@hightor,
All statuary health insurance providers in Germany are non-governmental
and not-for-profit public sector bodies regulated by public law. They
are neither owned nor run by the state. They are self-governed, self-regulated and largely independent of the Government and
the Ministry of Health. (The role of Federal and State Governments is
restricted to one of regulation and supervision.)
It is often said and published that Germany’s health care system is organised in a more socialised manner than other countries.
Bismarck most certainly wasn't a Socialist, but when he "founded" our systems in the early 1880's ... it was done to pre-empt similar Social Democrats' plans.
Those ideas, however, idea that employment and health care costs should be linked go back to the Middle Ages and the guild system of that period.
The guilds' regulations weren't only about who could practice their crafts, but they also evolved a response to illness and injury:
each guild member paid into a fund to support the families of those who became sick or were injured and paid funeral expenses for those who died. (Interestingly, these death benefits existed until 1989 - the health insurers paaid the funeral [more or less]. It was quite an outcry when they were dropped.)
@Walter Hinteler,
Quote:Bismarck most certainly wasn't a Socialist, but when he "founded" our systems in the early 1880's ... it was done to pre-empt similar Social Democrats' plans.
Yes, the threat of radical reform is sometimes enough to move the system to address festering social and economic problems.
Quote:Those ideas, however, idea that employment and health care costs should be linked go back to the Middle Ages and the guild system of that period.
I didn't know that — interesting. After WWII, Truman proposed a national health insurance plan but big business stepped in, along with the American Medical Association, and workers were stuck with the employer-provided systems.
Healthcare seems to be one of those issues which everybody is looking at the wrong way. That is, they are looking at various schemes to pay for our existing system without really reforming it. You would only need to eliminate four or five major abuses, and the cost savings would be so great that the question of HOW you paid for it would cease to be overwhelming.
What is really needed is what Theodore Roosevelt called “Trust Busting”. Key points would be:
1. Elimination of lawsuits against doctors and other medical providers, and you would have to do two other things at the same time. There would be a general fund to compensate victims of malpractice for actual damage and a non-inbred system for weeding out those guilty of malpractice. The non-inbred system would be a tribunal composed not just of other doctors, but of plumbers, electricians, engineers, and everybody else as well.
2. Elimination of the artificial exclusivity of the medical system. In other words our medical schools could easily produce two or three times the number of doctors they do with no noticeable drop off in quality.
3. Elimination of the factors which drive the cost of medicines towards unaffordability. That would include both lawsuits against pharmaceutical companies and government agencies which force costs into the billions to develop any new drug. There should be no suing a pharmaceutical for any drug which has passed FDA approval and it should not cost billions of dollars to get any new drug past FDA approval. But, basically, what you’re talking about here is bringing Big Pharma to heel, i.e. trust busting.
4. Elimination of the outmoded WW-II notion of triage in favor of a system which took some rational account of who pays for the system and who doesn't. The horror stories I keep reading about the middle-class guy with an injured child having to fill out forms for three hours while an endless procession of illegal immigrants just walks in and are seen, would end, as would any possibility of that child waiting three hours for treatment while people were being seen for heroin overdoses or other lifestyle issues.
5. Private/for-profit hospitals. Nobody should want hospitals owned by the federal government but, by all accounts, private/for-profit hospitals are also problematical. What we probably want would be hospitals owned by the local communities which they serve.
By far the biggest item is that first one. I don't know the exact numbers but if you add every cost involved in our present out-of-control lawyering, it has to be a major fraction if not more than half of our medical costs. The trial lawyers' guild being one of the two major pillars of financial support for the democrat party is the basic reason nobody is saying anything about that part of the problem.
Other than that, you almost have to have seen some of the problems close up to have any sort of a feel for them.
Item 2, this is what I saw in grad school some time ago, although I do not have any reason to think much has changed. In the school I attended, there appeared to be sixty or seventy first year med students walking around and all but one or two of them would have made perfectly good doctors, they were all very bright and highly motivated. The only way the school should have lost any of those kids was either they discovered they couldn't deal with the sight of blood in real life or six months later they changed their minds and went off to Hollywood to become actors or actresses; the school should never have lost more than ten percent of them. But they knew from day one that they were keeping 35% of that class.
That system says that you know several things about the guy working on your body: You know he's a survivor, and that's highly unlikely to be from being better qualified than 65% of the other students; You know he hasn't had enough sleep (he's doing his work and the work of that missing 65%); You know he's probably doing some sort of drugs to deal with the lack of sleep... Medical schools should be told that henceforth if they ever drop more than 10% of an incoming class, they'll lose their accreditation.
Item 3. My father walks into a pharmacy in Switzerland with a bottle of pills he normally pays $50 for in Fla. and asks the pharmacist if he can fill it. "Why certainly sir!", fills the bottle of pills and says "That will be $3.50." Seeing that my father was standing there in a state of shock, the man says "Gee, I'm sorry, Mr. H., you see, we have socialized medicine in Switzerland and if you were a Swiss citizen and paid into the system, why I could sell you this bottle of pills for $1.50 but, since you're foreign and do not pay into the system I have to charge you the full price, certainly you can appreciate that."
