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RE: Medical wait times by country - 11/18/2012 12:04:29 AM   
tj444


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I dont expect that workers compensation will change in the US actually.. Canada has workers comp too, I have never looked at a comparision of the rates tho (to see the difference).. Workers comp (in Canada) exists to keep businesses from being sued by hurt employees (for pain & suffering, retraining, loss of life, etc), so I expect businesses in the US will still be paying for that..

I doubt anything with auto insurance will change any.. they will still charge just as much and the govt isnt gonna drop the legal requirement to have auto insurance.. not that the minimum required covers much anyway..

We will see how things shake out.. imo it will still be the tail wagging the dog..

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RE: Medical wait times by country - 11/18/2012 7:52:00 AM   
tazzygirl


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This is what I was referring too for WC.

http://workers-compensation.blogspot.com/2011/02/vermont-universal-health-care-to.html

I never said get rid of either. I said the costs would drop without the need for medical coverage.

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RE: Medical wait times by country - 11/18/2012 8:58:44 AM   
Aswad


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quote:

ORIGINAL: TheHeretic

Just a crazy thought, but how we about we see how the prototype works, before we all rush in? Maybe see how 3 or 4 different prototypes work out, over a period of time long enough for inherent and structural problems to reveal themselves?


Mexico did something similar to this, with a feedback and incremental refinement method to it.

Long time scale isn't necessarily a good idea, though.

IWYW,
— Aswad.


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RE: Medical wait times by country - 11/18/2012 9:02:56 AM   
tj444


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Your words were "the lack of need for workman's compensation".. if its no longer "needed" then it should cease to exist..

Even if they rates on all the insurance you mentioned do drop (& I wont hold my breath on that).. I doubt they will drop nearly as much as they should.. its the perfect opportunity for insurance companies and the govt (workers comp) to create the illusion of dropping the rates but actually milk the system and making even more money from the differential of where the rates end up and where they should have ended up..

I think the whole thing will end up being a confusing mess and quite expensive.. but good luck with it all..

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RE: Medical wait times by country - 11/18/2012 9:13:59 AM   
tazzygirl


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quote:

Couple that with the lack of need for workman's compensation... a huge drain on businesses (insurance they pay for) .. which would also be covered under Universal health care.


True, I have posted on this topic so much. I mean the medical aspects of that... the same with auto insurance, lawsuits, malpractice and everything else. I am only speaking of the medical aspects of all these situations.

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RE: Medical wait times by country - 11/18/2012 9:39:18 AM   
kdsub


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Good info tazzy... you are so good at it and I do appciate it...even if I don't say so that often.

I wonder at another often said, most likely myth... Do the quality of physicians suffer when pay is somewhat regulated by socialized medicine. I mean do young ambitious intelligent people decide to pick another field of endeavor that would provide less work higher income then that of a doctor?

I can’t think of a more demanding profession on both time and energy then being a medical doctor. And… if they are not properly rewarded will the quality of care suffer in the long term?

Butch

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RE: Medical wait times by country - 11/18/2012 9:43:59 AM   
tazzygirl


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There are those who are in it for the money. Those are not the Doctor's I want taking care of me.

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RE: Medical wait times by country - 11/18/2012 9:48:44 AM   
Lucylastic


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Yeah How do other socialised medicine countries deal with sub par /cheap doctors...
Its still a vocation for many..money isnt everything.
They dont have to deal with malpractise suits, or high rates ...
Of course there are shitty docs in lots of places.

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RE: Medical wait times by country - 11/18/2012 9:49:02 AM   
kdsub


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Another point... I do wonder how many doctors, when first choosing their profession, were thinking strictly as a desire to heal... or the money. I'll bet there is a pretty even divide...and we , as patients, would never know. And it most likely would make no difference in their abilities.

Butch

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RE: Medical wait times by country - 11/18/2012 9:50:43 AM   
tazzygirl


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Of course we would never know. Something else we wont ever know... if those who are in it only for the money are no longer interested, how many would step in with their desire to heal to take their place? We have only so many residency slots a year... many are denied entrance due to lack of those slots.

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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.

