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A healthy heart is essential to living a full life.  In the wake of Valentine's Day, remember to nurture heart health; this may prevent stroke, heart disease, and dementia.  Titles available at the St. Louis Public Library include:

  • Mayo Clinic wellness solutions for heart health [videorecording]
  • The heart health bible: the five-step plan to prevent and reverse heart disease by John M. Kennedy, M.D.
  • Best practices for a healthy heart: how to stop heart disease before or after it starts by Sarah Samaan

Million Hearts® and The Heart Truth® have helpful information for keeping your heart (as well as other parts) healthy, and the National Heart, Lung, and Blood Institute has an animation showing how the heart pumps blood and a brief explanation of how the heart works in the body.

As American Heart Month draws to a close, these sources of information can support you in keeping your heart going strong all year long.

Heart health

Resep Papeda Kuah Kuning Papua - Papeda merupakan salah satu makanan berupa bubur sagu yang khas dari Maluku dan Papua. bubur sagu dengan ciri khas kental, lengket dan warna seperti lem ini biasanya ditemukan di daerah Indonesia Bagian Timur. banyak masyarakat disana pada umumnya lebih menjadikan sagu sebagai makanan pokok, walaupun mayoritas Indonesia menggunakan bahan pokok beras. papeda atau bubur sagu dibuat dengan cara melarutkan tepung sagu dengan air panas lalu di aduk-aduk hingga menggumpal.

Di Papua, tepung sagu biasanya di dapat dari cara memotong pokok sagu, kemudian bagian bonggolnya diperas sampai sari patinya keluar. ini yang menjadi bahan baku sagu yang dapat diolah menjadi aneka makanan khas suku Dani. kalau tidak salah Suku Dani ini tinggal di Lembah Baliem. sebelum di olah menjadi makanan khas Papua dan Khas Maluku, sari pati sagu murni biasanya disimpan di dalam alat yang bernama tumang.

Papeda Papua yang terbuat dari tepung sagu asli tanpa ada campuran bahan lain kecuali air membuat papeda tidak memliki rasa sama sekali alias tawar. dengan ini bubur sagu papeda seringkali disajikan bersama aneka masakan kuah sedap berbumbu. misalnya seperti sup atau gulai ikan kuah gurih pedas yang terbuat dari ikan tuna, ikan tongkol, ikan kakap merah, ikan makerel atau ikan mubara. sup ikan yang menggunakan bumbu rempah asli Indonesia seperti kunyit dan teman-temannya membuat sup memiliki citarasa sedap dengan warna kuah kuning yang menggoda.

Hidangan Papeda Khas Papua yang disajikan dengan sup ikan kuah kuning terkenal dengan nama Papeda Kuah Kuning Papua serta Maluku. agar kuah kuning sup ikan terasa lebih enak dan lezat, selain menggunakan bumbu rempah yang cukup komplit. untuk mendapatkan rasa asam segarnya, biasanya banyak masyarakat yang mengucurkan air jeruk nipis ke dalamnya. bila tidak ada jeruk nipis, anda bisa menggantinya dengan belimbing wuluh, tomat mudan, air asam jawa serta cuka masak biasa. 

Cara Membuat Papeda Kuah Kuning Papua tentu saja cukup mudah dan tidak sulit. bumbu sup ikan menggunakan bumbu rempah yang simple, praktis dan sederhana seperti masyarakat lokal papua yang ramah dan bersahabat. namun rasa papeda kuah kuning Papua ini sangat enak dan makyus. namun bagi anda yang tidak terbiasa menikmati bubur sagu papeda yang terasa seperti lem maka anda dapat menyantap sup ikan kuah kuning dengan nasi putih hangat. mantap!!

Menikmati sebuah masakan papeda kuah kuning Papua bisa dibilang menjadi PR untuk anda yang tidak pernah menyantapnya. teksturnya yang lengket seperti lem sungguh susah untuk disantap dengan sendok makan biasa. butuh teknik khusus untuk dapat menyendokkan papeda ke mulut. dan biasanya masyarakat Indonesia Bagian Timur menggunakan sumpit kayu untuk mengambil papeda.

Menikmati papeda dengan sumpit kayu caranya dengan melilitkan bubur sagu dengan cepat kemudian segera disantap. atau cara termudahnya adalah dengan menyeruput bubur papeda langsung dari tepi piring. itulah sedikit deskripsi mengenai papeda, berikut kami ulas Bahan-bahan dan Cara Membuat Papeda Kuah Kuning yang layak untuk dicoba dirumah.


Resep Papeda Kuah Kuning dan Cara Membuat

Bahan-bahan Bubur Sagu Papeda :

  • Tepung sagu atau tapioka 5 sendok makan lalu encerkan dengan 150 mili air
  • Air 800 mili liter

Bahan Sup Ikan Kuah Kuning :

  • Ikan kakap merah 1 ekor pilih yang besar dengan berat 1kg
  • Jeruk nipis 1 butir
  • Garam 1 sendok makan

Bumbu Halus Kuah Kuning :

  • Cabai merah keriting 3 buah
  • Cabai rawit 8 buah (bisa disesuaikan dengan selera)
  • Bawang merah 5 siung
  • Bawang putih 5 siung
  • Kunyit 1 ruas jari

Bahan dan Bumbu Kuah Lainnya :

  • Serai 2 batang (memarkan)
  • Belimbing wuluh 5 buah (belah menjadi 2 bagian)
  • Air panas mendidih 800 mili liter
  • Tomat merah 2 buah (belah kecil-kecil)
  • Kemangi 1 ikat (ambil daun dan pucuk mudanya, cuci bersih)
  • Garam 1/2 sendok makan
  • Kaldu bubuk instan / penyedap rasa secukupnya
  • Minyak 2 sendok makan (digunakan untuk menumis bumbu)

Bahan Pelengkap :

  • Kangkung 2 ikat (siangi kemudian kukus sampai matang)
  • Sambal tomat

Cara Membuat Bubur Sagu Khas Papua :

  1. Langkah awal siapkan panci, masukkan air lalu masak sampai mendidih. 
  2. Selanjutnya tuang secara perlahan larutan tepung sagu atau tepung tapioka ke dalam rebusan air, sambil diaduk dengan cepat sampai larutan sagu habis. 
  3. Masak dan aduk terus bubur sagu sampai kental dan terasa berat ketika diaduk. ini pertanda bubur sagu Papua telah matang. angkat.

Cara Membuat Sup Ikan Kuah Kuning :

  1. Pertama-tama siapkan ikan kakap, siangi sisiknya lalu buang insang dan kotoran isi perut, cuci bersih. kemudian potong-potong ikan sesuai selera. lumuri ikan dengan air perasaan jeruk nipis dan garam sampai rata. lalu diamkan kurang lebih selama 20 menit. cuci kembali, sisihkan.
  2. Setelah itu siapkan panci atau wajan besar, panaskan 2 sendok makan minyak goreng, lalu tumis bumbu halus sampai harum dan matang. masukkan serai dan belimbing wuluh, tumis sebentar dan aduk sampai tercium aroma wangi sedap.
  3. Selanjutnya masukkan potongan ikan, aduk sebentar. lalu tuang air panas mendidih ke dalam tumisan ikan. tambahkan garam dan kaldu bubuk instan. aduk rata, kemudian tambahkan potongan tomat, masak terus dengan menggunakan api kecil selama 15 hingga 20 menit sampai kuah mendidih dan matang. cicipi rasanya, silahkan tambahkan bila ada yang kurang. tambahkan daun kemangi, aduk perlahan. angkat.

