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dc_dux 10-10-2007 07:17 AM

Nope,,,,you cant opt out, but you have mulitiple choices of private providers.

Thats life :)

aceventura3 10-10-2007 07:25 AM

Quote:

Originally Posted by dc_dux
Nope,,,,you cant opt out, but you have mulitiple choices of private providers.

Thats life :)

In the interest of clarity can you explain how that works? I have not found an explanation. How do you force people to buy the coverage? What happens if they don't? For example with social security people pay social security taxes based on income, but if they have no income or if they earn income from things like interest/dividends/insurance proceeds/etc. they don't take social security taxes on those forms of income. The point is that the issue can be a bit more complex than you imply in your response.

dc_dux 10-10-2007 07:35 AM

The plan is as an "individual mandate" plan that requires you to have health insurance comparable to a requirement to have auto insurance.

The devil is in the detail and I really dont know the enforcement mechanism. I do know it provides many options for individuals to select the plan that best suits their needs.

Of course its more complex than I implied, but its equally simplistic to characterization it as "socialized medicine" as others (not you) have suggested.

And now I am done here too. :)

samcol 10-10-2007 07:41 AM

Quote:

Originally Posted by dc_dux
Nope,,,,you cant opt out, but you have mulitiple choices of private providers.

Thats life :)

I like the smug response. Do you get off on making other people's lives miserable?

I eat organic and work out and rarely have to go to the doctor. Yet you still want me to buy insulin for some obese idiot who can't figure out high fructose corn syrup is killing him, or the smoker with lung cancer, or anyone else who has no regard for their health. I guess that's perfectly acceptable in your world.

Forcing me to participate in this BULLSHIT is so uneverving. It's as bad as forcing religion on someone.

Healthcare is not about being healthy or getting well, it's about a continuing dependecy on the system. Socialized healthcare will just make this worse. I won't be visiting your Mengele offices or hospitals. No thanks.

There's two types of people, those who want to be left alone and those who won't leave them alone. I think we both know where we stand.

dc_dux 10-10-2007 07:46 AM

Yep....that explains it.

Each man (or woman) left to himself (herself) and fuck everybody else. It a shame you can't see how this attitude will ultimately will come around to affect you anyway, in either your pocketbook, your workplace or other social interactions.

I think even your man Ron Paul, with all his libertarian leanings, understands that much.

Quote:

I won't be visiting your Mengele offices or hospitals. No thanks.
WTF is that....talk about smug.

Now I will leave you alone :)

samcol 10-10-2007 08:03 AM

Quote:

Originally Posted by dc_dux
Yep....that explains it.

Each man (or woman) left to himself (herself) and fuck everybody else. It a shame you can see how this attitude will ultimately will come around to affect you anyway, in either your pocketbook, your workplace or other social interactions.

I think even your man Ron Paul, with all his libertarian leanings, understands that much. :)

You promote a system that benefits from people getting sick and staying sick. That is the attitude that is fucking everyone. Try telling people their food supply is poison and their medicine is killing them if you really want to help.

Ron Paul ran a doctors office with an external payment drop box and never accepted medicare/medicaid. If someone couldn't afford to pay no questions were asked. The reason he stopped his practice and ran for congress is because governmental intrutions made it increasingly difficult to run his practice how he saw fit.

The sponsors of this bill do not have the outstanding character of Ron Paul, but they do have the payoffs from big pharm. I'm sure Hillary will get elected and you'll have all the healthcare you want.

Willravel 10-10-2007 08:18 AM

Hillary is bought and paid for. I doubt we'll see single payer health care under her. We'll probably get something better than we have now, but that's not saying much.

As I understand it, the wait times are due to there not being enough doctors, but graduates in medicine in Canada and Western Europe have steadily been on the rise for the past two years. If the trend continues, waiting times will become less and less of a problem.

As for paying for someone else, no man is an island. Sometimes we need to lean on people for help, and sometimes they need to lean on us. That's what society means. All of us, collectively, are interdependent. We have to do our best to make sure the health care system won't make people complacent and dependent, but to deny someone health care because they might not have 100% healthy habits is deeply cruel and inhuman. Universal healthcare is about equality and sympathy, two ideals I hold in very high regard.

To Samcol, is it bullshit that you pay for roads or police? Would you opt out of them and simply not use them? I see medical care as being just as necessary if not more so than any other governmental system or program be it as big as military or as small as regulating for safe baby food. It's alright to admit that sometimes corporations can't get the job done because they're too profit driven.

highthief 10-10-2007 08:26 AM

How about this for a healthplan:

All you fat, smoking, drinking buggers get no insurance or healthcare, period. If you don't get at least 3 hours of exercise a week, no doctor for you. You die (hopefully failing to propogate) leaving the rest of the universe with affordable health coverage, provided either by the state or privately?

Probably would save about a trillion dollars or so ...

:)

Willravel 10-10-2007 08:44 AM

That'd be nice, but if people were asked to be responsible, they'd revolt. Saying "you have to go out and exercise, or else" would lead to revolution.

dc_dux 10-10-2007 08:44 AM

We could give the Repubs a Hillary punching bag.

BTW, I'm all for single payer, but I dont see how we get from here to there without something in between.

samcol 10-10-2007 09:44 AM

Quote:

Originally Posted by willravel
That'd be nice, but if people were asked to be responsible, they'd revolt. Saying "you have to go out and exercise, or else" would lead to revolution.

Exactly, and that's where we are headed with health care. No smoking, no fast food, you must exercise etc. Employers are already fining people on their health policy for smoking and such. Socialized healthcare is leading down the wrong road.

By your own admition it's a failed program it seems. A: We pay more money to support the healthcare of these unhealthy individuals or B: We begin outlawing anything perceived by masses as unhealty. Both are bad, people should be able to smoke or be fat and lazy if they want, but I shouldn't have to pay for it.

I just don't understand why people won't let me make my own decisions about something as critical as my health. It's mind boggling.

Let's not forget the government will get to decide what is or isn't covered. You want the same government that sends us to needless war and destroys civil liberties to take care of us. You can't possible believe they won't royally fuck healthcare up too.


p.s.
And no, I don't believe healthcare falls in the same category as roads and police, especially at a federal level.

Willravel 10-10-2007 10:21 AM

Quote:

Originally Posted by samcol
Exactly, and that's where we are headed with health care. No smoking, no fast food, you must exercise etc. Employers are already fining people on their health policy for smoking and such. Socialized healthcare is leading down the wrong road.

I don't really understand how trying to stop people from smoking is such a horrible thing. Smoking is a form of suicide and it's addictive. People who smoke should have to pay more. People who refuse to exercise should pay more. People who eat at McDonald's every day should pay more. That hardly negates the whole thing, though.
Quote:

Originally Posted by samcol
By your own admition it's a failed program it seems. A: We pay more money to support the healthcare of these unhealthy individuals or B: We begin outlawing anything perceived by masses as unhealty. Both are bad, people should be able to smoke or be fat and lazy if they want, but I shouldn't have to pay for it.

I must have missed my admission about how it's a failed program. We pay more in private healthcare than any country pays in socialized or partially socialized medicine, and we still have 45,000,000 people who aren't even covered. Imagine how much more we'd pay if those 45m could afford it. Even if we had the same tax level for everyone, be they healthy or not, we'd all be paying a lot less. Insurance and malpractice are extremely high drains on the whole process. Without them, and without the drive for profit and to appease investors, the system becomes substantially cheaper.
Quote:

Originally Posted by samcol
I just don't understand why people won't let me make my own decisions about something as critical as my health. It's mind boggling.

It's not a 'decision' not to have health coverage. It's just ignorance. It amazes me that people discuss healthcare as being a decision to make, as if your deciding on what color of car you want. Without healthcare, you're in deep shit. Something "as critical as [your] health" should be important enough for you to be covered. That's the whole idea.
Quote:

Originally Posted by samcol
Let's not forget the government will get to decide what is or isn't covered. You want the same government that sends us to needless war and destroys civil liberties to take care of us. You can't possible believe they won't royally fuck healthcare up too.

Military is in the process of being privatized. Private contracts, mercenaries on the ground, and bought and paid for politicians. Socialized medicine flies in the face of that trend. Socialization is about moving the control from the hands of the proven irresponsible corporations and private interests.
Quote:

Originally Posted by samcol
p.s.
And no, I don't believe healthcare falls in the same category as roads and police, especially at a federal level.

It doesn't yet, but it would under socialization. My point is that I don't see anyone complaining about the government controling things like roads and police. I don't see anyone calling for privatized police (imagine paying $200 a month in case you need to call the police and if you don't pay... no one will protect you) or privatized roads (don't pay your transportation insurance? Good luck getting to work...).

samcol 10-10-2007 11:01 AM

Quote:

I don't really understand how trying to stop people from smoking is such a horrible thing. Smoking is a form of suicide and it's addictive. People who smoke should have to pay more. People who refuse to exercise should pay more. People who eat at McDonald's every day should pay more. That hardly negates the whole thing, though.
It's not bad to try and pursuade someone from smoking, but if someone wants to that's their choice and who are you to outlaw it. I guess won't be able to drive my motorcyle either since they are more dangerous than cars. I do a high risk job, should I pay more too? Seriously, that slope never ends.
Quote:

I must have missed my admission about how it's a failed program. We pay more in private healthcare than any country pays in socialized or partially socialized medicine, and we still have 45,000,000 people who aren't even covered. Imagine how much more we'd pay if those 45m could afford it. Even if we had the same tax level for everyone, be they healthy or not, we'd all be paying a lot less. Insurance and malpractice are extremely high drains on the whole process. Without them, and without the drive for profit and to appease investors, the system becomes substantially cheaper.
So...I can't sue for malpractice when the doctor screws me up with a system I didn't even want in the first place. That's outstanding. Don't you believe in redress of grievances?
Quote:

It's not a 'decision' not to have health coverage. It's just ignorance. It amazes me that people discuss healthcare as being a decision to make, as if your deciding on what color of car you want. Without healthcare, you're in deep shit. Something "as critical as [your] health" should be important enough for you to be covered. That's the whole idea.
It is a decision, not everyone feels the way you do. This nationalized healthcare garbage is just like Roman Catholic church of years ago. Everyone must follow the king's religion, no freedom.

