Health Care

Chopin

Legend
I always love reading the little summary articles the BBC does on American issues.

Here's their latest update on health care:
http://news.bbc.co.uk/2/hi/americas/8160058.stm

It's always interesting to see how other countries view us and it’s fascinating how unintelligible and remote our system sounds to them.

Thanks goodness that this bill might actually pass. It’s an important step in the right direction, and I truly believe that in my lifetime America will have affordable, universal healthcare for its people, like the rest of the civilized world.
 
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What an excellent article because it gives us a simple, unbiased explanation of the proposed reform. I learned more from that article than from any other American news source.
 
Interesting to read. Does anyone else notice a faint undercurrent of "what's wrong with those Yanks" running through the article? It's a good question.
 
Good read, but that issue lingers about forcing people to buy it. Unless you subsidize to a point where they can afford it, it's ludicrous. Fining people who cannot afford it would be a bad way to go; and if they do get it, what will it cover?

In addition, even if it does pass, the Republicans will work tirelessly to get rid of it when they come into power again.
 
Paying a health care fee or get fined because you are alive. Only our Dems could come up with that scenario.
 
I understand people's concerns about "fining people who don't have health care," but let me offer a brief take. Please listen with open ears and minds, ladies and gentleman.

1) I support a single-payer system, where everyone is invested in the same system, but mandating that people get health care is a step in the right direction towards a society where we're all on equal terms. No, it does not take us there, but it’s a step in the right direction. This is largely a philosophical point, but an important one.

2) Let’s be realistic about the fine. It’s going to be waived for low-income people (many of whom have access to Medicaid anyways) and while I’m not sure if the standard $750 fine is coming through (won’t take effect until 2015) or if it’s going to be the flat 2.5% of income, but it’s not a significant amount in comparison to paying for health insurance.

3) If you really are caught in the grey area of making too much for Medicaid, but still have difficulty paying for private insurance (and trust me, I know people that are there), this bill should make health care more affordable for you through subsidies.

4) Uninsured people cost the system money. I’ve read reports that uninsured citizens cost the average family up to a $1000 in premiums. Why not make these people pay?

5) This fine may actually put pressure on state governments to get moving on healthcare. I’d like to see the Federal government take charge with single-payer, but that’s a distant dream (for the moment). What’s not a distant dream is that state governments start providing health care.

There are other arguments to make, as well, but let me say that any change of this magnitude is not going to come easy. To quote a recent former President, “it’s hard work.” Other countries eventually got there (look at Western Europe or Japan), but it was after unimaginable horror and suffering. Americans need to wakeup and talk with people who are being crushed under this horrendous, profit driven healthcare system.

American, generally, have become a nation of whiners (sorry, it’s true). We all pride ourselves on our personal autonomy, but at what cost? I drove past some health care protesters today, and one of them had some asinine sign (which looked like a five year old scribbled it) that read something like, “SAVE OUR CONSTITUION: STOP THE HEALTHCARE BILL” and I wondered if the person had any idea of the communitarian principles that marked our Founding Fathers‘ collective thought.

And of course I realize how much Congress sucks and how convoluted this bill is, but it’s a step in the right direction. It’s important, and I’m proud to see Obama use up some political capital in helping make this happen. I know many of you are skeptical of big government, but you should be even MORE skeptical of big insurance companies and big business.

“If men were angels, no governance would be needed.”
--James Madison
 
1) mandating that people get health care is a step in the right direction towards a society where we're all on equal terms.
If everyone is treated badly, they're still treated equally. Equal in and of itself is not just some holy grail to pursue.

2) Let’s be realistic about the fine. It’s going to be waived for low-income people ... and while I’m not sure if the ... fine is coming through... it’s not a significant amount in comparison to paying for health insurance.
If I'm fined for not having a house, that's not the same amount as a house costs either. Most people that argue the fine is not significant, are people that are not hurting financially or that already are paying for health care. How is that realistic to not be in the bracket that will be affected? People always go back to car insurance, yet I don't have to own a car, nor land, nor a house. But to tax someone for having a body? I don't think that's necessary, nor do I think you can sugar coat the idea by justifying it as necessary for health reform.

