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What's so bad about socialized medicine?

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General interest discussions, not necessarily related to depletion.

Re: What's so bad about socialized medicine?

Unread postby Plantagenet » Mon 19 May 2008, 01:44:49

$this->bbcode_second_pass_quote('Homesteader', '
')I wonder what the level of care received by British soldiers wounded in Iraq is compared to the national embarrassment at Walter Reed VA hospital.


The level of care for British soldiers in the socialized NHS system is horrible and "appalling."

Brit war vets receive receive horribly inadequate care in socialized hospitals in Britain

Socialized medical systems are notorious for their delays, rationing of care, and inadequate care for those with expensive, unusual and serious medical problems. The poor treatment of British soldiers in the NHS socialized medical system in Britain epitomizes these intrinsic flaws in socialized medicine.
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Re: What's so bad about socialized medicine?

Unread postby Prince » Mon 19 May 2008, 01:56:11

$this->bbcode_second_pass_quote('RedStateGreen', 'T')hat's after a bachelor's degree, four years of medical school, and another three of residency (where you're paid less than minimum wage -- we figured it out in internship and it was $1.70/hour :lol: ).

You come out on average with $100,000 of debt, and that's your salary. For sixty-hour workweeks minimum, BEFORE call.


I'm engaged to a doctor, so I'd like to point out some of the blatant lies and misconceptions in your post. First off, I'm not sure when you did residency, but now they work 80 hrs/week tops, and that's usually only in Year 1. In years 2-4, they usually work an average of 60 hours or less. They are paid roughly $38,000 in Y1 and it goes up steadily to $50,000 by Y3-4. So given the worst case (Y1):

$38,000/(80hrs * 50wks) = $9.50/hr in the WORST CASE. Obviously, this is much higher than minimal wage. Adjusted for inflation, I'm sure your $1.70/hr is well above today's minimum wage, so either retake Math 101 or quit bullshitting us.

As for the bachelor's degree + medical school + residency argument, this is weak for a few reasons. First, everyone who goes to college gets a BS/BA degree, so now we're down to medical school + residency. Residency, we just learned, is paid well enough to survive comfortably, so now we're down to just the 4 years of medical school. A fair number of college graduates (non-medicine) today seek MS/MA degrees, so now the only real difference is 2 years of additional school for the medical student vs traditional college student. Couple that with the fact that the average college graduate still has debt, has far less job security than medicine, and might end up with a $45k/yr job if he's lucky, and that resident salary isn't looking so bad now, is it.

Your point on medical school debt is true; however, most doctors pay this off in a handful of years and have the means to do so without sacrificing much. But your point about 60/hr workweeks is way off. This is only true in residency. After that, they live on easy street. Maybe 50-60 hours a week on a bad week, which in today's society isn't too uncommon in the white-collar job market. Most engineers and business people put in well over 50 hours a week n the office. Also, doctors usually secure 8-12 weeks of vacation/yr, which is FAR better off than most of us will ever see in a lifetime. Add to the fact that an overwhelming number secure cushy university jobs after residency/fellowship where work weeks are even less. Also, there's something to be said about job security. From the minute they get into medical school they NEVER--NEVER--NEVER have to worry about being jobless or being poverty stricken.

My wife-to-be is well within those numbers posted above, and I hope for our sake socialized medicine never evolves in this country. My guess is that Obama will try it out and realize that it is a miserable failure. Besides, the reason why we have high prices is because the AMA, FDA, and insurance companies all engage in a massive orgy. Socialized medicine isn't going to fix that. Yea, the medical industry sucks ass, but socialism never works out well for anyone but a select few. I had a routine 47-minute surgery last year for a hernia, and with good insurance out-of-pocket expenses were still over $2200. Nonetheless, I think there is something to be said about proper eating, exercise, and well-being. Eat well and take care of yourself and most medical costs will be a non-entity.
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Re: What's so bad about socialized medicine?