The other huge problem that we aren't even talking about is how bad the actual 'care' is. The FDA allows horrible things to pass (GMOs, pesticides, fertalizers, antibiotics, growth hormones all in the food supply that makes us sick so we can buy their cool new pill) while trying to ban natural cures. This is the system you are supporting and now you want to force me to participate. It's bad.:grumpy:
Quote:

Military is in the process of being privatized. Private contracts, mercenaries on the ground, and bought and paid for politicians. Socialized medicine flies in the face of that trend. Socialization is about moving the control from the hands of the proven irresponsible corporations and private interests.
Yes, the same politians who are bought and paid for by the mercs are likewise bought and paid for by pharma. They surely will save us all with their healthcare. I expect great things.
Quote:

It doesn't yet, but it would under socialization. My point is that I don't see anyone complaining about the government controling things like roads and police. I don't see anyone calling for privatized police (imagine paying $200 a month in case you need to call the police and if you don't pay... no one will protect you) or privatized roads (don't pay your transportation insurance? Good luck getting to work...)
hmm...$200 a month for police? I think ill pocket that cash and just keep my revolver handy. Come to think of it, if I never had to deal with harrasment from a police officer while I was minding my own business that would be fine too.

Willravel 10-10-2007 11:23 AM

Quote:

Originally Posted by samcol
It's not bad to try and pursuade someone from smoking, but if someone wants to that's their choice and who are you to outlaw it. I guess won't be able to drive my motorcyle either since they are more dangerous than cars. I do a high risk job, should I pay more too? Seriously, that slope never ends.

Prohibition of ciggys is a good idea. I've suspected for years that's the direction California is heading. I guess we'll have to wait and see. BTW, cigarettes aren't transportation. They only have a simple function: they're a method of taking in addictive drugs. While tobacco is actually a decent product and can be used to make useful things, cigarettes have no positive health value whatsoever. At least McDonald's hamburgers have protein.
Quote:

Originally Posted by samcol
So...I can't sue for malpractice when the doctor screws me up with a system I didn't even want in the first place. That's outstanding. Don't you believe in redress of grievances?

I believe in reasonable reparations. Suing for $35m is a gross misuse of the justice system. I believe that if a doctor screws up, he should have to be forced into school and relearn how to be a doctor, and that the person who was wronged should be made well if possible. If the doctor slips and cuts the wrong thing? They fix it and provide coverage for that.
Quote:

Originally Posted by samcol
It is a decision, not everyone feels the way you do. This nationalized healthcare garbage is just like Roman Catholic church of years ago. Everyone must follow the king's religion, no freedom.

What about no equality? What about the $12,000 you'd have to pay to get your finger put back on? That's a magnificent drain. What about the freedom to not have to be sick or injured because you're poor? There's your loss of freedom: poverty.
Quote:

Originally Posted by samcol
The other huge problem that we aren't even talking about is how bad the actual 'care' is. The FDA allows horrible things to pass (GMOs, pesticides, fertalizers, antibiotics, growth hormones all in the food supply that makes us sick so we can buy their cool new pill) while trying to ban natural cures. This is the system you are supporting and now you want to force me to participate. It's bad.:grumpy:

And what makes you think that any universal health care will run like the FDA? Because some governmental agencies aren't working, none can work? Slippery slope.
Quote:

Originally Posted by samcol
Yes, the same politians who are bought and paid for by the mercs are likewise bought and paid for by pharma. They surely will save us all with their healthcare. I expect great things.

Pharma is declawed under socialized medicine. Insurance companies go out of business, and thus can't affoed to have politicians in back pockets.
Quote:

Originally Posted by samcol
hmm...$200 a month for police? I think ill pocket that cash and just keep my revolver handy. Come to think of it, if I never had to deal with harrasment from a police officer while I was minding my own business that would be fine too.

So you can hold an investigation when a loved one is murdered when you're at work? Do you have access to databases with fingerprints? Do you have access to criminal records? Don't follow in suit with DK in thinking you could be your own police officer just because you have a gun. Being a police officer is a lot more than being a marksman.

Cynthetiq 10-10-2007 11:44 AM

Quote:

Originally Posted by willravel
Prohibition of ciggys is a good idea. I've suspected for years that's the direction California is heading. I guess we'll have to wait and see. BTW, cigarettes aren't transportation. They only have a simple function: they're a method of taking in addictive drugs. While tobacco is actually a decent product and can be used to make useful things, cigarettes have no positive health value whatsoever. At least McDonald's hamburgers have protein.

Again, so because people CHOOSE to harm themselves or be in higher risk, I get to assume that risk. The people you say should be charged more are some of the same people that cannot afford it in the first place.

Quote:

I believe in reasonable reparations. Suing for $35m is a gross misuse of the justice system. I believe that if a doctor screws up, he should have to be forced into school and relearn how to be a doctor, and that the person who was wronged should be made well if possible. If the doctor slips and cuts the wrong thing? They fix it and provide coverage for that.

What about no equality? What about the $12,000 you'd have to pay to get your finger put back on? That's a magnificent drain. What about the freedom to not have to be sick or injured because you're poor? There's your loss of freedom: poverty.
So that heart you have in your body, what dollar value to you give it? your legs? what do you do if the doctor accidentally cuts off your leg or arm? He goes back to school, they give you a prostetic and pat you on the head and send you on your way? WTF is that?

Quote:

And what makes you think that any universal health care will run like the FDA? Because some governmental agencies aren't working, none can work? Slippery slope.
Because so far I have not in my lifetime ever seen a government agency in the United States work to my advantage. Understand what I said, work to my advantage. As an aside the deregulation of utilities has lead to more money out of my pockets than ever before for the same electricity and telephone. So I also don't see corporations being the end all either. A blend of the two I'm happy to live with in some capacity to prevent things like Enron, Tyco, MCI.

Quote:

Pharma is declawed under socialized medicine. Insurance companies go out of business, and thus can't affoed to have politicians in back pockets.

So you can hold an investigation when a loved one is murdered when you're at work? Do you have access to databases with fingerprints? Do you have access to criminal records? Don't follow in suit with DK in thinking you could be your own police officer just because you have a gun. Being a police officer is a lot more than being a marksman.
Insurance companies going out of business? So then where is my choice you touted I would have if I didn't want to get the Universal coverage? Where's the choice? If Insurance companies don't exist then where is the competition?
You are now touting a monopoly by the government, when earlier you suggested that people will still have choices.

dksuddeth 10-10-2007 11:51 AM

Quote:

Originally Posted by willravel
Prohibition of ciggys is a good idea. I've suspected for years that's the direction California is heading. I guess we'll have to wait and see. BTW, cigarettes aren't transportation. They only have a simple function: they're a method of taking in addictive drugs. While tobacco is actually a decent product and can be used to make useful things, cigarettes have no positive health value whatsoever. At least McDonald's hamburgers have protein.

Then with this view, you're saying that socialism isn't about personal freedom and liberty at all, but about a government body making rules and laws on how you will live your life because they know whats best for you, right?

Quote:

Originally Posted by willravel
And what makes you think that any universal health care will run like the FDA? Because some governmental agencies aren't working, none can work? Slippery slope.

name one program that the federal government has built that runs efficiently....on its own.

Quote:

Originally Posted by willravel
Pharma is declawed under socialized medicine. Insurance companies go out of business, and thus can't affoed to have politicians in back pockets.

do you truly think that the government, through OUR taxes, is going to be able to foot the bill for ALL medical care? Will, you are much smarter than that.

Quote:

Originally Posted by willravel
So you can hold an investigation when a loved one is murdered when you're at work? Do you have access to databases with fingerprints? Do you have access to criminal records? Don't follow in suit with DK in thinking you could be your own police officer just because you have a gun. Being a police officer is a lot more than being a marksman.

I believe he's simply referring to having the ability to prevent violent crimes upon your own person, not investigating crimes that have already happened.

Willravel 10-10-2007 12:01 PM

Quote:

Originally Posted by dksuddeth
Then with this view, you're saying that socialism isn't about personal freedom and liberty at all, but about a government body making rules and laws on how you will live your life because they know whats best for you, right?

You know what's best for yourself, but that doesn't stop you doing it. People should be responsible for themselves. It has nothing to do with freedom and everything to do with responsibility.
Quote:

Originally Posted by dksuddeth
name one program that the federal government has built that runs efficiently....on its own.

How about I name 10?
ACHP
Chemical Safety and Hazard Investigations Board
Federal Maritime Commission
Merit Systems Protection Board
National Archives and Records Administration
National Council on Disability
National Endowment for the Arts
National Endowment for the Humanities
National Institute of Mental Health
National Park Service

I can name a lot more.
Quote:

Originally Posted by dksuddeth
do you truly think that the government, through OUR taxes, is going to be able to foot the bill for ALL medical care? Will, you are much smarter than that.

