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At One Hospital, Anywhere From $6,241 to $60,584. Anna Wilde Mathews, Tom McGinty and Melanie Evans 16-20 minutes When a woman gets a caesarean section at the gleaming new Van Ness location of Sutter Health’s California Pacific Medical Center, the price might be $6,241. Or $29,257. Or $38,264. It could even go as high as $60,584. The rate the hospital charges depends on the insurance plan covering the birth. At the bottom end of the scale is a local health plan that serves largely Medicaid recipients. At the top are prices for women whose plans don’t have the San Francisco hospital in their insurers’ network. The nation’s roughly 6,000 hospitals have begun to reveal the secret rates they negotiate with insurers for a range of procedures. The data offer the first full look inside the confidential deals that set healthcare rates for insurers and employers covering more than 175 million Americans. The submissions also illuminate how widely prices vary—even for the same procedure, performed in the same facility—depending on who is paying. “It is shining a light on the insanity of U.S. healthcare pricing,” said Niall Brennan, chief executive of the Health Care Cost Institute, a nonprofit that analyzes medical costs. “It’s at the center of the affordability crisis in American healthcare.” Under a Trump administration rule that took effect in January, nearly all hospitals must make their prices public, a move the industry sued to block. Courts rejected hospitals’ arguments that their prices should remain under wraps. Healthcare economists say these rates are a major driver of U.S. medical costs, the highest in the world, and they are largely paid by American companies and workers. Other industries sometimes charge different amounts to different customers—a manufacturer may offer a volume discount, for instance, and huge retailers like Walmart Inc. will often pay less for the products they stock than local stores do. But the ranges revealed in the Sutter data show how extreme the variation can be in medical services, said Gerard Anderson, a healthcare economist at Johns Hopkins University. “These price differentials are unique to the healthcare and hospital industry,” he said, and are partly tied to the secrecy around the rates, which has prevented competitors from knowing what others were paying. The negotiated prices affect consumers directly—through out-of-pocket charges like deductibles—and indirectly, by pushing up premiums for health coverage. Total U.S. expenditures on private health insurance have increased 50% in the past decade through 2019, according to federal figures. A Wall Street Journal analysis of data from Sutter Health, a Northern California system with 24 hospitals, found ranges that were sometimes extreme. With its sizable network and 2019 revenue around $13 billion, Sutter is known for market clout that drew an antitrust suit from the state’s attorney general in 2018. Sutter has since tentatively agreed to pay $575 million to settle the case without admitting wrongdoing. A Sutter hospital in Modesto, Calif., revealed rates for one billing code representing complex cardiac procedures in fragile patients that varied from $89,752 to $515,697, depending on the insurance plan. The hospital’s discounted cash price for those who pay for the service out of their own pockets: $325,703. Sutter said the actual cash price varies by patient, and that most uninsured patients would qualify for charity care and pay nothing. Sutter Medical Center in Sacramento, Calif. The state’s attorney general launched an antitrust case in 2018. Photo: Rich Pedroncelli/Associated Press Procedures under the code aren’t performed often at the hospital, the Sutter spokeswoman said. Eight patients received them there last year. “We enter into negotiations with every health-insurance company or payer in good faith and with the end goal of providing access to quality, affordable care for patients,” said Sutter Chief Financial Officer Brian Dean. The California system’s pricing spread for the procedures reviewed by the Journal are likely at the upper end, but similar patterns will be found at many hospitals around the country, said Alan Muney, a former Cigna Corp. executive. “This is probably typical of what you’re going to see across big delivery systems,” he said. Prices paid by private insurers in the nation’s $1.2 trillion hospital sector are often far higher than the amounts paid to hospitals by the Medicare program, which are set by the government. Plans offered by insurers under Medicare or Medicaid