“Will that be cash, or charge?”: Many hospitals & doctors offer cash discount for care

Regular readers will recall the entry entitled “Q: Why do hospitals charge $75 for aspirin? A: Because they can.,” which was posted Wednesday, May 2, 2012.

In another venue, I had posted the following remark in response to the exorbitant healthcare costs, “It’s a simple concept, really. Anytime anyone gets in between you & who you’re buying from, it costs more. Insurance does that.”

And it’s true.

It’s not trite.

Let’s consider this example: You’re at the grocery store in the check-out line, about to pay for your groceries which have already been bagged and placed in your shopping cart. When the clerk announces the total, you have some strange feeling because the total is about ten times as much as you imagined.

When you double check the price of milk you find the sticker says $2.50/gallon, but your clerk rang up $25. You double check the price of frozen spinach. The sticker price says $1.37, but the clerk rang up $13.70. The chocolate was $4.50, but the clerk rang up $45.00. And the lean ground beef, instead of the posted $2.60/lb, the 5lb chub was… $130.00.

Talk about sticker shock!

You are aghast at the price, and in frustrated terms exclaim that “there is obviously some gross mistake!” – to which the clerk replies, “Let me check with your Food Insurance Agent,” picks up a phone beside the register, presses one button, and whispers into the receiver. 

Suddenly, out of a door leading to an inside office,

How is FaceBook’s IPO like Erectile Dysfunction?

{UPDATE: Tuesday, 22 May 2012 – 2d story added}

Read on, to find out why.

(Oh, and please, dear reader, don’t make me spell it out why.)

And, as an interesting note aside, Mr. Zuckerberg was married yesterday.

Here’s wishing him and his bride all the best.

—

Nasdaq ‘embarrassed’ over Facebook IPO

By Telis Demos in New York, May 20, 2012 10:12 pm

Nasdaq OMX‘s chief executive admitted he was “embarrassed” by the delay in the opening trade of Facebook’s initial public offering and revealed that the exchange was in talks with regulators over potentially millions of dollars of customer claims.

Bob Greifeld said on Sunday that the 20-minute delay in trading of Facebook’s $16bn offering on Friday had been caused by a millisecond systems blip due to the largest IPO auction “in the history of mankind”.

The exchange has found itself in the spotlight after Facebook failed to deliver a first-day “pop” to investors, instead almost falling below its issuing price of $38. The shares, having risen briefly, quickly fell away to close the day with a gain of just 0.6 per cent, at $38.23.

As a result of the trading delay, Nasdaq was left with a position in Facebook shares that it was forced to liquidate, according to its own rules, generating $10m for the group. It plans to use that money, plus potentially more, to resolve disputes related to 30m shares that may have received improper trades.

It has requested approval from

What does a tax-free, worldwide fraud… er, religious media empire look like?

Recall the words to this song?

“Oh, how I love Jesus… Oh, how I love Jesus… Oh, how I love Jesus…“

Well, some folk don’t “love” Him because He first loved them, but because He “gives me power to get wealth.” And THAT, my brothers and sisters, is where it’s at! Money, money, money! Pass the cash! I want more! More! More! More!

Is this abuse?

You decide.

Perhaps the greater question is this: How can this be prevented?

And, this is ALL tax free.

Free.

Remember that word.

(And be sure to watch the hilarious video following the story below!)

—

Private jets, 13 mansions and a $100,000 mobile home just for the dogs: Televangelists ‘defrauded tens of million of dollars from Christian network’

By Nina Golgowski

PUBLISHED: 16:21 EST, 23 March 2012 | UPDATED: 16:22 EST, 23 March 2012

Two former employees of the world’s largest Christian television channel Trinity Broadcasting Network are accusing the non-profit of spending $50 million of its funding on extravagant personal expenses.

Among purchases, the network founded by Televangelists Paul and Jan Crouch, is accused of misappropriating its ‘charitable assets’ toward a $50 million jet, 13 mansions and a $100,000-mobile home for Mrs Crouch’s dogs.

Accused: Brittany Koper, center, recently filed a suit accusing the Trinity Broadcasting Network, its founders Janice Crouch (left) and Paul Crouch Sr (far right), in squandering $50 million of its funding

Their granddaughter, Brittany Koper, 26, recently filed her allegations in court after

Nursing Salary Survey reports Western Nurses earn more

One category of expert nurses this survey omitted – perhaps purposely – was Certified Registered Nurse Anesthetists.

As a group, they have consistently earned six-figure salaries, typically upwards of $125,000/year.

Among Advanced Practice Nurses, CRNAs have continually earned significantly more than the average APN.

In fact, according to a salary survey report performed in 2005 by LocumTenens.com, CRNA respondents reported income ranging from $90,000-$250,000, with 63% reported earning between $110,000-$170,000/year.

The average salaries reported were: 2008-$163,467 / 2009-$169,043 / 2010-$166,833.

And, in 2011, the average reported salary for CRNAs in that survey was $168,998.

