It was not Leahy since he worked hard to get the bill ready to pass committee. It was Senate Majority Leader Harry Reid (D). It was reported that Reid threatened to not allow the bill to reach the senate floor due to objections from the pharmaceutical industry and trial lawyers.
The clue is when everyone blamed "democratic leadership".
So you're saying that you support expensive energy, and further with that creating misery for those who can't afford cheap energy?
If that truly was a concern for the pro-petroleum folks then why do we export so much of our gasoline and keep our domestic price high? FYI, the Keystone XL pipeline goal is to move the crude oil to refineries on the gulf coast for export.
If we want to take the long view and lower the cost of energy for everyone we need to spend more money toward finding alternative and more abundant sources of energy. This short-term strategy of keeping the status-quo and using the current stock of "cheap energy" does nothing but make petroleum investors rich, further damage the environment, and delay the inevitable to the point where the poor will suffer even more than they supposedly do today.
Nomachine (NX) removed a lot of the pain that I had with X over VPN. I used it several years ago on a project and the performance was such that I barely noticed that I wasn't on the host's LAN. I liked it better than VNC at the time because I was still allowed to open a single X window without having to put up with an entire remote desktop.
It's not that bad once you get used to it. What you now see as random characters falling on the screen will soon become something you'd recognize like that hot blonde in the smoking red dress walking down the crowded sidewalk.
Then the other part of the equation. How do they keep these things clean? If they're texture to match the traction of asphalt then how do they keep the road grime and dirt from lowering the performance of the solar panels? Spend money on cleaning?
I still don't see any cost advantage over the current reflective paint that makes the lanes very visible using nothing more than the light from your headlamps.
The cap would start at 300 GB and cost the customer subscriber an extra 10 USD for 50 GB. But, Cohen stated that 'I would also predict that the vast majority of our customers would never be caught in the buying the additional buckets of usage, that we will always want to say the basic level of usage at a sufficiently high level that the vast majority of our customers are not implicated by the usage-based billing plan.'"
Comcast sent me an email late last year saying they would change my data usage agreement to the above.
However, hospital management isn't really a "customer" in most cases. If you're talking about the CEOs email account, then the CEO is a customer like anybody else. However, if you're talking about the CEO telling IT than nobody can start a project without approval, then the CEO isn't a customer - he's the manager.
Hospital management is always the IT's customer. They pay your department to perform services and protect the infrastructure. Everytime you perform work for any staff member, you are performing a service for (and on the behalf of) management.
Are you a doctor? IT isn't paid by the doctors - they're paid by the HOSPITAL. Doctors and IT workers are just two classes of people working at the hospital to take care of the HOSPITAL's cusomters - the patients. There is a legal fiction designed to shield hospitals from liability/etc which also makes the patients the doctor's customer's as well, but if you subscribe to that fiction then the doctors aren't even legally associated with the IT department at all.
No I'm not a doctor. You are completely correct that the IT department works on behalf of the hospital. However in the context of this particular discussion, IT works on behalf of the doctors (which are part of the hospital staff) and do not provide a service directly to the patient.
I work in an IT department for a for-profit corporation and while I certainly have internal clients, ultimately we all work for the corporation and are supposed to look after its interests. Usually making my clients happy is the best thing for the company, but when their personal interests do not coincide with what is best for the company, then it is time to escalate issues and let the executives earn their pay. When a client wants me to spend $1M to save $20k/yr of their organization's time, then it is time to tell them to just live with the processes they have today. (And yes, I realize that there are reasons to do IT work besides productivity.)
Again IT provides what is considered a normal level of service. As an IT department, you deny requests that are outside acceptable corporate practices. I'm sure most of these practices were negotiated at a higher managerial level with staff input, and regardless of how reasonable the IT policy you will always have someone who insist they need something that violates that policy. The doctors are still one of your customers, and you are responsible for their IT requirements. The hospital management is also your customer, and you are responsible for making sure all of their policies are carried out and that no harm comes to the hospital via the IT department. Having the doctors as a customer, and having the hospital management as a customer is not mutually exclusive.
If you haven't noticed, the nature of healthcare is changing because of IT. With analytics, data warehouses and artificial intelligence like IBM's Watson diagnosing patients with stunning accuracy, the role of doctor centric patient care is going the way of the dodo. Granted we are not there yet but in the next 20 years we will see computers diagnosing patients, medical breakthroughs occurring through the use of analytics as opposed to traditional medical research, and doctors just basically being delegated to QA on patient care. The point is that all of this will be patient-centric where IT begins to see the patient as the client.
