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General Motors cancels healthcare

Discussions about the economic and financial ramifications of PEAK OIL

Re: GM cancels healthcare

Unread postby JJ » Wed 16 Jul 2008, 20:49:40

$this->bbcode_second_pass_quote('hope_full', '')$this->bbcode_second_pass_quote('', 'I')t's going to require a new paradigm in American health care though. It's going to require an earnest push to abandon high-tech medicine and rediscover affordable medicine. It's also going to require, I think, that we follow Shakespear's advice vis-a-via malpractice lawyers. The technophilic health care model that the US, and to a lesser extent Europe have been pursuing, really needs to come to an end, and this may be the kind of thing that finally motivates us to make it happen.


I agree 100% with SPGirl. As we speak, my 90-something father is in hospital and the dollars that are flowing to keep him alive stagger the mind. Money is no object in poking and prodding and dosing and drugging his tired old body. I keep asking the old man if he wants to THINK about declining this crazy money-is-no-object, what-new-device-can-we-try-next medical treatment and he's still sound in mind (if not in body) and says, "NO, dammit, I don't want to die."

Well, at some point, his number will be up. And he'll leave behind a staggering debt of medical care that probably tops $300,000 in the last 18 months.


November 11, 2003 burst subarachenoid aneurysm.
brain surgery next day: 243,278.65
United Health Care paid 170,220.06
I paid 100.00 deductible

three months rehab learning to walk and talk again, lots of money.

I have no illusions that I was dead. Because they saw I had good insurance, they did surgery.

The guy down the street had an anuerysm burst a month later. Because he had no insurance, he never went to the doctor when he had symptoms (granted I didn't either)
because he had no insurance, they "waited" to opperate (sp)

anyway, had this happened either when I was living on the street or a hundred years ago, I wouldn't be typing this. Happened to be at the right place at the right time with the right piece of paper.
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Re: GM cancels healthcare

Unread postby emeraldg40 » Wed 16 Jul 2008, 21:02:17

I can only speak for the DFW area. If you dont have a job, you

go to the county hospital,access the Emergency room and if you

need surgery you will get it. I dont have an opinion on this, but

that would be your best course of action. You may very well have

to go this route if you are employed by a small company that has

no benefits. There is an entire industry in hospitals of how they will

be reimbursed. If you have seen Sicko by M Moore you already

know, that just because a person has "coverage" does not mean it

will in fact be covered. Another industry of people denying claims.

So what to do? Read stories of what families in America with sick

and disabled children have had to endure during the "good" times

and you will have an idea of what is coming our way. It boils down

to this..............Find the best state and move there.

Good luck with the nurse course. I hung up my halo long ago and

jumped ship.......so...if the nurse thing dosnt work out for you

consider pharmacy tech certification before it becomes a degree...

The view from the 26th floor of the Palms in Vegas can be quite nice

once a year..........and nurses are not invited lol Peace



How does someone pay for an operation if they don't have health insurance cause they have no job? Please explain where this money comes from... We'd export hospital jobs too if we could (wait... i did just read how fat Americans are flying to India to have knee surgeries and insurance companies are starting to cover it....). Higher energy prices cause people to spend more on that and less on everything else. Most people would probably choose a tank of gasoline over paying their premium.

"Nightline" last week had a part on about Haitian children who are pretty much slaves. They asked this little girl what "goals" she had in life, what she would like to do/become...

She said she wanted to drive a car...

Registered Nurse is probably the best job going right now. I should get my ass back in class and get through the program. I've worked in a nursing home for a few years so i kind of know how it works. My sister works in insurance billing (for over 15 years) at the local hospital (part of Mayo) and i've got an idea how that works too. I know a lot of stuff gets written off and a lot of people fail to pay their bills.