Cara Penyajian Papeda Kuang Kuning Papua :

  1. Siapkan piring saji, sendokkan papeda secukupnya ke dalam piring saji, kemudian letakkan rebusan daun kangkung dan samabal tomat (jika pakai).
  2. Setelah itu tambahkan ikan di atas nya, siram kuah kuning sesuai selera.
  3. Atau bisa juga menyajikan papeda dan sup ikan kuah kuning secara terpisah. sajikan.

Itulah Cara Membuat dan Resep Papeda Homemade yang enak dan mudah di pratekkan dirumah. selain bubur sagu yang khas disajikan dengan kuah kuning, ternyata kini ada kreasi papeda lainnya yang cukup menarik untuk dibahas yaitu Resep Papeda Fantasi. Papeda fantasi merupakan salah satu jajanan papeda yang merupakan kreasi Resep Papeda Ala Abang-abang yang biasanya menjual jajanannya di depan sekolahan SD. 

Resep Papeda Fantasi ala abang-abang bentuknya memang berbeda tidak seperti layaknya bubur papeda yang super lengket. rasanya pun berbeda, karena papeda fantasi biasanya diberi bumbu dan irisan daun bawang. cara membuat papeda abang-abang caranya oleskan wajan anti lengket dengan mentega atau minyak goreng kemudian pecahkan telur puyuh. setelah itu beri adonan pepeda di atas dadarkan telur hingga lebar. 

Bila papeda sudah agak masak biasanya diberi bubuk cabai pedas atau bubuk aneka rasa seperti rasa balado dan keju asin kemudian papeda digulung menggunakan bantuan lidi besar yang terbuat dari kayu atau bambu layaknya sumpit. bagi yang suka pedas biasanya Papeda Telur Puyuh ditambahkan saus botolan ketika disantap.

Lanjut ke papeda Khas Papua, untuk sup ikan kuah kuning ini tampilannya hampir sama dengan Lempah kuning ya. jika anda penasaran dan ingin membuatnya silahkan klik resepnya disini Resep Membuat Lempah Kuning Ikan Asli Bangka. oh iya, untuk Resep Papeda rumahan ini kita menggunakan ikan kakap merah. namun anda bisa menggantinya dengan aneka ikan lainnya seperti Ikan Kerapu, Ikan Bawal, Ikan Ekor Kuning, Ikan Kembung, atau aneka ikan lainnya yang sudah kami sebutkan diatas. 

Selain disajikan dengan sup ikan kuah kuning, papeda dapat dinikmati dengan sayur ganemo yang diolah dari daun melinjo muda yang ditumis dengan bunga pepaya muda serta cabai merah. papeda yang mengandung serat, rendah kolesterol dan cukup nutrisi di percaya dapat menghilangkan penyakit batu ginjal karena sifat papeda yang dapat membantu memberihkan organ-organ di dalam tubuh manusia. selain bagus di konsumsi bagi pelaku diet sehat, papeda juga di anjurkan di konsumsi bagi perokok karena papeda juga dapat membersihkan paru-paru secara perlahan. 

Waw, selain enak ternyata papeda mempunyai kaya manfaat bila di konsumsi dengan tepat ya. demikian yang dapat kami sampaikan mengenai artikel Resep Papeda Kuah Kuning Papua. buka juga resep lainnya dari kami seperti Resep Ayam Tinoransak Khas Manado. terimakasih sudah membuka harianresep.blogspot.com, semoga Resep Papeda yang kami bagikan membantu dan bermanfaat.

Resep Papeda Kuah Kuning Papua

As I am writing this, you don’t yet exist, and I hope you never will. As I am writing this, at least half a dozen people are still standing in the quadrennial jousting tournament we call elections. Elections in America is that brief and fleeting period of time when Washington DC turns its gaze to the rest of the country feigning passionate interest in our lives. This time around America is staring back at you in seething anger. In the olden days, this would be the proper time for tar and feathers, for pitchforks, and for burning you in effigy. Nowadays, this is the time for Twitter trolling and lack of what you call decorum in public discourse. Like all well fed, self-described benevolent aristocrats in the past, you seem surprised at our indifference to your accomplishments, and shocked at our plebian preference for rough and tumble champions of our own choosing.

Try not to worry too much. Time, and the robust voter suppression machine you and your “donors” built over centuries of enlightened democracy, is on your side. You will prevail. There will be no impractical socialist in the White House, and no vulgar businessman will be allowed to touch the intricate web of global domination your donors weaved over decades of hard work and heroic determination. Not peacefully. Not without a violent American Spring. Not in our lifetime. Not while you have a good “ground game” to get votes. Not while you have big data to “profile”, “target” and “persuade” voters. There really is nothing I want to tell you, or ask of you, because I know precisely what you will be doing in the next four years, but let’s continue this farce where you pretend to be a public servant, and I pretend to be an engaged citizen.

You are obviously “electable”, which means you passionately advocate for nothing in particular, in long erudite sentences that rise at the very end (like JFK). You certainly look “presidential”, which means that you’re not too fat or too old or too short, your nails are trimmed and your hair is combed.  You addressed every policy nook and cranny in your issue-oriented debates, in your canned stump speeches and in your ten point policy proposals that will become obsolete once the last polling station closes on November 8th. But there is one thing nobody is talking about. No clever moderator is asking, no candidate is volunteering an opinion, let alone a “plan” to tackle what is perhaps the defining issue of our times.
“It's about the next 20 years. In the '20s and '30s it was the role of government. '50s and '60s it was civil rights. The next two decades are going to be privacy. I'm talking about the Internet. I'm talking about cell phones. I'm talking about health records and who's gay and who's not. And moreover, in a country born on the will to be free, what could be more fundamental than this?” –Sam Seaborn, The West Wing, Episode 9: The Short List (for Supreme Court appointees), 1999
The events of the new millennium do not seem to support Sam Seaborn’s prediction, and your campaign is stark testimony that privacy is to be forfeited without much pushback from any quarters. We could argue that principled liberals of the previous century were ill equipped to appreciate the true benefits of the Faustian deal we are now making with the Lords of the Global Digital Panopticon. One could also argue that since the days of Sam Seaborn, privacy has become all but extinct, and lo and behold the sky of freedom hasn’t fallen. Or has it?