Unread postby Pretorian » Mon 19 May 2008, 02:37:51

SOCIALIZED MEDICINE:

- A soldier comes to a military doc with a small cut on his finger;
doctor:-- You wouldn't come to me with this if we were civilians, would you?
soldier :-- Naah.. I'd call you out to my house.
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 11:50:56

$this->bbcode_second_pass_quote('Homesteader', 'I')'ve missed where you have explained why the U.S. healthcare system is ranked 37th in the world and is at the same time the most expensive in the world.


FYI, the ranking of the US healthcare system by the World Health Organization is a result of criteria that, in part, requires that all healthcare be affordable to all citizens and that they pay according to their ability. Other problems exist with the ranking system as well. It has been correctly pointed out that WHO is using objective ranking which invalidates any attempt at subjective results. WHO is currently working out a new ranking system. I suspect the problem with coming up with a new ranking system will be that it must further their agenda. An honest, objective based, ranking system would likely place the US at or very near the top of the list.

Best in the world, or just most expensive?

Who's fooling Who?

$this->bbcode_second_pass_quote('', 'I') wonder what the level of care received by British soldiers wounded in Iraq is compared to the national embarrassment at Walter Reed VA hospital.


While the Watler Reed issue is a disgrace, I will also point out that this is a Government funded and run hospital and further points to the failure of socialized medicine... if there are no checks and balances, it is impossible to protect the citizen from abuses. While most parlimentary systems allow that the government can be recalled on short notice, the US does not have that luxary and must continue to work under the 4 year rule. Thus the government has no real check and balance if said checks and balance requires the voter to participate; 4 years is a long time for voters to hold a grudge.

Now it is important to remember that no solution, either private or public will provide the perfect result (especially consistent results over a long period of time). However, I will contend that a private solution with active government oversite designed to protect the rights of the citizen is the best possible solution. CEO's like to make money almost as much as they don't like to go to jail. Without honest, detached, reliable oversite, no system can work. Such a solution will provide very quick response if the governments only participation is in protecting the rights of the citizen. In such an arrangement there would be no incentive for government to "sweep it under the rug" or ignore the problem.
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Re: What's so bad about socialized medicine?

Unread postby vision-master » Mon 19 May 2008, 12:02:17

$this->bbcode_second_pass_quote('', 'A')n honest, objective based, ranking system would likely place the US at or very near the top of the list.


an most expensive. :razz:
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Re: What's so bad about socialized medicine?

Unread postby vision-master » Mon 19 May 2008, 12:14:23

$this->bbcode_second_pass_quote('', ' ')

BILL MOYERS: With the price of prescription drugs going up and up, politicians of both parties have promised to help old people with the cost. But with a flourish of the old magic — now you see it, now you don't — Senators recently killed the legislation and adjourned to their favorite pastime, raising money for reelection from pharmaceutical companies and other kindred souls. Buying all that influence in Congress is one reason drug costs go up. So is the money — two to three billion dollars a year — the companies spend trying to persuade us to buy their drugs. You know the ads in question. They keep telling us 'to ask your doctor' about the wonders of some expensive new drug. Ok, we'll ask the doctor. We'll ask him for a second opinion about those ads.


http://www.pbs.org/now/transcript/trans ... iegel.html
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Re: What's so bad about socialized medicine?

Unread postby smallpoxgirl » Mon 19 May 2008, 12:26:26

$this->bbcode_second_pass_quote('Prince', 'I')'m engaged to a doctor, so I'd like to point out some of the blatant lies and misconceptions in your post. First off, I'm not sure when you did residency, but now they work 80 hrs/week tops, and that's usually only in Year 1. In years 2-4, they usually work an average of 60 hours or less. They are paid roughly $38,000 in Y1 and it goes up steadily to $50,000 by Y3-4. So given the worst case (Y1):

$38,000/(80hrs * 50wks) = $9.50/hr in the WORST CASE.


Ease up there buddy! First off, the 80 hour week rule didn't begin until 2003. Even I routinely did 100 hour weeks as an intern. Second, your calculation doesn't include overtime. In any other job, federal law requires you be paid time and a half for anything over 40 hours.

100 hours -> 40+(60*1.5)= 130hours paid. 38000/(130*52)=$5.62/hr which is less than minimum wage.

