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2018-02-08 10:55 by Karl Denninger
in Health Reform , 329 references Ignore this thread
Fix The Federal Budget -- And Whack Private Medical Costs
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I have often written on the known, and intentionally ignored (and in fact the explicit derogation) of using carbohydrate restriction as a means of improving insulin sensitivity and reducing or eliminating the need for Type II diabetes drugs, never mind what should be a near-complete elimination of all the co-morbidities that come with Type II diabetes (gangrene, blindness, amputations and ultimately dialysis and death, to be specific.)

Note that the American Diabetes Association specifically recommends carbs in the diet for sufferers, chasing same with drugs and/or insulin.  That's outrageous and in my opinion that "association" should be put out of business tomorrow with everyone involved in it charged with involuntary manslaughter for every person who follows their "recommendations" and winds up dead, never mind being sued to beyond the orbit of Mars for the outrageously insane costs imposed on the medical system and taxpayers as a result.

Now we have an open but controlled study out that backs up what I've been saying.

The purpose of this study was to evaluate if a new care model with very low dietary carbohydrate intake and continuous supervision by a health coach and doctor could safely lower HbA1c, weight and need for medicines after 1 year in adults with T2D.

Results?

After 1 year, patients in the CCI, on average, lowered HbA1c from 7.6 to 6.3%, lost 12% of their body weight, and reduced diabetes medicine use. 94% of patients who were prescribed insulin reduced or stopped their insulin use, and sulfonylureas were eliminated in all patients. Participants in the UC group had no changes to HbA1c, weight or diabetes medicine use over the year. These changes in CCI participants happened safely while dyslipidemia and markers of inflammation and liver function improved.

In other words those who followed the "control" recommendations, which is the so-called "traditional" approach pushed by doctors and the American Diabetes Association, had no improvement as a result of their protocol.

However, those who greatly restricted carbohydrates dropped their A1c, lost 12% of their body weight, 94% were off insulin which is very expensive and all of those who were on sulfonylureas -- which have substantial safety concerns along with being expensive were off them as well.

Even better 83% of the people were still in the study at the one year mark which is insanely good; nearly all of those who started the protocol were able to keep with it for a year.  Almost nobody adopts a "diet" and sticks with it, but this is a lifestyle change that people both can and will stick with, and the results speak for themselves.

Now let me share with you an anecdote:

This is the reading from an individual I know who about a month ago called me freaking out because during a routine physical he scored a 300 on a random glucose test.

He asked for my links to articles I've written on low-carb eating, I sent them, he adopted it and this is the result.

In one month.  He sent me that picture via text message last night.

Now go read this again.

Then tell me why, if the government won't impose this paradigm immediately and start indicting those in the medical and "association" worlds that have "advised" otherwise at ridiculous cost to both the public and private medical systems, on purpose, never mind all the deaths that have resultedpeople who are in this category of sufferers shouldn't erect the middle finger, adopt a low-carb lifestyle and find the pitchfork and torch that appears to have been long-forgotten in America today, enforcing the demand that this crap stop right damn now.

Everyone in this category, which is 10% or more of the American public today from the statistics I've seen, is not only being abused to rob public and private parties for unnecessary and extremely expensive medical treatment they are also having their health destroyed through the lie that Type II diabetes is an inevitably progressive disease that always comes with ever-more expensive drugs and medical procedures, and both will and must inevitably end in a miserable death after extracting tens or hundreds of thousands of dollars per person.

That is just flat-out not true and these brigands not only are killing people they're making well north of a half-trillion dollars a year running that crap, never mind being directly responsible for the majority of the federal budget deficit besides in the form of Medicare and Medicaid spending, almost-none of which is actually necessary or, for that matter, improves outcomes.

Where the **** is President Trump, never mind CONgress along with all the State Attorneys General and Governors (who absorb a large amount of this via Medicaid, never mind state and local pension medical costs) on this outrageous scam?

STOP IT NOW DAMNIT -- NOT ONLY IS THIS A HALF-TRILLION DOLLAR A YEAR SCAM IT IS KILLING NORTH OF 70,000 PEOPLE IN AMERICA YEARLY, THE 7TH LEADING CAUSE OF DEATH AND IS FINANCIALLY STRANGLING BOTH THE FEDERAL AND STATE GOVERNMENTS!

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Click
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If anybody is waiting on Trump to clean house, you better forget about it.

