiting myself to desi docs only. Knee jerk reaction or I poked in a sensitive place.

I know several doctors who only make $60,000 a year after paying off all the overhead and expenses and that does not even include the cost of their cars and they are highly experienced surgeons that bill in at least a million dollars in fees and only come out $60,000 or even less.

That is not even counting the cost and time to collect fees from insurance and patients in which most of them never pay on time and never in full.

matrimc wrote:No I am not successful - I am just a homeless hobo living under a flyover in sillycon valley posting from my iPad. Do I still get the plaudits,<snip> no bloody point.

matrimc wrote:

shiv wrote:Matrimc, you have written only the bositive neuj about doctors..

Shiv: I will be answering in Understanding US-2 thread (if not for anything just to get away from juvenile heckling). Just a small note - I don't disagree with what you are saying. I am not a doctor but a user of their and their employers' services. The picture in US is very dismal. Doctors do have to take some blame - may be not all but probably as much as 33% - the amount of money that flows to them.

During the SuperBowl, the Coca-Cola Company aired a commercial to promote their brand as every other mega corporation who has a few million dollars to blow on a 30 to 60 seconds of television airtime. It was a nice commercial titled “It’s Beautiful” in which American people did American things while the song “America the Beautiful” was sung in the background.

You can watch the commercial here:



f you’re a human being you might say to yourself “that was a decent commercial, what’s the big deal?” But if you’re a vile monster void of emotion and compassion you might have realized that America the Beautiful was sung in MULTIPLE LANGUAGES. DEAR GOD, NO. Some people were pissed it was not sung in ENGLISH.
Coca-Cola, the soda pop (YOU NEVER SPECIFIED WHICH ENGLISH I HAVE TO SPEAK) company, tweeted after the commercial aired:

@CocaCola: The Only thing more beautiful than this country are the people who live here.

Coke is probably now realizing how that is not quite true.




Totally not racist.




Damn, Coke. You know shit is messed up when you’ve lost DIABETES BOY…




Yes, speaking foreign languages = terrorists.




Maybe the memo was written in something other than English?








Which American patriot said that?




"foreign decent" lmao.








"We (meaning myself and my very small sample of friends/family) speak English…"




"I have no control over myself and will continue to give you money for your sugary, addictive beverage, but know I am unhappy with you."


And here are a few fantastic “your in America” tweets showing how just because you say you can speak English, doesn’t mean you know how to write it:





Olivia has no ****** clue that it was “America the Beautiful” in the Coke commercial, not God Bless America. But who cares? REAL AMERICANS don’t need to know the difference between the songs as long as they’re sung in ENGLISH!!
And, she’s not the only one. Apparently, the Star-Spangled Banner is no longer the United States’ national anthem…




The commercial was made by the private corporation, the Coca-Cola Company, so if you don’t like it sir, take it up with the *** free market ***.
This is all just a extremely tiny sample of what’s being said over on Twitter and, shit…



Last but not least, however, we have Kasey Knowles. Now, first she tweets out this…



then, she tweets the classic “non-apology apology” where she actually DOUBLES DOWN meaning even the “non-apology apology” is actually a “non-apology non-apology apology”…



…but why would this random girl feel the need to apologize? It’s not like she represents her good ole’ state of Kansas…