Profit Based Health?

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edgray

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You avoided both of my questions, probably because you think you know where I'm going and are trying to get ahead of me.

I thought I'd covered these questions, but ok:

So do you help absolutely everyone that asks you, regardless of your own wishes? <= not rhetorical, btw.

If you are a doctor, yes. Same as a policeman. Or a fireman. If you don't like that, you get a different profession.

Why should someone who tries harder or accomplishes more responsible to those who didn't necessarily try as hard or accomplish as much?

Because it's their chosen profession and they get remunerated sufficiently more than everyone else.

you of course realize that allowing people not to be treated doesn't require people not to be treated, don't you?

yes. but it depends whose making that decision, doesn't it?

If I spoke to any NHS doctor in Britain, or any in Spain, Germany or any with a universal health service, would they confess that if given the freedom to refuse service to someone who really needed it that they just wouldn't be able to resist slamming the door in the poor sot's face?
How about if I asked them if they would like to be able to refuse service to people who, in their professional medical opinion, don't need the service? Would they hate to be allowed to not treat these people, reserving the time, money, and supplies for those that need it?

They get paid to treat everyone. And I really don't think they mind. They can get rid of time-wasters, they can transfer patients they don't like.

ALL doctors can treat people irrelevant of their income or whether they can afford it, and most do, even if not required by law... even if they are allowed not to treat them.

But in a non-universal system, they have to answer to the hospital, which is profit driven. So they actually cannot make that choice, unless they own their own surgery and all the equipment and medication etc.

You always look at arrangements in beautifully simplistic terms Accountable. Your defense of capitalism, for example, always involves 1 employer and 1 employee in a little store on main street. I always imagine they are carpenters, for some reason. In this case, 1 doctor, 1 patient, a cute little surgery and lollipops for the kids. Unfortunately, there's always so much more to it. The doctors choice is removed by the hospital and the insurance company.

If only life was like that, I'd be happy with Capitalism and private healthcare.

By any chance, do you live in a small town?

I'm willing to bet that the vast majority of people who start the education & training to be doctors motivated only by money are shaken loose and dropped within the first couple of years. The ones that stay with the program stay with it because they truly believe in it. They see it as a calling. I can't believe that med school, internship and all the rest is so easy that monetary greed alone can motivate anyone to make it all the way through.

If we can agree on that, then let's also agree that the current health system is not the doctors' fault. Doctors charge rich people exorbitant amounts of money (yup, that's making eeeeevil profits) so that they can afford to do charitable work. It happens all the time.

If ya'll want a scapegoat (in the US), blame the insurance companies that just got an even stronger stranglehold in Washington. That means *gasp* blame Obama just as much as Bush, and realize the same congressmen were in those chairs through both administrations.

Most definitely. The current system you guys have is Nixon's fault. You are correct, the evil lies in the insurance industry.
 
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Peter Parka

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If I spoke to any NHS doctor in Britain, or any in Spain, Germany or any with a universal health service, would they confess that if given the freedom to refuse service to someone who really needed it that they just wouldn't be able to resist slamming the door in the poor sot's face?

Why would that be a good thing?:unsure:

I'm glad I can go to the doctors and not worry about him refusing to treat me.
 

Abcinthia

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Me, too. Wouldn't you likewise have more confidence in a doctor who you are certain is doing his job of his own free will, rather than under legal duress?

I don't really get your point about legal duress. People can qualify to be a doctor/nurse then work in a private hospital in the UK; work in a NHS hospital; go abroad and work in any hospital and country they want; or tear up their qualifications and get a job in Mcdonalds. No one is pinned down and forced to work. They do it of their own free will.

So yep, I can be certain my doctor is working of his own free will otherwise he wouldn't be there.
 

