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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.

Re: U.S. - last in health care in industrialized world?

Unread postby lateStarter » Fri 11 Jan 2008, 17:24:52

$this->bbcode_second_pass_quote('Tyler_JC', 'R')oy,

The government of Massachusetts is providing subsidies to poor people so that they can afford to buy health insurance.

The biggest problem with health insurance is that people can opt out of it.

Young, healthy, 20-somethings rarely buy health insurance because they don't think they need it.

This shifts the risk pool and means that less healthy people are stuck with higher bills, encouraging healthy people with insurance to drop it...and so on.

It's the same problem with auto insurance. Safe drivers don't want it and unsafe drivers can't afford it. But if you force everyone to get it and make them pay for a part of it, rates drop for everyone.

As for RomneyCare, I think it's working (the number of people in Massachusetts without insurance is falling dramatically) and I hope that the rest of the country adopts it.


Do you have any references to prove this? All the years that I worked in corporate America, I don't ever recall seeing or hearing about an option to 'opt-out'. It was always 'pick your poison'. Even if the choice was available, I wouldn't opt out as a 20 something, because I know that even though I am healthy, there is a good chance I will probably break a leg at the ski-resort this weekend, or twist my ankle playing basketball. With the employer picking up the larger % of the bill, I would be going for it.

Not sure I get your driving insurance analogy. Please elaborate. I thought everyone had to have auto insurance in order to drive. In the meantime, I am raising the BS flag on your response!!!

Do you work for the Romney campaign?
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Re: U.S. - last in health care in industrialized world?

Unread postby I_Like_Plants » Fri 11 Jan 2008, 18:24:55

Pixie - I flew off a motorcycle after being his by a raghead (raghead later got ample repercussions) and broke a few ribs.... the hospital procedure was to test, X-ray, etc but aside from some IM Demerol it really didn't help, it was all a matter of going home and healing up. I worked with a bunch of gooks one of which shoved me against a table to try to hurt the ribs, it didn't much just made me even more eager to shoot gooks for recreation which I'm already itching to be made a legal sport, come on, we get to shoot feral pigeons, why not gooks?


Anyway, it was good to get checked over, but ultimately it was OK.

Get the illegals and by illegals I mean if you ain't white you ain't legal, out of the US and we can set up a decent national health care plan. Never underestimate the French, they're a very racist, rational country, and handed more Jews over to the Nazis than the Nazis could ever have rounded up themselves, they know the score. They've been smart enough to segregate the ragheads they have trying to take over the place, and are one step from exterminating them all. That's what it takes, having a country with some sense of the old Ein Volk, Ein Reich feeling.

Vision-Masterbator - I don't get it, a motorcycle site? Um, ok.
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Re: U.S. - last in health care in industrialized world?

Unread postby vision-master » Fri 11 Jan 2008, 18:40:08

$this->bbcode_second_pass_quote('I_Like_Plants', 'P')ixie - I flew off a motorcycle after being his by a raghead (raghead later got ample repercussions) and broke a few ribs.... the hospital procedure was to test, X-ray, etc but aside from some IM Demerol it really didn't help, it was all a matter of going home and healing up. I worked with a bunch of gooks one of which shoved me against a table to try to hurt the ribs, it didn't much just made me even more eager to shoot gooks for recreation which I'm already itching to be made a legal sport, come on, we get to shoot feral pigeons, why not gooks?


Anyway, it was good to get checked over, but ultimately it was OK.

Get the illegals and by illegals I mean if you ain't white you ain't legal, out of the US and we can set up a decent national health care plan. Never underestimate the French, they're a very racist, rational country, and handed more Jews over to the Nazis than the Nazis could ever have rounded up themselves, they know the score. They've been smart enough to segregate the ragheads they have trying to take over the place, and are one step from exterminating them all. That's what it takes, having a country with some sense of the old Ein Volk, Ein Reich feeling.

Vision-Masterbator - I don't get it, a motorcycle site? Um, ok.


You would fit right in - no one talks about motorcycles. Just a bunch of wacked Ron Paul types that hate Jews, niggers, libs, love guns, and so on and so forth. This site is tame.......
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Re: U.S. - last in health care in industrialized world?

Unread postby I_Like_Plants » Fri 11 Jan 2008, 19:01:20

Sounds like a good site, seems a new racially-aware site crops up every week so it's impossible to keep up with them all. :) :) :)
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Re: U.S. - last in health care in industrialized world?

Unread postby Denny » Fri 11 Jan 2008, 22:59:53

Regarding the absolutely bizarre high charges for service at the hospitals, I have heard that the Ontario provincial government health insurance plan gets lower rates, due to some arrangement with the border hospitals for service. I guess negotiating power?

