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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Thomas
 
  1  
Reply Fri 9 Nov, 2007 01:44 pm
Thomas wrote:
But a good number of chronic diseases -- kidney failure, some forms of epilepsy, and others -- are so expensive they exceed even the budget of middle class families, who aren't covered by Medicaid.

... or cancer. Thanks, Cycloptichorn.
0 Replies
 
Cycloptichorn
 
  1  
Reply Fri 9 Nov, 2007 01:48 pm
USAFHokie80 wrote:
Thomas wrote:
USAFHokie80 wrote:
basic medical care is provided via EDs. if someone is in acute medical distress, he or she can get free care at any emergency department. and the government does provide coverage for those who can't afford it.

The government provides coverage for poor people. But a good number of chronic diseases -- kidney failure, some forms of epilepsy, and others -- are so expensive they exceed even the budget of middle class families, who aren't covered by Medicaid.


yes, that's true. but there has to be a line drawn somewhere. the government can't be responsible for every need of every person.

suppose i had a child with a condition that required medical care far surpassing my income - then what? is the government supposed to cover all of that for me, even if i do earn enough to pay for basic health care ?


Better to just let the kid suffer to an excruciating death. Right?

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 01:53 pm
Cycloptichorn wrote:
Health insurers make money out of screwing over their clients to the maximum amount they will deal with.

Do you get it, Hokie?

The insurers rely upon not helping people to stay profitable. Period.

Cycloptichorn


while you may not like it... the company may pull policies if they choose. it is a business and they exist to make money. when any company has an asset that causes them to lose money, they will release it. it is the same in this case.
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 01:55 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Thomas wrote:
USAFHokie80 wrote:
basic medical care is provided via EDs. if someone is in acute medical distress, he or she can get free care at any emergency department. and the government does provide coverage for those who can't afford it.

The government provides coverage for poor people. But a good number of chronic diseases -- kidney failure, some forms of epilepsy, and others -- are so expensive they exceed even the budget of middle class families, who aren't covered by Medicaid.


yes, that's true. but there has to be a line drawn somewhere. the government can't be responsible for every need of every person.

suppose i had a child with a condition that required medical care far surpassing my income - then what? is the government supposed to cover all of that for me, even if i do earn enough to pay for basic health care ?


Better to just let the kid suffer to an excruciating death. Right?

Cycloptichorn


cyclo... i realize this may be hard for you... but there are not enough resources to make everyone's life perfect. no, i don't think it's "better to let the child suffer" - but i am realistic enough to know that we cannot support all of the medical needs of all of the people. i don't know why it's so hard to understand.
0 Replies
 
Cycloptichorn
 
  1  
Reply Fri 9 Nov, 2007 02:01 pm
USAFHokie80 wrote:
Cycloptichorn wrote:
Health insurers make money out of screwing over their clients to the maximum amount they will deal with.

Do you get it, Hokie?

The insurers rely upon not helping people to stay profitable. Period.

Cycloptichorn


while you may not like it... the company may pull policies if they choose. it is a business and they exist to make money. when any company has an asset that causes them to lose money, they will release it. it is the same in this case.


'cept that they are violating both the terms of their actual contract and the moral contract they made with the person being insured. Doesn't that matter to you at all?

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 02:10 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
Cycloptichorn wrote:
Health insurers make money out of screwing over their clients to the maximum amount they will deal with.

Do you get it, Hokie?

The insurers rely upon not helping people to stay profitable. Period.

Cycloptichorn


while you may not like it... the company may pull policies if they choose. it is a business and they exist to make money. when any company has an asset that causes them to lose money, they will release it. it is the same in this case.


'cept that they are violating both the terms of their actual contract and the moral contract they made with the person being insured. Doesn't that matter to you at all?

Cycloptichorn


how are they violating the terms of their contract? have you read the contract? i'm somewhat certain that if they were violating the contract, the lawsuit that would follow would correct that. a moral contract... the company is not a person and has no morals. would you be ok with it if instead of dropping the policy, they just raised the premiums to help compensate for expensive medical treatment?
0 Replies
 
Thomas
 
  1  
Reply Fri 9 Nov, 2007 02:40 pm
USAFHokie80 wrote:
suppose i had a child with a condition that required medical care far surpassing my income - then what? is the government supposed to cover all of that for me, even if i do earn enough to pay for basic health care ?

Why not? It is an empirical fact that universal health care can take care of all of that for you, without prohibitively bad consequences for the other policy holders. France and England are doing it in a single-payer, "Medicare for all" kind of framework. Germany is doing it through private suppliers in a heavily regulated market. But however you implement it, the point is it's possible. So the question isn't "why cover sick people with expensive illnesses"? The question is "why not?"

USAHokie80 wrote:
while you may not like it... the company may pull policies if they choose.

