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Personal Reponsibility in Health Care

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

Re: Personal Reponsibility in Health Care

Unread postby AgentR » Mon 22 Mar 2010, 16:15:19

As a followup to the comment about catastrophic plans and discouraging early care. I can't really see how:

1yr
$100/mo (insurance) = $1200
doctor visits (2) = $300
lab work (some) = $200
strips / meter / generic drug xyz = $1000

is cheaper than
$600/mo = $7200
doct = $40
lab = $40
stuff = $300

And yet... you tell pharmacists to fill the script whether the insurance covers it or not, and they look at you like you've lost your mind. Tell doctors that you don't have coverage for scripts and they react like you'll be auctioning your first born within days.

Seeing as how this proves that its a sociology problem, and not a medical one, I think its going to take a lot more than "health care reform" in the US to cause people to properly manage their own health.

It could also be a failure of basic arithmetic; but really, if people can't add 4 numbers, plotting their blood sugar readings and taking their meds on a steady schedule isn't very likely.

Closing thought... what does that shiny new bmw or hybrid cost each month after you roll in all its expenses? No one blinks an eye.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Mon 22 Mar 2010, 17:07:26

$this->bbcode_second_pass_quote('Narz', '')$this->bbcode_second_pass_quote('Ludi', '')$this->bbcode_second_pass_quote('Narz', '
')Why pay that much? Do you really think you'll need almost $5000 of medical care per year?


How would I pay less? :?: I might need $100,000 + in medical care one year. :(

What are you worried you'll need $100K for? Surgery?


Hospitalization. :(

My family would be bankrupt several times over if not for medical insurance. So I'm fearful.

Are you suggesting not having medical insurance?
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Re: Personal Reponsibility in Health Care

Unread postby Narz » Mon 22 Mar 2010, 17:55:04

$this->bbcode_second_pass_quote('Ludi', '')$this->bbcode_second_pass_quote('Narz', '')$this->bbcode_second_pass_quote('Ludi', '')$this->bbcode_second_pass_quote('Narz', '
')Why pay that much? Do you really think you'll need almost $5000 of medical care per year?


How would I pay less? :?: I might need $100,000 + in medical care one year. :(

What are you worried you'll need $100K for? Surgery?


Hospitalization. :(

My family would be bankrupt several times over if not for medical insurance. So I'm fearful.

Are you suggesting not having medical insurance?

Why would you be hospitalized? What's your fear specifically?

I'm disabled so I have Medicare but if I didn't I wouldn't have any insurance. If I found out I had cancer or some shit I would try to cure it naturally or die trying. If I had a ruptured spleen or something I guess I'd probably get it removed & set up a payment plan to pay over time. If the surgery costs $100,000 then paying $5,000 over 20 years is no different than paying for health insurance. Unless something else ruptures. If two things rupture maybe it's my time anyway.

I'm young & haven't been to the doctor's even in almost a decade so we're in different boats. Frankly though I hate hospitals & there always seems to be things insurance doesn't cover anyway.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Mon 22 Mar 2010, 18:09:16

I'm mostly worried about stroke or heart attack with some worry about mental illness requiring hospitalization.


Surgery is not expensive ( a few thousand dollars), it is hospitalization that is expensive.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Mon 22 Mar 2010, 18:10:29

$this->bbcode_second_pass_quote('Narz', ' ')If I had a ruptured spleen or something I guess I'd probably get it removed & set up a payment plan to pay over time.



Why do so many people go bankrupt over medical bills? Can't they set up payment plans too?
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Re: Personal Reponsibility in Health Care

Unread postby Loki » Mon 22 Mar 2010, 18:18:41

$this->bbcode_second_pass_quote('AgentR', '
')Now, what you may have been doing is simply relying on the tax payer to provide the stated bronze plan implicitly, because you know, that if you did get cancer, and consequently lost your ability to work and ending up on state support; it is exactly the tax payer that would be paying for your chemo, surgery, or other drugs. Perhaps you entertained the rationalization that if you got one of these crippling diseases that you'd just go out in your backyard and eat a bullet; most do not do so. And a contract between you and the society saying that YOU would be different and do so, would not be binding.

So you get to suck it up, pay your $100/mo in health taxes, and ditch the implicit reliance upon the taxpayer in the event of your unlikely disease-ification.

Actually, for nearly all the 2000s I had employer-based health insurance---also lived in Canada for part of that decade, so I was covered by their most excellent system. Over the last 10 years, I used my insurance to get glasses a couple times, one tetanus shot, one teeth cleaning, and one physical exam. That's it. My employers paid a small fortune for those very simple procedures.

I lost my health insurance in December 09 thanks to a layoff. I feel fortunate to have found a job on an organic farm that starts in May---barely above min wage, no bennies.

