65
   

IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 12:17 pm
But, to move things forward, I will ask - why exactly would there be less private investment in medical technologies then currently exists? I wasn't aware that the insurance industry was responsible for investment in, say, an MRI or a digital thermometer. The equipment will still be used the same in the same hospitals.

Cycloptichorn
0 Replies
 
georgeob1
 
  1  
Reply Tue 25 Sep, 2007 12:18 pm
Cycloptichorn wrote:
When we start seeing a shortage of doctors, the amount the remaining ones can charge goes up; this leads to more people wishing to be doctors. Not a hard thing to imagine, the free market balances itself out.

If taxpayers want better and more equipment for their hospitals and clinics, they vote to provide it. If they don't, they don't. Not a complicated process, and no less inefficient and costly then the current model.

Doctors can be mandated to accept Medicare patients; they are free to look for employment elsewhere if they don't want to, and we could easily find qualified doctors from abroad who wouldn't mind doing so.

Cycloptichorn


Please reread the above comments and count the many contradictions in them. Who is not being serious here?
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 12:19 pm
georgeob1 wrote:
Cycloptichorn wrote:
When we start seeing a shortage of doctors, the amount the remaining ones can charge goes up; this leads to more people wishing to be doctors. Not a hard thing to imagine, the free market balances itself out.

If taxpayers want better and more equipment for their hospitals and clinics, they vote to provide it. If they don't, they don't. Not a complicated process, and no less inefficient and costly then the current model.

Doctors can be mandated to accept Medicare patients; they are free to look for employment elsewhere if they don't want to, and we could easily find qualified doctors from abroad who wouldn't mind doing so.

Cycloptichorn


Please reread the above comments and count the many contradictions in them. Who is not being serious here?


Please point them out to me.

Cycloptichorn
0 Replies
 
georgeob1
 
  1  
Reply Tue 25 Sep, 2007 12:40 pm
Where to begin?

Medicare does not involve a 'Free market'. The authorized services are defined a priori, as are the fees for them. Reducing the number of providers or doctors will not increase the revenue per doctor (unless the service itself is rendered more quickly and superficially), it will instead merely increase the waiting time for access. There is no supply-demand prioce feedback for investment stimulus or "balancing out".

Doctors cannot be ordered to accept Medicare patients under our system of laws and rights. They are not slaves. Perhaps you imagine a system in which medical care is made the exclusive province of government and doctors become government employees. This is no "free market".

You should contemplate for a moment the general wisdom and efficiency that surrounds investment and customer accountability in our public schools, as you urge us to accept the same model for medical care. In practice it turns out that this "not complicated" process is very far less efficient and far more costly than the private alternatives. Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face populations addicted to them and unwilling to face reality. (No surprise that passengers on a sinking ship might wish us to join them, but not in our interest to do so.)
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 12:47 pm
georgeob1 wrote:
Where to begin?

Medicare does not involve a 'Free market'. The authorized services are defined a priori, as are the fees for them. Reducing the number of providers or doctors will not increase the revenue per doctor (unless the service itself is rendered more quickly and superficially), it will instead merely increase the waiting time for access. There is no supply-demand prioce feedback for investment stimulus or "balancing out".

Doctors cannot be ordered to accept Medicare patients under our system of laws and rights. They are not slaves. Perhaps you imagine a system in which medical care is made the exclusive province of government and doctors become government employees. This is no "free market".

You should contemplate for a moment the general wisdom and efficiency that surrounds investment and customer accountability in our public schools, as you urge us to accept the same model for medical care. In practice it turns out that this "not complicated" process is very far less efficient and far more costly than the private alternatives. Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face popuulations addicted to them and unwilling to face reality.


Doctors can be forced to accept Medicare patients under our set of rules. Or they can lose their licensing. You seem to think that the people of the US don't have the ability to make changes to our society if we wish to do so.

This

Quote:
Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face popuulations addicted to them and unwilling to face reality.


Could be rewritten the exact same way, substituting our information for Europe's - and be just as accurate.

Let me ask you - instead of attacking my position, what would your solution for the currently unworkable mess the insurance/health industry has become? I haven't seen anything put forth by the right wing which stands to correct the problem in any way. Do you deny there is a problem at all?

Cycloptichorn
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 12:58 pm
georgeob1 wrote:
, but which face popuulations addicted to them and unwilling to face reality.


Your pet stance, George. But ask an addict to give up his habit...

It's more complicated than that, people don't want to loose their privileges, they just don't care who pays...

And governments rarely have the balls to change it because next time they will not be elected..
0 Replies
 
Walter Hinteler
 
  1  
Reply Tue 25 Sep, 2007 01:04 pm
georgeob1 wrote:
In practice it turns out that this "not complicated" process is very far less efficient and far more costly than the private alternatives. Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face populations addicted to them and unwilling to face reality. (No surprise that passengers on a sinking ship might wish us to join them, but not in our interest to do so.)


