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Canada: Thousands of surgeries may be cut

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

Re: Canada: Thousands of surgeries may be cut

Unread postby KrellEnergySource » Wed 19 Aug 2009, 13:05:10

$this->bbcode_second_pass_quote('lper100km', '')$this->bbcode_second_pass_quote('PrestonSturges', 'A')nd in Canada, pretty much anything goes legally.

I think that's called 'freedom'.


Now, how to have the highest levels of freedom that also lead to sustainability for the next 1000 or so generations (as a start)....that's the nut to crack.
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Re: Canada: Thousands of surgeries may be cut

Unread postby smallpoxgirl » Wed 19 Aug 2009, 14:58:40

$this->bbcode_second_pass_quote('rangerone314', 'F')or example, I doubt a stethoscope costs 10X what it did in 1978. So logically if costs go up 10X, there are some costs going up 2X because of normal inflation and somethings going up like 30X.


I doubt if the cost of a stethoscope has even doubled. The problem is that, in 1978 doctors used x-rays and stethoscopes to diagnose whether your cancer was progressing. In 2009 they use PET scanners and MRIs. PET scanners and MRIs are insanely expensive, and the cost of making the payments on the PET scanner gets tacked on to your x-ray. Since 1978 there's been, I think 7 generations of CT scanners. Every time a new generation comes along, the hospital packs up the old one and sells it to India and gets the new one. Penicillin is virtually free, but nobody gets treated with Penicillin anymore. They get $20,000 worth of Zivox and Xigris. In India, if an outpatient surgical center has a fatality or two, its recognized as an inherent risk of medical care. Here it's a terrible scandle and you get eighteen different regulatory agencies trying to close the place down.

The fundamental problem with American medicine is that we're living in a Star Trek fantasy where everyone lives forever thanks to tricorders and other miracle cures. The reality is that a lot of American medicine is beyond our ability to afford and it provides very little in the way of tangible benefits. The Indians don't have the resources to indulge in such self delusion, but Americans are still holding on tenaciously to the fantasy. We absolutely must bring ourselves to deal with the reality that virtually all of the diagnostic and treatment modalities that provide a reasonable cost/benefit ratio were discovered before 1990. We must accept that if our life expectancy is going to rise significantly it's going to be because we address the health impacts of poverty, bad diet, and such, not because of any new breakthrough in medicine. We need to strive for living as long as our parents at a cost we can afford. Only once we accept that reality can we have a reasonable discussion about reforming healthcare. Obamaclaus is making a bunch of promises that he simply can't fulfill. Our society doesn't have the resources, will, or inclination to provide Star Trek care to the entire population. It would simply consume too much of the GDP.
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Wed 19 Aug 2009, 15:49:13

We made a school trip to the USSR shortly before it fell. Even us school kids were impressed with the clean air, lack of cars, well mannered individuals, and our Soviet teenage peers were leagues ahead of us in terms of maturity and intellectual ability. However there was an awareness amongst them that the world was not yet ready for socialism, even the USSR, and that the 1917 revolution had pre-empted history and was about to be undone as an objective fact.

When I talk about socialist man, I contemplate a truly civilised, fully rounded human whereas we are currently in the age of the mechanised neanderthal and have a ways to go yet.

$this->bbcode_second_pass_quote('rangerone314', '')$this->bbcode_second_pass_quote('americandream', '
')Which part of a tax code that seeks to Thatcherise the poor into homeowners don't you get? Which part of a tax code that promotes the privately owned asset over the socialised asset don't you get.

Marxists want no truck with scams. This world is for all to use and take is our belief. We remain resolute in that belief despite the "left" label being bandied about as marxian. It isn't. You can reinvent any old story to sustain the ponzi scheme but the fact remains, we ran a Soviet in the USSR with not a single tax coded housing scam and we still got harangued for not having "choice". In your economies, you impose these ideological fundamentals by using the tax code and when things go bad, its our fault for too much choice. Its the fault of your travel mates. Had we run the show, there would be no private ownership of homes. All it does is create bubbles, scams and the homeless.


And despite all its great wonders, lol, the USSR still had major problems with IV drug use and alcoholism.
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Re: Canada: Thousands of surgeries may be cut

Unread postby smallpoxgirl » Wed 19 Aug 2009, 17:15:23

$this->bbcode_second_pass_quote('GASMON', 'A')s for the USA, if Obama manages to create some sort of NHS, good luck, I hope it works for you.


That's all well and good except Americans spend about 3 times as much per capita on healthcare as you Brits do. link How's a new 33% tax sound?
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Wed 19 Aug 2009, 17:43:56

You guys are taxed to the hilt paying off your ponzi free market debt so I kinda see the point you're making. It sort of reminds me of an American friend whose family had to make a choice between paying off dads gambling debts or funding her and her siblings dentistry needs. Her teeth weren't the best suffice to say. Hard choices that will affect the health of your population but I guess you're between a rock and a hard place.


$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('GASMON', 'A')s for the USA, if Obama manages to create some sort of NHS, good luck, I hope it works for you.


