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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
USAFHokie80
 
  1  
Reply Sat 8 Sep, 2007 11:51 am
cicerone imposter wrote:
You don't seem to understand anything about "evidence" to back up your statements. You're too sloppy to be responsible for anything too important. Your statements have very little credibilty because they are sloppy and without evidence.


What evidence do I need to provide? If you don't believe me, ask your wife. If she is a nurse and works in a hospital, she will tell you everything I've said is true. What is it you need evidence for? I'm also wondering why you think I'm "sloppy". And again, I like how you're trying to imply that I'm a complete idiot.

Why is it that I have no credibility, but you, who obviously know nothing about health care and the systems that make it run, can post comments on here that DO have credibility? You're just looking things up in google and using that for "evidence" - which is hardly a reliable source.
0 Replies
 
Walter Hinteler
 
  1  
Reply Sat 8 Sep, 2007 12:09 pm
georgeob1 wrote:

It remains to be seen whether Europe, with its aging population and restrictions on immigration will long be able to sustain the economic burdens of the relatively generous pension and social welfare systems it now maintains. Indeed changes and restrictions to them are already beginning to appear. It is likely that process will continue and grow.


Relatively generous pensions are actually the best for our insurance companies: the get more by that.

I didn't object at all that changes and restrictions have appeared and most probably will continue. (I've mentioned alreadysome earlier on this thread.)

But reading here about what happens in the USA and how the actually situation looks alike there - we aren't doing so bad at all.
All of us, in our universal health care system .... with our insurance fonds making a plus of more than $300 mio in the first half of 2007.
(All 300 in the system, that is. Admittedly, some didn't come out as good as others.)
0 Replies
 
georgeob1
 
  1  
Reply Sat 8 Sep, 2007 12:27 pm
I agree - Germans (and western Europeans generally) are doing very well indeed. So are we. Europe and America are both relatively well adapted, but to different fundamental conditions. We have higher birth rates and much higher rates of immigration (both legal and illegal). Associated with that we have a generally more competitive society, one that I believe is far better suited to the much greater success in the assimilation of immigrants that we both need and enjoy.

How all of this may play out in the long run is hard to know. We may see greater restrictions on immigration in America, accompanied by more extensive and expensive social welfare systems (I believe that would be unfortunate). Alternatively we may see birth rates in Europe begin to rise and immigration increase - though that seems very unlikely to me. Which of our two present conditions is more condusive to success in the long run is an arguable point - though I believe ours is more likely to succeed.
0 Replies
 
USAFHokie80
 
  1  
Reply Sat 8 Sep, 2007 12:51 pm
geroge has a lot of good point about the differences in our societies. also remember that europeans tend to be much healthier than the average american. i don't think their system of health care can be scaled up to work with a population like ours, with all the health problems we have and the other issues.
0 Replies
 
stlstrike3
 
  1  
Reply Sat 8 Sep, 2007 12:53 pm
As a physician, I used to be a major advocate of Universal Health Care. After being in the trenches a few years, I have since changed my tune.

Do you have any idea what the waiting lists look like to see physicians in countries that have UHC (Canada)? It's horrific. Sure, you might not get a bill for your insurance, but you surrender control when you let the government take it over. But waiting periods are only a minor reason I take issue with UHC.

I haven't seen the numbers recently, but if you're going to make our healthcare costs come exclusively out of our taxes, then healthy people are going to be subsidizing the care of the unhealthy. You think you pay a lot now... oh... just wait for it.

Obviously, the older you get, the more likely you are to need medical care. And that's fine. I might wind up with arthritic changes that need joint replacement one day. I might get a prostate nodule. But presumably the system I'm paying into helps me out when I get that old. But it just isn't that simple.

There are an enormous number of legitimate medical needs. And that's not what I'm about to rant about here. But there is a very good reason that healthcare costs are skyrocketing, and it has less to do with corporate healthcare decisions and pharmaceutical companies, and much more to do with how the average American lives his/her life.

Most of the patients I see (and I'm on the front line in primary care) have Value Sized themselves into their medical predicaments. I've grown numb to the 30-something, non-exercising, fast-food indulging, smoking diabetic who bitches about the cost of health care. When does it become your societal duty to pay for other people's mistakes?