I don't understand why a U.S. hospital would give lower rates to a foreign insurance provider than it would for its own fellow neighbours.

Perhaps hospital rates should be reviewed just as utility rate are, because in an emergency, a hospital is more or less a monopoly. Is there no health services board in the U.S.?

Those prices are highway robbery!
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Re: U.S. - last in health care in industrialized world?

Unread postby Tyler_JC » Fri 11 Jan 2008, 23:11:24

$this->bbcode_second_pass_quote('lateStarter', '')$this->bbcode_second_pass_quote('Tyler_JC', 'R')oy,

The government of Massachusetts is providing subsidies to poor people so that they can afford to buy health insurance.

The biggest problem with health insurance is that people can opt out of it.

Young, healthy, 20-somethings rarely buy health insurance because they don't think they need it.

This shifts the risk pool and means that less healthy people are stuck with higher bills, encouraging healthy people with insurance to drop it...and so on.

It's the same problem with auto insurance. Safe drivers don't want it and unsafe drivers can't afford it. But if you force everyone to get it and make them pay for a part of it, rates drop for everyone.

As for RomneyCare, I think it's working (the number of people in Massachusetts without insurance is falling dramatically) and I hope that the rest of the country adopts it.


Do you have any references to prove this? All the years that I worked in corporate America, I don't ever recall seeing or hearing about an option to 'opt-out'. It was always 'pick your poison'. Even if the choice was available, I wouldn't opt out as a 20 something, because I know that even though I am healthy, there is a good chance I will probably break a leg at the ski-resort this weekend, or twist my ankle playing basketball. With the employer picking up the larger % of the bill, I would be going for it.

Not sure I get your driving insurance analogy. Please elaborate. I thought everyone had to have auto insurance in order to drive. In the meantime, I am raising the BS flag on your response!!!

Do you work for the Romney campaign?


1. I spent a few days volunteering for Romney but I was never paid a penny.

2. Lots of people drive without auto insurance. My sister got hit by one of them last month! Talk to anyone in the United States. Lots of people are driving around without insurance and they are costing the honest, decent people a fortune.

-How do you stop someone from canceling their insurance but driving the car anyway? It's not like you have to swipe your insurance card to start the car.

3. In the USA, lots of young people choose not to purchase health insurance. They are called the "young invincibles".

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Re: U.S. - last in health care in industrialized world?

Unread postby Denny » Fri 11 Jan 2008, 23:51:00

$this->bbcode_second_pass_quote('Tyler_JC', '
')
3. In the USA, lots of young people choose not to purchase health insurance. They are called the "young invincibles".



Why couldn't the state government just set up its own health insurance plan and charge all for it to avoid this? Here in Canada, that was done years ago, 1962, when the old Saskatchewan Health Insurance Plan was set up. Later on, here in Ontario, the government set up "O.H.S.I.P.", it was not too expensive either, just $17 a month single or $33 a month family rate when I started working back in 1971. And, since all paid in, they didn't get into the issue of "pre-existing conditions" and all that tricky stuff. Mind you costs have gone up a lot since. Now my employer pays in some kind of payroll tax for it and we pay a lot of income tax for it. It now costs Ontarians $38 billion for health care, about $3,160 per capita by this public support strategy.

Another alternative would be for the physicians themselves to set up a non-profit insurance program. Before OHSIP, our Ontario doctors set up their own program in 1955, called "Physicians and Surgeons Incorporated" which offered low cost insurance so all could be covered and doctors were assured of getting their bills paid. I recall the OMA took pride in their slogan "Health care for all". Perhaps some of the professional medical bodies in the U.S.A. could look into this if they find they have patients who can't afford care.
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Re: U.S. - last in health care in industrialized world?

Unread postby Fiddlerdave » Sat 12 Jan 2008, 00:27:59

$this->bbcode_second_pass_quote('', 'I')t now costs Ontarians $38 billion for health care, about $3,160 per capita by this public support strategy.
US citizens pay twice that per capita, and that is with 48 million uninsured!

BTW, if you ever look at a medical bill, the insirnace company pays about 20% to 40% of the price you would pay with cash. They keep the rest, assuming they let you get the service in the first place.
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Re: U.S. - last in health care in industrialized world?