Your continous generalisation doesn't make it more true.

I admit that many are surprised (not only on the left) that the German health care reform didn't work out bad.
But still, I would prefer the Swiss model.
0 Replies
 
cicerone imposter
 
  1  
Reply Tue 25 Sep, 2007 01:19 pm
georgeob, How do you explain the simple fact that those countries with universal health care still produce doctors and improvements in health care technology and drugs?
0 Replies
 
Ramafuchs
 
  1  
Reply Tue 25 Sep, 2007 01:19 pm
Acountry which project itself as the moral, intellectual leader of the world
( the only super power till our death) is still discussing about the basic things like social security, universal health care is a corporate country with consummate compassionate culture!!!!

I recoleect this to get some solace.

"The nation is sick. Trouble is in the land. Confusion all around." - Martin Luther King Jr., April 3, 1968.
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 01:27 pm
Cycloptichorn wrote:
georgeob1 wrote:
Where to begin?

Medicare does not involve a 'Free market'. The authorized services are defined a priori, as are the fees for them. Reducing the number of providers or doctors will not increase the revenue per doctor (unless the service itself is rendered more quickly and superficially), it will instead merely increase the waiting time for access. There is no supply-demand prioce feedback for investment stimulus or "balancing out".

Doctors cannot be ordered to accept Medicare patients under our system of laws and rights. They are not slaves. Perhaps you imagine a system in which medical care is made the exclusive province of government and doctors become government employees. This is no "free market".

You should contemplate for a moment the general wisdom and efficiency that surrounds investment and customer accountability in our public schools, as you urge us to accept the same model for medical care. In practice it turns out that this "not complicated" process is very far less efficient and far more costly than the private alternatives. Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face popuulations addicted to them and unwilling to face reality.


Doctors can be forced to accept Medicare patients under our set of rules. Or they can lose their licensing. You seem to think that the people of the US don't have the ability to make changes to our society if we wish to do so.

This

Quote:
Indeed the very European programs that are held up as models for us are slowly being cut back and restricted by governments that know they can no longer afford them, but which face popuulations addicted to them and unwilling to face reality.


Could be rewritten the exact same way, substituting our information for Europe's - and be just as accurate.

Let me ask you - instead of attacking my position, what would your solution for the currently unworkable mess the insurance/health industry has become? I haven't seen anything put forth by the right wing which stands to correct the problem in any way. Do you deny there is a problem at all?

Cycloptichorn


Cyclo... you'll never force doctors to accept Medicare. There is no legal standing for making that happen. Other than that, with the rate of reimbursement of Medicare, a physician couldn't afford to practice medicine because of the extraordinarily high malpractice insurance they are forced to carry. And simply extending Medicare/Medicaid wouldn't solve all the issues. There are still many things that these programs do not cover.
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 01:29 pm
I notice you didn't respond to the earlier piece, in which the insurance company actively and specifically sought to deny claims which were covered, and which were not 'coding problems' from the hospital, Hokie; not surprising, as it contradicts your narrative.

I will ask you the same as George: what would you propose, to fix our problems with insurance in this country?

Cycloptichorn
0 Replies
 
USAFHokie80
 
  1  
Reply Tue 25 Sep, 2007 01:40 pm
Cycloptichorn wrote:
I notice you didn't respond to the earlier piece, in which the insurance company actively and specifically sought to deny claims which were covered, and which were not 'coding problems' from the hospital, Hokie; not surprising, as it contradicts your narrative.

I will ask you the same as George: what would you propose, to fix our problems with insurance in this country?

Cycloptichorn


You noticed that because I didn't see anything about it, so no, I didn't respond to it.

There is no simple fix for this. The issues in health care and insurance are more than what you're focusing on. All you seem to care about it what a person has to pay for insurance. If people took better care of themselves, that would help costs go down. If people weren't so sue-happy, costs would go down. If we weren't forced to provide thousands of dollars of care to illegal immigrants, costs would go down. There are LOTS of reasons costs for health care are high. Having a government run system isn't going to fix them all. And there's a good possibility it will decrease the quailty of care available.
0 Replies
 
georgeob1
 
  1  
Reply Tue 25 Sep, 2007 01:40 pm
Cycloptichorn wrote:

Doctors can be forced to accept Medicare patients under our set of rules. Or they can lose their licensing. You seem to think that the people of the US don't have the ability to make changes to our society if we wish to do so.

Perhaps you have lived in Beserkley for too long. We do have a constitution that limits the government's ability to set prices for goods and services, and which prohibits indentured servitude. The State's authority to license practicioners applies only to questions of competence and training as they affect public health.

Perhaps you wish to change all this. That is your right, however, I doubt that you will get very far.

