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RE: US Health Care Insanity - 8/24/2011 11:30:51 AM   
willbeurdaddy


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quote:

ORIGINAL: MusicalBoredom

quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: tweakabelle

How much longer will the USA fail to take care of its own citizens basic needs? What kind of message about the USA does this send out to the rest of the world?


When will people in the USA learn personal responsbility?
And who gives a fuck what message the rest of the world, which is going broke faster than the US, thinks? Especially a bunch of marsupial fuckers.


I get really tired of hearing that health care reform is about me not wanting to take care of my personal needs.  Here is my story:

I started a business and had health insurance for me and my kids.  More for my kids than for me because it's what I could afford.  In January of 2010 I got a group policy policy in my new company and stopped the old bad policy.  In March of 2010 I had a heart attack.  My insurance company refused to pay because of the 6 month preexisting clause (fair enough I guess).  I paid $80,000 out of pocket for health care.  Had my insurance paid it, the bill to the insurance company would have only been $52,000 but as I was the person paying it cost be an extra $30K.  Then my insurance company invalidated by coverage to exclude all heart related care on my policy.  The new preexisting coverage that's part of the new health care law would offer me coverage at about $800 a month which I would gladly pay but it requires a letter of denial of coverage from an insurance company.   They won't deny me, they simply write so many riders that what I need covered isn't covered.  If I have another heart attack in the near future I won't be able to afford another $80K.  All I want is to be able to purchase insurance that covers me.

Now before someone says I shouldn't be able get insurance or that it's not fair that others policies would pay for my health care understand that that's what insurance is.  Everyone pays a fixed amount for insurance and a few people (which could be you at any moment) have their bills paid in the event of a medical emergency.  If you have insurance and get cancer for example your policy will be paying more than you as an individual paid -- in other words other people will be paying for your health care.  That's how insurance works.



Why would you even switch out of the "bad policy" if you were in the 6 month period? And locally at least, cash payers get steep discounts. My oldest had knee surgery at a cost of 60% of R&C.

_____________________________

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and harken
to the barking of the dogfox,
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Profile   Post #: 41
RE: US Health Care Insanity - 8/24/2011 12:39:15 PM   
Rule


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quote:

ORIGINAL: tweakabelle
A woman fighting a terminal form of bone cancer

If it is terminal, it is terminal. Recommended treatment: none. Bills to be paid: funeral bill only.

(in reply to tweakabelle)
Profile   Post #: 42
RE: US Health Care Insanity - 8/24/2011 12:42:12 PM   
tj444


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quote:

ORIGINAL: MusicalBoredom

I think that's where the US has been stuck for my whole life.  Politicians can't come up with a perfect system so nothing gets done.  Having money to fall back on if things don't work well is a great idea but that's not the same as self insurance.  There is no way a young couple can self insure their way though a young child with cancer for example.

I'm not sure what the big deal on everyone having a public health insurance policy. To me it seems like paying for fire and police protection.  Most people's house never catches on fire but some of their taxes go to pay for the department.  Those that want more fire protection pay for sprinklers or alarm monitoring or any number of things.  Seems to me that health care should be the same. Everyone pays into the system and everyone benfits.  We don't have to keep track of each dollar amount each person pays and receives in benefit anymore than we do for the fire department.  People would still be able to purchase additional insurance from a private provider to cover private rooms or some odd uncovered treatment or whatever they choose to write policies for. 

Here people sound like little children.  "It's not Fair!!!! I paid $5 and they only paid $1 and they got $2 worth of services." 

Yes, i know how I would self insure would not work for everyone, and it would be best for someone younger rather than older, and someone with a very long term view. For me, nothing scares the poop outta me more than thinking about being old, poor and at the govt's mercy to be dumped into a warehouse for seniors.

I agree with you that public health care would be similar to paying for fire & police protection. But think most people are afraid of it getting out of control, mismanaged and all that. Btw, the medical system in the US is way out of control and costs over-inflated, imo. That Canadian guys heart operation ($50,000) would have cost about half had he been able to get it done in Canada and pay for it himself but that is considered 2 tier health care and verbotten in Canada. Well, there are a few loopholes but not many so people go to the US and pay two or even three times as much...

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Profile   Post #: 43
RE: US Health Care Insanity - 8/24/2011 12:57:32 PM   
tj444


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quote:

ORIGINAL: DomYngBlk
So do carry your Alberta social insurance card and get extra insurance or have you thrown caution to the wind and are dealing with the US system

If you are asking if i am one of those spongy & despised immigrants living off US citizen taxpayers, the answer is no. I take care of my own medical, eyes, dental, meds, etc. If i was diagnosed with something expensive then I can always move back to Canada and get treatment, any time i want, if i want. Nice to have that option.