Unread postby jboogy » Sat 12 Jan 2008, 01:09:50

I would guess yes after having seen SICKO
Perhaps the population would be less swayed to socialism if we had fewer examples of socialism from our "Free Market Capitalists". -----fiddler dave
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America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby vision-master » Mon 21 Apr 2008, 09:07:02

$this->bbcode_second_pass_quote('', 'T')he US health care system is inferior to those of most other industrialized nations because it is the most expensive and yet fails to provide adequate care to the poor, according to a survey of the world's health systems released yesterday.

The United States ranked 37th of the 191 systems surveyed by the World Health Organization, behind Japan, most Western European countries, Scandinavia, Canada, and several Middle Eastern nations. France topped the list, while almost every African nation finished in the bottom third. In addition, the survey concluded that health care in both China and Russia deteriorated after those nations enacted free market reforms.


''The US is really three Americas. The top 10 percent here are the healthiest in the world. The middle bulk does mediocre. But it's the bottom 5 or 10 percent, made up of Native Americans living on reservations, the inner city poor, rural blacks, and Appalachia that is a third America,'' said Dr. Christopher Murray, WHO's director of global programs on evidence for health policy. ''They have health conditions as bad as those in sub-Saharan Africa.''



http://www.commondreams.org/headlines/062100-01.htm

The World Health Organization's ranking of the world's health systems.

http://www.photius.com/rankings/healthranks.html
Last edited by Ferretlover on Thu 19 Mar 2009, 09:59:52, edited 1 time in total.
Reason: Merged with THE Healthcare Industry Thread.
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby Specop_007 » Mon 21 Apr 2008, 10:49:08

Fails to provide adequate care?? Whats "adequate care"?
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby jlw61 » Mon 21 Apr 2008, 11:03:40

$this->bbcode_second_pass_quote('vision-master', '.')..But it's the bottom 5 or 10 percent, made up of Native Americans living on reservations, the inner city poor, rural blacks, and Appalachia that is a third America,'' said Dr. Christopher Murray, WHO's director of global programs on evidence for health policy. ''They have health conditions as bad as those in sub-Saharan Africa.''


Really? Let's check out some facts.

This link gives the low down on Sub-Saharan Africa. Pretty bad news and a frightening and sad statistic based site.

So let's check mortality rates for under age 5.

Now let's find something for US black children under age 5...

Wait, after 30 minutes my limited search acumen can't find anything on Google that gives any real information on the topic.

However, I did find these articles interesting during my search.

$this->bbcode_second_pass_quote('', 'T')he Johns Hopkins expert also puts the blame on international organizations like UNICEF and WHO. "Until recently, these groups have not focused on child survival as a major international issue -- a major right of children in the world to survive."


Link

This one gives some information on urban blacks which on a peripheral scope would tend to counter the claim made by WHO.

Finally, I have not seen anyone talking about the above mentioned plight. I would think that if it was even close to being true, there would be people screaming from the roof-tops for more money, and probably getting it.

Could it be that such wild and seemingly inaccurate claims are made by WHO in order to get more money from its donors and government sponsors? Naaaaah. That's being cynical! So, ignoring the article, for the moment, but going forward with the argument that the US has substandard health care:

How do you base the claim that the US has substandard health care?

Is it based on actual facts showing a much higher mortality rate based on easily preventable deaths (malaria, diarrhea, etc).

Is it based on statistics that show the US citizen dies at a much younger age or there are more disabled people? Are you comparing us with a socialist government's display of universal health care that ends up taxing people into oblivion while providing the same health care to all citizens (we won't go into the level of health care provided, at this time or where it's rich citizens go to get their health care).

Perhaps it's simply based on dubious articles or films by self-appointed crusaders who don't let facts get in the way of a good infomercial? Oh, hey, that film guy makes a lot of money for his infomercial films, doesn't he? Does he provide comprehensive health care to his employees? Does he pay them all wages commensurate with their abilities? Does he respect them?

Does the US have problems in the area of health coverage? I grant you that the answer may be yes, depending on your views. My wife is uninsured and we don't enjoy that, so yes, I would accept that argument with few provisions.

Now the answer is "how do we fix this?"

There are a number of good ways that have nothing to do with more government spending.

First, my wife has constant pain, usually it's not a great problem, sometimes she has to curl up and wait it out... viox worked and to date nothing else, short of narcotics, will work. She'd like to know why it was taken off the market. Yes, there is evidence that there may have been a problem with viox, but how big of a risk? Who was most at risk? Was the risk greatly elevated or only affecting those of advanced age? Can she sign a waiver releasing blame and still get her viox?

Next, her health insurance costs $1100 a month for comprehensive insurance. We have yet to find a catastrophic health policy to cover her in case she gets into a car accident or has cancer. Why is this type of insurance hard to find? Is it expensive, and if so, why? We're asking for a worst case insurance, not something that is definately going to pay out.