Under current law it may. But if the law is changed to make the practice illegal, as we did in Germany long ago, the company may not. The question then becomes, should America change its health insurance laws or not?

USAHokie80 wrote:
cyclo... i realize this may be hard for you... but there are not enough resources to make everyone's life perfect. no, i don't think it's "better to let the child suffer" - but i am realistic enough to know that we cannot support all of the medical needs of all of the people. i don't know why it's so hard to understand.

To repeat: No, you are not being realistic. The fact is that France, Germany, and Britain do provide much broader coverage than America, and provide it to everyone, including those who can't afford it. We know for a fact that what Cycloptichorn wants is possible. Of course, you can still support a legal regime in which companies can cancel the policies of cancer patients in the middle of their therapy. You are well within your rights to support that. But it's not out of necessity that you do it. It's your personal choice, and you have to defend it on that basis.
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 03:22 pm
Thomas wrote:
USAFHokie80 wrote:
suppose i had a child with a condition that required medical care far surpassing my income - then what? is the government supposed to cover all of that for me, even if i do earn enough to pay for basic health care ?

Why not? It is an empirical fact that universal health care can take care of all of that for you, without prohibitively bad consequences for the other policy holders. France and England are doing it in a single-payer, "Medicare for all" kind of framework. Germany is doing it through private suppliers in a heavily regulated market. But however you implement it, the point is it's possible. So the question isn't "why cover sick people with expensive illnesses"? The question is "why not?"

USAHokie80 wrote:
while you may not like it... the company may pull policies if they choose.

Under current law it may. But if the law is changed to make the practice illegal, as we did in Germany long ago, the company may not. The question then becomes, should America change its health insurance laws or not?

USAHokie80 wrote:
cyclo... i realize this may be hard for you... but there are not enough resources to make everyone's life perfect. no, i don't think it's "better to let the child suffer" - but i am realistic enough to know that we cannot support all of the medical needs of all of the people. i don't know why it's so hard to understand.

To repeat: No, you are not being realistic. The fact is that France, Germany, and Britain do provide much broader coverage than America, and provide it to everyone, including those who can't afford it. We know for a fact that what Cycloptichorn wants is possible. Of course, you can still support a legal regime in which companies can cancel the policies of cancer patients in the middle of their therapy. You are well within your rights to support that. But it's not out of necessity that you do it. It's your personal choice, and you have to defend it on that basis.


The ability of another country to do whatever does not prove it will work in America. Germany and France are the size of a single STATE here... there are MANY MANY more people to care for here. Oh, and let's not forget all of the illegal immigrants.
Then there is the matter of the doctors. In your part of the world, many of them work for the government. Here that is not the case. Many physicians are leaving state and federal hospitals for privately funded organizations because medicare and medicaid have poor reimbursement rates. I imagine that not too many providers are keen on a government-run health care plan. Should many of them choose to defect to the private sector, then what?
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 03:24 pm
so... wait a minute... change the laws? you want to change the law so that a private insurance corporation cannot cancel a policy with on-going treatment? i assume you would disallow them to increase rates as well?
0 Replies
 
Cycloptichorn
 
  1  
Reply Fri 9 Nov, 2007 03:26 pm
USAFHokie80 wrote:
so... wait a minute... change the laws? you want to change the law so that a private insurance corporation cannot cancel a policy with on-going treatment? i assume you would disallow them to increase rates as well?


On an on-going client, yes!

Why not?

You may not be a heartless bastard, but you don't seem to have an ounce of sympathy whatsoever for people who actually think that corporations should be forced to act in good faith.

Cycloptichorn
0 Replies
 
Thomas
 
  1  
Reply Fri 9 Nov, 2007 03:34 pm
USAFHokie80 wrote:
The ability of another country to do whatever does not prove it will work in America. Germany and France are the size of a single STATE here... there are MANY MANY more people to care for here.

Just out of curiosity, which American state has 50 million citizens (like France) or 80 million (like Germany)? Not that size matters, mind you. If America has six times as many citizens as France, that means it has six times as many people to care for -- but it also means it has six times as many payers of insurance premiums. The effects cancel out, so the size of the country doesn't affect the feasibility of the system.

USAFHokie80 wrote:
Oh, and let's not forget all of the illegal immigrants.

By all means, let's not. We have them too.

USAFHokie80 wrote:
Then there is the matter of the doctors. In your part of the world, many of them work for the government.

