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RE: Vote Universal Health care - 9/16/2007 3:20:26 AM   
farglebargle


Posts: 10715
Joined: 6/15/2005
From: Albany, NY
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quote:

ORIGINAL: Sanity

quote:

ORIGINAL: philosophy
...ok, according to you the current US health system is a crock, universal health care wont work......so what will? What system puts the patients needs first, regardless of their economic status? What system ensures that the children of poor families get physio if they need it? What system recognises that good health across the board has knock on economic benefits for all society?

You seem to be after perfection, but alas, you will never find it. What we have now (minus the propaganda) really isn't that bad. We have free clinics and sliding scale clinics, emergency rooms that turn no one away, as well as many other positive things going for us. If we face the facts, we'll see that everyone is going to die of something anyway... and that the government really can't fix everything. Probably the biggest improvement we could make is to reign in the greedy trial lawyers. Going Socialist obviously doesn't work, and why should trial lawyers like John Edwards get filthy rich by working overtime to make MY health care unfordable?



I don't buy it. In discussions regarding Healthcare Infrastructure, I've heard reasonable estimates of the wasted labor caused by Health Insurers shennanigans in processing VALID and PROPERLY FILED claims starting at 3 TRILLION dollars annually.

PROVIDERS could provide a lot more services, if they were simply paid in an open, transparent, and honest manner. It's *already* regulated by the Government, ( to the benefit of the Insurers over the Providers... )

I suppose the solution is something like a federally provided, guaranteed "Major Medical" ( "Catastrophic Care" ) benefit, and us paying out-of-pocket for everything else, unless we go seek out coverage ourselves for those expenses.

Stick it on the payroll stub right under Social Security and Disability, instead of under "HMO"...



_____________________________

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ברוך אתה, אדוני אלוקינו, ריבון העולמים, מי יוצר צמחים ריחניים

(in reply to Sanity)
Profile   Post #: 101
RE: Vote Universal Healthcare - 9/16/2007 6:25:26 AM   
MsCameron


Posts: 238
Joined: 10/14/2004
From: Ontario, Canada
Status: offline
quote:

ORIGINAL: johntom571

quote:

ORIGINAL: defiantbadgirl

US doctors are given bonuses for turning patients away. A universal healthcare doctor's salary is based on the quality of healthcare given to patients.


Ahem, no it's not.  I happen to live under a "universal:" health care system here in Canada, and it SUCKS watermelon sideways.  Here, doctors are being penalized for seeing too many patients (Cap on billing), which is the stick instead of the carrot.  Over there   You can see a doctor for free anytime for anything, and everybody tries.  Doctors are overworked.  Most who graduate from med school go to work in the US.  Millions of Canadians can't get a physician to accept their case, and have to rely on urgent care clinics.  It takes weeks to get an appointment if you DO have a MD, and months to get a specialist referral.  It's a great system, only if you can afford to WAIT.  Lots of Canadian don't: they go to Buffalo to get overnight brain surgery and MRI's, or they go give birth to quadruplets in small midwest towns south of the border.

"universal" sounds good.  it's a great equalizer: everybody suffers.  don't do it.

JohnTom, from Canada.


Really? I have never waited more than 2 or 3 days to get an appointment with my GP. If he is too busy and it's not serious, there are walk-in clinics where I've never waited more than an hour or two.
As far as specialists go, yes, the wait time can be long but if you go on their "cancellation" list, most times you will be in within a couple of weeks.

I just saw an allergy specialist and I was there in two weeks. The same time was for ultra sounds and a chest x-ray was two days wait.

The system is not perfect and yes, you have people running to the doctor for a simple cold. It is abused, no question about it.

We also have a shortage of doctors, especially in rural areas.

It's not perfect but it's the best we've got.

MC

Edited for that stray letter that got away :)

< Message edited by MsCameron -- 9/16/2007 6:26:47 AM >


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And following our will and wind we may just go where no one's been.
We'll ride the spiral to the end and may just go where no one's been.
Spiral out. Keep going, going...
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(in reply to johntom571)
Profile   Post #: 102
RE: Vote Universal Healthcare - 9/16/2007 6:47:43 AM   
johntom571


Posts: 63
Joined: 7/17/2006
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quote:

ORIGINAL: kiyari

quote:

ORIGINAL: johntom571

quote:

ORIGINAL: defiantbadgirl

US doctors are given bonuses for turning patients away.
A universal healthcare doctor's salary is based on
the quality of healthcare given to patients.


