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Drastic health care reform (and then some) - 1/22/2008 6:00:25 PM   
Termyn8or


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I mentioned this in another thread, let's go to a pay for health system rather than a pay for sickness system. I am not the first to propose such a thing, and while it may sound like socialized medicine on the surface, it is not.

My refinement may have not been mentioned, but then that's me. Radical.

OK you pick a doctor. You pay by the month. A certain number of office visits and checkups are free. After exceeding that limit, there is a charge. That keeps the hypochondriacs out of your hair.

Elective things, boob jobs, face lifts and the like you have to pay for. Anything required to keep you alive and kicking is free, well not free but covered.

I am against socialized anything, but with this plan you pay the doc directly, there are no suits in the way sucking up the money.

I know there are a million problems to work out with a plan like this, and I did use the word drastic. What are we going to do about visits to a specialist, a CAT scan or an Xray, operations that need to be performed in a hospital with a support staff, like RNs etc.

I did not come here to argue with this. I'd rather know if anyone has any ideas on how to implement it. The issue of doctors themselves, well I hope most of them are honest, but it is known that some of them resort to the ways of greed. Kickbacks from the drug companies to become drug pushers, double billing, unnessecary procedures.

When they call people sheeple I know what they mean. Doc says you need this drug. Well before I take it into my body I want to know everything about it. And I want to be fully informed of all benefits and risks of either taking it or refusing it. This is my body.

When they say sheeple, just what are doctor's orders ? Since when does someone who works for me have the right to give me orders ? I know a guy has more pills than,,,,, I'll leave that to you, I do not want to sound cliche, it's not my style. Whatever they say he takes, he questions nothing. This is another case of money being able to buy the right to be ignorant. He is retired, he worked all his life, he can get at least partial drug coverage from the government, and if anyone deserves it he does, he paid into it for over forty years. But he pays for all this shit himself.

This is hundreds of dollars a month, and it should not cost that much even if one should foot the bill on their own.

It has become a big ripoff on many levels. The only way to correct it is to rearrainge the way the money is distributed.

In case your blood pressure is low, read this.

I can think of a reason, a valid one that drugs cost alot more in the US. This despite the fact that the US government gives them more money than practically anyone else. OK a few do get more green, but the drug companies want to blame all the research required for a new drug. First of all they don't pay for that by themselves. They get alot of help.

The reason we pay more can be attributed to advertising. Yes.

There is one thing that some people seem oblivious to, that the customer ultimately pays for everything. There are no exceptions. Turn off the cable box, get the old rabbit ears out and watch a day of regular TV. Make a list, for every different drug commercial you see add about a hundred thou for a cheap one, an elaborate one, up to a million.

Then addup how many times you see them in a day. Add anywhere from $2,000 at the very least, up to tens of thousands of dollars for a minute. On a local news show possibly more. Of course more on sporting events, especially the superbowl, things like that. It gets ridiculous. Now that is each instance.

Multiply that by 365 days in a year and total it up. Yup, I could live on that, but wait. Next day flip to another channel. Same thing. How many channels do you actually get locally ?

When you drive to work and see a billboard, how much do you think it costs to get your ad up there ?

I would go for an out and out ban on commercials for any drug. Period. First of all how can we tell the children "Just say no" and "This is your brain on drugs" and then advertise a drug ? Totally ridiculous. Second of all what are people supposed to do, call their doctor and say "I saw this new drug on TV" ?. So the guy is doing a triple bypass and the sectretary buzzes him with a caller on the phone. I could see it now "Hold on folks, I'll be back in a minute". Yeah right.

And some of these commercials are for anti-depressants, and at the end they say that suicidal tendencies are a known side effect. Come on, beam me up Scotty, really.

I realize that a type of reform like this ompossible unless there are other reforms. They way money is gained, distributed etc. At this point in time, industry owns government. Why is it that you see the same drug commercial many times in an hour ? Do you think most people only watch five minutes of a TV show and have never seen this commercial that has been running for six months ?

That kind of "saturation" is insane. There is no way in hell they are getting any kind of decent return in product sales. But that doesn't mean they are stupid. Oh no. Not at all.

There are two things they do by oversaturating a market with advertising. I'm sure that some already know but I will spell it out anyway.

