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No. You can get Bootcamp and run it, though. Not sure why you would want to. I mean go to all the trouble of running a virtual machine or Bootcamp.


Bert
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Originally Posted by Bert
George,

Entitlement at the Wall Street level or CEO level would be if the brokers and other major financial people didn't go to work and still got paid these millions of dollars.

I don't see much of a difference with someone earning 25 million dollars for 3 months of work with a company that lost money. For 25 million even a welfare queen would show up every day!


I do not want to guess what reimbursements your wife gets, but here not everyone sees Medicaid and Medicare. I do, and most Medicaid patients are doing the best they can, but there are some who do not. It is very difficult to be reimbursed 1/3 of what the supposedly terrible 3rd party payers are paying and still watch as those on government insurance go to the ER with an ear infection.

Why do my privately insured patients not go to the ER? Because their copay at my office is $20 while at the ER is more than $100. That is incentive for the patient to take responsibility and wait until the next day to see the doctor. Do you know how many times I see a patient and there are actually three, "because I was bringing patient A in, so I may as well bring in patients B and C.

Yes, the insurance companies are a problem, but when we fight back, the DOJ strikes us down. And, what happened on Wall Street is an entirely different thing than the overwhelming amount of welfare in this country.

We are moving each day closer to be a socialist country. That is fine if that is what we want in this country.

Socialism is when the government owns the means of production. There is a greater danger of socialism when the government owns banks and auto companies.

If I lost my job today, my friends and family would take me in until I got back on my feet. Then I would go back out and earn my way. That is what we should be doing with social programs.

I apologize for my very simple minded approach to the problem. I am sure I am way off base.

Look at these numbers?

Quote
U.S. private employers shed 693,000 jobs in December, up sharply from the revised 476,000 jobs lost in November and far more than economists estimated, a report by ADP Employer Services said on Wednesday

I guess these 1.1 million people most of whom in the shrinking job market, and who will REQUIRE GOVERNMENT ASSISTANCE can all at some point be classified as lazy.

We happen to see the world differently.


"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn." ~ Alvin Toffler
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Yes we do, which is fine.

And, the 1.1 million people would not be lazy. IF, they still do not have jobs and are not looking in a year, THEN they would be lazy.


Bert
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I wonder where they will find jobs when the job market is shrinking. Perhaps you missed the point that in Nov-Dec nearly 1.1 million jobs were lost. The people who have been looking for work are unlikely to FIND WORK when companies are cutting jobs.


"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn." ~ Alvin Toffler
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Originally Posted by Bert
...and are not looking in a year....
And you may have missed this.

The problem with analogies is they are just that; they are not perfect comparisons.

Most people do try to get jobs. Most people do try to better themselves. But, when there is no incentive to have to do things on your own, then it is less likely you will.

I know a person who was offered a substantial amount of money for some software he wrote. He turned it down, because he would lose his Section 8 housing. Now please understand, that is not inherently bad. It is what it is. The section 8 housing is there, he can keep it if he stays under a certain income, so he does. Looking at it logically, there is no reason to increase your income if in the end you lose.

I have people tell me quite frequently that they looked at a job, but if they got it they would lose their Medicaid. Again, I am not judging them, just commenting on the system.


Bert
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Bert,

I don't know about the person who was offered money and refused. But I do know that MY HEALTH INSURANCE PLAN, for a family of 4 costs $1200.00 per month, with a 2500 deductible. This means an actual annual out of pocket cost of $16,000.00. Because we can afford it, we pay for it.

It would be irrational of me, to expect someone who could get a job paying $14/hour or $28000.00/year to pay, with 2 small children to pay 60% of their income for health insurance, in addition to housing and transportation costs. Faced with the choice of keeping your children insured, or working and NOT BEING ABLE TO INSURE THEM, I would easily choose the former.

Now, as I see it, the solution is not to "simply call them lazy and shiftless" but rather to fix the system so that
1) insurance is cheaper
2) they are allowed a graduated safety net as they transition from public assistance to work, so that they don't face that choice.

It is easy for people who earn more than $150,000.00 to say "those lazy people" don't want to work when working would mean leaving their children uninsured.



"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn." ~ Alvin Toffler
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Exactly! Now, you are agreeing with all my points.

And, not being able to afford health insurance is one thing. Calling the office three times because they want to try Melatonin and expecting us to spend tons of time trying to get it to go through Mainecare when it only costs $8.00 for a three month supply a bit frustrating.