Research published by the American Association of Nurse Anesthetists in AANA Journal, April 2008, indicated that the median range for CRNA faculty – academic and clinical – earned between $120,000 and $140,000.

So, as you read the following items, please bear that in mind.

In the Occupational Outlook Handbook published by the Bureau of Labor Statistics, the overall average salary for Registered Nurses in 2010 was $64,690 per year, or $31.10 per hour. The job outlook (forecast) for 2010-2020 is that need is expected to grow 26% (Faster than average). According to the BLS, there were 2,737,400 Registered Nurses in 2010.

—

Among Nurses, NPs and Those in the West Earn the Most

Jennifer Garcia

Authors and Disclosures
Journalist
Jennifer Garcia
Jennifer Garcia is a freelance writer for Medscape.
Disclosure: Jennifer Garcia has disclosed no relevant financial relationships.

May 11, 2012 — Nurse practitioners are the top earners among nurses, according to the Physicians Practice 2012 Staff Salary Survey . The survey reports salary averages from 1268 respondents, including nurse practitioners, registered nurses, and nurse managers. Salary information from other staff members such as physician assistants, medical records clerks, medical assistants, front desk staff, billing managers, and medical billers was also included in the survey.

Physicians Practice collected data during the fourth quarter of 2011, and

Where the Jobs Are: Is the Nursing Job Market a mixed bag?

Eminent nursing researcher & scholar Dr. Peter Buerhaus, PhD, RN, FAAN has made a career studying Nurses, and suggests that the jobs picture for new nurse grads is good, and that they may be facing one of the best job markets in decades.

A 2009 study he conducted found that, “Registered nurse (RN) employment has increased during the current recession, and we may soon see an end to the decade-long nurse shortage. This would give hospitals welcome relief and an opportunity to strengthen the nurse workforce by addressing issues associated with an increasingly older and foreign-born workforce. The recent increase in employment is also improving projections of the future supply of RNs, yet large shortages are still expected in the next decade. Until nursing education capacity is increased, future imbalances in the nurse labor market will be unavoidable.“

A 2004 study of his said that, “Wage increases, relatively high national unemployment, and widespread pri- vate-sector initiatives aimed at increasing the number of people who become nurses has resulted in a second straight year of strong employment growth among registered nurses (RNs). In 2003, older women and, to a lesser extent, foreign-born RNs accounted for a large share of employment growth. We also observe unusually large employment growth from two new demographic groups: younger people, particularly women in their early thirties, and men. Yet, despite the increase in employment of nearly 185,000 hospital RNs since 2001, the evidence suggests that the current nurse shortage has not been eliminated.“

Most recently, research he worked upon which was published in the December 2011 issue of Health Affairs found that “because of this surge in the number of young people entering nursing during the past decade, the nurse workforce is projected to grow faster during the next two decades than previously anticipated.”

In essence, “...the nurse workforce is now expected to grow at roughly the same rate as the population through 2030.”

They also cautioned however, “that the dynamics of the nursing workforce are more complex than sheer numbers.“

Lead researcher and RAND health economist David Auerbach said, “Instead of worrying about a decline, we are now growing the supply of nurses.“

Here’s something very interesting, however.

In that same issue of Health Affairs, a survey conducted by Christine Kovner of New York University examined the low “mobility” of new RNs. The most striking finding was that

Are the Kentucky Derby horses abused animals? Here’s what you may not know about horse racing.

Again, here is an issue about which many – if not most – are unaware.

Did you know, that on average, 24 horses a week die at racetracks in the United States?

Would you inject cobra venom in your pet?

Would you deliberately numb its pain just so it could race and possibly win?

What if afterward it breaks its legs and must be destroyed?

“Since 2009, more than 6,600 horses have broken down or showed signs of injury. An additional 3,800 horses have tested positive for illegal drugs. That figure underestimates the problem because few horses are tested for substances. At least 3,600 horses have died either racing or training at state-regulated tracks.”

At what cost winning?

—

A Derby Win, but a Troubled Record for a Trainer

May 10, 2012 By JOE DRAPE and WALT BOGDANICH

Last summer, the trainer Doug O’Neill was formally sanctioned after one of his racehorses at Hollywood Park in California tested positive for illegal drugs.

A year before, in 2010, O’Neill was punished for administering an illegal performance-enhancing concoction to a horse he ran in the prestigious Illinois Derby— the third time he had been accused of giving a horse what is known as a milkshake. Four months later, he was accused again of giving a milkshake to a horse in California.

Doug O’Neill, in this 2006 photo – trainer for 2012 Kentucky Derby winner “I’ll Have Another” – has been cited for giving drugs to his horses. (photo by Chris Carlson/Associated Press)

Over 14 years and in four different states, O’Neill received more than a dozen violations for giving his horses improper drugs. O’Neill’s horses also have had a tendency to break down. According to an analysis by The New York Times, the horses he trains break down or show signs of injury at more than twice the rate of the national average.

But none of it — the drug charges or the rate of damaged horses under his care — has much impeded O’Neill’s rise in the ranks of racing, and so there he was last Saturday, saddling I’ll Have Another, the surprising 3-year-old who won the 138th Kentucky Derby.

