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And so it Begins...

Walgreen to Cut Washington State Medicaid Business



SEATTLE (Reuters) Mar 31 - Drugstore company Walgreen Co said on Monday it would pull almost half its pharmacies in Washington state from the U.S. Medicaid program in protest against the state's plan to cut reimbursements for drugs.

Cash-strapped Washington state plans to insist on cheaper, generic drugs for low-income Medicaid clients whenever available and equivalent to brand-name drugs, and is also cutting the rate of reimbursements on all drugs to pharmacies which supply them.

Cutting the reimbursement rate of generic and brand-name drugs would severely impact the "economic viability of doing business in Washington," Walgreen said in a statement.

Walgreen, one of the largest U.S. pharmacy chains, is to withdraw 44 of its 111 pharmacies in the state of Washington from the Medicaid program. Medicaid provides health insurance to low income individuals.

Unlike Medicare, the federal health program for seniors, Medicaid is partially funded by states. In order to cut the costs of the program, Washington state announced last week it would cut Medicaid reimbursements for brand-name prescription drugs by 6 percent, effective on Wednesday.

Walgreen said it would withdraw the 44 pharmacies from Medicaid as of May 1, a month after Washington introduces its plan. It said those pharmacies represent more than 60 percent of its total Medicaid business in the state.

There is a chance other pharmacies such as CVS Caremark Corp and Rite Aid Corp will follow suit in pulling out of Washington's Medicaid program.

(Reporting by Bill Rigby; Editing by Andre Grenon, Bernard Orr)

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A New Hobby...Get Involved.

I'm back from respite.  Don't know if I'll start posting again...maybe I will, maybe not.  Depends on how I feel.  Maybe intermittently.

My brother and I have a new hobby that takes up quite a lot of our time when we're out and about.  It is fun and satisfying.  You might want to try it sometime. Your happy response will surprise you.  Desperate times require desperate measures--that's all I'm saying. 

At the check-out counter in stores, we turn all of the magazines showing Mr. Obama's face to the back side.  Considering his face is becoming as ubiquitous as the Shah, you can amuse yourself for some time doing this.  People standing in line stare at you, no doubt thinking that if you're doing this, you are some unhinged. I stare back at them, shrug my shoulders and say, "What?"

I also like to hover over the rack, so nobody dares turn them back around. 

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Warm Goodbye

"Count your age with friends, not with years."
                                 --Anonymous
 
I'm leaving to attend to details of my life.  I've enjoyed writing this blog, but it's time for me to move on--at least for a while.  This little house has been the framework of a rather rugged existence over the past couple of years.  I've found solace and warm friendship.  I'm forever thankful to the stellar people I've met; you made a mark on me and will always be my special treasures.  My best to everyone.  May God bless you.
 
 
Candace
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This is just wrong.

While driving home, I noticed this Christmas light display.
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Hmm. Big Fat Liars??

I've never used the word "cruciferous" in my life...well, in relation to a vegetable.  Or, wait, in relation to anything. 
 
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I Loved Cagney & Lacey

I always wanted to be Sharon Gless.  (I still think she is a beautiful woman.)
 
Imagine my horror...whose onslaught expelled itself as inescapable laughter...
 
FYI: In Woman World, it is totally uncool for women to flatulate anywhere, even in restrooms.  Anywhere.
 
 
HAPPY THANKSGIVING.
 
 
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Start Now Refining Your Coping Skills

I'm assembling my armory of coping devices for Jan. 22, 2009.  I do own these objects, and I am not ashamed.
 
Exhibit A:  The Fun Meter
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Integral to improving the attitude of those around you. 
Take my word for it, these babies make excellent enhancements to your wardrobe for those unnecessary office meetings, where others are prone to talk too much.  Make of show of changing the fun meter from "max" to "min" for Irksome Colleague speeches. 
 