Thirdly, the situation after intern year depends on what specialty you are in and is somewhat dependent on the individual program. Until very recently, there were programs where people would work 100-120 hours per week for sometimes 4 or 5 years.

$this->bbcode_second_pass_quote('', 'Y')our point on medical school debt is true; however, most doctors pay this off in a handful of years and have the means to do so without sacrificing much.


Do they? Sure doesn't sound like any doctors I know.

$this->bbcode_second_pass_quote('', 'T')his is only true in residency. After that, they live on easy street.


Sounds like your fiance has been feeding you some sort of PR campaign to ease pre-wedding jitters. You need to do better research.

$this->bbcode_second_pass_quote('', 'A')lso, doctors usually secure 8-12 weeks of vacation/yr


:lol: Now that's just funny!

Either your girlfriend is a dermatologist, or you are being sold a line of crap.
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 12:40:51

$this->bbcode_second_pass_quote('vision-master', '')$this->bbcode_second_pass_quote('', 'A')n honest, objective based, ranking system would likely place the US at or very near the top of the list.


an most expensive. :razz:


Vision-Master! So nice of you to drop in and give us another example of your less-than-mind-numbing intellect! Once again you waste everyone's time with lame, uninformative dialog that fails to advance the discussion.

Thanks again for your inability to provide constructive dialog and I hope to hear from you again, soon!

Ciao
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Re: What's so bad about socialized medicine?

Unread postby Prince » Mon 19 May 2008, 12:43:12

$this->bbcode_second_pass_quote('smallpoxgirl', 'I')n any other job, federal law requires you be paid time and a half for anything over 40 hours.


Correction, Marge. In any other hourly job, federal law requires you be paid time and a half for anything over 40 hours. Ask any engineer, accountant, researcher, or financial analyst if they get paid extra for working 80 hours vs 40. Since medicine (non-nursing) is a salaried position, my original argument holds. Furthermore, some positions in private practice (post-residency) do pay hefty overtime. My SO is in such an arrangement.

$this->bbcode_second_pass_quote('smallpoxgirl', 'U')ntil very recently, there were programs where people would work 100-120 hours per week for sometimes 4 or 5 years.


Weak argument, since by law this no longer applies. And studying after hours doesn't count either. All jobs require some form of self-education to keep pace with changing trends.

$this->bbcode_second_pass_quote('', 'D')o they? Sure doesn't sound like any doctors I know.


In all fairness, Montana isn't exactly the Mecca for medicine, is it? Nationwide, you'll find the numbers to be as listed by another poster above.

$this->bbcode_second_pass_quote('', 'S')ounds like your fiance has been feeding you some sort of PR campaign to ease pre-wedding jitters. You need to do better research.


I can't speak for everyone, but for the people in her class, department, and specialty, no one has EVER complained about their post-residency lifestyle.

$this->bbcode_second_pass_quote('', '')$this->bbcode_second_pass_quote('', 'A')lso, doctors usually secure 8-12 weeks of vacation/yr

:lol: Now that's just funny!

Again, based on those I know from the education medical system and private practice, they get a boatload of vacation. My SO's is 10 weeks this year, 10 next, and 12 the year after. Each unused week can be "sold" back to the hospital for more money than I make in two months.

$this->bbcode_second_pass_quote('', 'E')ither your girlfriend is a dermatologist, or you are being sold a line of crap.

Wrong on both accounts. Anesthesiology.
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Re: What's so bad about socialized medicine?

Unread postby vision-master » Mon 19 May 2008, 12:44:05

$this->bbcode_second_pass_quote('jlw61', '')$this->bbcode_second_pass_quote('vision-master', '')$this->bbcode_second_pass_quote('', 'A')n honest, objective based, ranking system would likely place the US at or very near the top of the list.


an most expensive. :razz:


Vision-Master! So nice of you to drop in and give us another example of your less-than-mind-numbing intellect! Once again you waste everyone's time with lame, uninformative dialog that fails to advance the discussion.

Thanks again for your inability to provide constructive dialog and I hope to hear from you again, soon!

Ciao


Getting a little personal, eh.