I'm a native New Yorker, and waiting on Trump to fix your health is equivalent to waiting on Ronald Reagan back in the 70s and 80s when I was among a group of people on the cutting edge of so called "heath foods". I understand Trump's style and his thinking. He's NOT going to clean house. That's not how he survived and climbed to the top of the Big Apple, and that's not how Trump is going to govern. I warned that the wild-card risk is WAR. I repeat: Trump doesn't want to clean house, he wants a military parade...

Regarding diabetes: let's not forget about those who suffer from hypoglycemia. I'm not going to get too far into the controversial subject of treating either hypo or hyperglycemia, but I learned way back in the 70s how to solve that problem from Dr. Jack Soltonoff. I first met Jack when he visited our family farm in the Catskills. My mother was suffering from a bad case of hypoglycemia. Jack made a house call and he told my mother the best thing she could do was "throw away her stove and consume no processed food containing refined sugars and carbohydrates". Of course, the throwing out the stove was hyperbole, but eating more foods in a natural state was not. My mother followed Jack's nutritional advice and got well naturally. No more sugar attacks. Most people don't know it, but hypoglycemia often leads to hyperglycemia. So, figuring out how to maintain a healthy pancreas and a stable level of sugar are key to *long term* health.

Moreover, the race for good health is a marathon, not a sprint, so my diet, fluid intake, sleep habits, stress management, sex life and exercise program has kept not just my blood sugar stable and my organs healthy, but it has prevented *inflammatory* issues.

Health is a very controversial subject. But it interests me, so I keep up with this subject. Currently, I'm watching Tom Brady's system. Brady drinks over 37 standard glasses of water on a busy day. Processing that much water would actually kill some people by hyponatremia. But it works for Brady. I'm very skeptical about such a high intake of water providing good health right on up to old age. I'm also quite skeptical about many of the diets people are on. Most won't end well. But almost anything is better than eating jelly beans ( like Reagan ) and drinking soda ( lime Trump)....
Lunatic_fringe
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Forget the government... they will always be wrong on virtually everything. Good health by carb restriction will only thrive as a grass roots process. I've spent the last 10 years talking about it and I've made a number of converts who have enjoyed a lot of success. You've done a great job getting the message out. We can howl at the moon all we want about politics and other crap and we'll never make a dent but when it comes to what a person eats it's up to the individual so pushing the message will be effective. Not to all, but eventually things will change.
Comrader
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click, interesting that you point out the bad habits of reagan and trump but not the smoking of obama
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What about that ****ing Marxist, Obama? --- makes me ill just thinking about him.

Trump is so much better than that little puke and his white-man hating wife... The only thing she did right was promote a garden. And that was just for show..

Obama is a piece of **** who hates America: and Obama was right there in the middle of the conspiracy to bring down Trump. And this **** isn't over, yet. Don't underestimate Trump in this Washington Game of Thrones... There's a lot more going on than meets the eye. The Machiavellian political and legal maneuvering behind the scenes is off the charts right now.

Trump is a force to be reckoned with. Did you know that Trump registered the trademark Make America Great Again the day Romney lost? Yeah. Trump is no baby. He's a marketing genius, and he's been eyeing the presidency for a long time.

And Trump put his own money where his mouth is... and he's about to put the American Armed Forces where his mouth is, too.

So, don't be surprised when a veteran like Trump who spent his entire life dealing with the NYC Swamp Cartels turns the tables on Obama and his ****ing wife and the Clintons and the other primary coconspirators...

Trump is no Ron Paul...

Tickerguy
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OH what a total load of ****ing bull****.

I literally do not give a FLYING **** about whether Trump is better than Obama or Hillary if he doesn't fix this problem and in a couple of years you won't give a **** either when lending spikes in cost, the market crashes, your job goes "poof" and the horse**** fed by central bank liquidity all disappears as they simply can't maintain it into ramping deficits any longer.

Then right on top of that **** you're going to wind up ****ing DEAD, right after being DEAD BROKE.

Yet you wish to run this horse**** on EVERY SINGLE ****ING THREAD, and for that you're tempting me very, very much to exercise.

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Goforbroke
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Time to feed the chickens.
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Off topic but related.