In 80 some years of cardiac medicine, about the single most effective treatment that all doctors agree on is Aspirin. Healthcare breakthroughs move slowly if you haven't noticed. Now with analytics, doctors, researchers and analysts will be able to interpret correlations in a way never allowed before.
Well technology always outpace ethics so I'm in favor of anything that reasonably slows down advancement in order to make sure all the pitfalls are accounted for.
In your example, IBM Watson would fall in the realm of medical research and doesn't necessarily have real-time patient data. My understanding was that they would get some sort of aggregate data in their research. One of the largest hospitals that I'm familiar with has a live telemetry department which gather realtime patient stats (including EKG) into a single "war room" environment to keep patient monitoring costs low. They carry the data on a network physically separated from the rest of the hospital infrastructure.
In addition, I place this upcoming equipment in the realm of medical diagnostic equipment that happens to be a computer. It may help the doctor with his practice but it wouldn't necessarily replace him/her outright.
I would also assume that medical diagnostic equipment would be handled differently from the basic tools of the trade that are data entry points found at nurses stations, patient bedside (e-quip is catching on down here), doctor's iPad, and admissions that are handled by IT today. Regardless, IT will still be working on behalf of the staff of the hospital not the patients directly.
You make it seem as if the non-profit centers see this charity care as a bad thing. To the contrary, they are allowed to write off this "free" care that they are required to give mind you, as charity towards the requirements for them to maintain non-profit tax status. I promise you the cost of free care is a pittance compared to the corporate taxes they otherwise must pay as well as state and local property taxes and the like.
You're talking about tax benefits now. Earlier you were talking about "easy money" which is revenue. You can't pay your expenses with "write offs", instead you lower your tax burden. You still need to make enough revenue to remain solvent.
This for profit, non-profit line is increasingly blurry though as I see the large non-profit health systems continue to act in ways that are increasingly similar to for profit companies. The chair-persons at such health systems often encourage for-profit ventures to be incubated in the healthsystem and with the support of it so that they have vehicles to move profits into investments towards these for profit institutions. Guess who the board of directors tend to be at these for profit institutions that operate under the non-profit umbrella? Profits find their way into the chair-persons hands in a very indirect way. You may not realize who is really calling the shots and who actually owns these for profit institutions but I do and you would be surprised.
Ive seen this. However the money still isn't "easy". You insinuated an endless of supply of easy money earlier, now you may be unintentionally changing the topic to what to do wi
There are a number of things wrong with your post:
1) Over emphasis on the needs of the physicians over the needs of the patients and the other areas of the healthsystems. Many important IT choices are made by doctors and not the professionals who were hired to be experts in these areas. That and the physicians are notorious for having almost no respect for other professionals who are not a doctor.
The doctors are IT's customers not the patient. The patients are the doctor's customers not yours. It's the doctor's job to care for the patients. It's IT's job to make sure the computers doesn't get in the doctor's way while remaining secure and HIPAA compliant. I can see why the doctors would disrespect an IT department that doesn't cater to the customer's (as in doctors) needs.
2) Easy money. Money comes easy to these organizations. This plus...
Really? Their budgets have been shrinking for well over a decade. With medicare payouts being lowered, unfunded mandates to provide "life saving" care to indigents which includes triaging cold and flu cases in ERs, increasing budget reserves in order to offset the growing malpractice risks (self insured hospitals) or paying higher premiums (non-self insured hospitals), and increase labor costs for staff I'd like to know where this easy money is coming from.
3) Non-profit tax status and requirements to spend or invest profits earned. This creates an environment of plentiful budgets where waste runs rampant, and concern over things such as nepotism and incompetence aren't as important as they would be in other companies.
In my region the nonprofit medical centers tend to be the regional charity or university based hospitals and they are outnumbered by the growing number of for-profit medical centers that offer specialized care. In plain english this means that the high-markup services are being performed by for-profit outpatient centers leaving the hospitals with convalescence services and indigent care.
Of course with nepotism you get politics so thick you couldn't cut it with a carbide blade. This causes a technical brain drain to the point where you have a bloated IT department with 20 incompetent people for every person who knows what they are doing and is always taking the role of the Hero. The Hero can get things done and keep things secure despite all of the problems but eventually like everybody else, the Hero is a human being and has flaws like a human being. The Hero occasionally makes a mistake.