Self medication, here we come.[/quote]
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Re: GM cancels healthcare

Unread postby emeraldg40 » Wed 16 Jul 2008, 21:22:39

So which way to go? The republicans want a free market....so big pharma says "Far out man. That bottle of pills will cost you 100.00". Or, the Canadian way........."Hey big pharma, if you want in our country.......we will tell you what we are willing to pay you, and no more than that.........take it or leave it." The choice is yours. But dont go thinking every country in the world is paying those prices. Only in America........... (or Zimbabwae)




$this->bbcode_second_pass_quote('Ferretlover', '')$this->bbcode_second_pass_quote('frankthetank', 'A')ll this means LESS MONEY FOR BIG HOSPITALS? No wonder why they want universal health care, they want big government to pick up the tab when the masses our unemployed.

Maybe if the pharmacutical companies would stop charging $100 for a bottle of pills that cost them 23 cents to make, the hospitals stopped charging $8 to $10 to hand a patient a pill, doctors didn't jump on the medwagon and give people meds they didn't need... well, maybe all those health benefits wouldn't be necessary. It is getting so that the patients are just getting in the way when their employer wants to hand over money to the HMOs.
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Re: GM cancels healthcare

Unread postby smallpoxgirl » Wed 16 Jul 2008, 22:05:45

It's easy to blame insurance companies, and certainly they are vultures. The truth though is that the healthcare crisis really comes down to patients and families who have an unrealistic relationship with death and insist on outrageously expensive interventions to try to avoid it. A simple cerebral aneurysm repair is peanuts anymore. There's things ten times that expensive we can throw at patients. Problem is, that very few of us can afford a half million for medical expenses, even when you amortize it out over several decades. Because modern medicine has sold itself as being the source of immortality, lawyers hold us to it. If there's any way we could have spent more money on a patient, even for trivial benefits, you can bet there's a lawyer salivating to litigate it.

One of the biggest sources of malpractice claims for radiologists is missing a breast cancer on a mammogram. To combat this, the local radiology group in the town where I work in Montana got themselves a fancy computer assisted mammogram machine. Problem is that the new fancy mammograms now cost twice as much and nobody can afford to get a mammogram.

I think we really have to look at healthcare in terms of what can we really reasonably afford, and what standard of healthcare can we achieve with that. The great news is that it may actually not result in a reduction in our longevity or quality of life. Canadians spend a small fraction of what we do on healthcare and they live 2 years longer on average. The third leading cause of death in the US is complications from medical care.

One of the easiest things that could be done in the US to rapidly decrease the cost of healthcare would be to prohibit all advertising by pharmaceutical companies. Advertising accounts for well over a third of all medication costs in the US and it frequently leads to patients demanding a medication that they don't need or demanding a medication which is not the best choice for their condition. Likewise, prohibiting sample medications and requiring a simplified process for patient assistance programs would be a huge improvement to patient care.
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Re: GM cancels healthcare

Unread postby Snowrunner » Wed 16 Jul 2008, 22:59:04

$this->bbcode_second_pass_quote('frankthetank', 'E')merald?

How does someone pay for an operation if they don't have health insurance cause they have no job? Please explain where this money comes from... We'd export hospital jobs too if we could (wait... i did just read how fat Americans are flying to India to have knee surgeries and insurance companies are starting to cover it....). Higher energy prices cause people to spend more on that and less on everything else. Most people would probably choose a tank of gasoline over paying their premium.


The whole idea of a fully privatized healthcare system was the brainchild of some people who though the Government shouldn't do anything but are the first to cry for it when things don't work the way they want them to.

Something as inelastic as healthcare is not something that should be left to the open market. How is there a role for competition?

"Well Mr. Frank the Tank, we could charge you $35 to use this brand new scalepel OR we could charage you $25 and use the one I used on the patient before you, if you want me to wipe off the blood and puss that'll be another $2, which one would you like?"

There ARE indeed things where an EFFICENT (not big) Government CAN outperform a private enterprise handsomly.

As far as the Provincial Healthcare goes. This stupid "Small Government Thinking" has essentially gutted said Government to a point where it really is only useful as a scapegoat and (in some aspects) we've ended up with the worst of both systems.
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Re: GM cancels healthcare

Unread postby Farknight » Wed 16 Jul 2008, 23:05:59

The way I see it is very simple... as GM sees little problem with canceling retiree health care than I suggest they move up the corporate ladder and save even more shareholder funds. CEO Rick Wagoner should also have his health coverage terminated when he leaves GM as well as further reductions to his multi-million dollar salary. Yes, I know he has already "endured" a 50% pay cut and lost some of the millions but he still has many millions coming in. He probably had to downgrade from a 75 to a 55 footer yacht.