often get rates tied to those mandated prices. For commercial plans that aren’t backed by the government, which include employer coverage, insurers negotiate confidential contracts for what they and their clients pay. Generally, insurers win better rates if they can steer more patients to the hospital, according to former insurance executives. Insurers with more market share tend generally to achieve more favorable pricing, and they may also get price breaks for plans that push patients to a particular hospital system, often by limiting the number of its rivals included in their networks. Hospitals, for their part, set prices that can have little bearing on the actual cost or value of a service. They often operate without knowing the cost of procedures, unlike other industries that closely track and manage expenses, said David Cutler, an economist at Harvard University who studies healthcare spending. Hospitals instead set prices based on their own targets for overall margins and according to what the market will pay, he said. Hospitals typically rely on privately insured patients for their margins. One study looked at the profits of more than 2,800 hospitals over a decade and found hospitals that boosted margins didn’t cut costs, but instead raised revenue by increasing the rates they charged to commercial insurers. Other studies found hospitals under revenue pressure do manage costs more tightly to protect margins, but where hospitals have market power, they raise prices. Economists say price increases can also reflect investment to boost quality and technology gains, but also warn numerous studies have found quality is no better or worse at high-price hospitals. “We have not found evidence that price is a great signal for quality,” said Michael Chernew, the Leonard D. Schaeffer Professor of Health Care Policy at Harvard Medical School. Despite the Trump administration regulation mandating the pricing disclosures by Jan. 1, some of the largest hospital operators, including CommonSpirit Health and HCA Healthcare Inc., and prominent regional systems, such as Mayo Clinic and NewYork-Presbyterian, haven’t fully unveiled their prices. Under the federal transparency requirement, hospitals must publish the rates they charge specific insurers for 300 common services considered “shoppable” in a way consumers can easily access. They are also required to offer pricing data on all their services online in a format that can be read by a machine. Insurers are supposed to make similar disclosures, with mandates phased in starting next year. Share your thoughts Will knowing the prices hospitals charge change the way you access health care? What other outcomes do you see coming from the release of this data? Join the conversation below. CommonSpirit said it has been focused on the pandemic and is “diligently working” to compile the information. An HCA Healthcare spokesman said it “will continue to post information as our teams work through additional contracts.” Mayo Clinic said it planned to post negotiated rates by the spring. NewYork-Presbyterian said in a statement that it “will be working to improve and regularly update what is posted including a definition of terms and a cost calculator.” At least one hospital owner, Texas-based Christus Health, said on its website that it didn’t plan to publish its negotiated rates “because it provides something that will only be useful for our competitors.” A spokeswoman for the nonprofit, which includes 50 hospitals, said it was offering a tool so consumers could look up pricing on 300 services, and also is providing data on prices paid by Medicare and Medicaid plans. Revealing the negotiated rates “will not accurately inform patients of out-of-pocket costs, but rather will lead to confusion and encourage anticompetitive behavior,” a Christus spokeswoman said. The penalties for failing to meet the pricing-disclosure requirements, as much as $300 a day for each hospital, may not be high enough to force large hospital systems into compliance, said Amanda Starc, an associate professor at Northwestern University’s Kellogg School of Management. Nurses make their rounds at Christus Santa Rosa Hospital in New Braunfels, Texas. Photo: Mikala Compton/Associated Press A spokesman for the Centers for Medicare and Medicaid Services, which issued the pricing-transparency rule, said it is auditing a sample of hospitals for compliance and investigating complaints. The agency hasn’t offered any extensions of the Jan. 1 deadline. In the short term, the newly revealed rates may have limited impact on consumers. Those with