National Academy of Sciences - Health report.

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消息 1328527 - 发表于:18 Jan 2013, 5:27:40 UTC - 回复消息 1326979.  

Regular checkups cost far less than the insurance premium.


Apparently according to this article checkups are next to useless.

http://www.washingtonpost.com/blogs/wonkblog/wp/2013/01/17/dont-open-wide-annual-check-ups-are-pretty-much-useless/?tid=pm_business_pop
There are links in there, which I haven't followed, to get the full story.

But there is a suggestion that the American Health Insurance industry might be requiring you to have regular checkups.

Also there has been some comments in the press recently that suggest high blood pressure readings, may be a symptom of visiting the doctor, rather than a health problem. Which if then treated can lead to side effects, like Vic's swelling feet and ankle's. Which then requires further medication.
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消息 1327784 - 发表于:16 Jan 2013, 3:57:31 UTC - 回复消息 1327702.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?

Corporate Greed.

Wrong. It would put lawyers out of work, and when politicians leave office they become lawyers!

And here I thought lawyers became politicians when they went to the dark side of life.

Term limits...
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消息 1327702 - 发表于:14 Jan 2013, 16:02:13 UTC - 回复消息 1327687.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?

Corporate Greed.

Wrong. It would put lawyers out of work, and when politicians leave office they become lawyers!

And here I thought lawyers became politicians when they went to the dark side of life.
[/quote]

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消息 1327687 - 发表于:14 Jan 2013, 14:47:29 UTC - 回复消息 1327651.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?

Corporate Greed.

Wrong. It would put lawyers out of work, and when politicians leave office they become lawyers!

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消息 1327674 - 发表于:14 Jan 2013, 13:32:48 UTC - 回复消息 1327651.  
最近的修改日期:14 Jan 2013, 13:34:19 UTC

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?

Corporate Greed.

And politicians who have good buds in the business. And there own free spare no expense by porking the taxpayer health insurance for life.
[/quote]

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消息 1327651 - 发表于:14 Jan 2013, 9:32:35 UTC - 回复消息 1327615.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?

Corporate Greed.

I Desire Peace and Justice, Jim Scott (Mod-Ret.)
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消息 1327615 - 发表于:14 Jan 2013, 6:41:09 UTC - 回复消息 1327580.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. ...

And why would that be?
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消息 1327580 - 发表于:14 Jan 2013, 4:09:35 UTC - 回复消息 1327568.  

Simply not what happens in countries that have government healthcare.

Yes, and there are no proposals in the USA for anything at all resembling other countries systems. Obamacare is mandatory private health care.

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消息 1327568 - 发表于:14 Jan 2013, 3:44:13 UTC - 回复消息 1327485.  

You said it:
"Right now all they check for is [over-prescribing and things paid for by government funds]"

...and what do you think would happen to quacks and mills and quality of care enforcement if it was ALL paid by government funds?

They would triple or quintuple in size as they find more and more loopholes to exploit. Patient quality part of the Medical Quality board would cease to exist as the sole focus would be on catching rampant billing fraud.

So sorry if you live in a utopian world where no one would ever dream of cheating.


Simply not what happens in countries that have government healthcare.

I don't know where you are getting your information from.

Government healthcare is not some theory that hasn't been tried. It has been tried and it is very successful and much cheaper to run that private health care. It also has better outcomes in the long run because people are being treated in a way that is best for them, not the best for making money.
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消息 1327510 - 发表于:14 Jan 2013, 0:30:50 UTC - 回复消息 1327485.  
最近的修改日期:14 Jan 2013, 0:33:37 UTC

You said it:
"Right now all they check for is [over-prescribing and things paid for by government funds]"

...and what do you think would happen to quacks and mills and quality of care enforcement if it was ALL paid by government funds?

They would triple or quintuple in size as they find more and more loopholes to exploit. Patient quality part of the Medical Quality board would cease to exist as the sole focus would be on catching rampant billing fraud.

So sorry if you live in a utopian world where no one would ever dream of cheating.


The government is in a position to enforce better policy, without profit being the motive, even if cost cutting is a motive... (See my comment about add-on insurance before you worry about the cost cutting)
We all know how much you do not want to see the government flex it's muscles, and I don't totally disagree with that notion. But I do think public healthcare is the one thing that the government should be stepping in and handling.

