A railway inspector in Arkansas in the United States was making the rounds of a railway station and yard in a small town.
He located Hank, a man who had worked in the rail yard for almost forty years. He questioned Hank about various safety considerations and seemed to be satisfied that Hank was genuinely knowledgeable about railway safety.
As a last question, he asked Hank what he would do if he saw two trains approaching each other, on the same track, travelling at speeds of 60 miles per hour (96.8 Kph).
Hank said, “I’d yell ‘R.T.'”
The railway inspector, puzzled by this, asked, “What’s ‘R.T.’?”
Hank said, “R.T.’s my buddy, and he ain’t never seen no train wreck like that would be!”

Newspaper headline from today:

Alabama House passes budget that would chop General Fund by about $345 million

From the article

Rep. Patricia Todd, D-Birmingham, predicted that proposed cuts in General Fund money for agencies such as Medicaid and the Department of Human Services, which investigates cases of child abuse and neglect, would lead to children’s deaths and abuse.

“We’re going to have blood on our hands,” Todd told House members. She called the proposed budget “the most un-Christian document I have ever seen.”

Rep. Jim Barton, R-Mobile, in an interview replied, “We tried to provide the best services to the citizens of Alabama that we could with the money that we had available.”

Later in the article

Under the House-passed budget, Medicaid would get $400 million from the General Fund in fiscal 2013, compared to this year’s prorated amount of $575.4 million, a cut of $175.4 million, 30.5 percent. Medicaid provides health care for more than 900,000 lower-income and disabled Alabamians.

State public health officer Don Williamson said he feared such a steep cut would force reductions in payments to nursing homes, doctors or other providers of services to Medicaid patients.

He said he worried that some providers might refuse to see Medicaid patients if their payments were cut deeply.

“Will any doctors see (Medicaid) patients?” asked Williamson, who at Bentley’s request is helping to oversee Medicaid’s finances.

From an interview with the previous Medicaid commisioner (a Family Physician) before he resigned:

Mullins told the Advertiser in February that a Medicaid budget of $480 million would require the elimination of many services, including adult pharmacy, hospice and dialysis. At $500 million, he said the agency would cut services for eyeglasses, prosthetics and orthotics, or devices like braces used to support areas of the body.

From the testimony of Dr Williamson, currently charged with oversight of Alabama Medicaid:

The state is not required to cover dialysis treatments under Medicaid, but Williamson said cuts to the $4.5 million that the state spends on those services would be unrealistic because they would be tantamount to a death sentence for those patients. “I know exactly what happens if you don’t dialysize people,” Williamson said. “They’re dead in two weeks.”

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