Exhibit B:  Head Massager (do not google this term to try and find the item. Don't ask me how I know this. I will give you the link for purchase.) 
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Very happy user.
$3.95 plus shipping (model not included @ this price)
If you wear the head massager and the fun meter all day at the office, you will discover that you are no longer experiencing tiresome social interruptions.
UPDATE:  I do not recommend wearing this for longer than 20 minutes.  Don't ask me how I know this, either.
 
 
Exhibit C: Sustenance
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(I will take delivery of this as payment for the good advice & generally cheery chronicles provided in this blog.)
 
Exhibit D: Sample Ballot
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A Minnesota disputed ballot, 2008 (Original link IMAO)
This is my 2012 plan: if the GOP doesn't get their crap together, & no other party is a viable substitute.  No more computer ballots for me, just paper from now on.  Stray marks everywhere....identifying signatures.  Generally cause a ruckus, & make them have to judge the ballot.  Write-in "Lizard People" for every position. 
 
 
Feel free to contribute your suggestions in the comments, or submit yours via email:  cmitch4@gmail.com
No love letters please.
 
 
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Whippings

Romney writes a piece on why Detroit automakers should be allowed to go bankrupt.  He makes eloquent comments on how to restructure a business.  It actually sounds like he knows what he's talking about.  Imagine, somebody in Washington who knows what they're doing...

The GOP should be horsewhipped.

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Another Effort

Hot off the Presses:  JC + SC = MSRP*
 
 
 
Tags: Co-blog  
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The Center

by Gimpel

"The research suggests that those who at various times occupy this center, often described as moderates or independents, are not very knowledgeable about or interested in politics. They do not follow campaign coverage closely, are inconsistent in their policy views, and are often not able to identify what positions are liberal or conservative.

What characterizes the centrist voter is not some peculiar set of policy positions, but rather ignorance of policy issues in general, coupled with vague impressions of the 'goodness' or 'badness' of the times. So-called centrist or moderate voters can’t even be counted on to vote.

Consequently, they make a lousy starting point from which to frame a campaign platform. A campaign doesn’t move toward them, but instead attempts to inspire them to come in the candidate’s direction. The incoherent center moves to the left or to the right, inspired by the candidate’s enthusiasm and the enthusiasm of his supporters. It is foolish for the candidate to move to the center, because the center is never a fixed position to move toward."

I rather like this position, acknowledging the presence of the Unprincipled Middle.  I believe in this theory.  I also like the language that we should work to "inspire" the Unprincipled.  That's good talk.


And one other thought which just came to me:  Somebody ought to write a form of Wikipedia that isn't a liberal gas bag.



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52% is a magic number.

52% can be whatever you want it to be.
 
Time magazine says here "Barack Obama Elected President with Mandate for Change."  Millhouse got 52% of the national vote.
 
In California, Proposition 8, the amendment that defines marriages as a union between only a man and woman, also received 52% of the vote (same amendment in Florida = 61% and in Arizona = 56%).  The whiney Professional Pretenders are now decrying that 52% of the population are "closed-minded" and "judgmental." 
 
Interesting. 
 
How many hollywood actors matriculated high school math?  Probably 52%.
How many know what the word "mandate" means?  Probably 52%.
 
"You keep using that word.  I do not think it means what you think it means."
 
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I'm a Hostage to Microsoft

I've lost interest in politics.  Yesterday, I was sad.  This morning, my blood was boiling.  Now I'm exhausted.  I'm just not interested anymore.  The vehicle has gone off-roading, and I don't like off-roading.  So, I'm just going to hunker-down on the floor board, and when somebody signals that we're back on pavement, I'll get back in the seat.
 
For now, I hate Microsoft.  Admittedly, part of why I hate Microsoft is because I don't understand half the crap they sell.  I fault them for this because I'm a doctor, not a computer geek.  When they can tell me about the PVL gene in staphylococci, then I'll learn their stuff.  If they're selling something on the free-market, they should make it user-friendly.  Ever hear of that term, Mr. Gates?  "User friendly." 
 
