House Passes "Health Care" Bill

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nova

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I heard heard that this is actually just going to jack up the prices for insurance like mad and just has some lame public option attached to it that has abortion coverage in it. Uhh...hold up a minute here health care bill. I always thought abortion should be a state decision. That is just going to cause even more problems. Good job Pelosi, good job.

Really, how did this even pass?

It will. Pre-existing conditions must be accepted, lifetime caps on coverage are banned, and different premium rates for different risk levels including prior claims, genders, etc etc is banned. All of those things drive up cost of the insurance company so the insurance company is not going to lower the highest rates down to the lowest, vice versa actually. EVERYBODY will be treated as if they are a high risk individual with a pre-existing condition for the purposes of rate determination.

Mass. already tried this a 5-6 years ago. The end result, their "public option" program" is almost broke, it didn't significantly reduce the number of people covered and private premiums have risen at a rate 5-10X that of the rest of the country.

In that light, how in the hell does anyone think it will work on the national level?


i think the only people that are for this "hope and change" are the ones who don't see the bigger picture or understand the consequences.
what i know for a fact is that this is going to cost me money...and i don't like it

The modern liberal is completely in love with the "broken window fallacy." They assume that whatever they want is all benefit with absolutely no associated cost.

It would be terrible to let a little thing like reality get in the way of their socialist utopian dreams...


I watched the Stephanopolous show yesterday morning. George Will was on there and asked a very good question of the libs they had. Why not end the restrictions on buying insurance across state lines if you want to increase competition?

The liberal apologists answer was that "Well then each state couldn't make sure people are getting adequate coverage to their taste." In other words, her whole argument was that adults, like you, me and everyone else need to be treated like children who can't make rational tradeoff decisions on our own.

It makes me fucking sick....

also those who have nothing to lose and everything to gain

Even someone with no earthly posessions has their freedom to lose.

Leon Trotsky said:
Where the sole employer is the State, opposition means death by slow starvation. The old principle: who does not work shall not eat, has been replaced with a new one: who does not obey shall not eat

And people still wanna be dependent on scum sucking lying politicians?
 
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retro

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fortunately, everything that I've been hearing says that the Dems simply don't have the votes to get this out of the Senate, and that the House bill as it stands right now is DOA in the Senate.
 

Alien Allen

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fortunately, everything that I've been hearing says that the Dems simply don't have the votes to get this out of the Senate, and that the House bill as it stands right now is DOA in the Senate.
If they would eliminate pre existing conditions, include tort reform and allow to buy insurance across state lines. The costs would be very minimal if not less. Whatever costs pre existing conditions would add likely would be offset by tort reform and more competition. There is a lot of stuff done that is not preventive patient care wise but cover your ass if you are the doctor wise. Like anything else the nanny state the libetrals want never allow for us to make our own choices. And yeah Mass. is a good case study on how to fuck things up.
 

edgray

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I've been following the health care situation in the US with fascination.

37 countries in the world have a superior health care system, that is fairer, and far cheaper to run, than the US one.

Wouldn't it be pretty simple just to adopt one of those superior health care models?
 
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retro

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I've been following the health care situation in the US with fascination.

37 countries in the world have a superior health care system, that is fairer, and far cheaper to run, than the US one.

Wouldn't it be pretty simple just to adopt one of those superior health care models?

Oh my God, not this shit again. The model used to rate the other health care systems as being superior to the United States' is fundamentally flawed. It weights a socialistic health care system as being worth far more in the grand scheme of things than quality care, ease of access, being able to make an appointment and not have to wait six months to see a specialist, etc., etc., etc. I'm of the opinion that the US Health Care system is one of the best in the world when it comes to medical advances, treatment, patient care, physician accessibility, and a whole host of other things.

My grandmother wouldn't be alive today if she lived in another country 13 years ago. She had an extremely rare form of cancer that at the time only two physicians in the entire world had the specialized knowledge to treat, and both of them were in the United States. She had to travel to Washington D.C. in order to be treated, because that was where one of the doctors was. He was able to get all of her cancer removed, and she's been completely cancer free ever since. Oh, and that procedure? Completely covered by the health insurance that was provided by my grandfather's employer at the time. They had to pay for travel across the country and a hotel for him.
 

edgray

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Oh my God, not this shit again. The model used to rate the other health care systems as being superior to the United States' is fundamentally flawed. It weights a socialistic health care system as being worth far more in the grand scheme of things than quality care, ease of access, being able to make an appointment and not have to wait six months to see a specialist, etc., etc., etc. I'm of the opinion that the US Health Care system is one of the best in the world when it comes to medical advances, treatment, patient care, physician accessibility, and a whole host of other things.