Accountable

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So do you help absolutely everyone that asks you, regardless of your own wishes? <= not rhetorical, btw.
I thought I'd covered these questions, but ok:

If you are a doctor, yes. Same as a policeman. Or a fireman. If you don't like that, you get a different profession.
I see the disconnect now. I meant you directly, you as in Edgray. Do you help absolutely everyone that asks you, regardless of your own wishes? I ask because you said
It seems highly unfair of someone to benefit from the knowledge of the human race that they've inherited only to select who can benefit from it. Thank God people like Jonas Salk, curer of polio, didn't think so selfishly.
Do you, Ed, select who can benefit from your knowledge? Of course you do. Jonas Salk did as well; he selected to help the general public, but my point is that it was his choice. Why do you feel it's necessary to use the force of law to take that choice away from certain people and not from others?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Edgray said:
Accountable said:
Why should someone who tries harder or accomplishes more responsible to those who didn't necessarily try as hard or accomplish as much?
Because it's their chosen profession and they get remunerated sufficiently more than everyone else.
Here, the disconnect was that I wasn't referring specifically to any one profession, but speaking generally. Your statements tend to tie professionals down legally, effectively making them slaves of the government. I just don't think that's necessary.
Ed said:
yes. but it depends whose making that decision, doesn't it?
Can you expound on this, keeping it in context? I think we're getting a bit unraveled here.
Ed said:
They get paid to treat everyone. And I really don't think they mind. They can get rid of time-wasters, they can transfer patients they don't like.
So you agree that they wouldn't refuse service to those that need it even if free to do so. Then why not do it? Why take away liberty if it is unlikely to be abused??
Ed said:
But in a non-universal system, they have to answer to the hospital, which is profit driven. So they actually cannot make that choice, unless they own their own surgery and all the equipment and medication etc.
Sorry, Ed. You're wrong. They make that choice every day. Some do pro bono work, others pool their money to fund mobile clinics. Kindness does not have to be legislated.

Ed said:
You always look at arrangements in beautifully simplistic terms Accountable. Your defense of capitalism, for example, always involves 1 employer and 1 employee in a little store on main street. I always imagine they are carpenters, for some reason. In this case, 1 doctor, 1 patient, a cute little surgery and lollipops for the kids. Unfortunately, there's always so much more to it. The doctors choice is removed by the hospital and the insurance company.

If only life was like that, I'd be happy with Capitalism and private healthcare.
Choice is not removed unless the hospital is run by the government. I reduce it to its simplest terms because it really does come down to one person's choice, one person's sense of responsibility. Besides, the answer to one mindless entity taking away choice is not to hand the reins over to another mindless entity to permanently remove the choice by force of law. The answer is to restore the choice.
Ed said:
By any chance, do you live in a small town?
I live in the 7th largest city in the US. I spent my childhood dirt poor in rural Louisiana, and my teen years in foster homes, one boy of over one hundred children.
Ed said:
Most definitely. The current system you guys have is Nixon's fault. You are correct, the evil lies in the insurance industry.
I'm ignorant of the history you obviously allude to, but ... you blame the head of the administration of the US federal government, and your solution is to trust the head of the administration of the US federal government.

Pass, but thanks. :cool
 
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Accountable

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How did you arrive at this conclusion regarding Obama? (JC) Insurance companies are an entrenched entity. Short of totally getting rid of them, what needs to be done? I believe the health bill that was recently passed made some changes with the effect of reigning them in (a little). I'm feel more could be done. Can you place any blame on a for-profit system or is capitalism too near and dear to your heart? :)
Why does it have to be short of totally getting rid of them? I think that would be a great idea. The "health bill" (ridiculous misnomer) guaranteed more business, more profits, to insurance companies than ever before. What you term "reigning them in" is a prophetic Freudian slip, imo, and is really a nice wall of red tape and regulations to keep out honest competition. That's the reason big corporations continue to purchase politicians even though it seems on the surface to make their lives harder. They can afford to hire the lawyers & staffs to handle the onerous crap. An entrepreneur working on a shoestring budget doesn't have a prayer. The regulations limit competition and stifle market forces, making it worse for the consumer, not better.
 

Accountable

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I don't really get your point about legal duress. People can qualify to be a doctor/nurse then work in a private hospital in the UK; work in a NHS hospital; go abroad and work in any hospital and country they want; or tear up their qualifications and get a job in Mcdonalds. No one is pinned down and forced to work. They do it of their own free will.

So yep, I can be certain my doctor is working of his own free will otherwise he wouldn't be there.
Finally! A direct response to what I'm talking about. God bless ya! :clap
When the gov't gets involved in commercial activities, competition is impossible. There is precious little market share left after they take what they want. Ya gotta admire the entrepreneur who's willing to take the chance. I'm really happy you're happy with the UK system. The United States is different - culturally, legally, historically. Your system cannot work here without destroying the very fabric that makes us us. I don't expect you to understand it. I'd appreciate if you'd respect it, nonetheless.
 