Now we'll talk about the US health care system. No hospital emergency room can turn away a patient. That is the law. They have to be treated. Is it perfect? No. I would sue the hell out of any emergency room that let my wife die, or failed to provide proper care, because she does not have insurance.

The US government pays for about 45% of the health care. Link The US government has yet to provide a modern argument that proves it has the ability to spend money wisely or well. What makes you think that it's spending money wisely or well for health care?

Here's a good article. One point it makes is that WHO rates countries in the above mentioned list with several criteria. The second ranking criteria talks about respect and response. Given the choice of being cured by an jerk or misdiagnosed and killed by a really nice guy, I'll take the jerk (BTW, I and my family have had several run-ins with doctors and hospitals... none of which failed to meet expectations in any respect, insurance or no). The third criteria is the cost of health care to the patient is based on their ability to pay.

Hey, I like that! Let's use that model everywhere! I want a new house! Sorry, I don't have $350,000 and my ability to pay prevents consideration of that price, so I demand that I only have to pay $150,000 which is what I can afford! No? Criminal! Cheater! I'm putting you on a list that shows you hurt the poor and middle class!

Hey! That new iPod is out? Sorry, I don't have that much money in the budget this month so give it to me at a 75% discount or else I list you, you criminal!

Hey! My daughter had a terrible infection a few years ago and had to declare bankruptcy because of the medical costs (to this day she still feels terribly guilty over that). So let's square it all up so she can feel better, say $2,000 instead of $30,000? Charge that rich guy the extra $28,000 for his broken toe!

Do we see a problem with this method of ranking? If not, kindly do not bother replying because the debate will not continue on my part. I will not argue with someone who refuses to see reason.

Finally, please point out any social program sponsored by the US government, since 1968, which has solved a health problem or greatly improved the lives of people. You may use welfare or any other social program (please, no NASA or military successes, domestic social programs only), but please be prepared to provide links to support your claim.

My claim is that the US wastes money and makes lots of bad decisions that hurt its citizens. I believe these links will help highlight my point. I'm sure I can come up with many more if I spend more than two minutes looking.

Pig Book

To 10 Examples of Gov Waste

Watershed Signs

Waste

And lastly, my favorite which people love to ignore and say "it has nothing to do with the argument" :lol:

The Debt Clock
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby jlw61 » Mon 21 Apr 2008, 11:05:19

PS Kudos to you for starting this thread!
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby vision-master » Mon 21 Apr 2008, 11:14:40

$this->bbcode_second_pass_quote('', 'H')ow do you base the claim that the US has substandard health care?


Just ask the 47,000,000 peeps without ANY medical insurance coverage. :razz:

Number of Uninsured Hits New High, Census Shows

$this->bbcode_second_pass_quote('', '
')The Census Bureau reported Tuesday that 47 million Americans had no health insurance in 2006, an increase of more than 2 million from the previous year. Health correspondent Susan Dentzer discusses the growing problem.

http://www.pbs.org/newshour/bb/health/j ... 08-28.html
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby smallpoxgirl » Mon 21 Apr 2008, 12:40:52

The way I've been explaining it lately is this. In America, the only option is Mercedes healthcare. A lot of money is wasted on heated seats, CD changers, and windshield wipers for your headlights. Stuff that might be nice if you could afford it, but doesn't really add much to our overall longevity or quality of life. Transplant surgery is the most glaring example. If you can't afford the Mercedes, you walk. There is no affordable option.

What we need is Honda level healthcare. Something that's nice, functional, and most of us can afford. To do that, we've got to figure out how to quit drooling over the "breakthrough" therapies.
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby jlw61 » Mon 21 Apr 2008, 13:14:59

$this->bbcode_second_pass_quote('smallpoxgirl', 'T')he way I've been explaining it lately is this. In America, the only option is Mercedes healthcare. A lot of money is wasted on heated seats, CD changers, and windshield wipers for your headlights. Stuff that might be nice if you could afford it, but doesn't really add much to our overall longevity or quality of life. Transplant surgery is the most glaring example. If you can't afford the Mercedes, you walk. There is no affordable option.

What we need is Honda level healthcare. Something that's nice, functional, and most of us can afford. To do that, we've got to figure out how to quit drooling over the "breakthrough" therapies.


You make is sound like breakthroughs are bad... 20 years ago, most transplants were not possible... today, they are within easy reach of most insurance programs... if we can keep things going then in a few more years, they will be Honda level.