This doesn't sound like any of the hospitals that I know about. I have friends and colleagues that are in the medical software business or an employee of a hospital throughout the southeast. My graduating class of engineers took advantage of the changes that HIPAA brought and a large portion of them work in the industry. We stay in touch and some of them are known to vent their frustration but none of it involved nepotism, mostly it involves having to manage tech school graduates and heroes.
Hospitals are slow about refreshing their IT hardware and the hospital in TFA involves physicians working for both New York Presbyterian and Columbia University Medical Center. I wouldn't be surprised that the only way the physician could get a newer laptop capable of running his software in a reasonable amount of time was to order one with his own money and have the IT staff configure it for him.
The article has the smell of bullshit coming from the IT department that was ultimately responsible. Instead of saying they mishandled off boarding the physicians computer, they gave the impression that the physician was directly responsible for the breach. If a medical physician can cause a website to appear on the hospital network and have that page accessible to the internet then I think its about time to clean house and the hospital seriously needs to find new IT staff.
How much is threat post paying timothy to drive up their traffic with these half ass stories?
The summary fails to mention that the phone must be in their possession and the both the phone and the search warrant must be delivered to Apple's headquarters which is the only place Apple will perform the extraction.
If anything I applaud Apple for both publicly disclosing their policy for dealing with law enforcement and requiring a search warrant with more detail than "suspect's phone". They require the model number, phone number, serial of IEMI number and FCC ID number.
If the App proves popular, I'm sure the citizens would ask for the city to put a stop to this practice. The city will respond by making a new penalty for squatting on public spaces for profit and eventually the city's traffic department will start using the App to track down parking places up for auction and issuing parking fines.
Slashdot Mirror
I'm wondering how that fuckhead spammer BillTheEngineer is using my username but with a different UID.
So spam bots are duplicating people's names on Slashdot now?
I remember when people said the same thing about Linux. Boy have things changed.
Sort of like Walmart but for books.
It could also be interpreted as the publisher couldn't charge more to iTune users than they do anywhere else. The publisher still set the price.
It was not Leahy since he worked hard to get the bill ready to pass committee. It was Senate Majority Leader Harry Reid (D). It was reported that Reid threatened to not allow the bill to reach the senate floor due to objections from the pharmaceutical industry and trial lawyers.
The clue is when everyone blamed "democratic leadership".
If that truly was a concern for the pro-petroleum folks then why do we export so much of our gasoline and keep our domestic price high? FYI, the Keystone XL pipeline goal is to move the crude oil to refineries on the gulf coast for export.
If we want to take the long view and lower the cost of energy for everyone we need to spend more money toward finding alternative and more abundant sources of energy. This short-term strategy of keeping the status-quo and using the current stock of "cheap energy" does nothing but make petroleum investors rich, further damage the environment, and delay the inevitable to the point where the poor will suffer even more than they supposedly do today.
Nomachine (NX) removed a lot of the pain that I had with X over VPN. I used it several years ago on a project and the performance was such that I barely noticed that I wasn't on the host's LAN. I liked it better than VNC at the time because I was still allowed to open a single X window without having to put up with an entire remote desktop.
It's not that bad once you get used to it. What you now see as random characters falling on the screen will soon become something you'd recognize like that hot blonde in the smoking red dress walking down the crowded sidewalk.
Google "publishes" an index for information available elsewhere on the web.
It's more like dinging RedHat for not supporting people who use CentOS or Scientific Linux.
Then the other part of the equation. How do they keep these things clean? If they're texture to match the traction of asphalt then how do they keep the road grime and dirt from lowering the performance of the solar panels? Spend money on cleaning?
I still don't see any cost advantage over the current reflective paint that makes the lanes very visible using nothing more than the light from your headlamps.
Comcast sent me an email late last year saying they would change my data usage agreement to the above.
True. I use a HUB on my Mac only because I hate reaching behind a 27" monitor to plug in a thumb drive.
What? You can't use a USB3 hub?
Hospital management is always the IT's customer. They pay your department to perform services and protect the infrastructure. Everytime you perform work for any staff member, you are performing a service for (and on the behalf of) management.
No I'm not a doctor. You are completely correct that the IT department works on behalf of the hospital. However in the context of this particular discussion, IT works on behalf of the doctors (which are part of the hospital staff) and do not provide a service directly to the patient.