That's all well and good except Americans spend about 3 times as much per capita on healthcare as you Brits do. link How's a new 33% tax sound?
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Re: Canada: Thousands of surgeries may be cut

Unread postby smallpoxgirl » Wed 19 Aug 2009, 17:55:14

$this->bbcode_second_pass_quote('americandream', 'H')ard choices that will affect the health of your population but I guess you're between a rock and a hard place.


IMHO, we need a "Come to Jesus" moment where we realize we don't need all this high tech wiz bang crap. NHS provides very adequately for the healthcare needs of you Brits. If Americans could content themselves with that amount of healthcare expenditure, there would be a plethora of options for how to finance it. We're all caught up in healthcare as the new consumer fad though. It's just not sheik to die with less than $100,000 hospital bill. If we could content ourselves with NHS level healthcare, we could have universal healthcare and then some off the money we're already dumping into Medicare.
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Re: Canada: Thousands of surgeries may be cut

Unread postby frankthetank » Wed 19 Aug 2009, 18:01:28

SPG-

I won't name who or what hospital, but a group of very powerful and rich arabs wanted to BUY the scanning machine because they didn't want to wait! They also were handing out Rolex watches and throwing money around like an MTV rap video (the staff wasn't suppose to take any, but i think some may have)...

We just all need to become powerful oil rich sheiks :)
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Wed 19 Aug 2009, 18:13:48

$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('americandream', 'H')ard choices that will affect the health of your population but I guess you're between a rock and a hard place.


IMHO, we need a "Come to Jesus" moment where we realize we don't need all this high tech wiz bang crap. NHS provides very adequately for the healthcare needs of you Brits. If Americans could content themselves with that amount of healthcare expenditure, there would be a plethora of options for how to finance it. We're all caught up in healthcare as the new consumer fad though. It's just not sheik to die with less than $100,000 hospital bill. If we could content ourselves with NHS level healthcare, we could have universal healthcare and then some off the money we're already dumping into Medicare.


I suspect that a good 40-50% of the US health bill is a profit premium. A dollar for dollar comparison with the UK may show, I suspect, that your real bill is way beneath whats being spent in the UK, profit adjusted. I don't think you're getting value for your money.
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Re: Canada: Thousands of surgeries may be cut

Unread postby smallpoxgirl » Wed 19 Aug 2009, 20:39:16

$this->bbcode_second_pass_quote('americandream', 'I') suspect that a good 40-50% of the US health bill is a profit premium. A dollar for dollar comparison with the UK may show, I suspect, that your real bill is way beneath whats being spent in the UK, profit adjusted. I don't think you're getting value for your money.


I think that's a gross over simplification of the problem, and sort of derails the discussion. It's the equivalent of the guy that wants to yell and scream about the $300 hammer at budget time. The amount of actual profit taking is pretty small, although certainly are areas where the profit motive drives the system in dysfunctional ways. The fundamental problem though, is the same as many of the problems we find ourselves facing right now: exponentially increasing demand running headlong into flat resource availability. Trying to turn this into a conspiracy theory of drug companies vs. patients is not a useful way of looking at it. The profit drive of healthcare capitalists exists in tandem with the unrealistic expectations of patients. We have to replace the paradigm of bigger, better, faster, more with a paradigm that works in a world of resource stagnation. Instead, Washington, is playing a game of "No you pay for it. No you pay for it." That doesn't enlighten or help to address our healthcare crisis.
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Re: Canada: Thousands of surgeries may be cut

Unread postby vision-master » Wed 19 Aug 2009, 21:27:30

Our family Doctor back in the 50's and 60's had a crappy little office in a very poor area, did house calls and everything seemed just fine. BTY, he was a Jewish Doctor. :)

What the fook has happened since those days?

100 million dollar health centers? What the fook for?
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Re: Canada: Thousands of surgeries may be cut

Unread postby frankthetank » Wed 19 Aug 2009, 22:21:46

Vision-
In La Crosse Gunderson and St Francis (Mayo) never stop spending money. They both now have helicopters, and they both have thrown up huge facilities in Onalaska that are about vacant when you go in them. Both hospitals/clinics have down extensive remodeling and updating (its ongoing)... Its like they never stop spending money. Oh...and there fees for all their services go up every single year...

The most annoying thing is the advertising. WHY IN THE HELL DOES A HOSPITAL need to advertise? And most advertising seems to be geared towards breast cancer (here at least). I don't get it. Do they do that in Britain? Europe? Canada?
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Wed 19 Aug 2009, 22:28:11

$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('americandream', 'I') suspect that a good 40-50% of the US health bill is a profit premium. A dollar for dollar comparison with the UK may show, I suspect, that your real bill is way beneath whats being spent in the UK, profit adjusted. I don't think you're getting value for your money.


I think that's a gross over simplification of the problem, and sort of derails the discussion. It's the equivalent of the guy that wants to yell and scream about the $300 hammer at budget time. The amount of actual profit taking is pretty small, although certainly are areas where the profit motive drives the system in dysfunctional ways. The fundamental problem though, is the same as many of the problems we find ourselves facing right now: exponentially increasing demand running headlong into flat resource availability. Trying to turn this into a conspiracy theory of drug companies vs. patients is not a useful way of looking at it. The profit drive of healthcare capitalists exists in tandem with the unrealistic expectations of patients. We have to replace the paradigm of bigger, better, faster, more with a paradigm that works in a world of resource stagnation. Instead, Washington, is playing a game of "No you pay for it. No you pay for it." That doesn't enlighten or help to address our healthcare crisis.