The guy thought my father was in shock because he was charging him too MUCH... Clearly whatever needs to be done with drugs amounts to trust busting, and not extracting more money from the American people.
Item 4. A caller to the Chris Plant show (D.C./WMAL) recently, an ER nurse, noted that much of the costs which her hospital had to absorb, as do most hospitals, was the problem of people with no resources using the ER as their first and only point of contact to the medical profession. She said that there were gang members who were constantly coming in for repairs from bullet holes and knife damage and drug problems, that they could not legally turn any of those people away, and that there was zero possibility of ever collecting any money from any of them, and that the costs of that were gigantic.
Throwing money at that problems is not going to help anything either. In a reasonable world, those guys would be cared for but not at the ER or at least not the part of the ER where normal people go, and they would not be first in line.
Again, all of these issues boil down to trust busting. You would only need to fix four or five major abuses, and the question of HOW we paid for health care would cease to be overwhelming.
@hightor,
You really should have included the subtitle
Quote:The Commies are coming for your pickup trucks.
Damn I like this guy, as a thinker and as a writer but also for his integrity and his persistence in trying to turn back or make evident the deceits that have marked American conservatism since at least the beginning of the Bush 2 administration.
This is a brilliant example of the man's work.
Trump's buddy at the National Inquirer also attempted to blackmail Ronan Farrow
Quote:Ronan Farrow said Thursday that he and “at least one other prominent journalist” who had reported on the National Enquirer and President Trump received blackmail threats from the tabloid’s parent company, American Media Inc., over their work.
Farrow’s allegation came just hours after Amazon chief executive Jeffrey P. Bezos published a remarkable public post on Medium accusing the National Enquirer of attempting to extort and blackmail him by threatening to publish intimate photos unless he stopped investigating the publication. (Bezos owns The Washington Post.)
In a tweet Thursday night, Farrow wrote that he and the unnamed journalist “fielded similar ‘stop digging or we’ll ruin you’ blackmail efforts from AMI.” Last April, Farrow published a story in the New Yorker about the Enquirer’s “catch and kill” practice — in which stories are buried by paying off sources — that benefited Trump during the 2016 presidential campaign.
WP
Quote:A Huge Climate Change Movement Led By Teenage Girls Is Sweeping Europe. And It’s Coming To The US Next.
Students are going on strike around the world to demand action on climate change, in a movement led almost entirely by teenage girls.
https://www.buzzfeednews.com/article/lesterfeder/europe-climate-change-protests-teens
The right cause. The right age group. The right gender. This is very cool.
You can be gay, you just can't lead...
Christian group can bar gay student from leadership role, judge rules
A federal judge ruled the University of Iowa was wrong to penalize a Christian student group after it barred a gay student from a leadership position.
City.Charlie Neibergall / AP file
Feb. 7, 2019, 2:16 PM EST
By Associated Press
IOWA CITY, Iowa — A federal judge has ruled that the University of Iowa was wrong to strip a Christian student group of its registered status after the organization barred a gay student from a leadership position.
U.S. District Judge Stephanie M. Rose on Wednesday granted a permanent injunction banning the university from rejecting the status of the group, Business Leaders in Christ, The Des Moines Register reported.
Rose found that the university had unevenly applied its human rights policy by allowing other groups to limit membership based on religious views, race, sex and other protected characteristics.
"Particularly when free speech is involved, the uneven application of any policy risks the most exacting standard of judicial scrutiny, which the defendants have failed to withstand," she said.
Business Leaders in Christ member Jake Estell said the group is happy with the outcome.
"This victory reinforces the commonsense idea that universities can't target religious groups for being religious," he said.
The university said it plans to adhere to the court's decision.
The university revoked the group's registration in November 2017 after the group barred a student from holding a leadership position after he disclosed that he was gay. The university said it has a right and obligation to ensure an open and nondiscriminatory environment on campus.
The registration loss meant Business Leaders in Christ could no longer reserve campus meeting space, participate in student recruitment fairs, access funds from student activity fees or use university-wide communication services.
Business Leaders in Christ sued the university, arguing that its membership is open to all students but that leaders must affirm a statement of faith that includes rejecting homosexuality.
Rose in January 2018 ordered the group to be temporarily reinstated while the lawsuit was pending. The U.S. Justice Department in December filed a "statement of interest" backing the group, arguing that the university had violated its free speech and assembly rights.
@neptuneblue,
neptuneblue wrote:
You can be gay, you just can't lead...
Christian group can bar gay student from leadership role, judge rules
A federal judge ruled the University of Iowa was wrong to penalize a Christian student group after it barred a gay student from a leadership position.
City.Charlie Neibergall / AP file
Feb. 7, 2019, 2:16 PM EST
By Associated Press
IOWA CITY, Iowa — A federal judge has ruled that the University of Iowa was wrong to strip a Christian student group of its registered status after the organization barred a gay student from a leadership position.
