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THE Healthcare Industry Thread (merged)

Discussions related to the physiological and psychological effects of peak oil on our members and future generations.

Unread postby darren » Sun 10 Jul 2005, 12:05:37

$this->bbcode_second_pass_quote('Macsporan', 'I') think not, nor am I asking a lot of modern medicine. In the US today a third of the population will get cancer and die of it or its complications. Heart attack and stroke will get most of the rest. Diabetes and other degenerative diseases will clean up the survivors.

This was unhead of one hundred years ago. Cancer was very rare, as were all these complaints. These are lifestyle diseases in pandemic proportions. There are many today who believe that these are essentially a deficency disease exacerbated by the toxic chemical environment that people live in these days.

Nor has there ever been a study that has conclusively proved that any of the treatments for cancer actually cured anyone. It may well be that the higher survival rate for cancer sufferers, if that is indeed the case, has been caused by alternative medicine of which improved diet is a pillar.

...

This is a topic of great interest to me and which I happen to have studied at some depth. My ideas are based on solid fact, not New Age romanticism.

In fact I predict that providing there are no outbreaks of pandemic disease such as the Plague or Typhus, basic sanitation is observed and that we avoid creating a half-starved and oppressed peasantry, that PO people, living entirely on organic food, will enjoy better health and longer lives than people today.


I think there may be some flaws in your logic here. I grant that I have not studied this matter in depth, but I just googled this:
http://www.kented.org.uk/ngfl/subjects/ ... nkent.html
(ie what did people die of in 19th century Kent?) and thought about it.

I have some problems with your inference from
"the proportion of deaths caused by cancer has jumped to 1/3" to
"the underlying probability** of getting cancer has therefore increased"

1. it is possible that cancer was underdiagnosed 100 years ago? The doctor of 100 years ago might not recognize cancer, and may simply conclude: "he took sick and died". (ie, the REAL proportion of deaths caused by cancer perhaps has not increased by as much as it appears).

2. I don't think it is true that "the probability of getting cancer has increased" is the only explanation for "the proportion of deaths caused by cancer has increased". Looking at that link, I was struck by the number of people who died of things that modern medicine wouldn't let them die of today. So.... if cholera and diptheria aren't going to get you, then cancer has a better chance. We all die of *something*, right? The proportions of all causes of death must add up to one. If cholera's share goes down, the collective share of all other diseases, including cancer must go up.

**What I mean by underlying probability (and what you implicitly mean by it as well I think) is 'the probability that you will get cancer in some time interval', not 'the probability you will get it SOMEDAY'

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Unread postby MarkR » Sun 10 Jul 2005, 13:17:05

$this->bbcode_second_pass_quote('', 'I') think not, nor am I asking a lot of modern medicine. In the US today a third of the population will get cancer and die of it or its complications. Heart attack and stroke will get most of the rest. Diabetes and other degenerative diseases will clean up the survivors.


These figures are approximately correct. Cancer and cardiovascular disease are very significant causes of ill health in Western countries.

$this->bbcode_second_pass_quote('', '
')This was unhead of one hundred years ago. Cancer was very rare, as were all these complaints. These are lifestyle diseases in pandemic proportions. There are many today who believe that these are essentially a deficency disease exacerbated by the toxic chemical environment that people live in these days.


This reasoning is utter nonsense.

Cancer (and to some extent cardiovascular disesases like heart attack and stroke) are primarily diseases of old age.

There are multiple reasons why cancer was not as commonly diagnosed in the 19th century.
The primary reason is that the population nowadays is much older than it was then. Life expectancy these days is approx 75 years, compared with 38 years in 1850. The vast majority of cancers occur in the over 60s - if people don't live into their 60s there aren't going to be many cases of cancer.
The second is that there was less access to medical care, and many people died without seeing a doctor - death certificates were often completed by the relatives, who would write whatever they thought was the cause of death.
The third is that standards of diagnosis were much less good, and many diseases that we now recognise today were not individually recognised, or were thought to be something different.

For similar reasons heart disease and stroke were less common, because they too are diseases of old age. Again, heart attack is uncommon in the under 50s, and stroke in the under 60s.

However, lifestyle factors do play a significant role in the development of cardiovascular diseases. Smoking is a major factor in developing cardiovascular disease. Obesity, lack of exercise, excessive saturated dietary fat also contributing factors (albeit relatively minor) to heart disease. If, however, through obesity and poor lifestyle, additional diseases develop (hypertension and diabetes) then these are very strong risk factors for heart disease.

