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IT'S TIME FOR UNIVERSAL HEALTH CARE

 
 
Miller
 
  1  
Reply Wed 26 Sep, 2007 12:38 pm
USAFHokie80 wrote:
Miller wrote:
Quote:
dward Amsler, of the Medical Liability Mutual Insurance Co., says most of the blame lies with the tens of millions of dollars New York juries award families of disabled children.


NYPost

The blame? Shouldn't the blame be directed towards the physicians who make the mistakes, that cause the disabilities of the children and others?

Why blame the Jury?


that is VERY subjective. physicians are people too, and they make mistakes. have you ever thought about how much stress they are under? to expect them to never make a mistake is crazy. that being said, i imagine a lot of these cases are not that a physician actually caused an issue but that the parent didn't like the outcome or took a chance and it turned out badly. nothing is medicine is guaranteed. for ABSOLUTELY ANY procedure, there is a risk, and sometimes that risk includes death. that is why before any of that, patients are provided with information on what is going to be done and made aware of the risk. they are made to sign an acknowledgment of the risk prior to. a lot of these people took the gamble and lost. that is not the fault of the physician. now, i realize there have been serious mistakes made and for those i offer no defense. however, in many of these cases, i'm not sure that having a trial by jury is a good thing. a jury will almost always side with the plaintiff because they feel sorry for them or because they view doctors as some sort of infallible super-person that is not allowed to screw up.


How would you like to support a disabled child, the result of a "mistake" by an MD, over the span of the child's life for a cost of minimally $10 million?
0 Replies
 
Miller
 
  1  
Reply Wed 26 Sep, 2007 12:40 pm
Quote:
they view doctors as some sort of infallible super-person that is not allowed to screw up.


That's how pharmacists are viewed today, by the general public in the USA, so why not the MDs?
That's also why registered pharmacists carry no less than $3 million in liability insurance.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 26 Sep, 2007 12:55 pm
Miller wrote:
USAFHokie80 wrote:
Cycloptichorn wrote:
My statement was factually correct. Very rarely do cases without any merits whatsoever end up in the large payouts which are typically blamed by the insurance industry for rising costs (without factual basis themselves). It would be preposterous to believe that cases with no merit regularly end up in large payouts or settlements; in the absence of specific data, it can be safely assumed that our system of justice actually does its' job.

Quote:
For example, a large fraction of employee claims for discrimination are without objective merit, even though they provide a legal basis for findings of fault on something as unknowable as the subjective intent of people who make necessary decisions and choices.


How large a fraction? It would seem that we all do some of the things we criticize others for - especially when it comes to statistics.

Cycloptichorn


"merit" can be manufactured in many of these cases. medicine is not an exact science. doctors often have different opinions on the same thing. one can manufacture the "merit" by finding a doctor that disagrees with the treating physician's choice.


That's not how the law is written...


well by all means, tell us how the law is written.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 26 Sep, 2007 12:58 pm
Miller wrote:
USAFHokie80 wrote:
Miller wrote:
Quote:
dward Amsler, of the Medical Liability Mutual Insurance Co., says most of the blame lies with the tens of millions of dollars New York juries award families of disabled children.


NYPost

The blame? Shouldn't the blame be directed towards the physicians who make the mistakes, that cause the disabilities of the children and others?

Why blame the Jury?


that is VERY subjective. physicians are people too, and they make mistakes. have you ever thought about how much stress they are under? to expect them to never make a mistake is crazy. that being said, i imagine a lot of these cases are not that a physician actually caused an issue but that the parent didn't like the outcome or took a chance and it turned out badly. nothing is medicine is guaranteed. for ABSOLUTELY ANY procedure, there is a risk, and sometimes that risk includes death. that is why before any of that, patients are provided with information on what is going to be done and made aware of the risk. they are made to sign an acknowledgment of the risk prior to. a lot of these people took the gamble and lost. that is not the fault of the physician. now, i realize there have been serious mistakes made and for those i offer no defense. however, in many of these cases, i'm not sure that having a trial by jury is a good thing. a jury will almost always side with the plaintiff because they feel sorry for them or because they view doctors as some sort of infallible super-person that is not allowed to screw up.


How would you like to support a disabled child, the result of a "mistake" by an MD, over the span of the child's life for a cost of minimally $10 million?


do you have a source providing the cost estimate as a *minimum* of $10M for a disabled child?

by the way, the theme of that post was that there is risk inherent in ALL medicine and that even if a doctor does everything right with respect to what we know in medical science, there still exists the possibility that it could end badly for the patient. if that is the case, the doctor should not be sued.
0 Replies
 
USAFHokie80
 
  1  
Reply Wed 26 Sep, 2007 01:02 pm
Miller wrote:
Quote:
they view doctors as some sort of infallible super-person that is not allowed to screw up.