Let’s take a quick look at your campaign operations. Did you avail yourself of a voter database? Are you paying for special software that “appends the richest set of consumer and interest data, allowing the most sophisticated targeting” of voters? Do you employ an army of techies in the basement of your national headquarters, like the landmark Obama digital campaign did? Do you have an app on iTunes that tracks your “supporters”, their friends and their families, everywhere they go? Is your voter segmentation machine spitting out properly scripted “messages” at the most opportune time for the most receptive individuals? Do you think this is what Thomas Jefferson meant by freedom and liberty? Or do you think that’s what your kindergarten teacher meant by lying and cheating? Do you even care?

Politics in an age without individual privacy is as principled as marketing toilet paper. Your brand is softer, stronger, more absorbent, bigger, smaller, whiter, greener, and very much preferred by wild bears in the forest. You stand for nothing and everything. You stand for moderation in the North and you stand for God in the South, and you stand for Nelson Mandela to offset all the white old men who manage your campaign. You stand for America in the abstract, and use personal misfortunes of citizens to illustrate your history book, but even if your poor mom or dad were of the people, you have long ago ceased to be one of us. The reason we are asked to vote for you is the same reason we are asked to choose Charmin instead of Cottonelle, with the same de minimis consequences.

Now let’s take a look at Obamacare, which you are certain to tinker with, one way or another. In your mind, Obamacare is about money. It’s about premiums, deductibles and percent uninsured, but if that’s all Obamacare was about, it wouldn’t have required hundreds of densely typed pages, and it wouldn’t have triggered a tsunami of lesser legislations now percolating through Congress. In reality, Obamacare is how your donors use the latest technology to ensure that future elections are free from glitches that allow old communists and potty mouthed billionaires to come close to disrupting a carefully constructed world order. Obamacare is not about a human right to health care and it’s not about keeping Americans from dying in the streets, as your rogue competitors seem to believe. Obamacare is how Google, Apple, Facebook, Amazon (GAFA), and their Silicon Valley brethren, take control of human life on earth, and get rich beyond the dreams of avarice.

Obamacare is about replacing personal and slow medicine, with high-tech, high-speed, precision medicine administered through metallic algorithms supplied by your donor community. Obamacare is about managing expectations (you should be familiar with that little game), to make the busywork of tracking and scoring citizens seem like medical care. Obamacare is about shifting the locus of medical decision making from individual people and their doctors to the invisible hand of computerized bureaucracy. Obamacare is to health care what high-speed trading is to stock markets. To this end, Obamacare must unleash a biblical flood of personal information for its doomsday machines to consume, and dutifully share with other stakeholders, such as your campaign software vendor. Any remote notions of physical and mental privacy are therefore obstacles to progress.

Perhaps it is logical that your party and the other party as well, have viciously turned on their front runners in an effort to select a nominee with the best ROI record for those who consider themselves owners of a global humanity.  Perhaps it’s not by accident that Obamacare which was first known as HillaryCare, and then as RomneyCare, may eventually be known as BushLeagueCare. Perhaps, as our own, bought and paid for, disruptive innovators love to point out to their less enthusiastic colleagues, this is all inevitable. Perhaps, but somehow, at some point in this long game, the courts will have to weigh in and decide if the framers of our Constitution intended to set up a government whose sole function is to capture and deliver its citizens to global moneyed interests for lifetime exploitation.

This Saturday, Justice Antonin Scalia died. In this election year the usual and customary horse trading to seat an “acceptable”, thus by necessity mediocre, judge on our Supreme Court bench for life, may not be an option. The insurmountable task of nominating the next Supreme Court Justice may land in your lap, pretty much on your first day in office. There is a bold and beautiful solution to this quandary, a grand bargain that rises above your petty party politics, and for that you’d have to turn again to the liberal fantasy called The West Wing (Season 5, Episode 17: The Supremes, 2004). Unless the Obama administration, which over the years exhibited a peculiar interest in reenacting The West Wing, beats you to it, you will get to appoint (unopposed) two Supreme Court Justices and the rare opportunity to stand “in the gaze of history”.

Unfortunately, whether you belong to Clan Clinton or are hailing from the Bushes, I am having difficulty imagining you giving up any perceived party advantages for the sake of judicial excellence on the Court. I can certainly imagine the angry socialist and the mercurial businessman rising above the pettiness, but this wasn’t meant to be. Not this year. The next four years are yours, and you will need to hurry up and bolt the doors and bar the windows. A really big war, preferably in Europe, would help tremendously. Either way though, your days are numbered. We are no longer progressive or conservative. We are either feeding at your trough or we are not, and there are many more of us than there are of you, and one of these days we will have nothing left to lose. Not even our privacy.

Dear Madam/Mister Future President

Resep Puding Ubi Jalar Praktis - Bosan menikmati ubi jalar yang begitu-begitu saja? yuck cobain Resep Puding Ubi Jalar yang kami bagikan kali ini. dijamin bikin nagih!! jangan lupa share resep dan cara membuat puding ubi jalar ini di media sosial seperti facebook, twitter dan akun G+ agar Resep Puding Ubi Jalar Praktis ini langsung tersave secara otomatis. nah, sebelum kita membahas bahan-bahan dan cara pembuatannya mari kita simak terlebih dahulu riwayat Puding Ubi Jalar ini.

Puding Ubi Jalar merupakan salah satu kreasi puding yang dapat dibuat dari aneka olahan ubi jalar. ubi jalar sendiri memiliki beberapa bentuk, jenis dan warnanya. diantara lainnya adalah Ubi Jalar Merah, ubi jalar putih, Ubi Jalar Kuning, Ubi Cilembu dan Ubi Jalar Ungu. begitu banyak makanan yang dapat dibuat dari bahan utama sejenis ubi jalar ini. seperti Kue Talam Ubi Jalar Kuning, Cake Ubi Jalar, Brownies Ubi Jalar, Bolu Ubi Jalar, Ubi Jalar Goreng Crispy, Stik Ubi Jalar, Keripik Ubi Jalar atau Puding Ubi Jalar yang resepnya akan kami bagikan untuk anda.

Kreasi puding yang menggunakan ubi jalar ini memang unik dan memiliki rasa yang super duper enak dan nendang dilidah. untuk membuatnya, biasanya ubi jalar direbus atau dikukus terlebih dahulu hingga matang. setelah matang ubi jalar siap untuk dihaluskan dengan blender atau manual beserta aneka bahan lainnya yang dibutuhkan. setelah itu dimasak hingga matang dan adonan puding sedikit mengental lalu di dinginkan hingga puding mengeras dan siap untuk disantap.

Puding Ubi Jalar paling enak disantap saat keadaan dingin, jadi kami sarankan masukkan beberapa saat ke dalam kulkas sebelum disajikan agar ada sensasi dingin nyesss ketika disantap. di dalam Resep Puding Ubi Jalar Mudah ini kita akan menggunakan ubi jalar merah. walaupun begitu anda bebas menentukan ubi jalar mana yang akan anda pakai untuk membuatnya. boleh ubi jalar kuning, ubi jalar putih, ubi jalar ungu atau ubi cilembu.