You lose.............. :razz:

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Re: What's so bad about socialized medicine?

Unread postby Byron100 » Mon 19 May 2008, 13:15:37

I guess I can chip in with a bit of constructive dialog of my own...hehe.

I'm going to start out by saying that if I had the ability to move to Canada with full residency rights, I'd move tomorrow. To be able to have that wonderful card, that lets you visit any doctor for any medical reason, in a country spanning 5000 miles...let's just say that's my idea of heaven. Imagine never having to worry about medical expenses ever again. I sure can. Taxes? What taxes? I hardly make enough to pay much of those, so that's okay by me...LOL. :lol:

Seriously, though, why should I have to pay $1500 a year to pay for other kids' education? Hmm? If government-run medicine is so evil and horrible and totally unworkable, what in the heck are we doing with a universal public education system? If you're asking me to give up the right to have equal access to medical care, regardless of income, job or health status, then I have the right to ask you to give up your public school system, as that's money being tossed down the drain as far as I'm concerned.

I pay for your schools for your kids, you (in a general sense of course), can pay for my health care.

It's all good, right? ;)
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Re: What's so bad about socialized medicine?

Unread postby Prince » Mon 19 May 2008, 13:35:55

$this->bbcode_second_pass_quote('Byron100', 'S')eriously, though, why should I have to pay $1500 a year to pay for other kids' education? Hmm? If government-run medicine is so evil and horrible and totally unworkable, what in the heck are we doing with a universal public education system? If you're asking me to give up the right to have equal access to medical care, regardless of income, job or health status, then I have the right to ask you to give up your public school system, as that's money being tossed down the drain as far as I'm concerned.

It's all good, right? ;)


This is a fair argument, but I don't think it applies here. Comparing education to healthcare is similar, but not a direct correlation. First, a lot of scholastic funding happens at the local level. That's why you'll hear people say that they want to live in a "good neighborhood with good schools." Those schools come at a price with higher property and other local taxes. Second, huge lobbyists such as the AMA, pharmaceuticals, and insurance companies are not nearly as prevalent in the education system. It's hard to take an industry seriously that charges insurance companies $10 for a tiny pill or $800 to take an x-ray. Again, there is waste in the education system (take most teachers, for example), but the waste is not nearly as prevalent.

As far as everyone paying for the school system, I also think it is unfair as a childless person with no intention to ever breed. We reward failure in this country. If you produce more offspring, you are rewarded with more tax breaks. Compare this to the taxes of a single male or female, and you'll see who is really getting screwed. Apply this to socialized medicine, and we have a disaster. Why should Cletus, Jerome, and Juanita get the same healthcare I get when they don't contribute the same amount of money to the system? How is that fair to me when I already pay for good insurance at work, and only currently use the system as it was intended?

Furthermore, socialized medicine promotes unnecessary visits and limits care to healthy individuals like myself who occasionally do need good and expedited care. Socialism only benefits a small few over the long term. As others have noted, we have socialized care now in many forms, and they are not working out too well. Get rid of the FDA, AMA, pharmas, and insurance companies, and you'll see true capitalism lower the cost of medical bills pretty damn quickly. Until then, keep those exorbitant fees when needed and do your best to take care of yourself.
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Re: What's so bad about socialized medicine?

Unread postby Plantagenet » Mon 19 May 2008, 14:25:14

$this->bbcode_second_pass_quote('Byron100', 'y')ou're asking me to give up the right to have equal access to medical care


Its a fantasy that countries with socialist medical systems have "equal access to health care." Essentially every country with a socialist medical system has a private health care system as well.

The private systems exists because the socialized systems in Britain, Canada etc. ration health care by delay, put on a lower priority on medical care for some people then other, and offer a lower standard of care then then the private medical system, so people are willing to pay for private care or are forced to pay for private care when the socialist system fails to provide care.

