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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 1:45:29 PM   
TreasureKY


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quote:

ORIGINAL: philosophy


...and yet other countries around the world do manage to put together a nationalised health systemthat works. So what's the problem in the States? Is the Federal Government institutionally less competent than, say, France?


lol... Well, here's your answer:

quote:

ORIGINAL: FirmhandKY

France's cautionary tale


France's government may not be more competent that the US government, but they do have experience.

Shall we take our lessons from the world around us, or learn them the hard way?

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 1:50:41 PM   
kittinSol


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The requirement for coordinated pathways is a complete non-issue, and far less restrictive than it is in the US with health insurers. I should know: the last time I lived in France, in 2007, I needed extensive healthcare, it was free, and the choice of doctors was up to me. No system is perfect, but some are far more imperfect than others.

The health insurers in the USA have really done a super job at manipulating public opinion via their lobbyists  . And the saddest thing is that people fall for it, again and agan.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 2:21:21 PM   
TreasureKY


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quote:

ORIGINAL: kittinSol

The requirement for coordinated pathways is a complete non-issue, and far less restrictive than it is in the US with health insurers. I should know: the last time I lived in France, in 2007, I needed extensive healthcare, it was free, and the choice of doctors was up to me. No system is perfect, but some are far more imperfect than others.

The health insurers in the USA have really done a super job at manipulating public opinion via their lobbyists  . And the saddest thing is that people fall for it, again and agan.


Considering that not all US health insurance companies have the same restrictions, I'm not sure how you qualify your statement.   I suppose if you told us what experience you've had here in the US, and how it was more restrictive than your experience in France, then we might better be able to accept your word for it.

No offense, but you don't exactly have a reputation for being unprejudiced with regard to either the US or France.

As far as your comment insinuating that people fall for US health insurance company propaganda, if you were to do any widespread research, I think you would find that statement to be quite the opposite of true.  Most people I know absolutely hate insurance companies... myself included. 

I'm not against nationalized healthcare out of any fondness for our private system... not in the least.  I just happen to see a poor track record on the part of the US government in managing anything. 

You take a bunch of career politicians who, regardless of claims to the contrary, all have personal and special interests... subject them to an unbelievable amount of lobbying, exposure to unquantifiably enormous sums of money, give them power and control, throw in a little temptation and greed, and voila...  you put them in charge of the health and well-being of every single American?

Pfft... no, thanks. 

I consider government to be a necessary evil.  It should have very specific and limited responsibility... and very, very limited power.

< Message edited by TreasureKY -- 5/14/2009 2:25:37 PM >

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 2:35:29 PM   
kittinSol


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So, you have no experience of the French healthcare system, nor have you even read much on the subject... that's problematic if you're going to discuss something: regurgitating the propaganda isn't going to cut it here. Since you speak of something you very obviously know nothing about, I will take your opinion as uninformed, and completely ignore it  .

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 3:29:56 PM   
DomKen


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Funny thing is the feds are running a very successful truly socialized system, not even single payer full on government provided health care.
http://www.businessweek.com/magazine/content/06_29/b3993061.htm

I will say that my contacts with the VA in the 90's were awful and over the last few years things have improved dramatically.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 4:26:49 PM   
philosophy


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quote:

ORIGINAL: TreasureKY

I just happen to see a poor track record on the part of the US government in managing anything. 



...er.....that's a bit depressing isn't it? As to the French system, a little research puts the Molinari Institute into a little context. They're not exactly unbiased either.
Even if we take at face value all the claims in the linked article about the French system.....it still provides decent health care for more people than the US system.
Those lucky enough to have decent insurance may do well, but nationalised systems treat everyone. There is a knock on for this into the broader society. A healthier population has incalculable benefits.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 5:58:55 PM   
TreasureKY


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quote:

ORIGINAL: kittinSol

So, you have no experience of the French healthcare system, nor have you even read much on the subject... that's problematic if you're going to discuss something: regurgitating the propaganda isn't going to cut it here. Since you speak of something you very obviously know nothing about, I will take your opinion as uninformed, and completely ignore it  .