Nah, bila anda ingin melihat kreasi puding ungu lainnya dari kami silahkan buka resepnya disini Resep Membuat Puding Ubi Ungu ( Crema De Ube ). anda dapat menikmati Puding Ubi Jalar dengan ditambahakn vla susu atau saus santan agar terasa makin lezat dan komplit. yasudah, yuk segera pratekkan Resep Puding Ubi Jalar ini dirumah untuk menikmati ubi dengan sensasi yang berbeda. berikut ini adalah Bahan-bahan dan Cara Membuat Puding Ubi Jalar Praktis nya, semoga sesuai selera yaa :)

Resep Puding Ubi Jalar dan Cara Membuatnya

Resep Puding Ubi Jalar dan Cara Membuatnya


Bahan-bahan Puding Ubi Jalar :

  • Agar-agar bubuk 1 bungkus
  • Ubi jalar merah 300 gram (kukus dan haluskan)
  • Gula pasir 50 gram
  • Telur 2 butir
  • Margarin 1 sendok makan
  • Tepung terigu 25 gram
  • Susu kental manis 3 sendok makan
  • Biskuit oreo atau apa saja sesuai selera 150 gram
  • Susu 700 mili liter
  • Gula pasir 150 gram

Cara Membuat Puding Ubi Jalar Praktis :

  1. Langkah awal masukkan tepung terigu, margarin dan ubi jalar yang sudah dihaluskan tadi. campur rata lalu uleni hingga semua bahan tercampur dengan baik. 
  2. Selanjutnya kocok gula 50 gram dan telur 2 butir hingga berbuih, sisihkan.
  3. Setelah itu masukan campuran adonan ubi ke dalam telur kocok lalu tambahkan susu kental manis. aduk hingga rata.
  4. Langkah selanjutnya tuangkan adonan puding ke dalam pinggan/wajan tahan panas yang sudah diolesi dengan margarin. kukus adonan ubi kurang lebih selama 30 menit. angkat sisihkan.
  5. Kemudian susun biskuit di atas adonan ubi.
  6. Sementara itu masak susu, gula pasir, dan agar-agar hingga mendidih. kemudian tuangkan di atas adonan biskuit tadi. biarkan hingga adonan mengeras.
  7. Masukkan ke dalam kulkas beberapa saat, potong-potong, sajikan. 
  8. Puding Ubi Jalar siap disantap, makyusssss!!

Biskuit yang digunakan boleh di remuk seperti bubuk biskuit atau boleh juga masih dalam bentuk kepingan. di dalam Resep Puding Ubi Jalar Praktis Homemade ini kita menggunakan susu saja sebanyak 700 Mili liter. jadi bisa dibilang ini adalah resep puding ubi versi yang lebih sehat ketibang Resep Puding Ubi Jalar Santan. bagi anda yang suka dengan rasa coklat, anda juga dapat memasukan beberapa sendok bubuk coklat dengan kualitas yang baik kedalam nya sesuai selera agar menghasilkan Puding Ubi Jalar Coklat yang lezat. terimakasih sudah membuka harianresep.blogspot.com, jangan lewatkan resep menarik lainnya dari kami seperti Resep Membuat Es Krim Rujak Jogja yang sayang bila terlewatkan, sekian.

Resep Puding Ubi Jalar Praktis


Have a concern about the safety of food or medicine for pets or people?  The Safety Reporting Portal (SRP) may be the place to report it.  Along with manufacturers, health care professionals, researchers, and public health officials, concerned citizens can report product safety issues to the Food & Drug Administration (FDA) and the National Institutes of Health (NIH).

The Safety Reporting Portal

The Centers for Medicare and Medicaid Services (CMS) is working hard to transition physicians’ payments from volume to value of services. The current Acting Administrator at CMS is a former top executive at United Healthcare, a commercial health insurance corporation. The previous Administrator at CMS is currently the president and CEO of America’s Health Insurance Plans (AHIP), which is the dominant health insurance lobbying group. It may therefore behoove us to rephrase the opening sentence: The corporate-government health care conglomerate is working hard to transition physicians’ payments from volume to value of services.

In response, health care delivery corporations, which are employing large numbers of physicians, are joining their forces through mergers, acquisitions and other arrangements to better manage the transition of physician payments from volume based to value based models. When you ask the architects of this supposedly tectonic shift from volume to value to explain their enterprise, you get back lengthy dissertations about better service at lower cost due to computerization, analytics and standardization of an industry long overdue for modernization. The basic argument is that health care in the U.S. sucks on many levels, and proper management that employs the latest technologies and business methodologies will fix everything that needs fixing.

But what does it mean to pay doctors for value instead of volume? Does it mean that we don’t pay physicians unless we get better? Does it mean we don’t pay for health care unless we are “kept” healthy by our doctors? Does it mean that we don’t pay a red cent for advice or procedures that we judge worthless? How long do we have, post service, to decide if what the physician did was valuable? Thirty days? Five years or 50,000 miles whichever comes first? A lifetime? The answer emerging from opinion pieces published by members of the corporate-government conglomerate, which are intended to soften the ground before official rules and regulations are promulgated, is much simpler and should be much more familiar to any small business owner, or anyone who visited a restaurant or a hotel.

So here is how this is envisioned to work. Physicians will still get paid a base amount per service provided. If the corporate-government conglomerate judges the work of the doctor to be beneficial, they will throw in a 5% gratuity bonus. Moving forward, if physicians can reduce the overall COGS (cost of goods sold) for the corporate-government conglomerate, they will get a moderate percentage of net profit. Finally, if doctors are willing to take full P&L (profit and loss) responsibility for health care services, they can get a slightly bigger piece of the profit to offset the risk of massive loss. Essentially, if you are a physician, and if you agree to do what the corporate-government conglomerate wants you to do, and if you are really good at it, and if you are willing to put your money where your mouth is, you should expect nothing but financial prosperity in the era of value based care.

The things you would have to do to enjoy the value based financial bounty are not very difficult, particularly when compared to the practice of medicine. The goal is to keep the corporate-government conglomerate happy without distinguishing yourself from the generic woodwork of the new system. There is safety in the herd, and you should aim to be somewhere close to the middle of the herd. Stragglers, and those who venture too far out in front, are usually eaten. Below are a few strategies to help you position yourself for long and uneventful survival.

Percentage Medicine

If you dabbled in the game of tennis, whether as a player or an avid spectator, you are probably familiar with the term “percentage tennis”.  Playing percentage tennis means staying away from corners and lines and spectacular shots. It means playing it safe, taking little if any risk, getting the ball over the net without fanfare, and absolutely no aces on serve. Percentage tennis is how middling players, who lack exceptional talent or physique, are advised to play the game. Serena Williams is not playing percentage tennis. Great champions never do.

If you like to think that you are a great doctor, brilliant diagnostician, or anything else preceded by some sort of superlative, tone it down. This is not about excellence. It’s about percentages. Wasting your precious time on the quickly fading Miss Henrietta Wilkins, who spent the Great War welding big chunks of metal in the shipyard, and a variety of other losers, who will never bring their biometric indicators up to corporate-government conglomerate standards, is not considered good percentage medicine. Ideally, you could ship these folks to the nearest community center, but if you can’t, see if you can reassign them to your NP/PA, or some outsourced care management service, and stay away from direct contact. If you want to personally help people, you should consider volunteering in a soup kitchen on Wednesday afternoons.