My grandmother wouldn't be alive today if she lived in another country 13 years ago. She had an extremely rare form of cancer that at the time only two physicians in the entire world had the specialized knowledge to treat, and both of them were in the United States. She had to travel to Washington D.C. in order to be treated, because that was where one of the doctors was. He was able to get all of her cancer removed, and she's been completely cancer free ever since. Oh, and that procedure? Completely covered by the health insurance that was provided by my grandfather's employer at the time. They had to pay for travel across the country and a hotel for him.

Well it's not shit though really, is it? Why is it only the US that thinks the rating system is flawed? Is it because the insurance companies tell you that?

If you want to judge a system purely on medical advances, good for you. Bet that's great comfort for those who get nothing.
 

retro

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Well it's not shit though really, is it? Why is it only the US that thinks the rating system is flawed? Is it because the insurance companies tell you that?

If you want to judge a system purely on medical advances, good for you. Bet that's great comfort for those who get nothing.

No, I think that the rating system is flawed because I've spent my entire life around health care professionals, and worked for a Medical Clinic for four years. My dad is a physician, my mom is an RN, my grandfather was a Hospital Administrator, my grandmother was a medical coder, my other grandfather was a physician, my sister is in Nursing school, my ex is an LVN, and the list goes on. I know far more about the inner workings of the US Health Industry than most people, because of my own personal experiences and conversations that I've had with most of the people I listed above, particularly my dad.

You obviously didn't pay attention to anything that I said, because you zeroed in on me talking about medical advances and paid no attention to the other things that I mentioned. The health care system has issues and needs something done, but a government takeover of the industry isn't the answer.
 

nova

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I've been following the health care situation in the US with fascination.

37 countries in the world have a superior health care system, that is fairer, and far cheaper to run, than the US one.

Wouldn't it be pretty simple just to adopt one of those superior health care models?

JFC I am REALLY tired of that stupid fucking WHO study being brought up with the "ha ha our socialized system is better than your's line."

Have you even read the fucking study? Here it is for you to read at your leisure...

http://www.who.int/whr/2000/en/whr00_en.pdf

Let me give you some highlights though. If you can't follow my logic, don't feel bad, you might be a product of a gov't school system designed to keep you learning how to think on your own and make you dependent on gov't for the rest of your life.

There are 3 ranking metrics utilized.

1. Health of the Population: In general, how healthy are the people
2. Responsiveness of the system: In general, how quickly does the system respond to patient needs
3. Fairness of the system: How EVENLY is the cost burden spread across the popuation ie how socialized is the system.

You are using a study, who's rankings are based in part on how socialized the system is to push for a socialized system. The study is inherently biased to rank socialized systems higher. Lets look at a hypothetical example.

Lets say the US and the UK both provide a perfect health care system. Sicknesses are taken care of and injuries healed and everybody dies of old age @ 110. In that case the US would STILL rank lower than the UK precisely because we aren't as socialized as the UK.

What makes it even worse is the fact that "fairness" is disproportionately weighted vs the other metrics. For 1-3 above the US ranks 24, 1, and 54 respectively. If they were all weighted equally, that works out to a rank of 27. Since the overall rank of the US is 37, mathematically that means "fairness" carries a higher weight than either of the other 2. So even if our population had better health and a more responsive system, we'd still be at a ranking disadvantage vs a socialized system.

How the hell can you even think that a ranking system like that makes sense for saying a socialized system is better?


Lets look at the other 2 ranking metrics.

The US is #1 is responsiveness to patient needs. That is, when a patient needs care, we get it to them better and faster than anybody else on the planet. If you are sick or hurt here, you are more likely to get what you need, when you need it than ANYWHERE ELSE ON THE PLANET even without our gov't paying for it for everybody. Thats why we, the Americans with our "shitty" private health care system, have 5 year survival rates for ALL types of cancer and other major diseases that blow away EVERY SINGLE socialized system in the world. Socailized systems get more care to more people, but kill a damn lot of people in the process.