Minor Axis

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Why does it have to be short of totally getting rid of them?

Do you mind spelling out your vision of the alternative? Should insurance policies be illegal? They serve a vital purpose imo until we switch to a economic system that provides free replacement of crashed cars and burned down homes. ;)

The United States is different - culturally, legally, historically. Your system cannot work here without destroying the very fabric that makes us us. I don't expect you to understand it. I'd appreciate if you'd respect it, nonetheless.

Your asking that your opinion be respected, as in, that's my opinion, no problem. If your asking that this statement must be respected as the truth, then you are kidding yourself. Take off all the rules that control how business, including the medical profession operates and you'd have a huge upheaval for the worse imo. Society even U.S. citizens will look favorably upon any system that serves their needs. The key is that is has to be a viable system. You seem to be sure that anything starting with the word "social" is doomed to failure. At this point in time there is no indication that the U.S. medical system is superior to that of Canada or England. Our for profit based health system seems to be the one on the rocks and it's not because the government is trying to keep health care affordable for average citizens. It's because for profit health care has been driving the cost of health care up for the last 40 years.
 
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Abcinthia

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Finally! A direct response to what I'm talking about. God bless ya! :clap
When the gov't gets involved in commercial activities, competition is impossible. There is precious little market share left after they take what they want. Ya gotta admire the entrepreneur who's willing to take the chance. I'm really happy you're happy with the UK system. The United States is different - culturally, legally, historically. Your system cannot work here without destroying the very fabric that makes us us. I don't expect you to understand it. I'd appreciate if you'd respect it, nonetheless.

I'd never preach a UK system abroad. I mean really it's whatever works for the country and what they want at the end of the day as every country is different. I think the system works well for us; there are a few problems but I don't think any system is completely without flaw or people who are unhappy with it.

And I just don't feel I know enough about the American system to bad mouth it. I have a friend who is a nurse in Illinois (sp?) but even from conversations with her about the system and she's told me in the past her opinions on what annoys her and what she'd change, but I can't say I know enough to really comment on it as I haven't personally had any experience with the system.
 

Minor Axis

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And I just don't feel I know enough about the American system to bad mouth it. I have a friend who is a nurse in Illinois (sp?) but even from conversations with her about the system and she's told me in the past her opinions on what annoys her and what she'd change, but I can't say I know enough to really comment on it as I haven't personally had any experience with the system.

People in the U.S. who make around 20,000 per year may have health insurance offered to them by their employer but the expense is so high $500+ per month that in many (most?) cases they can't afford to purchase it. It's either pay rent/mortgage, or eat, or have insurance. It's a wonderful setup...
 

edgray

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I see the disconnect now. I meant you directly, you as in Edgray. Do you help absolutely everyone that asks you, regardless of your own wishes? I ask because you saidDo you, Ed, select who can benefit from your knowledge? Of course you do. Jonas Salk did as well; he selected to help the general public, but my point is that it was his choice. Why do you feel it's necessary to use the force of law to take that choice away from certain people and not from others?

I don't think I ever mentioned the force of law here.

I don't rightly remember ever not helping anyone that has asked me to help them. My bosses would've gone spare at me turning down work. I've even done plenty of pro-bono work myself, even though I hate that expression because it sounds like I support U2 or something.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Here, the disconnect was that I wasn't referring specifically to any one profession, but speaking generally. Your statements tend to tie professionals down legally, effectively making them slaves of the government. I just don't think that's necessary.Can you expound on this, keeping it in context? I think we're getting a bit unraveled here.

It's nothing to do with tying anyone down, more like setting them free. I'm sure most doctors in the US hate it when they cannot treat someone. Doctors elsewhere never have to make that call. They have the freedom to treat whomever they want, whenever they want, and however they see fit. They do not answer to the govt, they answer to the needs of the people. You have to remember, in Blighty, and other European countries, there's much less of a disconnect between us and our govts.

So you agree that they wouldn't refuse service to those that need it even if free to do so. Then why not do it? Why take away liberty if it is unlikely to be abused??

They have had no liberty removed, they've had the restrictions of money and profit removed from the equation, freeing them to treat as they wish.

Sorry, Ed. You're wrong. They make that choice every day. Some do pro bono work, others pool their money to fund mobile clinics. Kindness does not have to be legislated.

