Tag Archives: future

Doctors Aren’t Really Very Smart About Buying Generics

Mother Jones

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Sarah Kliff takes a look today at our use of generic drugs. Long story short, it’s surprising how few of us save money by buying generic pain medicine instead of name brands (Advil, Tylenol, Bayer, etc.). Why? In most cases, I suppose it’s just ignorance: people don’t realize that the “store brand” is genuinely identical to the name brand. In other cases it might be something else. I buy generic ibuprofen, and it usually comes in the form of small brown pills. One day, however, I went to to a different drug store to stock up, and it turned out that their generic ibuprofen came in the form of small orange pills. Marian used these for a while, but really hated them. Eventually she cracked, and insisted on buying a new bottle from our usual drug store. Sometimes little things can make all the difference.

Anyway. The main point of Kliff’s post is that generics are good, and as evidence of this she puts up a chart showing what doctors themselves buy. Here’s an excerpt from the chart:

It’s true that doctors mostly favor generics when it comes to basic pain relievers. But frankly, what’s amazing to me is how little they prefer them. For chrissake, they prefer generic aspirin by only ten percentage points. That means they buy the name brand about 45 percent of the time. Why would a doctor do this? Granted, the extra few dollars is probably no big deal to them, but why waste it anyway? Certainly not because of ignorance. Are their spouses doing the buying? Or what?

And why the active preference for name-brand rubbing alcohol, of all things? It’s hard to think of anything more generic than that. What’s the deal here?

As for Alka-Seltzer, the dislike of generics is so huge that there just has to be some real difference here. But what?

In any case, I suspect this might have some real importance beyond the question of doctors spending a few dollars they don’t have to. If physicians aren’t really sold on generics in their own personal lives, does this mean they’re not really sold on them in their professional lives too? Do they tend to prescribe name brands when they shouldn’t? And how much does this cost all of us?

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Doctors Aren’t Really Very Smart About Buying Generics

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Seven Hours of Sleep Is Just About Optimal

Mother Jones

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How much sleep does a normal, healthy adult need? The Wall Street Journal reports:

Several sleep studies have found that seven hours is the optimal amount of sleep—not eight, as was long believed—when it comes to certain cognitive and health markers, although many doctors question that conclusion.

Other recent research has shown that skimping on a full night’s sleep, even by 20 minutes, impairs performance and memory the next day. And getting too much sleep—not just too little of it—is associated with health problems including diabetes, obesity and cardiovascular disease and with higher rates of death, studies show.

That’s sort of interesting. In the past, I would have had no idea how to guess at this. I always slept exactly the same every night, so I always felt about the same every morning. Over the past couple of years, however, my sleeping habits have become far more erratic, spanning anywhere from six to eight hours fairly randomly. And sure enough, I’ve vaguely come to the conclusion that six hours makes me feel tired throughout the day, and so does eight hours. Seven hours really does seem to be pretty close to the sweet spot.

Unfortunately, I don’t seem to have much control over this. I wake up whenever I wake up, and that’s that. Today I got up at 6, tried to get back to sleep, and finally gave up. There was nothing to be done about it. And right about now I’m paying the price for that.

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Seven Hours of Sleep Is Just About Optimal

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The Next Generation of GM Crops Has Arrived

And so has the controversy. Maciek/Flickr The first of a new generation of genetically modified crops is poised to win government approval in the United States, igniting a controversy that may continue for years, and foreshadowing the future of genetically modified crops. The agribusiness industry says the plants—soy and corn engineered to tolerate two herbicides, rather than one—are a safe, necessary tool to help farmers fight so-called superweeds. The U.S. Environmental Protection Agency and Department of Agriculture appear to agree. However, many health and environmental groups say the crops represent yet another step on what they call a pesticide treadmill: an approach to farming that relies on ever-larger amounts of chemical use, threatening to create even more superweeds and flood America’s landscapes with potentially harmful compounds. Public comments on the Environmental Protection Agency’s draft review of the crops will be accepted until June 30. As of now, both the EPA and USDA’s reviews favor approval. Their final decisions are expected later this summer. To keep reading, click here. Credit – The Next Generation of GM Crops Has Arrived Related Articles“Almost Everything It Wanted”There Are 1,401 Uninspected High-Risk Oil and Gas Wells.Here’s What the Battle Over Iraqi Oil Means for America

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The Next Generation of GM Crops Has Arrived

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This Is How Much America Spends Putting Out Wildfires