We're #24 in "Health of the Population." Only problem is overall health includes a lot of factors not related to the health care system. Lifestyle choices are a big component and its pretty well known that we as Americans, eat more shit, excercise less and generally have poor habits compared to the rest of the world. Then there is the fact they take into account life expectancy in that rating, which is not normalized for factors unrelated to health care. The big one is the fact that we as Americans have a higher probability of dying in accidents than other people.


You can draw a lot of useful conclusions from that study, but "socialized systems are better" isn't among them.
 

edgray

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Whoa calm down people!

I don't think anyone can deny that the US has great care for those fortunate enough to have insurance cover and are fortunate enough to have an insurance provider that cannot find an excuse NOT to pay (which, as publically floated companies it's essentially their legal obligation to try and not pay (care does not create profit you see, denying care does)), that really doesn't seem to be the issue. The issue is with the insurance industry. It's their job, as companies with share holders, to make profit, to avoid paying at all costs.

My half sister is a US citizen and has explained to me the high quality of care available in the US. The problem is that the insurance companies refuse to let people get the treatment they need.

Imagine what level of care the US could enjoy if these parasitic middle men were removed from the equation?
 
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retro

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Whoa calm down people!

I don't think anyone can deny that the US has great care for those fortunate enough to have insurance cover and are fortunate enough to have an insurance provider that cannot find an excuse NOT to pay (which, as publically floated companies it's essentially their legal obligation to try and not pay (care does not create profit you see, denying care does)), that really doesn't seem to be the issue. The issue is with the insurance industry. It's their job, as companies with share holders, to make profit, to avoid paying at all costs.

My half sister is a US citizen and has explained to me the high quality of care available in the US. The problem is that the insurance companies refuse to let people get the treatment they need.

Imagine what level of care the US could enjoy if these parasitic middle men were removed from the equation?

Yay, more misconceptions. Do you know what the profit margin is for insurance companies? Here, I'll show you.

Health insurance profit margins typically run about 6 percent, give or take a point or two. That's anemic compared with other forms of insurance and a broad array of industries, even some beleaguered ones.

Profits barely exceeded 2 percent of revenues in the latest annual measure. This partly explains why the credit ratings of some of the largest insurers were downgraded to negative from stable heading into this year, as investors were warned of a stagnant if not shrinking market for private plans.

The industry's overall profits grew only 8.8 percent from 2003 to 2008, and its margins year to year, from 2005 forward, never cracked 8 percent.
FACT CHECK: Health insurer profits not so fat - Yahoo! News

I also fail to see how putting the government in charge of health care would somehow improve the situation. They couldn't even run a cash for clunkers program properly. That program cost taxpayers an estimated $24,000 per vehicle sold. They've run Medicare and Social Security into the ground. What makes anyone think that they'd be able to properly handle an $2.5 Trillion industry that accounts for something like 1/5th of our total economy?
 

edgray

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I'm going to have to answer that tomorrow ad researching on the iPhone is way too laborious. But you said I made misconceptions and then talked about figures even though I hadn't stated any figures or even talked about the amount of profit involved. But what you wrote helps my case - if the profits in medical insurance are so low, don't you think they're going to hand over treatment or try and hold it back?
 

nova

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Whoa calm down people!

Calm down yourself and address some of the substantive issues we've brought up while you're at it.


I don't think anyone can deny that the US has great care for those fortunate enough to have insurance cover and are fortunate enough to have an insurance provider that cannot find an excuse NOT to pay (which, as publically floated companies it's essentially their legal obligation to try and not pay (care does not create profit you see, denying care does)), that really doesn't seem to be the issue. The issue is with the insurance industry. It's their job, as companies with share holders, to make profit, to avoid paying at all costs.

#1. Look at what retro posted.

#2. Assuming that whay you say about denial of care is true, then explain the existence of the 1500-2000 non-profit insurance providers we have in the US. Also explain why they tend to deny care at the same rates as for-profit corps.

#3 It really is NOT the legal obligation of insurance companies to either deny payment by all means to drive up profit or to maximize profit at all.

They DO have a legal obligation to pay for care within the bounds of the contract establishing coverage. The only legal obligation they have to the shareholder is to maximize shareholder value which can come from many different avenues, including overall company growth by providing superior service.

#4. The ultimate reason that insurance companies appear "not to care" about the patient, is that in the vast majority of instances, the patient is not their customer, the patients employer is. The employer really doesn't give a damn how shitty the patient is treated, they only care that they can get a group plan and that the rates stay as low as possible. Thus the insurance company tends to deny payment to keep rates low and satisfy their customer.