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RE: Medical wait times by country - 11/18/2012 9:53:17 AM   
kdsub


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Lucy I am not saying countries with socialized healthcare have doctors with less ability... But I was wondering if there were a shortage because of less pay... Or even if there were less pay... I don't know... I just though tazzy may have come across statistics that addressed the question.

tazzy was talking of myths and I was wondering if this were another when it came to socialized medicine in Canada or Europe where appropriate to compare.

Butch

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RE: Medical wait times by country - 11/18/2012 10:01:20 AM   
tazzygirl


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The shortages are usually reported more heavily in rural areas and underdeveloped countries. I think its a bit hard to compare shortages between countries with universal care and the US.

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RE: Medical wait times by country - 11/18/2012 10:04:27 AM   
kdsub


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quote:

Of course we would never know. Something else we wont ever know... if those who are in it only for the money are no longer interested, how many would step in with their desire to heal to take their place? We have only so many residency slots a year... many are denied entrance due to lack of those slots.


I bring this up because of an old public television documentary, which I could not find, that addressed physicians in Russia and their competency under the medical system they had. They were saying because of the relative low pay under the system they were having troubles keeping enough doctors and the ones they had were not staying current in their fields. The overall quality of care was decreasing…at least according to the conclusion of the documentary.

I understand this is far different than Europe or Canada but still the difference in pay between the US and nations with socialize medicine, if indeed there is one, could this difference over time decrease the quality of care. Just a question not a conclusion.

Butch


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I don't see any use in having a uniform and arbitrary way of spelling words. We might as well make all clothes alike and cook all dishes alike. Sameness is tiresome; variety is pleasing

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RE: Medical wait times by country - 11/18/2012 10:37:07 AM   
tazzygirl


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The price of medical services is significantly higher in the United States than other parts of the world. Primary care physicians in the United States make $186,000 per year on average versus $131,000 in Germany. Orthopedic surgeon pay ranges from a high of $442,000 in the United States, to $324,000 in the UK, to a relatively parsimonious $187,000 per year in Australia, that according to analysis by the United Health Group Foundation.


http://www.forbes.com/sites/peterubel/2012/08/21/its-physician-pay-stupid/

I honestly dont know how they train their physicians. Is the training paid for by the state or by the students? How much debt do they incur?

As I said, its difficult to compare.

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Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
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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.

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RE: Medical wait times by country - 11/18/2012 11:11:37 AM   
fucktoyprincess


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The only people in the U.S. who get exceptional care are those who have excellent insurance, or who can afford to pay out of pocket (in other words, those who have more money). The medical care system in the U.S. is another example of something that only works for those who have money. And I am at a loss for why the middle class supports this system, as it does not work to their benefit. (For the record, I have excellent insurance, and live in a costly city. I have unbelievable and immediate access to the best specialists for absolutely anything. But I know many people in this city who cannot afford the kind of access that I have. So I am not bitching and moaning about this from the perspective of someone who doesn't have access. I am bitching and moaning about the patent unfairness of the system that I see - that works completely for my benefit, but for very few others. It simply isn't a fair system.)

Doctors in the U.S. end up with more educational debt than their counterparts in other countries; they also earn more. Under a nationalized system of medicine doctors generally earn less, but this can be offset by determining a way to reduce educational costs for young people who want to become doctors.



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RE: Medical wait times by country - 11/18/2012 11:19:24 AM   
tazzygirl


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When a physician graduates with debt upwards to 300k, and they make only 160k, compound that with malpractice, long hours, late nights, grunt work and the disrespect from both staff and patients.... yeah... I can see why they are not happy with their salary.

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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.

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RE: Medical wait times by country - 11/18/2012 12:37:25 PM   
tj444


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quote:

ORIGINAL: kdsub

Another point... I do wonder how many doctors, when first choosing their profession, were thinking strictly as a desire to heal... or the money. I'll bet there is a pretty even divide...and we , as patients, would never know. And it most likely would make no difference in their abilities.

