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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
okie
 
  1  
Reply Fri 24 Aug, 2007 02:09 pm
So to clarify your position, what would you reform the U.S. health care system to look like in a short paragraph.
0 Replies
 
old europe
 
  1  
Reply Fri 24 Aug, 2007 02:15 pm
Make it universal. Make sure everybody gets health care, not just access to the ER in case of an emergency.

Make health insurance mandatory. It wouldn't affect most people, as they are already paying into an insurance, but you would have a larger pool of people to offer lower premiums for people with a lower income.

Those who can't even afford that would qualify for some kind of government assistance.

I believe all of that could be very cost neutral, as you're merely shifting the financing from subsidized emergency care to subsidized health care for a certain percentage of the population.


There are lots of details that you could quibble about. I see Mitt Romney's version of universal health care in Massachusetts as one version of such a concept. Other versions are certainly possible.


(Sorry. More than one paragraph.)
0 Replies
 
McGentrix
 
  1  
Reply Fri 24 Aug, 2007 02:29 pm
So, universal health care = mandatory health insurance?
0 Replies
 
old europe
 
  1  
Reply Fri 24 Aug, 2007 02:36 pm
McGentrix wrote:
So, universal health care = mandatory health insurance?


No.

It's one possibility.
0 Replies
 
okie
 
  1  
Reply Fri 24 Aug, 2007 02:46 pm
old europe wrote:
Make it universal. Make sure everybody gets health care, not just access to the ER in case of an emergency.

Make health insurance mandatory. It wouldn't affect most people, as they are already paying into an insurance, but you would have a larger pool of people to offer lower premiums for people with a lower income.

Actually we aren't far from that now, except for the mandatory stipulation.

Quote:
Those who can't even afford that would qualify for some kind of government assistance.

We already have Medicaid for people with very low incomes and therefore qualify for it. Plus, we have Medicare for everyone over 65, which is when more health problems begin to become more common.

Quote:
I believe all of that could be very cost neutral, as you're merely shifting the financing from subsidized emergency care to subsidized health care for a certain percentage of the population.


There are lots of details that you could quibble about. I see Mitt Romney's version of universal health care in Massachusetts as one version of such a concept. Other versions are certainly possible.


(Sorry. More than one paragraph.)

I understand the subsidization of the uninsured, as every hospital takes it in the shorts for that.

I could support something like what you are advocating. My main concern is that such is not an incremental move toward single payer government run health care, which is the tactic that some Democrats may use here.

Thanks for the summary.
0 Replies
 
old europe
 
  1  
Reply Fri 24 Aug, 2007 02:52 pm
okie wrote:
old europe wrote:
Make it universal. Make sure everybody gets health care, not just access to the ER in case of an emergency.

Make health insurance mandatory. It wouldn't affect most people, as they are already paying into an insurance, but you would have a larger pool of people to offer lower premiums for people with a lower income.

Actually we aren't far from that now, except for the mandatory stipulation.



... and 45 million people without insurance. I agree. That's why I think it would work best for the States.


okie wrote:
Quote:
Those who can't even afford that would qualify for some kind of government assistance.

We already have Medicaid for people with very low incomes and therefore qualify for it. Plus, we have Medicare for everyone over 65, which is when more health problems begin to become more common.


Exactly. Only minor changes would be necessary.


okie wrote:
Quote:
There are lots of details that you could quibble about. I see Mitt Romney's version of universal health care in Massachusetts as one version of such a concept. Other versions are certainly possible.


(Sorry. More than one paragraph.)

I understand the subsidization of the uninsured, as every hospital takes it in the shorts for that.

I could support something like what you are advocating. My main concern is that such is not an incremental move toward single payer government run health care, which is the tactic that some Democrats may use here.


Possible, but I don't see that. In fact, some countries with that kind of universal health care system have less government involvement than the United States currently have.


okie wrote:
Thanks for the summary.


You're very welcome.
0 Replies
 
okie
 
  1  
Reply Fri 24 Aug, 2007 04:04 pm
I think I would favor some kind of mandatory catastrophic insurance unless the person or family can show he can self insure, which would include many wealthy people, however I would not advocate mandatory insurance for minor health care. For example, many people have insurance with a very high deductible, such as $2,000 or even $5,000 or more, and this works quite well. For example, we don't carry auto insurance to have oil changes performed, and there is no reason to carry health insurance for an annual checkup that may cost not much more than a couple of tanks of gasoline or so.