My half sister is a US citizen and has explained to me the high quality of care available in the US. The problem is that the insurance companies refuse to let people get the treatment they need.

Insurance companies don't stop anyone from getting treatment. They just refuse to pay for care they're not contractually obligated to pay for. You can still pay cash or work out a payment plan with the doctor/hosptial.

Imagine what level of care the US could enjoy if these parasitic middle men were removed from the equation?

And what exactly makes you think the gov't is going to be any better? You mean absolutely nothing to a gov't flunky deciding what you get. Whats worse is that when said flunky makes his decision that deny's you care, you have nowhere else to go because his decision carries the force of law.

All health care systems, including gov't run ones, ration care in some way shape or form. Thats because health care is a finite good with virtually unlimited demand and we don't have unlimited resources to devote to it.

Our system does it out in the open with contractual agreements about what is covered or not along with the accompaning denials of payment. People can choose or not choose to enter those agreements.

Gov't systems either do it with explicit rationing (We just won't pay for it, deal with it, we make the law remember?) or implicit rationing ie waiting lists (we'll pay for that, but we don't have the budget for it so you have to wait till next fiscal year.) In those systems, by virtue of being born you're stuck in them.

You can not get around those realities as hard as you try and wish.

Ultimately the gov't systems are much more perniciously evil than any other because in any sort of fiat rationing, its a human being making an arbitrary decision who lives and who dies, based on systematic rules and regulations they didn't choose to follow, they were born into.

I'm going to have to answer that tomorrow ad researching on the iPhone is way too laborious. But you said I made misconceptions and then talked about figures even though I hadn't stated any figures or even talked about the amount of profit involved. But what you wrote helps my case - if the profits in medical insurance are so low, don't you think they're going to hand over treatment or try and hold it back?

No that means they're paying out just about everything they take in, and raising premiums at an appropriate pace to keep a handle on their payouts.
 
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Accountable

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Guys, guys! Edgray hasn't brought this up the first hundred times, he's just the hundredth guy that's brought it up once.

Ed. You're in Spain. Our cultures are significantly different, primarily on how we view the role of gov't in our lives. While the welfare state is a time-honored institution, it is in no way honored here. We are far too "welfarey" as it is. Please accept that we choose a different path and respect our differences.
 

Alien Allen

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We need to get rid of the abortion of a bill making it's way through congress and get working on a single payer system.

I am 100% in agreement with the Physicians for a National Health Program...

Physicians for a National Health Program | Single Payer Resources

It's well worth the time to go through all their articles.
I and we should hope that the Senate does the right thing and squash it.

I have said all along the end game by the liberals was a single payer ala Canada and the UK

I think I would rather have that than this bullshit coming from the democrats. This shit is gonna cost a ton and still leaves a hole in the system. The majority of people are NOT in favor of this garbage. You may want to rethink bashing the Tea Party crowd because they are the only ones making a dent on stopping this piece of crap that Pelosi, Reid and Obama have crafted. If you can call it crafted.
 

edgray

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Ed. You're in Spain. Our cultures are significantly different, primarily on how we view the role of gov't in our lives. While the welfare state is a time-honored institution, it is in no way honored here. We are far too "welfarey" as it is. Please accept that we choose a different path and respect our differences.
This is true, I am in Spain. But it seems as though a large percentage of your country disagrees with you and it's only right-wing propaganda and misinformation that is standing between your nation and the only morally-correct answer to health care - universal coverage.

I have visited the US, and even lived there briefly, and would love to do so again, but without the worry and expense of health insurance. I respect cultural differences but I don't think that's the issue here. I also feel it's my duty as a human being to tackle social injustices and try and help. This whole issue is down to private interests and profit and the control large companies excerpt on politicians, the media and the general populous.

#1. Look at what retro posted.
Regarding those poor insurance companies and their recently fudged profit declarations? Hmm. Funny how only a few years ago they were shouting about the huge amounts they were making and now they're not. They're choosing to fudge their statistics at this time to get support from people like yourself.

#2. Assuming that whay you say about denial of care is true, then explain the existence of the 1500-2000 non-profit insurance providers we have in the US. Also explain why they tend to deny care at the same rates as for-profit corps.
Can you please provide evidence of the non-profit denial rates being the same? I can find plenty of references to for-profit companies denial rates (up to and above 30%).