Then why are there so many medical bankruptcies and deaths from non-treatment in the US?

I don't doubt there is a lot of great free medical work done in the US. But the problem is that generosity can never reach everyone. I doubt any doctor could treat cancer pro-bono, the cost of it is simply too high for a hospital to absorb and still maintain its profit margins.

Choice is not removed unless the hospital is run by the government. I reduce it to its simplest terms because it really does come down to one person's choice, one person's sense of responsibility. Besides, the answer to one mindless entity taking away choice is not to hand the reins over to another mindless entity to permanently remove the choice by force of law. The answer is to restore the choice.

I've explained above, no liberty is being removed. The shackles of profit being removed makes a doctor FREE to treat anyone, anytime, for anything they need. A doctor in Europe is far freer than one in a profit-based system.

I'm ignorant of the history you obviously allude to, but ... you blame the head of the administration of the US federal government, and your solution is to trust the head of the administration of the US federal government.

I know it's Michael Moore :)willy_nilly:) but here's how the whole HMO thing started:

http://www.youtube.com/watch?v=9QkgUkM0o6Q
 

Accountable

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I don't think I ever mentioned the force of law here.
No. Their knowledge is dependent on all the previous knowledge that they inherited, for free. They have no right to reserve it whatsoever.
Who would prevent them from exercising their freedom of choice if not the gov't by force of law?

edgray said:
I don't rightly remember ever not helping anyone that has asked me to help them. My bosses would've gone spare at me turning down work. I've even done plenty of pro-bono work myself, even though I hate that expression because it sounds like I support U2 or something.
lol.gif


Okay, that's at work. How about when you're not on the clock?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



edgray said:
It's nothing to do with tying anyone down, more like setting them free. I'm sure most doctors in the US hate it when they cannot treat someone. Doctors elsewhere never have to make that call. They have the freedom to treat whomever they want, whenever they want, and however they see fit. They do not answer to the govt, they answer to the needs of the people. You have to remember, in Blighty, and other European countries, there's much less of a disconnect between us and our govts.

They have had no liberty removed, they've had the restrictions of money and profit removed from the equation, freeing them to treat as they wish.
Really?!? There's no limit to the amount of medical care - tests, operations, hospital stay, etc etc - a person can receive? None? Without any cost at all beyond the taxes? Octogenarians can get hip & knee replacements? Alcoholics can get new livers if the doctor sees fit? No limit on cancer procedures, drugs, therapies, etc? That's not what we hear here.

edgray said:
Then why are there so many medical bankruptcies and deaths from non-treatment in the US?
Define "so many." I know of no medical bankruptcies at all, and have only heard tell of them on forums such as this one. Anecdotes of death from non-treatment are just as rare, and often come from your side of the pond.

edgray said:
I don't doubt there is a lot of great free medical work done in the US. But the problem is that generosity can never reach everyone. I doubt any doctor could treat cancer pro-bono, the cost of it is simply too high for a hospital to absorb and still maintain its profit margins.
The word over here is that your gov't stops treatment when the costs reach a certain point. The doctors are ordered (or maybe they freely decide) to pump the poor sot full of cheap barbiturates until he fades away.

edgray said:
I know it's Michael Moore :)willy_nilly:) but here's how the whole HMO thing started:http://www.youtube.com/watch?v=9QkgUkM0o6Q
It still begs my question:
You blame the head of the administration of the US federal government, and your solution is to trust the head of the administration of the US federal government?
 

Accountable

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Finally! A direct response to what I'm talking about. God bless ya! :clap
When the gov't gets involved in commercial activities, competition is impossible. There is precious little market share left after they take what they want. Ya gotta admire the entrepreneur who's willing to take the chance. I'm really happy you're happy with the UK system. The United States is different - culturally, legally, historically. Your system cannot work here without destroying the very fabric that makes us us. I don't expect you to understand it. I'd appreciate if you'd respect it, nonetheless.