Obesity is also been linked weakly to cancers - the most well known link is to breast cancer. This is because of a hormonal link - fat produces female hormones, specifically oestrogens, excessive quantities of which do encourage the development of breast cancer.

$this->bbcode_second_pass_quote('', '
')Nor has there ever been a study that has conclusively proved that any of the treatments for cancer actually cured anyone. It may well be that the higher survival rate for cancer sufferers, if that is indeed the case, has been caused by alternative medicine of which improved diet is a pillar.


This is also complete nonsense.

There are many cancers which are completely curable and there are hundreds of high quality studies which demonstrate, beyond doubt, the modern treatments that achieve these cures.

Some do not need drugs - e.g. early Breast cancer (called DCIS stage) is 100% curable with a mastectomy operation (or, if prefered minor surgery and chemotherapy).

Some type of blood cancers, e.g. Hodgkin's disease are curable in about 90% of cases with chemotherapy. Childhood leukaemias are curable in about 90% of cases. Some types of testicular cancers, are curable in about 90%. Choriocarcinoma, a type of cancer of the womb is curable by chemotherapy in about 95% of cases. 50 years ago, before these drugs were developed - all these diseases were invariably fatal.

For other cancers cure rates aren't as good, but they have improved dramatically over the last 50 years, with improved chemotherapy and surgery regimes.

$this->bbcode_second_pass_quote('', 'I')n fact I predict that providing there are no outbreaks of pandemic disease such as the Plague or Typhus, basic sanitation is observed and that we avoid creating a half-starved and oppressed peasantry, that PO people, living entirely on organic food, will enjoy better health and longer lives than people today.


Quite possibly. Obesity and its associated illnesses do bring a substantial toll - avoiding that is likely to bring a substantial improvement to general health.
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Unread postby darren » Sun 10 Jul 2005, 23:31:23

$this->bbcode_second_pass_quote('MarkR', '
')There are multiple reasons why cancer was not as commonly diagnosed in the 19th century.....


Nice post, MarkR. Your areas of agreement and disagreement with Macsporan are identical to my own, but you articulated your disagreement much more ably than I did. I was hungover this morning :roll:

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What does universal healthcare mean?

Unread postby Prince » Thu 25 Jan 2007, 13:57:31

Okay, I'm looking more for the obvious "means that everyone gets health insurance."

I mean, what does it mean to our country, quality of life, future taxes, and health industry?

I see this issue being one of the top issues in the '08 campaign. Obama mentioned it today as a major area of concern. Other Democrats are following suit. I really hope the republicans get off their neo-con ways and go back to fundamentals in '08, else we are going to be hurting really bad.

The medical industry in the US is an absolute joke, run entirely by extortionists that pander to the government via the AMA. You know there is no way in hell doctors will take a pay cut, so universal healthcare will almost definitely (in my mind) imply higher costs with lower quality of service. I'm not against socialized/universal healthcare, but there is too much greed and pandering in this country to make it viable. For the healthier crowd, it will merely imply higher taxes and more twisting of the tit. Also, what about the dirtbag illegals? We already see that California is pushing to get all kids "free" healthcare, legal or not.

With the problems we face with regards to our national debt, energy, and class warfare, what will happen if this universal system is implemented? There are some bright minds here. I'd love to hear some hypotheses on the subject.
Last edited by Ferretlover on Thu 19 Mar 2009, 09:35:25, edited 2 times in total.
Reason: Merged with THE Healthcare Industry Thread.
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Re: What does universal healthcare mean?

Unread postby smallpoxgirl » Thu 25 Jan 2007, 14:07:23

I too have mixed feelings about universal healthcare.

Consider. Right now, Canada's government pays about 2/3 as much per taxpayer as the US government does for healthcare. For that 2/3 as much they get universal coverage, and the life expectancy in Canada is 2 years longer than in the US.

That being said, the US is not Canada. In the US, I greatly fear that what it would mean is Haliburton Healthcare. Hundreds of billions of dollars in graft and no health.
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Re: What does universal healthcare mean?

Unread postby gnm » Thu 25 Jan 2007, 14:12:31

And wealthy Canadians come over the border and pay for their own so they can have a surgery which was deemed "unnecessary" done or have their pick of physicians or just to avoid a really long wait.