I think when people have insurance to cover routine office visits, you have doctors waiting rooms filled with kids with runny noses, when all they need to do is wait a few days to recover from a routine cold. If they had to pay for those visits, they would tend to more efficient about seeing a doctor.

I want to avoid another federal bureaucracy. I would rather see the people take care of their own health care issues, and in the case of where the people desire mandatory catastrophic health insurance, perhaps look at letting the states legislate it. As Amendment X of the Bill of Rights stipulates, I do not think it is constitutional to get the Federal Government involved. I realize they are already more involved than they should be, but at least I am not going to vote for more and more involvement.

Another thing that needs to me reminded again is we need major tort reform. Trial lawyers oppose this and they are squarely in the pockets of Democrats. Tort reform could reduce health care costs considerably in many ways, some of which are difficult to measure.
0 Replies
 
Cycloptichorn
 
  1  
Reply Fri 24 Aug, 2007 04:18 pm
okie wrote:
I think I would favor some kind of mandatory catastrophic insurance unless the person or family can show he can self insure, which would include many wealthy people, however I would not advocate mandatory insurance for minor health care. For example, many people have insurance with a very high deductible, such as $2,000 or even $5,000 or more, and this works quite well. For example, we don't carry auto insurance to have oil changes performed, and there is no reason to carry health insurance for an annual checkup that may cost not much more than a couple of tanks of gasoline or so.

I think when people have insurance to cover routine office visits, you have doctors waiting rooms filled with kids with runny noses, when all they need to do is wait a few days to recover from a routine cold. If they had to pay for those visits, they would tend to more efficient about seeing a doctor.

I want to avoid another federal bureaucracy. I would rather see the people take care of their own health care issues, and in the case of where the people desire mandatory catastrophic health insurance, perhaps look at letting the states legislate it. As Amendment X of the Bill of Rights stipulates, I do not think it is constitutional to get the Federal Government involved. I realize they are already more involved than they should be, but at least I am not going to vote for more and more involvement.


hmm? It feels to me like you have it backwards.

Catastrophic problems are quite expensive, and paying for them all out of mandatory insurance would be very expensive to taxpayers.

Mandatory maintenance is cheap, and can stop a huge number of the catastrophic problems from happening.

Scenario: a man has colon cancer, a not uncommon catastrophic occurance in American life.

Is it cheaper to pay for the screening, which finds this cancer and has it removed while it is nearly too small to see?

Or is it cheaper to pay the bills when the cancer has metastasized into a life-threatening problem?

Cycloptichorn
0 Replies
 
okie
 
  1  
Reply Fri 24 Aug, 2007 04:23 pm
I think some high deductible policies pay for some screenings that you mention, so the insurance companies have already figured out what is efficient about this. As a matter of note, I think the commonly held belief that checkups will prevent illness is overrated. Catching something early is good, but you are assuming a person doesn't care if he gets cancer if he has to pay a few dollars for a checkup, which is not accurate. Plus I think lifestyle is the most important factor to begin with.
0 Replies
 
mysteryman
 
  1  
Reply Fri 24 Aug, 2007 05:40 pm
old europe wrote:
okie wrote:
Who here agrees with the premise that health care is a "right" or should be a "right" and guaranteed by the government?


I think a society is measured by how it treats the vulnerable, the poor and helpless. It is measured by the compassion it shows, not just by the chances and opportunities it offers to those who are able to take care of themselves.

Health care isn't a right just like life, liberty, and the pursuit of happiness. But if we think it's okay that people are deprived of these rights because they are ill and can't pay for the treatment, I find it questionable whether the profession of those rights is really more than lip service.

So I think it makes sense for a society to see to it that health care is something everyone can obtain whenever he needs it, and it makes sense that the government that we have elected makes provisions for this to happen.

That does not mean that the government has to provide health care itself - merely that the government puts regulation into place that makes health care available for everyone.


Let me rephrase this another way,especially in the US...