As California burns, the way the feds fight wildfires doesn’t jibe with the reality of climate change. Fire crews burn out an area at the Shirley Fire near Lake Isabella, Calif., on Sunday. Stuart Palley/ZUMA The central California wildfire that yesterday destroyed three homes and forced hundreds of evacuations is just the latest blaze to strain the nation’s overburdened federal firefighting system. According to the latest official update, by Monday evening the Shirley Fire had consumed 2,600 acres near Sequoia National Forest and cost over $4 million, as more than 1,000 firefighters scrambled to contain it. This year, in the midst of severe drought across the West, top wildfire managers in Washington knew they were going to break the bank, even before the fire season had really begun. In early May, officials at the US Department of Agriculture (which oversees the Forest Service) and the Department of Interior announced that wildfire-fighting costs this summer are projected to run roughly $400 million over budget. Since then, wildfires on federal land have burned at least half a million acres, and the Forest Service has made plans to beef up its force of over 100 aircraft and 10,000 firefighters in preparation for what it said in a statement “is shaping up to be a catastrophic fire season.” But the real catastrophe has been years in the making: Federal fire records and budget data show that the US wildfire response system is chronically and severely underfunded, even as fires—especially the biggest “mega-fires”—grow larger and more expensive. In other words, the federal government is not keeping pace with America’s rapidly evolving wildfire landscape. This year’s projected budget shortfall is actually par for the course; in fact, since 2002, the US has overspent its wildfire fighting budget every year except one—in three of those years by nearly a billion dollars. Tim McDonnell That sets up a vicious cycle: Excess money spent on fighting fires has to be pulled from other vital programs, including some of the very activities—clearing brush and conducting controlled burns—that are designed to keep the most destructive fires from occurring. Jim Douglas, director of Interior’s Office of Wildland Fire, says both his agency and the Forest Service (which together are responsible for preparing for and fighting fires on federal land) are perpetually robbing Peter to pay Paul—and climate change is only making matters worse. “It’s pretty clear that the physical environment in which we work is changing,” he says. “The underlying problem is that fire costs are increasing more often than not.” Douglas blames the rising costs on a toxic combination of urban development (“We’re spending a lot more time protecting communities and subdivisions than we did a generation ago,” he says), and a greater abundance of super-dry fuel, which leads to longer fire seasons and bigger fires. Since 1985, the size of an average fire on federal land has quadrupled, according to records kept by the National Interagency Fire Center. The total acres burned nationwide in an average year jumped from 2.7 million over the period 1984-1993, to 7.3 million in 2004-13. And of the top 10 biggest burn years on record, nine have happened since 2000. Tim McDonnell Meanwhile, dry conditions are also lengthening the season in which large fires occur, according to analysis by fire ecologist Anthony Westerling of the University of California-Merced. In 2006, Westerling counted instances of fires greater than 1,000 acres in Western states; the study, published in Science, found that “large wildfire activity increased suddenly and markedly in the mid-1980s.” Updated data provided by Westerling to Climate Desk shows that trend continued in the last decade: Tim McDonnell And the longer seasons mean even higher costs, explains Interior’s Douglas. That’s because seasonal firefighters must be kept on the payroll and seasonal facilities must be kept open longer. Environmental change is complicating the work of fire managers who already had their work cut out for them restoring forests from the decades-long practice of suppressing all fires, which led to an unhealthy buildup of fuel that can turn a small fire into a mega-fire. “Until the ’80s or so, it was easy to explain fires as consequence of fuel accumulation,” says Wally Covington, director of the Ecological Restoration Institute at Northern Arizona University. “Now, piled on that are the effects of climate change. We are seeing larger fires and more of them.” Scientists like Covington are increasingly confident about the link between global warming and wildfires. In March, the UN’s Intergovernmental Panel on Climate Change reported that more and bigger wildfires are expected to be among the most severe consequences of climate change in North