O’Neill’s Derby victory places him — and his troubled record — center stage at a time when thoroughbred racing is facing perhaps its greatest ethical reckoning. There is legislation before Congress calling for federal regulation of the sport. Gov. Andrew M. Cuomo of New York has appointed a task force to investigate a spike in the number of catastrophic breakdowns at Aqueduct Racetrack, which races thoroughbreds.

Industry groups representing breeders, owners and racetracks are proposing new drug rules and integrity measures to better protect the horses and riders.

“I have been guilty of

Hello? Teens! Do NOT drink hand sanitizer. Duh!

Huh?

What IS up with that?

Please, please, please…

—

More hand sanitizer drinking cases reported in dangerous trend

April 25, 2012, 10:36 am PST

The California Poison Control System has received 60 reports of teenagers drinking hand sanitizer since 2010, showing the dangerous trend is not unique to Los Angeles.

In an effort to get drunk, some teens are drinking hand sanitizer, shown here at Texas Star Pharmacy in Plano, Texas, although underage drinking in general is down. (Donna McWillia/AP/File)

Hand sanitizer, which has 62% ethyl alcohol, produces a potent drink that can cause alcohol poisoning. Some of the cases involve teenagers who used salt to separate out the alcohol.

There were also 147 cases involving children ages 6 to 12 and 2,180 cases ages 0 to 5, believed to have accidentally ingested the gel, according to poison control service, part of the UC San Francisco‘s Department of Clinical Pharmacy.

The vast majority of all the cases statewide were minor and treated at home, but about 50 of the youths went to a hospital or were referred to a hospital for treatment.

In Los Angeles County since March, there have been 16 cases of teenagers requiring medical attention, according to the California Poison Control System.

Officials began separately tracking hand sanitizer cases in 2010.

“It’s quite a concern,” said Stuart Heard, executive director. “It’s like

Smuggler’s Blues: Mexican Narco-traffickers trick the unsuspecting

¡Advertencia! Los traficantes de drogas son los trabajos de publicidad para los conductores que cruzan a los Estados Unidos. No sea una víctima de la trampa de los contrabandistas!

That’s the Spanish translation to:

“Warning! Drug traffickers are advertising jobs for drivers to cross to the United States. Don’t be a victim of the smugglers’ trap!“

It’s the message that the United States Immigration and Customs Enforcement agency is paying Mexican newspaper publishers to be printed in a Tijuana newspaper for 30 days at a cost of US$2000.

U.S. Immigration and Customs Enforcement Agents

Unsuspecting though leery, some are falling prey to Mexican narco-traffickers ploy to smuggle illicit narcotics into the U.S.

It may be money well spent, since the costs associated with each arrest – incarceration, trial, etc. – far exceed the cost of advertising.

—

Mexican cartels trick border crossers into being drug mules

By Marty Graham

SAN DIEGO, California | Sun Apr 15, 2012 5:34pm EDT

(Reuters) – The Mexican help wanted ads offer a quick $500 for a simple job – drive a car into California on an errand for an “important business” organization.

But the new boss may be a drug cartel and the cargo may not be vital papers, or even money, but illegal narcotics. Hidden in the car could be marijuana, cocaine and methamphetamines that, if found by law enforcement, could land the driver in prison for many years.

The drug traffickers’ ruse has

Fargo woodchipper scene redux… in real life.

LORD, have mercy.

Christ, have mercy.

—

6-year-old Conn. boy dies in wood chipper accident while helping dad during school vacation

By Associated Press, Updated: Tuesday, April 10, 3:48 PM

SALEM, Conn. — A 6-year-old boy helping his father on a landscaping job during school vacation was killed Tuesday after getting pulled into a wood chipper, state police said.

Jeffrey Bourgeois was putting a branch in the chipper at about 8:45 a.m. when it

“Where, oh where’s my Mega Millions Lottery ticket?”

Here’s what we know thus far.

Three winning tickets were sold. One each in Kansas, Illinois & Maryland. Only one winner – the one in Kansas, whom also chose to remain anonymous – has come forward to claim their portion of the prize.

The winning Kansas ticket was purchased at Casey’s General Store No. 2668 at 940 N. Main Street in Ottawa, which has a population of little more than 6,000. The winner spent only $1 and let the computer pick a random number.

Director of the Maryland Lottery, Stephen Martino, said “The ticket has not been claimed. People need to look at their tickets.” He added that a Quick Pick ticket with the winning numbers was sold around 7:15PM on 30 March 2012 at the 7-Eleven on Liberty Avenue in Baltimore, and was the only ticket sold at that time. The drawing was less then four hours away when that ticket was sold. He also said the winner has until 28 September 2012 to claim the prize, and must do so in person. However, the winner is not required to make their identity public.

Maryland and Kansas allow winners to remain anonymous, but by law Illinois must publicly identify the winner to demonstrate that jackpots are being paid out, and winners have one year to claim winnings.

The Illinois winner has not yet been identified, and lottery officials there said