In a word, Freedom. I live in one of the last free areas where its not a police state and my politicians dont pass 1000 rules that they themselves do not intend to follow. My right to privacy is absolute and the cops actually tey to preserve that. Also, over a few decades I have acquired a few NFA registered weapons. Ive never done anything remotely illegal with them. In many states they would not let me transfer them due to recent and rediculous laws that have proven to do nothing to curb the problems they are actually plagued with. Its all a show. These laws did not exist 15yrs ago.
I was always told to obey all traffic laws when riding on the pavement. But being on a bike DOES let you move to the head of the line. In Bankok motorcyclist did that all the time. They woud drive past the traffic and line up at the light. They still made better time even though they waited at the lights.
If they dont stop at the light, a car coming rhe other way is likely to t-bone them. Theres no exoskeleton riding a bike. The cyclist will have a very bad day. I still dont understand why they made biking on a sidewalk illegal. Sidewalk cross walks are better equipped to turn left without leaving the bike lane. The injury from a collission to a pedestrian is still a lot less than a car hitting a cyclist. The bike does not weigh 4600lb.
You must live somewhere with no weather changes. Its great you can make it work. I live in the Ohio valley. It took forever for it to stop snowing this year. It was toward the end of april when we got our first glipse of spring weather. Then May came with the typical April showers, only it didnt stop after May. Well into June/July we had week long rains, where there was maybe 1 or 2 days a week that it didnt rain. The heat peeked early, making june the first month of the year to reach mid 90s. October returned back to the rainy/cold and as of this morning it was 22F when I woke up. Tuesday will be our first snow of the year, and when I wake on Wednesday its supposed to be 13F.
It seems these articles are written in a vacuum. Whats worse is that city planners around here listened to these utopian ideas and deleted an entire lane of traffic to support a bike lane that is nearly never used because of cold, or rain, or icy/wet roads making the risk of getting slammed into by a car that lost control a very real possibility. Deleting a 3 lane road into 2 (that still lets people park on the curb turning it into 1 lane) has only made traffic even worse. The risk of injury is very real. I had a workout friend get cremed riding across a traffic bridge while training for a triathalon. The driver was composing an email and drifted to the right and clipped his bike, sending him head first into the pavement. It crushed the vertebrae in his neck. They need special sidewalks, not painted stripes on a road, in a location thats weather permitting. But least we will never experience drout.
The ozone and cfc relationship was as easy to prove as a kids science experiment demonstrating condensation. The replacement gasses were quite good and no additional funding was required.
Even the states that tried to put global warming measures on their ballots failed to get the votes. These are some very blue states, in districts that just took ownership of congressional House seats. So its not a partisan thing. Even among democrats the numbers do not support complete consensus. More work needs to be done to show the science of it and people need to stop making -adjustments- to temperature data to support their hypothesis. That always throws a wrench in any comittee.
The key to global warming is not media scare tactics. An anti-pollution approach would be a more effective campaign. Noone wants to breathe dirty air. Let curbing co2 be a biproduct of cleaning up the other polutants, esp from cars.
The ozone and cfc relationship was as easy to prove as a kids science experiment demonstrating condensation. The replacement gasses were quite good and no additional funding was required.
Even the states that tried to put global warming measures on their ballots failed to get the votes. These are some very blue states, in districts that just took ownership of congressional House seats. So its not a partisan thing. Even among democrats the numbers do not support complete consensus. More work needs to be done to show the science of it and people need to stop making -adjustments- to temperature data to support their hypothesis. That always throws a wrench in any comittee.
My mental health would improve greatly if i drove a BMW M3. Maybe you should help subsidize my payments:-). I mean paying for my M3 is way cheaper than mental health visits right???
It was literally the last warning from Steven Hawkings. History is full of examples of what happens when one civilization meets another civilization that is vastly ahead in technology. It has always ended badly for the ones with inferior technology.
Noone said lower. If youre already accepting $48 from the insurance companies, then always bill $48 not $158 regardless. You might be surprised to learn the doctors are currently prohibited, via contract, from actually doing this right now. The insurance companies are the issue in the case of inflating non covered pricing. It helps the insurance company look like they are doing more than just payjng 20% of your bill. Do away will all of this fake numbers-game bullshit. Allow Doctors to offer pricing comparible to insurance allowed amounts. Prohibit doctors from listing extraneous âretailâ(TM) pricing in order to game taxes or gouge uninsured the same way they prohibit gouging gas prices or utility prices. This is the easiest part of the whole thing to solve. We already do this sort of thing for many other types of products.
