Collarspace Discussion Forums


Home  Login  Search 

RE: Doing Away With Employer Healthcare


View related threads: (in this forum | in all forums)

Logged in as: Guest
 
All Forums >> [Community Discussions] >> Dungeon of Political and Religious Discussion >> RE: Doing Away With Employer Healthcare Page: <<   < prev  2 3 4 5 [6]
Login
Message << Older Topic   Newer Topic >>
RE: Doing Away With Employer Healthcare - 11/7/2012 5:29:15 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline
I dont need too... I just did.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to LookieNoNookie)
Profile   Post #: 101
RE: Doing Away With Employer Healthcare - 11/7/2012 9:02:40 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tazzygirl
Definitions ----------------------------Level Definition
Primary prevention --- Methods to avoid occurrence of disease.[11] Most population-based health promotion efforts are of this type.
Secondary prevention --- Methods to diagnose and treat existent disease in early stages before it causes significant morbidity.[12]
Tertiary prevention --- Methods to reduce negative impact of extant disease by restoring function and reducing disease-related complications.[13]
Quaternary prevention --- Methods to mitigate or avoid results of unnecessary or excessive interventions in the health system.[14]

This is the disconnect you and I have, I think.
You see disease as preventative... its not always.
Prevention could be the lumpectomy after finding cancer.


Here's the thing, tazzy. Most diseases are preventable. I know that not all of them aren't. I know all that. Did you not read my transcript of sorts I posted for GotSteel (after which he dropped that angle right quick)? Do you need to see a Dr. for prevention or detection of all diseases? No. some, absolutely require significant medical procedures (mammograms, blood tests, colonoscopy, etc.). You absolutely can prevent many, many diseases and conditions through lifestyle modifications. Is a Type II diabetic always going to be on a medication? Not necessarily. There are times when daily activity increases and/or dietary modification makes all the difference in the world for a diabetic. There will be some that will require medication, and there will also be some that sink into insulin dependent (I don't particularly like the age-related Type-I/II descriptions) diabetes.

I get this stuff more than you'll ever give me credit for. In the absence of being able to afford preventive testing on their own, how many are doing the other things to prevent disease? Will there be any measures taken for people who don't sign on to preventive disease management? Will smoking be outlawed?


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tazzygirl)
Profile   Post #: 102
RE: Doing Away With Employer Healthcare - 11/7/2012 9:31:26 PM   
tazzygirl


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

Is a Type II diabetic always going to be on a medication? Not necessarily. There are times when daily activity increases and/or dietary modification makes all the difference in the world for a diabetic.


I agree. And while waiting for the patient to realize they have this disorder.. and weight is a complication, but not always the cause, skinny people can have it as well... the kidneys, eyes and nervous system is taking a beating.

quote:

I get this stuff more than you'll ever give me credit for. In the absence of being able to afford preventive testing on their own, how many are doing the other things to prevent disease? Will there be any measures taken for people who don't sign on to preventive disease management? Will smoking be outlawed?


At what point does someone with Diabetes 2, since that is the disease process you are using, stop and realize that exercising more isnt the answer? What about a secondary issue, say a broken leg, that keeps them tied up for weeks to months, interfering with their ability to exercise? When do they discover that they only need a pill... as opposed to needing insulin? Do they wait for the neuropathy to start? The eye issues to begin? The kidneys to start having problems? Even medications can cause Diabetes 2.

Your thinking is just too narrow in scope for this issue. For example, being on a beta blocker can lead a patient to this condition. And we havent even spoken about hereditary

quote:

Results  The genetic susceptibility to type 2 diabetes appears to be determined by many common variants in multiple gene loci with low effect sizes. Although at least 36 diabetes-associated genes were identified, only about 10% of the heritability of type 2 diabetes can be explained. Most of the discovered gene variants have been linked to beta-cell dysfunction rather than insulin resistance, which might challenge established thinking of type 2 diabetes as a predominant disorder of insulin action. Genetic data can lead to statistically significant, but not to clinically relevant contributions to risk prediction for type 2 diabetes. Nevertheless, preliminary evidence suggests interactions between genotypes and response to lifestyle changes or drug treatment.


http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2362.2010.02454.x/abstract;jsessionid=4BAE879D1DCE89AA039C00D13DFF6365.d03t03

Twins.. If one twin has diabetes 2, the other stands a 90% of developing it as well. Other siblings stand a risk factor of 25 - 50%

Its not just as simple as saying.... lose weight and exercise more. For some, it is.. for others.. like myself.. its not.