I think a society is measured by how it treats the vulnerable, the poor and helpless. It is measured by the compassion it shows, not just by the chances and opportunities it offers to those who are able to take care of themselves.

Owning a car isn't a right just like life, liberty, and the pursuit of happiness. But if we think it's okay that people are deprived of these rights because they are ill and can't pay for the treatment, I find it questionable whether the profession of those rights is really more than lip service.

So I think it makes sense for a society to see to it thatan automobile is something everyone can obtain whenever he needs it, and it makes sense that the government that we have elected makes provisions for this to happen.

That does not mean that the government has to provide a car itself - merely that the government puts regulation into place that makes owning a car available for everyone.

Doesnt that make sense also?
After all,not everybody can afford a car,so they have problems getting to work.
Shouldnt the govt fix that also?
0 Replies
 
maporsche
 
  1  
Reply Fri 24 Aug, 2007 05:59 pm
mysteryman wrote:

After all,not everybody can afford a car,so they have problems getting to work.
Shouldnt the govt fix that also?


Haven't they?

Buses, subways, trains, etc.
0 Replies
 
hamburger
 
  1  
Reply Fri 24 Aug, 2007 06:12 pm
okie wrote :

Quote:
For example, we don't carry auto insurance to have oil changes performed, and there is no reason to carry health insurance for an annual checkup that may cost not much more than a couple of tanks of gasoline or so.


i understand that most new car warranties require that scheduled oil changes are being done or the warranty will lapse !
i doubt that many drivers will neglect the oil changes to save a few bucks and instead pay for a major engine repair out of their own pocket .
btw the cost of the new car warranty is build into the price of the new car - and we quite readily seem to accept the fact that we cannot by a new car WITHOUT paying the built-in WARRANTY PREMIUM .

to apply that to human life , why would we want to save a few dollars on preventative health-care only to have to pay much more later for a MAJOR OVERHAUL ?
as has been stated , many hospitals and other health-care providers will pay for MAJOR OVERHAULS even if the patient does not have any insurance .
just from an economic point of view it doesn't seem to make much sense to save on(relatively inexpensive) preventative health-care only to sink loads of money into a MAJOR OVERHAUL later - or does it ?

it is my VERY PERSONAL OPINION that all basic/regular kinds of health-care should be available to EVERYONE (and especially to mothers-to-be and children - compare it to the inspection of a car before delivery and mandatory oil changes , if you will) .
IMO that's part and parcel of living in a civilized society ; but as i also stated , it would make economic sense - isn't that what is called a "WIN-WIN" deal in business - there don't seem to be any losers in such a deal ?

i know that it is not possible for every imaginable type of treatment to be available to everyone - we all know that we are frail humans and our life on earth is short .

i'm not sure what the exact dollar figures are , but i understand the largest outlays for medical health care are often made during the last few months of a patients life .
again , just my VERY PERSONAL OPINION : i think it would make much more sense to spend that kind of money on PREVENTION of disease and sickness .
-------------------------------------------------------------------------------------
i believe i'm old enough to be allowed to state that , while i do enjoy life now , i wouldn't want to be hooked up to a machine in the last stages of life just to vegetate .

i was privy to a conversation a doctor had about a year ago with a spry 80+ year old patient in a local rehab facility .
my friend was in the bed next to him and i had exchanged a few friendly words with the SPRY fellow .

(since i didn't write down he words of the conversation , i'll do my best to tell you what i remember)
a surgeon came in , closed the curtain around the patient and spoke to him in a very quiet and low voice about his upcoming knee-replacement operation that was to take place the next day .
he assured the patient that it was pretty well a routine operation and that he was quite sure he would be up-and-about again in a few weeks .

after a few more words had been exchanged , the surgeon said :
"now while i expect everything to work out just fine , i'm sure you realize
that it is after all a major operation . while i do not foresee any complications , i can't be absolutely sure ; i'm sure you understand ? " .
the SPRY fellow told the surgeon that he did understand that .

the surgeon went on - after re-assuring the patient again : "i would appreciate it if you'd tell me what you would want us to do in case the operation is not succesful at all . of course we could hook you up to all kinds of machinery and try to prolong your life or you can request that no drastic measures be undertaken ."