Really, kittin... same 'ol modus operandi?  Claiming the other person must be ignorant because they cannot read your mind makes it appear that you are unable to answer questions or elaborate on your own comments.

No where in my comment to you did I claim to have or not to have any experience with Sécurité Sociale.  Neither did I provide any kind of information that might warrant a conclusion that I obviously know nothing about it. 

I proposed a simple solution:  "I suppose if you told us what experience you've had here in the US, and how it was more restrictive than your experience in France, then we might better be able to accept your word for it."

Note carefully, that I was not asking you about the French healthcare system.  I was asking about your experiences with the US system and how you found it more restrictive. 

You see, I am very familiar with the US system and all the variances therein.  Until just recently, my lifelong career was in Human Resources... a good deal of which dealt in healthcare negotiation and benefit management.  I don't require your assistance in navigating the nuances of Sécurité Sociale... as well as being part of my professional development education, familiarity with international benefits was necessary for expatriate employees.

You know, instead of just off-handedly pooh-pooing everyone else's information as just propaganda, you might try providing some information of your own that you feel is accurate for comparison.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 6:05:29 PM   
FirmhandKY


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quote:

ORIGINAL: kittinSol

quote:

ORIGINAL: ThatDamnedPanda

It's stupefying to me how easily these people are manipulated, like children in a day care center.



Big pharma pushing psychotropic drugs more brazenly than the local drug dealers: that's why they are in such a stupefied state. They'll do anything they're told, and they won't bite the hand that feeds them the pills  .  


May 20, 2004
French health system gets surgery
Considered the world's best, France's healthcare system could face bankruptcy.

The new emphasis on generic drugs also "offers a great opportunity for savings," says Ms. Docteur, especially since the French consume more medications than any other nation in Europe. Pharmaceuticals account for 21 percent of the country's total spending on health, compared with 12.4 percent in the US and 14 percent in Germany, according to OECD figures. A government study earlier this year found that the French take nearly four times more tranquilizers than their neighbors, and that 350 people a day are hospitalized due to toxic interactions between prescription drugs.

You guys were talking about the French, weren't you?

Firm

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 6:40:47 PM   
FirmhandKY


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quote:

ORIGINAL: kittinSol

This might work if health insurance was administered in a fair and equal way. Alas! Insurers have been shafting their customers with complete impunity. You will understand that not all insured people are happy campers. Time for change.


In the interest of balance ...

If I were French, I might phrase your comments thusly:

This might work if the health insurance was administered in a fair and equal way. Alas! The French people have been shafting their medical professionals with complete impunity. You will understand that not all doctors are happy campers. Time for change.

1995 Foreign doctors strike over new French law

1997 French doctors' strike enters third week

2002 French doctors ‘ready to strike’ over level of liability premiums

2002 France hit by mass health strike

2005 French doctors go on strike to demand reintroduction of compulsory out of hours work

2008 Emergency service doctors strike over excessive working hours

By 31 December 2007, hospital staff had worked 23 million hours of overtime which had neither been paid nor taken as time-off, mainly because of a lack of personnel. Moreover, 3.5 million days had accumulated in time savings accounts (comptes épargne temps, CET), which were created in order to keep track of days-off owing as a result of the reduction of working time (Réduction du temps de travail, RTT)
Seems to be a system in which "the needs of the many outweigh the rights of the few".

Firm

< Message edited by FirmhandKY -- 5/14/2009 6:48:43 PM >


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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:14:06 PM   
Termyn8or


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Hmmmmmmmmmmmmmm, and a big one.

Wasn't there a mayor of NYC, NY USA who threatened to jail the cab drivers if they went on strike ?

T

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:15:14 PM   
ThatDamnedPanda


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quote:

ORIGINAL: FirmhandKY

In the interest of balance ...

If I were French, I might phrase your comments thusly:

This might work if the health insurance was administered in a fair and equal way. Alas! The French people have been shafting their medical professionals with complete impunity. You will understand that not all doctors are happy campers. Time for change.



