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Wow. A judge in a state you've never been to can destroy your email account for something you didn't do and had no idea was happening.
Personally, my spam folder is full of fake bank ads. I assume a legitimate one would end up in there just the same. Should everyone take each of those fake ones seriously?
http://www.mediapost.com/publications/?fa=Articles.showArticle&art_aid=114264
Very scary. Time to download my email I guess. |
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Most people use the word Ironic improperly and I could be one of them.
Is it ironic, if the gov't refuses to release the text of a contract and proposal related to gov't transparency? Is it ironic if the gov't finally the proposal, but blacks out large segments of said document? Again, this is not the Bush White House that was supposedly evil, but the shiny new Obama White House, where citizens come first.
The contract is for the design and creation of a website where citizens can follow the flow of budget money in the Federal budget.
Some of the blacked out sections of the IT contract include how the gov't contractor can sub-contract the work and to what countries those contracts will be sent to.
Hopefully, that means every website architect in the USA is working 100% and that's why we need to outsource to India.
Blah. What happened to honesty and personal responsibility? |
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Pasted below (formatted poorly) is the text of section 1233. It doesn't say the gov't is going to kill you.
Look, I hate HR3200, I hate it. I hate it. The bill will increase the cost of my healthcare, as well as my taxes. But the God damn thing doesn't say it's going to kill you. It'll kill my wallet, but it's not going to kill Grandma. Also, for the record, Grandma still can't run Linux.
I could be stating an opinion, of course, but I think the text speaks for itself, until it reaches a judge somewhere. Until then, it stands on its own.
IF YOU'RE ABOUT TO DIE, and you ask your Doctor how to handle it, the visit will be paid for, completely, by the gov't. You are entitled to one of these visits every 5 years, or if your health suddenly changes, or every 3 years once it's changed.
BTW, it does mention that they'll direct you toward hospice. As far as I've heard, hospice is actually pretty decent. In home care and meds, without doctor and pharmacy visits. Some people do recover from Hospice and go on to resume their lives. I can't speak from a personal experience. Some people think that "hospice" is Soylent Green death camp. I'm fairly certain it's not, but if I find out otherwise, I'll let you know.
(Official and unedited copies of the bill are available from the government's many departments, including the energy dept.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
)
5 SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.
6 (a) MEDICARE.—
7 (1) IN GENERAL.—Section 1861 of the Social
8 Security Act (42 U.S.C. 1395x) is amended—
9 (A) in subsection (s)(2)—
10 (i) by striking ‘‘and’’ at the end of
11 subparagraph (DD);
12 (ii) by adding ‘‘and’’ at the end of
13 subparagraph (EE); and
14 (iii) by adding at the end the fol15
lowing new subparagraph:
16 ‘‘(FF) advance care planning consultation (as
17 defined in subsection (hhh)(1));’’; and
18 (B) by adding at the end the following new
19 subsection:
20 ‘‘Advance Care Planning Consultation
21 ‘‘(hhh)(1) Subject to paragraphs (3) and (4), the
22 term ‘advance care planning consultation’ means a con23
sultation between the individual and a practitioner de24
scribed in paragraph (2) regarding advance care planning,
25 if, subject to paragraph (3), the individual involved has
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1 not had such a consultation within the last 5 years. Such
2 consultation shall include the following:
3 ‘‘(A) An explanation by the practitioner of ad4
vance care planning, including key questions and
5 considerations, important steps, and suggested peo6
ple to talk to.
7 ‘‘(B) An explanation by the practitioner of ad8
vance directives, including living wills and durable
9 powers of attorney, and their uses.
10 ‘‘(C) An explanation by the practitioner of the
11 role and responsibilities of a health care proxy.
12 ‘‘(D) The provision by the practitioner of a list
13 of national and State-specific resources to assist con14
sumers and their families with advance care plan15
ning, including the national toll-free hotline, the ad16
vance care planning clearinghouses, and State legal
17 service organizations (including those funded
18 through the Older Americans Act of 1965).
19 ‘‘(E) An explanation by the practitioner of the
20 continuum of end-of-life services and supports avail21
able, including palliative care and hospice, and bene22
fits for such services and supports that are available
23 under this title.
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1 ‘‘(F)(i) Subject to clause (ii), an explanation of
2 orders regarding life sustaining treatment or similar
3 orders, which shall include—
4 ‘‘(I) the reasons why the development of
5 such an order is beneficial to the individual and
6 the individual’s family and the reasons why
7 such an order should be updated periodically as
8 the health of the individual changes;
9 ‘‘(II) the information needed for an indi10
vidual or legal surrogate to make informed deci11
sions regarding the completion of such an
12 order; and
13 ‘‘(III) the identification of resources that
14 an individual may use to determine the require15
ments of the State in which such individual re16
sides so that the treatment wishes of that indi17
vidual will be carried out if the individual is un18
able to communicate those wishes, including re19
quirements regarding the designation of a sur20
rogate decisionmaker (also known as a health
21 care proxy).