Cycloptichorn wrote:

Let me ask you - instead of attacking my position, what would your solution for the currently unworkable mess the insurance/health industry has become? I haven't seen anything put forth by the right wing which stands to correct the problem in any way. Do you deny there is a problem at all?


Well you have not yet put forward any particular position, apart from a few assertions about regulating the behaviors of doctors and hospitals. Neither have you answered the seriously put reservations I put forward about them.

In general I would reduce the role of the Federal government in health care and look for solutions through the free market and local government as may be found beneficial. I am profoundly suspicious of those who niavely believe that "systematic" solutions for such problems can or must be found. Indeed the attempt to find them usually creates worse problems.

Francis wrote:
Your pet stance, George. But ask an addict to give up his habit...

It's more complicated than that, people don't want to loose their privileges, they just don't care who pays...

And governments rarely have the balls to change it because next time they will not be elected..


I could not agree with you more, Francis. That is why I do not wish to see the United States take up this addiction.

Government remedies tend to be both flawed and irreversible.
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 01:54 pm
Don't mistake me, George.

I wouldn't want the health care system abandoned but just modified in order to get people responsible for their health..

Basic health care should be kept..
0 Replies
 
georgeob1
 
  1  
Reply Tue 25 Sep, 2007 02:00 pm
I see that you are acknowledging your own addiction.

Just for drill, roughly what is the marginal income tax rate that you pay - i.e. the tax rate ( Both national and local government)on the last Franc of your income? Here, in California it is 41%.
0 Replies
 
Walter Hinteler
 
  1  
Reply Tue 25 Sep, 2007 02:03 pm
Francis doesn't live in Switzerland, George, where the currency in Franks.

They've Euros in France.
0 Replies
 
maporsche
 
  1  
Reply Tue 25 Sep, 2007 02:16 pm
georgeob1 wrote:
I see that you are acknowledging your own addiction.

Just for drill, roughly what is the marginal income tax rate that you pay - i.e. the tax rate ( Both national and local government)on the last Franc of your income? Here, in California it is 41%.


What is the 'adjusted tax rate' in CA if you include your medical benefits into that equation? Make sure to include your employers contributions.
0 Replies
 
cicerone imposter
 
  1  
Reply Tue 25 Sep, 2007 02:28 pm
maporsch, Good q.
0 Replies
 
Cycloptichorn
 
  1  
Reply Tue 25 Sep, 2007 02:42 pm
Quote:


Well you have not yet put forward any particular position, apart from a few assertions about regulating the behaviors of doctors and hospitals. Neither have you answered the seriously put reservations I put forward about them.

In general I would reduce the role of the Federal government in health care and look for solutions through the free market and local government as may be found beneficial. I am profoundly suspicious of those who niavely believe that "systematic" solutions for such problems can or must be found. Indeed the attempt to find them usually creates worse problems.


Fair enough, George, but - what exactly would you propose? In real-world terms, not generalized 'let the free market find the solution.' Concrete examples.

Hokie,

Quote:

There is no simple fix for this. The issues in health care and insurance are more than what you're focusing on.


I know, it's just that we can't talk about all aspects simulatneously.

Quote:
All you seem to care about it what a person has to pay for insurance.


Oh, it's not neccesarily the costs themselves which bother me, as much as the refusal of insurance companies to pay - while in some cases there is an argument that they could make as to the effectiveness of a procedure, in many cases they simply don't want to pay, so they invent a reason not to; as in the letter I posted.

Quote:
If people took better care of themselves, that would help costs go down.


I agree completely; how could they not?

Quote:
If people weren't so sue-happy, costs would go down.


I agree, though with the caveat that there's no evidence that medical malpractice lawsuits have lead to increased costs over the last decade.

Quote:
If we weren't forced to provide thousands of dollars of care to illegal immigrants, costs would go down. There are LOTS of reasons costs for health care are high.


I agree with this as well. That's why I say, legalize and tax em!

Quote:
Having a government run system isn't going to fix them all. And there's a good possibility it will decrease the quailty of care available.


Naturally, there are no guarantees in life. Nor is there a perfect solution to any of our problems. What we are looking for is an adequate compromise, one which will allow the vast majority of people to have basic coverage while retaining the flexibility which allows new innovations to come along in the market. I'm looking for examples from the right on how we should do this, but haven't seen anything offered other then 'tax credits.'

Cycloptichorn
0 Replies
 
Francis
 
  1  
Reply Tue 25 Sep, 2007 02:45 pm
georgeob1 wrote:
I see that you are acknowledging your own addiction.


You are taking your wishes for reality, Georges, and making assumptions out of thin air.

I've not been to a physician in years..

And I'm not to tell you income tax rate (which would lead to telling you my income)...
0 Replies
 
 

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