I am pretty smart. I'm smart enough to do my homework on the issue. How much would we be paying per person if we had the same system as the UK, in taxes? I know the answer to this question. How much do we pay in our current system?
Quote:

Originally Posted by dksuddeth
I believe he's simply referring to having the ability to prevent violent crimes upon your own person, not investigating crimes that have already happened.

So the police don't investigate crimes? We were talking about the police, not separating out specific functions of the police. Of their full list of responsibilities, that which you'd have to pay for if it was privatized, includes investigation of crimes.

Quote:

Originally Posted by Cynthetiq
Again, so because people CHOOSE to harm themselves or be in higher risk, I get to assume that risk. The people you say should be charged more are some of the same people that cannot afford it in the first place.

Oy vey. For the millionth time, a public system of health is always cheaper than a private system. And not just in health. Look at prisons. Look at military. Look at anything. It's always cheaper when it's public. So even if people are asked to pay a bit more because they smoke or don' exercise, they're still pay a lot less than they would be paying into a private medical service.
Quote:

Originally Posted by Cynthetiq
So that heart you have in your body, what dollar value to you give it? your legs? what do you do if the doctor accidentally cuts off your leg or arm? He goes back to school, they give you a prostetic and pat you on the head and send you on your way? WTF is that?

What if a doctor accidentally cuts off my arm? Seriously? That's going to be your argument? Give me a break. Most malpractice suits are about mistakes. A sutcher is left in place, a vein is nicked, or some gauze is left in the body. Most of those cases can be resolved 100%. In the rare cases that's not true, other arrangements can be made. If, for some ludicrous reason, someone were to cut off your leg (wtf?), then that person shouldn't be practicing medicine. He should be a butcher or something.

Really, though, I was expecting a better argument than that. Jeez.
Quote:

Originally Posted by Cynthetiq
Because so far I have not in my lifetime ever seen a government agency in the United States work to my advantage. Understand what I said, work to my advantage. As an aside the deregulation of utilities has lead to more money out of my pockets than ever before for the same electricity and telephone. So I also don't see corporations being the end all either. A blend of the two I'm happy to live with in some capacity to prevent things like Enron, Tyco, MCI.

Lol... so when was the last time you ate a can of tuna and died from mercury poisoning? Or is death an advantage? More hyperbole, exaggeration, and appeals to ignorance.
Quote:

Originally Posted by Cynthetiq
Insurance companies going out of business? So then where is my choice you touted I would have if I didn't want to get the Universal coverage? Where's the choice? If Insurance companies don't exist then where is the competition?

Only a freshman economy student thinks that competition is always necessary. And only someone who's too stubborn to admit he or she is wrong would stick to an argument like "freedom is always 100% right". Freedom is not only subjective, but it's relative. There's no freedom for me to have 100% free healthcare. There's no freedom for people who are broke to get any health care. What about their freedom?
Quote:

Originally Posted by Cynthetiq
You are now touting a monopoly by the government, when earlier you suggested that people will still have choices.

The government is not a corporate entity, and it's not profit driven.

dksuddeth 10-10-2007 12:40 PM

Quote:

Originally Posted by willravel
You know what's best for yourself, but that doesn't stop you doing it. People should be responsible for themselves. It has nothing to do with freedom and everything to do with responsibility.

yet you feel that the government should outlaw smoking, maybe drinking, or at least anything else that you feel is bad for people? are you confused maybe?

Quote:

Originally Posted by willravel
How about I name 10?
ACHP
Chemical Safety and Hazard Investigations Board
Federal Maritime Commission
Merit Systems Protection Board
National Archives and Records Administration
National Council on Disability
National Endowment for the Arts
National Endowment for the Humanities
National Institute of Mental Health
National Park Service

I can name a lot more.

we still have chem spills, hazardous material issues, pirates and boating accidents, the presidents brain is missing, handicapped people still get dismissed, what arts, what humanities, how many thousands of mentally ill people go without medical care, and the park service? what a mess. nice try though.

Quote:

Originally Posted by willravel
I am pretty smart. I'm smart enough to do my homework on the issue. How much would we be paying per person if we had the same system as the UK, in taxes? I know the answer to this question. How much do we pay in our current system?

I repeat, the gov is NOT going to foot the entire bill for medical care as it rises because more people will abuse the 'free' universal health care and go to doctors for having a cold or a rash instead of being sensible. They WILL utilize a select group of health insurance companies, most likely the ones that contributed to the campaign funds of those who supported universal health care, who will then raise rates to cover costs so they make a huge profit off of the gov, who will raise OUR taxes to cover what they pay to insurance companies. It's a mad, mad, mad circle I tell ya.

Quote:

Originally Posted by willravel
So the police don't investigate crimes? We were talking about the police, not separating out specific functions of the police. Of their full list of responsibilities, that which you'd have to pay for if it was privatized, includes investigation of crimes.

you're obfuscating the issue by saying that everyone pays for and utilizes ALL police functions because they can't fend for themselves, yet no police department has ever been held liable for failure to protect an american citizen. What is it we're paying for again?


Quote:

Originally Posted by willravel
Oy vey. For the millionth time, a public system of health is always cheaper than a private system. And not just in health. Look at prisons. Look at military. Look at anything. It's always cheaper when it's public.

You know not what you speak of. I had military health and dental care and 16 years AFTER, I still have the holes they drilled in my molars that they just didn't fill. Military medicine sucks ass. Prison medical care is better because a wacko liberal group decried the prison system for letting violent criminals waste away in their cells. Medicare and Medicaid, public health systems BTW, continue to drop their coverages while raising their rates and fees. Stop looking through the beer bottles at universal health care.


Quote:

Originally Posted by willravel
What if a doctor accidentally cuts off my arm? Seriously? That's going to be your argument? Give me a break. Most malpractice suits are about mistakes. A sutcher is left in place, a vein is nicked, or some gauze is left in the body. Most of those cases can be resolved 100%. In the rare cases that's not true, other arrangements can be made. If, for some ludicrous reason, someone were to cut off your leg (wtf?), then that person shouldn't be practicing medicine. He should be a butcher or something.

Will said doctors be getting malpractice insurance through the gov? If they do, you won't see a dime if something were to happen to you.

Quote:

Originally Posted by willravel
Only a freshman economy student thinks that competition is always necessary. And only someone who's too stubborn to admit he or she is wrong would stick to an argument like "freedom is always 100% right". Freedom is not only subjective, but it's relative. There's no freedom for me to have 100% free healthcare. There's no freedom for people who are broke to get any health care. What about their freedom?

The ONLY thing that keeps costs down is competition in the market and that is NOT just a freshman view. ALL of history shows that whenever you have a monopoly, or a select few providing said service, prices go up because they can demand AND expect it, for where else will you obtain such service?

Quote:

Originally Posted by willravel
The government is not a corporate entity, and it's not profit driven.

In this you are right, however, the government isn't interested in profit, they are only interested in spending humongous amounts of money that they take from US. It has been that way throughout history, still.

samcol 10-10-2007 01:00 PM

Quote:

Prohibition of ciggys is a good idea. I've suspected for years that's the direction California is heading. I guess we'll have to wait and see. BTW, cigarettes aren't transportation. They only have a simple function: they're a method of taking in addictive drugs. While tobacco is actually a decent product and can be used to make useful things, cigarettes have no positive health value whatsoever. At least McDonald's hamburgers have protein.
No, it's a horrible idea. Prohibition on alcohol and drugs have been great success. Everyone knows cigs are bad, that's not the issue. It's about having the freedom to smoke or not.

Quote:

What about no equality? What about the $12,000 you'd have to pay to get your finger put back on? That's a magnificent drain. What about the freedom to not have to be sick or injured because you're poor? There's your loss of freedom: poverty.
It's not the federal governments job to give welfare or healthcare to the poor. It's not even a federal issue. Why can't we leave some things to states like it's supposed to be.

Quote:

And what makes you think that any universal health care will run like the FDA? Because some governmental agencies aren't working, none can work? Slippery slope.
Uh, healthcare and the FDA and pharma are all directly related. How will the crap the FDA allows not be in universal heatlhcare? I mean it's already there, but with universal care I'll have to use it.

Quote:

Pharma is declawed under socialized medicine. Insurance companies go out of business, and thus can't affoed to have politicians in back pockets.
Pharma declawed? Not sure how you made that huge leap. The FDA and Pharma are still making the drugs and poisoned food for you to eat and lobbying the proponents of this healthcare package.

Quote:

So you can hold an investigation when a loved one is murdered when you're at work? Do you have access to databases with fingerprints? Do you have access to criminal records? Don't follow in suit with DK in thinking you could be your own police officer just because you have a gun. Being a police officer is a lot more than being a marksman.
The executive branch has the authority to enforce the law.

You're coming up with some pretty crazy 'what ifs' and conclusions that have no evidence to support them (like pharma being declawed :confused: ).

Willravel 10-10-2007 01:01 PM

Quote:

Originally Posted by dksuddeth
yet you feel that the government should outlaw smoking, maybe drinking, or at least anything else that you feel is bad for people? are you confused maybe?