America. And a report prepared by the Forest Service for last month’s National Climate Assessment predicts a doubling of burned area across the US by mid-century. Driving those trends are more sustained droughts that leave forests bone-dry and higher temperatures that melt snowpack earlier in the year. Both of those factors are at play this year, especially in the fire-prone West. California’s snowpack was at record lows this winter, and Covington says forest conditions across the region “are dominated by drought.” Tim McDonnell While climate conditions and urban development drive up the average cost of putting out a fire, Interior’s Douglas says his agency is still able to extinguish the majority of fires while they’re relatively small. The biggest concern, from a budgetary perspective, is the biggest 0.5 percent of fires, which according to Interior account for about 30 percent of total firefighting costs. While the average per-fire cost is now around $30,000, a handful of massive fires cost orders of magnitude more: In 2012 several dozen fires pushed into the multi-million-dollar range, with the year’s most expensive, the Chips Fire in California, reaching the stratospheric height of $53 million. Tim McDonnell All it takes is a few multimillion-dollar fires to drain the budget, Douglas says. Traditionally, the firefighting budget set by Congress is based on the rolling 10-year average of expenses, so that in theory the budget tracks changes in actual costs. But in practice, Douglas says, costs are rising too quickly for the budget to keep up, especially as the worst fires get worse. The result is the chronic shortfall shown in the first chart above. In 2009, Congress attempted to patch the hole with the FLAME Act, which created a new reservoir of firefighting funds meant to “fully fund anticipated wildland fire suppression requirements in advance of fire season and prevent future borrowing” from other programs like forest management and land acquisition. Given that boost, the budget jumped into surplus the following year; but it soon dropped back into deep deficit during 2012′s devastating fire season, the third-worst in US history. Last year, the situation was exacerbated by the budget sequester, which cut the Forest Service budget by 7.5 percent, eliminated 500 firefighting jobs, and left western communities scrambling to pick up the tab. Sen. Ron Wyden, the Oregon Democrat whose state is the second most-burned in the nation (see map above), is now pushing a new bill that he says has support from western Republicans (and, for what it’s worth, the National Rifle Association) to create an emergency fund for tackling the biggest fires that would exist outside the normal USDA/Interior budget, similar to the way FEMA currently pays for hurricane recovery. The bill is similar to a proposal by the White House, which would free up over a billion dollars in additional emergency firefighting funds. The idea, Wyden says, is to keep officials from having to crack open the fire prevention piggy bank every time a bad fire season hits, a practice that ultimately drives up costs across the board. “The way Washington, DC, has fought fire in the last decade is bizarre even by Beltway standards,” Wyden says. “The bureaucracy steps in and takes a big chunk of money from the already-short prevention fund and uses it to put out the inferno, and then the problem gets worse because the prevention fund has been plundered.” Indeed, firefighting expenditures have consistently outpaced fire preparation expenditures, even as experts like Covington and Douglas insist that, like the adage says, an ounce of prevention is worth a pound of cure. Since 2002, the average dollar spent on firefighting has been matched by only 80 cents in preparatory spending on things like clearing away hazardous fuels and putting firefighting resources in place: Tim McDonnell Wyden’s bill, which he calls “arguably one of the first bipartisan efforts that could make a real dent in climate change,” is still in committee, and the House version has already taken heat from fiscal conservatives like Paul Ryan (R-Wisc.). In any case, it wouldn’t take effect until next year. But Covington argues that the government needs to approach wildfires as natural disasters on par with hurricanes and earthquakes, and that we should plan for a future that is much more severe than the past. “Earlier in the century, if they saw what’s been going on since the ’90s, it’s just inconceivable,” he says. “It alarms me that people don’t realize how much is being lost.” From:  This Is How Much America Spends Putting Out Wildfires ; ;Related ArticlesWhy David Brat is Completely Wrong About Climate ScienceHurricane Cristina Just Set A Scary RecordThis Is Why You Have No Business Challenging Scientific Experts ;