That's how pharmacists are viewed today, by the general public in the USA, so why not the MDs?
That's also why registered pharmacists carry no less than $3 million in liability insurance.


i'd say there is a huge difference between a pharmacist and a physician. pharmacists do not diagnose, treat or prescribe. the do not operate or perform procedures. doctors have a lot more on their plate. i personally cannot even think of a scenario in which a pharmacist can be sued except if he filled the prescription with the wrong dose or wrong med altogether.
0 Replies
 
Cycloptichorn
 
  1  
Reply Wed 26 Sep, 2007 01:06 pm
USAFHokie80 wrote:
Miller wrote:
USAFHokie80 wrote:
Miller wrote:
Quote:
dward Amsler, of the Medical Liability Mutual Insurance Co., says most of the blame lies with the tens of millions of dollars New York juries award families of disabled children.


NYPost

The blame? Shouldn't the blame be directed towards the physicians who make the mistakes, that cause the disabilities of the children and others?

Why blame the Jury?


that is VERY subjective. physicians are people too, and they make mistakes. have you ever thought about how much stress they are under? to expect them to never make a mistake is crazy. that being said, i imagine a lot of these cases are not that a physician actually caused an issue but that the parent didn't like the outcome or took a chance and it turned out badly. nothing is medicine is guaranteed. for ABSOLUTELY ANY procedure, there is a risk, and sometimes that risk includes death. that is why before any of that, patients are provided with information on what is going to be done and made aware of the risk. they are made to sign an acknowledgment of the risk prior to. a lot of these people took the gamble and lost. that is not the fault of the physician. now, i realize there have been serious mistakes made and for those i offer no defense. however, in many of these cases, i'm not sure that having a trial by jury is a good thing. a jury will almost always side with the plaintiff because they feel sorry for them or because they view doctors as some sort of infallible super-person that is not allowed to screw up.


How would you like to support a disabled child, the result of a "mistake" by an MD, over the span of the child's life for a cost of minimally $10 million?


do you have a source providing the cost estimate as a *minimum* of $10M for a disabled child?

by the way, the theme of that post was that there is risk inherent in ALL medicine and that even if a doctor does everything right with respect to what we know in medical science, there still exists the possibility that it could end badly for the patient. if that is the case, the doctor should not be sued.


True enough; but there are plenty of cases of people being sued in our society who 'should not be.' The courts act as the arbitrator for who 'should not be' sued.

Cycloptichorn
0 Replies
 
cicerone imposter
 
  1  
Reply Wed 26 Sep, 2007 02:58 pm
We have all the money they need for the wars, but not $60 billion to fund universal health care for all of our children for ten years.

Gates seeks $190 billion for wars

By ANNE FLAHERTY, Associated Press Writer 35 minutes ago

WASHINGTON - Defense Secretary Robert Gates asked Congress Wednesday to approve nearly $190 billion for the wars in Iraq and Afghanistan in 2008, increasing initial projections by more than a third.
0 Replies
 
Miller
 
  1  
Reply Thu 27 Sep, 2007 08:44 am
cicerone imposter wrote:
We have all the money they need for the wars, but not $60 billion to fund universal health care for all of our children for ten years.

Gates seeks $190 billion for wars

By ANNE FLAHERTY, Associated Press Writer 35 minutes ago

WASHINGTON - Defense Secretary Robert Gates asked Congress Wednesday to approve nearly $190 billion for the wars in Iraq and Afghanistan in 2008, increasing initial projections by more than a third.


I notice that no one is trying to balance the Federal budget.
0 Replies
 
Miller
 
  1  
Reply Thu 27 Sep, 2007 08:46 am
USAFHokie80 wrote:
Miller wrote:
USAFHokie80 wrote:
Cycloptichorn wrote:
My statement was factually correct. Very rarely do cases without any merits whatsoever end up in the large payouts which are typically blamed by the insurance industry for rising costs (without factual basis themselves). It would be preposterous to believe that cases with no merit regularly end up in large payouts or settlements; in the absence of specific data, it can be safely assumed that our system of justice actually does its' job.

Quote:
For example, a large fraction of employee claims for discrimination are without objective merit, even though they provide a legal basis for findings of fault on something as unknowable as the subjective intent of people who make necessary decisions and choices.


How large a fraction? It would seem that we all do some of the things we criticize others for - especially when it comes to statistics.

Cycloptichorn


"merit" can be manufactured in many of these cases. medicine is not an exact science. doctors often have different opinions on the same thing. one can manufacture the "merit" by finding a doctor that disagrees with the treating physician's choice.


That's not how the law is written...


well by all means, tell us how the law is written.


