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RE: Single Payer for Dummies - 3/1/2013 5:52:51 PM   
HarryVanWinkle


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quote:

ORIGINAL: AlwaysLisa

quote:

The VA. I've had privately run "managed care" before and the VA beats the hell out of it. I need hearing aids because I'm more than half deaf. The VA paid $717.00 for BOTH of my hearing aids. I asked a local hearing aids vendor how much they would cost when I learned what the make and model the VA was getting for me. They told me $2800 EACH.

I've seen anti-single payer people say, "If want to see what government run health care looks like, look at the VA."

To them I say, "Great! Bring it on!"


Here Here! My husband is disabled, and has been getting the best of care through the VA, far exceeding the private sector. The VA ran tests to determine his condition, where as his private doctor(s) were still trying to figure out if insurance would cover it, and how much. I have nothing but high praise for all they do at the VA, and only regret I never served and therefore am stuck with my current insurance.

Lisa


I'll add that the VA gets more bang for the health care buck than any organization I've ever seen.

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Profile   Post #: 21
RE: Single Payer for Dummies - 3/2/2013 8:32:48 AM   
TheHeretic


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quote:

ORIGINAL: HarryVanWinkle

I'll add that the VA gets more bang for the health care buck than any organization I've ever seen.


And what nifty ways they find to save a buck

http://www.cbsnews.com/2100-204_162-4896815.html

_____________________________

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Profile   Post #: 22
RE: Single Payer for Dummies - 3/2/2013 9:10:45 AM   
JeffBC


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quote:

ORIGINAL: Level
Hey Jeff. I am reading an article in Time about healthcare, and they seem to make a decent argument for it, but don't go into great specifics of how single-payer works; I've heard a number of people (on another site) advocating it, and I'd like to hear the thoughts of some of the folks here. Your comment, as an American now in Canada, that sort of thing, you're seeing it first hand.

My personal experience and predilection is to say that it works "awesomely". But I don't support the idea that poor people (or laid off people) should simply die on the streets. So I have an aesthetic bias towards universal health coverage. If you were more libertarian than me you might see it exactly opposite.

In factual terms we pay 1/3 to 1/4 of what we paid in the US for similar coverage. Even totally uninsured we have gone in for routine doctor appointments and walked out paying less than our copay in the US would have been (and I had a strong corporate plan). Generally my observation is that pretty much all health care is cheaper -- much, much cheaper if generic versions are available. ALL of my friends are secure in the knowledge that if they ran into a medical emergency they would simply walk into the hospital and have it dealt with.

We did experience some difficulty (not major, just some) finding a primary care physician. I am unclear whether that was due to a lack of PCP's or undeveloped e-commerce solutions for finding them. Canada, in general, is substantially behind the US in e-commerce. in either event not having a PCP does not limit your access to health care here. You can walk into hospitals and clinics without any "gatekeeper".

Honestly, it's hard for me to imagine any US citizen living in Canada and not thinking similar thoughts although there was, in fact, some hard-core conservative type who loudly debated these points. I never really engaged with him to get facts. My vibe was that he struck me like a Fox news anchor but without me having dug into it I cannot say for certain.

Is the whole thing perfect? No. Is it WAY, WAY better than what I saw in the US (from my privileged white corporate position) -- you bet. If I hadn't been so privileged I'd think of it as a miracle. Economically it ought to appeal to conservatives too since demonstrably it accomplishes a lot more with a lot less money.

Various organizations like WHO track this sort of thing for a more objective view. I can't recall anyone ever saying much good about the US health care system except for US Health Care CEO's and US politicians.

edited to add:
How it works is simple. I pay the British Columbia government some ridiculous number like $130/mo for my entire family. With that, they manage to provide what you might think of as "major medical" to every single person in British Columbia whether they can afford that fee or not. Basically, if it's the kind of thing you need to go to a hospital for then it's covered. We also pay about $125 each for supplemental private insurance. That provides us some minor additional relief on drugs which are uncovered by the BC health plan (not really worth that much since anything necessary is covered). More importantly it gives us dental, optical, hearing aid benefits, chiropractic benefits, etc. Compare that to my bill in the US which was about $1200/mo when counting the corporate and personal contributions and had a lot of copays tacked on.