22 ‘‘(ii) The Secretary shall limit the requirement
23 for explanations under clause (i) to consultations
24 furnished in a State—
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1 ‘‘(I) in which all legal barriers have been
2 addressed for enabling orders for life sustaining
3 treatment to constitute a set of medical orders
4 respected across all care settings; and
5 ‘‘(II) that has in effect a program for or6
ders for life sustaining treatment described in
7 clause (iii).
8 ‘‘(iii) A program for orders for life sustaining
9 treatment for a States described in this clause is a
10 program that—
11 ‘‘(I) ensures such orders are standardized
12 and uniquely identifiable throughout the State;
13 ‘‘(II) distributes or makes accessible such
14 orders to physicians and other health profes15
sionals that (acting within the scope of the pro16
fessional’s authority under State law) may sign
17 orders for life sustaining treatment;
18 ‘‘(III) provides training for health care
19 professionals across the continuum of care
20 about the goals and use of orders for life sus21
taining treatment; and
22 ‘‘(IV) is guided by a coalition of stake23
holders includes representatives from emergency
24 medical services, emergency department physi25
cians or nurses, state long-term care associa-
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1 tion, state medical association, state surveyors,
2 agency responsible for senior services, state de3
partment of health, state hospital association,
4 home health association, state bar association,
5 and state hospice association.
6 ‘‘(2) A practitioner described in this paragraph is—
7 ‘‘(A) a physician (as defined in subsection
8 (r)(1)); and
9 ‘‘(B) a nurse practitioner or physician’s assist10
ant who has the authority under State law to sign
11 orders for life sustaining treatments.
12 ‘‘(3)(A) An initial preventive physical examination
13 under subsection (WW), including any related discussion
14 during such examination, shall not be considered an ad15
vance care planning consultation for purposes of applying
16 the 5-year limitation under paragraph (1).
17 ‘‘(B) An advance care planning consultation with re18
spect to an individual may be conducted more frequently
19 than provided under paragraph (1) if there is a significant
20 change in the health condition of the individual, including
21 diagnosis of a chronic, progressive, life-limiting disease, a
22 life-threatening or terminal diagnosis or life-threatening
23 injury, or upon admission to a skilled nursing facility, a
24 long-term care facility (as defined by the Secretary), or
25 a hospice program.
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1 ‘‘(4) A consultation under this subsection may in2
clude the formulation of an order regarding life sustaining
3 treatment or a similar order.
4 ‘‘(5)(A) For purposes of this section, the term ‘order
5 regarding life sustaining treatment’ means, with respect
6 to an individual, an actionable medical order relating to
7 the treatment of that individual that—
8 ‘‘(i) is signed and dated by a physician (as de9
fined in subsection (r)(1)) or another health care
10 professional (as specified by the Secretary and who
11 is acting within the scope of the professional’s au12
thority under State law in signing such an order, in13
cluding a nurse practitioner or physician assistant)
14 and is in a form that permits it to stay with the in15
dividual and be followed by health care professionals
16 and providers across the continuum of care;
17 ‘‘(ii) effectively communicates the individual’s
18 preferences regarding life sustaining treatment, in19
cluding an indication of the treatment and care de20
sired by the individual;
21 ‘‘(iii) is uniquely identifiable and standardized
22 within a given locality, region, or State (as identified
23 by the Secretary); and
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1 ‘‘(iv) may incorporate any advance directive (as
2 defined in section 1866(f)(3)) if executed by the in3
dividual.
4 ‘‘(B) The level of treatment indicated under subpara5
graph (A)(ii) may range from an indication for full treat6
ment to an indication to limit some or all or specified
7 interventions. Such indicated levels of treatment may in8
clude indications respecting, among other items—
9 ‘‘(i) the intensity of medical intervention if the
10 patient is pulse less, apneic, or has serious cardiac
11 or pulmonary problems;
12 ‘‘(ii) the individual’s desire regarding transfer
13 to a hospital or remaining at the current care set14
ting;
15 ‘‘(iii) the use of antibiotics; and
16 ‘‘(iv) the use of artificially administered nutri17
tion and hydration.’’.