With the shape GM is in these days and under his "watch" at the helm, I wonder how fair it really is to scrap the insurance for all the older workers who actually "made" products for GM while still throwing millions to the CEO. It is kind of like giving Captain Edward J. Smith a commendation for sinking the unsinkable. At least he had the courage to go down with the ship.

Perhaps lower CEO salary to a mere million (oh how can they live on that?) and scrap the health care as well. Then the pain would be spread a bit more fairly and some significant costs cut.
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Re: GM cancels healthcare

Unread postby AlexdeLarge » Wed 16 Jul 2008, 23:12:03

"We have social security, that's not going away." I would not bet on that one! LOL

They killed the goose that laid the golden egg. What has happened to GM is a microchasim for the whole country? The unions demanded more and more benefits for less production. Ineffective management ,with no foresight, took the easy road and caved in to the unions. Management figured they would put off dealing with financial obligations until some future date when someone else would have to deal with it. Employees did not care as long as "I got mine."

Americans are demanding more and more services. Free health care, free college, retirement, etc etc. as long as someone else pays for it. Washington and its politicians have been caving in to the demands of the public. Now our government is bloated and broke. It is ineffective and has not planned for the future. I have a feeling that our goose may get cooked too!

One of the problems with a democracy is you get the government you deserve. Well, using the venacular of BHO's spirtual advisor, "the chickens have come home to roost." And we are all to blame.
Viddy well, little brother. Viddy well.
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Re: GM cancels healthcare

Unread postby emeraldg40 » Thu 17 Jul 2008, 00:44:35

$this->bbcode_second_pass_quote('smallpoxgirl', 'I')t's easy to blame insurance companies, and certainly they are vultures. The truth though is that the healthcare crisis really comes down to patients and families who have an unrealistic relationship with death and insist on outrageously expensive interventions to try to avoid it. A simple cerebral aneurysm repair is peanuts anymore. There's things ten times that expensive we can throw at patients. Problem is, that very few of us can afford a half million for medical expenses, even when you amortize it out over several decades. Because modern medicine has sold itself as being the source of immortality, lawyers hold us to it. If there's any way we could have spent more money on a patient, even for trivial benefits, you can bet there's a lawyer salivating to litigate it.

One of the biggest sources of malpractice claims for radiologists is missing a breast cancer on a mammogram. To combat this, the local radiology group in the town where I work in Montana got themselves a fancy computer assisted mammogram machine. Problem is that the new fancy mammograms now cost twice as much and nobody can afford to get a mammogram.

I think we really have to look at healthcare in terms of what can we really reasonably afford, and what standard of healthcare can we achieve with that. The great news is that it may actually not result in a reduction in our longevity or quality of life. Canadians spend a small fraction of what we do on healthcare and they live 2 years longer on average. The third leading cause of death in the US is complications from medical care.

One of the easiest things that could be done in the US to rapidly decrease the cost of healthcare would be to prohibit all advertising by pharmaceutical companies. Advertising accounts for well over a third of all medication costs in the US and it frequently leads to patients demanding a medication that they don't need or demanding a medication which is not the best choice for their condition. Likewise, prohibiting sample medications and requiring a simplified process for patient assistance programs would be a huge improvement to patient care.




