We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
On climate change honesty: the problem, of course, is that honesty on climate change reduces belief in climate change as a human-caused problem (or even a problem) because it is neither a problem nor caused by humans.
On "best practices": this is supposed to shape toward controlling costs by paying for "outcomes" instead of "services." I pay my garage for maintenance or repairs, not for an overall excellent car experience. That ain't their job. I pay the grocery store for the products I buy, not an overall excellent food experience or bath experience. That ain't their job. We may use service contracts, but even those are based on an expectation of services and goods that we will need. Why health care is so very different is beyond me. Also, I have no plans to comply with Orszag's "best practices" for patients. I prefer to manage my own health, with a provider's advice or assistance when I need it.
Geoff Brown ... "An overall excellent bath experience"? Is this what I think it is, because if so, I'm all for it, especially for us old folks. Soaking for fifteen minutes in a deep tub filled with hot water, just before retiring, is one of my favorite ways to calm down and back off the arthritis pain enough to get to sleep. My husband loves showers, but baths are truly sybaritic, and offer a chance to review the day and plan the next one.
Yes, Marianne, that's what I mean by an excellent bath experience.. I'm about a fifteen-minute soaker, my sweetheart an hour or so. I always make her bubble baths.
For reasons of time and costs of natural gas, I only bathe a couple of times a week, shower most times.
"Old folks..." I've enjoyed the full bath experience since I got my own apartment at age 24. Barracks never have tubs.