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site title: Spo-Reflections To live is to battle with trolls in the vaults of heart and brain. To write; this is to sit in judgment over one's Self. Henrik Ibsen

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erever she is and get clarification on who does what these days where i ve been snooping about cardboard boxes there are several boxes at home and at work that have been there for so long that nobody remembers what is in them being nosy by nature i began poking about the having a look see hoping to find something interesting like money and unopened bags of gummi bears it s been a disappointment the boxes at work are full up with black cable cords and old telephones and key boards some still in their original boxes another box is full of office supplies like post its boxes of scotch tape countless paperclips and tacks and magic markers for the white boards how was it that people kept buying more of these things when there was plenty on hand already the boxes at home are no better i plan to gather up the empty ones and box up the chinaware and put it all in the garage i may bring the boxed china to work and have it get lost among the post its where it will never be noticed where i m going nowhere there isn t anything planned between now and the end of the month good thing too last week we made the mistake of seeing attending a play in the afternoon and the opera in the evening we are too old to do this sort of thing we were hot and uncomfortable sitting in the opera and by intermission neither one of us had to convince the other it was time to go we barely made it home to fall asleep no more double headers what i m watching my blood pressure i get incredibly lightheaded the other day with light sensitivity and a sense i was about to faint smelling a rat i took my blood pressure it was 75 38 patience above that s more than low that s dangerous no wonder i was feeling faint lying down i got to wondering what was happening sepsis shock then it occurred to me what happened i got my blood pressure pills mixed up that day they were taken all at once and now they were hitting home at the same time to drop my blood pressure to near fatality nothing to be done but wait i spent the evening with my legs up and head down and eventually this dissipated i asked someone to tell me about his day the shenanigans of his nincompoop co workers always raises my blood pressure and for once i was grateful for it what i m reading short stories from the new yorker last year i bought the new yorker collection of its best short stories the book is as thick as two bricks and almost as heavy the stories are in chronological order of publish date i am reading one per night some of them i recognize and have read like the lottery by shirley jackson but many most i have never read some of them are quick good which makes me wonder how some short stories live on while others disappear and are forgotten m y favorite short story i suppose is everything that rises must converge by flannery o connor what s yours what i m listening to fresh aire 7 thanks to the good folks at spotify i am hearing albums from the past not long past my past back in the 80s or was it the 90s i was quite fond of the fresh aire series how curious it is how some music sometimes sticks in your mind associated with a specific time and place fresh aire 7 reminds me of summer days at charlevoix michigan then father and his law partners had a condo on a hill overlooking round lake located just west of lake michigan in my mind i see the rooms and the view from the porch and the large framed chart of lake michigan that hung in the living room area i so sad when they sold it the partners figured they were not using it enough to justify its upkeep i wish i had bought it it would be just where i would want to retire the music from this album takes me back to it all what i m eating chunks of cheese someone went to costco the other day and purchased at my request a slab of proper parmesan cheese i hope it is proper i hear tell there is a lot of adulterated and downright fraud in the cheese industry anyway i cut off a wedge from time to time to have for small chocolate cone i would rather have some cheese than ice cream or cake any day who needs a good slap a long line of miscreants the main villains are obvious and it feels like no matter how much slapping and shaking they get they do not mend their ways they don t have to as no one is going to stop them this w question makes for a dull meme i need to find some other w question to use any suggestions who gets a fist bump brother 4 b 4 called me the other day to ask if i was ok if he exchanged some of my bottles from the spo barrel with some others the bottles each have a stopper of a jockey in full gallop with one of the eight letter of the word blantons on it you can collect all eight and when put you put them in a row it not only spells blantons but you see the horse move as if a movie with the frames frozen he explained these are big collector items he knows two others missing the l and the o and two of my bottles have these letters could he switch them with bottles with b a n t n or s as i had never heard of this nonsense it mattered not what bottles i got i told him to give the coveted l and o bottles to his chums it was ok by me after we hung up i realized brother 4 didn t have to do this he could have realized the matter and made the switches on his own and given me six bottles of his choosing but he didn t he called me to ask first i thought this quite thoughtful of him what i m planning setting fire to public buildings it s been awhile the trouble is there simply isn t enough time to do the thing probably one just doesn t strike a match to the corner of some municipality these things have to be done delicately with careful thought and planning and with large amounts of flammable liquid alas babylon my supply of greek fire is depleted and the board of directors here at spo reflections haven t any to spare having used up theirs on a recent crazy nonsense campaign into midgard making more is a challenge home depot doesn t stock the ingredients so i may have to improvise i may have to resort to throwing large orange plastic homer buckets through the windows rather what s making me smile impressing the niece warrior queen recently texted she and her mother were on their way to see the musical legally blonde i told her don t stomp your little last season prada shoes at me honey she squealed with delight and asked how on earth did i know this i reminded her i am her best uncle do not dare to question this i know all things fabulous after all aren t i the one who gave her all those lps of kate bush and broadway musicals spo reflections on the american healthcare system april 20 2026 in spo reflections 18 comments a few spo fans who lived asked me once upon a time to spo reflect on the american healthcare system oh the pain mind i am not an expert on this topic i am a polynesian writing about icebergs i will do my best if spo fans know better please clarify in the comments spo spo fans here and elsewhere are often surprised to learn most doctors including urs truly are not trained in how the system works we were told to focus on becoming a good doctor and never mind the structure we had to learn like everyone else the first step to solving a problem is to understand it lots of folks mostly good people are trying to do this now they have a hard task before them both political parties and us citizens tend to blame and provide solutions to the us health system in simple