How about physicians standing up to the patients? When did we take such a different view of medicine? If a patient demands tell them to get themselves to medical school.....pfft....these hospitals have us believing we need to be just like the Hyatt.....Ours docs are changing the tide Im glad to report. The druggie thats beligerant gets fast tracked out the door with a script for advil or tramadol. We keep a tight generic formulary and if the patient whines they can bring their own from home. Nothing wrong with samples.....gets them through till the pharmacy opens or gets the new drug in. As far as malpractice, Texas now has caps, 250 thous I believe. As far as Canadian Healthcare goes, most Americans are not ready to share a hospital room with 3 other people. At least Im not......but knowing there would be no hospital bill....I guess being with 3 other sick people would be okay (ugh). Americans would be surprised by the nursing culture in Canada too. Dont be asking for another blue pad under that wound, they look at you like you have lost your mind, theyll change it when THEY want to lol I guess there is always trade offs.
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Re: GM cancels healthcare

Unread postby smallpoxgirl » Thu 17 Jul 2008, 00:58:58

$this->bbcode_second_pass_quote('emeraldg40', ' ')Nothing wrong with samples.....gets them through till the pharmacy opens or gets the new drug in.


The problem with samples is that in the end, it works kinda the same way for prescription drugs that it does for street drugs. The idea in both cases is to get you use to using a drug that isn't right for you in the hopes that you'll keep using it. I've had a couple of patients that transfered to my practice and were on super expensive blood pressure meds. When you ask why, it boils down to they didn't have insurance and wanted samples. So they got started on an ARB or a Calcium channel blocker at $150 a month, when hydrochlorothiazide would have worked better and cost $5 a month. Once you're on it and it's working, unless the patient complains, nobody else is motivated to switch it just to save money.

$this->bbcode_second_pass_quote('', 'm')ost Americans are not ready to share a hospital room with 3 other people.


Well, I'd say they're probably going to have to get use to the concept when their employer cancels their health insurance and they're facing $1000 per month premiums otherwise. How much of your life were you planning on spending in hospital rooms by the way? It's kind of a life goal of mine not to spend any more time there than absolutely necessary.

As for standing up to patients, yeah, sure, but it's a pain in the butt and most people don't do it. Probably at least once a day I have to spend 5 minutes convincing a patient that the Yaz commercial is horse crap and there's no reason she needs to spend three times as much for the trendy birth control pill. It's annoying, and most docs would rather waste somebody else's money than to go to the effort.
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Re: GM cancels healthcare

Unread postby cube » Thu 17 Jul 2008, 01:10:44

$this->bbcode_second_pass_quote('smallpoxgirl', 'I')t's easy to blame insurance companies, and certainly they are vultures. The truth though is that the healthcare crisis really comes down to patients and families who have an unrealistic relationship with death and insist on outrageously expensive interventions to try to avoid it.
Perhaps the "root" of the problem is there is no problem. Maybe the reason why we're paying a fortune is because everybody thinks they have a "right" to live to the age of 80 and nobody should ever die of natural causes. Perhaps this type of thinking / this notion of "entitlement" is in reality a bizarre exception within human history that was only made possible thanks to the economic surplus created by cheap energy?

In a post PO world our grand children's grandchildren won't be complaining about health insurance because nobody is going to have it.
They'll simply be happy to have 3 meals a day and perhaps indoor plumbing. :twisted:
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Re: GM cancels healthcare

Unread postby emeraldg40 » Thu 17 Jul 2008, 01:16:26

$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('emeraldg40', ' ')Nothing wrong with samples.....gets them through till the pharmacy opens or gets the new drug in.


The problem with samples is that in the end, it works kinda the same way for prescription drugs that it does for street drugs. The idea in both cases is to get you use to using a drug that isn't right for you in the hopes that you'll keep using it. I've had a couple of patients that transfered to my practice and were on super expensive blood pressure meds. When you ask why, it boils down to they didn't have insurance and wanted samples. So they got started on an ARB or a Calcium channel blocker at $150 a month, when hydrochlorothiazide would have worked better and cost $5 a month. Once you're on it and it's working, unless the patient complains, nobody else is motivated to switch it just to save money.

$this->bbcode_second_pass_quote('', 'm')ost Americans are not ready to share a hospital room with 3 other people.


Well, I'd say they're probably going to have to get use to the concept when their employer cancels their health insurance and they're facing $1000 per month premiums otherwise. How much of your life were you planning on spending in hospital rooms by the way? It's kind of a life goal of mine not to spend any more time there than absolutely necessary.