coverage would likely still need to check with their insurers to know what they could owe for services. But insurers and hospitals are expected to look closely. Employers, too, will tap the new data, using it to help choose which hospitals to use and to negotiate with insurers, said Elizabeth Mitchell, chief executive of the Purchaser Business Group on Health, which represents major employers. To illuminate the market dynamics, The Wall Street Journal downloaded Sutter’s data on pricing of 300 common services. The Journal’s analysis focused on seven of those services, which were linked to billing codes known as a Diagnostic Related Services, or DRGs. Medicare uses DRGs to establish payment rates that are based on the average hospital resources used to treat patients in a given diagnostic group. For the DRGs analyzed by the Journal, Sutter said the commercial and government-backed plan rates are typically straightforward figures. However, the rates listed for out-of-network use and cash payment, which are derived in a different way, can vary based on an individual patient’s circumstances, Sutter said. All of Sutter’s hospitals showed significant spreads in their negotiated prices on the seven inpatient procedures, though the largest variations in dollar values came with the priciest types of care. One example is the Modesto hospital cardiac code, which is for cardiac-valve and other major procedures involving catheterization, performed on patients with risk factors. Seven insurers pay the lowest negotiated rate, $89,752, for their Medicare plans. The lowest price for a commercial-insurance plan, the type offered to employers, is $197,900. At the top end, the charge is $515,697 for patients whose health plans don’t have the hospital in-network. For hip- and knee replacements, Medicaid and Medicare plans paid the lowest prices at the Modesto hospital, $3,264 and $16,349, respectively. The lowest price paid by a commercial insurer totaled $51,895. The highest rate reached $81,617, again for patients whose insurance didn’t include the Modesto hospital in-network. The rates paid by Medicaid and Medicare plans generally don’t cover costs, a Sutter spokeswoman said. Around the country, hospitals have bought up rivals and tied in doctor groups and other types of healthcare. That has given them huge leverage in rate negotiations with insurers, according to researchers and health-insurance executives. Research suggests hospital prices rise with consolidation, healthcare economists said. The hospital industry has said its mergers aim to add efficiency and improve quality. One recent study found no quality gains after deals. Sutter’s rates are generally high compared with other hospitals, according to prior research by the Rand Corp. think tank. Mr. Dean, Sutter’s chief financial officer, rejected the idea that the level of its prices or their range across health plans reflected greater leverage for the hospital system in negotiations with payers. “The variation in the data reflects robust competition in the markets for commercial insurance,” he said. Insurers give priority to some services for pricing negotiations over others, depending on the health plan network and members covered by the plan, he said. Plans also negotiate prices for groups of services, not individually. Also, a big insurer will likely have several rates for the same hospital service among the types of plans it offers. For instance, at a Sutter hospital in Berkeley, Calif., Anthem Inc. is paying several different prices for a vaginal birth. Its Medicaid plan pays $6,337, according to the Sutter data. But the rate listed for Anthem’s commercial plans is more than double that, at $14,928. The outside of the Sutter Health Alta Bates Herrick Campus medical center in Berkeley, Calif. Photo: Smith Collection/Gado/Getty Images An Anthem spokeswoman said its contracts with hospitals “achieve sizable overall savings for our members and employers,” and “looking at a list of prices without the full context makes it impossible to draw meaningful conclusions.” C-section prices at the Van Ness location of Sutter’s California Pacific Medical Center provide a fuller picture of the results of the behind-the-scenes price-setting process. As is typical, the lowest rates are for insurers’ plans under programs such as Medicare and Medicaid. That’s the case for the $6,241 price tag at Sutter’s Van Ness location for the Health Plan of San Mateo, a nonprofit that mostly covers Medicaid enrollees. A spokeswoman for the plan said it pays hospital rates mandated by the state. There’s a significant jump