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Wouldn't it be better if we spent the millions on the living instead of those near dead? Having said that I have had 1 or two patients whom I advised we end support who sure how they lived,they were already in piss poor health at the onset. I think in the USA we think we are entitled to everything and any attempt to discuss otherwise is met with widespread opposition from the right. We as physicians can't get reimbursed for discussing end of life care in advance.The republicans ed it "death panel" and had it taken out of obamacare. I have these discussions with elderly patients on nearly a daily basis.I get maybe 36 dollars from Medicare for a 45 minute discussion with patient and family.It doesn't stop me from doing them but it reflects how absurd our society has become. older man here looking for an older womanOn November 18th, Railroads create the first time zones At exactly noon on this day, American and Canadian railroads begin using continental time zones to end the confusion of dealing with thousands of local times. The bold move was emblematic of the power shared by the railroad companies. The need for continental time zones stemmed directly from the problems of moving passengers and freight over the thousands of of rail line that covered North by the s. Since human beings had first begun keeping track of time, they set their clocks to the local movement of the. Even as late as the s, most towns in the. had their own local time, generally based on "high noon," or the time when the was at its highest point in the sky. As railroads began to shrink the travel time between cities from days or months to mere hours, however, these local times became a scheduling nightmare. Railroad timetables in cities listed dozens of different arrival and departure times for the same train, each linked to a different local time zone. web cam chat
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