< Message edited by JeffBC -- 3/2/2013 9:21:16 AM >


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Profile   Post #: 23
RE: Single Payer for Dummies - 3/2/2013 10:37:28 AM   
DesideriScuri


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quote:

ORIGINAL: JeffBC
quote:

ORIGINAL: Level
Hey Jeff. I am reading an article in Time about healthcare, and they seem to make a decent argument for it, but don't go into great specifics of how single-payer works; I've heard a number of people (on another site) advocating it, and I'd like to hear the thoughts of some of the folks here. Your comment, as an American now in Canada, that sort of thing, you're seeing it first hand.

My personal experience and predilection is to say that it works "awesomely". But I don't support the idea that poor people (or laid off people) should simply die on the streets. So I have an aesthetic bias towards universal health coverage. If you were more libertarian than me you might see it exactly opposite.
In factual terms we pay 1/3 to 1/4 of what we paid in the US for similar coverage. Even totally uninsured we have gone in for routine doctor appointments and walked out paying less than our copay in the US would have been (and I had a strong corporate plan). Generally my observation is that pretty much all health care is cheaper -- much, much cheaper if generic versions are available. ALL of my friends are secure in the knowledge that if they ran into a medical emergency they would simply walk into the hospital and have it dealt with.


My friend in Germany (also an American working outside the US) has, essentially, the same story. He had to get some diagnostic tests done. He literally walked into a clinic, had them done and got the results faster than in the US. Add into it, outside of the actual testing, his longest wait was in trying to figure out how to pay for the procedures. They could not accept credit cards (actually, they had a very difficult time figuring out how to accept credit cards), and his insurance required him to pay and they would reimburse. He was floored when he saw the charge. It was minuscule compared to what he would have paid in the states. I think it would have cost him more than his co-pays here, but that's the "not insured" total cost, not the "negotiated cost" for the insurance provider.

I don't know how we reform health care here to reduce the cost of procedures. That is what has exploded. I think the first step would be to separate the insurance companies from the care providers. Lower procedure costs will actually lower costs rather than shifting costs to "the rich."

quote:

We did experience some difficulty (not major, just some) finding a primary care physician. I am unclear whether that was due to a lack of PCP's or undeveloped e-commerce solutions for finding them. Canada, in general, is substantially behind the US in e-commerce. in either event not having a PCP does not limit your access to health care here. You can walk into hospitals and clinics without any "gatekeeper".
Honestly, it's hard for me to imagine any US citizen living in Canada and not thinking similar thoughts although there was, in fact, some hard-core conservative type who loudly debated these points. I never really engaged with him to get facts. My vibe was that he struck me like a Fox news anchor but without me having dug into it I cannot say for certain.
Is the whole thing perfect? No. Is it WAY, WAY better than what I saw in the US (from my privileged white corporate position) -- you bet. If I hadn't been so privileged I'd think of it as a miracle. Economically it ought to appeal to conservatives too since demonstrably it accomplishes a lot more with a lot less money.
Various organizations like WHO track this sort of thing for a more objective view. I can't recall anyone ever saying much good about the US health care system except for US Health Care CEO's and US politicians.
edited to add:
How it works is simple. I pay the British Columbia government some ridiculous number like $130/mo for my entire family. With that, they manage to provide what you might think of as "major medical" to every single person in British Columbia whether they can afford that fee or not. Basically, if it's the kind of thing you need to go to a hospital for then it's covered. We also pay about $125 each for supplemental private insurance. That provides us some minor additional relief on drugs which are uncovered by the BC health plan (not really worth that much since anything necessary is covered). More importantly it gives us dental, optical, hearing aid benefits, chiropractic benefits, etc. Compare that to my bill in the US which was about $1200/mo when counting the corporate and personal contributions and had a lot of copays tacked on.


Procedure costs being high will increase the amount an insurer pays out, making your premiums high. Not saying that as if you didn't already know it. But, what is it about procedure costs that they keep going up? Therein lies the issue, imo, not who is paying the bill.

_____________________________

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)

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Profile   Post #: 24
RE: Single Payer for Dummies - 3/2/2013 1:52:51 PM   
TheHeretic


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quote:

ORIGINAL: Level

How would it work? What are the pitfalls of using it?



The short and simple answer to the first question is that the government becomes the insurance company, with the business of delivering healthcare staying in the private sector, and providing the maximum number of options to the people. Think roughly in terms of Medicare. Then study up on Medicare fraud, and doctors who refuse to accept Medicare because of the prices they will pay, and how much more Medicare has cost, than the early projections said it was going to.