from those prices to the rates paid by commercial insurers. Among the lower of these is the $15,753 Sutter charges its own plan, and a $16,922 rate it charges for patients covered by a UnitedHealth Group Inc. product with a limited network of healthcare providers. Major national insurer Cigna is paying $29,257 for the C-section. At the top of the scale, in some cases, Sutter is charging $60,584 for the procedure when the hospital is out of the insurer’s network. And for those patients who pay cash, the listed rate is $38,264. Sutter’s Mr. Dean said that its own plan and the UnitedHealth plan help integrate care within its system, so “we can deliver greater value at a lower cost.” A UnitedHealth spokesman said that its plan may have lower rates “because we work with high-performing providers to lower healthcare costs through improved health outcomes, data sharing, and a more-coordinated care experience.” A Cigna spokesman said it supports price transparency, and the limited example examined by the Journal “is in no way indicative of value nor cost competitiveness.” Write to Anna Wilde Mathews at anna.mathews-at-wsj.com, Tom McGinty at tom.mcginty-at-wsj.com and Melanie Evans at Melanie.Evans-at-wsj.com -- So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998 http://www.mrbrklyn.com DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002 http://www.nylxs.com - Leadership Development in Free Software http://www.brooklyn-living.com Being so tracked is for FARM ANIMALS and extermination camps, but incompatible with living as a free human being. -RI Safir 2013 _______________________________________________ Hangout mailing list Hangout-at-nylxs.com http://lists.mrbrklyn.com/mailman/listinfo/hangout 2021-02-01 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #497 - perl.com was hijacked 2021-02-01 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The Communist Revolution and Agenda - Snowbound 2021-02-01 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Prostitution Legalized in NYC 2021-02-01 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Risk Free Economy 2021-02-01 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Agism in the workplace 2021-02-01 Adhemerval Zanella <adhemerval.zanella-at-linaro.org> Subject: [Hangout - NYLXS] The GNU C Library version 2.33 is now available 2021-02-01 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [ Docs ] Risk Free Economy 2021-02-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Vaccine mutation Details from the UK COVID-19 2021-02-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Run Down of Vaccines from the BBC 2021-02-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Hiring? Join NYU, Fordham, 2021-02-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] since it is winter, 2021-02-01 From: "Xavier B. via artix-general" <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] Please make an antix-announce 2021-02-01 From: "Xavier B. via artix-general" <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] Please make an antix-announce 2021-02-04 amdocs-jobnotification-at-noreply.jobs2web.com Subject: [Hangout - NYLXS] New jobs posted from jobs.amdocs.com 2021-02-03 Liz Moore via Docs <docs-at-mrbrklyn.com> Re: [Hangout - NYLXS] [ Docs ] Fwd: When will the U.S. get enough 2021-02-03 Ruben Safir via Docs <docs-at-mrbrklyn.com> Re: [Hangout - NYLXS] [ Docs ] Fwd: When will the U.S. get enough 2021-02-04 From: "[RSS/Feed] nixCraft: Linux Tips, Hacks, Tutorials, Subject: [Hangout - NYLXS] nixCraft Linux / UNIX Newsletter 2021-02-04 Elle Stone <ellestone-at-ninedegreesbelow.com> Subject: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Michael Schumacher via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Alexandre Prokoudine via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] 2021-02-04 Gloria Lassich via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] =?utf-8?q?=5BGimp-user=5D_MAC_alternative_to_G?