I am pretty healthy tho, and take care of myself, dont smoke, I exercise, eat pretty healthy, very rarely drink, dont do drugs, dont do stupid things.. so my risk is much reduced.

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Profile   Post #: 44
RE: US Health Care Insanity - 8/24/2011 12:57:40 PM   
willbeurdaddy


Posts: 11894
Joined: 4/8/2006
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quote:

ORIGINAL: tj444



I agree with you that public health care would be similar to paying for fire & police protection. But think most people are afraid of it getting out of control, mismanaged and all that. Btw, the medical system in the US is way out of control and costs over-inflated, imo. That Canadian guys heart operation ($50,000) would have cost about half had he been able to get it done in Canada and pay for it himself but that is considered 2 tier health care and verbotten in Canada. Well, there are a few loopholes but not many so people go to the US and pay two or even three times as much...


There are economic benefits to the US system that are never factored into the "cost" differentials. Eg shorter waiting times (that increase expense because you need more docs/operating rooms/hosp beds etc) mean less time out of work and less progression in the case of progressive/degenerative diseases. Also to the extent that more modern diagonistic and surgical techniques are used, shorter recovery times means shorter hospital stays, less time out of work etc.

_____________________________

Hear the lark
and harken
to the barking of the dogfox,
gone to ground.

(in reply to tj444)
Profile   Post #: 45
RE: US Health Care Insanity - 8/24/2011 1:25:31 PM   
MusicalBoredom


Posts: 620
Joined: 5/8/2007
From: Louisiana/New York
Status: offline
quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: MusicalBoredom

quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: tweakabelle

How much longer will the USA fail to take care of its own citizens basic needs? What kind of message about the USA does this send out to the rest of the world?


When will people in the USA learn personal responsbility?
And who gives a fuck what message the rest of the world, which is going broke faster than the US, thinks? Especially a bunch of marsupial fuckers.


I get really tired of hearing that health care reform is about me not wanting to take care of my personal needs.  Here is my story:

I started a business and had health insurance for me and my kids.  More for my kids than for me because it's what I could afford.  In January of 2010 I got a group policy policy in my new company and stopped the old bad policy.  In March of 2010 I had a heart attack.  My insurance company refused to pay because of the 6 month preexisting clause (fair enough I guess).  I paid $80,000 out of pocket for health care.  Had my insurance paid it, the bill to the insurance company would have only been $52,000 but as I was the person paying it cost be an extra $30K.  Then my insurance company invalidated by coverage to exclude all heart related care on my policy.  The new preexisting coverage that's part of the new health care law would offer me coverage at about $800 a month which I would gladly pay but it requires a letter of denial of coverage from an insurance company.   They won't deny me, they simply write so many riders that what I need covered isn't covered.  If I have another heart attack in the near future I won't be able to afford another $80K.  All I want is to be able to purchase insurance that covers me.

Now before someone says I shouldn't be able get insurance or that it's not fair that others policies would pay for my health care understand that that's what insurance is.  Everyone pays a fixed amount for insurance and a few people (which could be you at any moment) have their bills paid in the event of a medical emergency.  If you have insurance and get cancer for example your policy will be paying more than you as an individual paid -- in other words other people will be paying for your health care.  That's how insurance works.



Why would you even switch out of the "bad policy" if you were in the 6 month period? And locally at least, cash payers get steep discounts. My oldest had knee surgery at a cost of 60% of R&C.


Quite simply because I couldn't afford two policies at the same time.  Why couldn't I afford it?  Well I worked for a company that went bankrupt and I started my own company rather than collect unemployment.  I built it from the ground up without any loans or government assistance.  Do you really think that everyone that gets in a bind didn't make as good a decision as you would?  Or is it possible that things just happen sometimes?

Here it depends on the policies of the hospital as to what the pay structure is.  Some give a cash discount some actually raise their price because they think you won't pay it and they will end up writing it off or submitting a bill to the feds for reimbursement and want to get the most that they can.  As I was taken to a hospital in an ambulance with 100% blockage to my heart I really didn't have time to shop around.  Now before you tell me that my lifestyle is to blame, I am 47 years old, I', 6' and weigh 165 pounds.  I exercise every other day and try my best to eat right.  I also don't do drugs or drink.

Do I feel like a victim?  No I don't.  I do everything that I can to better myself and take care of myself and my family.  I don't want a handout or anything else.  In case you missed it, all I want is to PURCHASE insurance that actually covers what I need. 

(in reply to willbeurdaddy)
Profile   Post #: 46
RE: US Health Care Insanity - 8/24/2011 1:27:26 PM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: willbeurdaddy
quote:

ORIGINAL: tj444
I agree with you that public health care would be similar to paying for fire & police protection. But think most people are afraid of it getting out of control, mismanaged and all that. Btw, the medical system in the US is way out of control and costs over-inflated, imo. That Canadian guys heart operation ($50,000) would have cost about half had he been able to get it done in Canada and pay for it himself but that is considered 2 tier health care and verbotten in Canada. Well, there are a few loopholes but not many so people go to the US and pay two or even three times as much...