I don't remember naming alcohol. Cigarettes are addictive, therefore those who smoke them are by definition entrapped, or NOT FREE. If you smoke, you're not free. If you don't smoke you are free. See? Simple.
Quote:

Originally Posted by dksuddeth
we still have chem spills, hazardous material issues, pirates and boating accidents, the presidents brain is missing, handicapped people still get dismissed, what arts, what humanities, how many thousands of mentally ill people go without medical care, and the park service? what a mess. nice try though.

You're right! Those completely unsubstantiated claims negate the effiency and effectiveness of all of the federal organizations I named!

Nice try, indeed.
Quote:

Originally Posted by dksuddeth
you're obfuscating the issue by saying that everyone pays for and utilizes ALL police functions because they can't fend for themselves, yet no police department has ever been held liable for failure to protect an american citizen. What is it we're paying for again?

Go down to the police station and ask them. Ask them how many of their fellow officers died trying to protect someone. Go down there and ask how many criminals they've helped to apprehend. Go down and ask how many crimes they could have prevented because they were able to stop a criminal from striking again.

That's what we pay for, and as someone who lives in the safest large city in the whole country, I know this.
Quote:

Originally Posted by dksuddeth
You know not what you speak of. I had military health and dental care and 16 years AFTER, I still have the holes they drilled in my molars that they just didn't fill. Military medicine sucks ass. Prison medical care is better because a wacko liberal group decried the prison system for letting violent criminals waste away in their cells. Medicare and Medicaid, public health systems BTW, continue to drop their coverages while raising their rates and fees. Stop looking through the beer bottles at universal health care.

You know not what you read. I was not talking about military or prison health care. Please reread what I said. Privatization of the military (google Blackwater) and privatization of prison systems has led to massive corruption and is tremendously expensive.
Quote:

Originally Posted by dksuddeth
The ONLY thing that keeps costs down is competition in the market and that is NOT just a freshman view.

You're right. Some people actually graduate having actually only taken econ 101. It's sad. The point is that they didn't do any work outside of that one class on the subject. The idea that everything is black and white in economics is actually something one might think before econ 101. The market is a living thing, and the nuances are amazingly complex. In this case, it's a waste of time to just say, "Competition is great! Go team free market!" It's no where near that simple.
Quote:

Originally Posted by dksuddeth
In this you are right, however, the government isn't interested in profit, they are only interested in spending humongous amounts of money that they take from US. It has been that way throughout history, still.

Some members of the government are interested in spending a lot (Republicans in the white house) and some aren't (Democratic Senators). We live in strange times.

dksuddeth 10-10-2007 01:09 PM

Quote:

Originally Posted by willravel
I don't remember naming alcohol. Cigarettes are addictive, therefore those who smoke them are by definition entrapped, or NOT FREE. If you smoke, you're not free. If you don't smoke you are free. See? Simple.

ah, so nobody CHOOSES to have a cigarette, they are simply addicted and can't function correctly anymore, so we MUST help them, cause it's bad, mmkay? please.

Quote:

Originally Posted by willravel
You're right! Those completely unsubstantiated claims negate the effiency and effectiveness of all of the federal organizations I named!

are you trying to say we've NEVER had a chem or hazardous material incident? is NOT JFK's brain missing from the archives?



Quote:

Originally Posted by willravel
Go down to the police station and ask them. Ask them how many of their fellow officers died trying to protect someone. Go down there and ask how many criminals they've helped to apprehend. Go down and ask how many crimes they could have prevented because they were able to stop a criminal from striking again.

yes yes yes, of course they will TRY, but it's NOT their job to protect YOU as an individual. If you think it is, you might read 'Castle Rock v. Gonzalez' and prepare for an eye opener.

Quote:

Originally Posted by willravel
That's what we pay for, and as someone who lives in the safest large city in the whole country, I know this.

Then you better tell Bloomberg he's a liar, because he's said that NYC is the safest large city in the country.

Quote:

Originally Posted by willravel
You know not what you read. I was not talking about military or prison health care. Please reread what I said. Privatization of the military (google Blackwater) and privatization of prison systems has led to massive corruption and is tremendously expensive.

my bad, I did indeed misread your statement, but to even further prove my point, these 'privatized' orgs are getting paid BY THE GOV, so I'm still right. Things run by the gov or paid by the gov, simply suck ass and money.

Quote:

Originally Posted by willravel
You're right. Some people actually graduate having actually only taken econ 101. It's sad. The point is that they didn't do any work outside of that one class on the subject. The idea that everything is black and white in economics is actually something one might think before econ 101. The market is a living thing, and the nuances are amazingly complex. In this case, it's a waste of time to just say, "Competition is great! Go team free market!" It's no where near that simple.

If the market is a 'living' thing, then why on earth would you want to take the life out of it by regulating it to death?

Quote:

Originally Posted by willravel
Some members of the government are interested in spending a lot (Republicans in the white house) and some aren't (Democratic Senators). We live in strange times.

BWAHAHAHAHAHAHA, dems aren't big spenders? BWAHAHAHAHA

Willravel 10-10-2007 01:41 PM

Quote:

Originally Posted by dksuddeth
ah, so nobody CHOOSES to have a cigarette, they are simply addicted and can't function correctly anymore, so we MUST help them, cause it's bad, mmkay? please.

Addiction is the opposite of freedom. Would you want someone to have the freedom to go to prison?
Quote:

Originally Posted by dksuddeth
yes yes yes, of course they will TRY, but it's NOT their job to protect YOU as an individual. If you think it is, you might read 'Castle Rock v. Gonzalez' and prepare for an eye opener.

I was ther when you found that case like a year ago, no need to lecture. It doesn't change the fact that they do protect.
Quote:

Originally Posted by dksuddeth
Then you better tell Bloomberg he's a liar, because he's said that NYC is the safest large city in the country.

Please
Murder rate per 1,000 residents:
San Jose - 0.0285
NYC - 0.0664
violent crimes rate per 1,000 residents:
San Jose - 3.8351
NTC - 6.7305
Quote:

Originally Posted by dksuddeth
my bad, I did indeed misread your statement, but to even further prove my point, these 'privatized' orgs are getting paid BY THE GOV, so I'm still right. Things run by the gov or paid by the gov, simply suck ass and money.

They are run privately.
Quote:

Originally Posted by dksuddeth
If the market is a 'living' thing, then why on earth would you want to take the life out of it by regulating it to death?

I don't want to be mean, but that's the worst argument I've ever read.
Quote:

Originally Posted by dksuddeth
BWAHAHAHAHAHAHA, dems aren't big spenders? BWAHAHAHAHA

They were 7 or 8 years ago. Not so much now, compared to $500 billion for a war. Sorry to have to break it to you. The Republicans are the spenders now.

Cynthetiq 10-10-2007 01:54 PM

really quickly before i head home...

Quote:

What if a doctor accidentally cuts off my arm? Seriously? That's going to be your argument? Give me a break. Most malpractice suits are about mistakes. A sutcher is left in place, a vein is nicked, or some gauze is left in the body. Most of those cases can be resolved 100%. In the rare cases that's not true, other arrangements can be made. If, for some ludicrous reason, someone were to cut off your leg (wtf?), then that person shouldn't be practicing medicine. He should be a butcher or something.
Really, though, I was expecting a better argument than that. Jeez.
My statement isn't to evoke hyperbole but to state, malpractice happens, people don't do 100% great jobs all the time. Mistakes happen. You're for fix it right up and send them on their way.

Quote:

Lol... so when was the last time you ate a can of tuna and died from mercury poisoning? Or is death an advantage? More hyperbole, exaggeration, and appeals to ignorance.
Really? Then why the warnings about pregnant women not eating fish??? Becuase there is some risk there... Again, I'm comfortable with some regulations that govern how the business is allowed to run, that's not being ignorant and exaggeration. It's simple facts. Cal OSHA makes sure you have a safe plae to work right?
Quote:

Only a freshman economy student thinks that competition is always necessary. And only someone who's too stubborn to admit he or she is wrong would stick to an argument like "freedom is always 100% right". Freedom is not only subjective, but it's relative. There's no freedom for me to have 100% free healthcare. There's no freedom for people who are broke to get any health care. What about their freedom?
Really? Then we shouldn't have deregulated airlines, utilities, charter school systems because the government should know better and performs better.

Quote:

The government is not a corporate entity, and it's not profit driven.
I think you don't realize that most cities and counties are incorporated. They are corporate entities, they may not be profit driven, but they are still corporate entitities.

Quote:

Its population reached 3,000 by 1850, the year the city was incorporated. San Jose served as the state’s first capital from 1849 to 1851,

dksuddeth 10-10-2007 02:09 PM

Quote:

Originally Posted by willravel
They are run privately.

But where does there money come from? hence the reason I said those run by or paid by the gov.

Quote:

Originally Posted by willravel
I don't want to be mean, but that's the worst argument I've ever read.

yet, so very true. What you are wanting to do with universal health care is remove health care completely from a free market environment, placing it in the hands of a government agency for the sole purpose of regulating prices, which will regulate treatment, which will stifle new discoveries in medicine, which will drive med professionals who WANT to make money, out of the trade, thereby regulating the health industry in to a slow agonizing death.

Quote:

Originally Posted by willravel
They were 7 or 8 years ago. Not so much now, compared to $500 billion for a war. Sorry to have to break it to you. The Republicans are the spenders now.

schumer, kennedy, biden, clinton, and pelosi/feinstein have never met a spending bill they didn't like, unless it was thought up by republicans. THEN the only reason they opposed it was they wouldn't get credit for it.