I think we'd move relatively quickly into a spiral of fraud and increasing regulation to combat the fraud, creating the need for ever bloating bureaucracies at both ends, and reducing treatment options. Costs go up, efficiency goes down, and the resources are constantly being drained away from providing quality care.

I very much like the idea of universal health coverage, though. I'm thinking one possible way to do it is by nationalizing the primary healthcare system, for children and adults, and rapidly decreasing entitlement benefits for elder and geriatric care. For that group, the national system would ultimately dwindle into not much more than flu shots, clinics/generic prescriptions/soma, and free hospice, with cash or individual supplemental plans to take it from there. (We can reduce the inherent brain drain with public service requirements, and insane annual fees for a private practice license.)

Whatever law we may come up with, there needs to be a clause that requires members of Congress get exactly the same coverage.

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RE: Single Payer for Dummies - 3/2/2013 4:15:09 PM   
DomKen


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Keep in mind that Medicare is forced to pay a set price for every procedure and drug and cannot negotiate prices like HMO's do. Make that single change and Medicare costs would come down drastically

As to doctors not taking Medicare patients, it may happen but I've yet to encounter it and I have seen a large number of doctors since I became ill and got on Medicare.

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RE: Single Payer for Dummies - 3/2/2013 4:16:32 PM   
HarryVanWinkle


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quote:

ORIGINAL: TheHeretic


quote:

ORIGINAL: HarryVanWinkle

I'll add that the VA gets more bang for the health care buck than any organization I've ever seen.


And what nifty ways they find to save a buck

http://www.cbsnews.com/2100-204_162-4896815.html


Nice hit piece.

For sheer numbers of hospitals, clinics and patients, the VA is probably the largest single health care system in the US. I say "probably" because I'm not willing to spend a few hours researching this. Their patients number in the millions.

Hospitals and clinics have this tendency to be full of sick people, and people get sick in them. Other bad things happen in them too. This is true of all hospitals, not just the VA's. If I cared to spend a few hours in research, which I don't, I have no doubt that I could find similar articles concerning all large, multiple hospital owning health care providers. Show me one that hasn't ever been charged with malpractice and I'll show you one that hasn't been around very long at all.

It falls under the category of "Excrement occurs."

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Profile   Post #: 27
RE: Single Payer for Dummies - 3/2/2013 4:37:07 PM   
TheHeretic


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From: California, USA
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quote:

ORIGINAL: HarryVanWinkle

Nice hit piece.




I'm sure the fine folks at CBS will be disappointed by your response. They stalled on the story, went with the low ball number, and downplayed the AIDS cases, too.

There is just no pleasing some people.

http://articles.sun-sentinel.com/2009-04-18/news/0904170170_1_miami-va-colonoscopy-hiv-or-hepatitis



_____________________________

If you lose one sense, your other senses are enhanced.
That's why people with no sense of humor have such an inflated sense of self-importance.


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Profile   Post #: 28
RE: Single Payer for Dummies - 3/2/2013 4:53:06 PM   
tj444


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quote:

ORIGINAL: DesideriScuri
Procedure costs being high will increase the amount an insurer pays out, making your premiums high. Not saying that as if you didn't already know it. But, what is it about procedure costs that they keep going up? Therein lies the issue, imo, not who is paying the bill.

Your health care & related corps keep wanting more money.. thats why your costs go up.. greed.. greed.. greed..

In Canada, the greed has been taken out of the picture.. unlike here in the US where Obama has allowed the insurance corps, Big Pharma, HMOs & all the other greedy clingers-on to continue to profit and flourish.. Not to mention that in the US if you do have insurance, you are a profit center to be milked for every unnecessary test, procedure, surgery etc that your insurance plan covers.. And your administration costs are too high also.. In Canada there are no HMOs and health care is seen differently there, the govt regulates the price paid for drugs, the provincial govts decide on what a reasonable payment is for the various services, that means the govt (taxpayers) dont get charged the outrageous amounts the US govt (US taxpayers) are gonna fork out.. The govt in Canada also limits awards in negligence lawsuits against doctors so Doctors dont have to pay outrageous liability insurance to greedy insurance corps..