The cost of healthcare is just going up and up. And it's because for every Jared we have who saw the error of his ways and lost weight, we have ten others who say, "Eh, screw it. Moving my legs is too hard. Pass me another pint of Ben & Jerry's." Why should I have to subsidize that crap?

I hate... absolutely hate putting a 30 year old on cholesterol, blood pressure, and diabetic medications because they won't put down the damn fork. Am I trying to line the pockets of Big Pharmacy? No! I don't get a damn dime regardless of what I prescribe. A huge part of my day is trying to convince patients that it's worth their while to initiate some lifestyle changes. They nod. They say they know. They swear they are going to change their ways, as they take another sip from their 8 gallon QuikTrip soda carton.

UNIVERSAL HEALTH CARE IS NOT THE ANSWER.

The only way that you're going to make this nation healthier, and to reduce the cost of healthcare is by making people responsible for themselves.

"Oh, you smoke? OK... then your insurance premiums are 5 times what our base coverage is."

"Oh, you're 250 pounds over your ideal body weight? That'll be an extra $300 a month, please."

This will piss an enormous number of people off. But you have to realize that we are going to be left with no other choice. The kids in this country are getting so fat, so quickly, that they're going to need medications in their 20's. Some already get medications for pre-diabetes in their pre-teen years. It's disgusting. The growth of healthcare resources cannot keep up with this country's tenacious drive to make itself fatter and unhealthier. The solution is not to tell healthy Americans that they have to pay for their neighbor's mistake.
0 Replies
 
Walter Hinteler
 
  1  
Reply Sat 8 Sep, 2007 01:37 pm
We have discussed these "aiting lists" a couple of time already here .... and it seems that these 'rumours' are not shared by completely by those who actually should know about it. Like me for instance, since I live in a country with universal healthcare, have closest friends (and relatives) who work as doctors from primary care to university hospitals ....

Though, our universal healthcare isn't financed by taxes but by fees.
0 Replies
 
hamburger
 
  1  
Reply Sat 8 Sep, 2007 01:46 pm
STLSTRIKE3 wrote in part :

Quote:
UNIVERSAL HEALTH CARE IS NOT THE ANSWER.

The only way that you're going to make this nation healthier, and to reduce the cost of healthcare is by making people responsible for themselves.

"Oh, you smoke? OK... then your insurance premiums are 5 times what our base coverage is."


i agree that there are too many people that smoke and too many young people that take up smoking - see the CDC report on the related costs below .

imo it's MUCH too late to tell someone that their insurance rate is going to be 5 times higher when they apply for insurance - THEY HAVE LIKELY BEEN SMOKING FOR SOME TIME !

a MUCH stronger effort is required to keep young people from smoking !!!
automobiles are equipped with more and more equipment to make them safer - READ: PREVENTION !

what's wrong with doing the same with smoking ?
why not make it MUCH less attractive to manufacture , sell and consume tobacco products ? (simply make it MUCH MORE COSTLY to begin with) .

also make it much more attractive NOT to smoke at an early age -
i'm quite sure if scientists , doctors , governments , industry and others put their heads together , they can come up with incentives that are attractive to keep young people from smoking .
a man/woman can be put in orbit , wars can be waged ... surely there are also people that can try and devise ways to keep young people from smoking - or is that GOVERMENT INTERFERENCE ?

as i said , when i started my entry : IT'S TOO LATE WHEN YOU TELL A PERSON : "your insurance rate is 5 x standard " - much of the damage has already been done .and the damage to the health of the individual and the health of a nation seems to be too huge to ignore for much longer !

(and ditto for obesity)
hbg

CDC REPORT :
Quote:
Smoking Deaths Cost Nation $92 Billion in Lost Productivity Annually
Smoking cost the nation about $92 billion in the form of lost productivity in 1997-2001, up about $10 billion from the annual mortality related productivity losses for the years 1995-1999, according to new data from the Centers for Disease Control and Prevention. The new lost productivity estimate when combined with smoking-related health-care costs, which was reported at $75.5 billion in 1998, exceeds $167 billion per year in the United States.

The report also finds that during 1997-2001 an estimated 438,000 premature deaths occur each year as a result of smoking and exposure to secondhand smoke. In comparison, approximately 440,000 smoking-related deaths were estimated to have occurred annually from 1995-1999.