U.S. District Judge Stephanie M. Rose on Wednesday granted a permanent injunction banning the university from rejecting the status of the group, Business Leaders in Christ, The Des Moines Register reported.
Rose found that the university had unevenly applied its human rights policy by allowing other groups to limit membership based on religious views, race, sex and other protected characteristics.
"Particularly when free speech is involved, the uneven application of any policy risks the most exacting standard of judicial scrutiny, which the defendants have failed to withstand," she said.
Business Leaders in Christ member Jake Estell said the group is happy with the outcome.
"This victory reinforces the commonsense idea that universities can't target religious groups for being religious," he said.
The university said it plans to adhere to the court's decision.
The university revoked the group's registration in November 2017 after the group barred a student from holding a leadership position after he disclosed that he was gay. The university said it has a right and obligation to ensure an open and nondiscriminatory environment on campus.
The registration loss meant Business Leaders in Christ could no longer reserve campus meeting space, participate in student recruitment fairs, access funds from student activity fees or use university-wide communication services.
Business Leaders in Christ sued the university, arguing that its membership is open to all students but that leaders must affirm a statement of faith that includes rejecting homosexuality.
Rose in January 2018 ordered the group to be temporarily reinstated while the lawsuit was pending. The U.S. Justice Department in December filed a "statement of interest" backing the group, arguing that the university had violated its free speech and assembly rights.
It doesn't sound like he's being barred for being gay but for failing to reject homosexuality. Isn't that about the same as experiencing temptation and failing to reject fornication? I think they have to distinguish between 'being gay' and engaging in homosexuality, because there is no sin in just being gay and celibate any more than there is sin in being heterosexual and celibate.
@livinglava,
How does rejecting homosexuality have to do with leadership qualities?
@neptuneblue,
Normally I come down on the liberal side.
However I have to agree with this sentence:
Quote:"This victory reinforces the commonsense idea that universities can't target religious groups for being religious," he said.
I just wonder if that same fellow would say the same if it was a Muslim group who barred a student from a leadership position for failing to uphold it's Islamic views. This is where the sticky whicky come in. The rules have to apply to all religions equally. I can't really see some Christians conservatives accepting the rule accross the board, but maybe I'm wrong.
@hightor,
I had that saved on my new app as I have read ya'll discussion here in this thread and other about socialism. Good article.
@izzythepush,
I thought I might have gotten the phrase wrong.

Thanks.
@revelette1,
That's OK, I was just surprised to find a cricketing reference anyway.
@izzythepush,
I love romance or historical literature centered around English/Scottish area. (as it was I guess referred to then) A lot of books in the Regency period uses that expression. Usually the latest I will read is in the Victorian age. In fact the only romances I read centered in the US are Anne Rice's books or sometimes other southern books. (not in the time of the Civil war unless it's about the slaves, other than in my youth reading Gone With The Wind.)
@neptuneblue,
Quote:I'm not extremist. No one is killing a healthy baby. Whatever rhetoric you use doesn't make it so.
So you are saying this law only allows for the abortion of a baby that isn't healthy, they have birth defects that would make it impossible for them to live outside the womb?
Quote:My understanding of asylum means fleeing from forces that make someone afraid for their life. That includes natural disasters and drug cartels.
You can have your own understanding, but the reality of what asylum is granted for is pretty clear, and drug cartels and natural disasters ain't one of them. Besides what ND are people fleeing in South America?
Quote:Proving types of socialism is easy, I already did that. Go up a few posts and let it sink in.
You actually didn't provide anything as proof. You tried to pass of govt responsibilities as socialism and that isn't the case. Educaiton, police and fire depts are not examples of socialism. If you think they are, then you don't understand socialism.
Quote:I got stuck on the FACTS?? How is that a bad thing??
Wrong facts. I proved you were wrong about the indictments, I stuck you with the facts, and now you backed off. Don't play twisting games with words.
Quote:I helped elect people. That's what I do when I agree with their policies. Don't you?
What sort of cop out is this, it doesn't relate to what we were talking about. You were caught being a racist and this is your response?
@revelette1,
The city of Bath famous for its Roman baths is known as the Regency City because of all the building that went up during that time. It's very pretty, but a total bastard to drive through.
https://janeaustensworld.wordpress.com/tag/regency-bath/
@maporsche,
Quote:That's the legal definition for being granted asylum.
Which none of the people coming from South America meet that standard. They are only coming here because they want to live and work in the US, that isn't grounds for asylum.
Quote:There is no law that says someone cannot claim asylum for any reason they choose, they will just be denied in the US.
There is a legal definition for asylum... anything else is a false application and people should be deported.
Quote:Legally, they can cross our border anywhere, and again, legally claim asylum.
No they can't. Crossing the border illegally is a crime and to ask for asylum, it should be taking place at a port of entry, not after you have already broken the law. You wonder why our system is broke, look at yours and NB's reply and wonder no more.