8)

You know, the government has done so well with all the money and control we've given it and all the government programs work so well why not let them handle healthcare too?

/sarcasm

-G
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Re: What does universal healthcare mean?

Unread postby gego » Thu 25 Jan 2007, 14:30:28

The Soviet Union provided health care also, if you could in fact call it that.

I think the biggest problem with US health care is insurance, which is really a form of prepaid service contract. Can you imagine if medical insurance were made illegal? Suddenly there would not be this funding of the medical and drug establishment and people would no longer be willing to pay outrageous prices, nor would they seek medical help that was not necessary. Prices would drop like a rock.

The second thing that would help improve medicine in the US would be to outlaw the FDA and related laws, and outlaw all state licensing of medical professionals. This would allow competition to return to the industry and eliminate the state protection of the medical establishment.

Yea, I know you think that the government protects you with all these laws, but it just really protects the medical establishment, and yea, I know you think you need insurance, but you could pay for the lower cost directly a lot easier than you could pay your insurance premiums. Plus you would have an incentive to find ways to stay in good health.

Of course most of this does not matter, cause once the industrial system collapses, there goes the medical system also. No electricity means no expensive hospitals, no big time drug manufacture, and much more primitive treatments.
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Re: What does universal healthcare mean?

Unread postby smallpoxgirl » Thu 25 Jan 2007, 14:42:07

$this->bbcode_second_pass_quote('gnm', 'A')nd wealthy Canadians come over the border and pay for their own so they can have a surgery which was deemed "unnecessary" done or have their pick of physicians or just to avoid a really long wait.

This is, IMHO, more a reflection of the irrationality of US healthcare than an indictment of the Canadian system. Nobody wants to die, but ultimately we all will. Dying people are famous for pouring money into unworkable cures. There is an outfit called Cancer Treatment Centers of America that, according to their ads, can cure you of pancreatic cancer. Guess what. Pancreatic cancer has a 5 year survival rate of less than 1 percent. At some point, we have to, as a society, decide what is reasonable cost effective healthcare, and what is an unreasonable waste of money and resources. 90 years olds with heart failure want heart transplants. What does it cost? How much can it really be expected to prolong their lives? What impact can reasonably be expected on their quality of life? Are we as a society morally obligated to pay for it? We have to make some sort of rational choice about what is worth spending our money on. Otherwise we're all going to end up splitting every penny we make between the government and health insurance. As I said, Canada seems to have made very reasonable choices about what care to provide. Their life expectancy is longer than Americans' at a fraction of the cost.

$this->bbcode_second_pass_quote('', 'Y')ou know, the government has done so well with all the money and control we've given it and all the government programs work so well why not let them handle healthcare too?


Totally agree. I can totally believe some senator from Nevada passing a pork barrel thing to build a 1000 bed hospital in a town with 500 people. It could very easily turn into Iraq's convoys of empty cargo trucks and New Orleans' thousands of empty FEMA trailers applied to healthcare.
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Re: What does universal healthcare mean?

Unread postby DesertBear2 » Thu 25 Jan 2007, 15:51:26

The worst possible health care system would be for the politicians to hook up the current rogue's gallery of profit driven health care providers to the US govt tax revenues.

We can see what could happen with the example of this last Prescription Drug Bill. The big pharma folks want to recruit millions of new prescription drug users and then charge it all to the US taxpayer. The goal is to have 80 million baby boomers taking 10 to 12 ongoing prescriptions for the rest of their life and have the younger workers pay for it to the tune of 100s of billions USD. And no volume discounts on drugs as the bill was written.

Another question comes up here- are we getting way over prescribed on the prescription drugs? And is it right for the big pharma organizations to run deceptive multi-billion dollar marketing campaigns to ramp up drug sales at any cost? And are they messing around with the drug testing to come up with the answers that they need to achieve big profits from drug products?

Has anybody been to the doctor's office recently? You will see older people coming in with garbage bags full of empty pill bottles- many are on 10 or more ongoing prescriptions. And you will see a constant flow of drug sales reps who are dominating the life of the medical offices. At one visit last year, I was horrified to see an angry domineering drug salesman giving my doctor a finger wagging lecture while my doctor looked shame-faced and stared at the floor.
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Re: What does universal healthcare mean?