3) If you really are caught in the grey area of making too much for Medicaid, but still have difficulty paying for private insurance (and trust me, I know people that are there), this bill should make health care more affordable for you through subsidies.
This falls into it the logic of, it has some benefits, therefore having some benefits at all outweigh any and all possible negative outcomes. That argument is illogical.

4) Uninsured people cost the system money. I’ve read reports that uninsured citizens cost the average family up to a $1000 in premiums. Why not make these people pay?
Here's the argument that seems to be the rub for most people (most important one). All these leechers are supposedly draining the system and making it hard for anyone, so we should force them to pay their share. But is this badly done bill the only way to put a stop to this? I don't think so. Are these "leechers" really people that can afford healthcare anyway? If so, there certainly must be better ways to stop them. Are they people that can't afford it? Then socialism is already working, and it is the same thing already in place.

5) This fine may actually put pressure on state governments to get moving on healthcare. I’d like to see the Federal government take charge with single-payer, but that’s a distant dream (for the moment). What’s not a distant dream is that state governments start providing health care.
You're simply assuming this is a good thing. It all depends on how it's done.

There are other arguments to make, as well,
I just want to point out that these are more assertions of opinion than reasoned arguments. An argument details why something is good, it does not just state that it is good. In other words, it must be demonstrated that the system really will result in less abuse and less suffering on the whole, and also be as fair as possible, while still promoting the freedom of pursuing happiness.

but let me say that any change of this magnitude is not going to come easy.
It doesn't come easy so we have to do it bad. That's the argument. But I have reason to think that doing it badly may outweigh the positive benefits.

Americans need to wakeup and talk with people who are being crushed under this horrendous, profit driven healthcare system.
There was a time when businesses abused employees because they could. Rather than redo the whole system, and make the government run every single business personally, stricter oversight and regulations have benefited the capitalistic economic structure and prevented abuse. Not every problem has only one way it can be solved.

I drove past some health care protesters today, and one of them had some asinine sign (which looked like a five year old scribbled it) that read something like, “SAVE OUR CONSTITUION: STOP THE HEALTHCARE BILL” and I wondered if the person had any idea of the communitarian principles that marked our Founding Fathers‘ collective thought.
I think it is sad that you assume so many things about those people and why they feel strongly enough to object to the bill to stand with signs, even if they spell poorly. The reasons they might oppose the bill might actually not be because they love to see people suffer and not get medical health. Those people actually might donate personally to help suffering people, rather than ask their government to fix every problem. They might have reasons that are not simply evil and terrible, but that they believe will indeed be more fair for more people and bring more prosperity overall. I just think there's too much demonization from both sides as if that were an argument itself.

And of course I realize how much Congress sucks and how convoluted this bill is, but it’s a step in the right direction.
Simply accepting that it is a step in the right direction isn't enough for me. I need to personally be convinced by the logic of it. Just because they're some benefits or because it looks like a more fair system on the surface, is not convincing, but I think it may be a bit of a blindness to think it is good no matter what simply because it is a universal system.

It’s important, and I’m proud to see Obama use up some political capital in helping make this happen. I know many of you are skeptical of big government, but you should be even MORE skeptical of big insurance companies and big business.
This is the argument of one bad thing is okay because another is worse. That logic does not hold up. Both are bad things, and both should be reformed. I don't like the idea of giving the government more power and control over peoples lives because of a belief that only the government can fix these problems this way. There are better ways to implement health reform.

“If men were angels, no governance would be needed.”
 
^^Good sir, I don't have the time or interest in hashing this out over an extended internet skirmish tonight, but I would not support the bill if there were not a plethora of good things in it. This reform, now, is better than no reform.

Perhaps tomorrow I can reply in depth (and I disagree with almost everything you‘ve written), but I will say that every other industrialized liberal-democracy manages to provide less expensive, universal coverage that people are generally more satisfied with than America. How do they do it: increased state involvement, baby. That's it. End of story. For the record, I think this is good, not bad. It’s not as though this even up for debate:

http://truecostblog.com/2009/08/09/countries-with-universal-healthcare-by-date/

We also spend more (unless the Budget Office is way, way this bill will help):
http://seekingalpha.com/article/146992-comparing-u-s-healthcare-spending-with-other-oecd-countries

I’m also slightly concerned that the word “socialism” has popped into the discussion already (another fear mongering word people just need to get over).

