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ORIGINAL: tazzygirl

~FR

I have been reading this thread with interest. Everyone seems to come back to the same question.. money.

From a nursing perspective, i can honestly say that covering that many people will save money.

Lets take someone with high blood pressure. If this person has no insurance, it can lead to stroke, renal failure, heart and lung issues, as well as visual problems. I dont need to site a source, this is pretty common knowledge.

Without insurance, this person becomes ill and ends up in the ER. Costs in the ER are astronomical compared to a Dr's office and a few blood tests. The illness, lets say renal failure, requires stent placement (surgical) and dialysis (typically three times a week at an outpatient center). Now they are unable to work, and go on disability.

Take the same person with insurance, seeing a Dr for preventative care, and the bp issue is found, medication started, and the patient will hopefully follow the therapy and can continue to work.

Am i the only one who sees the potential cost saving measure here? Not to mention all the time saved in labor costs in the ER? Freeing up valuable bed space and health care on the hospitals end even in admissions and discharges?

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ORIGINAL: Musicmystery

Preventive care works that quickly?

Damn. I'd have waited if I'd known.

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ORIGINAL: popeye1250

I don't think it's going to pass.
I don't think there's any doubt that the American People don't want (this) Bill.
I do want to see a Bill pass just not this one! Like "Boi" said in another post it's laden with payoffs, fat, pork, and things for lobbyists and drug cos.
Now they've pissed off the Seniors by making cuts in Medicare! That is ~never~ a good thing to do if you want to be re-elected! The Seniors and Veterans have the highest voter turnout rates.
Can you imagine how many congressmen and senators will lose their jobs this Nov if this pos passes? Whoa!!!

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ORIGINAL: Silence8

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ORIGINAL: slvemike4u

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ORIGINAL: Silence8

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ORIGINAL: slvemike4u

Glad you got that out of your system...now can we talk about your issues granting male slave types equal respect in "politics and religion" as male dom types?

You joke about that, but it comes up again and again in the threads.

Yes I have noticed that....and every time I notice it...it is you putting this bullshit out there...so while I have you here I will ask once again(perhaps you will answer this time)...why would anyone apportion respect based in any part on a nick or which side of the kneel someone is on...when you have their very words to go by?

Literally yesterday some sub guy was complaining about this.

Why do you assume people are completely ethical, thoughtful, logical, etc., in their interactions with other people?

Generally, submission is associated with weakness, so that sub guys are easier targets.

It's just basic psychology.

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ORIGINAL: willbeurdaddy

what a pile of shit this bill is.

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Too bad there is no evidence that covering more people reduces ER visits or costs. In fact experience is just the opposite. Been to an ER in MA lately?

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ORIGINAL: tazzygirl

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Too bad there is no evidence that covering more people reduces ER visits or costs. In fact experience is just the opposite. Been to an ER in MA lately?

Nope, i have worked in ER's in the Carolina's. Myrtle Beach and MUSC being the busiest. Most of who we saw were uninsured or underinsured.

And you failed as understanding my post. It was about preventative care. Someone who has access to preventative treatment uses the ER mush less.

Almost half of ER patients believe that their problem could have been handled by their own doctor. “46 percent of all ER users believed that their problem could have been handled by a primary care physician, had one been available. Furthermore, one in five recent ER visits can be defined as avoidable. An avoidable ER visit is one that occurs during weekday business hours and was for a problem that could have been treated by a PCP or could have waited longer than 24 hours to treat.” Source: “Overuse of Emergency Departments Among Insured Californians,” California Health Care Foundation, October 2006.

Emergency visits cost three times more than a normal outpatient visit. According to a study of Emergency Departments in California, the average cost (in 1998 dollars) for an ER outpatient visit was $350, more than three times as much as the cost of a normal outpatient visit. Furthermore, the average cost of ER outpatient care does not decline as the number of patients increases. Source: “Marginal Costs of Emergency Department Outpatient Visits: An update using California data,” USC Center for Health Financing, Policy, and Management, November 2005.

The uninsured are more than five times more likely to use ER for primary care. “About 20 percent of the uninsured (vs. 3 percent of those with coverage) say their usual source of care is the emergency room.” Source: “The Uninsured: A Primer, Key Facts about Americans without Health Insurance,” The Henry J. Kaiser Family Foundation, October 2006.

The uninsured are more likely to be hospitalized for an avoidable condition. “Nationally, the uninsured are 30 to 50 percent more likely to be hospitalized for an avoidable condition, with the average cost of an avoidable hospital stayed estimated to be about $3,300” Source: “Hidden Costs, Values Lost: Uninsurance in America,” Institute of Medicine, June 2003.

You were saying what about evidence?

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ORIGINAL: Moonhead

Of course, that does beg the question of whether the education in question might not be a bit more successful if it wasn't completely half arsed and aimed at audiences it's wasted on.

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ORIGINAL: willbeurdaddy

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ORIGINAL: Moonhead

Of course, that does beg the question of whether the education in question might not be a bit more successful if it wasn't completely half arsed and aimed at audiences it's wasted on.

And you think that the Federal government is going to actually be capable of targeting audiences it wont be wasted on, even if it wanted to? And it wont want to.