= 2021-02-04 Liam R E Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] 2021-02-03 From: "Rick Strong" <rnstrong-at-primus.ca> Re: [Hangout - NYLXS] [Gimp-user] Resizing 2021-02-03 Jay Smith <jay-at-JaySmith.com> Re: [Hangout - NYLXS] [Gimp-user] Resizing 2021-02-03 Liam R E Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] [Gimp-user] Gimp Plug Ins 2021-02-02 From: "M.R.P. zensky via gimp-user-list" <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Gimp Plug Ins 2021-02-04 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The most dangerous phase of our life is seriously 2021-02-04 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] How do we organize to reist universal healthcare 2021-02-04 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Don't Let China WIN!! 2021-02-04 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [ Docs ] FIGH FIGHT FIGHT 2021-02-04 Liam Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Gloria Lassich via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Liam Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Michael Schumacher via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Elle Stone <ellestone-at-ninedegreesbelow.com> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Elle Stone <ellestone-at-ninedegreesbelow.com> Re: [Hangout - NYLXS] [Gimp-user] GIMP-2.10 and GIMP2.99 are still 2021-02-04 Alexandre Prokoudine via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] [Gimp-developer] GIMP-2.10 and 2021-02-04 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Landlines and Faxes and Security 2021-02-05 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Copyright Wars continue 2021-02-05 Alexander Vdolainen <alex-at-vapaa.xyz> Re: [Hangout - NYLXS] How do we organize to reist universal 2021-02-06 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] There is NEVER a plan to set us FREE 2021-02-06 Judy <judy-at-corozal.com> Subject: [Hangout - NYLXS] [Gimp-user] Problem with text 2021-02-06 nick glos via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Blurring the edges 2021-02-06 Liam R E Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] [Gimp-user] Problem with text 2021-02-05 From: "Rick Strong" <rnstrong-at-primus.ca> Re: [Hangout - NYLXS] [Gimp-user] [Gimp-developer] GIMP-2.10 and 2021-02-05 Elle Stone <ellestone-at-ninedegreesbelow.com> Re: [Hangout - NYLXS] [Gimp-user] [Gimp-developer] GIMP-2.10 and 2021-02-05 Ofnuts via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Problem 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Put Down Your phone 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fwd: So Many Prizes But So Little Time! Early 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] normal is normal 2021-02-07 From: "Wesley Peng" <wesley-at-pengfamily.de> Re: [Hangout - NYLXS] 2021-02-07 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] [EXT] 2021-02-07 Steven Haigh <netwiz-at-crc.id.au> Re: [Hangout - NYLXS] 2021-02-07 Steven Haigh <netwiz-at-crc.id.au> Re: [Hangout - NYLXS] 2021-02-07 Adam Prime <adam.prime-at-utoronto.ca> Re: [Hangout - NYLXS] (no subject) 2021-02-06 From: "Wesley Peng" <wesley-at-pengfamily.de> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-06 Steven Haigh <netwiz-at-crc.id.au> Subject: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 akovia via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Problem with text 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Gimp-user] [Gimp-developer] GIMP-2.10 and 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Slide to depression that no stimulus can fix... 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Virus Mutation Basics and the Economy 2021-02-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] So now where are we at ... 2021-02-08 Ruben Safir via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] Please make an antix-announce 2021-02-07 montefiore-jobnotification-at-noreply.jobs2web.com Subject: [Hangout - NYLXS] New jobs posted from careers.montefiore.org 2021-02-07 RSA / Yeshiva Chofetz Chaim <info-at-kollelauction.org> Subject: [Hangout - NYLXS] So Many Prizes... Only 3 Days Left Until The 2021-02-08 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #498 - Perl.com is back 2021-02-08 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [artix-general] Please make an antix-announce 2021-02-08 Erik Lauritsen <eriklauritsen-at-yandex.com> Re: [Hangout - NYLXS] [artix-general] Please make an antix-announce 2021-02-09 Mostafa Ahangarha <ahangarha-at-riseup.net> Re: [Hangout - NYLXS] [Health] online seminar GNU Health: 2021-02-09 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Mithun Bhattacharya <mithnb-at-gmail.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Clive Eisen <clive-at-hildebrand.co.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Rafael Caceres <rcaceres-at-aasa.com.pe> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Clive Eisen <clive-at-hildebrand.co.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-08 Steven Haigh <netwiz-at-crc.id.au> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Mithun Bhattacharya <mithnb-at-gmail.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Vincent Veyron <vv.lists-at-wanadoo.fr> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-08 From: =?UTF-8?Q?Andr=c3=a9_Warnier_=28tomcat/perl=29?