Unread postby Prince » Thu 25 Jan 2007, 16:07:51

$this->bbcode_second_pass_quote('DesertBear2', 'H')as anybody been to the doctor's office recently? You will see older people coming in with garbage bags full of empty pill bottles- many are on 10 or more ongoing prescriptions. And you will see a constant flow of drug sales reps who are dominating the life of the medical offices. At one visit last year, I was horrified to see an angry domineering drug salesman giving my doctor a finger wagging lecture while my doctor looked shame-faced and stared at the floor.


You make some great ponts DB, but I think doctors are just as guilty in this scheme and benefit just as much, if not more. As someone pointed out earlier, insurance companies are more or less the hand that feeds the beast. Without insurance companies, you won't have a doctor charging $1000 when you need 5 stitches on your hand from knife cut. We "only" have to pay $200, so doctors are able to bill more. Then there's the prescription pills tied to the insurance companies as well. Without insurance, I don't think people would be on nearly as much medication. And then again, they're able to charge $100/month, but you "only" have to pay $20 of that. And, of course, as you noted the pharmas are in bed with the doctors, so they can keep this scheme going. The government won't regulate this crap and gives kickbacks and breaks to the pharmas, AMA, doctors, FDA for Medicare, Medicaid, prescription drug programs, and now pushing for "free" healthcare.

Like I said in my original post, there won't be a single doctor, pharma corp, or insurance company that won't benefit from a universal healthcare program run by the US government. There is too much to gain for each of these conglomerates, and too much to lose for the middle class. The poor will gain by getting healthcare, the rich will get a tax break, the middle class will have their testicles clamped a little harder with pliers. I might be wrong, but seeing how the feds have screwed everything else up, we'll have healthcare Halliburton style, should this pass.

Most Americans are too stupid to realize this is a decent idea, but will be poorly executed, and thus, will blindly vote "yes" for this crap. Oh well...
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Re: What does universal healthcare mean?

Unread postby JoeW » Thu 25 Jan 2007, 16:49:42

in the spirit of "equal opportunity," i can see where universal health care for minors makes sense.

perhaps rather than universal healthcare, the united states needs "minimum healthcare". by that, i mean that every american citizen would have the choice of buying into health insurance that is brokered by the federal government. the coverage would be bare minimum and premiums would reflect that. premiums could be payroll-deducted, so irresponsible workers wouldn't have to worry about sending out the payments.

people who already have wouldn't have to buy into the government-brokered insurance.
the government would be responsible to collect premiums and broker the best deal possible. if you are aiming to insure millions of people, there would probably be some decent competition to get that contract.
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Re: What does universal healthcare mean?

Unread postby gnm » Thu 25 Jan 2007, 17:01:45

$this->bbcode_second_pass_quote('smallpoxgirl', ' ') Pancreatic cancer has a 5 year survival rate of less than 1 percent.


I know 2 people in their 60's who have survived it longer than that.... What are the odds...?

$this->bbcode_second_pass_quote('smallpoxgirl', ' ')Their life expectancy is longer than Americans' at a fraction of the cost.


I doubt it has much to do with healthcare. probably lifestyle or pollution or diet...

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Re: What does universal healthcare mean?

Unread postby gego » Thu 25 Jan 2007, 18:08:39

Universal health care is the delusion that there is a free lunch.

Given human nature the politicians will always pander to this delusion.
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Re: What does universal healthcare mean?

Unread postby Novus » Thu 25 Jan 2007, 18:42:04

Cuba has universal health care and it functions on about 1/20th of the cost of the US system and provides the same life expectancy. You know the old adage an ounce of prevention is worth a pound of cure. The American health care system is not a penny for prevention and billions for cures. Spending a few dollars on the poor so they have the very basic of health care can add decades to their lives while spending millions on cancer patients and heart transplants rarely adds more than six months of life to a rich man.

If a man falls into the Niagara river on the Canadian side onlookers will immeadiately jump in and pull him to safety. If a man falls into the Niagara river on the American side no one will help him for that is American way that individuals must learn to sink or swim on their own. However, at the last second before the man goes over the falls the Americans will call in a helicopter at great expense to save the man. If Americans don't start doing things the Canadian way come post peak there will not be any fuel for that helicopter resulting in a lot of needlessly dead Americans.
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Re: What does universal healthcare mean?