Generally speaking, seeing patients one-on-one is not a good use of your time. Your initial efforts should be directed to shaping a robust patient panel that can be managed by your care team working at the top of their license. Later on you should switch to maintenance mode and work the analytic dashboards, Excel sheets, pie charts, bar charts, and all the reports and data provided to you by the corporate-government conglomerate. These things are usually marked with red-yellow-green risk indicators, so it’s not that difficult to get started. Watch your reds. If they’re amenable to change, have your staff change them. Otherwise find a way to quickly remove them from your panel. Don’t neglect the yellows either, because if you’re not careful, they have a tendency to turn red without much advance notice.

This is how percentage medicine is played. This is population management and this is also precision medicine because some of those colored risk scores are accurate to the second, or even third, decimal point which is something your over educated human brain could never calculate on its own. As long as your panel looks green, but not too green, because that may be indicative of gaming, you should be safe. If you feel a sudden urge to jump back in and play doctor, maybe with an ominously red marked patient, resist it. Go take a brisk walk around the block or listen to a motivational TED talk. Try making a nifty Power Point presentation for the next leadership meeting (Power Point art can be very relaxing) or book some travel to a health innovation conference.   

Fake it ‘till you make it

When you see patients, and you will have to for a while longer, you will need to present a caring and expert, yet humble, persona that reflects well in satisfaction surveys. You will have to be persuasive, without coming across as overbearing, when you steer clients towards product lines that are most beneficial to the corporate-government conglomerate, which is either your one true customer, or your direct employer. You will have to cultivate an engaging and compassionate image to elicit the trust of your clients. You will need to be friendly, but not too familiar, to maintain a certain aura of non-threatening expertise. You will need to say please and thank you, and you will need to display properly calibrated humility when apologizing for the shortcomings of the new and improved system, without throwing your superiors under the buss.

Since value based health care is a team sport, you will need to cultivate a non-disruptive, non-elitist image to present to the team. The team of course includes representatives of the corporate-government conglomerate, some of whom you will interact with in person, and others who will be watching you through rolled up dashboards and reports. Read a couple of value based policy papers or newspaper articles (they’re about the same as far as depth and substance are concerned), and memorize a few key words and phrases, such as “transformation”, “lifestyle and behavioral modifications”, “less is more”, “consumers want to be kept healthy”, “patient activation”, “triple aim”, “quadruple aim” (there is no quintuple aim yet, but watch for it soon), “our health care system is broken”, “$3 trillion”, “medicine has always been about information processing”, “the single most important thing to have is good data”. Stuff like that. When in doubt, just prepend “patient-centered” to whatever you plan to say next.

After a while, all of this will become second nature. If you get really good at it, you may want to go for a leadership role within the corporate-government conglomerate. It pays much better, and there are decent opportunities for advancement. Another option is to drop out of whatever is left of patient care and join the entrepreneurial side of the house. You can join a startup, or make your own. You need not be a techie or understand technology in any way. Startups are hungry for MDs, so they can advertise products “built by doctors”. Investors love that type of stuff and potential customers still have some residual respect for physicians. It won’t last long, so do it now or you may miss the boat.

One thing is certain though. A passive-aggressive attitude, or its burned-out martyrdom cousin, won’t do you any good. If you really and truly can’t get on board with the destructive recreation of your profession, you’d better quit. Get out and open a boutique cash-only practice or subcontract with one of those hit and run value based telemedicine services for the healthy or just find something else to do. Write a book, buy a little farm and make organic goat cheese, dabble in politics, start a movement. Have some fun. Life is short.

The Era of Value Based Care

8 Resep Jus Terapi Berbagai Penyakit - Pernah mendengar terapi kesehatan dengan air putih atau jus? jika belum, anda wajib menyimak artikel Resep Jus Terapi Berbagai Penyakit yang kami bagikan kali ini. karena kami akan membahas banyak manfaat yang bisa kita dapat dari sebuah jus segar. disini kita akan mengolah jus buah asli tanpa ada gula serta pemanis selain madu alami. karena tujuan jus tersebut untuk terapi penyembuhan bukan untuk pelepas dahaga.

Jus terapi berbagai penyakit ini memang masih sedikit yang mengetahuinya bahkan untuk orang awam seringkali tidak memahami hal tersebut. padahal aneka buah-buahan yang di mix atau dicampurkan dengan aneka buah dan sayuran lainnya mampu memberikan penyembuhan di berbagai penyakit. kandungan vitamin, mineral dan zat besi pada buah-buahan yang mampu mencukupi kebutuhan tubuh seringkali dipakai sebagai terapi pengobatan. dengan catatan anda benar mengolah aneka buah tersebut sehingga kandungan vitamin dan mineral didalamnya tidak hilang.

Seperti halnya artikel 3 Cara Mengolah Kulit Manggis Menjadi Jus yang beberapa waktu lalu kita bagikan. ternyata banyak sekali manfaat yang dapat kita ambil dari limbah kulit manggis. kulit manggis yang mengandung zat anti-oksida yang berlimpah ternyata mampu mengatasi tanda-tanda penuaan pada kulit seperti keriput dan bintik-bintik hitam di wajah. dengan mengkonsumsinya dengan teratur anda tidak perlu lagi ke salon untuk perawatan kecantikan.

Selain itu banyak pula yang dapat disembuhkan dengan pengobatan jus kulit manggis misalnya dapat menurunkan berat badan, dapat menyembuhkan berbagai penyakit seperti kanker, kolesterol, tekanan darah tinggi, diabetes dan lain sebagainya. untuk terapi jus manggis ini memang rasanya pahit seperti jamu, namun banyak khasiat yang baik didalamnya. jika anda tidak bisa mengkonsumsi air rebusan kulit manggis atau jus kulit manggis anda dapat mencoba Resep Jus Sayur Bayam Untuk Diet Sehat yang rasanya lebih enak dan segar.

Manfaat ke 2 jus sehat untuk penyembuhan tersebut hampir sama dan tidak ada perbedaan signifikan. tugas anda tinggal mencocokan tubuh anda dengan olahan minuman kesehatan mana yang layak untuk anda konsumsi. atau bisa juga anda mencoba Resep Jus Untuk Pengobatan Berbagai Penyakit yang akan kami bagikan kali ini. tidak main-main, kami akan membagikan 8 Resep Jus Terapi Berbagai Penyakit sekaligus untuk sahabat harianresep.blogspot.com tercinta. semoga dengan adanya jus detox untuk terapi ini mampu memberikan kesehatan yang tentu juga datangnya dari Allah SWT.

Tak panjang lebar lagi, yuck segera disimak Bahan-bahan dan Cara Membuat Jus Terapi Berbagai Penyakit seperti berikut ini.

