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Single Payer and the Patient
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Oct 24, 2013 10:18:17   #
bmac32 Loc: West Florida
 
Life time but I get to start at 63? Thankfully I'm not effected YET but looking through the policies my monthly would go from $167 to $411 and I actually have LESS coverage, sounds like such a great deal.

First they know this will not work, getting young people to buy isn't going to happen, they'll take the fine. Without them applying for it the system will quickly run out of funds raising rates for those who did join. When this system does not work single payer will be next as by then many of the small companies will have been driver out of business. Take a close hard look at Canada's and Great Britain's systems as they need millions more just to stay afloat.


AnnMarie wrote:
BMAC, the minimum standards for insurance are part of the idea of insurance-spreading risk around-we are all in this together. Sure 25year olds don't need angioplasties, and 60 year old don't have babies, but over a lifetime it evens out. You pay premiums and the care you need for your age group is there when you need it. Where did you get the idea it was free?-people have to BUY insurance from the insurance companies. There is government assistance for the people who earn very little, just like right now the people who work for Walmart get food stamps because they earn so little. NOT FREE
Also where did you get the idea MDs are leaving the profession-it is still tough as hell to get into medical school so I think the profession still has appeal. Medicare has been working great for 60 years of single payer. Most of the baggers who post here are on it.
BMAC, the minimum standards for insurance are part... (show quote)

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Oct 24, 2013 10:24:46   #
Dave Loc: Upstate New York
 
AnnMarie wrote:
Food is not a fair comparison with healthcare-food is more affordable, people know more about food, buying it everyday. If it is bad, people won't buy it again. It is easy to compare prices and quality of food. Healthcare is delivered in a moment of crisis, typically, there is no easy way to compare prices and quality. Also, it is purchased by people who are not knowledgable about say the relative merits of an angioplasty vs medical treatment, and although it is not purchased everyday, sooner or later everyone needs it.

I see healthcare more like fire protection, police protection, armies and navies, social security, stuff that is better purchased by nations than by individuals. Just like medicare. When your house is burning down, you are not looking for the lowest bidder. (actually a reverse form of that was done in ancient rome, when speculators would rush to buy buring houses at rock bottom prices before they put out the fire, save the building and sell it at a profit)

Not at all against the profit motive, and perhaps comparing food to medical care is a perfect example of fuzzy thinking. My amazement is with the fuzzy thinking that the unbridled profit motive is a better protector of patient rights than the goverment mandating limits to insurance companies under the ACA.

You did not answer my question-why are we better off with drive by mastectomies and no limit to insurance companies profit? How is it that mandating insurance companies spend 80% of there premiums on healthcare a BAD thing?

I think that some people have an ideological idea-profit is always good, private enterprise is always better than government, that does not allow them to look at facts and change their opinions.
Food is not a fair comparison with healthcare-food... (show quote)


If what you seek is improved information regarding options of medical treatment there are ways to achieve that short of a radical socialising the entire industry. By the way, the reason food is less expensive is because those seeking profits have increased the efficiencies involved in producing it. You may not have noticed something similar taking place in medical care - laser eye surgery. The cost of that has significantly been reduced. Care to guess why?

As to health care being delivered at a crisis time - certainly you realize the difference between day to day health care and catastrophic health care. I'd venture to say the major portion of health care is done as more of a routine than under catastrophic conditions - and health care insurance is most needed when catastrophy happens. That is considerably different than the mandated coverages of Obamacare for routine things - like birth control. Insurance against virtually sure things isn't exactly insurance.

Why you think government mandates is superior to market driven mandates is beyond me - other than your bias towards big government solutions, there is no evidence that government advances economic goods - of which health care is certainly one.

As to your "drive-by masectomies" - are you so innocent of reality as to really think that government run health care insurances do not result in unnecessary procedures? In the area I live in there was recently a Medicaid scandal of a local dentist performing multiple root canals on 8 and 9 year old kids.

As to your idea that there is no limit to insurance company profits - you reveal an amazing lack of understanding markets. Show me any business of any kind with unlimited profits and I'll show you a business that attracts competition in droves.