So you see.. the major difference between the US system and Canadian system boils down to one thing- corporate greed is rampant in the US system.. You eliminate (or at least massively reduce) the greed and you can provide good health coverage for a whole lot more people..

just sayin'

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RE: Single Payer for Dummies - 3/2/2013 7:17:25 PM   
tazzygirl


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quote:

ORIGINAL: TheHeretic


quote:

ORIGINAL: HarryVanWinkle

Nice hit piece.




I'm sure the fine folks at CBS will be disappointed by your response. They stalled on the story, went with the low ball number, and downplayed the AIDS cases, too.

There is just no pleasing some people.

http://articles.sun-sentinel.com/2009-04-18/news/0904170170_1_miami-va-colonoscopy-hiv-or-hepatitis




Shall we bring up the wrong organs being transplanted at a huge medical teaching hospital?

http://www.nytimes.com/2004/06/26/us/national-briefing-south-north-carolina-settlement-for-transplant-error.html?ref=jesicasantillan

Almost 100,000 people die each year from nosocomial (hospital acquired) infections. They show up in all sorta of places, from instruments to the drains.

http://www.ncbi.nlm.nih.gov/pubmed/10362409

Ventilators are really the worse.

And there are Superbugs coming to a hospital near you!

my point being you cant use this to criticize one system while ignoring the rest. Where you have sick people, there will be germs. Those germs will eventually kill.

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RE: Single Payer for Dummies - 3/2/2013 8:28:42 PM   
DesideriScuri


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quote:

ORIGINAL: tj444
quote:

ORIGINAL: DesideriScuri
Procedure costs being high will increase the amount an insurer pays out, making your premiums high. Not saying that as if you didn't already know it. But, what is it about procedure costs that they keep going up? Therein lies the issue, imo, not who is paying the bill.

Your health care & related corps keep wanting more money.. thats why your costs go up.. greed.. greed.. greed..
In Canada, the greed has been taken out of the picture.. unlike here in the US where Obama has allowed the insurance corps, Big Pharma, HMOs & all the other greedy clingers-on to continue to profit and flourish.. Not to mention that in the US if you do have insurance, you are a profit center to be milked for every unnecessary test, procedure, surgery etc that your insurance plan covers.. And your administration costs are too high also.. In Canada there are no HMOs and health care is seen differently there, the govt regulates the price paid for drugs, the provincial govts decide on what a reasonable payment is for the various services, that means the govt (taxpayers) dont get charged the outrageous amounts the US govt (US taxpayers) are gonna fork out.. The govt in Canada also limits awards in negligence lawsuits against doctors so Doctors dont have to pay outrageous liability insurance to greedy insurance corps..
So you see.. the major difference between the US system and Canadian system boils down to one thing- corporate greed is rampant in the US system.. You eliminate (or at least massively reduce) the greed and you can provide good health coverage for a whole lot more people..
just sayin'


I have a basic understanding of how that stuff works in a "socialized" method. I get that. If we were to adopt the same prices as the highest "socialized" country, we'd save quite a bit of money, but we'd also cause utter chaos. The reality is that we spend absolutely ridiculous prices for procedures, relative to others.

http://www.washingtonpost.com/blogs/wonkblog/post/why-an-mri-costs-1080-in-america-and-280-in-france/2011/08/25/gIQAVHztoR_blog.html
    quote:

    “Other countries negotiate very aggressively with the providers and set rates that are much lower than we do,” Anderson says. They do this in one of two ways. In countries such as Canada and Britain, prices are set by the government. In others, such as Germany and Japan, they’re set by providers and insurers sitting in a room and coming to an agreement, with the government stepping in to set prices if they fail.


If we did that in America, we'd have the Insurance companies sitting across from affiliates of the insurance companies.
    quote:

    The result is that, unlike in other countries, sellers of health-care services in America have considerable power to set prices, and so they set them quite high. Two of the five most profitable industries in the United States — the pharmaceuticals industry and the medical device industry — sell health care. With margins of almost 20 percent, they beat out even the financial sector for sheer profitability.
    The players sitting across the table from them — the health insurers — are not so profitable. In 2009, their profit margins were a mere 2.2 percent. That’s a signal that the sellers have the upper hand over the buyers.


2.2% isn't much of a margin by any stretch. But, the insurance giants make up for that through the providers they own.

In essence, insurance companies are charging a premium to their members that is based on the cost of the procedures. Since they own the providers - in many cases - they are simply skimming off 2.2% to pay themselves for services rendered. It behooves them to have sky high procedure costs.