8 Resep Jus Untuk Terapi Berbagai Penyakit

Resep Jus Untuk Terapi Berbagai Penyakit

Pertama, Resep Jus Apel dan Anggur Ungu Untuk Mencegah Penyakit Jantung

Resep Jus Apel dan Anggur Ungu Untuk Mencegah Penyakit Jantung

Bahan-bahan Jus Apel Anggur :

  • Apel 100 gram (cuci bersih apel, lalu potong-potong)
  • Anggur ungu 100 gram (cuci bersih, potong-potong)
  • Air putih 600 mili liter
  • Madu 1 sendok makan

Cara Membuat Jus Apel Anggur Pengobatan :

  1. Langkah awal masukkan potongan apel, anggur ungu, air dan madu kedalam gelas blender. 
  2. Setelah itu proses hingga menjadi jus yang halus dan lembut, kemudian saring. tuang ke dalam gelas saji. jus bisa langsung diminum sebagai terapi mencegah penyakit jantung.
Jus terapi ini kita menggunakan campuran buah apel dan anggur ungu yang terkenal efektif untuk mencegah penyakit jantung. jika anda mulai bermasalah dan ingin jantung anda selalu sehat, maka anda wajib mengkonsumsi jus buah apel dan anggur ini setiap hari secara rutin. anda bisa mengkonsumsi 1 gelas disetiap harinya.

Kedua, Resep Jus Jambu Biji Kombinasi Untuk Mencegah Stroke

Kedua, Resep Jus Jambu Biji Kombinasi Untuk Mencegah Stroke

Bahan-bahan Jambu Biji :

  • Jeruk 1/2 buah (kupas)
  • Apel 1/2 buah (Cuci bersih, lalu potong kecil-kecil)
  • Jambu biji/jambu klutuk 1/2 buah (Cuci bersih, lalu potong kecil-kecil)
  • Kesemek 1/4 buah (kupas, potong kecil-kecil)

Cara Membuat Terapi Jus Jambu Biji Kombinasi :

  1. Seperti cara membuat jus lainnya, masukkan semua bahan ke dalam gelas blender atau juice extractor (maksimal selama 5 menit).
  2. Anda dapat mengkonsumsinya secara rutin setiap hari minimal selama tiga bulan. boleh lebih bagi orang-orang yang berpontensi terkena stroke.

Ketiga, Resep Jus Alpukat Untuk Penyakit Asam Urat dan Rematik

Ketiga, Resep Jus Alpukat Untuk Penyakit Asam Urat dan Rematik

Jus terapi ketiga kita berbagi Resep Jus Alpukat sebagai terapi penyembuhan asam urat dan rematik. jus alpukat ini dapat anda minum satu gelas disetiap hari. anda bisa meminumnya pada siang ataupun malam hari. jangan lupa lakukan setelah makan ya. berikut ini adalah Resep Jus Alpukat Untuk Asam Urat dan Rematik nya.

Bahan-bahan Jus Alpukat :

  • Alpukat 1 gading/buah (Pilih ukuran sedang)
  • Susu kedelai tawar/air matang secukupnya

Cara Membuat Terapi Jus Alpukat :

  1. Langkah awal cuci bersih alpukat, potong kecil-kecil lalu lender sambil menambahkan susu kedelai.
  2. Jika anda tiak menyukai susu kedelai bisa diganti dengan air matang secukupnya.
  3. Setelah itu blender alpukat dan susu kedelai hingga lembut dan halus. 
  4. Terapi Jus Alpukat Untuk Penyakit Asam Urat dan Rematik siap untuk di konsumsi.

    Keempat, Resep Jus Apel Terapi Pencegah Diabetes 
    Resep Jus Apel Terapi Pencegah Diabetes

    Bahan-bahan Jus Apel :

    • Apel 2 buah
    • Daun bayam 12 gram
    • Jeruk manis 1 buah
    • Madu secukupnya (sesuai selera)

    Cara Membuat Jus Apel Terapi Pencegah Diabetes :

    1. Langkah awal, cuci apel sampai bersih, kupas kulitnya, lalu potong-potong. sisihkan.
    2. Selanjutnya peras jeruk dan ambil air perasannya. 
    3. Setelah itu cuci bersih daun bayam , tiriskan, lalu cincang kasar.
    4. Kemudian masukkan semua bahan (kecuali madu) ke dalam tabung blender, lalu proses hingga halus dan tercampur rata. tambahkan madu sesuai selera, lalu blender lagi sebentar. tuang ke dalam gelas saji, segera diminum.

      Kelima, Resep Jus Jeruk Jambu Biji Untuk Mengatasi Kulit Kusam

      Resep Jus Jeruk Jambu Biji Untuk Mengatasi Kulit Kusam

      Selain memakai perawatan dari luar seperti aneka macam krim pencerah kulit wajah dan kulit badan. akan lebih bagus dan alami lagi jika anda juga menutrisi kulit anda dari dalam. berikut ini kami bagikan salah satu jus buah segar yang mampu membantu menutrisi kulit anda dari dalam dengan alami.

      Bahan-bahan Jus Jeruk Jambu :

      • Jambu biji/jambu klutuk 200 gram (kupas, buang bijinya, lalu potong-potong)
      • Jeruk manis 1 butir (peras, ambil airnya)
      • Jeruk nipis 1 butir (peras, ambil airnya)

      Cara Membuat Terapi Jus Jeruk Jambu :

      1. Campur semua bahan ke dalam blender, proses hingga halus. sajikan, segeralah diminum.
      2. Anda dapat mengkonsumsinya setiap hari secara rutin. anda dapat mengkonsumsinya dua kali sehari, dengan per konsumsinya satu gelas.

        Keenam, Resep Jus Anggur Merah Untuk Mencegah Kanker Saluran Cerna

        Resep Jus Anggur Merah Untuk Mencegah Kanker Saluran Cerna

        Segelas jus anggur merah yang mengandung vitamin C, fosfor, kalsium, zat besi, dan juga kaya akan serat sangat bermanfaat sebagai pengikat zat karsinogen penyebab kanker didalam saluran cerna. jika anda rutin menkonsumsinya, anda akan terhindar dari serangan kanker saluran cerna. konsumsi terapi jus anggur merah ini secara rutin 2x sehari agar tubuh sehat dan bebas dari kanker saluran cerna.

        Bahan-bahan Jus Anggur Merah :

        • Anggur merah 100 gram
        • Apel merah 50 gram
        • Pepaya 50 gram
        • Madu 1 sendok makan
        • Es batu secukupnya
        • Air es 60 mili liter

        Cara Membuat Terapi Jus Anggur Merah :

        1. Langkah awal cuci bersih apel dan anggur merah lalu potong-potong. 
        2. Setelah itu kupas pepaya, cuci bersih lalu potong-potong kecil.
        3. Selanjutnya masukan potongan buah tersebut bersama dengan bahan lainnya seperti madu, es batu, dan air es ke dalam blender. proses hingga lembut, tuang jus ke dalam gelas. 
        4. Terapi jus anggur merah siap untuk disajikan segera.
        Setiap gelas jus anggur mengandung energi sekitar 70kkal, vitamin C sebanyak 60mg, 30 gram fosfor, 28 kalsium, 0,8 zat besi, dan juga kaya serat yang bermanfaat sebagai pengikat zat karsinogen, zat yang dapat menyebabkan kanker dalam saluran pencernaan.