I look at facts continuously - and it is facts that drive to me state time after time - in the generation of economic benefits, that is goods and services - there has yet to be a better model of generating continuous improvement than that of the market driven profit motive.

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Oct 24, 2013 10:31:42   #
VladimirPee
 
1998-2007
the US leads in the discovery of approved drugs, by a wide margin (118 out of the 252 drugs). Then Japan, the UK and Germany are about equal, in the low 20s each. Switzerland is in next at 13, France at 12, and then the rest of Europe put together adds up to 29.

Profits are not evil and encourage research


AnnMarie wrote:
I think in a free and humane society, the profit motive should not have a role in the delivery of healthcare. The profit motive will always be on the side of less care, more profit. I really do not understand why ANYONE would think the profit motive is a BETTER champion of patient's rights, and why the same people who "want government out of healthcare" are happy to take medicare, happy to force unneeded vaginal ultrasounds on people. If the profit motive was the best champion of patient care, why did the government have to mandate no drive by mastectomies, requiring insurance companies to allow an overnight stay after a breast amputation or to mandate minimum stays after a delivery of a child? Insurance companies had to be FORCED by the government to provide a minium level of patient care, and THAT'S what you are complaining about??? Obamacare still uses insurance companies, but mandates minimum levels of care, maximum profit (80% of premiums must be used on patient care) and mandates giving insurance to people with pre-existing conditions, and does away with lifetime caps. This is a GOOD THING. The website is a mess, because so many people want to sign up. Websites get improved. This is good for the country.
I think in a free and humane society, the profit m... (show quote)

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Oct 24, 2013 10:58:44   #
AnnMarie Loc: Madison, Wi
 
DennisDee wrote:
So you are saying a doctor or hospital does not put out requests for bids? Why would your company charge an American radiology firm more than Spain? If we are already paying for the uninsured then why do we need to spend an additional 710 Billion over the next 5 years on ACA? Why not just move the money around?


They put out bids, but all the anesthesia machine companies charge the standard set US prices. We have recently seen some competition in the lower end, like surgerycenter equipment, because a company from China is making and selling medical equipment in the US.

Why would we charge more in the US? The profit motive. Our job is to get as much profit as possible. That is capitalism.

We are already paying for the uninsured to go to the ER, the costliest type of care, and since they cannot get chronic care, say for diabetes, they go to the ER when they need an amputation. ACA is trying to get healthcare, preventive healthcare (which has to be covered without a deductable under the ACA) that saves money in the long run. The congressional budget office (non-partisan) says ACA SAVES money, not costs money. In fact, the Ryan budget keeps the Obamacare savings in the budget, but says he is going to get rid of Obamcare.

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Oct 24, 2013 11:03:59   #
VladimirPee
 
So if they do not compete the Chinese will take their business away. To claim government entities bid better and cheaper displays a lack of knowledge. I have bid on government contracts for decades and they are among the poorest buyers in America. They often write such contract proposals with so much crap many companies won't even bother bidding.

AnnMarie wrote:
They put out bids, but all the anesthesia machine companies charge the standard set US prices. We have recently seen some competition in the lower end, like surgerycenter equipment, because a company from China is making and selling medical equipment in the US.

Why would we charge more in the US? The profit motive. Our job is to get as much profit as possible. That is capitalism.

We are already paying for the uninsured to go to the ER, the costliest type of care, and since they cannot get chronic care, say for diabetes, they go to the ER when they need an amputation. ACA is trying to get healthcare, preventive healthcare (which has to be covered without a deductable under the ACA) that saves money in the long run. The congressional budget office (non-partisan) says ACA SAVES money, not costs money. In fact, the Ryan budget keeps the Obamacare savings in the budget, but says he is going to get rid of Obamcare.
They put out bids, but all the anesthesia machine ... (show quote)

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Oct 24, 2013 11:04:18   #
OldSchool Loc: Moving to the Red State of Utah soon!
 
