The Walrus and The Carpenter

The Walrus and The Carpenter

Lewis Carroll

(from Through the Looking-Glass and What Alice Found There, 1872)

The sun was shining on the sea,
Shining with all his might:
He did his very best to make
The billows smooth and bright–
And this was odd, because it was
The middle of the night.

The moon was shining sulkily,
Because she thought the sun
Had got no business to be there
After the day was done–
“It’s very rude of him,” she said,
“To come and spoil the fun!”

The sea was wet as wet could be,
The sands were dry as dry.
You could not see a cloud, because
No cloud was in the sky:
No birds were flying overhead–
There were no birds to fly.

The Walrus and the Carpenter
Were walking close at hand;
They wept like anything to see
Such quantities of sand:
“If this were only cleared away,”
They said, “it would be grand!”

“If seven maids with seven mops
Swept it for half a year.
Do you suppose,” the Walrus said,
“That they could get it clear?”
“I doubt it,” said the Carpenter,
And shed a bitter tear.

“O Oysters, come and walk with us!”
The Walrus did beseech.
“A pleasant walk, a pleasant talk,
Along the briny beach:
We cannot do with more than four,
To give a hand to each.”

The eldest Oyster looked at him,
But never a word he said:
The eldest Oyster winked his eye,
And shook his heavy head–
Meaning to say he did not choose
To leave the oyster-bed.

But four young Oysters hurried up,
All eager for the treat:
Their coats were brushed, their faces washed,
Their shoes were clean and neat–
And this was odd, because, you know,
They hadn’t any feet.

Four other Oysters followed them,
And yet another four;
And thick and fast they came at last,
And more, and more, and more–
All hopping through the frothy waves,
And scrambling to the shore.

The Walrus and the Carpenter
Walked on a mile or so,
And then they rested on a rock
Conveniently low:
And all the little Oysters stood
And waited in a row.

“The time has come,” the Walrus said,
“To talk of many things:
Of shoes–and ships–and sealing-wax–
Of cabbages–and kings–
And why the sea is boiling hot–
And whether pigs have wings.”

“But wait a bit,” the Oysters cried,
“Before we have our chat;
For some of us are out of breath,
And all of us are fat!”
“No hurry!” said the Carpenter.
They thanked him much for that.

“A loaf of bread,” the Walrus said,
“Is what we chiefly need:
Pepper and vinegar besides
Are very good indeed–
Now if you’re ready, Oysters dear,
We can begin to feed.”

“But not on us!” the Oysters cried,
Turning a little blue.
“After such kindness, that would be
A dismal thing to do!”
“The night is fine,” the Walrus said.
“Do you admire the view?

“It was so kind of you to come!
And you are very nice!”
The Carpenter said nothing but
“Cut us another slice:
I wish you were not quite so deaf–
I’ve had to ask you twice!”

“It seems a shame,” the Walrus said,
“To play them such a trick,
After we’ve brought them out so far,
And made them trot so quick!”
The Carpenter said nothing but
“The butter’s spread too thick!”

“I weep for you,” the Walrus said:
“I deeply sympathize.”
With sobs and tears he sorted out
Those of the largest size,
Holding his pocket-handkerchief
Before his streaming eyes.

“O Oysters,” said the Carpenter,
“You’ve had a pleasant run!
Shall we be trotting home again?’
But answer came there none–
And this was scarcely odd, because
They’d eaten every one.

 

 

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[ECP] Educational CyberPlayGround, Inc. K-12 Newsletters

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Copyright Troll law firms get slammed

Copyright Troll law firms get slammed

“The opening two paragraphs deserve reprinting in full:

Plaintiffs have outmaneuvered the legal system. They’ve discovered the nexus of antiquated copyright laws, paralyzing social stigma, and unaffordable defense costs. And they exploit this anomaly by accusing individuals of illegally downloading a single pornographic video. Then they offer to settle — for a sum calculated to be just below the cost of a bare-bones defense. For these individuals, resistance is futile; most reluctantly pay rather than have their names associated with illegally downloading porn. So now, copyright laws originally designed to compensate starving artists allow starving attorneys in this electronic-media era to plunder the citizenry.

Plaintiffs do have a right to assert their intellectual-property rights, so long as they do it right. But Plaintiffs filing of cases using the same boilerplate complaint against dozens of defendants raised the Courts alert. It was when the Court realized Plaintiffs engaged their cloak of shell companies and fraud that the Court went to battlestations.”

<http://www.salon.com/2013/05/07/porn_copyright_trolling_lawyers_get_busted/>

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HEALTHCARE: Medicare Provider Charge Data

Medicare Provider Charge Data

HOSPITAL CHARGES

As part of the Obama administration’s work to make our health care system more affordable and accountable, data are being released that show significant variation across the country and within communities in what hospitals charge for common inpatient services.

The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2011. These DRGs represent almost 7 million discharges or 60 percent of total Medicare IPPS discharges.

Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount.

For these DRGs, average charges and average Medicare payments are calculated at the individual hospital level. Users will be able to make comparisons between the amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.

Data are being made available in Microsoft Excel (.xlsx) format and comma separated values (.csv) format.

Inpatient Charge Data, FY2011, Microsoft Excel version
Inpatient Charge Data, FY2011, Comma Separated Values (CSV) version

Inpatient Charge Data on data.cms.gov

 

CMS.GOV
A federal government website managed by the Centers for Medicare & Medicaid Services
7500 Security Boulevard, Baltimore, MD 21244         

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HEALTHCARE: Hospital Billing Varies Wildly, Government Data Shows

Hospital Billing Varies Wildly, Government Data Shows
By BARRY MEIER, JO CRAVEN McGINTY and JULIE CRESWELL

http://www.nytimes.com/2013/05/08/business/hospital-billing-varies-wildly-us-data-shows.html

A hospital in Livingston, N.J., charged $70,712 on average to implant a pacemaker, while a hospital in nearby Rahway, N.J., charged $101,945.

In Saint Augustine, Fla., one hospital typically billed nearly $40,000 to remove a gallbladder using minimally invasive surgery, while one in Orange Park, Fla., charged $91,000.

In one hospital in Dallas, the average bill for treating simple pneumonia was $14,610, while another there charged over $38,000.

Data being released for the first time by the government on Wednesday shows that hospitals charge Medicare wildly differing amounts — sometimes 10 to 20 times what Medicare typically reimburses — for the same procedure, raising questions about how hospitals determine prices and why they differ so widely.

The data for 3,300 hospitals, released by the federal Center for Medicare and Medicaid Services, shows wide variations not only regionally but among hospitals in the same area or city.

< - >
The for-profit healthcare model sucks 
about $400 billion a year
<http://www.pnhp.org/facts/single-payer-resources>    
out of our healthcare dollars to pay for administrative costs thatlargely disappear in a public system where administrative costs 
run dramatically lower.

Bitter Pill: Why Medical Bills Are Killing Us

http://www.time.com/time/magazine/article/0,9171,2136864,00.html

Corrections Appended: February 26 and March 12, 2013

1. Routine Care, Unforgettable Bills
When Sean Recchi, a 42-year-old from Lancaster, Ohio, was told last March that he had non-Hodgkin’s lymphoma, his wife Stephanie knew she had to get him to MD Anderson Cancer Center in Houston. Stephanie’s father had been treated there 10 years earlier, and she and her family credited the doctors and nurses at MD Anderson with extending his life by at least eight years.

http://healthland.time.com/why-medical-bills-are-killing-us/

video

http://www.time.com/time/video/player/0,32068,2178453595001_2136781,00.html

Time mag prints longest story ever by a single writer: “Bitter Pill,” by Steven Brill, on U.S. healthcare.

Author: Paul Raeburn

Next week, Time magazine features a cover story that it says is “the longest single piece ever published by a single writer” in the magazine. Entitled “Bitter Pill: Why Medical Bills are Killing Us,” it is an exhaustive, morbidly fascinating, and ultimately deeply discouraging story about the almost unimaginable financial excesses and distortions in the U.S. health care industry.

It was written by Steven Brill, a journalist, lawyer, and entrepreneur and the founder of Court TVAmerican Lawyer , and Brill’s Content. Brill’s most recent book was Class Warfare: Inside the Fight to Fix America’s Schools (2011).

Brill has a unique way of digging into stories of labyrinthine complexity, establishing the key dysfunctional elements, and exposing and explaining them in clear and straightforward prose that makes the reader feel smarter for having read him. He doesn’t always persuade everyone. When Class Warfare was published, Michael Winerip of The New York Times wrote a withering review, noting that Brill “knows that every story needs a villain or an evil force.” In Class Warfare, the villains were “bad teachers coddled by unions,” Yet, Winerip wrote, he didn’t give teachers their say. “Of the three million who work in traditional public schools, three are interviewed by Mr. Brill on the record; their insights take up six of the book’s 437 pages,” he wrote.

Applying that measure to Bitter Pill, I think Brill comes out better. The villains here are not those you might expect–the insurance companies. Here it is the hospitals and their highly paid executives. In this telling, insurance companies are victims too, often as powerless in their dealings with hospitals as are the individual patients whose stories Brill tells. If that sounds incredible, it will sound less so once you’ve begun to power your way through Brill’s story.

Brill’s mighty edifice is built on line-by-line examination of seven bills, showing the charges assessed against patients and insurers that are many, many multiples of what the services or products actually cost. He begins with an example that we’ve heard about, although usually in reference to aspirin. The first bill he examines includes this line: 1 ACETAMINOPHE TABS 325 MG. The charge, for a generic version of Tylenol, was $1.50. “You can buy 100 of them on Amazon for $1.49 even without a hospital’s purchasing power,”

<–>

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