An acquaintance is a driver for one of these van services sponsored through a state agency. They take anyone virtually anywhere for any reason. There is one "client" who is on methodone, and once a week needs transportation 50 miles each way to a methodone treatment center. He (the client) has been doing this for three years. The "treatments" run $18,000 a month, and totally paid for by the government (i.e. you and me) because he has no income.

Sigh.


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Was Ronald Reagan better than Jimmy Carter? Did Reagan really fix anything long-term? --- or did the deals he made with Tip O'Neill (including immigration) really fix anything?

The super-debt cycle and amnesty are just two examples which began under Reagan that were not long-term fixs, either, yet I believe Reagan was light years better than Carter. Yet nothing was fixed, really, and I still own some gold coins which I bought back then because I thought economic collapse and war was a risk.... Nobody knew for sure precisely how or when the curtain would drop. And nobody, including Ron Paul who I supported, thought the economy, gold, the stock market, bonds and real estate would end up where they are today.

Fast forward to Obama: it's my opinion that Trump is a better choice if you choose at all....

I also respect none of the above as a good choice, too. And if you think that my opinion is ****, this is your site. Do what you want.

Here's the bottom line: I don't think Trump is going to "fix" anything. Why I think Trump is mother ****ing light years ahead of that sack of ****, Obama, or Hillary, has nothing to do with fixing anything. I only support Trump over the other sacks of scum because Trump won't "break" things ( e.g., The Second Amendment) as fast as the other ****heads....

There's nobody who's going to walk the national debt back. As far as ending up dead broke and/or dead, if that's true, I won't be alone.

Looks more and more like the Dow is headed south, and somebody who understands capital flows is going to end up making a lot of money if they know when to reenter the market...

Buckle up...
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Your acquaintance is lucky. He owes you a thank you. So do his internal organs. I hope he continues keeping his carb count low.

"Usual care" as described in the study linked is pernicious. From what I see, it leads people to think that they are doing okay when they are not. I went back east last month and got together with a friend and her husband. He is about 60 y.o.. 13 years ago he suddenly went blind; he made it to the hospital and his blood sugar was 900. They gave him insulin and got him out of the crisis state. Then, he started eating low carb - it worked. But he did not persist in doing so. The morning I met them his fasting blood sugar was 200. He had recently eaten a dozen Dunkin Donut Munchkins. This guy is not stupid at all - he is a machine tool person who helps build subs; he reads plenty, and he has seen people die horribly of diabetes - but he is utterly obsessed with sweets. Much of the evening's conversation concerned sweets. A big problem is that he is seeing a GP who he thinks is keeping track of this all, so it isn't so bad. Sort of like magic. He is on Metformin. But it IS bad. I gave him a copy of Jenny Ruhl's Blood Sugar 101 and begged him to either cut carbs again or start taking insulin. His wife doesn't want him on insulin; she thinks he should do it by cutting carbs. Well, of course he should; that would be much better. But it looks like he won't. And - she brought a big plateful of chocolate chip cookies to dinner!!!!! WTF!!! Even I had one, and I don't like sweets!!!!

I've gotten a blood sugar monitor and I never let my blood sugar go over 120. I'm pre diabetic (A1c 5.7); that's my stopgap system. I have a huge number of data points now. Funny things raise my blood sugar (raw broccoli more than I expected), funny things don't raise it so much (lentils not as much as I'd have guessed); sweet potatoes are a disaster (not surprising). People seem to vary a lot in their response to particular carb sources. Of course, if you're having no carbs, that is not a factor. I'm not recommending this system at all; it is just what I am doing while I get a handle on things. With my father and brother on insulin, and diabetes having a strong genetic component, I'm not opting for denial.

I did notice that 93 percent of the intervention group in the study were obese. But diabetes in lean people is a huge problem, especially in India. If you're not fat (I'm not overweight) and your blood sugar is lousy, your health prospects are worse than if you're fat. All the more reason for people in the U.S. (who can mostly afford it, unlike poor souls in India) to buy meters and actually see what is going on.
Tickerguy
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Quote:
I did notice that 93 percent of the intervention group in the study were obese. But diabetes in lean people is a huge problem, especially in India. If you're not fat (I'm not overweight) and your blood sugar is lousy, your health prospects are worse than if you're fat. All the more reason for people in the U.S. (who can mostly afford it, unlike poor souls in India) to buy meters and actually see what is going on.

That's because if you're not fat and Type II the reason is PROBABLY because your endocrine system is so ****ed up through decades of abuse that you CANNOT metabolize the sugar and convert it to fat!