AnnMarie wrote:
I think in a free and humane society, the profit motive should not have a role in the delivery of healthcare. The profit motive will always be on the side of less care, more profit. I really do not understand why ANYONE would think the profit motive is a BETTER champion of patient's rights, and why the same people who "want government out of healthcare" are happy to take medicare, happy to force unneeded vaginal ultrasounds on people. If the profit motive was the best champion of patient care, why did the government have to mandate no drive by mastectomies, requiring insurance companies to allow an overnight stay after a breast amputation or to mandate minimum stays after a delivery of a child? Insurance companies had to be FORCED by the government to provide a minium level of patient care, and THAT'S what you are complaining about??? Obamacare still uses insurance companies, but mandates minimum levels of care, maximum profit (80% of premiums must be used on patient care) and mandates giving insurance to people with pre-existing conditions, and does away with lifetime caps. This is a GOOD THING. The website is a mess, because so many people want to sign up. Websites get improved. This is good for the country.
I think in a free and humane society, the profit m... (show quote)


Typical warped and misguided logic from a liberal. Please move to Russia, or some other c*******t country, you'll fit right in!

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Oct 24, 2013 11:04:31   #
AnnMarie Loc: Madison, Wi
 
DennisDee wrote:
1998-2007
the US leads in the discovery of approved drugs, by a wide margin (118 out of the 252 drugs). Then Japan, the UK and Germany are about equal, in the low 20s each. Switzerland is in next at 13, France at 12, and then the rest of Europe put together adds up to 29.

Profits are not evil and encourage research


Never said profits were evil. Reseach is based on profits, agreed. That being said, our drug delivery system, based on profit motive, has flaws. For one thing, a new drug is only tested against placebos-it has to be more effective than nothing in order to be approved. It does NOT have to be more effective than a cheaper, previously approved drug. It took a drug study from Canada to show that for hypertension, hydrochlorothiazide, a very old and very cheap drug, did the best job for hypertension. So the newer, expensive anti-hypertensive drugs were being prescriped in the US when a cheaper, safe alternative worked better. Health Canada did the research, and now we know. That would not have been done in the US, as the profit motive, the same motive that makes equipment more expensive in the US, would have us keep using the new expensive drugs instead of the old generic drugs.

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Oct 24, 2013 11:06:43   #
AnnMarie Loc: Madison, Wi
 
OldSchool wrote:
Typical warped and misguided logic from a liberal. Please move to Russia, or some other c*******t country, you'll fit right in!


Didn't answer my question, oldschool, just called me a name. I guess you have no answer to my question, so just call me a warped c*******t. I take that as you agree with me, cant argue the other side.

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Oct 24, 2013 11:09:00   #
vernon
 
AnnMarie wrote:
I think in a free and humane society, the profit motive should not have a role in the delivery of healthcare. The profit motive will always be on the side of less care, more profit. I really do not understand why ANYONE would think the profit motive is a BETTER champion of patient's rights, and why the same people who "want government out of healthcare" are happy to take medicare, happy to force unneeded vaginal ultrasounds on people. If the profit motive was the best champion of patient care, why did the government have to mandate no drive by mastectomies, requiring insurance companies to allow an overnight stay after a breast amputation or to mandate minimum stays after a delivery of a child? Insurance companies had to be FORCED by the government to provide a minium level of patient care, and THAT'S what you are complaining about??? Obamacare still uses insurance companies, but mandates minimum levels of care, maximum profit (80% of premiums must be used on patient care) and mandates giving insurance to people with pre-existing conditions, and does away with lifetime caps. This is a GOOD THING. The website is a mess, because so many people want to sign up. Websites get improved. This is good for the country.
I think in a free and humane society, the profit m... (show quote)


you dont have the slightest idea what your talking about .obama care is going to ration care and to do that they have to k**l off the old and the inferm people .kind of like hitler and dr mengale did,but of course you are blind to the t***h so im wasting my time

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Oct 24, 2013 11:10:44   #
AnnMarie Loc: Madison, Wi
 
DennisDee wrote:
So if they do not compete the Chinese will take their business away. To claim government entities bid better and cheaper displays a lack of knowledge. I have bid on government contracts for decades and they are among the poorest buyers in America. They often write such contract proposals with so much crap many companies won't even bother bidding.