The countries with socialist medical system have put most of their people in the inferior socialist medical system and only the priviledged few use the private system. The US is similar, except here a poor minority use the US socialist health care systems (Medicare, Medicaid, Free emergency room care) and the majority of Americans are using the better private medical care system.
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 15:02:54

$this->bbcode_second_pass_quote('vision-master', '')$this->bbcode_second_pass_quote('jlw61', '')$this->bbcode_second_pass_quote('vision-master', '')$this->bbcode_second_pass_quote('', 'A')n honest, objective based, ranking system would likely place the US at or very near the top of the list.


an most expensive. :razz:


Vision-Master! So nice of you to drop in and give us another example of your less-than-mind-numbing intellect! Once again you waste everyone's time with lame, uninformative dialog that fails to advance the discussion.

Thanks again for your inability to provide constructive dialog and I hope to hear from you again, soon!

Ciao


Getting a little personal, eh.

You lose.............. :razz:

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Once again, you fail to catch a clue, my friend. Your near constant prattle of one liners tend to bore me and quite frankly, I'm trying to educate you into the proper decorum for debate amongst adults. Since you simply do not respond to my subtle lessons, allow me give you a quick course in proper debate style using JLW61's Three Steps to Successful Debate (patent pending):

STEP 1: If you find a viewpoint you disagree with, decide if it is worth arguing over. This is called "Picking your battles". For instance, an argument over whether chocolate ice cream is better than vanilla is not worth the effort as it does not advance knowledge or disseminate information worthy of discussion amonst adults.

STEP 2: Decide what is wrong with the post and decide how you wish to respond. This requires having some basic understanding of the subject and having some facts to refute the claim made by the person with whom you disagree. [Note: Having the intellect and wit to respond in a fashion that advances the argument, so as not to embarrass your parents, is critical in this step]. This is known as "Having something worth saying".

Step 3: Respond in a respectful manner, using at least 8th grade writing skills, while pointing out what you are refuting, give a clear reason why you are refuting it, and provide facts and links supporting your argument. This is called "Responding to a post".

There, now with those 3 steps in mind, you too can join the adults by advancing the discourse! Added benefits include gaining respect and giving people reason to care what you have to say.

Once you've taken your rightful place amongst your peers and are able to provide meaningful debate, you may some day find someone who acts like an annoying yorky and needs to be educated. When that time comes, feel free to mildy rebuke them in a humorous manner as you slap them upside the head for wasting everyone's time. If the person persists with child-like responses rife with misspellings and logic that would embarrass a 5th grader, feel free to escalate your level of contempt while maintaining a respectful manner. During escalation you should never stoop to name calling (such as "You're acting like an idiot") or using familial or sexual references as this simply lowers you to their level. For all you know, they may simply lack the social skills required for honest debate. If you prod them in the right direction, you may actually provide them with the tools they need to grow.

If the person in question posts something that is at least mildly worthy of the time to read it, or at the very least neutral in it's content, you should probably leave it be or even give a small word of encouragement. Nothing makes the student thrive as a little bit of encouragement and an occasional pat on the head.

Vision-Master, if you have any problems with any of the words I've used above, please feel free to use this website for help.

I wish you the best of luck, my friend, and hope you take this simple lesson to heart as I believe you may eventually have something to contribute.
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Re: What's so bad about socialized medicine?

Unread postby vision-master » Mon 19 May 2008, 15:11:36

You don't intimidate me in the least. I'm not afraid of ppl like your sorts at all. Matter of fact, I'd like a one-on-one wit you. :razz:
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 15:12:35

$this->bbcode_second_pass_quote('Byron100', 'S')eriously, though, why should I have to pay $1500 a year to pay for other kids' education? Hmm? If government-run medicine is so evil and horrible and totally unworkable, what in the heck are we doing with a universal public education system? If you're asking me to give up the right to have equal access to medical care, regardless of income, job or health status, then I have the right to ask you to give up your public school system, as that's money being tossed down the drain as far as I'm concerned.

I pay for your schools for your kids, you (in a general sense of course), can pay for my health care.

It's all good, right? ;)


IT'S A DEAL! Since we're playing this game, if I could wave a magic wand that would end the federalized public school system and put it on the localities to solve, as it should, I would be quite happy. The federalized public education system is a shambles and quite frankly I look forward to it's end.