I don't quite see how the quite logical drive to maximised profit can be construed a conspiracy when after all thats the whole point behind the private (medicine, transport, housing.....everything for that matter) from the providing end. Whether its a successful model is debateable given the recent economc fiasco but that is another topic.

Certainly, the user end has its problems as well in terms of prevention but that is a whole nother can of worms as well covering diet, lifestyle etc, etc and results in the absurdity where we have the well off driving a dietary agenda that might as well be a Martian one for all its relevance for the vast bulk of those struggling to pay the bills, let alone monitor their dietary input.

Resourcing issues will force a balancing act of that one can be sure. For the time being though, whilst resourcing remains debateable (as we see from a fair bit of the input here), I think its fair to point out in advance to all those who read these posts that American health costs, carrying as they do the investor premium, are and will remain burdensome for as long as it seeks to serve two masters...heath needs and investor wants. There will come a time when you will have to make that choice...affordable universal health or the bottom line. At that point, I suspect the broader topic of preventative medicine arises (although we then get into diet. fast foods etc, etc, the sort of stuf that impacts on what sort of society best serves a generation with not too many barrels of oil left to go round and as I have said above, thats a whole nother can of worms.)
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Re: Canada: Thousands of surgeries may be cut

Unread postby smallpoxgirl » Wed 19 Aug 2009, 22:32:22

$this->bbcode_second_pass_quote('frankthetank', 'B')oth hospitals/clinics have down extensive remodeling and updating (its ongoing)... Its like they never stop spending money.


This is what I refer to as the pseudo non-profit model of health care. In the US, most hospitals and such structure themselves as nominal non-profits for tax reasons. They, behave though, just like for profit corporations. Million dollar CEO's, maximizing profit, advertising, etc. Since they're nominally non-profits, they don't have shareholders to return profits to. They have to funnel all their profits into infrastructure, so they're constantly either building, remodeling, or buying up other healthcare entities.
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Wed 19 Aug 2009, 22:39:43

$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('frankthetank', 'B')oth hospitals/clinics have down extensive remodeling and updating (its ongoing)... Its like they never stop spending money.


This is what I refer to as the pseudo non-profit model of health care. In the US, most hospitals and such structure themselves as nominal non-profits for tax reasons. They, behave though, just like for profit corporations. Million dollar CEO's, maximizing profit, advertising, etc. Since they're nominally non-profits, they don't have shareholders to return profits to. They have to funnel all their profits into infrastructure, so they're constantly either building, remodeling, or buying up other healthcare entities.



Lol...these trusts arent terribly different to these fully corporatised entities that increasingly service the needs of the management (vast bonuses, fabulous perks etc, etc) before that of the stockholdhers. It's probably a symptom of the rise of management as the new class of quasi stakeholder although in health trusts, it is a dreaful waste of resourcing better used elsewhere. I don't really know how you deal with this issue other than to scrap the model.
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Re: Canada: Thousands of surgeries may be cut

Unread postby PrestonSturges » Thu 20 Aug 2009, 08:53:37

$this->bbcode_second_pass_quote('lper100km', '')$this->bbcode_second_pass_quote('PrestonSturges', 'A')nd in Canada, pretty much anything goes legally.

I think that's called 'freedom'.

Don't confuse lack of regulation for business with personal freedom. Canada is still run by mining and timber interests, and medical outfits like MDS.

Go screw with any of these business interests and you'll find out that in practical terms, Canada is a very small country with few places to hide.
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Re: Canada: Thousands of surgeries may be cut

Unread postby lper100km » Thu 20 Aug 2009, 09:51:47

PS: Your encyclopedic knowledge of Canada is truly astounding.
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Re: Canada: Thousands of surgeries may be cut

Unread postby vision-master » Thu 20 Aug 2009, 10:00:45

$this->bbcode_second_pass_quote('lper100km', 'P')S: Your encyclopedic knowledge of Canada is truly astounding.


encyclopedic? lol
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Re: Canada: Thousands of surgeries may be cut

Unread postby PrestonSturges » Thu 20 Aug 2009, 11:34:10

$this->bbcode_second_pass_quote('lper100km', 'P')S: Your encyclopedic knowledge of Canada is truly astounding.


Lived there, had a business there.
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Re: Canada: Thousands of surgeries may be cut

Unread postby americandream » Thu 20 Aug 2009, 18:15:29

$this->bbcode_second_pass_quote('PrestonSturges', '')$this->bbcode_second_pass_quote('lper100km', 'P')S: Your encyclopedic knowledge of Canada is truly astounding.


Lived there, had a business there.


Anyone with big business is going to be proactive in protecting their advantage. That's understandable. It's not easy prevailing in a jungle. However, do we want a jungle for a world?
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