Do you mind spelling out your vision of the alternative? Should insurance policies be illegal? They serve a vital purpose imo until we switch to a economic system that provides free replacement of crashed cars and burned down homes. ;)
People didn't have free replacements before insurance came along. They don't need free replacements now. Living within one's means is a wonderfully freeing feeling. You should try it.
Minor Axis said:
Your asking that your opinion be respected, as in, that's my opinion, no problem. If your asking that this statement must be respected as the truth, then you are kidding yourself. Take off all the rules that control how business, including the medical profession operates and you'd have a huge upheaval for the worse imo. Society even U.S. citizens will look favorably upon any system that serves their needs. The key is that is has to be a viable system. You seem to be sure that anything starting with the word "social" is doomed to failure. At this point in time there is no indication that the U.S. medical system is superior to that of Canada or England. Our for profit based health system seems to be the one on the rocks and it's not because the government is trying to keep health care affordable for average citizens. It's because for profit health care has been driving the cost of health care up for the last 40 years.
You're way off base. It's not the medical service, it's the dependence on the federal gov't that I'm against. That dependence is what has destroyed America and reduced us to the amoral, lazy, bitchy, dependent, dysfunctional population we have become.
 

TheTinGirl

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People didn't have free replacements before insurance came along. They don't need free replacements now. Living within one's means is a wonderfully freeing feeling. You should try it.
You're way off base. It's not the medical service, it's the dependence on the federal gov't that I'm against. That dependence is what has destroyed America and reduced us to the amoral, lazy, bitchy, dependent, dysfunctional population we have become.

You cannot treat chronic conditions within means if you are making an average salary in the US.
According to Wiki the average is around 44k a year...
With specialist costs, insulin, pumps, and perscriptions it can cost 6,440 dollars a year (Now I am basing this off a friend of mine so I don't claim it to be an average.) and he has insurance!
My schizophrenia medications when I had insurance were 290 dollars a month! Around 8,500 dollars a month without (Needless to say I am currently unmedicated.)
And in having two major hospital visits in my life, one clocking an absurd 15K in costs and the other 25k in costs...
I do not see how maintaining your health (Especially for those who don't have insurance) is possible with this 'live within your means' mentality.
Making what I make now I'd have to make six times that just to cover medical, not including my house, car and bills.
And what are people talking about all this great non profit work? That's only given to people who give up completely and have no income. Being diabetic, batshit crazy, hypertensive, having PCOS, and pancreantitis is STILL not long enough of a list to get medical help (Not free, just help) in my state.

Knowing that you can afford health care and go into an ER without going into an instantaneous debt is not dependent or dysfunctional.
In a country that has so much, the health of it's citizens should be a priority and it's not- because it's all about the money.
Just my humble opinion....or rant. XD
 

edgray

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Who would prevent them from exercising their freedom of choice if not the gov't by force of law?

People aren't selfish by nature, believe it or not.

Okay, that's at work. How about when you're not on the clock?

I normally have at least one pro-bono job on in my personal time at any given moment. Right now I'm designing a website for a friend who's starting a business. I don't know if you saw the post I made about one a few months back too. I don't remember turning people down, if I've got the skills to help, I do. Mind you, it's not like people walk up to me in the street asking me to fix their computer or build them a website... but I get a lot of requests from friends and acquaintances.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Really?!? There's no limit to the amount of medical care - tests, operations, hospital stay, etc etc - a person can receive? None? Without any cost at all beyond the taxes? Octogenarians can get hip & knee replacements? Alcoholics can get new livers if the doctor sees fit? No limit on cancer procedures, drugs, therapies, etc? That's not what we hear here.

Yes, believe it or not, there is no limit. Alcoholics do get new livers. You can receive a hip replacement at any point, no matter how old you are. The treatments are based on need, not what can be afforded.

Yes I heard about all of the negative propaganda you guys heard about the NHS. None of it was true. The republicans made a claim that the limit of treatment is 22,000GBP per person. What they didn't say was that that figure was the amount for experimental medication, spread over every person. They claimed that procedures aren't given after the age of 65 or something, saying that Ted Kennedy wouldn't have received some treatment or other. These are all lies. Not only do they receive treatment, but any medication for anyone over 65, is completely free of charge, irrelevant of their financial worth.

My Aunt has battled cancer several times in her life. The cost of her treatments would have come into the hundreds of thousands at least. But she was treated, with no thought to the cost, and she's a housewife who's contributed little in terms of social security payments directly. Most recently she received Chemotherapy at the tender age of 65 or so. She's all clear now, and the only bill she has is a clean bill of health.

My mother, who lived outside the UK for several years moved back to England a couple of years ago, and received some much needed ankle surgery, plus 2 retinal transplants, free of charge, at the age of 60, without having made a social security contribution in years.