The very fact that they accept a fixed amount already agreed-upon, in contract from an insurance company, or several, is all the evidence you need to argue that the amount was deemed acceptable add appropriate payment for rendering Syd service
What if they prescribe pain medication in spite of KASPER or whatever state law limiting the amount and/or frequency they can prescribe? Its no different than any other consumer protection law on the books.
I disagree. If lowering costs of both premiums and healthcost is successful, then you get a lot less push-back from the population. Who in their right mind would argue that. Once that gets stabilized, people will generally not make waves about changes if the net result doesnt affect their bottom line. You want to cover Lasik and found a way to do it without increasing my costs or premiums? knock yourself out. You can be a lot more effective at fixing things if you start from a strong economic position.
It wasnt until they drafted a nearly 1000 page bill and said 'you have to vote for it before we even let you read it' that really pissed people off. Nothing screams shady bullshit ripe with fraud and abuses than telling someone to vote for something they've never seen. "Trust us, we are from the government, we are here to help." Scariest words ever.
well the did recently roll back a regulation that prevented a pharmacist from telling you that there was a cheaper way to get the same drug your paying for. (example those $4 and $7 prescriptions at walmart are cheaper than a $20 copay). But nobody noticed. Half the time I think trump gets on twitter to say stupid shit to get the media spun up so they can create conflict about this particular repeal, or kushner going to iran, etc. Its probably the only way to get shit done. Its in the media's best interest to generate as much conflict as possible, because it drives clicks, sells papers, drives up ratings, sells more commercials. The media is the ultimate ratings whores and do not care one rats ass how much it is stressing the shit out of everyone.
sure, tackle the issues one at a time.... starting with cost. The lower your cost the more people will be able to have it.
stop tying health insurance to EMPLOYMENT. This is a SCAM. No other insurance on the planet works this way. If I hate my job, I dont have to worry about driving without insurance, or my house catching on fire and not being covered, as a result of this. With healthcare I may have to stick with a completely shitty place to work merely because I am currently using benefits (kids physical therapy or something similar) where changing jobs threatens this. This has existed since Nixon and its a tool that employers can use to stagnate wages and underpay employees. Employers are not even required to subsidize. They literally can charge the employee the full cost of coverage. So if employers want to continue to subsidize they can come up with a way that employers can direct deposit an amount directly to the premium.
limit the costs of procedures. Constantly you get an EOB that says medical billed some ridiculous price and that the insurance lowered it to some lower value. This value is generally based on reasonable acceptable amounts. A 8 min office visit does not need to cost $186, hell it shouln't even cost $45. Make the requirement that the facility or practice most present the same charge to uninsured as those with insurance. There are plenty of plans that suck that have $40 copays for an office visit. If you read your EOB you will see that the charges got reduced down to $48, meaning they only paid $8 anyway. By forcing the providers to charge everyone $48, even the uninsured are not paying much more than those with the shittiest insurances. These $4000 procedure discounted to $1500 come back in 'income losses' and claimed against their taxes.
limit the costs of malpractice and malpractice insurances - they constantly claim that those $4000 MRI bills (that are only $150 in europe) are padded with malpractice insurance and malpractice payouts and these crazy prices are to recover those expenses. Make class actions (the type where the class gets $50 while the lawfirm gets hundreds of millions) banned. Each malpractice should have its own case with its own determination of Tort and actual damages.
Require all medical fields to meet the requirements of 503(c) non-profit status. They must re-invest a percentage of their profits back into their mission statements. Allowing hospitals and medical facility to be for-profit is unethical. 503(c) can turn a profit, they just are limited in how much profit they can turn by making them re-invest in whatever their mission is such as new medical equipment or newer technologies and research.
Solve the cost issues FIRST... once these are stable, THEN start going over what services should or should not get serviced. Because with a stable and affordable cost structure in place. Does this earn me the right to complain?
No. Obamacare was always about the rich/healthy subsidizing the poor/sick. Nobody ever said that everyone's premiums would go down.
Sooo, we're supposed to give the clowns that pawned Obamacare off on us ANOTHER chance?