Your math assumes a low level of health problems. A more serious problem, or series of problems over 2+ years, would still utterly bankrupt a low income worker with a policy like this.
Last edited by Loki on Mon 22 Mar 2010, 18:21:07, edited 1 time in total.
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Re: Personal Reponsibility in Health Care

Unread postby AgentR » Mon 22 Mar 2010, 18:19:42

They do set up payment plans, but honestly speaking, most never come even close to paying off their bill. In the end, the tax payers and insured patients end up paying their bill.

As to bankruptcy...well, the neighborhood family doc might not be to keen on forwarding your account to a collection agency; but the lab, surgical clinic, and pharmacy will do it in a heartbeat if they think they can't get whats owed them any other way.
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Re: Personal Reponsibility in Health Care

Unread postby AgentR » Mon 22 Mar 2010, 18:33:47

$this->bbcode_second_pass_quote('Loki', 'Y')our math assumes a low level of health problems. A more serious problem, or series of problems over 2+ years, would still utterly bankrupt a low income worker with a policy like this.


There is no possibility for a low income worker to ever cover the costs of a catastrophic illness; they end up on medicaid almost without fail. The fact that such an illness takes a low wage earner out of economic productivity is not surprising... ITS A CATASTROPHIC ILLNESS. There is no more "normal" to be had.

As to my math, it assumes one chronic, but well understood, disease/condition. Say diabetes, high blood pressure, etc. Break even on the expensive plans happens with a few such conditions interactively playing roulette with your life. You get more than your money's worth if you ever have a significant complication. Insurers can make some profit if you become stable on a set of meds, and those meds decline in price over time.
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Re: Personal Reponsibility in Health Care

Unread postby Bas » Mon 22 Mar 2010, 18:53:44

Loki, some of the things I mentioned in my previous post were things (and just some of the things) that I think the current bill will open up the door to regulate and hence will make healthcare cheaper for the great masses.
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Re: Personal Reponsibility in Health Care

Unread postby Loki » Mon 22 Mar 2010, 19:12:54

$this->bbcode_second_pass_quote('AgentR', '')$this->bbcode_second_pass_quote('Loki', 'Y')our math assumes a low level of health problems. A more serious problem, or series of problems over 2+ years, would still utterly bankrupt a low income worker with a policy like this.


There is no possibility for a low income worker to ever cover the costs of a catastrophic illness; they end up on medicaid almost without fail. The fact that such an illness takes a low wage earner out of economic productivity is not surprising... ITS A CATASTROPHIC ILLNESS. There is no more "normal" to be had.

As to my math, it assumes one chronic, but well understood, disease/condition. Say diabetes, high blood pressure, etc. Break even on the expensive plans happens with a few such conditions interactively playing roulette with your life. You get more than your money's worth if you ever have a significant complication. Insurers can make some profit if you become stable on a set of meds, and those meds decline in price over time.


Fair enough. By your math, the insurance corporation wouldn't pay one red cent of the medical costs associated with such a condition. Not one penny. It would all be covered by the "insured" since your costs fall well under the deductible. The insurance company gets ~$1200/year from this low wage worker, and they return absolutely nothing. But the fedgov will now be putting a gun to said worker's head to FORCE him to pay for this pathetic excuse for "insurance." It's a $1200 tax on minimum wage workers, to be handed directly to the insurance executives. Brilliant.

Glad you agree that a major health problem, the very kind this CATASTROPHIC insurance is allegedly designed to deal with, would still bankrupt said worker. So remind me again why a person in this situation should be forced to hand over a significant portion of their income to the insurance syndicates? I fail to see how is this going to fix this person's health care situation.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Mon 22 Mar 2010, 19:38:45

$this->bbcode_second_pass_quote('AgentR', ' ')ITS A CATASTROPHIC ILLNESS.



My dad went back to work a few weeks after his quintuple bypass. (Volunteer work, not paid)

Or is it only low-income people who don't go back to work?

I suspect the vast majority of people who experience catastrophic illness or injury return to work, and do not become disabled or go on Medicaid.
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Re: Personal Reponsibility in Health Care

Unread postby Narz » Mon 22 Mar 2010, 20:13:04

$this->bbcode_second_pass_quote('Ludi', 'I')'m mostly worried about stroke or heart attack with some worry about mental illness requiring hospitalization.

I've spent over half a year of my life in mental institutions & I would never want to go back, let alone pay to go back.

Regarding strokes & heart attacks I hope never to have one & I hope if I do have one it kills me (I don't want to live in fear of another).

$this->bbcode_second_pass_quote('Ludi', 'S')urgery is not expensive ( a few thousand dollars), it is hospitalization that is expensive.

Well, good, in that case I'm not really worried about insurance as I have no desire to be hospitalized (would rather get home-care for whatever might ail me).

$this->bbcode_second_pass_quote('Ludi', 'W')hy do so many people go bankrupt over medical bills? Can't they set up payment plans too?

Dunno, I assumed it was mostly just chorincly ill people who went broke over medical bills.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Tue 23 Mar 2010, 08:08:57

I plan to try to avoid hospital. I don't think they generally help people. I'm convinced my sister's mental illness has been made much worse by her being hospitalized.