Bert
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A'right friends,
I took the first step and bought this:

<<<Dell Vostro 1710, Intel® Core™ 2 Duo T5870, 2.0GHz, 17.0" WXGA Anti-Glare, 3GB RAM, 320GB, 8X DVD+/-RW with double-layer DVD+/-R write capability & Roxio, Intel® Integrated Graphics Media Accelerator X3100, 802.11b/g, Integrated 1.3MP Webcam, 1yr On-Site Warranty, Windows Vista Business Bonus-Windows XP Professional downgrade, 8 Cell battery » for $599 at Dell.com >>>>

Is this good enough?
What should I keep-- Vista Business or XP Pro ????
Is this processor good enough or should I have gone for upgrade?

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I think that is fine. I don't think spending the extra cash to get the T7250 would make much of a difference on your processor.

The choice between Vista and XP Pro is a tough one. It is really a personal choice. One has to balance the fact that it is moving toward Vista and XP Pro's being tried and true and much simpler, in my opinion. Are you going with all 1710s? Because you would want the same OS on all computers. Just works better when you network.

Another thought, Microsoft is release Windows 7 soon if not already. It is Vista only improved. I don't think I would install Vista with Windows 7 coming out.


Bert
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tough choice indeed
we dont know, if W 7 flies, MSFT may pull plugs on XP
besides, all other peripherals will be tuning towards vista

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I will be getting AC soon and just play with it for next few months before I start practice.
I will add paraphrenalia one by one and learn the tricks of the trade
once I need more machines, I will buy all of them at same time so as to get exact same configuration (probably next Jan, so as to roll over into next tax year). this one is just to play and get by initial slow business time.
need to be mean and lean on overheads.
wish me luck please
thanks
PKA

Last edited by PKA; 01/10/2009 11:20 PM.
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Good idea.

Just one step at a time. Let me/us know when you need help.

PS I think it's paraphernalia.



Bert
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what antivirus anti-spyware would you recommend?
currently McAffe is available free for 1 yr........ I am not a fan of it though.
I use spysweeper currently.

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My rule of thumb when buying laptops is "buy the best processor you can afford." Did you check the Dell Outlet Store?

A laptop is a 3 year machine, unlike a desktop, you cannot upgrade the processor, so buy one that will give you good computing power for 3 years. Get the least amount of RAM from the manufacturer, you can upgrade for cheap from Crucial.com

I use McAfee for Server and WorkStation.

Last edited by gkfahnbulleh; 01/10/2009 11:46 PM.

"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn." ~ Alvin Toffler
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This depends on what you ultimately do? This is another good reason to go with a client/server domain, although it can be on a non domain as well.

If you are just doing local clients without a network setup, then I would go with AVG. They have a free version. I would stay away from Symantec or McAfee.

If you are looking for something to run on an actual server, so basically a server or enterprise solution, then I would DEFINITELY NOT use Symantec. I absolutely despise Symantec anything but especially their antivirus software.

Personally, for a network solution, I would recommend either Trend Micro or AVG.


Bert
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What is the most efficient way of keeping contact/address/ phone book for one who is using AC?
I can use Skype or similar service if that helps me to be more efficient.

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Well that is kind of user dependent. But since you are asking in reference to AC, I would have to say I would use the Practice Rolodex.

This servers two purposes. First, it allows you to instantly put the address header in for all letters. But on the main window on the row of icons under the Patient List, you can click the down arrow next to the Practice Rolodex icon and choose Practice Rolodex. The icon is at the far left. Alternatively and more quickly, you just use CTRL + R and it will bring it up.

By entering the first letter of the provider, it will bring you to the list of D's or T's or whatever. From there it is easy to find your consultants.

We use a slightly different method but either way, our rule is that if we have to call them, email them or write them, the name goes in the rolodex. You can build up quite the consult list that way.

For the names and addresses of those you won't be writing letters to, say the name of the secretary of the department chief, you put them under other. This way, when you go to write a letter, you can quickly filter them out.


Bert
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Is Practice Rolodex part of AC?

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Yes

"But on the main window on the row of icons under the Patient List, you can click the down arrow next to the Practice Rolodex icon and choose Practice Rolodex. The icon is at the far left. Alternatively and more quickly, you just use CTRL + R and it will bring it up."


Bert
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Bert,
I tried e-mailing couple of Pain management practioners and Neurologists to get some tips and see if they want to share some templates, but so far no one responded. Do you know anyone who would be able to help or share some templates?
Thanks
TSSM

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TSSM,

I think a lot of people would love to help. Part of the problem is that your question is buried in a post which isn't really about that.

My suggestion would be to start a new threat under General Discussion.

http://www.amazingcharts.com/ub/ubbthreads.php/ubb/newpost/Board/3

I bet you would get a lot of help then. Just title it something like:

Need help sharing templates form other users.


Bert
Pediatrics
Brewer, Maine

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