Ahem, no it's not. 

Here, doctors are being penalized for seeing too many patients (Cap on billing),
which is the stick instead of the carrot. 



In the USA, patients are referred to as "revenue streams"

Physicians have been reprimanded for not exhausting the litany of
"acceptable" various and sundry "tests" [all billable, of course],
in cases where the diagnosis was clear from the start.

Meh


In Canada, patients are referred to as "load".  They are a liability, not a valued asset.

I am not sure where you get your information re reprimands, and about employments.  I neither live or work in the US, so my understanding, from subscribing to many health lists, is that US MD are mostly in private practice, but have to rely on insurance for payments.  Insurance companies are the ones requiring tests in order for doctors to justify expensive treatments, like chemo, radiation, surgery, etc. Hospitals might require additional tests to pad their bill.  But eventually it boils down to the patient choosing to see a particular doctor, or contracting with a particular company, or going to a particular hospital. 

Here there is no such selection. Beggers can't be choosers.

JT

(in reply to kiyari)
Profile   Post #: 103
RE: Vote Universal Healthcare - 9/16/2007 9:51:15 AM   
caitlyn


Posts: 3473
Joined: 12/22/2004
Status: offline
Long waits for specalists, lack of doctors in rural areas, generally poor treatment ... those are things that happen in the United States also.
 
Isn't it somewhat true, that Canadians that come across the border to get care in the United States, are generally wealthy Canadians, that are paying cash? I think Americans under the same scenario, would get pretty good care in the United States also.
 
I think the biggest issue many Americans have with the current system, is that it really doesn't give as much 'choice' in the area of insurance carriers, as it may seem. If you get a serious condition, and are dissatisfied with your insurance carrier (for instance, they chicken-shit you for every nickel and dme), it's very difficult to change, because any new carrier will want to write your policy with your now pre-existing condition not included, or lesser included in your policy.

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I wish I could buy back ...
the woman you stole.

(in reply to johntom571)
Profile   Post #: 104
RE: Vote Universal Healthcare - 9/16/2007 10:16:22 AM   
meatcleaver


Posts: 9030
Joined: 3/13/2006
Status: offline
quote:

ORIGINAL: NeedToUseYou

quote:

ORIGINAL: meatcleaver

I've lived at least 3 years each in five European countries. UK, Holland, Belgium, Germany and France. All have good, cheap(relatively) healthcare. All are bloody fast too in an emergency. Where you have none life threatening ailments, things do slow down somewhat. From my experience they slow down the most in Britain, probably because tax payers pay less for healthcare than say, Germany and France, where tax payers pay the most and from my experience get a great deal for their tax euro.


So, your endorsing the nearest thing to the EU example, a state based solution? Because that is what each of those countries is like a state, or two. So, you living in the EU, have the option at least of traveling here or there relatively freely for different options. We in the US would be left with absolutely only one option. If it gets busted, or mismanaged, there is absolutely no jumping the border, or whatnot like you could do in the EU. Or even looking to the Federal government to help out a ailing state mishap would be off the table. With a one plan for all solution it is all or nothing. That is a terrible way to manage anything.

It doesn't seem worth it to me, when one could just let each state handle it, and then even if one fails, or is mismanaged, it doesn't sink the ship like a federal fuckup would do.



I wasn't thinking that far ahead but on reflection it seems to me to be a perfectly good idea. That would allow each state some democratic choice rather than feeling compelled to do Washington's bidding on every little detail. What appears to happen in the EU, each state had a system that works for them but now compare their own system with other states to see if their is ways of improving their own system.

Take Britain and France, France spends so much more on drugs and consultant's fees than Britain, the logical thing for the French is to ask why. On the other hand the French have far lower waiting lists for hospital treatment than Britain, the logical question is for Britain to ask why. In both cases France spends far more money, the first case, it wastes money, the second case Britain is working on the cheap. The political choices become clear. The British NHS has spent money to get some of its patients treated in France which proved cheaper than treating them in the NHS because France was happy to get money for unused facilities. There are so many German doctors that many seek work experience in Britain (amd other countries) and then go back to Germany having gained more experience than a doctor who would have stayed in Germany where there are an excess of doctors. Most of this flexibility was not planned but each state recognizing the possiblities a varied state system gives.

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(in reply to NeedToUseYou)
Profile   Post #: 105
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