No. Obamacare is a federal program. All the programs in TFA are happening at the state and local level.
the original reason national healthcare even cleared 50% approval was because 90% of the voters were sick of their premiums going up 15% every single year. The inability for people to afford insurance or afford the remaining medical expenses was front and center of the debate. You do realize its called the AFFORDABLE care act right? The rich were already subsidizing the poor/sick, through medicaid. The lie thrown out was that because the HEALTHY, uninsured, young people, would lower the costs of premiums because they were being FORCED to get insurance. The cost of premiums is _supposed_ to be predicated on the total revenue collected compared to expenses paid out. Premiums claim increases when the amount paid out almost equals the amount paid into the plan. Unfortunately they didnt try to solve one problem at a time (such as afffordability). Instead they kept trying to mandate more things covered by insurance that is typically elective in nature. There is no medical necessity that says you will die if you do not get a sex change. They even tried to pretend the abortion coverage was about denying people abortions. Roe v Wade guarantees any woman who wants an abortion can have one. The only thing in debate is if insurance should have to PAY for it. It was a deliberate distraction. These are the sort things that drive up costs much the same way that any exclusion does. Things that are elective, not life threatening, or quality of life threatening, really have no basis being covered if your program is reaching critical mass for expenses.
Examples of items people should have to pay out of their own pocket (not all are covered but many are):
- elective abortions (ie not medically necessary) - if you arent going to pay for infertility treatments, why pay for the fertility removal treatments - viagra - this is essentially a recreational drug, why do I need to subsidize someone's sex life? Can I file a claim for renting a prostitute in Vegas? - medical marijiuanna - as it would be tantamount to a doctor prescribing a glass of wine every day. Every state that has medical cannabis laws makes provisions to grow your own so that your expenses are curbed considerably. CBD oil for seizures would be the only possible exception since its impossible to extract at home without also extracting all the other cannabis. - nose jobs, boob jobs, liposuction, tummy tucks - whenever not medically necessary. Fixing your nose to look like Julia Roberts? hell no, reconstructive boob job after a mastectomy? Yes. - sex change operation - turning a normally functioning male into an apparently looking female (or vice versus) is not medically necessary. No one says you cant do it, just that someone else should not have to subsidize it. It would be no different than asking for penis enlargement surgery or implant surgery.
Every time you Give examples of hypocrisy, for either fucking party, both the candidates and all their supporters rally to explain how it is not hypocrisy because they dont believe in such a word. Give examples of hypocrisy, for either fucking party, both the candidate and all their supporters ralley to explain how it is not hypocrisy because they dont believe in such a word.
And if you do not believe the media is purposely against you, think about the way they demonize the word nationalism. Doesnt the idea of country first also mean not putting our fucking nose in other countries business? But the media will make that into an evil evil idea. However will they sell newspapers if we are not always at each others throat?
For the legislative branch, make it like jury duty. Itâ(TM)s not like these fucking idiots know what the hell theyre doing. Didnâ(TM)t know anything about the shit they vote on. They go ask a few questions and talk to a few advisors. Anybody can fucking do that. The problem with people that of been in there so long is that they know where all the bodies are buried. They use that to get their way and thats part of the reason why they are corrupt. Someone like you or me should go to their mailbox, opened up, and then say shit I have senate duty this year.
I cared. I voted for Obozo in 2008 hoping he would reverse this shit, as said during campaign speeches. I did NOT vote for him in 2012, because by then he had not only kept them in place but expanded them several fold. Ordered assasinations of us citizens without at least holding a trial or military tribunal in absense. We are seeing exponential growth in surveilance since 2001. In Obozos second term he got REAL buddy-buddy with Facebook and Google. It wasnt because he needed inside tips for Farmville.
just like certain groups are more likely to get diabetes than others. Diabetes is pretty rampant in native american tribes. There's a lot of us with some amount of native american genetics in our blood. Obviously the excessive sitting we do, compared to 50yrs ago, only exacerbates a preexisting condition.
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In a word, Freedom. I live in one of the last free areas where its not a police state and my politicians dont pass 1000 rules that they themselves do not intend to follow. My right to privacy is absolute and the cops actually tey to preserve that. Also, over a few decades I have acquired a few NFA registered weapons. Ive never done anything remotely illegal with them. In many states they would not let me transfer them due to recent and rediculous laws that have proven to do nothing to curb the problems they are actually plagued with. Its all a show. These laws did not exist 15yrs ago.