Why not do some homework?
0 Replies
 
Miller
 
  1  
Reply Thu 27 Sep, 2007 08:48 am
USAFHokie80 wrote:
Miller wrote:
Quote:
they view doctors as some sort of infallible super-person that is not allowed to screw up.


That's how pharmacists are viewed today, by the general public in the USA, so why not the MDs?
That's also why registered pharmacists carry no less than $3 million in liability insurance.


i'd say there is a huge difference between a pharmacist and a physician. pharmacists do not diagnose, treat or prescribe. the do not operate or perform procedures. doctors have a lot more on their plate. i personally cannot even think of a scenario in which a pharmacist can be sued except if he filled the prescription with the wrong dose or wrong med altogether.


It appears that you're a new comer to the REAL WORLD!
0 Replies
 
Miller
 
  1  
Reply Thu 27 Sep, 2007 08:59 am
USAFHokie80 wrote:
Miller wrote:
USAFHokie80 wrote:
Miller wrote:
Quote:
dward Amsler, of the Medical Liability Mutual Insurance Co., says most of the blame lies with the tens of millions of dollars New York juries award families of disabled children.


NYPost

The blame? Shouldn't the blame be directed towards the physicians who make the mistakes, that cause the disabilities of the children and others?

Why blame the Jury?


that is VERY subjective. physicians are people too, and they make mistakes. have you ever thought about how much stress they are under? to expect them to never make a mistake is crazy. that being said, i imagine a lot of these cases are not that a physician actually caused an issue but that the parent didn't like the outcome or took a chance and it turned out badly. nothing is medicine is guaranteed. for ABSOLUTELY ANY procedure, there is a risk, and sometimes that risk includes death. that is why before any of that, patients are provided with information on what is going to be done and made aware of the risk. they are made to sign an acknowledgment of the risk prior to. a lot of these people took the gamble and lost. that is not the fault of the physician. now, i realize there have been serious mistakes made and for those i offer no defense. however, in many of these cases, i'm not sure that having a trial by jury is a good thing. a jury will almost always side with the plaintiff because they feel sorry for them or because they view doctors as some sort of infallible super-person that is not allowed to screw up.


How would you like to support a disabled child, the result of a "mistake" by an MD, over the span of the child's life for a cost of minimally $10 million?


do you have a source providing the cost estimate as a *minimum* of $10M for a disabled child?

by the way, the theme of that post was that there is risk inherent in ALL medicine and that even if a doctor does everything right with respect to what we know in medical science, there still exists the possibility that it could end badly for the patient. if that is the case, the doctor should not be sued.


You should be able to calculate this estimate on your own, but I'll give you a little help. If a baby is born severly disabled, needs round the clock nursing care from an NA ( cost of $25/hr not factoring in inflation ) and the time element is figured at 90-95 years post birth, the total amount just for nursing care ( minimally ) is $2,268,000.
Now factor in for a period of 90 years: physical therapy, education expense,
medication expense, supplies expense, medical care not covered by heath insurance, health insurance, nutrition expense of infusions from registered pharmacist ( in home), specialized diet epense,ongoing rehab expense as child matures to adulthood, special vehicle expense for patient transport, modification of household to accomodate developing child/adult...etc. Include now legal fees . financial fees and cost of household and extraneous medical expenses>

Factor in the effect of inflation and you'll come up with a total of at least $10 million.
0 Replies
 
georgeob1
 
  1  
Reply Thu 27 Sep, 2007 09:10 am
Perhaps true, but the Present value of that $10 million cost over the stipulated 90 year period is about 3 - 4 million.
0 Replies
 
Francis
 
  1  
Reply Thu 27 Sep, 2007 09:14 am
Now tell where did you find that a baby born severely disabled has a life expectancy of 90-95 years?
0 Replies
 
Walter Hinteler
 
  1  
Reply Thu 27 Sep, 2007 09:24 am
I suppose that such depeds on various cicumstances. For instances, my severely disabled SIS, is now 51 and fairly well doing. (Though it seems rather speculative that she might reach the age of 90, 95. But quite a lot of sincerely diabled persons have reached the age as pensioners: something totally unknown 20, 30 years ago.)
0 Replies
 
georgeob1
 
  1  
Reply Thu 27 Sep, 2007 09:30 am
Perhaps true as well. However, the life expectency of a healthy, non-disabled person born at the same time is a good deal less than 90 years.

