Jan. 15th, 2012

captainsblog: (B-lo home)
Interesting exposé in our local paper about Rural/Metro, a multiregional provider of ambulance service in this community (in the city of Buffalo, although not our town) and many other places in the state and nation. It piqued my curiosity, among other reasons, because a longtime Friend of mine from here and elsewhere used to work for them when she lived here, and I'd heard more than a few war stories consistent with this sort of thing.

While the article goes into mostly local issues of overbilling and aggressive collection techniques, it also relies on histories of similar incidents (some of them reduced to court or regulatory settlements) in other parts of the country.  As egregious as it all is, though, here's the one sentence that REALLY got me:

Before its acquisition by the private equity firm Warburg Pincus in 2011, Rural/Metro was a publicly traded company and provided investors with the frank unvarnished assessments that the Securities and Exchange Commission requires.

Back that up a second. (That's a sort-of homage to radio commentator, and fellow Cornell journalist alum, Dave Ross, who for years has had a CBS radio feature titled News Read Real Slow.)  A private equity firm- you know, vulture-types like Romney's Bane of Existence Capital- has gotten into the public emergency medical services business, and by taking the company private, have effectively prevented their municipal clients from access to any information about what they've been charged with, investigated for, or might otherwise have on their records.

Isn't it strange, after hearing from the One Percent for the past three years about how government-funded health care is an unaffordable bugaboo that we should be staying out of, they're now betting the other way with their own money and bellying right up to the government bar to get in on the action?

Probably this is why we're told not to believe that Obamacare can really work to save (rather than cost) money in the long run, as the Congressional Budget Office confirmed it will, by ridding the current system of waste and fraud. The problem is, too much of corporate America is IN on the waste and fraud. Just watch a day of cable television and see the ads for scooters, and overpriced meds and equipment for frequently phantom conditions, all touted as being Medicare eligible!  And now here's a bag of billionaire money, getting bigger and baggier, on the backs of patients who were never served (or at least under-served), and in some cases, into the pockets of their survivors after they died on the back of the meat wagon.

I used to find it ironic that, back in Ithaca, the primary ambulance company was owned by the same family that operated a downtown funeral home. Bang's Ambulance- either way we get your business!  This, though? Not so funny.
captainsblog: (Reading)
I headed back to our neighbor's rehab facility today, a couple of live library e-book downloads on board my travelin' laptop, and blessedly succeeded in transferring 7-day loans of each to her Nook. Not that it was easy. First, Eleanor had to find her on-paper "wish list" of such things next door. Then, it took me close to 30 attempts to find just two books on that list which were (a) available as e-books at all, (b) weren't "checked out" (I previously ranted about this), and (c) were available in the .epub format accepted by the Nook and not the system's default Overdrive version which is only Kindle-able.

Finally, the transfer itself took close to the whole hour I was there. The library website and the Nook's online help provided completely contradictory instructions on how to transfer the download, and my first effort (based on the latter) resulted in "ineligible token" errors. (Didn't we get rid of this scam when the NYC subway went to Metrocards?)  Yet, by opening three different programs on my laptop (Windows Explorer, Firefox, and Adobe Digital Editions), I finally pulled it off, and now two different books- coincidentally both featuring vampires- are at Sally's virtual beck and call for a whole week.

This-all sucks, and I am not here referring to tokens.

----

Amazon, on the other hand, seems closer to the concept of Getting It.

As I pimped the other day, the lovely and talented Kate Danley made a short-term Kindle loan of her first book, The Woodcutter, available for 48 hours for a free- FREE!- download. She posted earlier today that 15 people took her up on that offer.

Oops, sorry: fifteen. Freakin'. THOUSAND. Bringing her to (and I quote) (thus explaining the quotation marks;) "the #1 Fantasy book, the #10 Fiction book, and the #16 on the Top 100 list on Amazon."

So let's do some math. Let's assume, in the best of all possible worlds, that maybe 100 out of those 15,000 people are now Not Paying Customers, who would've bought that book anyway. That's 100 lost sales, if addition is still commutative, right?

But. If only ONE FREAKIN' PERCENT of those 15,000 people are impressed (they will be), intrigued (duh), indebted to Kate for her random act of kindness (heart), and each of them only tells ONE FREAKIN' FRIEND who then buys the book? That's 150 sales that did happen, overwhelming the 100 sales that didn't.

And so on, and so on, and so on, as those people who even didn't buy the book still remember Kate as a Damn Good Author (trust me) and eventually bring her up above the Pattersons and Evanovichi of this world (not hard).

This model works. Unlike our library's, which is rooted somewhere back in hot lead printing presses.

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