What about splitting a sidewalk into fast movers and slow movers like they do at airports?
No thats canada. They apologize when you run into them ;-)
Not being serious. Just a friendly jab at their politeness.
I was always told to obey all traffic laws when riding on the pavement. But being on a bike DOES let you move to the head of the line. In Bankok motorcyclist did that all the time. They woud drive past the traffic and line up at the light. They still made better time even though they waited at the lights.
They exist because cars ore coming in the cross direction at 35 - 47mph. Thats bad for a car to drive into ehen the light is red. Its fatal to a bike.
If they dont stop at the light, a car coming rhe other way is likely to t-bone them. Theres no exoskeleton riding a bike. The cyclist will have a very bad day. I still dont understand why they made biking on a sidewalk illegal. Sidewalk cross walks are better equipped to turn left without leaving the bike lane. The injury from a collission to a pedestrian is still a lot less than a car hitting a cyclist. The bike does not weigh 4600lb.
You must live somewhere with no weather changes. Its great you can make it work. I live in the Ohio valley. It took forever for it to stop snowing this year. It was toward the end of april when we got our first glipse of spring weather. Then May came with the typical April showers, only it didnt stop after May. Well into June/July we had week long rains, where there was maybe 1 or 2 days a week that it didnt rain. The heat peeked early, making june the first month of the year to reach mid 90s. October returned back to the rainy/cold and as of this morning it was 22F when I woke up. Tuesday will be our first snow of the year, and when I wake on Wednesday its supposed to be 13F.
It seems these articles are written in a vacuum. Whats worse is that city planners around here listened to these utopian ideas and deleted an entire lane of traffic to support a bike lane that is nearly never used because of cold, or rain, or icy/wet roads making the risk of getting slammed into by a car that lost control a very real possibility. Deleting a 3 lane road into 2 (that still lets people park on the curb turning it into 1 lane) has only made traffic even worse. The risk of injury is very real. I had a workout friend get cremed riding across a traffic bridge while training for a triathalon. The driver was composing an email and drifted to the right and clipped his bike, sending him head first into the pavement. It crushed the vertebrae in his neck. They need special sidewalks, not painted stripes on a road, in a location thats weather permitting. But least we will never experience drout.
And maxine waters staff doxing the adresses of the the senate judicial comittee earns your praises why? Stop being a hypocrite.
The ozone and cfc relationship was as easy to prove as a kids science experiment demonstrating condensation. The replacement gasses were quite good and no additional funding was required.
Even the states that tried to put global warming measures on their ballots failed to get the votes. These are some very blue states, in districts that just took ownership of congressional House seats. So its not a partisan thing. Even among democrats the numbers do not support complete consensus. More work needs to be done to show the science of it and people need to stop making -adjustments- to temperature data to support their hypothesis. That always throws a wrench in any comittee.
The key to global warming is not media scare tactics. An anti-pollution approach would be a more effective campaign. Noone wants to breathe dirty air. Let curbing co2 be a biproduct of cleaning up the other polutants, esp from cars.
The ozone and cfc relationship was as easy to prove as a kids science experiment demonstrating condensation. The replacement gasses were quite good and no additional funding was required.
Even the states that tried to put global warming measures on their ballots failed to get the votes. These are some very blue states, in districts that just took ownership of congressional House seats. So its not a partisan thing. Even among democrats the numbers do not support complete consensus. More work needs to be done to show the science of it and people need to stop making -adjustments- to temperature data to support their hypothesis. That always throws a wrench in any comittee.
My mental health would improve greatly if i drove a BMW M3. Maybe you should help subsidize my payments :-). I mean paying for my M3 is way cheaper than mental health visits right???
It was literally the last warning from Steven Hawkings. History is full of examples of what happens when one civilization meets another civilization that is vastly ahead in technology. It has always ended badly for the ones with inferior technology.
https://www.sciencealert.com/s...