#3 It really is NOT the legal obligation of insurance companies to either deny payment by all means to drive up profit or to maximize profit at all.
They DO have a legal obligation to pay for care within the bounds of the contract establishing coverage. The only legal obligation they have to the shareholder is to maximize shareholder value which can come from many different avenues, including overall company growth by providing superior service.

As publicly owned companies they have a legal obligation to be profitable. That profit, in an essentially saturated market can only come from cutting costs - i.e. care. That is why in the industry, a successful claim is called a "medical loss". That's why they employ scores of doctors who get bonuses when they deny care.

#4. The ultimate reason that insurance companies appear "not to care" about the patient, is that in the vast majority of instances, the patient is not their customer, the patients employer is. The employer really doesn't give a damn how shitty the patient is treated, they only care that they can get a group plan and that the rates stay as low as possible. Thus the insurance company tends to deny payment to keep rates low and satisfy their customer.
So denying care keeps customers happy? On which planet exactly?

Insurance companies don't stop anyone from getting treatment. They just refuse to pay for care they're not contractually obligated to pay for. You can still pay cash or work out a payment plan with the doctor/hospital.
Well they are denying treatment, aren't they? They refuse to pay up for what they should. Of course you can still pay cash, but who could pay out 60,000$ for a serious operation? Very few people could take that kind of financial hit. If that's a life-saving operation, for 90% of the population a denial is as good as a death sentence.

And what exactly makes you think the govt is going to be any better? You mean absolutely nothing to a govt flunky deciding what you get. Whats worse is that when said flunky makes his decision that deny's you care, you have nowhere else to go because his decision carries the force of law.
Simply because in 37 other countries they do. And they do it much cheaper, without the need to deny care. It really is that simple. Firstly, I know of no government run system in which a "government flunky" makes decisions on what you get and what you don't. That is down to the doctors. I've never heard of anyone being denied treatment in any of the three countries with universal healthcare I have lived in (UK, Canada, Spain) by a doctor or a "government flunky." You have to remember that the govt works for you, not the other way around.

All health care systems, including govt run ones, ration care in some way shape or form. Thats because health care is a finite good with virtually unlimited demand and we don't have unlimited resources to devote to it.

Govt systems either do it with explicit rationing (We just won't pay for it, deal with it, we make the law remember?) or implicit rationing i.e. waiting lists (we'll pay for that, but we don't have the budget for it so you have to wait till next fiscal year.) In those systems, by virtue of being born you're stuck in them.
While there is no denying that there is always rationing in healthcare systems, the percentage of patients denied treatment is miniscule compared to a privately run system. My family has gone though hYou sound frightened of your government.

You can not get around those realities as hard as you try and wish.
Realities? Which parts?

Ultimately the gov't systems are much more perniciously evil than any other because in any sort of fiat rationing, its a human being making an arbitrary decision who lives and who dies, based on systematic rules and regulations they didn't choose to follow, they were born into.
Ok so let me get this straight: govt systems that treat everybody are evil, yet private run healthcare insurers deny people care and essentially sentence them to death are not evil? The rationing you speak of isn't thought of as rationing in universal systems, it's finding the best and most cost-effective way to provide care for everyone in the country. We choose to have universal healthcare, if it wasn't working, we would change it. Simple as that.

No that means they're paying out just about everything they take in, and raising premiums at an appropriate pace to keep a handle on their payouts.
Because they're such altruistic establishments, right? If that was the case, then why are they making any profits at all?

The fact is, in the US you pay a staggering amount for your healthcare per-capita simply because of the HMO scam in between you and your doctors. It's an easy situation to rectify.
 
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retro

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We need to get rid of the abortion of a bill making it's way through congress and get working on a single payer system.

I am 100% in agreement with the Physicians for a National Health Program...

Physicians for a National Health Program | Single Payer Resources

It's well worth the time to go through all their articles.

A single-payer system is the exact opposite of what we need in this country. I've read through a bit of that site, and I pretty much disagree with everything they've stated. Another thing to note, they account for "16,000 physicians, medical students and health professionals who support single-payer national health insurance". There are over 6 million physicians and health professionals in this country, so they account for about .03% of their profession. If you just consider physicians, of which there were about 800,000 in 2004, they account for 2% of physicians who favor a single-payer system. But then you have to consider that their 16,000 isn't just physicians.