Best,
Chopin
 
Perhaps tomorrow I can reply in depth (and I disagree with almost everything you‘ve written), but I will say that every other industrialized liberal-democracy manages to provide less expensive, universal coverage that people are generally more satisfied with than America. How do they do it: increased state involvement, baby. That's it. End of story. For the record, I think this is good, not bad.

Interesting measure, "satisfaction". People don't get to compare the alternatives. The thing about a state run system is that you have to accept what you are given. People here in the uk are "satisfied" because they think the doctors and nurses work hard and are underpaid, because they know that no one else is getting better treatment than they are, and because there's no where else to go. People in the US are "dissatisfied" because they're paying for it, so don't just accept whatever they're given.

Believe me, you don't want a US NHS. You don't want a system where you can get an MRI for your dog, but you can't get an MRI for yourself.

I dislocated my knee a few years ago. I read up everything I could about it. The websites (mostly American) said: "its always best to do an MRI". I saw the NHS consultant and asked him, "aren't you going to do an MRI?". "No, you don't need it" he said. Then he explained that they could either do an operation, or leave it to heal on its own. The outcomes are almost always better with the operation he told me, but he had to evaluate whether or not he would offer me the operation. He asked me questions about what level of sport I competed at, and I had to try to convince him to offer me the operation. Eventually I had the operation, but although they had planned a keyhole surgery, because they hadn't done an MRI things weren't as they expected and they had to open the whole knee up.

If you get Obamacare, you'll regret it.
 
Many people rave about the Canadian system, but I can tell you, it's not a system I would want either. A few years back, I injured my shoulder. I had an MRI. The extent of the injury could be determined, etc. I visited my cousin in Victoria. She asked about my shoulder. I said I had an MRI and we've decided on rehab vs. surgery for now. She said, "You had an MRI?? How did you get one that fast? In Victoria, you would have had to wait a year since it was non-life threatening, and even then, you'd probably have to take the ferry over to Vancouver to get it done." Not a good deal for any amount of money in my opinion.

Plus, you have to know that this bill, as well as most healthcare bills, is driven by insurance companies. Price escalation didn't happen until insurance companies drove up the costs. They knew the higher healthcare became, the more people would have to have insurance. Now, even with the Obamasurance, people get fined for not having insurance. You don't hear them talking government option much anymore do you? Wonder why. Insurance companies and their CEO's are some of the biggest contributors to Congress. If you really think the main concern of a Congressman is his constituency, you are truly a fool. The main concern a Congressman has is staying in office.

Now, I'm not saying we don't need reform. Obviously, a lot of healthcare dollars are going into CEO's pockets that could and should be going toward healthcare. But in a country where greed is seen as the basis for development and efficiency, insurance companies have just found a way to exploit the system for their gain. How do you create incentives that don't involve money? Our country is, good or bad, built around greed. For a price, there's literally nothing someone wouldn't do. That's capitalism.
 
^^^ That sounds great. I look forward to having underpaid medical workers. Less pay never invites the best and brightest to enter a field.
 
More misconceptions in this thread (other countries like Germany trounce us in terms of waiting time):

"There is no systemized collection of data on wait times in the U.S. That makes it difficult to draw comparisons with countries that have national health systems, where wait times are not only tracked but made public. However, a 2005 survey by the Commonwealth Fund of sick adults in six nations found that only 47% of U.S. patients could get a same- or next-day appointment for a medical problem, worse than every other country except Canada.

The Commonwealth survey did find that U.S. patients had the second-shortest wait times if they wished to see a specialist or have nonemergency surgery, such as a hip replacement or cataract operation (Germany, which has national health care, came in first on both measures). But Gerard F. Anderson, a health policy expert at Johns Hopkins University, says doctors in countries where there are lengthy queues for elective surgeries put at-risk patients on the list long before their need is critical. "Their wait might be uncomfortable, but it makes very little clinical difference," he says.

The Commonwealth study did find one area where the U.S. was first by a wide margin: 51% of sick Americans surveyed did not visit a doctor, get a needed test, or fill a prescription within the past two years because of cost. No other country came close."

http://www.businessweek.com/magazine/content/07_28/b4042072.htm
 
^^^ That sounds great. I look forward to having underpaid medical workers. Less pay never invites the best and brightest to enter a field.