Mmmm... actually, no. If you were French, I think it's more likely you'd phrase it thusly -

"Ceci pourrait fonctionner si l'assurance medicale maladie etait administree d'une maniere juste et egale. Helas ! Les personnes Francaises shafting leurs professionnels medicaux avec l'impunite complete. Vous comprendrez que non tous les medecins sont les campeurs heureux. Heure pour le changement."

Not to split hairs, but, you know...


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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:25:15 PM   
kittinSol


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quote:

ORIGINAL: ThatDamnedPanda

quote:

ORIGINAL: FirmhandKY

In the interest of balance ...

If I were French, I might phrase your comments thusly:

This might work if the health insurance was administered in a fair and equal way. Alas! The French people have been shafting their medical professionals with complete impunity. You will understand that not all doctors are happy campers. Time for change.



Mmmm... actually, no. If you were French, I think it's more likely you'd phrase it thusly -

"Ceci pourrait fonctionner si l'assurance medicale maladie etait administree d'une maniere juste et egale. Helas ! Les personnes Francaises shafting leurs professionnels medicaux avec l'impunite complete. Vous comprendrez que non tous les medecins sont les campeurs heureux. Heure pour le changement."

Not to split hairs, but, you know...



Les doctors sont sexy, comme Papa.

It's extremely strange that anyone should suggest that the French should screw their medical professionals... this smells of personal fantasy to me. Who would have thought that about KY? He seems so straight laced normally  !

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:27:42 PM   
TreasureKY


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quote:

ORIGINAL: philosophy


quote:

ORIGINAL: TreasureKY

I just happen to see a poor track record on the part of the US government in managing anything. 



...er.....that's a bit depressing isn't it?


Yes, it is.

quote:

ORIGINAL: philosophy

As to the French system, a little research puts the Molinari Institute into a little context. They're not exactly unbiased either.


That may be true.  However, similar sentiments can be found in numerous venues.

quote:

ORIGINAL: philosophy

Even if we take at face value all the claims in the linked article about the French system.....it still provides decent health care for more people than the US system.
Those lucky enough to have decent insurance may do well, but nationalised systems treat everyone. There is a knock on for this into the broader society. A healthier population has incalculable benefits.


As I indicated above, I'm not enamored with our system; I know it has some serious problems.  Unfortunately, it isn't up to me to figure out how to fix it.  Nonetheless, I firmly believe that putting the government in charge isn't a good solution.

I have no doubt that the French system provides decent healthcare for most of population there.  Of course, there are some caveats that go along with that system that seem to get left out of discussions like these. 

Were you aware that over 90% of the people covered by Sécurité Sociale carry private supplemental insurance to help them cover the large co-payments (up to 40% of the cost of the visit/procedure) and to access higher quality providers?  That's what makes the French system work so well... it's a 2 tier system.  Thing is, the supplemental insurance isn't cheap... I just ran a couple of quotes tonight with one company, and the monthly cost for just me would be $170 USD per month.  If we covered Firm and I, and our two teenagers, the cost would be $520 USD per month.  This was just a standard plan... nothing fancy... with a 10% copayment and $1000 USD deductible.

Did you know that Sécurité Sociale is funded in large part by a payroll tax of nearly 19%?  (Paid in large part by the employer.)  This is on top of an income tax with rates of up to 40%.  A person who grosses the equivalent of $33,000 USD, pays around $12,000 USD in income and CSG tax alone.  This is not including any local taxes, of which there are many possibilities.  For example, the French have their own version of the property tax, but it's not limited to simply the owner of a piece of property... there's a tax (taxe d'habitation) that must be paid by any occupant of a property and it's based on the value of the property.

(Just as a side note, if our hypothetical $33,000 per year earner above were in the US and opted for the insurance offered by his employer, his Federal income and FICA taxes would be around $7474 for the year and his health insurance would have amounted to around $3600 (just a ballpark average of $150 every two weeks for employee only... though all the companies I ever worked for it was much less).  That comes close to $3000 less per year than what he pays in France for pretty much the same thing.
)

Were you aware that while the French government sets a fee schedule for payment of services, doctors are free to charge whatever they like?  And unlike most private insurance here in the US (with preferred provider networks where contracted prices are negotiated) patients there must pay any difference.