terms truth is there is no single source of blame here folks there are so many layers and contributing factors it make my and others eye cross the health care system is the u s a unlike other countries the rest of the world views health care as a public service something citizens are entitled to like roads police and fire departments the usa healthcare system is mostly a commodity a business or a series of businesses viz for profit companies who offer services american citizens often complain the system doesn t work but it does when you stop thinking its ultimate goal is providing health when the ultimate goal is making money for its shareholders it works very well this way health insurance companies have record profits in 2024 18 of the usa gdp was spent on health care about 15 000 per person health care systems in other countries spend about 10 you would think given the spending and market enterprises thems in the states get better health care and live longer and better compared to other countries you would be wrong despite the larger than average spending u s citizens have shorter life spans and a higher rate of chronic diseases we don t get more bang for our buck far from it we pay more for the same stuff whether an mri a hip operation or a brand name drugs we spend more because how the system is built often with government not bargaining for lower prices or health care companies looking to better profits though high deductibles and denials of services now if it were only free market it would be simpler but it isn t it s unlike any other system in the world it is a complicated patchwork of government fun programs and free market a patchwork of public programs and private insurers and government oversights in the u s you can get health care through your employee who provides a company run system or you can get medicare and medicaid which are government run health programs for thems over sixty five and thems without means respectively however these programs are also supervised by private plans there are layers galore and scores of people are employed to sort through it hospitals offices and insurance companies have whole teams to work through billing and such i read nearly 30 of healthcare spending is towards administrative work far more than other countries with simpler government run programs most people feel the us health care system isn t working but they spend their time not addressing the complicated contributions to the problem they point fingers at the other political party and simplify the situation private insurers through lobbying have us scared any tinkering with the system with result in gasp socialized medication whatever that is supposed to be with rationed care and long waits for getting things last time i looked all the countries who don t have a health system similar to the us are not voting to scrap theirs and be like the states i once asked my accountant if income tax would ever become simplified he doubted it there are too many people employed to run the complicated system and if it got easy lots of people would be unemployed this goes double for the us healthcare system i suspect when i can meaning when i understand it i will comment on the big beautiful bill on the us health system this simple chart sums up what i am trying to say speaking of high deductibles i read somewhere the point of them was to make folks prudent in spending their health care dollars what actually happens is folks delay getting things addressed like paying for prescriptions or avoiding going to the doctor until it serious and often too late to do much which ends up spending more for the wait whenever my patients complain about high prices and such they are quick to point out the horror of some government bean counter telling them if they can get a hip replacement or this med or that i remind them their insurance companies they all love ho ho ho do that now sunday spo bits april 19 2026 in sunday spo bits 19 comments someone has today off which is almost unheard of as he normally gets called in to work some matinee it is a mixed blessing to have him home while this makes for good company he can get underfoot as i do sunday things sometimes i suggest he join in viz there s work to be done chores i point out the advantages viz two is better than one besides he ought to help considering all i do for him someone on sunday does not like to consider all i do for him but be on the computer or iphone perhaps it is for the good one of the advantages of home keeping done solo is it gets done right sunday mornings have settled into a sordid lifestyle of which the fundies regularly decry i get up and start the laundry i iron shirts when someone gets up we process where we might go for breakfast afterwards it s a trip to uncle albertsons to get those items deemed necessary then it is off to duck duck go to wash the car i go to the gym to develop muscles or at least prevent them from decaying faster than they already are it is dissolute living at its worst i believe it was the late mr kirk who said folks like mr should be stoned and you can see why last week s rally on the stock market made last week s financial friday tally hit a few milestones there is new record in the 401k and the grand total is at a new high but let s not count chickens let s see how the week goes and the roller coaster plummets again this afternoon there isn t much i am working on a spo reflection how the u s medical system works partially because a few spo fans who don t live here and good for them and partially to get it straight in my mind the whole thing is quite complicated which is the main matter but more on this anon we are going to costco as soon as i post this we are fresh out of frozen lasagnas we are going to try one of those costco hot dogs i ve never had one i am not a big fan of hot dogs i read the jungle i know what happens but i am curious to see what all the fuss is about is there a protocol does one eat the weenies before or after purchases i think beforehand lest you are sitting there with a box of frozen lasagnas that are starting to thaw someone says afterwards as a treat for having gotten through the ordeal that is costco on a sunday if anyone knows the answer i would be most grateful i don t want to do anything at costco that would seem indecorous or unruly this is libelous truth be told he does a far better job at doing things than i it is just he doesn t care to do things an often as i want them done urspo drinks some water or tries to april 18 2026 in spo reflections 25 comments a glass of water nowadays makes one pause to consider what you are drinking i grew up on the great lakes and there was no question about the water who on earth would pay money for a bottle of water when what comes out of the taps was perfectly fine in college pans of water left out on the heater to generate humidity left a white dusty residue but this was shrugged off as minerals and harmless but those were happier times it is difficult to sort what is hazard and what is hysteria about the water on one hand we are told america has some of the cleanest safest drinking water in the world but on the other hand the fda standards for purity and safety are outdated and don t take into account modern day hazards like microplastics and pharmaceuticals on the other hand we are led to believe what comes out of the taps is practically poison and it s worth buying the bottled water sometimes quite expensive i bought a modest sized jug of drinking water at uncle albertsons the other day but does he merely fill 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