There are economic benefits to the US system that are never factored into the "cost" differentials. Eg shorter waiting times (that increase expense because you need more docs/operating rooms/hosp beds etc) mean less time out of work and less progression in the case of progressive/degenerative diseases. Also to the extent that more modern diagonistic and surgical techniques are used, shorter recovery times means shorter hospital stays, less time out of work etc.

In Canada, it depends on who you are and the circumstances. Canadians dont want to admit there is already a 2 tier system there but it exists... If you are hurt on the job, if you are a cop, if you are a hockey player, then you get treated right now, you bypass the wait list. If I recall correctly, some other loopholes were if someone else paid for your medical treatment then you bypassed the list, or if you went to another province for your medical treatment, you bypassed the list. So, not everyone has to wait..

I also have been told that the high cost in the US is at least partly due to the high cost of liability insurance for doctors & hospitals.. And imo, the doctors & hospitals gouge when they can and who they can, cuz they are in it to make a buck.. They cant do that in Canada cuz the govt tells them what they can charge for this or that procedure.. Not that Doctors in Canada are hurting, mind you...

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

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Profile   Post #: 47
RE: US Health Care Insanity - 8/24/2011 2:06:17 PM   
zephyroftheNorth


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God Hunky sometimes you are such an asshole. She's doing it because she can't afford treatment for cancer. How about you take your head out of your ass and try having some compassion.

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Profile   Post #: 48
RE: US Health Care Insanity - 8/24/2011 2:13:27 PM   
Aylee


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Joined: 10/14/2007
Status: offline

quote:

ORIGINAL: zephyroftheNorth

God Hunky sometimes you are such an asshole. She's doing it because she can't afford treatment for cancer. How about you take your head out of your ass and try having some compassion.


I think that his point is valid. It is not the health care system doing this. It is the regulatory system. The same regulatory system that won't let seven year olds have Lemonade stands.

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Profile   Post #: 49
RE: US Health Care Insanity - 8/24/2011 2:19:09 PM   
Lucylastic


Posts: 40310
Status: offline
if she could afford to pay for her cancer medication would she be having a sale to sell off all her belongings?

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Profile   Post #: 50
RE: US Health Care Insanity - 8/24/2011 2:20:31 PM   
zephyroftheNorth


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From: The Great Frozen North
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quote:

ORIGINAL: Aylee


quote:

ORIGINAL: zephyroftheNorth

God Hunky sometimes you are such an asshole. She's doing it because she can't afford treatment for cancer. How about you take your head out of your ass and try having some compassion.


I think that his point is valid. It is not the health care system doing this. It is the regulatory system. The same regulatory system that won't let seven year olds have Lemonade stands.


I was responding to his contention that her having the tent set up would "drag the neighborhood down". Again she is trying to pay for treatment the best way she can. For the record I think it's equally stupid that kids can't have lemonade stands without a permit.


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Profile   Post #: 51
RE: US Health Care Insanity - 8/24/2011 2:23:00 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
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quote:

ORIGINAL: Aylee


quote:

ORIGINAL: zephyroftheNorth

God Hunky sometimes you are such an asshole. She's doing it because she can't afford treatment for cancer. How about you take your head out of your ass and try having some compassion.


I think that his point is valid. It is not the health care system doing this. It is the regulatory system. The same regulatory system that won't let seven year olds have Lemonade stands.


Not having a lemonade stand is hardly in the same league as this.


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Profile   Post #: 52
RE: US Health Care Insanity - 8/24/2011 3:06:13 PM   
rulemylife


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quote:

ORIGINAL: pahunkboy

Those are 2 separate issues.    Having financial problems is not an excuse to drag down the neighborhood.   Maybe she could rent the tents out to the homeless.



So let me see if I have this right.

Having a garage sale drags down the neighborhood but renting out tents to the homeless would improve home values in that neighborhood?

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Profile   Post #: 53
RE: US Health Care Insanity - 8/24/2011 3:10:37 PM   
zephyroftheNorth


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rml, a reminder: this is Hunky you're talking to.

...you're welcome

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Profile   Post #: 54
RE: US Health Care Insanity - 8/24/2011 3:13:40 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
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quote:

ORIGINAL: Aylee


quote:

ORIGINAL: zephyroftheNorth

God Hunky sometimes you are such an asshole. She's doing it because she can't afford treatment for cancer. How about you take your head out of your ass and try having some compassion.


I think that his point is valid. It is not the health care system doing this. It is the regulatory system. The same regulatory system that won't let seven year olds have Lemonade stands.


What the fuck are you talking about?

What regulatory system is denying her health care other than her insurance company?