Reagan had it right in 1961 when he had this to say about socialized medicine

The doctor begins to lose freedom. . . . First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then doctors aren’t equally divided geographically. So a doctor decides he wants to practice in one town and the government has to say to him, you can't live in that town. They already have enough doctors. You have to go someplace else. And from here it's only a short step to dictating where he will go. . . . All of us can see what happens once you establish the precedent that the government can determine a man's working place and his working methods, determine his employment. From here it's a short step to all the rest of socialism, to determining his pay. And pretty soon your son won't decide, when he's in school, where he will go or what he will do for a living. He will wait for the government to tell him where he will go to work and what he will do

We already have a physician shortage in this country, and moving to a single payer system would further widen that gap when you consider less people will want to go into medicine, and existing physicians have already said that they'd strongly consider retiring early if it were to happen. Hell, some physicians are considering that if Obama's health care "reform" gets passed.
 

Tim

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A single-payer system is the exact opposite of what we need in this country. I've read through a bit of that site, and I pretty much disagree with everything they've stated. Another thing to note, they account for "16,000 physicians, medical students and health professionals who support single-payer national health insurance". There are over 6 million physicians and health professionals in this country, so they account for about .03% of their profession. If you just consider physicians, of which there were about 800,000 in 2004, they account for 2% of physicians who favor a single-payer system. But then you have to consider that their 16,000 isn't just physicians.

Reagan had it right in 1961 when he had this to say about socialized medicine



We already have a physician shortage in this country, and moving to a single payer system would further widen that gap when you consider less people will want to go into medicine, and existing physicians have already said that they'd strongly consider retiring early if it were to happen. Hell, some physicians are considering that if Obama's health care "reform" gets passed.

First and foremost, a single-payer system is not socialized medicine.

We asked respondents (physicians engaged in direct patient care) to choose the single option they preferred: 1) “The current health care system, in which most people get their health insurance from private employers, but some people have no insurance”; 2) “A universal insurance program in which everybody is covered under a program like Medicare that is run by government and financed by taxpayers”; or 3) “The current health care system, with the addition of new tax credits for buying, or tax penalties for failing to buy, health insurance”.
9% – The Current Health Care System
42% – Single-Payer National Health Insurance Program
49% – The Current System With Addition of Tax Credits or Penalties
Conclusions: The vast majority of physicians surveyed supported a change in the health care financing system. While a plurality support the use of financial incentives, a substantial proportion support single payer national health insurance. These findings challenge the perception that fundamental restructuring of the U.S. health care financing system receives little acceptance by physicians.
source...

*shakes head* You are going to quote from Reagan's propaganda filled record written by the insurance lobbies? That piece of garbage is so filled with misinformation it's pathetic.
 

nova

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We need to get rid of the abortion of a bill making it's way through congress and get working on a single payer system.

I am 100% in agreement with the Physicians for a National Health Program...

Physicians for a National Health Program | Single Payer Resources

It's well worth the time to go through all their articles.

Those hacks? Thats the guys that were pushing this study...

Study links 45,000 U.S. deaths to lack of insurance | Health | Reuters

produced by these guys

Cambridge Health Alliance cutting workforce, closing clinics - White Coat Notes - Boston.com

Who stand to have benefit to the tune of millions of dollars and in general have their solvency secured in a single payer system.

Yeah, there's no ulterior motives there by any stretch :24:


Regarding those poor insurance companies and their recently fudged profit declarations? Hmm. Funny how only a few years ago they were shouting about the huge amounts they were making and now they're not. They're choosing to fudge their statistics at this time to get support from people like yourself.

1. Linking to the loonies at "thinkprogress" for "facts" about anything is ridiculous.

2. If you have proof that the profit margins are fudged, I'm sure the US Securities and Exchange Commission would be interested in that information, as "fudging" the numbers is illegal for publicly traded companies.

3. It doesn't appear as if you understand the difference between profit and profit margin.

Take every bodies favorite company, Wal-Mart. They make BILLIONS of dollars in profit every year, but they only have a profit margin of ~5% or 5 cents on every dollar they sell. The reason they can makes billions on such a small profit margin is they sell so much of it.

Its the exact same for insurance companies. Their profits may be high but their profit margin is still around 6%. In other words, if you eliminate insurance companies entirely, you're total savings is 6% assuming no other impacts to the system.

Can you please provide evidence of the non-profit denial rates being the same? I can find plenty of references to for-profit companies denial rates (up to and above 30%).

I don't know where you saw 30%. The AMA's data says the worst claim denier is Medicare...

http://www.ama-assn.org/ama1/pub/upload/mm/368/reportcard.pdf

As far as the non-profit denials, you can google search enough instances of non-profit Blue Cross/Blue Shields getting sued for claim denial to see its not abnormal by any stretch.