Good, we need more Type B people in America rather than Type A people if this country is ever going to realize its full potential. "Ask not what your country can do for you (Type A)--- ask what you can do for your country (Type B). A system that encourages people to promote their self interests above the public good of the country is one that injures the country. It's the Type A people who have caused basically every crisis because of their uncontrolled greed.
 
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Good, we need more Type B people in America rather than Type A people if this country is ever going to realize its full potential. "Ask not what your country can do for you (Type A)--- ask what you can do for your country (Type B). A system that encourages people to promote their self interests above the public good of the country is one that injures the country. It's the Type A people who have caused basically every crisis because of their uncontrolled greed.


I suppose the Type Bs are the ones working on cures for cancer?
 
I suppose the Type Bs are the ones working on cures for cancer?

Very possibly; it would probably be preferred that a Type B person finds the cure out of a motivation to do well for the public good, rather than a Type A person who does it for personal wealth. Type B person would try to make it affordable for all, while a Type A person would treat it like a monopoly and just try to garner the most money.

Could you tell me whether the founder of the World Wide Web was a Type A or a Type B person based on the information below?

"In 1994, Berners-Lee founded the World Wide Web Consortium (W3C) at MIT. It comprised various companies that were willing to create standards and recommendations to improve the quality of the Web. Berners-Lee made his idea available freely, with no patent and no royalties due. The World Wide Web Consortium decided that its standards should be based on royalty-free technology, so that they could easily be adopted by anyone."

Could you imagine the obstruction to the development and accessibility of the WWW a Type A person would have caused? You don't have to look any further than Microsoft or oil companies to see how Type A people operate. They suppress innovation at the expense of the public good for personal gain.
 
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Plus, you have to know that this bill, as well as most healthcare bills, is driven by insurance companies. Price escalation didn't happen until insurance companies drove up the costs. They knew the higher healthcare became, the more people would have to have insurance.

That's bull. Medical technology keeps improving, people keep living longer and longer. The more illnesses you can cure/manage, the more people live longer to have even more illnesses. Then politicians, in the name of "progress" mandate more and more things are covered. Chiropractic, Birth control, Abortion etc etc etc.

Insurance just reflects the inherent costs.
 
More misconceptions in this thread (other countries like Germany trounce us in terms of waiting time):

"There is no systemized collection of data on wait times in the U.S. That makes it difficult to draw comparisons with countries that have national health systems, where wait times are not only tracked but made public. However, a 2005 survey by the Commonwealth Fund of sick adults in six nations found that only 47% of U.S. patients could get a same- or next-day appointment for a medical problem, worse than every other country except Canada.

The Commonwealth survey did find that U.S. patients had the second-shortest wait times if they wished to see a specialist or have nonemergency surgery, such as a hip replacement or cataract operation (Germany, which has national health care, came in first on both measures). But Gerard F. Anderson, a health policy expert at Johns Hopkins University, says doctors in countries where there are lengthy queues for elective surgeries put at-risk patients on the list long before their need is critical. "Their wait might be uncomfortable, but it makes very little clinical difference," he says.

The Commonwealth study did find one area where the U.S. was first by a wide margin: 51% of sick Americans surveyed did not visit a doctor, get a needed test, or fill a prescription within the past two years because of cost. No other country came close."

http://www.businessweek.com/magazine/content/07_28/b4042072.htm

Seems a bit contradictory to me. My experience in England is that its difficult to get a doctors appointment the same week unless it is a real emergency. The reason is that doctors appointments are free, so everyone with a bit of a cough goes to the doctor. It seems odd that they claim half of sick Americans skip visits to doctors because of cost, while at the same time claiming there are big waits to see a doctor in America.
 
Very possibly; it would probably be preferred that a Type B person finds the cure out of a motivation to do well for the public good, rather than a Type A person who does it for personal wealth. Type B person would try to make it affordable for all, while a Type A person would treat it like a monopoly and just try to garner the most money.

Could you tell me whether the founder of the World Wide Web was a Type A or a Type B person based on the information below?

"In 1994, Berners-Lee founded the World Wide Web Consortium (W3C) at MIT. It comprised various companies that were willing to create standards and recommendations to improve the quality of the Web. Berners-Lee made his idea available freely, with no patent and no royalties due. The World Wide Web Consortium decided that its standards should be based on royalty-free technology, so that they could easily be adopted by anyone."