We could ill-afford sending my son to a private school, yet my wife and I scrimped and saved for years so that he had the opportunity to an education worth discussion.

BTW, I hope your wish comes true! I really honestly and truly do! If Canada is your idea of heaven, then by golly I hope you find a way to go and I wish you the best of luck.
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 15:31:28

$this->bbcode_second_pass_quote('vision-master', 'Y')ou don't intimidate me in the least. I'm not afraid of ppl like your sorts at all. Matter of fact, I'd like a one-on-one wit you. :razz:


My sorts? What exactly may be "my sorts?" Informed? Educated? Stunningly handsome? One who has an acerbic wit?

My friend, intimidation is the last thing on my mind. I'm simply trying to provide you with the tools to engage in provocative and rewarding debate. I hope you will take the time to think about what I said and try it out sometime. Failing that, perhaps you will take the time to refrain from attempting to engage me with 4th grade logic and tactics.

BTW, since you seem intent on the matter, let me remind you that you've tried verbal sparing with me in the past and ended up simply complaining to others and/or running away each time. And the thought of a one-on-one with you fills me with much mirth and gives me a moment's respite in my daily tribulations. THANK YOU FOR THAT!

:lol:
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Re: What's so bad about socialized medicine?

Unread postby Pretorian » Mon 19 May 2008, 16:25:21

When i lived in Argentina, I was paying about 11% out of my paycheck, 8% were going to my pension plan and 3% was so called Obra Social ( if i remember correctly ) which was the "free" healthcare. Later I was paying 8%, 5+3.
But, to get some free healthcare i didnt need to pay those 3%. Half of the worked in black and didnt pay any taxes at all. Everybody, legals, illegals, tourists can come over and get a free surgery/hospitalization, you name it. A guy i know got shot in the arm and got one of the arm bones shattered in pieces, all he had to pay was $50 or a $100 for a titanium stick, and i think it was his choice to do so for whatever reason ( better stick?). I got into accidents twice and they made dozens of x-rays, MRI, god knows what else, and i didnt even had to show them an id.
If a child get sick in the province and proper treatment is unavailable locally, the child with 1 of his parents go to live in Buenos Aires, for as long as treatment is needed, all expences paid-- rent, food, transport, small $ allowance.
I remember a case when a couple working in a local court found out that their fetus had a serious heart defect. Doctors offered to make a corrective surgery. But they say no, we want you ( public healthcare) to pay for us to go and have a surgery in the United States, since they offered 50% success versus 35% in Argentina.
Healthcare said that since the surgery can be done in Argentina they won't pay for a foreign surgery, but finally offered about $30000, and the rest was raised publically.
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Re: What's so bad about socialized medicine?

Unread postby AgentR » Mon 19 May 2008, 17:09:48

Socialized Medicine in the US can't really happen....

The Democrats, who would love to help the uninsured, can't really do it, without drastically reducing the amount of dollars available for trial lawyers to take; The Republican's can't do it because it would drastically cut into the last vestiges of "self-employed" ethos that the medical profession strives to maintain.

If the Doc you want to sue for $5 mil is taking home only a $100k a yr, and backed by a government paid malpractice policy that will only pay $250k on any individual suit. Your attorney is going to run for the hills before investing his resources into your case.

Both parties love to talk about the issue from their respective points of view; but both are absolutely crippled when it comes to being able to do anything significant.

So they nibble, quibble, and pass the buck.
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Re: What's so bad about socialized medicine?

Unread postby jlw61 » Mon 19 May 2008, 17:37:45

$this->bbcode_second_pass_quote('AgentR', 'S')ocialized Medicine in the US can't really happen....

The Democrats, who would love to help the uninsured...

Both parties love to talk about the issue from their respective points of view; but both are absolutely crippled when it comes to being able to do anything significant.

So they nibble, quibble, and pass the buck.


What a wonderful point. If congress fixes a problem, an issue goes away. If an issue goes away, they can't very well collect more money, pass more laws to fix the issue or run against an opponent based on that issue, now can they?
When somebody makes a statement you don't understand, don't tell him he's crazy. Ask him what he means. -- Otto Harkaman, Space Viking
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