Therefore, I'll stipulate that possibly I'm frustrated because I don't know what I'm doing.  But it appears to me that Outlook is only accessible from the hard-drive on which its installed.  At this point in my life, I cannot access my Outlook account unless I'm using a web-based desktop program, such as GoToMyPC.  And I don't have that program, nor am I going to buy it.  Before you give me advice, I can access my email via a web-based server, but it doesn't go to my Outlook.  So whatever is archived in Outlook is just out of my reach unless I'm carting around that laptop.  Sigh.
 
In addition to this, I carry two calendars.  I am fanatical about this because I'm Uber Anal.  When Palm Pilots came out, I had one, and I used it with fervor.  Then, I lost my entire calendar because it disappeared (yeah, I lost it.  Sue me.  I was a busy university faculty.  Who knows where things go...)  Now I am obsessed with maintaining both an electronic and paper calendar.  There are obvious problems with this.  Before you give me advice, yeah, I know that Outlook has a calendar, and you can upload stuff to Microsoft Live! (their exclamation, not mine) to be accessed via web. 
 
This morning, I decided I would try to use Microsoft Live! to at-least cut down on my doubling of effort with the written calendar.  So far as I know, Microsoft Live! (sounds like they're shouting at you each time you read it, doesn't it?) doesn't support web-based access to my desktop Outlook.  Sigh.  Ok, well, maybe the calendar will help me.
 
First, they asked me a bunch of silly questions and wouldn't allow my answers--just in order to set up an account.  Then it took 5 tries before I could read the arrangement of what-appeared-to-be letters in the grid.  Finally, I get my account, after checking my email for confirmation (and waiting 10 minutes).  Voila. I'm ready to go.  Enthusiastic, I go to the page to see what Microsoft Live! has to offer me.  I see I can synchronize my contacts; that seems easiest place to start.  I click that, and all of a sudden 3 different Microsoft Live!-based programs want to install on my system in order to perform these functions--one of which is Microsoft Net!  Now I have no idea what this is--there's barely an explanation of what it is--but, I don't think I need it.  I try to tell Microsoft Live! that I don't want Microsoft Net! Something pops up about passport.  I know, you're waiting for me to get to the point.
 
The point:  now, every 5 minutes, an orange screen pops up from Microsoft Live! Microsoft Net! Passport Whatever and wants me to click and install it.  And it diverts my screen from everything else. And it won't go away.  I keep selecting "cancel."  I logged out of Microsoft Live! because it's not going to save me time.  And this box won't go away.  (On verge of tears.....)
 
This is what I keep getting:
 
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If anybody else, also disinterested in politics, has any advice: now give it to me.
 
 
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Improving The Mood

I am in a bad mood today.  I think Brian got the brunt of it (sorry--well, sorta).
 
 
Then I didn't get to lunch until 2 p.m.  That made a bad mood worse.
 
I went to Arby's and got a chicken club salad without the bacon and a large diet Pepsi.  It cost me $7.63.  $8 seems like a lot of money to pay for a salad, in my opinion. That's almost 10 of those IOU bills.  Now, I'm no expert, but that's gotta be inflation.  Besides, they put egg on it, and I really dislike egg on my salads.  Civilized people don't eat egg in salads (don't argue this point with me today; I'm in no mood. Just accept it).
 
And then, J the Great came to my rescue with an email link I had forwarded him a long time ago.  No idea who the group is who wrote this program, but you guys are awesome. 
 
Click here for my mood enhancer. 
 
 
 
 
 
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A Collaborative Effort

Introducing:  Peanuts & Jelly Beans
 
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Is it possible to have too many rights?

Scarlet has a nice piece on his voting experience.  It's fair to say I am not as benevolent.


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Early voting in Colorado last week.  The Founders were not idiots; they had their reasons for limiting voting rights to property owners.  This has "I Make Bad Decisions" written all over it.  I would willingly surrender my suffrage if doing so would prevent such things.  I'm generous that way. 
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