Willravel 10-10-2007 02:17 PM

Yes Malpractice happens. Massive settlements also happen. Those are what I take issue with. If there was policy to guide malpractice instead of litigation, the whole thing would become cheaper.

As for the fish, yes, there is could be a small amount, but it's only dangerous to a fetus. It's not going to kill you. That's because of the FDA.

Some cities are incorporated, but not the Federal government.

Discoveries in medicine happen at the same rate in the UK and France as they do in the US, therefore socialization does not stifle progress.

How much have the Dems spent in the past 15 years? Now how much has the GOP spent? The GOP spends more.

dc_dux 10-10-2007 02:30 PM

Hillary and Barak proposed a "policy guide to malpractice" in 2005 and its also included in Hillary's plan.

Its called the Medical Error Disclosure and Compensation (MEDiC) Act. Its explained pretty well in this article by Clinton and Obama in the New England Journal of Medicine.

http://content.nejm.org/cgi/content/full/354/21/2205

abaya 10-10-2007 02:31 PM

Cyn--what's your opinion of the Icelandic health care system?

Cynthetiq 10-10-2007 06:32 PM

Quote:

Originally Posted by abaya
Cyn--what's your opinion of the Icelandic health care system?

I've not spent much time paying attention to it. I can only say what little I know is based on the small demographic that it has to encompass. Since the entire population of Iceland is just over 300,000 it is an unfair model to compare since it may not scale very well into the millions.

Taxes are quite high based on what I read an know. I'm not sure how much of that gets redirected to healthcare coverage, but the $104 paid into the Eldery Construction Fund doesn't appear to include the healthcare costs, but just the construction and operation of the facility.

Quote:

Iceland tax rates:
36% Income tax
24% VAT
14% tax on foodstuffs
5% social security tax

In addition to the above, each individual pays a flat tax of 6,314 krónur ($104@60k/$1) per year to the Elderly’s Construction Fund, a central government fund used to finance the construction and operation of nursing homes and care centres for the elderly. Persons under the age of 16 and more than 70 years old are exempt from this levy, as well as those with an income below 948,647 krónur in 2006.
I do have a pair of friends in Aukureryi who work in hospitals and I don't recall ever having a conversation about the healthcare system itself. We've discussed the technology and logistics of the hospitals, but not how the system pays for itself.

behindalens 10-10-2007 07:47 PM

Quote:

Originally Posted by dksuddeth

yet, so very true. What you are wanting to do with universal health care is remove health care completely from a free market environment, placing it in the hands of a government agency for the sole purpose of regulating prices, which will regulate treatment, which will stifle new discoveries in medicine, which will drive med professionals who WANT to make money, out of the trade, thereby regulating the health industry in to a slow agonizing death.

What is great about a free market enviornment for health care, as seen today? The way it has stagnated has left with prices beyond their reach. Similarly while those with coverage, are alarmingly finding their prices out of reach and being unfairly denied. Healthcare is a bit too tricky for free market economics to work. There is an unfair balance of information within the system. It is not something where information about prices is disclosed easily. A consumer cannot simply choose which will be "cheaper" for him very easily as he does not know what ailments he will have down the line, and which provider option will help him out the most. Competition, as many people see in a free market works best to help the consumer when price information is easily found and transparent, thus leading to actual choices. The way the current health care works, has very little practical information for a consumer to make a choice, hiding many details in the fine print while luring people with clever marketing. Competition is great, when it is transparent, not inherently obscure as it is with health care.

Cynthetiq 10-10-2007 08:30 PM

I just found something I recall reading the other day

in the Iceland Review:
Quote:

09/26/2007 | 11:28

Healthcare System in Iceland Criticized
Pétur Blöndal, an MP for the Independence Party (Sjálfstaedisflokkurinn), says the healthcare system in Iceland is running at increased loss after hospital staff began encouraging patients to undergo expensive and unnecessary treatments.

“It is extremely destructive,” Blöndal said, referring to patients being submitted to hospital when they only need treatments during the day, because such treatments can be very expensive while hospitalization is free, Fréttabladid reports.

While the patient is spared the bill, the healthcare system has to cover it. One bed space at the National Hospital costs about ISK 60,000 (USD 962, EUR 680) for every 24 hours.

Sigursteinn Másson, chairman of the Organization of Handicapped in Iceland (OHI), agrees. “I know many employees within the health sector feel bad about charging high sums to people who often have little money,” Másson said. That’s why hospital staff often recommends unnecessary hospitalization, he explained.

Másson suggests all charges for healthcare service be suspended, but Blöndal does not agree that is the best solution.

The government’s agenda includes simplifying and lowering the cost of the healthcare system. But the system is “incredibly complex,” Blöndal said, adding that, “The goal is to even out the charges to lighten the burden on those who already have sums too high to pay.”
euro.who.int
Quote:

The Icelandic health system is characterized by the dominance of the public sector (see Table 3). It is financed 82.9% by the state, either directly from the state budget or indirectly through the State Social Security Institute (SSSI). State tax revenue is derived approximately 30% from personal and corporate income tax, 35% from value added tax (VAT), 10% from social security taxes, 5% from net wealth taxes and the rest from other sources. That portion of health care services that are not tax financed, answering to 17.1% of the total, is almost exclusively financed by direct household payments, primarily the private partial payment of specialist consultations, outpatient operations and dental care, as well as co-payments for pharmaceuticals.

Private health insurance hardly exists in Iceland, and health services provided by employers are very limited. As described above in Historical background, this arrangement has continued more or less unchanged for a long time, and there are no plans to change the main system of health care financing coverage.

According to the Health Services Act and the Act on the Rights of Patients, every citizen has the right to the best health service available at all times. persons who have been resident in Iceland for at least six months are entitled to health care. The Minister of Health and Social Security can issue exemption from the mandatory six-month period of residence. Necessary in cases of emergency may be paid even when the stipulated waiting period six months has not elapsed. The Minister can also decide that the SSSI pay according to international agreements the costs of medical assistance rendered to foreign nationals staying in Iceland temporarily. The law prohibits discrimination against patients on grounds of gender, religion, beliefs, nationality, race, skin colour, financial status, family relation or other status. Children under the age of 18, including stepchildren and foster children, covered by their parents’ health insurance. Opting out is not possible.
Please note the LAST words here, opting out is not possible. You MUST contribute to the fund. I also see that one pays about 60%+ in taxes to the state contribution.

One of the links that I read puts Icelandic healthcare as 40% of the national budget.
Quote:

All hospitals have excellent standards of medical care. Iceland runs one of the most expensive health-care systems in the world, the cost per capita being $1,353 (PPP value). The health-care system, as a whole, receives 40,5% (in 1989) of the national budget, education comes in second with 15%, while other categories are well below 10% each. The Icelandic health-care system is considered among the best in the world.

dksuddeth 10-11-2007 03:49 AM

Quote:

Originally Posted by behindalens
What is great about a free market enviornment for health care, as seen today? The way it has stagnated has left with prices beyond their reach. Similarly while those with coverage, are alarmingly finding their prices out of reach and being unfairly denied. Healthcare is a bit too tricky for free market economics to work. There is an unfair balance of information within the system. It is not something where information about prices is disclosed easily. A consumer cannot simply choose which will be "cheaper" for him very easily as he does not know what ailments he will have down the line, and which provider option will help him out the most. Competition, as many people see in a free market works best to help the consumer when price information is easily found and transparent, thus leading to actual choices. The way the current health care works, has very little practical information for a consumer to make a choice, hiding many details in the fine print while luring people with clever marketing. Competition is great, when it is transparent, not inherently obscure as it is with health care.

The problem here is that todays healthcare system isn't based on free market. It's based on insurance rates of profit and loss. Theres absolutely no medical thought put in to the process and with the insurance industry 'controlling' costs, prices rise due to the limited venue in which medical care can be obtained.

abaya 10-11-2007 04:03 AM

Thanks for the info, Cyn. The question is, would you live here, given what you know about the Icelandic health care system and how much of your income would be going to fund it? Personally, based on the health care system alone, I'd rather live here than in the US... and I wouldn't mind seeing something like the Scandinavian system implemented in the US, either. Yes, Iceland is small, but the other Nordic countries are not so small, and they do manage their health care just as well (in my opinion). Just a thought.

Cynthetiq 10-11-2007 04:36 AM

Quote:

Originally Posted by abaya
Thanks for the info, Cyn. The question is, would you live here, given what you know about the Icelandic health care system and how much of your income would be going to fund it? Personally, based on the health care system alone, I'd rather live here than in the US... and I wouldn't mind seeing something like the Scandinavian system implemented in the US, either. Yes, Iceland is small, but the other Nordic countries are not so small, and they do manage their health care just as well (in my opinion). Just a thought.

I'd love to live in Iceland, not based on the healthcare system available and not because of the promiscuous hot Icelandic women. It is strictly because of the locale.

As an American citizen the problem with living in another country (expatriation) is that I am liable to pay US taxes and the taxes of the expatriating country. So it is a double tax hit.

My choices for living places are based more on my ability to have quality of life and disposable income. Healthcare is only a factor if I'm not gainfully employed by a company that provides healthcare benefits to their employees, that is a slim to none proposition. I'm quite selfish when it comes to spending the money that I earn. I'm happy to give it to friends and family as needed with no expectation of reciprocity, but strangers on the other hand, I'm not so fast in giving it out.