Again IT provides what is considered a normal level of service. As an IT department, you deny requests that are outside acceptable corporate practices. I'm sure most of these practices were negotiated at a higher managerial level with staff input, and regardless of how reasonable the IT policy you will always have someone who insist they need something that violates that policy. The doctors are still one of your customers, and you are responsible for their IT requirements. The hospital management is also your customer, and you are responsible for making sure all of their policies are carried out and that no harm comes to the hospital via the IT department. Having the doctors as a customer, and having the hospital management as a customer is not mutually exclusive.
Funny thing being that some fraternity boys try to pick up girls smelling the same way.
Thanks to YouTube, we can outsource our grandchildren.
Always...
Well technology always outpace ethics so I'm in favor of anything that reasonably slows down advancement in order to make sure all the pitfalls are accounted for.
In your example, IBM Watson would fall in the realm of medical research and doesn't necessarily have real-time patient data. My understanding was that they would get some sort of aggregate data in their research. One of the largest hospitals that I'm familiar with has a live telemetry department which gather realtime patient stats (including EKG) into a single "war room" environment to keep patient monitoring costs low. They carry the data on a network physically separated from the rest of the hospital infrastructure.
In addition, I place this upcoming equipment in the realm of medical diagnostic equipment that happens to be a computer. It may help the doctor with his practice but it wouldn't necessarily replace him/her outright.
I would also assume that medical diagnostic equipment would be handled differently from the basic tools of the trade that are data entry points found at nurses stations, patient bedside (e-quip is catching on down here), doctor's iPad, and admissions that are handled by IT today. Regardless, IT will still be working on behalf of the staff of the hospital not the patients directly.
You're talking about tax benefits now. Earlier you were talking about "easy money" which is revenue. You can't pay your expenses with "write offs", instead you lower your tax burden. You still need to make enough revenue to remain solvent.
Ive seen this. However the money still isn't "easy". You insinuated an endless of supply of easy money earlier, now you may be unintentionally changing the topic to what to do wi
There are a number of things wrong with your post:
The doctors are IT's customers not the patient. The patients are the doctor's customers not yours. It's the doctor's job to care for the patients. It's IT's job to make sure the computers doesn't get in the doctor's way while remaining secure and HIPAA compliant. I can see why the doctors would disrespect an IT department that doesn't cater to the customer's (as in doctors) needs.
Really? Their budgets have been shrinking for well over a decade. With medicare payouts being lowered, unfunded mandates to provide "life saving" care to indigents which includes triaging cold and flu cases in ERs, increasing budget reserves in order to offset the growing malpractice risks (self insured hospitals) or paying higher premiums (non-self insured hospitals), and increase labor costs for staff I'd like to know where this easy money is coming from.
In my region the nonprofit medical centers tend to be the regional charity or university based hospitals and they are outnumbered by the growing number of for-profit medical centers that offer specialized care. In plain english this means that the high-markup services are being performed by for-profit outpatient centers leaving the hospitals with convalescence services and indigent care.
This doesn't sound like any of the hospitals that I know about. I have friends and colleagues that are in the medical software business or an employee of a hospital throughout the southeast. My graduating class of engineers took advantage of the changes that HIPAA brought and a large portion of them work in the industry. We stay in touch and some of them are known to vent their frustration but none of it involved nepotism, mostly it involves having to manage tech school graduates and heroes.
Hospitals are slow about refreshing their IT hardware and the hospital in TFA involves physicians working for both New York Presbyterian and Columbia University Medical Center. I wouldn't be surprised that the only way the physician could get a newer laptop capable of running his software in a reasonable amount of time was to order one with his own money and have the IT staff configure it for him.
The article has the smell of bullshit coming from the IT department that was ultimately responsible. Instead of saying they mishandled off boarding the physicians computer, they gave the impression that the physician was directly responsible for the breach. If a medical physician can cause a website to appear on the hospital network and have that page accessible to the internet then I think its about time to clean house and the hospital seriously needs to find new IT staff.
How much is threat post paying timothy to drive up their traffic with these half ass stories?
The summary fails to mention that the phone must be in their possession and the both the phone and the search warrant must be delivered to Apple's headquarters which is the only place Apple will perform the extraction.
If anything I applaud Apple for both publicly disclosing their policy for dealing with law enforcement and requiring a search warrant with more detail than "suspect's phone". They require the model number, phone number, serial of IEMI number and FCC ID number.
If the App proves popular, I'm sure the citizens would ask for the city to put a stop to this practice. The city will respond by making a new penalty for squatting on public spaces for profit and eventually the city's traffic department will start using the App to track down parking places up for auction and issuing parking fines.
I've had IPv6 provided by Comcast (yea Comcast) for about a year now. Maybe you should find a different ISP.