18 (2) PAYMENT.—Section 1848(j)(3) of such Act
19 (42 U.S.C. 1395w–4(j)(3)) is amended by inserting
20 ‘‘(2)(FF),’’ after ‘‘(2)(EE),’’.
21 (3) FREQUENCY LIMITATION.—Section 1862(a)
22 of such Act (42 U.S.C. 1395y(a)) is amended—
23 (A) in paragraph (1)—
24 (i) in subparagraph (N), by striking
25 ‘‘and’’ at the end;
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1 (ii) in subparagraph (O) by striking
2 the semicolon at the end and inserting ‘‘,
3 and’’; and
4 (iii) by adding at the end the fol5
lowing new subparagraph:
6 ‘‘(P) in the case of advance care planning
7 consultations (as defined in section
8 1861(hhh)(1)), which are performed more fre9
quently than is covered under such section;’’;
10 and
11 (B) in paragraph (7), by striking ‘‘or (K)’’
12 and inserting ‘‘(K), or (P)’’.
13 (4) EFFECTIVE DATE.—The amendments made
14 by this subsection shall apply to consultations fur15
nished on or after January 1, 2011.
16 (b) EXPANSION OF PHYSICIAN QUALITY REPORTING
17 INITIATIVE FOR END OF LIFE CARE.—
18 (1) PHYSICIAN’S QUALITY REPORTING INITIA19
TIVE.—Section 1848(k)(2) of the Social Security Act
20 (42 U.S.C. 1395w–4(k)(2)) is amended by adding at
21 the end the following new paragraphs:
22 ‘‘(3) PHYSICIAN’S QUALITY REPORTING INITIA23
TIVE.—
24 ‘‘(A) IN GENERAL.—For purposes of re25
porting data on quality measures for covered
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1 professional services furnished during 2011 and
2 any subsequent year, to the extent that meas3
ures are available, the Secretary shall include
4 quality measures on end of life care and ad5
vanced care planning that have been adopted or
6 endorsed by a consensus-based organization, if
7 appropriate. Such measures shall measure both
8 the creation of and adherence to orders for life9
sustaining treatment.
10 ‘‘(B) PROPOSED SET OF MEASURES.—The
11 Secretary shall publish in the Federal Register
12 proposed quality measures on end of life care
13 and advanced care planning that the Secretary
14 determines are described in subparagraph (A)
15 and would be appropriate for eligible profes16
sionals to use to submit data to the Secretary.
17 The Secretary shall provide for a period of pub18
lic comment on such set of measures before fi19
nalizing such proposed measures.’’.
20 (c) INCLUSION OF INFORMATION IN MEDICARE &
21 YOU HANDBOOK.—
22 (1) MEDICARE & YOU HANDBOOK.—
23 (A) IN GENERAL.—Not later than 1 year
24 after the date of the enactment of this Act, the
25 Secretary of Health and Human Services shall
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1 update the online version of the Medicare &
2 You Handbook to include the following:
3 (i) An explanation of advance care
4 planning and advance directives, includ5
ing—
6 (I) living wills;
7 (II) durable power of attorney;
8 (III) orders of life-sustaining
9 treatment; and
10 (IV) health care proxies.
11 (ii) A description of Federal and State
12 resources available to assist individuals
13 and their families with advance care plan14
ning and advance directives, including—
15 (I) available State legal service
16 organizations to assist individuals
17 with advance care planning, including
18 those organizations that receive fund19
ing pursuant to the Older Americans
20 Act of 1965 (42 U.S.C. 93001 et
21 seq.);
22 (II) website links or addresses for
23 State-specific advance directive forms;
24 and
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1 (III) any additional information,
2 as determined by the Secretary.
3 (B) UPDATE OF PAPER AND SUBSEQUENT
4 VERSIONS.—The Secretary shall include the in5
formation described in subparagraph (A) in all
6 paper and electronic versions of the Medicare &
7 You Handbook that are published on or after
8 the date that is 1 year after the date of the en9
actment of this Act. |
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We had a cool lightning storm come through here on Thursday night. We had the perfect vantage point to watch it come in on the top of a hill.
I used the camera on continuous shoot to capture these two lightning bursts. Unfortunately, it killed the camera in the process. Poor thing!
 |
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The rainy weather we've been experiencing all year finally broke for the holiday weekend. Took the doors off of the Jeep for the first time and took the roof completely off for only the 5th time. Both were much easier than I expected!
 |
| » Extras and Crew |
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Was at this station this weekend and it cool to see the vintage railroad equipment and buildings!