"Cigarette smoking continues to impose substantial health and financial costs on individuals and society," said CDC Director Dr. Julie Gerberding. "We've made good progress in reducing the number of people who smoke, but we have much more work to do. If we want to significantly reduce the toll in this decade, we must provide the 32 million smokers who say they want to quit with the tools and support to do so successfully."

This latest study updates the number of deaths due to smoking during 1997-2001, specifically updating the 1995-1999 average estimates previously released. It also reports productivity losses from deaths and finds that smoking causes 3.3 million years of potential life lost for men and 2.2 million years for women.

Smoking, on average, reduces adult life expectancy by approximately 14 years.
should that not be a wake-up call for the nations of the world ???
but in particular the U.S. and canada
???


"Despite the slow steady declines in prevalence in the United States, cigarette smoking still causes hundreds of thousands of preventable deaths each year," said Dr. Corinne Husten, acting director, CDC Office on Smoking and Health. "It's in everyone's best interest to prevent and reduce tobacco use. People will have longer, healthier lives, and there will be fewer smoking-related costs."

For more information about tobacco use and smoking cessation, visit the Office on Smoking and Health Web site at http://www.cdc.gov/tobacco. One resource now available to all smokers is HHS' 1-800-QUIT-NOW (1-800-784-8669). The toll-free number is a single access point to the National

Network of Tobacco Cessation Quitlines. Callers are automatically routed to their state's quitline services.



SOURCE :
CDC - SMOKING RELATED DEATHS
0 Replies
 
ehBeth
 
  1  
Reply Sat 8 Sep, 2007 02:07 pm
Cycloptichorn wrote:
Cycloptichorn wrote:
I think that the hospitals and insurance companies both bill for each and every piece of work they think they can actually get away with - whether it is legitimate or not.


I should have been clearer - they pass the bills along, ie, refuse to pay, for everything they think they can get away with doing.

I don't mind clarifying, but it should have been apparent...


It wasn't apparent, and still doesn't make sense.

There are a number of ways for consumers to make sure that they get the coverage they are entitled to. The best place to start is with the Insurance Regulator/Ombudsman/whatever in the relevant state. They're dang good at investigating insurers, and making sure that what is covered is paid for. Lawyers and state investigators seem to get quite a kick out of that type of complaint.

A savvy consumer can check out the stats before they arrange coverage


Oregon 2006 complaint stats pdf - look at the complaint index for 2005, and check for any changes 2005 - 2006 on the best companies - then compare policies available from the better carriers
0 Replies
 
hamburger
 
  1  
Reply Sat 8 Sep, 2007 02:11 pm
c.i. wrote :

Quote:
I agree that many countries in Europe with its high cost of social services will become a larger burden on their economies for many reasons, one of which is their aging demographics - especially in Germany. (This is what I read a couple of years ago, but think it still holds true.) The French continue to demand greater benefits and shorter workweeks that will also become a problem (if not already). They cannot possibly sustain this course without penalties within their own country and in the world market place. With two of the largest Euro countries carrying such high social costs cannot possibly continue without some consequences.


imo the european countries have shown that they can adapt to changing circumstances - europeans can speak better to that than i can .

as a long-time reader of TIME magazine - some 50 years - , i recall that time mag articles foretold every few years the collapse of the swedish economy/society because they would become "uncompetitive" .

instead , what the swedes seem to have done , is to change and adapt in small increments over time .
they do not seem to have thrown overboard their social systems but changed them when required - almost always keeping in mind the needs of the most disadvanteged people .

i have to admit : i only spend about 12 twelve hours in sweden , but those 12 hours left a lasting and good impression !

i believe there are RELATIVELY few millionaires in sweden , but the vast majority of swedes seem to belong to the middle-class .
sweden seems to be a country - but not the only one - where the welfare of the majority of the people is of more importance than a minority of people becoming super-rich .
it may well have something to do with being a smaller , more unified nation - but is it the only thing that's different ?
hbg.
0 Replies
 
cicerone imposter
 
  1  
Reply Sat 8 Sep, 2007 02:17 pm
USAFHokie80 wrote:
cicerone imposter wrote:
You don't seem to understand anything about "evidence" to back up your statements. You're too sloppy to be responsible for anything too important. Your statements have very little credibilty because they are sloppy and without evidence.