As publicly owned companies they have a legal obligation to be profitable. That profit, in an essentially saturated market can only come from cutting costs - i.e. care. That is why in the industry, a successful claim is called a "medical loss". That's why they employ scores of doctors who get bonuses when they deny care.

If thats the case it should be exceedingly easy to show me the law that says a public company is required to be profitable. I expect to be waiting a damn long time though since it doesn't exist.

A public company has a fiduciary duty to maximize the value of the company to the shareholders and thats it. That can come from many different avenues including corporate growth and expansion.

I could really care less if they do have Doctors evaluating claims and providing bonuses for denial. They're there to enforce the insurance companies interest in a contractual relationship by deciding if the claim is really necessary and covered under the contract. Those bonuses are an incentive to follow the contract to the letter.

You're personal doctor has the exact same incentive to provide extra care and claim its necessary and covered when he's deciding on treatment. For every procedure he does, he gets more money from the insurance company so its in his best interest to claim its covered.

If you don't like that contractual situation, then don't buy insurance. As much as people want to believe it, you don't have a RIGHT to assign your risk to other people.


So denying care keeps customers happy? On which planet exactly?

The one in which you learn how to define who the customer is. Let me supplement that public education some more.

If you go to, say, the BMW , and buy a car you are BMWs customer. They have an incentive to keep you happy so you come back and buy another car.

If you're employer goes to BMW, buys a car, and then provides it to you as a employment benefit, then you're employer is BMWs customer. BMW has an incentive to keep you're employer happy, so they come back and buy more cars, not you.

Its the same damn thing when you're employer buys insurance and provides it to you the individual. You're employer does not give a flying shit whether you, the individual, get a claim denied or not, they only care that the premium is low. The preimum gets kept low by paying out as little as possible.



Well they are denying treatment, aren't they? They refuse to pay up for what they should. Of course you can still pay cash, but who could pay out 60,000$ for a serious operation? Very few people could take that kind of financial hit. If that's a life-saving operation, for 90% of the population a denial is as good as a death sentence.

And yet people manage to pay $30k for cars and $250k for homes all the time. Its called a payment plan and doctors and hospitals are more than happy to work one out for you.

I did it when I was in college to have an oral surgeon remove my wisdom teeth. I managed to pay back high 5 figures when I was making minimum wage half time. If I can do it in those conditions, anybody can.

A denial is only a death sentence in the liberal world where someone else HAS to be responsible and pay for an individuals well being. In the real world well people are capable of taking responsibility for themselves, its simply an irritation.

Simply because in 37 other countries they do. And they do it much cheaper, without the need to deny care. It really is that simple.

No its not that simple. You're denied care, its just masked where you can't or choose not to see it. Whether you wish to believe it or not, waiting lists are a form of rationing and denial of care.

And by you're own WHO study that you love so much, you get worse care than we do here in the US. Thats why our survival rates for major illnesses are so much better. You get what you pay for.



Firstly, I know of no government run system in which a "government flunky" makes decisions on what you get and what you don't. That is down to the doctors. I've never heard of anyone being denied treatment in any of the three countries with universal healthcare I have lived in (UK, Canada, Spain) by a doctor or a "government flunky." You have to remember that the govt works for you, not the other way around.

Then you don't understand the systems you've lived under.

Gov't flunkies set the budget. The budget determines how many people can be treated in a given time frame because you can't treat unlimited people without unlimited money. Thats just a simple truth.

If you can't be treated in that given time frame, then your care has been rationed which is a form of denial. Whether you want to believe it or not.

Rationing By Any Other Name - Megan McArdle

But there is also a real difference between having something rationed by a process and having it rationed by a person. That is, in fact, why progressives are so fond of rules. They don't want to tell grandma to take morphine instead of getting a pacemaker. It's much nicer if you create a mathematical formula that makes some doctor tell grandma to take morphine instead of getting a pacemaker. Then the doctor can disclaim responsibility too, because after all, no one really has any agency here--we're all just in the grips of an impersonal force.

But this won't do. If you design a formula to deny granny a pacemaker, knowing that this is the intent of the formula, then you've killed granny just as surely as if you'd ordered the doctor to do it directly. That's the intuition behind the conservative resistance to switching from price rationing to fiat rationing. Using the government's coercive power to decide the price of something, or who ought to get it, is qualitatively different from the same outcome arising out of voluntary actions in the marketplace. Even if you don't share the value judgement, it's not irrational, except in the sense that all human decisions have an element of intuition and emotion baked into them.