There are very rare treatments that the UK is simply unable to provide, and that does result in charity fund raising efforts for overseas surgery. We're talking like a dozen cases per year here. But the far majority of complaints are all covered.

There were other lies too - like you having to talk to a bureaucrat rather than a doctor when you're sick, which again is a lie. The govt isn't involved in the NHS very much. We pay the govt social security and they then spread that money between 2 departments - the DSS (Department of Social Security) and the NHS. Essentially, the NHS is just a state owned company, and one of the largest employers in the world to boot.

At the end of the day, with a country like Britain, which has the second largest military budget in the world (after you guys of course) there wouldn't be any valid excuse not to treat someone. If we can maintain such a large military budget, with little need for it, we can damn well maintain the health of our people.

Define "so many." I know of no medical bankruptcies at all, and have only heard tell of them on forums such as this one. Anecdotes of death from non-treatment are just as rare, and often come from your side of the pond.

So many = too many = more than 1.

Some 60% of bankruptcies in the US are due to medical bills. And most of these people HAD insurance. Most insurance policies include deductibles and won't cover long term illnesses without requiring some sort of contribution from the patient for their treatment.

You can read about it here: http://www.cnn.com/2009/HEALTH/06/05/bankruptcy.medical.bills/

I know it's a Michael Moore schmaltz fest, but give SICKO a watch, it really shows how people who fall seriously ill, even with medical insurance, get left to die.

The word over here is that your gov't stops treatment when the costs reach a certain point. The doctors are ordered (or maybe they freely decide) to pump the poor sot full of cheap barbiturates until he fades away.

I've never heard of that happening. I have heard of one case of treatment being denied for someone with a chipped tooth... that's about it....

I have a couple of friends in Scotland that are both NHS doctors and they say the question of treating someone or not never comes up. Someone comes in sick, they treat them.

It still begs my question:
You blame the head of the administration of the US federal government, and your solution is to trust the head of the administration of the US federal government?

That is indeed a valid point. I don't trust the US govt for much, but they do seem to run a highly successful army, police force and fire service, so why not healthcare? You guys have the resources, you have the skill, the only thing holding you back is the HMO systems.

But perhaps what Abcinthia said was correct, a universal healthcare system might not be the answer for the US. It is after all a very large country, with more citizens than any other western country. But a solution is needed.
 

Accountable

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You cannot treat chronic conditions within means if you are making an average salary in the US.
According to Wiki the average is around 44k a year...
With specialist costs, insulin, pumps, and perscriptions it can cost 6,440 dollars a year (Now I am basing this off a friend of mine so I don't claim it to be an average.) and he has insurance!
My schizophrenia medications when I had insurance were 290 dollars a month! Around 8,500 dollars a month without (Needless to say I am currently unmedicated.)
And in having two major hospital visits in my life, one clocking an absurd 15K in costs and the other 25k in costs...
I do not see how maintaining your health (Especially for those who don't have insurance) is possible with this 'live within your means' mentality.
Making what I make now I'd have to make six times that just to cover medical, not including my house, car and bills.
And what are people talking about all this great non profit work? That's only given to people who give up completely and have no income. Being diabetic, batshit crazy, hypertensive, having PCOS, and pancreantitis is STILL not long enough of a list to get medical help (Not free, just help) in my state.

Knowing that you can afford health care and go into an ER without going into an instantaneous debt is not dependent or dysfunctional.
In a country that has so much, the health of it's citizens should be a priority and it's not- because it's all about the money.
Just my humble opinion....or rant. XD
Supply and demand.

Supplies are so expensive because the suppliers know that the consumers (demand) have access to virtually unlimited funds through insurance companies. If you cut out the insurer you cut out the funds. Suppliers will have to lower their prices to realistic levels or go out of business.
 

edgray

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Supply and demand.

Supplies are so expensive because the suppliers know that the consumers (demand) have access to virtually unlimited funds through insurance companies. If you cut out the insurer you cut out the funds. Suppliers will have to lower their prices to realistic levels or go out of business.

or if you have one big purchaser (govt), they can negotiate much better rates... or you can legislate the maximum cost like in Blighty, which is 7GBP irrelevant of the medication or amount of drugs on the prescription.
 