So, my solution starts out with separating the insurers from the providers. We need them to oppose each other, not collude to raise prices. What do you think the reaction would be if President Obama and Kathleen Sebelius came out and set care prices across the board to realize a 50% reduction in what we pay for procedures currently? What would happen to that system?

http://www.pbs.org/newshour/rundown/2012/10/health-costs-how-the-us-compares-with-other-countries.html
    quote:

    There are fewer physicians per person than in most other OECD countries. In 2010, for instance, the U.S. had 2.4 practicing physicians per 1,000 people -- well below below the OECD average of 3.1.


And lower supply means? Yep. Higher prices. Why do we have such a low ratio? In part, we have one body that controls the supply of physicians, the AMA. That is done, in part, to maintain a low supply so physician incomes stay high.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
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RE: Single Payer for Dummies - 3/2/2013 8:53:21 PM   
TheHeretic


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quote:

ORIGINAL: DesideriScuri
In part, we have one body that controls the supply of physicians, the AMA. That is done, in part, to maintain a low supply so physician incomes stay high.



So then, a steadily eroding educational system that keeps lowering the achievement bar to prevent the lowest common denominator having his precious self-esteem injured, combined with the fact the medical school is hard, isn't playing a more important role?

_____________________________

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RE: Single Payer for Dummies - 3/3/2013 4:34:30 AM   
Level


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I appreciate everyone's responses. I wonder if Obama has any desire to see Obamacare morph into Single Payer? And how much of an issue is the lowering of doctor's pay in SP systems?

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RE: Single Payer for Dummies - 3/3/2013 6:29:10 AM   
MrRodgers


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quote:

ORIGINAL: papassion


With the government as the single payer, it would be a cluster fuck just like everything else the governmet runs. Can anyone give an example of an EFFICIENT program the government runs? Why would this be any different? The government has the magic touch. Everything it touches turns to shit!

You mean like the military, NASA, the courts ? Seems the govt. does just fine when it comes to being a 'single payer' recipient of premiums for bank insurance through the FDIC, crop insurance, (dept. of Ag.) overseas investors.

Funny how when we get to the people as a whole in that we ALL are in the healthcare market, 'well we must subject these goals to market forces' i.e. the for-profit market.

Many all around the country and the world see that as an immoral choice. With what insurance govt. does provide for commercial interests yet can't actually insure or do the same...for the people. Profits over ride people and their health care.

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RE: Single Payer for Dummies - 3/3/2013 6:39:54 AM   
MrRodgers


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quote:

ORIGINAL: Level

I appreciate everyone's responses. I wonder if Obama has any desire to see Obamacare morph into Single Payer? And how much of an issue is the lowering of doctor's pay in SP systems?

I've read and heard it in such a way as to believe that Obama and the dems he brought in wanted single-payer but quickly saw a very bipartisan love affair (plutocracy) joining with the maximized for-profit crowd.

The very convenient short memories from the right seeks to obscure into invisibility that Dole and the repubs offered the same thing as Obamacare in 1992 to counter HillaryCare.

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RE: Single Payer for Dummies - 3/3/2013 7:22:15 AM   
DesideriScuri


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quote:

ORIGINAL: TheHeretic
quote:

ORIGINAL: DesideriScuri
In part, we have one body that controls the supply of physicians, the AMA. That is done, in part, to maintain a low supply so physician incomes stay high.

So then, a steadily eroding educational system that keeps lowering the achievement bar to prevent the lowest common denominator having his precious self-esteem injured, combined with the fact the medical school is hard, isn't playing a more important role?


Medical school is hard. There is an awful lot of material to get at least a decent command over. I don't have a problem with it being difficult. Erosion of public education can be overcome by any that have the ability and drive. If you don't have both, you won't be able to get through med school regardless of the quality of your elementary education. Who controls the difficulty of med school? Wouldn't the certifying body be in charge of that? If I'm the only one that can determine what constitutes a "widgeteer," and want to limit the number of widgeteers, even though they are very important to have, to keep the wages high, wouldn't I make the requirements high?


_____________________________

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)

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Profile   Post #: 36
RE: Single Payer for Dummies - 3/3/2013 7:37:26 AM   
tj444


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all i can say is its your country, its gonna be your system set up the way Americans apparently want it.. I dont know how its all gonna turn out but imo its not gonna turn out very well.. I see it as being very expensive and having unseen consequences.. Whenever the Feds do something they always seem to screw it all up, especially since the politicians are the 1% and in bed with Big Business.. So of course cutting out the greed is a concept that would never happen here..