< Message edited by tazzygirl -- 11/7/2012 9:33:12 PM >


_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to DesideriScuri)
Profile   Post #: 103
RE: Doing Away With Employer Healthcare - 11/8/2012 5:13:14 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tazzygirl
quote:

Is a Type II diabetic always going to be on a medication? Not necessarily. There are times when daily activity increases and/or dietary modification makes all the difference in the world for a diabetic.

I agree. And while waiting for the patient to realize they have this disorder.. and weight is a complication, but not always the cause, skinny people can have it as well... the kidneys, eyes and nervous system is taking a beating.


I'm in favor of regular screenings.

quote:

quote:

I get this stuff more than you'll ever give me credit for. In the absence of being able to afford preventive testing on their own, how many are doing the other things to prevent disease? Will there be any measures taken for people who don't sign on to preventive disease management? Will smoking be outlawed?

At what point does someone with Diabetes 2, since that is the disease process you are using, stop and realize that exercising more isnt the answer? What about a secondary issue, say a broken leg, that keeps them tied up for weeks to months, interfering with their ability to exercise? When do they discover that they only need a pill... as opposed to needing insulin? Do they wait for the neuropathy to start? The eye issues to begin? The kidneys to start having problems? Even medications can cause Diabetes 2.
Your thinking is just too narrow in scope for this issue. For example, being on a beta blocker can lead a patient to this condition. And we havent even spoken about hereditary
quote:

Results  The genetic susceptibility to type 2 diabetes appears to be determined by many common variants in multiple gene loci with low effect sizes. Although at least 36 diabetes-associated genes were identified, only about 10% of the heritability of type 2 diabetes can be explained. Most of the discovered gene variants have been linked to beta-cell dysfunction rather than insulin resistance, which might challenge established thinking of type 2 diabetes as a predominant disorder of insulin action. Genetic data can lead to statistically significant, but not to clinically relevant contributions to risk prediction for type 2 diabetes. Nevertheless, preliminary evidence suggests interactions between genotypes and response to lifestyle changes or drug treatment.

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2362.2010.02454.x/abstract;jsessionid=4BAE879D1DCE89AA039C00D13DFF6365.d03t03
Twins.. If one twin has diabetes 2, the other stands a 90% of developing it as well. Other siblings stand a risk factor of 25 - 50%
Its not just as simple as saying.... lose weight and exercise more. For some, it is.. for others.. like myself.. its not.


I didn't say it was as simple as losing weight and exercising more. I did state that there would be people who required medication.

I get the idea that you think I'm against screenings and testing for diseases. I'm not, but I'm also not going to force anyone to get screenings or tests if they don't choose and are responsible for making those choices (ie. a child isn't responsible for making those choices, but that child's parent/guardian is). And, this is something that can lead to less and less freedom.

The only way someone is going to reduce health care spending by preventing disease, is if preventive screenings are done. If people aren't exhibiting decent behaviors now, what gives the idea that having subsidized access to Dr.'s is going to give them the behaviors that lead to the preventive screenings? Are you saying that the people who can't afford the Dr. visits and the costs of the screenings are doing the things that can be done in an effort to help prevent the things they want tested for? Will diagnostic screening and testing be required?

My point has always been that if people aren't doing the things they can now, how is it that they will do those things simply because they have insurance? Insurance isn't required to live in a manner that can help prevent disease, so gaining insurance isn't really much of a motivation for them to start living in that manner. If anything, now they may be able to live even less of a preventive manner, as the curative medications are more affordable.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tazzygirl)
Profile   Post #: 104
RE: Doing Away With Employer Healthcare - 11/8/2012 4:57:08 PM   
tazzygirl


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

I'm in favor of regular screenings.


