Jwheel86

I think it depends on how you define long term, the FDA studies are pushing 4 years and none in those trials have declined or even plateaued in terms of gaining milestones. Kids who'd be on trachs by now are walking.

Best article I could find: https://endpts.com/biogens-big-breakthrough-drug-spinraza-runs-into-a-barrier-as-nice-turns-thumbs-down-on-reimbursement/ The UK has decided not to cover Spinraza, the first drug to treat Spinal Muscular Atrophy (leading genetic cause of infant death), even in cases where the drug can prevent symptoms entirely. They argue there is no long term studies and no evidence it will save NHS money. I'm not surprised they aren't covering it in adults, there you can kind of make an argument, but not covering kids, including "dead before 2" Type 1 kids is mind blowing cruel.

Not covering drugs literally encourages people not follow their doctor's orders and therefore get more sick which results in more utilization.

Why is this so hard for Trump to get right?

Right, but who's he going to testify against in exchange for the immunity? Or is this why Cohen plead guilty?

Immunity against who though? Cohen already plead guilty and DoJ has decided it can't indict Trump.

Manafort would have to talk to Mueller's team then, under oath, since he'd lose 5th Amendment protections.

And the machine has found its justification: "Obama did it too"

What if Trump pulls Mueller's clearance?

George Will did say in a field of 18 Democrats running for the nomination that the DNC could easily be hijacked, just like Trump hijacked the RNC. Biden and Sanders are the only ones going into it with any degree of real support. I worry Biden is a ticking Me Too time bomb (real or not) and Sanders is the only one progressives can agree on. Remove them and the base and the center establishment will fracture into a 18 pieces. Perfect situation for a celebrity or other blow hard to swoop in turn the debates into a circus by making the others look small (exactly what Trump will do in the General).

Clinton vs Joe the Plumber

https://www.washingtonpost.com/business/economy/pence-details-plan-for-creation-of-space-force-in-what-would-be-the-sixth-branch-of-the-military/2018/08/09/0b40b8d0-9bdc-11e8-8d5e-c6c594024954_story.html?utm_term=.81bc42377a38 Few highlights from Pence: -US Space Command is going to be recreated as a Combatant Command by the end of the year (I think Rumsfeld disbanded it), assuming responsibility from US Strategic Command. -Assistant Secretary of Defense for Space, a new top level civilian position reporting to the Secretary of Defense “to oversee the growth and expansion of the sixth branch of service.” -"Budget neutral" Sounds like they are going full retard on this by creating a Department of the Space Force equal to Departments of the Navy, Air Force, and Army vs simply a new branch under the Department of the Air Force (like how the Marine Corps is under the Department of the Navy). That new Assistant Secretary of Defense for Space is basically a Secretary of the Space Force in all but name. The natural candidate to build out US Space Command is Air Force Space Command (Strategic Command's Space Component, basically already doing that job, and the Air Force's administrative hub for space), but that means it can't serve as the foundation for US Space Force (pretty sure that's illegal, Joint Chiefs can't have operational authority). Such a bureaucratic mess.

Isn't NY heavily gerrymandered by the Democrats to make their seats ultra safe (as oppose to maximizing number of blue districts)? Thereby creating super red districts like this.

What is the difference? I don't know anything about this.

Why would he need 100% of the shares and not a simple majority?

Aren't the Atlas boosters Russian?

Who's covering the cost difference between the Atlas and Falcon boosters?

Why not a progressive deductible/coinsurance based on income? Higher your income the higher your deductible and coinsurance (that caps out at 20% and $2,000 with a $10k max out of pocket). Employers can either fund HSAs or Supplemental Insurance. Participation fees (deductible, coinsurance, oop) gradually introduce at 5x Federal Poverty Level. I've got no objection to any system so long as it's got a robust appeal system (leave State Insurance Commissions in place as an appeal option), a 24/7 Consumer Direct Long Term Care system, and protections for Big Pharma that successfully bring to market treatments for rare conditions.

I don't agree with the numbers ($45k for home care), that's about what I get and and it only covers 72/168hrs of my my weekly needs. Most of Medicaid LTC is badly under served. The asset and income issue has lots of ways around it, Medicaid funding and resource allocation is the bigger issue. Best solution in my mind is to simply Federally mandate Medicaid LTC standards that comply with the Olmstead Decision (Disability Integration Act) and remove means testing. The transition to a national LTC system could legit get people killed in the chaos.

CNN has the Cohen recording

Health Insurance Industry and money politics (cable industry that run ads, PR firms that write political ads, Political Consultants) all stand to lose a significant chunk of business under a progressive administration, assuming Congress goes along. Trump hasn't touch any of that besides his stupid trade war. Democratic National Party Inc. faced zero consequences for losing 2016 or the Congress, Governorships, and State Houses during the Obama administration, except now they can fund raise harder because Trump, funds that go right into that same failed and unaccountable industry.

jfc

This guy a troll?

Stranger Things, Silicon Valley, and Game of Thrones team up movie, I'm in.