Jun. 28th, 2009 @ 07:09 am
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| » Star Trek |
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Went to Star Trek: The Exhibition in Philly last week. It was great. Got to see a lot of props, costumes, set pieces and ship models up close. There was also a full size recreation of the Enterprise-D bridge and Captain Kirks chair from the Original Series. Pretty neat.
Had a great time and it was nice to travel for a couple days.
Jun. 14th, 2009 @ 06:49 pm
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| » Photosynth |
|---|
One of my newest and best photosynths
http://photosynth.net/view.aspx?cid=c05847c5-29f5-476b-8bef-5a8841ccff66
Check out some of my others while you're there!
May. 12th, 2009 @ 12:31 am
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| » History |
|---|
My blog starts about 4.5 years ago.
I just reread it to see what I had been up to.
I'm happier now than I have ever been in my life. As I read each of those articles, I understand that at each of those points I was the happiest I had ever been then, too!
Reconnecting with Thomas, "losing" a presidential election, crashing my black Jeep, buying a car, quitting a job, "winning" a presidential election, buying a black Jeep.
10 years ago, I started my website, hullbreach.com
It's a shame it didn't record any history, but it's fun knowing it's there.
Apr. 26th, 2009 @ 02:36 am
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| » Pop Top |
|---|
Cool Jeep, eh?
Taken by my lovely girlfriend on a car ride in early April. The photo was taken in Naugatuck, CT in the parking lot of a chain donut shop. Although it wasn't the first trip with the roof off since purchasing the Jeep in 2008, it was the first extended trip with my lady. Yes, jackets were required for travel.
Apr. 26th, 2009 @ 01:47 am
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| » Prejiduce |
|---|
"You raise them, you do the best job you can, you teach them all the values, but even coming from the best family, with two parents ... they're children," Dubosar said. "Adults make bad decisions, never mind a 14-year-old."
- Hartford Courant 2009-04-11
Yeah, really? There are plenty of one-parent households where you hope the children would make the proper choice. She probably, and I'm just guessing here, didn't want to climb down the lattice work, or that she had already changed clothes, or that she was absolutely afraid you'd beat the living shit out of her. Is that good parenting? You two parent fuck. Screw you. If you have so much parenting power, why not help her friends and their parents? They're almost dead!
No one will do anything. Unlike the Bristol incident that left parents on school tours trying to prevent a tragedy. THEY are one and two-parent heroes.
Apr. 10th, 2009 @ 04:33 pm
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| » More Reasons To Become A Republican |
|---|
Another Obama screw to Patrick.
The new car tax credit begins Feb 15th, rather than January 1st. When the idea was being shopped around, they said it could extend as far back as November 1, 2008.
They got America's support, and then changed the proposal. nice.
The new version of the tax break will cost the gov't less. Eh, it's all a wash anyway. The estimated value of the dollar (in 2008 money) at the end of an assumed second Obama term.... about $0.64
Nice.
Mar. 31st, 2009 @ 06:15 pm
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| » Topless |
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Drove the Jeep today for the first time without a roof.
It was exactly like the old Jeeps.
I didn't feel like I had enough secure storage areas. Secure in this case means as much to keep from blowing away, as it does from being kidnapped.
Saw my Mom briefly and cruised back home before the sun went down.
Mar. 28th, 2009 @ 07:38 pm
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| » VR |
|---|
After having a close call fumbling with the cell phone while driving on Saturday, I finally setup the bluetooth in the Jeep.
Chrysler doesn't install the microphone in any of their convertible vehicles, because they can't stand behind the poor quality that can occur during top-down operation. However, they are more than willing to provide the components to complete the installation if the user desires.
I desired.
I picked up the parts at the dealer, and turned down the invitation to have them install it for $100.
It was a simple process. Removed the center portion of the dash, pull the radio out to connect the mic to the back of the radio, then route the cable around to a place that it could hear my voice. Made a test call to a tall, thin, blonde lady and asked for a report. Sounds like I'm calling from the empty creamed corn can. Hmm, well, it is a speaker phone...in a truck. I'll take it!
The nice thing with this system: voice recognition control of the radio, GPS and of course, the cell phone. Added some names to the address book, asked the GPS to take me to a few locations, and finally, asked the radio to read off the name of the Playboy station on Sirius. Hot. HOT.
Yeah, the VR voice is a chick's voice.
Nice.
Mar. 1st, 2009 @ 07:46 pm
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| » Coolest Gadget Ever |
|---|
When considering the price, at least.
Was curious about Bluetooth audio, and couldn't get anyone to lend me their Bluetooth earpiece (eww?). Hit up the Best Buy and found a helpful blue shirt who led me to Insignia Bluetooth stereo headphones. $26. Built in rechargeable battery including the charger in the package.