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Profile   Post #: 37
RE: Single Payer for Dummies - 3/3/2013 7:38:15 AM   
JeffBC


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quote:

ORIGINAL: DesideriScuri
Procedure costs being high will increase the amount an insurer pays out, making your premiums high. Not saying that as if you didn't already know it. But, what is it about procedure costs that they keep going up? Therein lies the issue, imo, not who is paying the bill.

*nods* I almost talked to this point.

Given the corporatism going on in the US I'm utterly certain that a monolithic insurance system in the US will only serve to make a huge vacuum cleaner funnelling money into the hands of the medical industrial complex. How could it be otherwise? That is the story of the entire US economy and nothing can be done about it until the US citizens decide they are tired of buying yachts for rich folks. Accordingly, I see that as a separate issue... it's going to happen no matter what. That leaves me thinking that all things being equally evil, I'd rather not have people dying for lack of medical care. I still find that aesthetically unappealing. I'm not nearly conservative enough to say "let them die".

Insofar as why does this happen... why are procedure costs so high... that's one of those "gee duh" questions. It is the miracle of a free market economy at work. Said free market economy was bought and paid for by the corporations and they are now enjoying the profit on their investment. How you'd stop it would be trivially easy if it were the citizen's government rather than the corporations government. You'd just set prices at some level half-way-ish between US and Canada and ratchet them down annually every year. You want to sell medical services in the US? That's the price you'll get paid.

It's possible in my mind that we might need to look at tort reform also but I'd need to be convinced of that one.

I do not, however, believe that we can justify "do nothing" on the basis of existing corporatism since that's simply systemic to everything. Were that the case why not simply just agree to do nothing unto the end of eternity?

_____________________________

I'm a lover of "what is", not because I'm a spiritual person, but because it hurts when I argue with reality. -- Bryon Katie
"You're humbly arrogant" -- sunshinemiss
officially a member of the K Crowd

(in reply to DesideriScuri)
Profile   Post #: 38
RE: Single Payer for Dummies - 3/3/2013 7:41:36 AM   
JeffBC


Posts: 5799
Joined: 2/12/2012
From: Canada
Status: offline
quote:

ORIGINAL: TheHeretic
I think we'd move relatively quickly into a spiral of fraud and increasing regulation to combat the fraud, creating the need for ever bloating bureaucracies at both ends, and reducing treatment options. Costs go up, efficiency goes down, and the resources are constantly being drained away from providing quality care.

But why? Given that so many other countries manage to pull off this system why exactly do you think the US is doomed to failure. Even more significantly, why do you feel like the bloated bureaucracy you're worrying about at the federal level is any different than the bloated bureaucracy we already have? Actually, it would be different in that it would at least have some semblance of caring about the citizens whereas the existing bureaucracy cares about what business should care about... profit.

quote:

Whatever law we may come up with, there needs to be a clause that requires members of Congress get exactly the same coverage.

It would never work. You can't stop them from spending their own money (which they got, of course, from lobbyists and insider trading). Nor can you force them to stay in the country to eat from the same pig trough they'd want to give you.


_____________________________

I'm a lover of "what is", not because I'm a spiritual person, but because it hurts when I argue with reality. -- Bryon Katie
"You're humbly arrogant" -- sunshinemiss
officially a member of the K Crowd

(in reply to TheHeretic)
Profile   Post #: 39
RE: Single Payer for Dummies - 3/3/2013 7:42:51 AM   
JeffBC


Posts: 5799
Joined: 2/12/2012
From: Canada
Status: offline
quote:

ORIGINAL: Level
I appreciate everyone's responses. I wonder if Obama has any desire to see Obamacare morph into Single Payer? And how much of an issue is the lowering of doctor's pay in SP systems?

of COURSE he does. I'm sure the medical lobby would LOVE that. The insurance lobby would hate it however so I suppose it'd really be a question of which lobby has more money.


_____________________________

I'm a lover of "what is", not because I'm a spiritual person, but because it hurts when I argue with reality. -- Bryon Katie
"You're humbly arrogant" -- sunshinemiss
officially a member of the K Crowd

(in reply to Level)
Profile   Post #: 40
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