= <aw-at-ice-sa.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 From: "Wesley Peng" <wesley-at-pengfamily.de> Re: [Hangout - NYLXS] 2021-02-08 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-08 Steven Haigh <netwiz-at-crc.id.au> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-08 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-08 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 Chris <cpb_mod_perl-at-bennettconstruction.us> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 Mithun Bhattacharya <mithnb-at-gmail.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 John Dunlap <John-at-lariat.co> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 James Smith <js5-at-sanger.ac.uk> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-07 Vincent Veyron <vv.lists-at-wanadoo.fr> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 From: "Con Edison Marketplace [Masked]" <FWD.41y4n0uw889n-at-opayq.com> Subject: [Hangout - NYLXS] =?utf-8?q?Don=E2=80=99t_Miss_Our_Best_Deal=3A_?= 2021-02-09 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] milton freedman 2021-02-09 From: "M.R.P. zensky via gimp-user-list" <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Plain light color with Gimp 2021-02-07 nick glos via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] gimp-user-list Digest, Vol 113, 2021-02-08 Ofnuts via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Problem with text 2021-02-07 From: =?utf-8?q?Jehan_Pag=C3=A8s_via_gimp-user-list?= Re: [Hangout - NYLXS] [Gimp-user] [Gimp-developer] GIMP-2.10 and 2021-02-11 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-10 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-10 Javier via artix-general <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-11 Ken Moffat via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] To the GIMP team - in need of an 2021-02-08 From: =?utf-8?q?Jacques_Le_F=C3=A8vre_via_gimp-user-list?= Subject: [Hangout - NYLXS] [Gimp-user] To the GIMP team - in need of an old 2021-02-11 Ken Moffat via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] To the GIMP team - in need of an 2021-02-11 Alexandre Prokoudine via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] To the GIMP team - in need of an 2021-02-11 Tom via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-11 Tom via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-10 Stan Pioro via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-10 Stan Pioro via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] I hate Joe Biden - He is a lie sleezeball 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] time to end trade with china 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Not being silent in the face of broad lies 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The rel cost of lockdowns 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The healthcare economy scam that screws everyone 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [ Docs ] I hate Joe Biden - He is a lie 2021-02-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Never trust the Times anyway 2021-02-12 Kian Kasad via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-12 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-12 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-12 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-12 Kian Kasad via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-11 Cliff Pratt via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-11 From: "Rick Strong" <rnstrong-at-primus.ca> Re: [Hangout - NYLXS] [Gimp-user] Adding a text box 2021-02-13 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fwd: Turtle Pond 2021-02-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Let something random into your life 2021-02-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Roadside Attractions in California 2021-02-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Domestic breakdown 2021-02-15 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Dudemanguy <dudemanguy-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Jeff Pohlmeyer <yetanothergeek-at-gmail.com> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Kian Kasad <kian-at-kasad.com> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Kian Kasad <kian-at-kasad.com> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Javier <je-vv-at-e.email> Subject: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-13 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-13 