20 years ago, AIDS was a 10 year (or less) death sentence. Today, lots of AIDS patients (a relative of mine included) are living normal lives and the drugs keep coming down in price (albiet slowly).

This is the nature of breakthroughs and unfortunately it takes a while for the medical industry to make it affordable. After all, it's not like everyone gets one, so there is a scale of economy lacking.

I have a minor condition... the drugs cost me $8 a month and my insurance won't cover them. That's ok, because my $45 allergy meds get covered and I pay under $15 to ease my suffering during the spring. The $8 drugs used to cost over $100 a month less than 10 years ago.

So your "the only option is Mercedes healthcare." argument is kinda week.

Do I wish that a heart transplant cost $10,000 instead of $150,000 for anyone who needs it? You bet! But living a healty life style costs even less.

Finally, and I hate to keep repeating myself, government does not spend money well or wisely. Get them out of the health care market and things will improve greatly.

Heck, just make is so I can take my wife's health insurance off of our taxes and we might be able to afford it!

Oh, yeah. Why should I pay for someone elses healthcare? Because the government says I should? That's what's gotten us into this mess!
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby jlw61 » Mon 21 Apr 2008, 13:17:41

$this->bbcode_second_pass_quote('pstarr', 'w')hy bother? because a fresh cup of coffee is coursing through my veins?

$this->bbcode_second_pass_quote('jlw61', 'I')s it based on statistics that show the US citizen dies at a much younger age or there are more disabled people? Are you comparing us with a socialist government's display of universal health care that ends up taxing people into oblivion while providing the same health care to all citizens (we won't go into the level of health care provided, at this time or where it's rich citizens go to get their health care).
Isn't oblivion a place where people go to die? In socialist countries such as Sweden oblivion could be a spa. I'll bet most uninsured Americans would rather be in oblivion than stuck in an emergency room for a toothache.


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Where's the point!?!

Oh No! There's no point!

<Ding!> Thanks for playing!
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby Plantagenet » Mon 21 Apr 2008, 13:23:41

Did anyone catch the story on CNN about the pregnant Mexican girls who sneak across the border and go into US hospitals to give birth because (1) their kid will be a US citizen and (2) healthcare for the uninsured is free in US hospitals?

Most people in the US are unaware that the US already has universal health care. Hospitals, by law, must provide free care to anyone who needs it. Of course the media won't ever explain that, because it would take away a political issue from the democrats......Its curious how pregnant teenaged mexican girls know the US has free health care, but the candidates for US president somehow don't.....Nonetheless, by law, national health care is available for the uninsured in hospitals across the US right now. :)
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Re: America's Health: We're #1 In Cost. We're #37 In Care.

Unread postby jlw61 » Mon 21 Apr 2008, 13:32:18

$this->bbcode_second_pass_quote('vision-master', '')$this->bbcode_second_pass_quote('', 'H')ow do you base the claim that the US has substandard health care?


Just ask the 47,000,000 peeps without ANY medical insurance coverage. :razz:

Number of Uninsured Hits New High, Census Shows

$this->bbcode_second_pass_quote('', '
')The Census Bureau reported Tuesday that 47 million Americans had no health insurance in 2006, an increase of more than 2 million from the previous year. Health correspondent Susan Dentzer discusses the growing problem.

http://www.pbs.org/newshour/bb/health/j ... 08-28.html


Or not.

45 million uninsured?

Or you can get some of the same info without the right hand spin from PBS... They would never spin their stories.

And from the article you linked...

$this->bbcode_second_pass_quote('', 'T')he strain of obesity
GWEN IFILL: Another report out today -- and I wonder if there's a cause and effect here -- it's about obesity, the growing amount of obesity in America. And I wonder whether obesity feeds -- poor health care feeds increased health costs, which contributes to the number of people being uninsured. Is there a continuum there?

SUSAN DENTZER: There's definitely somewhat of a link. And, in fact, that report from the Trust for America's Health shows that, in 31 states in the last year, the number of people, obese people actually rose, and in fact in no state at all did the numbers decline. And in one, here in the District of Columbia alone, almost 23 percent of children are considered to be obese.


Only somewhat of a link??? GEEZ! I used to be morbidly obese and through hard work and lots of time I'm now simply "overweight". Most of my health conditions are gone, I haven't seen a doctor, except for checkups, in over two years and I feel great.

I know you can mount a better argument that "See! Look at these terrible numbers! This proves government has to step in!"

Try showing why/how government can fix the problem if you want to prove something. Please don't just point at some article and say the equivalent to "Hah!"

Again, I think that a person who looks it over objectively will find that government is the biggest part of the problem.
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