Butch

I sorta disagree with you there.. as patients I have known when a doc is in it for the money or a its more about the desire to heal.. if you are treated like a number with a revolving door, where your time isnt of value cuz you sit well past your appt time but once you do get to see the doc, you are given the bums rush back out the door.. how they treat you while being examined such as being gentle or rough, not caring if they hurt you.. imo we can tell to a great degree.. To be honest, the docs i am thinking about in my past experience that did a crappy job were women (sad to say).. I also think it does affect their ablilities, if they dont care about you and healing, and its more about the money, yes, it will affect their ability to do a good job and if they are tempted to "cut corners"..

< Message edited by tj444 -- 11/18/2012 12:38:21 PM >


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RE: Medical wait times by country - 11/18/2012 12:38:51 PM   
Aswad


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quote:

ORIGINAL: kdsub

I bring this up because of an old public television documentary, which I could not find, that addressed physicians in Russia and their competency under the medical system they had. They were saying because of the relative low pay under the system they were having troubles keeping enough doctors and the ones they had were not staying current in their fields. The overall quality of care was decreasing…at least according to the conclusion of the documentary.


The lack of differentiated pay was the problem there. They didn't have incentives.

Norway, for instance, has 3.1 doctors per 1000 capita, while the USA has 2.3 doctors per 1000 capita.

Our problem is incentivizing them to work in the most rural areas, which I expect is a problem anywhere, in any system.

ETA: Having half again as many doctors per capita as the USA is what we consider a dramatic shortage, incidentally.

IWYW,
— Aswad.


< Message edited by Aswad -- 11/18/2012 12:42:31 PM >


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RE: Medical wait times by country - 11/18/2012 1:50:02 PM   
leonine


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quote:

ORIGINAL: kdsub


I wonder at another often said, most likely myth... Do the quality of physicians suffer when pay is somewhat regulated by socialized medicine. I mean do young ambitious intelligent people decide to pick another field of endeavor that would provide less work higher income then that of a doctor?

No sign of it in the UK, and we've had it for some 60 years. Of course, anyone who goes into medicine in order to make money is free to go into some undemanding and hugely well-paid private field like needless cosmetic surgery for the very rich, while the ones who actually want to make people better can stick to the Health Service.

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RE: Medical wait times by country - 11/18/2012 3:14:55 PM   
YN


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Your press claims differently, regarding care quality, if true or not.

More disturbing are the scandals regarding the "The Liverpool Care Pathway" -

quote:

The Liverpool Care Pathway, (LCP), is in widespread use in the UK. It is flawed and dangerous. The Daily Telegraph has referred to it as the Death Pathway. There have been calls from victims families to have it banned. The old are particularly vulnerable because many of the so-called signs that are looked for to put a patient on the death pathway, such as frailty and declining mobility, are symptomatic of old-age in any case.

In fact, age is one of the factors also taken into consideration in putting the patient on the LCP! This petition is to call for its withdrawal. Every patient is an individual and deserves that individual consideration of their condition.

As it stands, anyone who falls into the clutches of the proponents of LCP and ticks all the boxes will be given assisted passage into the next world care of the NHS. This will apply particularly to the elderly who are, in any case, already suffering from that most terminal of all conditions - Old-Age! This will apply even contrary to the expressed wishes of patient and family, as this family has discovered.

According to Dr Peter Hargreaves, Consultant in Palliative Medicine, P. H. Millard, Emeritus Professor of Geriatrics University of London and others, in the year 2007-2008 alone, 16.5 per cent of deaths came about after terminal sedation through the, quote, disturbing blanket application of the Liverpool Care Pathway being rolled out across the NHS in the UK.


http://www.change.org/en-GB/petitions/ban-the-liverpool-care-pathway-a-national-scandal

Sedating a person and then starving them until they die is regarded as murder in most countries. Even treating a dog in such a manner would result in well merited criminality in most places.

That this is done on the word of functionaries, and reportedly without the consent or infomation of either the patient or the family in certain cases is an outrage, and that your NHS supports this, and also pays bonus money it is claimed is a further outrage.

Do you think the patients or their families would actually pay money for this euthanasia, or this would be legal in a health care system not governmentally run?

< Message edited by YN -- 11/18/2012 3:34:48 PM >

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