1. Media control. By becoming a major source of revenue for any business, influence infers. That is a given. If you are the biggest customer for my widgets, you bet you believe that those widgets will be designed to meet your specifications. Likewise with the media, someone decides what gets reported and what does not.

Consider this, the local news reports that a certain drug has been found to kill people. And then they run a commercial for that drug. They won't be doing that for long.

2. Big business hates small business. That is business 101. They want small business gone, they want to buy up everything. You see with the enormous volume big business does, they might only make fractions of a penny on each transaction. But there are so many transactions. It is hard to concieve having millions in sales each year. But doing it on a bunch of small transactions.

So they rake off whatever the market will bear. Certain businesses, for example retail chains, in fact chain stores and chain restaurants and such, this rakeoff is quite small for the boardroom. But there is so much of it going on that it amounts to something.

Anything that makes it amount to less is a bad thing. When you are in business it is almost by definition, your job to try to kill the competition, either by undercutting their prices or buying them out, whatever. The easiest and cheapest means to an end. That is your job. It is defined by the very society in which we live, not me. I did not invent this, I learned it.

So to tell the second reason now, they incessantly advertise to keep the demand up, so that the prices are high and small businesses can't afford to advertise.

The whole kit-n-kanboodle has to go.

But on the medical, I'd rather go to a vet than a doc. They seem to say $250 alot I hear. Hmmmm, just occurred to me, the last time I went to a doctor it was $250. Maybe I am an animal ?

Well, I am going to end this now. I have read that some people say my posts are too long. In fact I think I agree. Some of them anyway.

So have at it, any ideas ?

T
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RE: Drastic health care reform (and then some) - 1/22/2008 6:08:31 PM   
lusciouslips19


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Most people dont want to pay for a healthcare system. They would rather pay for a sickness system. They dont want to focus on prevention and things like that. They want surgery or a pill. They dont want to eat healthy, exercise, watch saturated fats and give up drinking, processed foods and cigarettes. They dont want to give up obesity so the will live, get out of wheel chairs and get off of diebetes meds. They want to keep doing what they are doing and feel the drama of complaining about how sick they are while gettting more meds.

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RE: Drastic health care reform (and then some) - 1/22/2008 6:32:38 PM   
Zensee


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I think the financing of "health" care is a separate issue from what methods and philosophies guide the sort of approach we take.

I agree that we need to focus more on prevention and wellness, less on fixing what doesn't need to break. The best way to do this is starting with our kids and making sure they get the nutrition, activity and emotional support they need to use the intellectual offerings at school. And school is the best place to deliver thoise messages and services.

I still believe that, like all essential services and utilities, public control is the fairest and cheapest way to go, for the most people. Anything else and it's back to doctors for the rich only, or poverty for those unfortunate enough to get sick.


Z.


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"Before enlightenment, chop wood and carry water. After enlightenment, chop wood and carry water." (proverb)

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RE: Drastic health care reform (and then some) - 1/22/2008 6:52:17 PM   
OrionTheWolf


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Medicare is public and it inflates the rates in many areas, such as Durable Medical Supplies (wheelchairs, hospital beds, walkers, etc.). If we were to use Medicare to predict how socialized medicine would be handled, it would cost quite a bit, not be effecient, and there would be no concern from those running it towards those that are ill.


quote:

ORIGINAL: Zensee

I still believe that, like all essential services and utilities, public control is the fairest and cheapest way to go, for the most people. Anything else and it's back to doctors for the rich only, or poverty for those unfortunate enough to get sick.


Z.



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When speaking of slaves people always tend to ignore this definition "One who is abjectly subservient to a specified person or influence."

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RE: Drastic health care reform (and then some) - 1/22/2008 6:55:15 PM   
Archer


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Additionally the medicare drug benifit can be used to predict the growth in cost you can expect fom any dollar figure they come up with as far as cost.

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RE: Drastic health care reform (and then some) - 1/22/2008 7:35:13 PM   
Zensee


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And under HMOs the US system is so fair and economical, right?

If there is profit to be made, profit will be taken. In a purely private, unregulated system profit equals inefficiency. Publicly run systems are more efficient. The myth that private enterprise is more efficient and more effective than public is just that, a myth.


Z.