But alas we both know very well what the other believes. I wish some of our other center-right --> far right people were in here to help the conversation out.

And Gary you always mention Malpractice. There are many states with laws that make it d*mn near impossible to sue a doctor. You have to be able to prove that the doctor in charge of your care was KNOWINGLY negligent, at least in NY. I bet our healthcare system is not paying out much of anything in comparison to what they are taking in, again as profit...
#resist
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消息 1327486 - 发表于:13 Jan 2013, 23:00:59 UTC - 回复消息 1327413.  


Love your straw man. Every hospital emergency room in the US must treat.

That is not health care.

It is government care however.

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消息 1327485 - 发表于:13 Jan 2013, 22:58:06 UTC - 回复消息 1327402.  

You said it:
"Right now all they check for is [over-prescribing and things paid for by government funds]"

...and what do you think would happen to quacks and mills and quality of care enforcement if it was ALL paid by government funds?

They would triple or quintuple in size as they find more and more loopholes to exploit. Patient quality part of the Medical Quality board would cease to exist as the sole focus would be on catching rampant billing fraud.

So sorry if you live in a utopian world where no one would ever dream of cheating.


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消息 1327483 - 发表于:13 Jan 2013, 22:51:44 UTC - 回复消息 1327394.  

Nobody ever died because of a lack of fire insurance and from what I read, rebuilding your house is cheaper in the US than most life saving operations and the associated care.

Love your straw man. Every hospital emergency room in the US must treat.

Correct me if I'm wrong but if a patient presents at an emergency room with a heart attack or similar. Isn't all the emergency ward required to do is stabilise them and stop them from dying ? I don't think the bypass surgery that may be required is included in the "must treat" category.

Stable you say. I think that standard for discharge is able to care for themselves.

Why do you wish to run other people's lives? To tell them what they must do, e.g. buy single payer medical insurance.

If the cost of full cover medical insurance was only 1.5% of their taxable income I don't think too many would see it as "being forced".

Where does that number come from? In the USA we already pay 2.9% and don't yet have full coverage.

Malpractice costs are out the roof because malpractice is rampant.....

But is it actually Medical malpractice or Legal Malpractice that is rampant ? Are the doctors really at fault or is it the ambulance chasing lawyers, courts that award unrealistic damages and plaintiffs full of the desire for a quick, unearned buck that is the problem there ?

Do you refer to a ambulance chaser looking to recompense an accident victim? Do you mean a TV adverts like 800-BAD-DRUG? All excellent legal practice.

The issue you bring up started when SCOTUS said the Bar couldn't ban legal adverts due to the First Amendment. Continues with Citizens United. Same theory really. That government can't place a speech restriction on granting a license.


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消息 1327413 - 发表于:13 Jan 2013, 18:35:49 UTC - 回复消息 1327381.  


Love your straw man. Every hospital emergency room in the US must treat.

That is not health care.

It is far more expensive to wait until people get to this point rather than treating then when they start to become ill.

It is not in the best interests of the patient. It is not a good system. It is not a system that a civilised country should be proud of.
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消息 1327402 - 发表于:13 Jan 2013, 18:07:09 UTC - 回复消息 1327381.  

It is way past time for the medical quality boards to get serious about quacks and mills. Time to require them to send out "patients" to be seen to be sure that treatment is correct. Time to require retesting based on current standards to make sure skills haven't lapsed. If you want to throw money, throw money at the boards for quality of care enforcement. Right now all they check for is excessive oxycontin prescribing or false billing to medicare (government funds).



You said it:
"Right now all they check for is [over-prescribing and things paid for by government funds]"

...and what do you think would happen to quacks and mills and quality of care enforcement if it was ALL paid by government funds?
#resist
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消息 1327394 - 发表于:13 Jan 2013, 17:25:13 UTC - 回复消息 1327381.  

Nobody ever died because of a lack of fire insurance and from what I read, rebuilding your house is cheaper in the US than most life saving operations and the associated care.

Love your straw man. Every hospital emergency room in the US must treat.

Correct me if I'm wrong but if a patient presents at an emergency room with a heart attack or similar. Isn't all the emergency ward required to do is stabilise them and stop them from dying ? I don't think the bypass surgery that may be required is included in the "must treat" category.

Why do you wish to run other people's lives? To tell them what they must do, e.g. buy single payer medical insurance.

If the cost of full cover medical insurance was only 1.5% of their taxable income I don't think too many would see it as "being forced".

