Another Physician Dissent to CMS MACRA Rule



Good afternoon, Ladies and Gentleman,

My name is Dr. Richard Armstrong. I am a general surgeon who has been in practice for 35 years since completing post-graduate training. I have been in the military, in academics, in private practice and now employed. I have watched the development of the federal medical bureaucracy since 1976 and opposed more government intervention then in public in a letter to the Washington post. I did this as an active duty naval officer and received hundreds of letters of support.

In 2009 after President Obama spoke before a joint session of Congress about health care reform, I wrote to him with a simple specific request. I asked him to please speak with the doctors on the front lines, the dedicated physicians and surgeons who care for all of you and your families day and night…24/7. The fellow human beings who are there for you when…

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Conservative Civility – Episode IV: A New Hope

Conservative Civility – Episode IV: A New Hope

The Collision Blog

Unfortunately, conservative writers and commentators whom I truly respect are beginning to seriously question their activism. I’ve now watched four conservative bloggers close up shop, toss the keys to angry “conservatives,” say their farewells, let Jesus take the wheel, and now have cat memes and dinner recipes filling their timelines. While Republicans in government are not in the uproar we’d like to believe, conservatives themselves are caught in a toxic battle that bears a resemblance to, but is far worse than, the war between the right and the left. Been there, done that. Those who don’t particularly like your opinions quickly look for that button to press, the one we all have. “I’m over it,” and “what good am I doing?” are both theories thrown around by those bombarded with sermons from the pulpit of complacency. “Give me memes or give me death!” is the mantra of the 21st Century. “Agree with me or I’ll…

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The Democrats’ Refugee Crisis

The Democrats’ Refugee Crisis

Black and Red

Democrats, nationwide, face a vexing refugee crisis of their own making: Hundreds of thousands of people have picked up their lives to rescue their families from devastation wrought by liberal incompetence and naive policies. These refugees, numbering nearly 1,000 per day, simply seek a better life, even if that means contending with culture shock and a change of climate. However sympathetic to the refugees’ plight, the people tasked with accepting them fear that the newcomers will bring along a dangerous worldview that can turn their newfound garden spots into the dysfunctional locales they left behind. As observers sift through the data to learn as much as possible about these refugees, one point remains clear, virtually all of them are Americans.

Writing for the Washington Times, Stephen Moore describes the IRS’ findings showing that, liberal blue states continue to hemorrhage people to conservative red states.

“The new Census data…in 2014…

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Love this pattern! Next on my list of projects to knit.

Hello Knitty

Take one impossible to come by skein of yarn, add a dash of startitis, and stir in a spoonful of no pattern strikes my fancy. What do you get?

This shawl right here. I’m calling it Multnomah.

Multnomah county, in northwestern Oregon, is home to a place very near and dear to my heart: the city of Portland. While there are many reasons I love it, one thing that always stands out is how lush it is with vegetation. Trees and leafy vines grow absolutely everywhere.

The idea for this shawl was conceived while I was at home, but about 2/3 of the way through knitting it my husband and I made the 6 hour drive from our house to Portland. I’d been kicking several names around in my head, but nothing seemed right. Then we crossed the Multnomah county line. I looked at the landscape speeding by outside my…

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Send a letter to congress to help Physicians offer Congress credible healthcare alternatives


IP4PI - Independent Physicians for Patient independence

Fill in the name of your senator or house rep and send today!

Dear Senator/Congressman,

Practicing physicians across the United States have come together to draft a simple one-page plan outlining how we believe the federal government ought to proceed if the citizens of the United States are to continue to have access to the greatest medical care in the world without bankrupting the country. We have named our group the National Physician Coalition for Freedom in Medicine.

With the Supreme Court hearing arguments in the King vs. Burwell challenge to subsidies issued through, the pressing need for alternative legislation is apparent. As practicing physicians we offer credible alternatives.

The National Physician Coalition is meeting in Washington DC on March 25th and 26th, and we are respectfully requesting to meet with you to discuss our plan in person at your convenience.

We look forward…

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— Is It Amnesty, Or Is It Anarchy??


Alright!  So in the pantheon of topics I didn’t think I’d ever get the urge to engage in, is Illegal Immigration… Yet, here we are! But lets clarify something.  I, as a Libertarian, am not against anyone trying to get into the United States because they believe they can build a better life (without taxpayer help) for themselves and their family.  I’m all in favor of making immigration NATURALIZATION a more simple, predictable, process in which those who follow laws can come to the United States if they choose to do so.  But what I am not willing to do, is patently approve of, surrender, or be forced to cede to, a lawless system that benefits those who are willing to break the law as undocumented immigrants ILLEGAL ALIENS.

The United States has laws against illegal immigration, however, the United States Government (President/Congress) isn’t doing the work it takes to…

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Eye-of-Partridge Shawl


Nice shawl pattern!

Aemmeleia's Ephemera

Consider this lace-weight yarn liberated.

eye of partridge shawl

Eye of Partridge Shawl, 100% cashmere.

eye of partridge shawl -- back view

Back view: shoulder shawl.

eye of partridge shawl-- front view
How I’ll wear it most, with the point front-facing, tucked into my coat.

eye of partridge shawl -- stitch texture
Love that stitch texture!

This is a dead-simple triangular shawl that takes full advantage of eye-of-partridge stitch, creating a cozy double-thick fabric with subtle, elegant diagonals. Due to the alternating slipped stitches, this pattern also makes the colours in variegated yarns “pop” dramatically, and helps eliminate pooling.

I used one single skein of Handmaiden 100% cashmere 2-ply (lace-weight) yarn, in the colourway “Mineral” (274m/50g), and 3.75mm Addi Lace needles (80cm circular).

Eye of Partridge Shawl Pattern

Cast on 2 sts.
Set-up rows:
R1: Knit into the front and back of both stitches. (4 total)
R2: K2, yo, k2 (5)
R3: K2, p1, k2
R4: K2, yo, k1, yo, k2 (7)
R5: K2, p3, K2
R6: K2, yo, k1, sl1, k1, yo…

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