FDA Announces New Steps to Empower Consumers and Advance Digital Healthcare

I wondered out-loud in a draft version of this blog post the following:

I cannot tell if this is the career politician FDA speaking or what, and frankly, this shouldn’t be an issue with any administration, but it sure is with this one.

Upon further review, this is the type of announcement was expected and favored; and consistent with the history of the FDA Commissioner, a political appointee of POTUS45. I fully understand the temptation to speed the process up of software when it comes to medical capabilities. This process has been thought carefully, but two things stand out for me.

  1. HIPAA is the law of the land when it comes to digital medical records. This is a complicated system; that is where we are. How does this idea of a pre certification tie into these requirements? Blog posts on this subject here, here, here, and here.
  2. All of this is moot if the majority of citizens can’t access it due to not being covered under Medicare and Medicaid; the very constituency that can be best served by digital medical options in software including telehealth initiatives.

As for point #2, the rules for current Medicare reimbursement are found here (PDF) and are in my opinion, lacking. A change of mindset when it comes to payment overshadows any other aspect of our current system. In my ideal health care system, there would be Medicare for all with the private insurance market to fill gaps similar to Medicare Supplement policies of today and to “jump the line” in services for a fee. Digital medical options, such as Telehealth and Software based Medical Case Management would be included in the base Medicare and Medicaid plans.

FDA Announces New Steps to Empower Consumers and Advance Digital Healthcare [Official]

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The U.S. Could Adopt Universal Basic Income in Less Than 20 Years

Any discussion of Universal Basic Income must also include Universal Healthcare. Medicare and Medicaid are the primary vehicles to make this happen. It’s worth the time and effort to read, study, and explore these concepts with an open mind. Also, with the political leadership, this can happen within the next 5 years, but that will be a long-shot as politics as sport reigns supreme in Washington.

Scott Santens is a writer and advocate of universal basic income for all. He is the moderator of the Basic Income community on Reddit and Founder of the BIG Patreon Creator Pledge. His writing has been featured in the Atlantic and Huffington Post.

Source: The U.S. Could Adopt Universal Basic Income in Less Than 20 Years

Follow-up on Convoy raises $62M from Bill Gates and other luminaries to transform trucking industry with technology – Geekwire

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Pro Rata update on blogged story from 07/24.

Pro Rata by Dan Primack on Axios

The second paragraph is important and not mentioned in the GeekWire report about empty driving; the industry term is dead-head miles. He estimates this to be 40%. I’m not sure where he gets that number, but it sounds high to me. A possibility could arise where in his part of the country, that figure for getting loads can be accurate, based on the relative lack of shippers and consignees compared to the California submarket and the Eastern half of the country {the rough diving line in the business is Interstate 35 from the Twin Cities to DFW}

As a rule, I tend to not put too much faith in the comment section of most websites that enable it, but something @caseyedwinson mentioned deserves merit.

Constant driver communication and training should help with the onboarding of new drivers. The newer tech savvy generation is starting to get behind the wheel more and more as the baby boomer drivers retire. They all have cell phones!

While this is definitely true, and especially Owner-Operators, of which this service is a primary target of, the proof will come down to something I thought previously unarticulated; will it enable a profitable load for the driver, not just the freight master?

Convoy raises $62M from Bill Gates and other luminaries to transform trucking industry with technology – GeekWire

Convoy raises $62M from Bill Gates and other luminaries to transform trucking industry with technology – GeekWire

I don’t see how this changes the dynamics of the trucking industry from a trucker’s point of view. In a prior life, I was a company driver, an independent contractor, and drove for an Owner-Operator while being treated as a company driver. Unless you have a lucrative load contract, going West from East is much easier than getting a return load back. There are legacy players in the market, the most notable of which is GetLoaded/DAT. A subscription service is offered to compliment what is found on monitors at truck stops nationwide for Owner Operators to get primary, backhaul, or return loads. The era I was in the business Sprint nationwide 3G was a big deal and $70/month. Needless to say, the business has matured a bit.

As the article points out, the tech spin on this is an attempt to Uber-ize the trucking business by setting up contract load opportunities. Unless the numbers are significantly better, the economics of long-haul trucking do not favor the driver and stay legal at the same time; frankly, it couldn’t be done then, and with Electronic Logs ELD systems, it’s next to impossible unless a driving team. I was under pressure to run outlaw, one of the reasons I left the business; not worth it in my mind. Other truckers would agree with me, even if not said publically.

via Convoy raises $62M from Bill Gates and other luminaries to transform trucking industry with technology – GeekWire

An Open Letter to Rev. Franklin Graham from a “Small Church” Pastor

A reasonably long read, but one to undertake nevertheless.

Trinity's Portico

Dear Frank

Can I call you Frank? This is just pastor to pastor. Feel free to call me Peter. Anyway, I have to say I was flattered when I learned that your Decision America Tour took a detour off the beaten path to call upon us “small community churches.” We are nothing if not small. We seat 30-40 on a good Sunday. And we are a century old fixture of our small community. Most often we are overlooked and overshadowed by mega-churches and politically influential religious voices like your own. We don’t hold a candle to an auditorium filled with the music of a one hundred voice choir led by professional musicians. We probably will never be recognized in any nationally syndicated media. After all, we don’t do anything really “newsworthy.” We just preach the good news of Jesus Christ; love one another the best we can (which sometimes isn’t…

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8 years of suffering under Obama

I could go for that kind of suffering right about now.

Teri Carter's Library

andersonlogo

3C54DC7D00000578-4140672-Barack_Obama_waves_as_he_boards_Marine_One_and_departs_the_Capit-a-77_1484945371469 Photo credit: The Associated Press

The sentence I hear most from well-meaning, conservative friends since President Trump’s election is this: “We suffered 8 years under Barack Obama.”

Fair enough. Let’s take a look.

The day Obama took office, the Dow closed at 7,949 points. Eight years later, the Dow had almost tripled, closing at 21,414.

General Motors and Chrysler were on the brink of bankruptcy, with Ford not far behind, and their failure, along with their supply chains, would have meant the loss of millions of jobs. Obama pushed through a controversial, $8o billion bailout to save the car industry. The U.S. car industry survived, started making money again, and the entire $80 billion was paid back, with interest.

While we remain vulnerable to lone-wolf attacks, no foreign terrorist organization has successfully executed a mass attack here since 9/11.

Obama ordered the raid that killed Osama Bin Laden.

He…

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Graduation Speech: “You Said We Couldn’t Succeed, But You Were Wrong”

This needs wider distribution. This graduate speaks eloquently of the struggle that is public schools in our communities. He is speaking of New Haven CT, but can easily apply to Charlotte-Mecklenburg Schools; though they won’t admit it.

Diane Ravitch's blog

Jo Lieb, who blogs as “Poetic Justice,” posted the powerful graduation speech written and delivered by Coral Ortiz, with Coral’s permission. Coral just graduated from a public high school in New Haven, Connecticut.


When we were young, we were taught that we were “one nation under God, indivisible, with liberty and justice for all.” Our country taught us that no matter our income or race, we would all have the same chance to achieve our dreams. We were taught that there would never be a bias against a certain group of people, and that society believes in each and every one of us. These lessons of equality were taught as self-evident. These lessons of equality have and continue to be a lie.

The reality is that despite the fact that we recite the words “one nation under God, indivisible, with liberty and justice for all,” it has been 50 years…

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