True about China-what has happened is that prices have eroded in the low end market, and jobs have been moved overseas to make OUR machine in China. Not such a happy ending. Governments on healthcare get the lowest prices. If we give a lower price to another customer (there are some limits such as order size) we have to rebate that price to the government, and that becomes the new government price. I cannot speak on buying anything but healthcare equipment, but after 35 years in the business, I can tell you governments get the lowest prices.

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Oct 24, 2013 11:11:32   #
VladimirPee
 
Drugs react differently with different people. I use Enalapril for hypertension. I pay $8.00 a prescription. Some people use Diovan. I want what works best for me. Not what some government panel decides is adequate based on costs

AnnMarie wrote:
Never said profits were evil. Reseach is based on profits, agreed. That being said, our drug delivery system, based on profit motive, has flaws. For one thing, a new drug is only tested against placebos-it has to be more effective than nothing in order to be approved. It does NOT have to be more effective than a cheaper, previously approved drug. It took a drug study from Canada to show that for hypertension, hydrochlorothiazide, a very old and very cheap drug, did the best job for hypertension. So the newer, expensive anti-hypertensive drugs were being prescriped in the US when a cheaper, safe alternative worked better. Health Canada did the research, and now we know. That would not have been done in the US, as the profit motive, the same motive that makes equipment more expensive in the US, would have us keep using the new expensive drugs instead of the old generic drugs.
Never said profits were evil. Reseach is based on... (show quote)

Reply
 
 
Oct 24, 2013 11:13:03   #
bmac32 Loc: West Florida
 
As of Sept. 18 the CBO says that it will go down slightly over the next few years and then will head up. So what does that mean, prices good for a few years and them the sky rocket? With damn near 9 million unemployed jobs should have the number one thing not health care.

China-medical equipment, not good as China can't even get dog treats right with over 600 dead dog from their treats.



AnnMarie wrote:
They put out bids, but all the anesthesia machine companies charge the standard set US prices. We have recently seen some competition in the lower end, like surgerycenter equipment, because a company from China is making and selling medical equipment in the US.

Why would we charge more in the US? The profit motive. Our job is to get as much profit as possible. That is capitalism.

We are already paying for the uninsured to go to the ER, the costliest type of care, and since they cannot get chronic care, say for diabetes, they go to the ER when they need an amputation. ACA is trying to get healthcare, preventive healthcare (which has to be covered without a deductable under the ACA) that saves money in the long run. The congressional budget office (non-partisan) says ACA SAVES money, not costs money. In fact, the Ryan budget keeps the Obamacare savings in the budget, but says he is going to get rid of Obamcare.
They put out bids, but all the anesthesia machine ... (show quote)

Reply
Oct 24, 2013 11:13:31   #
vernon
 
DennisDee wrote:
So if they do not compete the Chinese will take their business away. To claim government entities bid better and cheaper displays a lack of knowledge. I have bid on government contracts for decades and they are among the poorest buyers in America. They often write such contract proposals with so much crap many companies won't even bother bidding.


your right ,they write contracts to fit a certain business so their friends get the job

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Oct 24, 2013 11:14:48   #
AnnMarie Loc: Madison, Wi
 
vernon wrote:
you dont have the slightest idea what your talking about .obama care is going to ration care and to do that they have to k**l off the old and the inferm people .kind of like hitler and dr mengale did,but of course you are blind to the t***h so im wasting my time


Not true. No care rationing. Do you think there is rationing of healthcare on Medicare?? That has been working for 60 years of government SINGLE PAYER no less. Nobody k**led off the sick and infirm for the last 60 years. That is 60 years of experience! Who is blind to that??? Sarah pulled that death panel crap out of her ass. You are on medicare, your healthcare is not changing. STOP WORRYING.

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Oct 24, 2013 11:15:13   #
vernon
 
bmac32 wrote:
As of Sept. 18 the CBO says that it will go down slightly over the next few years and then will head up. So what does that mean, prices good for a few years and them the sky rocket? With damn near 9 million unemployed jobs should have the number one thing not health care.

China-medical equipment, not good as China can't even get dog treats right with over 600 dead dog from their treats.


you might as well give up on her she is a commited c*******t and cannot be saved

Reply
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