These are calculations a lawyer, who is attempting to maximize the unjustifiable return to his plaintif client (and the share of them he will collect) might make. However they are laughably indefensible from a rational economic or demographic viewpoint. Sadly however, this kind of foolishness does indeed sometimes prevail among juries and even judges in our very litigious system.
0 Replies
 
cicerone imposter
 
  1  
Reply Thu 27 Sep, 2007 09:32 am
Probably a good possibility in Japan where longivity is one of the highest.
0 Replies
 
Walter Hinteler
 
  1  
Reply Thu 27 Sep, 2007 09:42 am
georgeob1 wrote:
Perhaps true as well. However, the life expectency of a healthy, non-disabled person born at the same time is a good deal less than 90 years.

These are calculations a lawyer, who is attempting to maximize the unjustifiable return to his plaintif client (and the share of them he will collect) might make. However they are laughably indefensible from a rational economic or demographic viewpoint. Sadly however, this kind of foolishness does indeed sometimes prevail among juries and even judges in our very litigious system.


Well, here, the universal health insurance is paying for those children (and later a couple more institutions from our socialist social security system).

It's a fact, however, that disabled live longer nowadays than before.
So indeed -here !- some problems arose because no-one really had made plans how to take of retired disabled persons (= staff, living conditions,mainly).
0 Replies
 
hamburger
 
  1  
Reply Thu 27 Sep, 2007 10:08 am
walter wrote :

Quote:
It's a fact, however, that disabled live longer nowadays than before.
So indeed -here !- some problems arose because no-one really had made plans how to take of retired disabled persons (= staff, living conditions,mainly).


that seems to be happening in many nations - including canada .
even as little as 20 years ago , severely disabled people were not expected to live much longer than their thirties , but now these people are in their fifties and despite severe disabilities are still living and their life expectancy is still increasing .
just having facilities and staff to care for these people - never mind the money required - has already become a problem in canada .
there simply is not enough medical/nursing staff available to care for these people . one reason is that nurses aids are simply not being paid enough money to make those jobs financially attractive !
to attract more people into these very challenging jobs , the salaries will likely have to be increased substantially - which in turn will push up the salaries for similar jobs .
particularly figuring in inflation - and one cannot be too careful when making these assumptions way into the future , even if it's only 70 years -
miller's money estimate is probably not far off .
one could always ask an actuary for an estimate , and i can tell you that they would not want to err on the low side !
unless the money would be disbursed out of government funds , an insurance company would have to provide a life annuity - and they can't afford to calculate the money requirement on the low side - unless they want to go broke .
hbg
0 Replies
 
cicerone imposter
 
  1  
Reply Thu 27 Sep, 2007 10:16 am
From NCBI:

The effect of obesity on disability vs mortality in older Americans.
Al Snih S, Ottenbacher KJ, Markides KS, Kuo YF, Eschbach K, Goodwin JS.

Sealy Center on Aging, Division of Rehabilitation Sciences, School of Allied Health Sciences, University of Texas Medical Branch, Galveston, USA. [email protected]

BACKGROUND: The association between obesity and mortality is reduced or eliminated in older subjects. In addition to mortality, disability is an important health outcome. The objectives of this study were to examine the association between body mass index (BMI), calculated as weight in kilograms divided by height in meters squared, and subsequent disability and mortality among older Americans, as well as to estimate the effect of BMI on life expectancy and disability-free life expectancy among older Americans. METHODS: We studied 8359 non-Hispanic white Americans, 1931 African Americans, and 2435 Mexican Americans 65 years or older who were not disabled at baseline from 5 sites of the Established Populations for Epidemiologic Studies of the Elderly. Measures included BMI, medical conditions, activities of daily living, and demographic information. Cox proportional hazards regression analysis was used to estimate the hazard ratios (HRs) for subsequent disability and mortality during 7 years of follow-up. Total life expectancy and disability-free life expectancy were estimated using the interpolation of Markov chain approach. RESULTS: The lowest HR (1.02; 95% confidence interval [CI], 0.94-1.10) for disability was at a BMI of 25 to less than 30. Subjects with BMIs of lower than 18.5 or 30 or higher at baseline were significantly more likely to experience disability during the follow-up period. In contrast, the lowest HRs for mortality were seen among subjects with BMIs of 25 to less than 30 (HR, 0.78; 95% CI, 0.72-0.85) and 30 to less than 35 (HR, 0.80; 95% CI, 0.72-0.90), with subjects with BMIs of lower than 25 or 35 or higher experiencing higher hazards for mortality. Disability-free life expectancy is greatest among subjects with a BMI of 25 to less than 30. CONCLUSION: Assessments of the effect of obesity on the health of older Americans should account for mortality and incidence of disability.

PMID: 17452539 [PubMed - indexed for MEDLINE]
0 Replies
 
hamburger
 
  1  
Reply Thu 27 Sep, 2007 10:19 am
c.i. :
what odds are you giving me :wink:
hbg
0 Replies
 
 

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