Malpractice costs are out the roof because malpractice is rampant.....

But is it actually Medical malpractice or Legal Malpractice that is rampant ? Are the doctors really at fault or is it the ambulance chasing lawyers, courts that award unrealistic damages and plaintiffs full of the desire for a quick, unearned buck that is the problem there ?

T.A.
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消息 1327381 - 发表于:13 Jan 2013, 16:46:25 UTC - 回复消息 1327313.  

Nobody ever died because of a lack of fire insurance and from what I read, rebuilding your house is cheaper in the US than most life saving operations and the associated care.

Love your straw man. Every hospital emergency room in the US must treat.

I don't think anyone wants "free" medical care, they just want the health care and health insurance to be affordable.

Perhaps you should read more American media. Try some of the local outlets, the ones closer to the people.

Gary, while we agree on many things, I find it very hard to understand your attitudes on public health care. Are you trolling, or just an unfeeling, asocial b*st*rd ?

T.A.

Why do you wish to run other people's lives? To tell them what they must do, e.g. buy single payer medical insurance.

Continuing to throw ever bigger piles of cash to the same broken system in some vain hope that more cash will fix it is crazy. Perhaps I'm just sane.

Let me toss something out there. As a holder of a driver's license I'm required to present myself to the state every so often to be re-tested. Is a doctor, nurse or any other medical tech?

What is the largest cost on the profit and loss statement of a medical professional? Is it malpractice insurance?

Do you think the above two might be linked in some manner?

It is way past time for the medical quality boards to get serious about quacks and mills. Time to require them to send out "patients" to be seen to be sure that treatment is correct. Time to require retesting based on current standards to make sure skills haven't lapsed. If you want to throw money, throw money at the boards for quality of care enforcement. Right now all they check for is excessive oxycontin prescribing or false billing to medicare (government funds).

I know there is a continuing education requirement. Went looking at one code. It requires the licensee to take the class. It doesn't require them to pass the class! It doesn't require the class to be relevant! It is a joke!

Malpractice costs are out the roof because malpractice is rampant. Fix what is broken first.

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消息 1327364 - 发表于:13 Jan 2013, 15:35:49 UTC - 回复消息 1326846.  
最近的修改日期:13 Jan 2013, 15:36:24 UTC

The American people are not fighting against a more cost effective health care system, the health care industry is doing most of the fighting.


*most of the American people are not fighting against it, but many are.
I suppose the very people in the US that are against public healthcare would rather spend 50-200$/week than have taxes go up far less than that amount.

And, even if all of the American people get on board with public health care, then of course there's still the lobbied interests that will do everything they can to prevent it. This country is just too set in its ways for major change like that.

And people are right when they say Obamacare is not the answer... It's a very righ-wing plan that ultimately will help the private insurance sector more than the American public.

There is a simple solution that could work, public funded single payer healthcare. Unfortunately it means higher taxes for everyone, the positive being lower health costs out of your pocket, and oh yea you don't have to worry about being in debt for the rest of your life if you get appendicitis. And to those people here who are so anti-public healthcare, maybe they need education on the private add-on options available in countries with publicly funded systems.
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消息 1327313 - 发表于:13 Jan 2013, 8:13:56 UTC - 回复消息 1327181.  
最近的修改日期:13 Jan 2013, 8:19:00 UTC

The very same can be said about fire insurance. But why is it in the case of illness people insist on free treatment when they didn't purchase insurance? Shouldn't people who have a fire but didn't purchase fire insurance have their place and possessions restored by the government?

Definitely a "straw man" argument.

Nobody ever died because of a lack of fire insurance and from what I read, rebuilding your house is cheaper in the US than most life saving operations and the associated care.

I don't think anyone wants "free" medical care, they just want the health care and health insurance to be affordable.

Gary, while we agree on many things, I find it very hard to understand your attitudes on public health care. Are you trolling, or just an unfeeling, asocial b*st*rd ?

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消息 1327286 - 发表于:13 Jan 2013, 5:01:53 UTC - 回复消息 1327181.  

They are just one major illnes away from financial disaster.

The very same can be said about fire insurance. But why is it in the case of illness people insist on free treatment when they didn't purchase insurance? Shouldn't people who have a fire but didn't purchase fire insurance have their place and possessions restored by the government?

A house is very different than a human life.
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