Which requires a PCP and a bill for 150 for the visit... plus a bill for the lab work... then a repeat visit if required for the test results. And that doesnt include the needed medications or supplies.

quote:

The only way someone is going to reduce health care spending by preventing disease, is if preventive screenings are done.


And how do you propose someone making minimum pay for that?

quote:

My point has always been that if people aren't doing the things they can now, how is it that they will do those things simply because they have insurance?


Its the difference between 150 dollars plus lab work, plus meds... as opposed to having at least most of that covered through insurance.

quote:

Insurance isn't required to live in a manner that can help prevent disease, so gaining insurance isn't really much of a motivation for them to start living in that manner.


Ever tried to get into a Doctor for a visit without the payment or insurance?

quote:

If anything, now they may be able to live even less of a preventive manner, as the curative medications are more affordable.


People want to be healthy to enjoy their lives. Curative is dealing with the stroke instead of the high blood pressure.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to DesideriScuri)
Profile   Post #: 105
RE: Doing Away With Employer Healthcare - 11/8/2012 8:11:35 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tazzygirl
quote:

I'm in favor of regular screenings.

Which requires a PCP and a bill for 150 for the visit... plus a bill for the lab work... then a repeat visit if required for the test results. And that doesnt include the needed medications or supplies.


The answer, then, is to provide insurance for everyone, instead of lowering costs?

quote:

quote:

The only way someone is going to reduce health care spending by preventing disease, is if preventive screenings are done.

And how do you propose someone making minimum pay for that?


Lower the costs of care? Remove the de facto requirement for insurance?

quote:

quote:

My point has always been that if people aren't doing the things they can now, how is it that they will do those things simply because they have insurance?

Its the difference between 150 dollars plus lab work, plus meds... as opposed to having at least most of that covered through insurance.


How is it that the only preventative measures you can imagine require the medical profession? If people aren't taking the necessary measures that they can do without the need for insurance or any medical professionals? If they aren't doing the things they can afford to do now, what's making the case that they will once they have access to more?

quote:

quote:

Insurance isn't required to live in a manner that can help prevent disease, so gaining insurance isn't really much of a motivation for them to start living in that manner.

Ever tried to get into a Doctor for a visit without the payment or insurance?
quote:

If anything, now they may be able to live even less of a preventive manner, as the curative medications are more affordable.

People want to be healthy to enjoy their lives. Curative is dealing with the stroke instead of the high blood pressure.


People want to be healthy. True enough. No one is disputing that. But, what people are doing is using medicine as a cure-all. They aren't doing the things that can be done prior to needing medical intervention. Much of those things are going to limit their risks for these diseases (notice how I said "limit their risks" and not "prevent"), yet they don't do it when it isn't going to cost them. It's an "after the fact" thing.

What is the problem with employer-provided health care? Why are employers who treat their employees to "Cadillac Plans" going to be penalized?

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tazzygirl)
Profile   Post #: 106
RE: Doing Away With Employer Healthcare - 11/8/2012 8:33:54 PM   
FMRFGOPGAL


Posts: 763
Joined: 9/1/2012
Status: offline
quote:

ORIGINAL: KenDckey

Oh I know Lucy. I just wanted to point it out once again to the more liberal side that thinks that Obamacare is the panacea that will correct all our ills.


But you don't have to get that the very shift you are talking abput trends well back into the Bush administration, and hasn't mushroomed or gone exponential. Before or after Obamacare/Romneycare.

(in reply to KenDckey)
Profile   Post #: 107
RE: Doing Away With Employer Healthcare - 11/8/2012 10:04:03 PM   
tazzygirl


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

The answer, then, is to provide insurance for everyone, instead of lowering costs?


We waited for the market... costs went up. You want to save money. I want to save lives.

quote:

Lower the costs of care? Remove the de facto requirement for insurance?


You are waiting... once again.. for the market to lower the prices. Its not happened ... its not ever going to happen. In the mean time, people are getting sicker, dying from diseases that are much easier, and cheaper, to treat at the early stage.

quote:

How is it that the only preventative measures you can imagine require the medical profession? If people aren't taking the necessary measures that they can do without the need for insurance or any medical professionals? If they aren't doing the things they can afford to do now, what's making the case that they will once they have access to more?