Anyway, these things don't make the French system bad.  In many ways, it's every bit as good and sometimes better than what we have.  However, it's not the healthcare utopia that some people like to claim it is.

Thing is, I still don't trust the government here to do any better running healthcare than they do most everything else.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:37:54 PM   
FirmhandKY


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quote:

ORIGINAL: kittinSol
Who would have thought that about KY? He seems so straight laced normally  !

Which explains why he posts so much in a venue that has people who regularly practice polygamy, beating people for fun, fake kidnapping for fun, and other socially acceptable methods of sexual and personal gratification ?

Firm


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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:41:00 PM   
ThatDamnedPanda


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quote:

ORIGINAL: FirmhandKY
Which explains why he posts so much in a venue that has people who regularly practice polygamy, beating people for fun, fake kidnapping for fun, and other socially acceptable methods of sexual and personal gratification ?



You've noticed that too? You mean it's not just me? I was beginning to think I was paranoid or something. It just seems like for some inexplicable reason, there are an unusally large number of perverts hanging around this place. It's very strange.


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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:41:01 PM   
Owner59


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"I just happen to see a poor track record on the part of the US government in managing anything. "

Ask any vet if they want to opt out of the VA.

Ask anyone on Medicare if they want to opt out.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:49:58 PM   
kittinSol


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quote:

ORIGINAL: ThatDamnedPanda
You've noticed that too? You mean it's not just me? I was beginning to think I was paranoid or something. It just seems like for some inexplicable reason, there are an unusally large number of perverts hanging around this place. It's very strange.


"Tell the health insurer how much you love him". Coming to a dungeon near you.

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:51:47 PM   
philosophy


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quote:

ORIGINAL: TreasureKY



Anyway, these things don't make the French system bad.  In many ways, it's every bit as good and sometimes better than what we have.  However, it's not the healthcare utopia that some people like to claim it is.


....agreed. i've yet to see a perfect system.

quote:

Thing is, I still don't trust the government here to do any better running healthcare than they do most everything else.



...which takes me back to my original question to you. The French system which we've discussed in depth is run by a central government. The Canadian one is administered provincially, but there are basic standards set federally. The UK system is centralised. All these systems do work. So what is the special quality of the US government which means it can't do the same job?

...edited for bad []'s

< Message edited by philosophy -- 5/14/2009 7:53:29 PM >

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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 7:52:16 PM   
MzMia


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I am seriously enjoying all the posts here.
kitten thank you for your imput, you have lived and experienced National Health Care Coverage,
while most of us have not.
 
Treasure, goodness! You did your research on the costs, thank you~

The numbers in your post are what scare me.

I am not prepared to pay almost 40% of my salary in taxes to subsidize a
government run health plan, UNLESS it seems like a system I can believe in.
 
I think we all agree that we need a much better system that offers coverage to everyone.
 
My main concerns are what will the plan be, what will it cover, what will it not cover?
will it be free or based on a sliding scale?
and how will it be run?
also will the premiums go up for those of us with existing insurance?
....more questions than answers........
 
I  think National Health Care can and should be a reality in the United States.
I just want the "powers that be" to create a well-thought out and reality based plan.

< Message edited by MzMia -- 5/14/2009 7:53:14 PM >


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RE: I found It! I found it!! Where healthcare is a &q... - 5/14/2009 8:02:36 PM   
kittinSol


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quote:

ORIGINAL: MzMia

The numbers in your post are what scare me.

I am not prepared to pay almost 40% of my salary in taxes to subsidize a
government run health plan, UNLESS it seems like a system I can believe in.
 


Hi Mia

In France, the funding mentioned above doesn't just go to healthcare. It goes to the retirement fund, state child support (imagine that!), maternity leave, and a host of other things. There is a very substantial social safety net over there (I know that many people find that horrifying lol). Also, let's not forget that the average French salary is substantially higher than its American counterpart.

http://securitesociale.antisearch.net/cgi-bin/findall?KEYWORDS=maternite&C=153&X=

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