1887 Gallatin Steffens: Letter noting the sale from Gallatin to Joseph Steffens, E ½ of Lot 5 between I and J streets and 18 and 19 streets. Gallatin sold his Victorian mansion to Steffens that later became the California Governor’s Mansion.

Kevin Knauss: Health, History, Travel, Insurance
Posts by Kevin Knauss not related to health insurance or other categories, usually editorials, travel essays, food, pictures and maps.



Develop a mobile application that tourists, visitors, and local residents can download onto their mobile device that would show a variety of historical sites, structures, landmarks, and museums within prescribed radius around their current location or region they may be visiting in the future. Some people have compared the historical sites mobile app to the dating apps, where the history lover is searching for an afternoon date at a historic site or museum.


Where a primary source of confusion starts to creep into the preliminary eligibility determination for either Medi-Cal or Covered California hinges on when the new FPL amounts are considered for eligibility. This is where the rules concerning determining eligibility are not necessarily aligned between Medi-Cal and Covered California. The rules put forth by the ACA govern how Covered California applies the FPL amounts for determining eligibility for the Premium Tax Credit subsidy, which are slightly different than Medi-Cal. The Department of Health Care Services, the agency that administers Medi-Cal, must abide by older federal rules for eligibility determinations.


The single payer proposals I have read deal mainly with the consumer side regarding access to care and reduced patient costs. What seems to be missing is recognition that medical groups and hospital have built their budgets around the existing health insurance plan reimbursement rates. There is no mechanism in the single payer proposals to limit the costs such as the cost of labor (nurses) which is a significant financial element for hospitals. Until we get a handle on the cost of health care, health insurance rates will continue to rise and a viable single payer proposal, where you have more than one or two hospitals participating, will only be a dream.


Imagine for a moment that the day you born your religion, political party affiliation, and occupation were chosen for you. It was official. You could not change what had been entered into those fields on your birth certificate. You were designated a Roman Catholic, Democrat, Farmer. Your destiny and life had been chosen. The government would only recognize what was entered on the birth certificate.


The goals of Prop 8 sound good: better patient care and lower costs. Basic economic theory suggests that artificially regulating prices lower leads to shortages. We cannot force the current dialysis clinics to become nonprofit organizations. Just like large retailers close under-performing brick and mortar stores, I would expect no less from the CEO of a dialysis company to close those locations whose primary insurance payer were on the lower end of the reimbursement scale such as Medi-Cal or Medicare.


Isaac Hinkle was 25 years old and working on his father’s farm in Indiana in 1880. His older brother Amos had left the farm for California and Isaac decided to follow him in 1881. By 1882 Isaac was a registered voter in Sacramento County’s Mississippi Township. In 1885 Isaac married Jessie Brown and would have a long marriage with Jessie for the next 48 years. Also in 1885 Isaac Hinkle would make his first land purchase. He bought land in the town of Ashland from John Cardwell who was a large owner of in the area for $850. Even though the land was within the Public Land Survey System of Townships and Ranges, the deed refers to original metes and bounds description before the 1865 official survey map.


This is not a physical item the guest wanted to return. It’s not like she purchased a car, drove it for a couple months and then wanted to return it for a full refund. She had not booked a vacation date for the Italian farm house which would have prevented another family from renting the vacation house. There is no injury to PAH for the termination of the purchase of the vacation package. The big loser is SHS since that nonprofit organization, who paid PAH for the vacation package, has to refund the guest’s $6,500 and lose out on the funds generated to cover the cost of the event.


I cannot vouch for the veracity of the image or its location in a public park. But the comments from individuals on Nextdoor were interesting because of how they broke along gender lines. Most women who commented were shocked and saddened at the noose display. Men who commented were generally dismissive and sarcastic in their replies.


It started as a small idea to honor regional Sacramento residents for their contributions to preserve our history, historical buildings and infrastructure. It quickly ballooned into a gala event that was very challenging for the small Sacramento Historical Society organization. Fortunately, we all kept the goal of acknowledging the substantial accomplishments of so many deserving people first and foremost as we organized the event.

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