People do do what they can. You can be young, healthy, eat just the right foods, exercise and stay in great shape, get plenty of sleep, avoid all the toxins and pollutants as much as anyone else can... and still develop a disease that will require medical treatment. Healthcare isnt needed by the healthy. But the healthy dont always know when they get sick until its too late.

quote:

People want to be healthy. True enough. No one is disputing that. But, what people are doing is using medicine as a cure-all. They aren't doing the things that can be done prior to needing medical intervention. Much of those things are going to limit their risks for these diseases (notice how I said "limit their risks" and not "prevent"), yet they don't do it when it isn't going to cost them. It's an "after the fact" thing.


This is your assumption.

http://www.huffingtonpost.com/2012/11/08/thyroid-cancer-brooke-burke-charvet_n_2095103.html

She is healthy, "looks" in great shape, relies on her looks so she puts time into her physical appearance. bet she exercises a lot. And she has thyroid cancer.

You can do everything "right" according to health experts and end up with a disease. You can eat and party and abuse your body, and never get sick. Health isnt always based upon what you do right or wrong. Sometimes its genes.

quote:

What is the problem with employer-provided health care?


Because you are either locked into that job as a result of pre-existing conditions (before ACA) or you lose it and cant get anymore.

COBRA payments are a bitch to make... lose your job, as many have done recently, and you suddenly have no insurance through no fault of your own.

Why do we force people to remain with a job?

quote:

Why are employers who treat their employees to "Cadillac Plans" going to be penalized?


One reason: The law's hefty tax on expensive "Cadillac plans" will force insurers to weed inefficient providers out of their networks to keep premiums below the taxable threshold, set initially at $27,500 a year for a family policy. "The Cadillac tax is an underappreciated element of the Affordable Care Act," he said.

http://usatoday30.usatoday.com/news/washington/story/2012-06-28/health-care-insurers/55902744/1

Schoolteacher Kinzi Blair makes only $46,000 a year, but she has what many would consider a "Cadillac" health plan, now targeted for a big tax increase by health reformers.

She has $10 copays and no deductible. She gets generic prescription drugs for $10. Her plan covers mental health counseling, organ transplants, acupuncture. It covers speech therapy for preschoolers and in vitro fertilization.

Many Americans never think about the fact that health insurance premiums are now tax-free by law. Employers don't pay taxes on what they contribute, nor do workers pay taxes on their portion of premiums. And self-employed workers can take a deduction for their premiums.

Tax-exempt health insurance is an accident of history. During World War II, the government froze wages, so employers lured workers with health benefits. Employers' contributions were made tax exempt. Congress later made sure the tax exemption became law.

The system has led to "bloated" health benefits for some with coverage for "in vitro fertilization, marriage counseling and acupuncture," says economist John Goodman of the National Center for Policy Analysis. The Dallas-based conservative think tank favors private solutions over government involvement.

.......

"Is it going to get to the same point where I'm worried I can't go to the emergency room?" she says about rising premiums and copays.


http://usatoday30.usatoday.com/news/health/2009-11-25-insurance-reform_N.htm?csp=34&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+UsatodaycomHealth-TopStories+(News+-+Health+-+Top+Stories)

Basically, its tax free income.



_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to DesideriScuri)
Profile   Post #: 108
Page:   <<   < prev  2 3 4 5 [6]
All Forums >> [Community Discussions] >> Dungeon of Political and Religious Discussion >> RE: Doing Away With Employer Healthcare Page: <<   < prev  2 3 4 5 [6]
Jump to:





New Messages No New Messages
Hot Topic w/ New Messages Hot Topic w/o New Messages
Locked w/ New Messages Locked w/o New Messages
 Post New Thread
 Reply to Message
 Post New Poll
 Submit Vote
 Delete My Own Post
 Delete My Own Thread
 Rate Posts




Collarchat.com © 2025
Terms of Service Privacy Policy Spam Policy

0.078