Noone said lower. If youre already accepting $48 from the insurance companies, then always bill $48 not $158 regardless. You might be surprised to learn the doctors are currently prohibited, via contract, from actually doing this right now. The insurance companies are the issue in the case of inflating non covered pricing. It helps the insurance company look like they are doing more than just payjng 20% of your bill. Do away will all of this fake numbers-game bullshit. Allow Doctors to offer pricing comparible to insurance allowed amounts. Prohibit doctors from listing extraneous âretailâ(TM) pricing in order to game taxes or gouge uninsured the same way they prohibit gouging gas prices or utility prices. This is the easiest part of the whole thing to solve. We already do this sort of thing for many other types of products.
The very fact that they accept a fixed amount already agreed-upon, in contract from an insurance company, or several, is all the evidence you need to argue that the amount was deemed acceptable add appropriate payment for rendering Syd service
What if they prescribe pain medication in spite of KASPER or whatever state law limiting the amount and/or frequency they can prescribe? Its no different than any other consumer protection law on the books.
I disagree. If lowering costs of both premiums and healthcost is successful, then you get a lot less push-back from the population. Who in their right mind would argue that. Once that gets stabilized, people will generally not make waves about changes if the net result doesnt affect their bottom line. You want to cover Lasik and found a way to do it without increasing my costs or premiums? knock yourself out. You can be a lot more effective at fixing things if you start from a strong economic position.
It wasnt until they drafted a nearly 1000 page bill and said 'you have to vote for it before we even let you read it' that really pissed people off. Nothing screams shady bullshit ripe with fraud and abuses than telling someone to vote for something they've never seen. "Trust us, we are from the government, we are here to help." Scariest words ever.
its Herr Fuhrer, at least spell it right ;-)
should say 'cant create conflict'
s/"media spun up so they can create conflict "/"media spun up so they can't create conflict"/
well the did recently roll back a regulation that prevented a pharmacist from telling you that there was a cheaper way to get the same drug your paying for. (example those $4 and $7 prescriptions at walmart are cheaper than a $20 copay). But nobody noticed. Half the time I think trump gets on twitter to say stupid shit to get the media spun up so they can create conflict about this particular repeal, or kushner going to iran, etc. Its probably the only way to get shit done. Its in the media's best interest to generate as much conflict as possible, because it drives clicks, sells papers, drives up ratings, sells more commercials. The media is the ultimate ratings whores and do not care one rats ass how much it is stressing the shit out of everyone.
sure, tackle the issues one at a time.... starting with cost. The lower your cost the more people will be able to have it.
stop tying health insurance to EMPLOYMENT. This is a SCAM. No other insurance on the planet works this way. If I hate my job, I dont have to worry about driving without insurance, or my house catching on fire and not being covered, as a result of this. With healthcare I may have to stick with a completely shitty place to work merely because I am currently using benefits (kids physical therapy or something similar) where changing jobs threatens this. This has existed since Nixon and its a tool that employers can use to stagnate wages and underpay employees. Employers are not even required to subsidize. They literally can charge the employee the full cost of coverage. So if employers want to continue to subsidize they can come up with a way that employers can direct deposit an amount directly to the premium.
limit the costs of procedures. Constantly you get an EOB that says medical billed some ridiculous price and that the insurance lowered it to some lower value. This value is generally based on reasonable acceptable amounts. A 8 min office visit does not need to cost $186, hell it shouln't even cost $45. Make the requirement that the facility or practice most present the same charge to uninsured as those with insurance. There are plenty of plans that suck that have $40 copays for an office visit. If you read your EOB you will see that the charges got reduced down to $48, meaning they only paid $8 anyway. By forcing the providers to charge everyone $48, even the uninsured are not paying much more than those with the shittiest insurances. These $4000 procedure discounted to $1500 come back in 'income losses' and claimed against their taxes.
limit the costs of malpractice and malpractice insurances - they constantly claim that those $4000 MRI bills (that are only $150 in europe) are padded with malpractice insurance and malpractice payouts and these crazy prices are to recover those expenses. Make class actions (the type where the class gets $50 while the lawfirm gets hundreds of millions) banned. Each malpractice should have its own case with its own determination of Tort and actual damages.
Require all medical fields to meet the requirements of 503(c) non-profit status. They must re-invest a percentage of their profits back into their mission statements. Allowing hospitals and medical facility to be for-profit is unethical. 503(c) can turn a profit, they just are limited in how much profit they can turn by making them re-invest in whatever their mission is such as new medical equipment or newer technologies and research.
Solve the cost issues FIRST... once these are stable, THEN start going over what services should or should not get serviced. Because with a stable and affordable cost structure in place. Does this earn me the right to complain?