You're not allowed to just leave the hospital after surgery. My dad had to stay in the hospital for a week after his bypass. This cost about $100,000. The surgery only cost a few thousand dollars - he had to prepay that; the surgeon billed separately from the hospital. My dad has never been "chronically ill." He is quite healthy for a 79 year old, just the clogged arteries and a little osteoporosis. He has eaten healthily and jogged since about 1975. He still jogs nearly every day.

Just FYI, strokes and heart attacks often don't just conveniently kill you. It might take you weeks or months of extreme discomfort to die of these. Just like folks did in Ye Olden Days.

I know I also would like to conveniently drop dead when the time comes. But reality is not like that.
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Re: Personal Reponsibility in Health Care

Unread postby Narz » Tue 23 Mar 2010, 14:03:38

$this->bbcode_second_pass_quote('Ludi', 'J')ust FYI, strokes and heart attacks often don't just conveniently kill you. It might take you weeks or months of extreme discomfort to die of these. Just like folks did in Ye Olden Days.

I know I also would like to conveniently drop dead when the time comes. But reality is not like that.

Well, I guess I'll have to hire Roccman to come kill & eat me should I ever suffer a heart attack. :?
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Re: Personal Reponsibility in Health Care

Unread postby JJ » Tue 23 Mar 2010, 19:26:40

$this->bbcode_second_pass_quote('Narz', '')$this->bbcode_second_pass_quote('Ludi', 'I')'m mostly worried about stroke or heart attack with some worry about mental illness requiring hospitalization.

I've spent over half a year of my life in mental institutions & I would never want to go back, let alone pay to go back.

Regarding strokes & heart attacks I hope never to have one & I hope if I do have one it kills me (I don't want to live in fear of another).

$this->bbcode_second_pass_quote('Ludi', 'S')urgery is not expensive ( a few thousand dollars), it is hospitalization that is expensive.

Well, good, in that case I'm not really worried about insurance as I have no desire to be hospitalized (would rather get home-care for whatever might ail me).

$this->bbcode_second_pass_quote('Ludi', 'W')hy do so many people go bankrupt over medical bills? Can't they set up payment plans too?

Dunno, I assumed it was mostly just chorincly ill people who went broke over medical bills.



I was in a coma for a month as a result of an anuerysm bursting; I went back to work four months later. While I was unconscious, my sister entered my email address in a Bostonian anuerysm research project site thing, so every day I get about ten emails from/about people who have had anuerysms burst (for the last six years). I quit answering them long ago, but apparently a lot of people have recurrences. I never think about it.
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Re: Personal Reponsibility in Health Care

Unread postby mos6507 » Tue 23 Mar 2010, 19:29:44

$this->bbcode_second_pass_quote('Narz', '
')Well, I guess I'll have to hire Roccman to come kill & eat me should I ever suffer a heart attack. :?


Good luck getting him to come out of his bunker.
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Re: Personal Reponsibility in Health Care

Unread postby Ludi » Tue 23 Mar 2010, 20:52:55

Some people do suddenly drop dead at a ripe old age. My grandmother on my mom's side did.
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Re: Personal Reponsibility in Health Care

Unread postby evgeny » Wed 24 Mar 2010, 14:00:05

$this->bbcode_second_pass_quote('rangerone314', 'I')f it means more health care to people who didn't have it before, won't that increase demand for health care services?

Someone refresh me.

What happens in economics to the price of a service/product when you drastically increase the demand for service/product, without drastically increasing the supply (doctors, nurses in this case) to match?


http://www.youtube.com/watch?v=r7QMCEa7 ... re=related
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Re: Personal Reponsibility in Health Care

Unread postby Pretorian » Wed 24 Mar 2010, 14:45:54

$this->bbcode_second_pass_quote('evgeny', '')$this->bbcode_second_pass_quote('rangerone314', 'I')f it means more health care to people who didn't have it before, won't that increase demand for health care services?

Someone refresh me.

What happens in economics to the price of a service/product when you drastically increase the demand for service/product, without drastically increasing the supply (doctors, nurses in this case) to match?


http://www.youtube.com/watch?v=r7QMCEa7 ... re=related



evgny, your posts-- do they represent lack of English, intelligence, or both?
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Re: Personal Reponsibility in Health Care

Unread postby evgeny » Wed 24 Mar 2010, 23:36:23

$this->bbcode_second_pass_quote('Pretorian', '')$this->bbcode_second_pass_quote('evgeny', '')$this->bbcode_second_pass_quote('rangerone314', 'I')f it means more health care to people who didn't have it before, won't that increase demand for health care services?

Someone refresh me.

What happens in economics to the price of a service/product when you drastically increase the demand for service/product, without drastically increasing the supply (doctors, nurses in this case) to match?


http://www.youtube.com/watch?v=r7QMCEa7 ... re=related



evgny, your posts-- do they represent lack of English, intelligence, or both?



Probably it's represent lack of your intelligence. If you don't understand why the US f..k up, I'm Sorry for You.
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