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] lvm2-s6 upgrade "from 2021-02-15 Dudemanguy <dudemanguy-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-14 Alexandre Oliva <lxoliva-at-fsfla.org> Subject: [Hangout - NYLXS] GNU Linux-libre 5.11-gnu (ilovefs) 2021-02-15 Edgar Hagenbichler <edgar.hagenbichler-at-hagenbichler.at> Re: [Hangout - NYLXS] [Health] online seminar GNU Health: 2021-02-15 Edgar Hagenbichler <edgar.hagenbichler-at-hagenbichler.at> Subject: [Hangout - NYLXS] [Health] online seminar GNU Health: ICD-10 coding, recipes, 2021-02-14 Mostafa Ahangarha <ahangarha-at-riseup.net> Re: [Hangout - NYLXS] [Health] online seminar GNU Health: 2021-02-15 From: "[RSS/Feed] nixCraft: Linux Tips, Hacks, Tutorials, Subject: [Hangout - NYLXS] nixCraft Linux / UNIX Newsletter 2021-02-15 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #499 - Farewell Kent Frederic 2021-02-15 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-15 Dudemanguy <dudemanguy-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-15 Kian Kasad <kian-at-kasad.com> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-15 Javier <je-vv-at-e.email> Re: [Hangout - NYLXS] [artix-general] [s6] random boot error -> 2021-02-15 Sis 3 via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] Using overlays in Gimp 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] as we actually already knew because we have lived 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] as we actually already knew because we have lived 2021-02-16 aviva <aviva-at-gmx.us> Re: [Hangout - NYLXS] as we actually already knew because we have 2021-02-16 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] [ Docs ] as we actually already knew because 2021-02-16 aviva <aviva-at-gmx.us> Re: [Hangout - NYLXS] [ Docs ] as we actually already knew because 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Pandemic Economy - The New Depression Apply Cart 2021-02-16 Kollel Ner Dovid / Yeshiva Chofetz Chaim <info-at-kollelauction.org> Subject: [Hangout - NYLXS] Last Chance! Deadline Is Tonight!! Free Trip to 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Where are we at not and how we got here ==> 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] as we actually already knew because we have 2021-02-16 mayer ilovitz <pmamayeri-at-gmail.com> Re: [Hangout - NYLXS] as we actually already knew because we have 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Schools are for students or teachers? 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Our Friends in Iran can smell blood in the water.. 2021-02-16 Jason Cooper <jason+artix-at-coldbeach.io> Re: [Hangout - NYLXS] [artix-general] runit for background (boo!) 2021-02-16 Jason Cooper <jason+artix-at-coldbeach.io> Subject: [Hangout - NYLXS] [artix-general] runit for background (boo!) 2021-02-16 Liam R E Quin <liam-at-holoweb.net> Re: [Hangout - NYLXS] [Gimp-user] Using overlays in Gimp 2021-02-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Bitcoin Mayheim 2021-02-17 From: =?utf-8?Q?Hackaday?= <newsletter-at-hackaday.com> Subject: [Hangout - NYLXS] =?utf-8?q?Lots_of_Clocks=2C_a_Blinky_Skirt=2C_?= 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Coming economic troubles 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Coming economic troubles 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Aliens are coming... really are. 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Coming economic troubles ii 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Bailing out bad left-wing power grabbing policy 2021-02-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Coumo consipracies 2021-02-17 From: "Pharmacy Times Continuing Education" <reply-at-email.pharmacytimes.org> Subject: [Hangout - NYLXS] Sunday Symposium: PCSK9 2021-02-18 Robin Simmons <robin-at-lenkeninternational.co.uk> Subject: [Hangout - NYLXS] [Gimp-user] Darktable plug-in stopped working 2021-02-19 Victor Cubelo via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] Problem with GIMP Tool 2021-02-20 Robin Simmons <robin-at-lenkeninternational.co.uk> Re: [Hangout - NYLXS] [Gimp-user] Darktable plug-in stopped working 2021-02-20 Robin Simmons <robin-at-lenkeninternational.co.uk> Re: [Hangout - NYLXS] [Gimp-user] Darktable plug-in stopped working 2021-02-20 James Curione via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] GIMP 2.10.22 on iMac 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Israel goes FULL BOOR Facistist Survailence State 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] II - Israel goes FULL BOOR Facistist Survailence 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] III - Israel goes FULL BOOR Facistist Survailence 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] We are on the tipping point... 