Weren't premiums supposed to go DOWN???
No. Obamacare was always about the rich/healthy subsidizing the poor/sick. Nobody ever said that everyone's premiums would go down.
Sooo, we're supposed to give the clowns that pawned Obamacare off on us ANOTHER chance?
No. Obamacare is a federal program. All the programs in TFA are happening at the state and local level.
the original reason national healthcare even cleared 50% approval was because 90% of the voters were sick of their premiums going up 15% every single year. The inability for people to afford insurance or afford the remaining medical expenses was front and center of the debate. You do realize its called the AFFORDABLE care act right? The rich were already subsidizing the poor/sick, through medicaid. The lie thrown out was that because the HEALTHY, uninsured, young people, would lower the costs of premiums because they were being FORCED to get insurance. The cost of premiums is _supposed_ to be predicated on the total revenue collected compared to expenses paid out. Premiums claim increases when the amount paid out almost equals the amount paid into the plan. Unfortunately they didnt try to solve one problem at a time (such as afffordability). Instead they kept trying to mandate more things covered by insurance that is typically elective in nature. There is no medical necessity that says you will die if you do not get a sex change. They even tried to pretend the abortion coverage was about denying people abortions. Roe v Wade guarantees any woman who wants an abortion can have one. The only thing in debate is if insurance should have to PAY for it. It was a deliberate distraction. These are the sort things that drive up costs much the same way that any exclusion does. Things that are elective, not life threatening, or quality of life threatening, really have no basis being covered if your program is reaching critical mass for expenses.
Examples of items people should have to pay out of their own pocket (not all are covered but many are):
- elective abortions (ie not medically necessary) - if you arent going to pay for infertility treatments, why pay for the fertility removal treatments
- viagra - this is essentially a recreational drug, why do I need to subsidize someone's sex life? Can I file a claim for renting a prostitute in Vegas?
- medical marijiuanna - as it would be tantamount to a doctor prescribing a glass of wine every day. Every state that has medical cannabis laws makes provisions to grow your own so that your expenses are curbed considerably. CBD oil for seizures would be the only possible exception since its impossible to extract at home without also extracting all the other cannabis.
- nose jobs, boob jobs, liposuction, tummy tucks - whenever not medically necessary. Fixing your nose to look like Julia Roberts? hell no, reconstructive boob job after a mastectomy? Yes.
- sex change operation - turning a normally functioning male into an apparently looking female (or vice versus) is not medically necessary. No one says you cant do it, just that someone else should not have to subsidize it. It would be no different than asking for penis enlargement surgery or implant surgery.
Every time you Give examples of hypocrisy, for either fucking party, both the candidates and all their supporters rally to explain how it is not hypocrisy because they dont believe in such a word. Give examples of hypocrisy, for either fucking party, both the candidate and all their supporters ralley to explain how it is not hypocrisy because they dont believe in such a word.
And if you do not believe the media is purposely against you, think about the way they demonize the word nationalism. Doesnt the idea of country first also mean not putting our fucking nose in other countries business? But the media will make that into an evil evil idea. However will they sell newspapers if we are not always at each others throat?
For the legislative branch, make it like jury duty. Itâ(TM)s not like these fucking idiots know what the hell theyre doing. Didnâ(TM)t know anything about the shit they vote on. They go ask a few questions and talk to a few advisors. Anybody can fucking do that. The problem with people that of been in there so long is that they know where all the bodies are buried. They use that to get their way and thats part of the reason why they are corrupt. Someone like you or me should go to their mailbox, opened up, and then say shit I have senate duty this year.
I cared. I voted for Obozo in 2008 hoping he would reverse this shit, as said during campaign speeches. I did NOT vote for him in 2012, because by then he had not only kept them in place but expanded them several fold. Ordered assasinations of us citizens without at least holding a trial or military tribunal in absense. We are seeing exponential growth in surveilance since 2001. In Obozos second term he got REAL buddy-buddy with Facebook and Google. It wasnt because he needed inside tips for Farmville.
just like certain groups are more likely to get diabetes than others. Diabetes is pretty rampant in native american tribes. There's a lot of us with some amount of native american genetics in our blood. Obviously the excessive sitting we do, compared to 50yrs ago, only exacerbates a preexisting condition.