after only a few seconds - that seemed like hours to me - the reply came : "doctor , i wouldn't want to have all kinds of hoses poked into my body - that's not how i lived my life and that's not how i want it to end ."

after a pause the surgeon said : "i'll leave a form with you for you to sign . please call me anytime if you have any questions , i'll be on duty this evening . if you still feel the same way tomorrow morning , please sign the form and hand it to the nurse . "

after a few more pleasantries , the surgeon said good-night and pulled the curtain back again .

my friend and i felt a bit awkward - didn't know what to say .
but the spry fellow wasn't embarrassed at all . "you know " , he said , "i sure hope it works out , but i sure as h..l wouldn't want to live like that woman in florida that recently died . i think i better sign the form " .
and that finished it for him . we talked about his family , his hobbies , his wife came in , i said good-night and left .
i learned a VERY VALUABLE lesson that evening .

if you think the second part of my post bears absolutely no relationship to the first part , simply ignore it , please .
hbg
0 Replies
 
mysteryman
 
  1  
Reply Fri 24 Aug, 2007 06:49 pm
maporsche wrote:
mysteryman wrote:

After all,not everybody can afford a car,so they have problems getting to work.
Shouldnt the govt fix that also?


Haven't they?

Buses, subways, trains, etc.


Thats fine,but what about the rural areas?
THey dont have buses,trains,subways,etc to get to work.
Should the govt provide them automobiles?
0 Replies
 
cicerone imposter
 
  1  
Reply Fri 24 Aug, 2007 07:18 pm
mm: Should the govt provide them automobiles?

Yes, of coarse! Make them Rolls Royce, Cadillacs and Mercedes Benzs. Why do anything half ass.
0 Replies
 
mysteryman
 
  1  
Reply Fri 24 Aug, 2007 07:20 pm
cicerone imposter wrote:
mm: Should the govt provide them automobiles?

Yes, of coarse! Make them Rolls Royce, Cadillacs and Mercedes Benzs. Why do anything half ass.


Are you willing to pay for them?
0 Replies
 
cicerone imposter
 
  1  
Reply Fri 24 Aug, 2007 07:24 pm
What a silly ass question. You are stupid.
0 Replies
 
cicerone imposter
 
  1  
Reply Fri 24 Aug, 2007 07:26 pm
mm: Should the govt provide them automobiles?

Are you willing to pay for them? You are dumb.
0 Replies
 
mysteryman
 
  1  
Reply Fri 24 Aug, 2007 07:31 pm
cicerone imposter wrote:
mm: Should the govt provide them automobiles?

Are you willing to pay for them? You are dumb.


No,I'm NOT willing to pay for them.

And since you wont answer the question,it is safe to assume that you arent either.

But you seem perfectly willing to pay for someone elses health care.
0 Replies
 
old europe
 
  1  
Reply Fri 24 Aug, 2007 07:37 pm
mysteryman wrote:
Let me rephrase this another way,especially in the US...

<snip>

Owning a car isn't a right just like life, liberty, and the pursuit of happiness. But if we think it's okay that people are deprived of these rights because they are ill and can't pay for the treatment, I find it questionable whether the profession of those rights is really more than lip service.

<snip>

Doesnt that make sense also?



No.
0 Replies
 
okie
 
  1  
Reply Fri 24 Aug, 2007 07:56 pm
hamburger wrote:
okie wrote :

Quote:
For example, we don't carry auto insurance to have oil changes performed, and there is no reason to carry health insurance for an annual checkup that may cost not much more than a couple of tanks of gasoline or so.


i understand that most new car warranties require that scheduled oil changes are being done or the warranty will lapse !
i doubt that many drivers will neglect the oil changes to save a few bucks and instead pay for a major engine repair out of their own pocket .
....

hamburger, I think you totally misunderstand the point. In the first place, if the government doesn't provide something as cheap as a couple of tanks of gas, or a cart full of groceries, or an annual checkup at the doctor, are people so ignorantly helpless that they won't do it for themselves?

Just because I am not advocating mandatory insurance for routine office visits does not mean you can't go purchase it for yourself.
0 Replies
 
 

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