DJ Happy 10-11-2007 05:24 AM

Quote:

Originally Posted by Cynthetiq
As an American citizen the problem with living in another country (expatriation) is that I am liable to pay US taxes and the taxes of the expatriating country. So it is a double tax hit.

I know this is off topic, but expatriate US citizens only have to pay tax in the US if they earn over a certain amount (I believe this year it is $85,000), and if they do they only pay tax on the excess.

highthief 10-11-2007 06:29 AM

Quote:

Originally Posted by Cynthetiq
I'd love to live in Iceland, not based on the healthcare system available and not because of the promiscuous hot Icelandic women. It is strictly because of the locale.

You might want to reconsider that statement!

:lol:

Cynthetiq 10-11-2007 09:24 PM

Quote:

10/11/2007 | 12:41

Committee Established to Improve Healthcare System
Minister of Health Gudlaugur Thór Thórdarson has established a committee to simplify the public’s financial contribution to Iceland’s healthcare system. The committee is headed by actuary and Independence Party MP Pétur Blöndal.

“Currently there are many different systems that don’t work together,” Blöndal told 24 stundir daily (previously Bladid). “The goal is to reach out to those in need of assistance. Systems that are supposed to be socially just are often so complicated that they become socially unjust.”

Blöndal’s committee will focus first on repayments for medicine and then go through every aspect of the health insurance system, one at a time. Thórdarsson’s goal is to transform the system and simplify it.

“Regulations on the price of medicine are so complicated that one cannot help but ask whether there is any rational reasoning behind it,” Blöndal said. “The logic behind the current system seems to be that if diseases are fatal, people have increased rights to repayments. But people who suffer from long-term diseases often have difficulties paying for medicine, even though the disease isn’t fatal.”

Blöndal’s vision for the future is that people should be entitled to free healthcare after reaching a certain limit in expenses, no matter whether they have used their money to pay for medicine or to go to the doctor.
More on Iceland's healthcare system from today's Iceland Review: "people who suffer from long-term diseases often have difficulties paying for medicine, even though the disease isn’t fatal.” It may not be a perfect system but it doesn't seem like it's "cheap" either.

host 10-12-2007 09:21 AM

Quote:

Originally Posted by Cynthetiq
.... I'm quite selfish when it comes to spending the money that I earn. I'm happy to give it to friends and family as needed with no expectation of reciprocity, but strangers on the other hand, I'm not so fast in giving it out.

Cynthetiq....the results are in.....and your politics seem to contribute to conditions that benefit the few, to the detriment of the many....Denmark's stats are on the right....and they seem to indicate that....when government defers to free markets to "sort out" the distribution of wealth....wealth simply buys sufficient power and influence to control the government and the "free" market.

The UK, US, and Mexico, end up being much harsher places to live than in Denmark or in France....it doesn't have to be that way....but the wealthiest won't permit the status quo to be any other way....in the case of attempts by government to more equitably distribute health care....or any other "wealth", it is the controlling group who have the money to produce and distribute the "Harry and Louise" ads...... which work to undermine the effort.


https://www.cia.gov/library/publicat.../da.html#Intro
Because of high GDP per capita, welfare benefits, a low Gini index, and political stability, the Danish living standards are among the highest in the world. A major long-term issue will be the sharp decline in the ratio of workers to retirees.

<b>Denmark's stats are on the right</b>
GDP - per capita (PPP):
$37,100 (2006 est.) France =$31,200 (2006 est.) United Kingdom = $31,800 (2006 est.) USA= $43,800 (2006 est.) Mexico= $10,700 (2006 est.)

Unemployment rate:

3.8% (2006 est.) France =8.7% (December 2006 est.) United Kingdom = 2.9% (2006 est.) USA= 4.8% (2006 est.) Mexico= 3.2% plus underemployment of perhaps 25%

Population below poverty line
N/A .......... France = 6.2% (2004) United Kingdom = 17% (2002 est.) USA= 12% (2004 est.) Mexico= 40% (2003 est.)

Household income or consumption by percentage share:

lowest 10%: 2% France = 3% United Kingdom = lowest 10%: 2.1% USA= lowest 10%: 1.8% Mexico= lowest 10%: 1.6%

highest 10%: 24% (2000 est.) France =24.8% (2004) United Kingdom = 28.5% (1999) USA= highest 10%: 30.5% (1997) Mexico= highest 10%: 35.6% (2002)

Distribution of family income - Gini index:
23.2 (2002) France =26.7 (2002) United Kingdom = 36.8 (1999) USA= 45 (2004) Mexico= 54.6 (2000)
Inflation rate (consumer prices):
1.8% (2006 est.) France = 1.5% (2006 est.) United Kingdom = 3% (2006 est.) USA= 2.5% (2006 est.) Mexico= 3.4% (2006 est.)

Investment (gross fixed):
22.2% of GDP (2006 est.) France =20% of GDP (2006 est.) United Kingdom = 17.2% of GDP (2006 est.) USA= 16.6% of GDP (2006 est.) Mexico= 20% of GDP (2006 est.)

Public debt:

28.1% of GDP (2006 est.) France =64.7% of GDP (2006 est.) United Kingdom = 42.2% of GDP (2006 est.) USA= 64.7% of GDP (2005 est.) Mexico= 20.7% of GDP (2006 est.)

Current account balance:
+$4.941 billion (2006 est.) France = -$38 billion (2006 est.) United Kingdom = -$57.68 billion (2006 est.) USA= -$862.3 billion (2006 est.) Mexico= -$400.1 million (2006 est.)

Exports:
$93.93 billion f.o.b. (2006 est.) France =$490 billion f.o.b. (2006 est.) United Kingdom = $468.8 billion f.o.b. (2006 est.) USA= $1.024 trillion f.o.b. (2006 est.) Mexico= $248.8 billion f.o.b. (2006 est.)

Imports:
$89.32 billion f.o.b. (2006 est.) France =$529.1 billion f.o.b. (2006 est.) United Kingdom = $603 billion f.o.b. (2006 est.) USA= $1.869 trillion f.o.b. (2006 est.) Mexico= $253.1 billion f.o.b. (2006 est.)

Willravel 10-12-2007 09:25 AM

It's good to have you back.

Cynthetiq 10-12-2007 09:44 AM

Quote:

Originally Posted by host
Cynthetiq....the results are in.....and your politics seem to contribute to conditions that benefit the few, to the detriment of the many....Denmark's stats are on the right....and they seem to indicate that....when government defers to free markets to "sort out" the distribution of wealth....wealth simply buys sufficient power and influence to control the government and the "free" market.

The UK, US, and Mexico, end up being much harsher places to live than in Denmark or in France....it doesn't have to be that way....but the wealthiest won't permit the status quo to be any other way....in the case of attempts by government to more equitably distribute health care....or any other "wealth", it is the controlling group who have the money to produce and distribute the "Harry and Louise" ads...... which work to undermine the effort.

Denmark's taxes are some of the highest in the world. A ceiling put in place to not exceed 59% of income. So for each $1 I earn I get taxed $.59??? Fuck that and the rest of the people.

Put this into dollars and cents and look at how many hours you have to work in order to purchase something. I look at things like American Tax Freedom day where every year we work MORE days to pay our taxes than less. In 1990 23-Apr was Tax Freedom day with taxes at 30.80%. In 2007 30-Apr is the day with taxes at 32.69%. A whopping WEEK extra I have to work for a 2% increase.

Sorry, no thank you. As I continue to raise my standard of living by increasing my wages, I don't want some asshole who sits at home playing Xbox because he doesn't feel like working to benefit more from it.

Quote:

Denmark's taxes are among the highest in the world. Danish residents are liable for tax on global income and net wealth. Nonresidents are liable only for tax on certain types of income from Danish sources. In 1999, the total collected taxes amounted to 51% of the GDP.

The corporate income tax in Denmark is 30%, which must be prepaid during the income tax year to avoid a surcharge.

Personal income tax is collected at state, county and local levels. A tax ceiling ensures that combined income taxes do not exceed 59% of income. Income tax rates are progressive: 39% on income up to €22,118; 45% on income between €22,118 and €36,025; and 60% on income above €36,025. Several kinds of deductions or reductions can be applied to taxable income. There is also a voluntary church tax with an average rate of 0.8%. The social security contribution from employee earnings is 9%, 8% for unemployment insurance and 1% for special pension scheme savings. The voluntary church tax and social security contributions do not count toward the 59% tax ceiling. Tax is withheld at the source. Foreign researchers and key employers may qualify for a gross tax of 25% on their salary instead of paying regular income tax. They are still liable for 9% social security contributions.

Denmark's main indirect tax in the value-added tax (VAT) first introduced in March 1967 with a standard rate of 10%. The current standard rate of 25% was introduced in January 1992. Daily newspapers and a few other goods and services are exempt for the VAT.

ASU2003 10-13-2007 07:36 AM

Quote:

Originally Posted by willravel
Discoveries in medicine happen at the same rate in the UK and France as they do in the US, therefore socialization does not stifle progress.

How much have the Dems spent in the past 15 years? Now how much has the GOP spent? The GOP spends more.

I would think that more vaccines and cures would come out of a government run system that wasn't driven on keeping people dependant on their patented medicines.

Both parties are big spenders. And I don't like the idea of high taxes to pay for healthcare either.

But everyone needs some level of healthcare, even if it is the catostrphic type. It shouldn't cost too much (under $10/month, free if you are poor), and most people would never use it. But if they get into a car crash, get shot, or cut off a finger, then they would be protected from the multi-thousand dollar hospital bill. You never know when it will happen or who it will happen to, and nobody would want it to happen to them. If you work or have some money, then you could get better coverage.