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"Before enlightenment, chop wood and carry water. After enlightenment, chop wood and carry water." (proverb)

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RE: Drastic health care reform (and then some) - 1/22/2008 9:34:27 PM   
Termyn8or


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OK then Zen, I see that you are in Canada. They seem to still be able to do a few things right up there.

But down here, no matter how bad and greedy and shorsighted the private sector can get, the government will excel at it. Cronies hired, embezzlement authorized and all nice and legal. And golden parachites when the whole idea falls flat on it's face.

I will fully agree that in a system where people act responsibly and just do their job competently, a public system is, in theory more efficient. In the US they would get their retirement from PERS, have X amount of vacation time and a monitored, and not abused expense account. Not having to pay dividends to stockholder would make it more efficient as well. Yes it would be great.

But I was talking about the US here. Can't even build a decent road. Then we got bridges falling down, so they go inspect bridges more, and condemnned one in my town. They have been months trying to blow that thing up. If it were so delapidated and unsafe, why didn't it fall down on the first try, rather than another that fell down on the nonth try ? Yes, nonth. Before the first.So why was everyone blissfully unaware of the condition of that bridge. They just started inspecting bridges a couple years ago ? I find that hard to believe.

Yes, a public based human services enterprise probably would be the best if we had the right people to run it. But we don't.

You know, Canada, Germany, England, whoever, even though you might not have as good a Constitution as ours, ours is not enforced. Ours has been trampled on, spit on and shit on by our politicians since before the civil war. Sedition trials indeed. Can't happen here ? Did happen here about a hundred years ago.

They do not know their jobs. OK, now we go into the and then some part.

Look at all the companies that outsource to other countries. We The People can whine bout it all day long, but that solves nothing. OK, much more.

They have fucked up the educational system here. We know that, companies have to give their hirees remedial reading and math classes, per OSHA regulations so they can read warning signs on the equipment. We have a high level of absenteeism as well. This is not all that attractive to a person who has a job that needs doing and is willing to pay.

And the facts are not exhausted here. Labor unions, some of them have gone too far. And the next fact is not mind blowing, but how it fits is. most Americans would rather not work in a factory or on a production line.

The fact of the matter is that someone has to do it. I would say the young, before they have any good skills, let them work. Later they get the better job. But the thing is, the previous third world has improved it's education, and now has a labor pool that is not only cheap, but competent.

We are dogmeat, and even the Germans are as well. Nokia moved out of there, and Germans are among the most industrious of peoples. That move was just to make more money. Maybe I am wrong, maybe Germany has fallen apart like we have.

I am not saying I am totally unconcerned about it, but I am more concerned with the fact that we have fallen apart like we have.

Greed aside, of course they are in business to make money. That is not the problem. And just what do we have to offer them ? An unhealthy, uneducated workforce that costs more, and a tax system that will make your head spin. All kinds of requirements and EPA emission levels. Regulations out the ass. Would you want to come here ?

I wouldn't, I would have to insane. Well maybe more insane.

OK post is long enough. Later.

T

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RE: Drastic health care reform (and then some) - 1/22/2008 10:07:26 PM   
subfever


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Any useful change would have to be drastic.

Right now, Big Pharma and the insurance companies are in charge of health care. They have the FDA and our congressmen bought and paid for. Until this structure is dismantled and replaced with a moral system, things will only continue to get worse.

The current system doesn't want inexpensive cures; instead, it wants long-term drugs, surgeries, and other treatments that are expensive.

In spite of a stratospheric rise in technology over the past 60 years, we haven't seen one cure for a catastrophic disease since 1953. One truly has to have his head buried in the sand to not see something wrong with that picture.



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RE: Drastic health care reform (and then some) - 1/22/2008 11:28:06 PM   
Zensee


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Term, I'm not saying that the public purse is never abused or that government projects are never plagued by incompetence or crimilality, Canada in no way excepted. But I don't buy that public control inevitably means more and worse problems than the same projects on the same scale being delivered by the private sector. The private sector is every bit as capable of screwing things up AND they get a profit for doing so. At least with public control the inherent inefficiency called profit is largely absent.

That's the trouble, whatever the intent of the creators, any system will eventually be commandeered by crooks, regardless. Whether public or privately controlled, there must be constant vigilance, including watching the watchers.


Z.


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"Before enlightenment, chop wood and carry water. After enlightenment, chop wood and carry water." (proverb)

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