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Pandemic Economy 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The war on natural gas will soon be coming home 2021-02-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Homelessness problem stubburnly gets worst adn 2021-02-22 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #500 - TPF and TRF 2021-02-22 Michael Gates via gimp-user-list <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] import about 400 .svg as layers 2021-02-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Vaccinations and Lockdowns and the Faucci Fanatism 2021-02-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] =?utf-8?q?Domestic-Terrorism_Bill_Is_=E2=80=98?= 2021-02-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] =?utf-8?q?Domestic-Terrorism_Bill_Is_=E2=80=98?= 2021-02-23 From: "APhA - American Pharmacists Association" <infocenter-at-aphanet.org> Subject: [Hangout - NYLXS] Information from Industry: Single-dose flu 2021-02-24 Edgar Hagenbichler <edgar.hagenbichler-at-hagenbichler.at> Subject: [Hangout - NYLXS] [Health] online seminar GNU Health: MyGNUHealth: 2021-02-24 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] If One Mask works to generate lethal strains, 2021-02-24 aviva <aviva-at-gmx.us> Re: [Hangout - NYLXS] [ Docs ] If One Mask works to generate lethal 2021-02-24 From: "Pat Schloss" <pdschloss-at-gmail.com> Subject: [Hangout - NYLXS] [mothur] Updated workshop schedule and databases 2021-02-25 garpin <garpin-at-protonmail.com> Subject: [Hangout - NYLXS] Possible GPL violation on Mac App Store 2021-02-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Cracks in the use of executive power coming fro 2021-02-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Election irregularities on a regular schedule.. 2021-02-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] We need to end our trade with China 2021-02-27 Qontinuum <qontinuum.dev-at-protonmail.ch> Subject: [Hangout - NYLXS] [artix-general] New Artix mirror 2021-02-26 From: "[RSS/Feed] nixCraft: Linux Tips, Hacks, Tutorials, Subject: [Hangout - NYLXS] nixCraft Linux / UNIX Newsletter 2021-02-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] mars 2021-02-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Rose Colored Racism 2021-02-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] COVID-19 being used as the death of the free and 2021-02-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] COVID-19 being used as the death of the free and 2021-02-27 Qontinuum <qontinuum.dev-at-protonmail.ch> Subject: [Hangout - NYLXS] [artix-general] New Artix mirror 2021-02-16 Jason Cooper <jason+artix-at-coldbeach.io> Re: [Hangout - NYLXS] [artix-general] runit for background (boo!) 2021-02-22 Kevin Payne via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] How to get a lighter neutral tone 2021-02-21 Ofnuts via gimp-user-list <gimp-user-list-at-gnome.org> Re: [Hangout - NYLXS] [Gimp-user] How to get a lighter neutral tone 2021-02-20 Ross Martinek <triarius-at-att.net> Re: [Hangout - NYLXS] [Gimp-user] GIMP 2.10.22 on iMac 2021-02-21 From: "M.R.P. zensky via gimp-user-list" <gimp-user-list-at-gnome.org> Subject: [Hangout - NYLXS] [Gimp-user] How to get a lighter neutral tone 2021-02-23 Wesley Peng <wesley-at-pengfamily.de> Subject: [Hangout - NYLXS] modperl vs fastcgi 2021-02-19 Charles Pigott <cpigott-at-rapitasystems.com> Subject: [Hangout - NYLXS] SIGSEGV crash due to undefined behaviour when 2021-02-12 Chris <cpb_mod_perl-at-bennettconstruction.us> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-09 Dave Morgan <dave-at-1001111.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-11 Chris <cpb_mod_perl-at-bennettconstruction.us> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-12 From: =?UTF-8?Q?Andr=c3=a9_Warnier_=28tomcat/perl=29?= <aw-at-ice-sa.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and 2021-02-22 Charles Pigott <cpigott-at-rapitasystems.com> Re: [Hangout - NYLXS] SIGSEGV crash due to undefined behaviour when 2021-02-22 Steve Hay <steve.m.hay-at-googlemail.com> Re: [Hangout - NYLXS] SIGSEGV crash due to undefined behaviour when 2021-02-11 From: =?UTF-8?Q?Andr=c3=a9_Warnier_=28tomcat/perl=29?= <aw-at-ice-sa.com> Re: [Hangout - NYLXS] Moving ExecCGI to mod_perl - performance and NYLXS are Do'ers and the first step of Doing is Joining! 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