Not here in Germany they don't. You can implement, and we have implemented, universal health care by regulating the private market, and having the government pay the premiums for the jobless, the disabled, and other people unable to pay. Universal health care doesn't require a government-run, single-payer system -- and the leading Democratic candidates aren't proposing any such system.
0 Replies
 
mysteryman
 
  1  
Reply Fri 9 Nov, 2007 03:56 pm
Quote:
Not here in Germany they don't. You can implement, and we have implemented, universal health care by regulating the private market, and having the government pay the premiums for the jobless, the disabled, and other people unable to pay


And where does the govt get that money?
0 Replies
 
Thomas
 
  1  
Reply Fri 9 Nov, 2007 04:00 pm
mysteryman wrote:
And where does the govt get that money?

Out of a thing called Sozialversicherungsbeiträge. It's a complicated term to translate in all its bureaucratic nuances. But for purposes of this discussion, you may assume it is paid out of the payroll tax, which is higher in Germany than in America.
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 04:07 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
so... wait a minute... change the laws? you want to change the law so that a private insurance corporation cannot cancel a policy with on-going treatment? i assume you would disallow them to increase rates as well?


On an on-going client, yes!

Why not?

You may not be a heartless bastard, but you don't seem to have an ounce of sympathy whatsoever for people who actually think that corporations should be forced to act in good faith.

Cycloptichorn


Is that a "yes" that you would allow them to increase the premiums too?

Why not... hmm... one thought: suppose this corp has more than one patient in this case, where they are spending massive amounts of money on a patient but that patient only pays in a small amount... what happens when that company starts to lose money? they'll liquidate and a lot more people will be without insurance.

and why does anyone think that a business should be forced to act in good faith? and what exactly do you mean by "good faith" anyway? the business isn't there to be your friend, they are there to make money. they are there because you pay them. that it is.
0 Replies
 
Thomas
 
  1  
Reply Fri 9 Nov, 2007 04:13 pm
It's actually more complicated than I described. The major features of the German health care system are these:
  • Everybody must be insured.

  • the government writes a catalogue of treatments, medications, etc, which are covered. All the illnesses that produce dramatic headlines in America are covered -- cancer, dialysis, bypass operations, epilepsy, you name it.

  • every health insurance company must insure every applicant, with no questions asked about medical history.

  • they must insure every applicant at the same percentage of their gross income. Each insurance company can freely set this percentage. If they choose too low a percentage, they go bankrupt because they can't pay the treatments they're obliged to pay for. If they set too high a percentage, they lose customers to more efficient competitors.

  • people without an income -- students, jobless, permanently disabled people, etc. -- get their insurance paid out of taxes.
Our system isn't perfect, but it costs much less than America's, and achieves better results by any benchmark you may suggest.
0 Replies
 
au1929
 
  1  
Reply Fri 9 Nov, 2007 04:14 pm
USAFHokie80
If the company were selling shoe laces or blouses whether it was acting in good faith or not would not be critical. However when it is dealing with peoples lives. IMO it damn sure must act in good faith.
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 04:30 pm
au1929 wrote:
USAFHokie80
If the company were selling shoe laces or blouses whether it was acting in good faith or not would not be critical. However when it is dealing with peoples lives. IMO it damn sure must act in good faith.


And what exactly do you consider "good faith" ?
0 Replies
 
Cycloptichorn
 
  1  
Reply Fri 9 Nov, 2007 04:36 pm
USAFHokie80 wrote:
au1929 wrote:
USAFHokie80
If the company were selling shoe laces or blouses whether it was acting in good faith or not would not be critical. However when it is dealing with peoples lives. IMO it damn sure must act in good faith.


And what exactly do you consider "good faith" ?


Not canceling people's insurance in the middle of treatment!!!

If the company has to lose money on a client, so be it. You don't seem to understand that the insurance companies are placing bets. They usually win big on the bets, as most people pay for health insurance and rarely use it. Every now and then they lose big, and according to you, they should be able to just quit the game when that happens. No way is that fair or moral in any fashion.

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Fri 9 Nov, 2007 06:28 pm
Cycloptichorn wrote:
USAFHokie80 wrote:
au1929 wrote:
USAFHokie80
If the company were selling shoe laces or blouses whether it was acting in good faith or not would not be critical. However when it is dealing with peoples lives. IMO it damn sure must act in good faith.


And what exactly do you consider "good faith" ?


Not canceling people's insurance in the middle of treatment!!!

If the company has to lose money on a client, so be it. You don't seem to understand that the insurance companies are placing bets. They usually win big on the bets, as most people pay for health insurance and rarely use it. Every now and then they lose big, and according to you, they should be able to just quit the game when that happens. No way is that fair or moral in any fashion.

Cycloptichorn


How do you define "middle of treatment" ?

And for the record, I'm not necessarily against affordable health care. I AM against the idea of entitlement and that the government should take care of us. People have shed too much of their own responsibility and demand the government baby sit them.
0 Replies
 
Ramafuchs
 
  1  
Reply Sat 10 Nov, 2007 04:47 pm
0 Replies
 
 

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