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Profile   Post #: 55
RE: US Health Care Insanity - 8/24/2011 3:34:28 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
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quote:

ORIGINAL: zephyroftheNorth

rml, a reminder: this is Hunky you're talking to.

...you're welcome


Unfortunately, his attitude is far too common.

(in reply to zephyroftheNorth)
Profile   Post #: 56
RE: US Health Care Insanity - 8/24/2011 3:44:10 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
Status: offline
quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: tj444



I agree with you that public health care would be similar to paying for fire & police protection. But think most people are afraid of it getting out of control, mismanaged and all that. Btw, the medical system in the US is way out of control and costs over-inflated, imo. That Canadian guys heart operation ($50,000) would have cost about half had he been able to get it done in Canada and pay for it himself but that is considered 2 tier health care and verbotten in Canada. Well, there are a few loopholes but not many so people go to the US and pay two or even three times as much...


There are economic benefits to the US system that are never factored into the "cost" differentials. Eg shorter waiting times (that increase expense because you need more docs/operating rooms/hosp beds etc) mean less time out of work and less progression in the case of progressive/degenerative diseases. Also to the extent that more modern diagonistic and surgical techniques are used, shorter recovery times means shorter hospital stays, less time out of work etc.


Stretching much lately Willbeur?

It's good for the body, not so much in a discussion.

(in reply to willbeurdaddy)
Profile   Post #: 57
RE: US Health Care Insanity - 8/24/2011 3:47:23 PM   
farglebargle


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

ORIGINAL: DomYngBlk

quote:

ORIGINAL: pahunkboy

Hill-Burton Free and Reduced-Cost Health Care In 1946, Congress passed a law that gave hospitals, nursing homes and other health facilities grants and loans for construction and modernization. In return, they agreed to provide a reasonable volume of services to persons unable to pay and to make their services available to all persons residing in the facility’s area. The program stopped providing funds in 1997, but about 200 health care facilities nationwide are still obligated to provide free or reduced-cost care.Steps to Apply for Hill-Burton Free or Reduced-Cost Care1. Find the Hill-Burton obligated facility nearest you from the
list of Hill-Burton obligated facilities.
2. Go to the facility's admissions or business office and ask for a copy of the Hill-Burton Individual Notice. The Individual Notice will tell you what income level makes you eligible for free or reduced-cost care, what services might be covered, and exactly where in the facility to apply.
3. Go to the office listed in the Individual Notice and say you want to apply for Hill-Burton free or reduced-cost care. You may need to fill out a form.
4. Gather any other required documents (such as a pay stub to prove income eligibility) and take or send them to the obligated facility.
5. If you are asked to apply for Medicaid, Medicare, or some other financial assistance program, you must do so.
6. When you return the completed application, ask for a Determination of Eligibility. Check the Individual Notice to see how much time the facility has before it must tell you whether or not you will receive free or reduced-cost care.

http://www.hrsa.gov/gethealthcare/affordable/hillburton/


Wasteful....give everyone a ID card..take it to the doctor..get treated..go back to work........

Compared to....all that you listed? no thanks


And the kicker to this... That healthcare ID card can be plugged into the world's BEST healthcare IT infrastructure, which we've ALREADY PAID FOR.

The VA's VistA Healthcare IT system is the world leader in EHR and clinic management systems. We paid for it already, it's in use all over the place, and well tested for oh... 20 years now... Most of it is in the public domain, but I'd expect NYS to outsource operation of it to BAC or something....

_____________________________

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Profile   Post #: 58
RE: US Health Care Insanity - 8/24/2011 3:54:41 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
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quote:

ORIGINAL: Rule

quote:

ORIGINAL: tweakabelle
A woman fighting a terminal form of bone cancer

If it is terminal, it is terminal. Recommended treatment: none. Bills to be paid: funeral bill only.



You truly are an asshole.

I can only hope you face your eventual death with the same bravado.

(in reply to Rule)
Profile   Post #: 59
RE: US Health Care Insanity - 8/24/2011 3:57:39 PM   
zephyroftheNorth


Posts: 8159
Joined: 10/5/2009
From: The Great Frozen North
Status: offline

quote:

ORIGINAL: rulemylife

quote:

ORIGINAL: Rule

quote:

ORIGINAL: tweakabelle
A woman fighting a terminal form of bone cancer

If it is terminal, it is terminal. Recommended treatment: none. Bills to be paid: funeral bill only.



You truly are an asshole.

I can only hope you face your eventual death with the same bravado.



Yeah no kidding! There is palliative radiotherapy and chemotherapy both of which can make a huge difference in a cancer patient's quality of life.




_____________________________

And there's a smile when the pain comes
The pain gonna make ev'rything alright ~ Black Crows

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(in reply to rulemylife)
Profile   Post #: 60
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