In other words you're REAL FAR down the bad-news road.....

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Bodhi
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Karl, how old is your acquaintance that had the 300 blood glucose reading? It is simply astounding that he's had a reading as low as 81. It makes me wonder if he isn't having bouts of hypoglycemia after years of abusing his diet. It will take time and discipline to heal his system, but it clearly shows what is possible when someone stops shoveling crap down their piehole. Good on him . . . and you.
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Approximately my age

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Emac
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My favorite line from the study:

This suggests the novel care model studied here using dietary carbohydrate restriction and continuous remote care can safely support adults with T2D to lower HbA1c, weight, and medicine use."

Continuous remote care?? You need a doctor to tell you to quit eating cr#p! We are screwed.
Ee4fire
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Here comes a fix to budget mess, but not through the healthcare mess:

https://www.msn.com/en-us/money/retireme....

Karl has mentioned this in the past. Government of all sizes has made promises they can't keep.

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Asians develop T2D at BMIs of 24 and 25, which is certainly not obese.
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A friend of mine is obese, diabetic and on metformin. (He denies that he is diabetic.) Over the past couple of years, I've been telling him about HFLC, sending him links to the Tickers and begging him to try it for a month. I was telling him about this Ticker today and he got mad. He said he's had enough of me telling him to eat HFLC, he'll stick with metformin and his doc.

Well, I tried. I won't bring the subject up again with him, but I'll probably be going to his funeral sometime in the next 10 years.

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Karl thanks for all the low carb articles. Your articles reinforce what I've found to be true about diet. I've prepared nearly everything my family eats for years. Animal proteins and veggies are delicious. For years I've made one yeast bread from einkorn flour, oat bran, flax seed and have a slice occasionally. The pasta I use occasionally is made from einkorn flour. Before going out and exerting myself I like eating of couple of naturally organic dates and supplement with meat sticks.
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Lobo, sounds like my 86-year-old father. He's been on blood pressure meds for many years. He's now up to 3 different scripts to keep the numbers where his doc wants them. Believe me I've tried to get him to consider his diet of too many carbs and the fact that BP tends to increase with age, but the doc knows best. The meds also keep his pulse down around 60, I'm assuming from the beta blocker. He's otherwise healthy for a man his age, so I keep mum on health and diet suggestions unless he asks my advice.
Tickerguy
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Quote:
Karl thanks for all the low carb articles. Your articles reinforce what I've found to be true about diet. I've prepared nearly everything my family eats for years. Animal proteins and veggies are delicious. For years I've made one yeast bread from einkorn flour, oat bran, flax seed and have a slice occasionally. The pasta I use occasionally is made from einkorn flour. Before going out and exerting myself I like eating of couple of naturally organic dates and supplement with meat sticks.

@Tripe98 - Oh sure, all this odd stuff, eikorn flour, probably all grass-fed beef and butter, foo-foo this and foo-foo that, and a food bill 200, 300, even 400% what it would be if you shopped for your food at the local Winn-Dixie or even Publix and didn't buy any of that exotic ****.

And you need to do that all or it won't work right? Well then, how about this, where I ate not one grass-fed anything, not one foo-foo piece of meat, all standard grocery-store meats and vegetables. Hell, my brussels sprouts come out of a PictSweet bag and they're frozen -- and I buy them at WalMart!

The results?



Should you think that's doctored, especially on the "before", go look on Youtube at my channel, which is chock full of videos from the time of the crash.

And a ****s-n-grins run last night, as I have an 8k race to do Saturday.



Here's what I get out of my Garmin for VO2Max:
Quote:
Your VO2Max is 51 which is superior for men ages 50-59. Your fitness age is that of an excellent 20 year old. That's the top 5% for your age and gender.


It's been as high as 54 in the last year and as low as 49 when I slack off for a few weeks (and play too much); since I am not doing lab tests for this the computation is inherently off a few points (e.g. there's no adjustment for hot-n-muggy although that certainly impacts the effectiveness of your cardiovascular system indirectly!)

Note that when I started this in 2011 I couldn't run ONE HALF MILE without being winded. Now? I do half-marathons more--or-less for grins and giggles.

And if you think that I only do it once in a while, well....

https://www.athlinks.com/athletes/218244....