        Ketujuh, Resep Jus Belimbing Muda Untuk Mengobati Hipertensi

        Resep Jus Belimbing Muda Untuk Mengobati Hipertensi

        Bahan-bahan Jus Belimbing :

        • Belimbing manis muda secukupnya (belimbing berbentuk bintang, bukan belimbing wuluh)

        Cara Membuat Jus Belimbing Terapi Hipertensi :

        1. Langkah awal cuci bersih belimbing manis. buang bagian pinggir dan ujungnya, kemudian proses hingga lembut menjadi segelas jus.
        2. Bila anda tidak mempunyai blender, bisa diparut atau diperas ambil sarinya atau bisa juga diolah dengan juice extractor.
        3. Anda bisa mengkonsumsinya secara rutin setiap harinya 2 kali sehari.

          Kedelapan, Resep Jus Lidah Buaya Terapi Penghambat Virus HIV

          Kedelapan, Resep Jus Lidah Buaya Terapi Penghambat Virus HIV

          Lidah buaya yang mengandung gel berfungsi untuk memperkuat system pertahanan tubuh. dengan ini, lidah buaya terkenal mampu menghambat kerja virus HIV. gel lidah buaya juga mampu memberikan stimulasi terhadap system kerja kekebalan tubuh penderita AIDS yang sudah menurun drastis. dengan asupan lidah buaya dapat memperlancar regenerasi sel-sel dalam tubuh yang sudah tua, bahkan dapat menjadi nutrisi yang baik bagi penderita HIV. oleh karena itu, dengan rutin mengkonsums terapi jus lidah buaya ini dapat membantu penderita virus HIV dalam mempertahankan keseimbangan kesehatannya.

          Bahan-bahan Jus Lidah Buaya :

          • Lidah buaya 1-2 daun (pilih yang berdaging tebal)
          • Madu secukupnya

          Cara Membuat Terapi Jus Lidah Buaya :

          1. Langkah awal cuci bersih daun lidah buaya, belah menjadi dua bagian, lalu ambil daginyanya. 
          2. Setelah itu blender daging lidah buaya tanpa menambahkan air hingga menjadi cairan lembut dan kental. 
          3. Selanjutnya simpan jus lidah buaya ke dalam lemari es bukan di freezer hingga 1-2 hari, hingga lendirnya mencair.
          4. Jika sudah 1-2 hari, jus lidah buaya siap untuk disajikan dengan dicampurkan satu sendok madu disetiap gelasnya. aduk hingga rata, jus lidah buaya siap untuk dikonsumsi segera.

          Dengan mengkonsumsi jus lidah buaya secara teratur juga dapat membantu memperlancar system pencernaan. kenapa? karena lidah buaya mengandung zat aloemeodin dan aloebarbadiod yaitu dua senyawa yang termasuk golongan antrakuinom. selain itu jus lidah buaya ini juga mampu membantu mengahaluskan kulit, mengembalikan stamina, mengatasi susah buah air besar, meringankan wasir, mencegah panas dalam, meringankan diabetes, mengatasi asam urat tinggi, mengatasi pembengkakan seni, menurunkan kadar kolesterol dalam darah, menyembuhkan kanker, menyembuhkan sakit maag, menyembuhkan bronchitis, mengatasi radang tenggorokan, mengatasi radang usus buntu, menyembuhkan rematik, serta menyembuhkan flu dan pilek.

          Wah, ternyata banyak sekali manfaat yang dapat kita peroleh dari lidah buaya ya. selain itu lendir lidah buaya juga dapat merawat rambut sehingga menjadi subuh dan hitam berkilau. dengan ini tak aneh lagi bila lidah buaya seringkali dijadikan obat herbal dan sebagai bahan kosmetik seperti shampo, masker wajah dan sabun. 

          Sebenarnya masih banyak lagi jus pengobatan atau jus terapi yang ingin kita bagikan untuk anda. dari Jus Buah dan Sayuran Untuk PMS, Green Juice Seledri Sehat, Jus Buah dan Sayuran Untuk Diet, Terapi Jus Buah Untuk Demam, Terapi Jus Buah Untuk Diare, Jus Untuk Kesuburan, Jus Anggur Untuk Wanita Hamil, Jus Sayuran Hijau, Jus Buah Anggur Untuk Batuk, Jus Buah Naga dan lain sebagainya. namun karena keterbatasan waktu saat ini kita bagika delapan terapi jus buah terlebih dahulu untuk anda.

          Demikian yang dapat kami sampaikan mengenai artikel 8 Resep Jus Terapi Berbagai Penyakit nya. semoga dengan adanya aneka macam resep jus untuk terapi yang kami bagikan dapat bermanfaat bagi anda dan orang banyak. selamat mencoba, salam sehat!!

          8 Resep Jus Terapi Berbagai Penyakit

          Relationships are key to physical and mental health, and necessary for survival.  In no way is this more obvious than in the bond between a mother and child.  In St. Louis, there are many organizations working to support families throughout pregnancy and beyond birth; because infant mortality is a complex issue the Maternal, Child & Family Health Coalition formed an inititiative called FLOURISH St. Louis  – "to work in a new way to achieve large-scale, lasting improvements in the health and well-being of our babies and families".  An article in the St. Louis Post-Dispatch last month describes "Letters of Love", a project which sends encouraging letters to pregnant women.  To write a letter yourself, click here.

          Healthy mothers, healthy babies.

          Great news for St. Louis, especially those uninsured in both the City and the County: the Gateway to Better Health will continue through December 2016.  In 2015, over 70,000 medical visits and over 230,000 prescriptions happened because of this program.  Click here for the full announcement and learn more here.  You can also call the Gateway to Better Health call center for more information at 1.888.513.1417.

          Gateway to Better Health is a partnership of the Missouri Department of Social Services with the St. Louis Regional Health Commission. 

          Gateway extension!

          In his last State of the Union address, President Obama stated that “anyone claiming that America’s economy is in decline is peddling fiction”. I agree. The American economy has roared back from the Great Recession with 14 million new jobs, a ridiculously low unemployment rate, a booming stock market and 57 brand new American billionaires in 2015 alone.

          The American people on the other hand are in a completely different boat. Almost a third of us are not working. Half of us have practically no savings and a record number is surviving on public assistance. Wages are stagnating and the middle class is shrinking. Student debt is skyrocketing and 20% of our kids live in poverty. Whereas in the immediate past the economy and the welfare of the people used to be one and the same, nowadays these terms have little if anything to do with each other.

          The President did acknowledge that “the economy has been changing in profound ways” and therefore “a lot of Americans feel anxious”. To allay our collective anxiety, the President announced an unemployment program that will pay up to $10,000 to those who lose jobs to the economy fixing racket, money that can be used to retrain machinists, welders, builders and such, to flip burgers in the booming job market of the fixed economy.  The anxiety reduction program will also ease the transition to a “work-sharing” economy, where lower wages and no benefits, augmented by public assistance, a.k.a. the Walmart and Uber models, are the new normal.