Yes, patients need to speak up.....its easy to say....I get my drugs for 4 $ at Wally World prescribe accordingly please. But most patients cant say that. As far as hospital stays, the case Im referring to was my Canadian mother in law, cellulitis , in there for 10 days on cefalozin....although I cant know for sure, I was thinking that if she would have been in US, maybe a stronger drug po after 3 days IV in hospital. Then no bill after 10 days hospital...very different. So that being said, keeping the Hibiclins handy lol
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Re: GM cancels healthcare

Unread postby smallpoxgirl » Thu 17 Jul 2008, 01:22:39

$this->bbcode_second_pass_quote('emeraldg40', 'A')s far as hospital stays, the case Im referring to was my Canadian mother in law, cellulitis , in there for 10 days on cefalozin....although I cant know for sure, I was thinking that if she would have been in US, maybe a stronger drug po after 3 days IV in hospital. Then no bill after 10 days hospital...very different. So that being said, keeping the Hibiclins handy lol


Cefazolin is a wonderful drug. Really the only pity with cefazolin is that a large percentage of staph are now resistant to it. For responsive strains, cefazolin is actually more effective than vancomycin.
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Re: GM cancels healthcare

Unread postby emeraldg40 » Thu 17 Jul 2008, 01:31:32

$this->bbcode_second_pass_quote('cube', '')$this->bbcode_second_pass_quote('smallpoxgirl', 'I')t's easy to blame insurance companies, and certainly they are vultures. The truth though is that the healthcare crisis really comes down to patients and families who have an unrealistic relationship with death and insist on outrageously expensive interventions to try to avoid it.
Perhaps the "root" of the problem is there is no problem. Maybe the reason why we're paying a fortune is because everybody thinks they have a "right" to live to the age of 80 and nobody should ever die of natural causes. Perhaps this type of thinking / this notion of "entitlement" is in reality a bizarre exception within human history that was only made possible thanks to the economic surplus created by cheap energy?

In a post PO world our grand children's grandchildren won't be complaining about health insurance because nobody is going to have it.
They'll simply be happy to have 3 meals a day and perhaps indoor plumbing. :twisted:[/quo

There are many who would be happy to have that today :)
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Re: GM cancels healthcare

Unread postby jbrovont » Thu 17 Jul 2008, 02:52:46

Well, there's also a disconnect between "health" and "care" in the United States. It might be more accurate to call it "health profit." Many drugs and high tech treatments have alternative lower cost treatments, that aren't as profitable and therefore are either not explored fully, or not endorsed by the FDA.

For instance, cilantro contains one of the most powerful anti-biotics known to humans that is also very difficult for bacteria to develop a resistance to because of the nature of it's action. Is it in production? No - it is a natural compound and therefore cannot be patented. Do a search on dodecenal if you're interested.

Another example: butylated hydroxy-toluene. Used as a food preservative, it's been found to have a variety of health related side effects, some very negative including encouraging of some forms of cancers. Despite this, it remains on the FDA's list of approved food addatives.

It also has been shown to have a significant affect at destroying lipid encased viruses, HIV, HSV, Ebola, and common flu to name a few. You might be surprised that although several peer reviewed research studies have confirmed this, it is not approved for treatment of these types of infections. Why? It might be because the patent on it's production has expired and everyone and their grandma can make it for pennies, where as other more expensive drugs are controlled and very profitable.

Food for thought.
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Re: GM cancels healthcare

Unread postby idiom » Thu 17 Jul 2008, 04:49:44

Health Insurance is the stupidest idea ever. The one place you should not have aggressive profit seeking is the only place you do.

Nasa and the health system should trade places. Hospitals should be government funded and Nasa should be making billions in profits.
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Re: GM cancels healthcare

Unread postby Rogozhin » Thu 17 Jul 2008, 06:13:02

I went to the emergency room eight months ago (no health insurance at the time). I almost fainted, but I couldn't move without heavy effort and some help.

I walked into the ER, had a BP, ekg, gl, and x-ray of my chest completed by three nurses. Then the doctor on call spent 2 minutes to examine the chart (I don't have any other records, so this was all he was looking at) and felt my pulse.