Those are just the ones that site picks up, which is maybe half to 2/3rds of the races I do these days.

smiley

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Eli
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Here is the thing, there are way too many indications and data points to back it up and Karl has pointed out many of them.

Health care in the USA and globally is nothing of the sort. It is an Industry, it is not built on making people better, it is built on creating and keeping customers.


The health care industry does not want you or anyone you know to be healthy!

What they want is for you and everyone you know to become good customers for what they have to sell.

Look up restless leg syndrome
https://www.forbes.com/forbes/welcome/?t....

If Pharma can make the pill they can create the disease.

The industry wants to keep you sick and dependent, it is not about curing people!

I got another one just off the top of my head, look at the reaction of the FDA to Kratom.

https://qz.com/1203123/the-fda-is-taking....

The FDA is gunning for Kratom hard, all most as hard as Marijuana. People use Kratom instead of opiods, the FDA gives us all a dire warning that Kratom is not safe! Warning it is deadly! The FDA has documented 44 deaths due to Kratom since 2011! OMG oh nooooss!


Just ignore the fact that 64000 people died of drug overdoses in 2016 alone!
The FDA is not trying to protect people from Kratom they are trying to protect the drug cartel from Kratom.

Let's play a game.
Let's say you work for a multi national big pharma company.
And you are diligently doing cancer research and low and behold you unlocked the code to cure not just some cancers but 99% of them.

Would you rush and take it all to your bosses? After all your discovery would change the world!

What if your company makes billions upon billions on cancer drugs and treatments?

Do you think your bosses are going to give you a reward for all your hard work? What do you think that reward is going to be?


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Tickerguy
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There is, in fact, some evidence that someone may have found exactly this.

There are some researchers who think they've got an answer for basically any solid tumor -- including those that have metastasized. They've found a way to trigger T cells to go after that specific tumor, and by injecting a very, very small amount of a genetically-modified material (which they "key" using the tumor itself) into that specific tumor the body's immune system then recognizes it as foreign and destroys it.

But the interesting part, and what made my hair stand up, is that the body ALSO destroys all the metastatic growths too, since they're "keyed" the same. Quite-interestingly DIFFERENT tumors (entirely) -- that is, let's say you give an animal melanoma AND lung cancer or lymphoma -- are NOT targeted.

The trick here is that it's a one-time deal, it requires milligrams of material and it often produces complete remissions including on the metastatic growths!

This of course makes currently-inoperative solid tumors potentially able to be eliminated -- like brain tumors that you simply can't remove today without killing the person. So long as you can get a needle in there to get some of the genetic material you can target it.

There's no way to know (yet) whether it would work on humans since thus far I understand it's only been tested on animals, but I will say this -- since there's probably enough out there NOW to figure out how to make this stuff if I was to discover that I had a metastatic cancer (in other words, "you're ****ed" with present tech) I'd likely dump a six-figure chunk of cash into attempting to make some of this **** myself in a spare room in my house and test it on myself. After all with such a diagnosis I'm already dead, so I can't make it worse; who gives a **** if it kills me a couple months early? While it might be a 10 or 20:1 shot that it works, if it does, well......

Yeah.

Now figure this too -- once this is put into an industrial process we're talking cheap here, REALLY cheap, because the dose amount required is in MILLIGRAMS and it's only needed ONCE.

Guess how much pharma is going to be interested in THIS? Sure, they can try to price it at $crazy here and will do exactly that but once you file a patent you have to disclose, and that means someone over in Chindia WILL make it, WILL make it dirt cheap (probably the government over there!) and sell it for $20. Once that happens, which will take NO TIME AT ALL get your ass on a plane with a fistful of $100s -- one fistful, which will be plenty for both the $20 charge and the airline ticket both ways. **** 'em good and hard at their own game.

That **** ought to be developed BY the government, tested BY the government and, if it even looks like it might work GIVEN AWAY to anyone with a metastatic cancer (after all, they're ****ed and done so why not let them take the crack at it -- there's no downside) for that same $20.

You know good and ******n well that ****face Trump WILL NOT put this at the forefront of policy because if he did AND IT WORKS a decent part of the cancer game AND ALL THE MONEY CURRENTLY MADE FROM IT disappears INSTANTLY.

Oh, and Grandma doesn't die either, nor do a bunch of kids.

We can't have that, right, because all those billions HAVE TO be extracted.

Yeah.

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Winding it down.

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