Could you imagine the obstruction to the development and accessibility of the WWW a Type A person would have caused? You don't have to look any further than Microsoft or oil companies to see how Type A people operate. They suppress innovation at the expense of the public good for personal gain.

Type A people make things available for free when it meets their own selfish ends. Jimmy Wales, founder of Wikipedia, is a selfish egoist.
 
Exactly my point. Now these potential doctors will go work for the federal government instead because it pays better.

So healthcare costs like doctors wages will be held down, so there will be fewer doctors, but there are going to be an extra 30,000,000 patients. Are you going to be using the same approach to make supply=demand here in the uk? Put people on long waiting lists and hope they die before needing treadment. If not, how are they planning to meet the demand?
 
Plus, you have to know that this bill, as well as most healthcare bills, is driven by insurance companies. Price escalation didn't happen until insurance companies drove up the costs. They knew the higher healthcare became, the more people would have to have insurance. Now, even with the Obamasurance, people get fined for not having insurance. You don't hear them talking government option much anymore do you? Wonder why. Insurance companies and their CEO's are some of the biggest contributors to Congress. If you really think the main concern of a Congressman is his constituency, you are truly a fool. The main concern a Congressman has is staying in office.

Now, I'm not saying we don't need reform. Obviously, a lot of healthcare dollars are going into CEO's pockets that could and should be going toward healthcare. But in a country where greed is seen as the basis for development and efficiency, insurance companies have just found a way to exploit the system for their gain. How do you create incentives that don't involve money? Our country is, good or bad, built around greed. For a price, there's literally nothing someone wouldn't do. That's capitalism.

Insurance companies are not to really to blame for rising health care costs. America is at the top when it comes to medical technology and treatments and when people keep demanding to get the best most expensive tests and treatments it is going to raise costs. Most diagnoses can be made based on history and physical, yet some patients pressure doctors for expensive tests. Other times doctors order tests to protect them selves from lawsuits. None of this comes at a cost to the patient nor does it give moeny to the doctor. It just costs the insurance companies money.

With this new bill insurance companies are going to have to cover more as part of a minimum coverage standard so it will cost them even more to do business. Sure they do make a profit for their executives, but rising health care costs are not really due to insurance companies. If it were up to them, they would want you to use less health care. One good thing in the bill is that it enourages the study of standard guidelines for testing and treatment that doctors can follow to avoid ordering unnecessary tests. However, with the lack of malpractice reform I doubt doctors are going to change their behaviour.
 
Here is my problem with free health care. American people are flat out FAT ***$es, they don't exercise, and most everyone over eat. The rising health care cost is mostly related to people not taking care of their body.

We are giving people free health care but they don't aren't even responsible for taking car of themselves!
 
UP until a couple of years ago, news stories about hard-luck sick people being denied care by their health insurance companies were common. I don't remember a lot of people defending the insurance companies then, just kind of a shrug and a "that's the way it goes, glad it's not me or someone I care about" reaction.

Lots of casual conversation (water-cooler, parties...) had to do with health insurance premiums going up, deductibles and copayments going up, and "did you hear about George, he was in the hospital for 4 days after his car wreck and his bill was $167,000, lucky he had good insurance!"

These days so many people seem to think our health care system as it is is just the bee's knees.

Doesn't seem rational.
 
Insurance companies are not to really to blame for rising health care costs. America is at the top when it comes to medical technology and treatments and when people keep demanding to get the best most expensive tests and treatments it is going to raise costs. Most diagnoses can be made based on history and physical, yet some patients pressure doctors for expensive tests. Other times doctors order tests to protect them selves from lawsuits. None of this comes at a cost to the patient nor does it give moeny to the doctor. It just costs the insurance companies money.

With this new bill insurance companies are going to have to cover more as part of a minimum coverage standard so it will cost them even more to do business. Sure they do make a profit for their executives, but rising health care costs are not really due to insurance companies. If it were up to them, they would want you to use less health care. One good thing in the bill is that it enourages the study of standard guidelines for testing and treatment that doctors can follow to avoid ordering unnecessary tests. However, with the lack of malpractice reform I doubt doctors are going to change their behaviour.


Lawsuits = Higher malpractice fees. The Dems of course won't address tort reform since they are funded by the trial lawyers.
 
In a capitalist society only people with capital should have any kind of a good life, thats how it works.
 
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