But I doubt a universal health insurance policy would include different tiers for people to choose which level of care they need. I can choose which level of car insurance I have, but I am required to carry it to protect the other guy at a minimum. I don't see why it would be different with healthcare, you can't choose to be healthy or not. If you could then no one would be in the hospital.

Seer666 10-22-2007 03:50 PM

While the current health car system sucks. I am so totaly against this. Having dealt with "universal health care" in the military, I see what kind of service you get under this system. It's shit. for every good doctor you see, you end up seeing 10 that are fucking clueless. And then there is Tricare, the insurance provider. You find 2 kinds of doctors with Tricare. Those that don't take it, and those that stopped taking it because Tricare doesn't pay it's bills. We need to get off this universal health care bullshit, and find a third option.

37OHSSV 10-22-2007 10:21 PM

Quote:

Originally Posted by Seer666
While the current health car system sucks. I am so totaly against this. Having dealt with "universal health care" in the military, I see what kind of service you get under this system. It's shit. for every good doctor you see, you end up seeing 10 that are fucking clueless. And then there is Tricare, the insurance provider. You find 2 kinds of doctors with Tricare. Those that don't take it, and those that stopped taking it because Tricare doesn't pay it's bills. We need to get off this universal health care bullshit, and find a third option.

Funny, every retiree I know is very happy with Tricare. That said, we have a large Canadian contingent on this forum that takes every opportunity to tell the US how great their single-payer system is. Ontario has even made it illegal to pay for private health care. Sounds great, doesn't it? It certainly fits the desire of the OP, i.e. someone else is tasked to pay for his health care.

Here is one man's experience with that system:


highthief 10-23-2007 05:49 AM

You know, this is never a debate about which system is "better" - it comes down to how one views their society.

In Canada, and in virtually every western nation, societies have made the decision that everyone will contribute via their tax dollars so that everyone receives good healthcare.

In the US, society has made the decision that if you can afford high end healthcare, you should pay for it yourself, and if those less able to afford it get lesser quality or no healthcare, so be it.

Arguing over whether one system is "better" is futile - the debate is not about the quantifiable merits of each system, it is about society as a whole.

loquitur 10-23-2007 07:20 AM

Quote:

Originally Posted by willravel

The free market doesn't work with healthcare. It doesn't work with the military. It doesn't work with fire or police protection. It doesn't work with prisons. Get over the propaganda your community college economics teacher instilled in you about how the free market can solve all our problems and let's actually fix this.

Actually, the free market does work with health care, we just don't happen to have it, and haven't had a free market in health care for several decades. Health care is intensely regulated, health insurance is intensely regulated. There hasn't been any thing even remotely approximating a free market for health care since Medicare was enacted back in the mid-60s, and probably even earlier, back to WW2, when the only way an employer could raise compensation in an era of price controls was to provide non-wage comp in the form of (among other things) health insurance. If anything, health care is your quintessential example of screwing everything up by getting in the way of the free market, and then keeping on tinkering to the point that it's so complicated no normal person can understand it - which just opens avenues for slick operators to take advantage.

I remain convinced that we should outlaw third party payments for routine health care. In other words, make everyone uninsured. That would bring prices down so fast it would make your head spin - people simply won't stand for the bullshit pricing structures we see now if they had to pay for it out of their own pockets. Right now there is no pricing discipline because people don't pay for their own care. And prices of pharma would go down too, for the same reason. Health insurance should be true insurance, i.e. for unforeseen/unforeseeable disasters. Routine stuff should be paid out of people's own pockets, just like their rent and phone and cable. ("Benefits" are a form of compensation, which means that if this plan was enacted, pretty much all of what your employer otherwise spends on your health insurance would end up in your pocket as wages.) I know we'd need to have some sort of co-op bulk buying program for people with chronic conditions that require regular medication. But net, net, everyone except the insurance companies would benefit. And it won't require another Rube-Goldberg-style government program, either.

A few years ago, I wanted to have my family go "naked" on health insurance - cover only catastrophic, and pay for doctor visits and medicine out of our own pockets. I had calculated that we would come out ahead by some huge amount of money. My wife wouldn't hear of it.

flstf 10-23-2007 07:57 AM

Quote:

Originally Posted by loquitur
A few years ago, I wanted to have my family go "naked" on health insurance - cover only catastrophic, and pay for doctor visits and medicine out of our own pockets. I had calculated that we would come out ahead by some huge amount of money. My wife wouldn't hear of it.

That is what my wife and I have done. Insurance with $10,000 deductible for catastrophic with minor stuff paid with HSA account or out of pocket. This is not easy to do since price comparison is difficult for many procedures and deciding what medical care is really necessary and which is not. The system seems to be set up for people with co-pay who do not care how much things cost and how many tests, drugs, etc are provided after their deductible. I suspect that many tests, prescriptions, etc.. are not really necessary. Also the system is not set up for competitive price shopping and in an emergency or bad accident you are in no position to get quotes.

Willravel 10-23-2007 08:29 AM

Quote:

Originally Posted by loquitur
Actually, the free market does work with health care, we just don't happen to have it, and haven't had a free market in health care for several decades.

I understand what you're saying, but I was speaking relatively. If one were to compare the systems of healthcare between the US and another western power, ours would relatively be very capitalist. Yes, it's regulated, but it's far less regulated than systems that seem to be doing much, much better. France is so regulated it's basically socialist, but it's considered by not only the WHO, but it's almost universally recognized as the best health care system on the planet (unless you're a millionaire, in which case the US does just fine).

Speaking briefly on the subject of regulation, I've been speaking with a friend of mine who's father has been a doctor for decades and has been involved not only in medicine but administration. His complaints about the government regulation were seemingly unlimited. I asked him to show his father Sicko, but he refused calling it socialist propaganda. Heh. While the current government regulation of the medical industry may not be ultimately beneficial, it's hardly responsible for all of the problems. The government hardly asks the insurance companies to turn down people for life saving surgeries. The government doesn't make the private health care community lobby and bribe, though accepting the bribes certainly doesn't help. The government doesn't make the technology extremely expensive. The government doesn't require the drug companies to have thousand percent profit margins.

iwonder@ 10-23-2007 09:34 AM

[QUOTE=ASU2003]http://www.foxnews.com/story/0,2933,296997,00.html

But if they could give good health care coverage to every American for that much money, it sounds like a good plan. Espesicaly considering that I spend $840/year for Medicare right now, and I see nothing of that myself.

[/QUOTE

WELL here's my idea; since we are never going to see a dime of the money we are putting into Medicare, and since it is all going to a generation that is wringing the system dry without a thought to their children, other than that they hate our whole generation for not being them, I say we put that money towards the taxes for a national health-care system. :devious: It's not like it could be anymore crooked than Medicare, and it might help people live healthier in their old age. Ah, who am I kidding. Nothing the government sticks it's hands in will ever help the average joe's quality of life. But I'd rather have the lesser of two evils, thank you! Definately not both!!!

loquitur 10-23-2007 10:05 AM

Willravel, I suspect there is a very big state to state difference in health care costs, and that the differences will be very closely related to the degree and kind of regulation. This isn't my area of expertise - I'm more of a well-read amateur here, so I can't get my fingers on my sources quickly - but I seem to recall that here in NY, where Local 1199 pretty much owns the Legislature, it is pretty much illegal to offer low-cost, few-featured health care policies. IIRC, the justification is that it's not right for some people to get significantly better coverage than others for something as important as health care. In other words, rather than offer choices of Chevys, Buicks, Toyotas and Audis, everyone has to drive a Mercedes or BMW whether they want to or not. Typically asinine NY law, with the result that Medicaid is now out of control, because the slack has to be picked up somewhere. I wish I could remember where I read that.

Part of the problem with the claim that we can do French-style health care here is that the US has a different culture. We are very individualistic, and all of us think we're important enough to deserve the best. There's nothing stoic or fatalistic about Americans. That means many denials of benefits will result in litigation, with the results that there will be lots of settlements, and ultimately costs will go blasting through any estimates. You'll have everyone travelling business class in no time, because no one will feel they are footing the bill themselves.

It's the convergence of a bunch of factors that makes single payer health care problematic in the US. And that's before even considering the philosophical issues, which I think you and I will probably disagree about, but which ultimately are matters of taste more than anything else.

Willravel 10-23-2007 10:22 AM

Quote:

Originally Posted by loquitur
Willravel, I suspect there is a very big state to state difference in health care costs, and that the differences will be very closely related to the degree and kind of regulation. This isn't my area of expertise - I'm more of a well-read amateur here, so I can't get my fingers on my sources quickly - but I seem to recall that here in NY, where Local 1199 pretty much owns the Legislature, it is pretty much illegal to offer low-cost, few-featured health care policies. IIRC, the justification is that it's not right for some people to get significantly better coverage than others for something as important as health care. In other words, rather than offer choices of Chevys, Buicks, Toyotas and Audis, everyone has to drive a Mercedes or BMW whether they want to or not. Typically asinine NY law, with the result that Medicaid is now out of control, because the slack has to be picked up somewhere. I wish I could remember where I read that.