While there is no denying that there is always rationing in healthcare systems, the percentage of patients denied treatment is miniscule compared to a privately run system. My family has gone though hYou sound frightened of your government.

Bullshit. In you're system, everbody is de facto denied. You just choose not to see it. Ignorance is bliss I guess.

And you don't sound scared enough of your gov't. Gov't killed, tortured and oppressed more people in the last 150 years than any other institution hand down. Needless to say I'd rather keep them at arms length.
 

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Realities? Which parts?

Absolutely every bit of it. Deny it all you want but reality is reality.

The New York Times > Log In

Imagine that someone invented a pill even better than the one I take. Let’s call it the Dorian Gray pill, after the Oscar Wilde character. Every day that you take the Dorian Gray, you will not die, get sick, or even age. Absolutely guaranteed. The catch? A year’s supply costs $150,000.
Anyone who is able to afford this new treatment can live forever. Certainly, Bill Gates can afford it. Most likely, thousands of upper-income Americans would gladly shell out $150,000 a year for immortality.
Most Americans, however, would not be so lucky. Because the price of these new pills well exceeds average income, it would be impossible to provide them for everyone, even if all the economy’s resources were devoted to producing Dorian Gray tablets.
So here is the hard question: How should we, as a society, decide who gets the benefits of this medical breakthrough? Are we going to be health care egalitarians and try to prohibit Bill Gates from using his wealth to outlive Joe Sixpack? Or are we going to learn to live (and die) with vast differences in health outcomes? Is there a middle way?


The push for universal coverage is based on the appealing premise that everyone should have access to the best health care possible whenever they need it. That soft-hearted aspiration, however, runs into the hardheaded reality that state-of-the-art health care is increasingly expensive. At some point, someone in the system has to say there are some things we will not pay for. The big question is, who? The government? Insurance companies? Or consumers themselves? And should the answer necessarily be the same for everyone?
Inequality in economic resources is a natural but not altogether attractive feature of a free society. As health care becomes an ever larger share of the economy, we will have no choice but to struggle with the questions of how far we should allow such inequality to extend and what restrictions on our liberty we should endure in the name of fairness.



Ok so let me get this straight: govt systems that treat everybody are evil, yet private run healthcare insurers deny people care and essentially sentence them to death are not evil? T

Firstly, you repeat the fallacy that denial of payment = a death sentence, which its not. Yet again, you can still go get health care on you're own.

No its not evil. My relationship with my insurance company is one I can end at ANY point in time I wish. I stop paying them and they'll be happy to GTFO out of my life. At the same time, their decisions don't carry the force of law.

I can't say the same for my gov't. I stop paying them, they put my ass in prison. If I don't follow their decisions, they put me in prison.

he rationing you speak of isn't thought of as rationing in universal systems, it's finding the best and most cost-effective way to provide care for everyone in the country.

But its STILL fucking rationing. I don't care if you think of it that way or not, it is what it is. You and you're gov't have no busines, no right and should have no fucking power to determine what is "cost effective" about my health care and my life. Its none of you're fucking business.

But that does not and has not ever mattered to the socialists of the world. The ends justify the means after all.

We choose to have universal healthcare, if it wasn't working, we would change it. Simple as that.

Is there 100% agreement amongst you're populace that they want universal health care? If there's not, then guess what, you're forcing some people into it at the point of gun giving them no other option. Kinda makes the "we would change it" argument bullshit. Statist hate it when thats pointed out, but its simple as that.

Because they're such altruistic establishments, right? If that was the case, then why are they making any profits at all?

Its called raising premiums to cover costs.

The fact is, in the US you pay a staggering amount for your healthcare per-capita simply because of the HMO scam in between you and your doctors. It's an easy situation to rectify.

Again, another ignorant assumption.

We spend a lot more per capita on tons of things here in the US than the rest of the world does. Cars, vacations, big screen TVs, etc etc etc. Hell we spend more per capita on Vet bills than any other nation on earth.

Does that mean that each of those are huge problems that need gov't intervention? No it doesn't. For some reason all of those are seen as a sign of affluence but spending money on health care isn't.

We spend money on health care because we have it to spend and because we WANT more and better health care, on demand.
 
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