Layoffs would follow. I don't work for the healthplan, but it is a part of our integrated delivery network and part of the financial bottom line.

work for the health plan should cross over.

Is financially supported, in large part, by the healthplan side.

Jobs, like information technology, ancillary personnel, support staff would be cut back dramatically. Even nursing would be impacted...where they can cut to bare bones, they will.

system already operate at bare bones? so the difference would be were the financing comes from

These are the "extras" like staff to perform complicated analytics for population health, research and cost containment.

It is also the nurse who has a few extra minutes to spend time with families instead of being assigned to more patients than he/she can handle or being mandated to stay overtime after completing a 12 hour shift because of bare bones staffing available.

I'm not saying there aren't issues that need to be addressed. Not at all, but I would rather expand coverage through thoughtful measures rather than hard-line ideology.

Would be billing (for the myriad insurance company requirements) and collections.

to amputate my leg which they tell me is inevitable. the staff is pretty awesome there. but i was genuinely curious

My oldest brother was in rehabilitation care for a leg problem. There were a couple of exceptions, but the nurses and other staff worked their asses off taking care of end of life people, people that have completely lost awareness that they are even alive and who can't do anything on their own, including eating and cleaning themselves.

He is everything opposite that we value as a party. It’s not a purity thing. It would be if he had one thing that went against our values. He has several. It would be the height of hypocrisy to nominate him. Of course, we might anyway. That’d be my most difficult vote since 18. I’d do it but wow. Total lost opportunity to nominate any of the others.

The OP represents the real world of where and how these elections are decided. Every year I take a 2-3 week fall driving trip from Florida. This year it was through West Virginia, Pennsylvania, Ohio, Indiana, then back south through Tennessee and Georgia. It is impossible during those trips to avoid the electoral reality that is seldom expressed or understood on these pages at all. You hear it on local radio stations. It is obvious at restaurants and tourist sites.

I knock Rachel Maddow here all the time for exactly this reason. She never takes those trips. She is in denial toward that real world. Anyone who watches her show on a regular basis thinks they grasp how the country is thinking. Meanwhile they have no clue. Anyone who takes those trips would never be stupid enough to wave a South Carolina poll in the air with Hillary trailing Trump by only 4 points.

Bloomberg bombed last night. It would not impact his general election opportunity at all. Not a fraction. There are 18 year olds flipping pizzas all over this country. They want to believe it is the first step toward millions and billions. They have absorbed the daddy party crap toward the GOP. If we insist on nominating someone who tells that type he's going to limit their wealth potential then they'll continue to rationalize toward the GOP.

That type is not hearing billion dollars and concluding it doesn't impact him. He's concluding this party wants to restrict me while the other party will allow me to become anything. But put Mike Bloomberg assigned against Trump and that pizza flipper is in awe. I've known enough guys like that during my Las Vegas decades. That's exactly how they think. We're worried about outraged housewives and scared of turnout while ignoring how Middle America thinks and votes.

Don't know your background but you seem to have a wealth of knowledge and always explain things in factual, clear terms.

I know sometimes emotion rules the day but some seem to underestimate what it's going to take to get states like Pennsylvania back to blue this cycle.

I know what you are talking about.🙄

One was a confederate flag and the other was for their "dear leader" 2020

Murrysville...route 22 area

The youth vote is not monolithic!!!

Murrysville is a hotbed of republicans.

I always thought central Pennsylvania was called ... Alabama.

Nice post. Peace.

-Laelth