Pair it up to 8 devices supporting either the 2-way profile or the stereo profile. It automatically switches between them as needed. One of each can be connected at a time (so like your phone and your ipod..or for iPhone users, then your iPhone and your netbook)
Has remote control buttons on the earpiece. Play/Pause, next, last, fast forward, rewind, volume up, volume down. Sent back to the current device. Able to start a call from them, especially if phone supports voice control.
I was able to connect to my laptop and stream radio and wander all over the house wirelessly and have audio everywhere. Damn spoiled.
They'll be great at work, where I doubt the cubicle farm will block the signal as I walk to the copier and to bother neighbors.
Feb. 15th, 2009 @ 07:09 pm
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| » KLondike 5-1212 |
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I just found out that I share the bulk of my phone number with Andy's Tent rentals in Minnesota and with a singles club in Fort Meyer Florida. I don't know if I should feel flattered or not.
Before 1975, AT&T didn't believe that people could remember 7 digits of a phone number. They created a system of neighborhood names, followed by 5 numbers so that it would roll off the tongue easier. The neighborhood KLondike didn't exist in any area system, hence today's imaginary 555 city code used in movies and TV. Except, of course, 555-1212 which is 411 in a lot of areas.
"Yes, operator, may I please have HUdson 2-2000...thank you. It's the headshop?...ok, yes, that's fine...thank you."
Feb. 11th, 2009 @ 12:36 am
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| » New Car |
|---|
I usually post this stuff sooner, but I purchased a new Jeep in December. It's close to my last one. The car reached the end of lease, so I turned it in.
The original Jeep was named Bessie, the black Jeep was named Gracie, and with the help of my friends and family, this one is named Elsie. This is her coming out of the car wash this evening.
My friend calls it the luxury Jeep. It's got a lot of fancy stuff, compared to my previous Jeeps. It has GPS and remote start and an alarm system!
Feb. 7th, 2009 @ 08:02 pm
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| » Warning Sign |
|---|
Been on the highway at 8am or 5pm lately? It's dead stop.
You know there's a reason, because it's not normally like this.
Finally you come across one of those yellow flashing signs. Finally! Some feedback on why I'm stuck in traffic:
"Over The Limit;
Under Arrest"
WHAT? Did you post these signs to tell me not to drink and drive? Does anyone forget?
"Buckle Up;
Or go Down town"
Huh!? More gov't babysitting?
Looks like some people didn't take too kindly to being reminded of such things.
http://www.courant.com/news/nationworld/nation/wire/sns-ap-highway-signs-zombies,0,276410.story
They're reprogramming the signs to say other things. Now, you have to be within wireless range for a good amount of time to hack these signs, from what I understand. I guess if you're sitting in traffic, and the sign doesn't tell you why...then heck why not.
The gov't actually came out and said this was a bad idea. What if there really were zombies, people would start to think the signs are still kidding people. WHAT? Seriously! Holy Crap! Is this really a 'boy cried wolf' situation?
Like anything else, it's not yours, don't mess with it. However, maybe this will make the DOT stop and think about how they're actually using the signs.
PS: "Feeling Frustrated? Come on down to Lew's Gun shop. Next Exit"
Feb. 4th, 2009 @ 03:11 pm
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| » ronalds on the storm |
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This is the greatest thing I've seen in at least the past 5 to 7 minutes.
Poor Ronnie.
Jan. 31st, 2009 @ 09:58 pm
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| » Less Mail |
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The postmaster has once again suggested that we lose a day of mail delivery to our homes.
They say that their costs are fixed, even as demand drops. Apparently Internet mail order and Netflix are not enough to make up the loss of personal letters moving through the mail.
Netflix is the one piece of mail that I look forward to receiving, and losing the ability to receive a movie another day of the week is disappointing. In fact, I was hoping they were going to work with the USPS to find a way to get movies moving on Sundays. In fact, in today's news, Netflix announced they were testing opening their warehouses to sorting and moving movies on Saturdays.
If the postal service is effective in getting a cutback approved, I hope they find a way to balance it. For instance, my local post office is open 7 days a week, but there is nothing to pick up there, just drop off. What if they provided Sunday PO Box stuffing, or Sunday Netflix pickup? Go to the counter, say your address, get your stuff.
Or, more useful for most folks, at least a year or two without a stamp price increase. Packages went up 10% on January 19th, and 'normal' mail is scheduled to go up 2 cents in May. In fact, by law, it has to go up less than inflation, but it does seem to cost more and more every year.
Enjoy the snow!
Jan. 28th, 2009 @ 03:51 pm
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thpdg's journal