I was charged $2239.
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Re: GM cancels healthcare

Unread postby vision-master » Thu 17 Jul 2008, 08:52:27

$this->bbcode_second_pass_quote('Rogozhin', 'I') went to the emergency room eight months ago (no health insurance at the time). I almost fainted, but I couldn't move without heavy effort and some help.

I walked into the ER, had a BP, ekg, gl, and x-ray of my chest completed by three nurses. Then the doctor on call spent 2 minutes to examine the chart (I don't have any other records, so this was all he was looking at) and felt my pulse.

I was charged $2239.


It's one thing to buy health insurance when in your 20's. Many young ppl can afford insurance but choose to do without. Why? More moola for having a good time, eh.

Try buying it in your 50's. :razz:
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Re: GM cancels healthcare

Unread postby CarlosFerreira » Thu 17 Jul 2008, 10:51:25

$this->bbcode_second_pass_quote('cube', '
')In a post PO world our grand children's grandchildren won't be complaining about health insurance because nobody is going to have it.
They'll simply be happy to have 3 meals a day and perhaps indoor plumbing. :twisted:


Probably true. I admit it will happen, but everything else must fall first: defense programs, tanks, multimillion dollar jets, the lot. People have to come first.

I'm sorry, I'm not buying into the "wrong relation with death". Again, people have to come first.

Universal healthcare. It's fraternity. There can be no democracy if we don't look after each other. I have a crappy salary, can't afford a car and wouldn't be able to afford a house; that's why I'm living at home, with my parents, and my gf lives with her parents. But I pay my taxes willingly, if that's the objective. The day govt. starts buying too many jet fighters and nuke submarines instead of providing healthcare, I'm not paying a dime.

Another thing: states have the ability to negotiate with pharmaceutical companies and keep prices lower, use generics and generaly get better paying conditions when buying meds. That's why meds here are much cheaper than in the US, and that's before state-supported discounts and helps.
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Re: GM cancels healthcare

Unread postby emeraldg40 » Thu 17 Jul 2008, 12:37:35

$this->bbcode_second_pass_quote('Rogozhin', 'I') went to the emergency room eight months ago (no health insurance at the time). I almost fainted, but I couldn't move without heavy effort and some help.

I walked into the ER, had a BP, ekg, gl, and x-ray of my chest completed by three nurses. Then the doctor on call spent 2 minutes to examine the chart (I don't have any other records, so this was all he was looking at) and felt my pulse.

I was charged $2239.



Whats your point? The doctor was your only ally at that time. He patiently waited for your results to come in......now let me ask you this......would you have been willing to pay more if he had spent more time with you? Do you realize that the bill would have been the same had he found an issue with your ekg, x-ray etc...you are paying him for his answer. You chose to go there. Should medical workers just do this for you for free? Cause we have nothing better to do? What do you think a fair price would have been? Did you then invest in your own B/P monitor? Read up on health? Just food for thought.
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Re: GM cancels healthcare

Unread postby smallpoxgirl » Thu 17 Jul 2008, 13:08:15

$this->bbcode_second_pass_quote('emeraldg40', 'W')hats your point? The doctor was your only ally at that time. He patiently waited for your results to come in......now let me ask you this......would you have been willing to pay more if he had spent more time with you? Do you realize that the bill would have been the same had he found an issue with your ekg, x-ray etc...you are paying him for his answer. You chose to go there. Should medical workers just do this for you for free? Cause we have nothing better to do? What do you think a fair price would have been? Did you then invest in your own B/P monitor? Read up on health? Just food for thought.


There's kind of a very good point there. If you don't want to be part of a very expensive science project, don't go to the ER. It's kind of like when I hear patients complain that whenever they have a problem their doctor always wants to prescribe medicines. Well duh! Go to a priest to talk about your problem and they'll probably want to pray with you. Go to a chiropracter, they'll adjust your back. Go to a psychologist, they'll listen to you. Go to the doctor, you're probably going to walk out with a prescription.
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Sifting through the ashes every day
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Now is nothing more than a memory
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