Accountable

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Who would prevent them from exercising their freedom of choice if not the gov't by force of law?
People aren't selfish by nature, believe it or not.
I don't see how your answer addresses my question in any fashion.
eh.gif


Just as an aside, I've found that people with little are far more generous than people with much, or people with access to much. Besides, you don't believe your own statement, judging by the way you rail against the rich.
Ed said:
I normally have at least one pro-bono job on in my personal time at any given moment. Right now I'm designing a website for a friend who's starting a business. I don't know if you saw the post I made about one a few months back too. I don't remember turning people down, if I've got the skills to help, I do. Mind you, it's not like people walk up to me in the street asking me to fix their computer or build them a website... but I get a lot of requests from friends and acquaintances.
Good on you! I'm sure you can imagine, though, that if your services were in great demand, you'd have to start making choices of whom to help and whom to turn down. (was that proper use of whom? I can never get that rule straight) Eventually, you might find yourself having to choose between helping someone and resting, for without rest you can't give your best effort. However, by your own words, your knowledge is dependent on all the previous knowledge that you inherited, for free. you have no right to reserve it whatsoever.
Ed said:
Yes, believe it or not, there is no limit. Alcoholics do get new livers. You can receive a hip replacement at any point, no matter how old you are. The treatments are based on need, not what can be afforded.

Yes I heard about all of the negative propaganda you guys heard about the NHS. None of it was true. The republicans made a claim that the limit of treatment is 22,000GBP per person. What they didn't say was that that figure was the amount for experimental medication, spread over every person. They claimed that procedures aren't given after the age of 65 or something, saying that Ted Kennedy wouldn't have received some treatment or other. These are all lies. Not only do they receive treatment, but any medication for anyone over 65, is completely free of charge, irrelevant of their financial worth.

My Aunt has battled cancer several times in her life. The cost of her treatments would have come into the hundreds of thousands at least. But she was treated, with no thought to the cost, and she's a housewife who's contributed little in terms of social security payments directly. Most recently she received Chemotherapy at the tender age of 65 or so. She's all clear now, and the only bill she has is a clean bill of health.

My mother, who lived outside the UK for several years moved back to England a couple of years ago, and received some much needed ankle surgery, plus 2 retinal transplants, free of charge, at the age of 60, without having made a social security contribution in years.

There are very rare treatments that the UK is simply unable to provide, and that does result in charity fund raising efforts for overseas surgery. We're talking like a dozen cases per year here. But the far majority of complaints are all covered.

There were other lies too - like you having to talk to a bureaucrat rather than a doctor when you're sick, which again is a lie. The govt isn't involved in the NHS very much. We pay the govt social security and they then spread that money between 2 departments - the DSS (Department of Social Security) and the NHS. Essentially, the NHS is just a state owned company, and one of the largest employers in the world to boot.

At the end of the day, with a country like Britain, which has the second largest military budget in the world (after you guys of course) there wouldn't be any valid excuse not to treat someone. If we can maintain such a large military budget, with little need for it, we can damn well maintain the health of our people.
Kudos to you, if you're right. I don't see how that can possibly be sustainable, though.

Ed said:
Some 60% of bankruptcies in the US are due to medical bills. And most of these people HAD insurance. Most insurance policies include deductibles and won't cover long term illnesses without requiring some sort of contribution from the patient for their treatment.

You can read about it here: http://www.cnn.com/2009/HEALTH/06/05/bankruptcy.medical.bills/
Don't misread, Ed. The propaganda piece shows that people weren't living within their means in the first place. The medical issues were one more cost piled onto an already broken budget. The bankruptcies weren't "due to medical bills." From the opening of the article: "... a new study suggests that more than 60 percent of people who go bankrupt are actually capsized by medical bills." The boat was sinking already, that last wave did her in. That's a far cry from the medical bills causing 60% of the bankruptcies.
Ed said:
That is indeed a valid point. I don't trust the US govt for much, but they do seem to run a highly successful army, police force and fire service, so why not healthcare? You guys have the resources, you have the skill, the only thing holding you back is the HMO systems.
We don't have federal fire or police; those are state & local. Plus I don't want any part of a medical service that's run like the military. :eek

Ed said:
But perhaps what Abcinthia said was correct, a universal healthcare system might not be the answer for the US. It is after all a very large country, with more citizens than any other western country. But a solution is needed.
Not a solution -- 50 solutions. This is not a federal issue. Each state can decide how it wants to handle itself.
 
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