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This Is How Much America Spends Putting Out Wildfires

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Economic Scene: A Paltry Start in Curbing Global Warming

World leaders aren’t dealing with the limit of the planet’s carrying capacity when they weigh future growth against the need to deal with climate change. Original source: Economic Scene: A Paltry Start in Curbing Global Warming Related ArticlesDot Earth Blog: Behind the Mask – A Reality Check on China’s Plans for a Carbon CapTaking Page From Health Care Act, Obama Climate Plan Relies on StatesObama to Take Action to Cut Carbon Pollution

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Economic Scene: A Paltry Start in Curbing Global Warming

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9 Things You Need To Know About Obama’s New Climate Rules

What the EPA’s new power plant regulations mean for you. tibu/Thinkstock The rules are finally out. In what some pundits are calling the most important act of President Obama’s second term, on Monday morning the EPA released its “Clean Power Plan.” These are the proposed rules that will require reductions in greenhouse gas emissions from existing electric power plants. Electric generation accounts for about 40 percent of current U.S. CO2 emissions. The text of the regulations runs to 645 pages, and it isn’t exactly a page-turner. We suspect you’ve got more fun things to do with your time on this lovely spring day than to read it. So here we answer the nine most important questions about the proposal for you: 1. What will the rules do? The EPA intends to create a “rate-based” limit on greenhouse gas emissions from power plants for each state depending on its current emissions. Rate-based means it sets a standard for how much CO2 is emitted per megawatt hour of electricity produced, not a limit on total carbon tonnage. The plan is designed, as was expected, to give states maximum flexibility to meet these goals in whichever way works best for them and to avoid constricting economic growth. States can, however, choose to convert their rate-based goal into a total tonnage goal if they prefer. 2. How much will the plan cut emissions? Nationwide, the plan is projected to reduce power plants’ CO2 emissions from 2005 levels by 26 or 27 percent by 2020 and about 30 percent by 2030. What’s strange about these numbers is that EPA is setting an ambitious target for 2020, and then barely improving it over the next decade. That’s pretty weak. As clean energy technology becomes cheaper, states should be able to do a lot more to reduce their emissions. The targets can be strengthened in the future, but don’t expect a President Marco Rubio or Jeb Bush to do so. When asked why the rate reductions are so front-loaded, an EPA senior official told reporters, “Some of the measures [to reduce emissions] can be implemented pretty rapidly.” Read the rest at Grist. Continue reading: 9 Things You Need To Know About Obama’s New Climate Rules Related ArticlesLive Coverage: Obama Takes His Boldest Step Ever To Fight Climate ChangeHere’s Why an Obama Plan to Regulate Carbon Could WorkDot Earth Blog: Rhetoric and Realities Around Obama’s ‘Carbon Pollution’ Power Plant Rules

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9 Things You Need To Know About Obama’s New Climate Rules

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Three Long Views of Life With Rising Seas

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Codex: Chaos Space Marines (Enhanced Edition) – Games Workshop

Codex: Chaos Space Marines is your guide to the forces of the Chaos Space Marines, hate-fuelled killers who have sworn to destroy the Imperium they once helped to build. This volume details the tragic history and arcane wargear of the Chaos Space Marines, and provides full rules for fielding an army of these corrupted warriors in the Warhammer 40,000 game. T

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White Dwarf Issue 15: 10 May 2014 – White Dwarf

Things get apocalyptic for Warhammer 40,000 with the arrival of War Zone: Valedor – and the rules team write us a brand-new Dark Eldar datasheet you’ll only find in White Dwarf! Sprues and Glue, meanwhile, looks at the fine art of spraying your miniatures… and we have a sneak peek at the new Warhammer 40,000. About this Series: White Dwarf is Games Wo

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The Home Organizing Workbook – Meryl Starr

Failing the Mary Poppins’ snap-the-fingers approach to cleaning, here’s the next best thing: an utterly practical handbook that offers lasting results for anyone looking to banish clutter from every room in the house. Home organizer par excellence Meryl Starr offers up her hardworking organizing solutions in The Home Organizing Workbook, a straight

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German Shepherds For Dummies – D. Caroline Coile

Everybody thinks they know the German Shepherd. Many of us grew up with Rin Tin Tin, or we saw German Shepherds in nightly news reports breaking up riots, or we saw them in neighbors’ backyards protecting children. But that only scratches the surface of one of the most fascinating and confusing breeds on earth. Whether it’s selection, nutrition, routine heal

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How to Raise the Perfect Dog – Cesar Millan & Melissa Jo Peltier

From the bestselling author and star of National Geographic Channel’s Dog Whisperer , the only resource you’ll need for raising a happy, healthy dog. For the millions of people every year who consider bringing a puppy into their lives–as well as those who have already brought a dog home–Cesar Millan, the preeminent dog behavior expert, says, “Yes,

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Codex: Tau Empire (Enhanced Edition) – Games Workshop

Codex: Tau Empire is your comprehensive guide to unleashing the might of the Tau upon the battlefields of the 41st Millennium. This volume introduces the four Tau castes, the Ethereals, and their mercenary allies. This dynamic race has begun its Third Sphere Expansion, setting forth into the stars to grow the borders of their burgeoning empire and bring the

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Warhammer: Wood Elves (Interactive Edition) – Games Workshop

For millennia, the Wood Elves have dwelt beneath the leaves of Athel Loren, defending their greenwood home from the perils of the world. When the King in the Woods sounds his horn, longbows are strung and spears are sharpened as the hosts of Athel Loren assemble beneath ancestral banners. In the depths of the forests, enchantresses sing songs of awakening, r

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Dataslate: Helbrutes (Interactive Edition) – Games Workshop

Helbrutes are the vicious Daemon bound war machines of the Chaos Space Marines. Driven insane by the sorcerous wards and chains that bind them to their armoured shells, Helbrutes are barely controlled berserkers that endlessly thirst for battle. The servants of the Dark Gods use Helbrutes as shock troops, unleashing them into enemy lines where they can vent

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Gardening Basics For Dummies, Mini Edition – Steven A. Frowine & National Gardening Association

Your green-thumb guide to planning, planting, and cultivating a garden With some basic knowledge, the right tools, and a little work, anyone can transform a boring old yard into a beautiful garden. This friendly guide tells you how. From improving your soil to selecting plants and caring for them, you get just the information you need to start playing in the