Unread postby gampy » Thu 25 Jan 2007, 21:36:14

Universal healthcare means I won't be bankrupt if I go to hospital for anything more than stitches, or a broken arm.

The way I see it, at least in the US, is that the debate is about getting insurance for everyone. Instead of healthcare. I have not seen anything about doing away with the insurance part, and just have the doctors and hospitals bill the government directly...which is what happens in Canada. I suppose that Canadians of average means have little "choice" in their healthcare, but at least it's available.

Cut out the middle man, and you have less costs. Although the health insurance industry will be out of work. Boo hoo.

I can't see "healthcare for everyone" until they completely socialize medicine.

They tried to do something in the 90's, but it died a slow death. I honestly can't see it happening unless all of the congress, senate and executive send back their campaign contributions from the insurance industry.
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Re: What does universal healthcare mean?

Unread postby Daculling » Thu 25 Jan 2007, 21:55:37

$this->bbcode_second_pass_quote('smallpoxgirl', '9')0 years olds with heart failure want heart transplants.


They should be seeing a psychiatrist. Not an MD.

"They" whoever they are had my dieing grandfather on an anti-alzheimer's drug at $70 a week... his dementia was obviously due to hypoxia because he has congestive heart failure... what a scam. You don't get alzheimer's at 95... sorry scam busted.
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Re: What does universal healthcare mean?

Unread postby DesertBear2 » Fri 26 Jan 2007, 05:23:02

$this->bbcode_second_pass_quote('gampy', '
')Cut out the middle man, and you have less costs.


I don't see any of this happening. The US system has become so deeply corrupted and the US public is so apathetic that there are presently no solutions to any of our long term problems. The present rules of the game include the proviso that neither public nor private players compromise anyone else's racket.

Only by a major economic crash with accompanying widespread pain will the US "citizenry" set aside their TV remote controls and demand fair, effective, and far-reaching solutions to our ongoing problems.

Otherwise, the ongoing corrupt rackets will continue to flourish.
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Re: What does universal healthcare mean?

Unread postby smallpoxgirl » Fri 26 Jan 2007, 13:06:30

$this->bbcode_second_pass_quote('Daculling', 'T')hey should be seeing a psychiatrist. Not an MD.


Psychiatrists are MDs. :razz:
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Re: What does universal healthcare mean?

Unread postby Chicken_Little » Fri 26 Jan 2007, 13:29:44

$this->bbcode_second_pass_quote('gnm', 'A')nd wealthy Canadians come over the border and pay for their own so they can have a surgery which was deemed "unnecessary" done or have their pick of physicians or just to avoid a really long wait.

8)

You know, the government has done so well with all the money and control we've given it and all the government programs work so well why not let them handle healthcare too?

/sarcasm

-G



Look. the standard of healthcare you have in the US right now clearly isn't very good. You're ranked about the same as Cuba in world health statistics, but you spend more per person than any other country.

And look at the state of you (you plural).

You're a bunch of disgusting fatbodies. I've seen the real America (on documentaries etc) and you make me sick.

Wake up for Christ's sake and stop obsessing about State vs private healthcare.

That isn't the problem. Your problem is your lifestyle. Deal.
Exterminate all the brutes!
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Dubya's $2,900,000,000,000 budget plan cuts health care

Unread postby Zardoz » Mon 05 Feb 2007, 17:23:46

Unlimited funds for the Pentagon, though:

Bush Sends Congress $2.9 Trillion Budget Plan

$this->bbcode_second_pass_quote('', 'P')resident Bush sent to Congress a $2.9 trillion budget plan that would dramatically increase military spending -- including an extra $245 billion for the wars in Iraq and Afghanistan -- but squeeze federal health care programs and most domestic agencies to achieve his goal of eliminating the deficit by 2012.

The proposal seeks to make permanent tax cuts enacted in 2001 and 2003 at a cost of $374 billion over five years. And it would slice nearly $96 billion over five years from Medicare and Medicaid, the government's health care programs for the poor and the elderly. The proposal would also cut spending at eight federal agencies -- including the education, environment and interior departments -- to below fiscal 2006 levels.

That's our chimpster! We can always depend on him. He's a reliable SOB.
Last edited by Ferretlover on Thu 19 Mar 2009, 09:37:41, edited 1 time in total.
Reason: Merged with THE Healthcare Industry Thread.
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