          Health Care is about the Economy

          After fixing the economy, our government is now full throttle ahead with fixing our health care. My expectations would be that health care will be fixed in very short order, with very similar results. Health care expenditures will plummet, uninsured rates will be near zero, quality measures based on cost and utilization will be stellar, and most people will end up with little if any medical care when they fall sick. To ease our anxiety, or in health care parlance, to provide us with “peace of mind”, everybody will be awarded a Medicaid managed care card, if you’re lucky, or a high deductible insurance exchange plan that kicks in after you go bankrupt.

          In the midst of the previous century, when people talked about “the economy”, the term conjured visions of molten iron being forged, of combines sliding gracefully through oceans of golden wheat, of gigantic cranes towering over monumental construction projects, of dusty rugged Americans building and making with pride and determination, of former soldiers poring over text books, of men walking on the Moon. Today, “the economy” brings to mind images of stock tickers, conference rooms with sweeping views of Alcatraz or Central Park, fancy men in fancy suits getting in and out of black limos, and endless streams of brightly colored graphs, percentages and statistical trends. The economy is no longer about us.

          Health care is no longer about us. Health care is about waste, fraud and abuse. Health care is about “bending the curve”. Health care is about global competitiveness of corporations. Health care is about carving up a $3 trillion opportunity. Health care is about private equity, mezzanine funding, return on investment, valuations and public offerings. Health care is about the economy, and the economy is no longer about us.

          Perhaps this was never about us, but if “time is the fire in which we burn”, America was the one unique experiment where a group of people came together to protect each other’s rights to freely determine how they wish to burn. The idea spread a little bit, but not much, and now it is collapsing under the hubris of an Information Revolution, which looks more like a slow motion coup d'état to transfer control of the burning process from millions of hands to a global “digital assembly line” where physical objects, virtual algorithms and human beings are melded into one efficient production system. This is a kinder and gentler slavery nation.

          John C. Calhoun

          Historically, the enslavement process was physically harsh and cruel, because back then the work of a slave was physically harsh and cruel, and because the only tools available for recruiting and maintaining slaves were physically harsh and cruel. Today you give a guy an iPhone app and he willingly and painlessly joins the driving plantation. You give a guy a free Internet search tool and he unconsciously and painlessly joins the advertising plantation. This is a major improvement, since as grandma used to say, you catch more flies with honey than with vinegar, and from a respectable distance it looks like you’re generously feeding the dumb little critters.

          The grand objective of slavery has always been the amassment of wealth by the magnificent few on the backs of the faceless many. The only things that changed over the millennia are the means by which this is accomplished, and the rhetorical subtleties used to justify the practice of slavery. Notably, health care has been playing an increasingly prominent role in the intellectual quackery employed by evil people towards their evil ends. As early as 1837, John C. Calhoun was extolling the superiority of health care benefits available to the enslaved, especially the compassionate palliative care at the end of life, when compared to the “forlorn and wretched condition of the pauper in the poorhouse”.

          It never occurred to Mr. Calhoun that there ought to be a third option, that his own young country has challenged the world order by simply stating that all men are created equal, and challenged the most powerful King in the world, and his mighty armies, precisely so that those equally created men can be free men. But John C. Calhoun was not speaking about us. His oration was about the economy, and the economy thrives on servitude, pauperization, and wretchedness, mitigated only by the “kind superintending care” of masters. If John C. Calhoun were alive today, he would probably be running a billionaire foundation to help “all people lead healthy, productive lives”.

          Alexander Hamilton

          It must have never occurred to Dr. David Blumenthal either that 200 years after our Declaration of Independence, for a brief moment in time, we had a third option. After watching a Broadway show and perhaps reading one biography of Alexander Hamilton, Dr. Blumenthal found it necessary to write the strangest article in defense of the Hamiltonian version of Calhoun’s “superintending” care, which Obamacare essentially is, or aspires to become with the help of its equally superintending technology bonanza. The article is a case study in demagoguery and the building of alternate realities from partial truths and innuendos, which is how health care reform was and still is being advertised to the masses.

          Perhaps we shouldn’t be surprised by Dr. Blumenthal’s admiration for Alexander Hamilton, because Alexander Hamilton was not about us. Mr. Hamilton had great misgivings about the “imprudence of democracy”. He admired the British aristocracy, and insisted with all his might that the “first class” of “the rich and well born” should be awarded a “distinct, permanent share in the government” to counterbalance the bad judgement of the masses, and to prevent change to the status quo. If Mr. Hamilton, the champion of strong central government run by financiers and corporations, were alive today, he would probably be equally smitten with what Dr. Blumenthal represents.

          This Night in Iowa

          Tonight in the great State of Iowa, we the people are kicking off the only peaceful process available to us to make health care, the economy, and the entire political process, about us. This year we seem to have a bountiful crop of candidates seeking greatness. Some are “rich and well born” asserting their Hamiltonian right to that “permanent share” in government. Many are lifelong corporate servants looking for the next step in their pitiful enterprise. And two are very different than the rest. Two are challenging the status quo, which is so near and dear to the “first class” and its vast infrastructure of minions and pundits, feeding at the commandeered public trough, and whose entire job now is to convince us that neither one of these two men are fit for office.

          One is a career public servant, a man of principle, of lifelong held beliefs that health care should be about us, and the economy should be about us, and that central government should be by, of and for us. The other is rich and well born, a swashbuckling traitor to his “first class”, who realized that he cannot possibly have a great country when the great majority is enslaved. The two couldn’t be more different in personal style and fiery rhetoric, but at the heart of it all they both want to reclaim the “permanent share in the government” that was stolen from us by the “first class”, and unlike their corporate serving competitors, who say one thing and do another, neither man is accepting patronage from those who they aim to disempower on our behalf.

          For decades the “first class” owned media and punditry, carefully nurtured the appearance of an “ideological divide” designed to keep us engaged in mortal combat over hyped minutia, while the enslavement process proceeded at a brisk pace in the background. Tonight, the people of Iowa have the opportunity to begin refocusing our sights on the real ball. This election is not about Republicans vs. Democrats, it’s not about Planned Parenthood or ISIS coming to kill us in little Toyota trucks, it’s not about men vs. women, blacks vs. whites, young vs. old, educated vs. uneducated or poor vs. less poor. This election is about all of us, it’s about being a nation of free people vs. a replaceable cog in the global “digital assembly line”, and it’s about our hard fought right to govern ourselves, centrally, locally and individually.

          We can’t make health care about us until we make the economy about us, and we can’t make the economy about us until we make government about us, and we can’t make government about us until we make the political process about us. We can’t make the political process about us until we dethrone the “first class” from its permanent power perch, and deny the “rich and well born” the ability to buy every election and serve us with a nauseating mélange of sleek and polished John C. Calhoun disciples, promising “kind superintending care” for the rest of us.

          Tonight Iowa will vote for Bernie Sanders, will vote for Donald J. Trump, or will vote for the status quo. These are our only choices in 2016. Choose wisely, America.

          Iowa is voting on Health Care tonight

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