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Cat Mastery – Tony Buffington

Our cats live happier, healthier lives in our homes when we understand their natural history, behaviors, and how the world looks to them.  Cat Mastery shows you who cats are, why they do the things they do, and the simple, essential things you can do to make sure they feel safe and stimulated in your home. Written by veterinarian Dr. Tony Buffington, profess

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Three Long Views of Life With Rising Seas

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Dot Earth Blog: Values and Data Meet at a Vatican Workshop on Sustaining Humanity on a Flourishing Planet

The Vatican hosts a meeting considering the mix of science, technology and values-laden choices that will determine the quality of life — human and otherwise — on Earth in coming decades. See original: Dot Earth Blog: Values and Data Meet at a Vatican Workshop on Sustaining Humanity on a Flourishing Planet Related ArticlesIs Oil Money Turning the NRA Against Hunters?Dot Earth Blog: Dome it! Schools Can Affordably Survive TornadoesIn Victory for Obama, Court Backs Rules for Coal Pollution

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Dot Earth Blog: Values and Data Meet at a Vatican Workshop on Sustaining Humanity on a Flourishing Planet

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Who Gets Special Access to Comcast’s Customers? Who Decides?

Mother Jones

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Things that make you go “hmmm”:

Apple Inc. is in talks with Comcast Corp. about teaming up for a streaming-television service that would use an Apple set-top box and get special treatment on Comcast’s cables to ensure it bypasses congestion on the Web, people familiar with the matter say.

….Under the plan Apple proposed to Comcast, Apple’s video streams would be treated as a “managed service” traveling in Internet protocol format—similar to cable video-on-demand or phone service. Those services travel on a special portion of the cable pipe that is separate from the more congested portion reserved for public Internet access.

People familiar with the matter said that while Apple would like a separate “flow” for its video traffic, it isn’t asking for its traffic to be prioritized over other Internet-based services.

Making video-on-demand operate properly requires careful engineering. It doesn’t work if you just dump it out on the public internet and call it a day. However, that careful engineering costs money, and it’s not unfair for companies to demand reasonable compensation of some sort if they’re the ones who bear the costs.

But who decides what’s reasonable and what isn’t? In a competitive market, the market eventually decides. Price signals and competition do the heavy lifting with only light government regulation to set a level playing field and police the worst abuses. But when companies like Comcast have effective monopoly control over internet access in their territories, who decides then? There are no market forces to rely on. So, for example, when Netflix finally agrees to pay a fee to Comcast for delivery of its video content, the quality of Netflix transmissions miraculously goes up almost instantly. Apparently there were no infrastructure issues at all and no special buildout costs. It was just a matter of Comcast extorting some extra revenue from Netflix.

The Apple case is different in the details, but it raises the same basic principle: Who decides? Who gets special access to Comcast’s customer base? Who gets shut out? The market can’t provide any guidance because Comcast has little genuine competition in this space.

So who decides?

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Who Gets Special Access to Comcast’s Customers? Who Decides?

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Chart of the Day: Republicans Stick Together No Matter What Kind of District They Represent

Mother Jones

Here’s an interesting chart from Ryan O’Donnell. It shows voting patterns for members of Congress based on what kind of district they represent. Among Democrats, as you’d expect, their voting records become more progressive as their districts become more strongly Democratic (blue line). What’s more, there’s a sharp break at zero. When a district becomes even slightly majority-Democratic, voting records become sharply more progressive.

But you see nothing of the kind among Republicans. The red line is nearly flat. There’s virtually no difference in their voting records regardless of how strongly Republican their district is. Even when they represent moderately Democratic districts, it doesn’t matter. They still vote monolithically conservative.

Now, it’s possible that this is merely an artifact of Republicans being the out-of-power party. When you’re faced with a president of the opposite party, maybe it’s just easier to maintain a united front of obstruction. Someone could shed some light on this by creating a similar chart for 2001-06, when it was House Democrats who were facing a president of the opposite party.

But I suspect that’s not it. Or at least, not the whole story. Modern Republicans are both more cohesive and more ideological than Democrats (virtually none have a progressive score above 20, while lots of Democrats have scores below 80). Nor do they pay a price for this. Voters in pinkish districts don’t seem to mind electing members of Congress with strongly red voting records. I guess they figure that as long as they vote against higher taxes, it doesn’t much matter if they waste time on lots of symbolic sops to the tea party.

Could Democrats in light bluish districts act the same way? They sure don’t seem to think so. Comments?

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Chart of the Day: Republicans Stick Together No Matter What Kind of District They Represent

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