What evidence do I need to provide? If you don't believe me, ask your wife. If she is a nurse and works in a hospital, she will tell you everything I've said is true. What is it you need evidence for? I'm also wondering why you think I'm "sloppy". And again, I like how you're trying to imply that I'm a complete idiot.

Why is it that I have no credibility, but you, who obviously know nothing about health care and the systems that make it run, can post comments on here that DO have credibility? You're just looking things up in google and using that for "evidence" - which is hardly a reliable source.


No, I've gained knowledge about health plans by being involved in management of several companies, and assisting in the selection of health plans for employees, although I must admit it's been almost a decade ago when I left the workforce.
0 Replies
 
Miller
 
  1  
Reply Sat 8 Sep, 2007 02:20 pm
What's with a company like Walgreens that increases the price of a simple generic antibiotic 10% each 3 months?
0 Replies
 
stlstrike3
 
  1  
Reply Sat 8 Sep, 2007 02:26 pm
Miller wrote:
What's with a company like Walgreens that increases the price of a simple generic antibiotic 10% each 3 months?


Well, um... they are a business.
0 Replies
 
cicerone imposter
 
  1  
Reply Sat 8 Sep, 2007 03:29 pm
For those looking for bargains on medicines, it was found that Costco is very competive in their price structure. The nice thing about the Costco pharmacy is that you do not need to belong to Costco as a member to take advantage of their pharmacy.
0 Replies
 
cicerone imposter
 
  1  
Reply Sat 8 Sep, 2007 03:44 pm
We have been talking about off-shoring our jobs in the US to other countries, and medical care is also being off-shored. It makes sense if the surgery is not "emergency," because many of the doctors in foreign countries are US trained, and the savings can be substantial.

There's an interesting article in the current issue of AARP Bulletin that reports on several Americans who have traveled abroad to have their surgeries performed in Thailand ($4,618 vs $14,000 in the US) for spinal stenosis surgery. Another patient went to India after learning that hip surgery in the US would run between $40,000 to $60,000, but spent only $15,000 total cost for travel and treatment. According to the report, over 500,000 US citizens now travel abroad for medical care in 2006. As US medical care costs continues to escalate, more American will seek care in other countries.

If US dollars are leaving the country for medical care, we aren't taking into consideration the real total cost for Americans.
0 Replies
 
cicerone imposter
 
  1  
Reply Sat 8 Sep, 2007 03:56 pm
One word of caution for anyone who decides to take advantage of the lower cost of care in a foreign country. Make sure you do your homework to make sure of their safety and success rates for any surgery, where the doctors were trained, and what "guarantees," if any, are provided. As with any professional service in the US, referrals by friends or family is preferred.
0 Replies
 
Miller
 
  1  
Reply Sun 9 Sep, 2007 12:36 am
The generics increase in price 10%/3 months but do our salaries?
Shocked
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cicerone imposter
 
  1  
Reply Sun 9 Sep, 2007 07:16 am
According to some reports I've read, salaries have not kept up with inflation since 2000 for most income earners. The top 2 percent had their salaries increase many-fold compared to the average worker pay at the same company - even when their job performance was lack-luster.
0 Replies
 
Miller
 
  1  
Reply Thu 13 Sep, 2007 03:32 am
With food so expensive these days, I still wonder how so many folks are fat.
0 Replies
 
au1929
 
  1  
Reply Thu 13 Sep, 2007 08:28 am
Miller wrote:
With food so expensive these days, I still wonder how so many folks are fat.


JUNK FOOD
0 Replies
 
cicerone imposter
 
  1  
Reply Thu 13 Sep, 2007 09:35 am
If California was a country, we'd be the sixth richest in the world, and we spend 10 percent of GSP on health care. This matches the cost for health care in Germany, France and Switzerland. Arnold is trying to push his universal health care in California, but the dems and the gov differ on how to fund it. I'm not sure they'll ever agree on this main sticking point, but Arnold is trying to put it on the ballot for our next election cycle.

I think Arnold's mistake is not educating the electorate before he puts it on the ballot - to show the pros and cons of funding it.
0 Replies
 
 

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