I suspect that a vast majority agree that the current system should not continue. It's the solution we disagree on. I'd like everyone to be able to get a Mercedes and BMW at the price of a Kia. I can't see that happening in a capitalist system not only because they're profit driven, but more specifically because there are 45 million people who have no car who would still be running the risk of not being covered under a more free market-esque system. A lot of why I'm fighting so hard for single payer has less to do with those who are covered and more to do with those who aren't.
Quote:

Originally Posted by loquitur
Part of the problem with the claim that we can do French-style health care here is that the US has a different culture. We are very individualistic, and all of us think we're important enough to deserve the best. There's nothing stoic or fatalistic about Americans. That means many denials of benefits will result in litigation, with the results that there will be lots of settlements, and ultimately costs will go blasting through any estimates. You'll have everyone travelling business class in no time, because no one will feel they are footing the bill themselves.

I can think of 45,000,000 people alive right now and 18,000 people a year who aren't alive who may be able to look past their philosophical views on individualism in order to get what they need. It'd be nice if profit driven corporations couldn't get politicians in their back pockets, or couldn't turn down people who needed life saving treatment, but the reality is that our health is too important to risk on corporations, even the non-profits. And when you do cross the pond and take a look at the French system, they're all flying first class for less than we're paying over here and are shocked that we aren't riding first class, too.

I'm not saying it's going to be an easy transition, but if there's a reasonable chance we can have a system on par with France for every man, woman, and child in the US, isn't it worth giving a shot?
Quote:

Originally Posted by loquitur
It's the convergence of a bunch of factors that makes single payer health care problematic in the US. And that's before even considering the philosophical issues, which I think you and I will probably disagree about, but which ultimately are matters of taste more than anything else.

I'm willing to throw my philosophy out if it has no place in reality. I'm not religious about my philosophy, after all. I only hope that other people would make the same claim.

loquitur 10-23-2007 11:03 AM

Quote:

Originally Posted by willravel
I'm willing to throw my philosophy out if it has no place in reality. I'm not religious about my philosophy, after all. I only hope that other people would make the same claim.

<br>Geez, that sounds like something I would say, to look at what works rather than what's appealing.

Take a look at Tennessee's experience with something akin to single payer, TennCare. I believe they were unable to control the costs. That's an example of why single payer won't work well in the US.

I still think getting rid of most health insurance is the most feasible, equitable and sane way to get costs under control and improve access for everyone. And for the poor, a medical care equivalent of food stamps. The rest of this huge lumbering Rube-Goldbergesque system should be put to sleep. As I said before, no one but the insurance companies will miss it.

Willravel 10-23-2007 11:17 AM

Quote:

Originally Posted by loquitur
<br>Geez, that sounds like something I would say, to look at what works rather than what's appealing.

Then I'm on the right track. Or you're on the right track.
Quote:

Originally Posted by loquitur
Take a look at Tennessee's experience with something akin to single payer, TennCare. I believe they were unable to control the costs. That's an example of why single payer won't work well in the US.

I still think getting rid of most health insurance is the most feasible, equitable and sane way to get costs under control and improve access for everyone. And for the poor, a medical care equivalent of food stamps. The rest of this huge lumbering Rube-Goldbergesque system should be put to sleep. As I said before, no one but the insurance companies will miss it.

You know, I'd be willing to settle with ending insurance and instigating a "medical stamp" policy. I think the following are reasonable to want from the medical industry:
1) Affordability for a vast majority of people, at least on some level.
2) No more lobbyists, ever, ever. Get your greedy paws out of government or be run by them. Either or.
3) Something to help out those in need. Some people won't be able to afford basic medical care. They need some assistance in case of an emergency.

loquitur 10-23-2007 11:25 AM

Willravel: "Get your greedy paws out of government or be run by them. Either or."

See, that's the problem with govt involvement in almost anything. Your choice is either having opportunities for corruption (veiled or otherwise) or else curtailing freedom of expression. Neither one is very attractive.

Willravel 10-23-2007 11:30 AM

Quote:

Originally Posted by loquitur
Willravel: "Get your greedy paws out of government or be run by them. Either or."

See, that's the problem with govt involvement in almost anything. Your choice is either having opportunities for corruption (veiled or otherwise) or else curtailing freedom of expression. Neither one is very attractive.

There shouldn't be career lobbyists or career politicians, really, as they tend to bring the authenticity out of the process, but that's another thread.

As for government involvement in medicine, I still can't get over how well it works in France compared to the US. Yes, it's not perfect, but in comparison it's absolutely breathtaking. And more importantly, it's what the people wanted, thus dealing with the curtailing of freedom issue. If we could get off our asses and do some homework, collective homework (what a concept!), I suspect this could get solved. There'd also probably be a revolution. Heh.

loquitur 10-23-2007 11:58 AM

Sadly, John Adams thought he could be a noncareer politician and rise above petty partisan sniping, much as George Washington did in his first term. It didn't work for Adams, and he was booted after one term in what may have been the nastiest presidential election in US history.

Willravel, like much else about ideal setups, having no career politicians just won't work. The world, and life, is what it is, and we have to make the best of it.

Willravel 10-23-2007 12:04 PM

Jesse "The Body" Ventura impressed a lot of people, myself included. He served one term and then left.

loquitur 10-23-2007 01:19 PM

yeah, but he didn't run for re-election. And I don't recall whether the reason was that he thought he probably would lose - do you recall?

That reminds me of a story. I used to have a client, Russian expat, who imported steel from mills in Russia (he has since returned to Russia and we lost touch). I took him to lunch one day during the Russian presidential election campaign between Boris Yeltsin and Vladimir Zhirinovsky (whom you may remember as a xenophobic, antisemitic, right-wing Russian nationalist). The polls for a while showed Yeltsin trailing badly, and I asked the client (Sasha) about it. Sasha stopped a second, looked at me with this very level look, and said "Eef Yeltsin iz having un elekshun, eet's becawz he vill vin. Odervize dere vood be no elekshun." And Sasha was right - Yeltsin won in an amazing comeback. That was a very very interesting piece of cultural education that I learned, about what having an election means in other parts of the world. Which should give us all some appreciation for how great this country is.

Willravel 10-23-2007 01:26 PM

Quote:

Originally Posted by loquitur
yeah, but he didn't run for re-election. And I don't recall whether the reason was that he thought he probably would lose - do you recall?

He stated before running he'd only serve one term. I think it's damn near heroic to take that position on being a politician, and I wish Bush had done it when he was governor. One term representing your home, then retire.

That's an interesting story. After hearing Kasperov speak on Bill Maher this week, I feel like I've neglected Russian politics as of late.

loquitur 10-23-2007 04:37 PM

if Ventura did that, then good for him. Doing what one says one will do is honest, which is way too rare.

if Ventura did that, then good for him. Doing what one says one will do is honest, which is way too rare.

ASU2003 10-23-2007 11:22 PM

Quote:

Originally Posted by flstf
That is what my wife and I have done. Insurance with $10,000 deductible for catastrophic with minor stuff paid with HSA account or out of pocket. This is not easy to do since price comparison is difficult for many procedures and deciding what medical care is really necessary and which is not. The system seems to be set up for people with co-pay who do not care how much things cost and how many tests, drugs, etc are provided after their deductible. I suspect that many tests, prescriptions, etc.. are not really necessary. Also the system is not set up for competitive price shopping and in an emergency or bad accident you are in no position to get quotes.


I have this type of plan as well. Mainly because I am healthy.

I did get a prescription for some allergy medicine last week, and the doctor didn't care about the cost because she thought my insurance would pay for it. I went to the pharmacy and they told me it was $154 for 30 days of pills. I picked the $5 DEA regulated allergy medicine instead. Yes, there was one different chemical between the two, and maybe one works better than the other. But, when I have to pay out of my own money versus having insurance or the government pay for it, money matters.

------------------------------------------------------------------------------------------------------

I think a system like this, run by a non-profit would be best. Although, if the big insurance companies were regulated a little more, and could earn more profits when Americans were healthier, I wouldn't care too much. You give everyone an HSA account so if you really need medical care you won;t have to pay more than the $1,000 - $3,000 deducible. There should also be no fees or experation dates on a HSA account. If you don't use your money, you won't lose it. If you have the money, you can buy better healthcare. If you don't have money, you will still have access to basic healthcare. It is your choice and you can get the advice of a doctor in making your decision.

loquitur 10-24-2007 05:38 AM

Quote:

Originally Posted by ASU2003

I did get a prescription for some allergy medicine last week, and the doctor didn't care about the cost because she thought my insurance would pay for it. I went to the pharmacy and they told me it was $154 for 30 days of pills. I picked the $5 DEA regulated allergy medicine instead. Yes, there was one different chemical between the two, and maybe one works better than the other. But, when I have to pay out of my own money versus having insurance or the government pay for it, money matters.

This is my point exactly, and why I think we should outlaw all third-party payments other than for catastrophic events. The idea that "cost shouldn't matter" is ridiculous, because someone is always paying for it, even if not the patient, and other people's money should be respected too. If you respect your own, you should spend your own.

Cynthetiq 10-24-2007 05:59 AM

I agree.

I'm happy to give freely from my own pocket, just stop sticking your hands in there and taking what you want.

Willravel 10-24-2007 07:11 AM

ASU - Kaiser is a non-profit, that doesn't stop it from turing down life saving surgeries and overcharging. It doesn't stop it from dropping off uninsured patients on the street. It doesn't stop it from lobbying.

Cynthetiq - stop pretending like people are trying to steal from you. If you pay less under socialized medicine, as I've already demonstrated, then you're paying less. That's actually the opposite of stealing.

loquitur 10-25-2007 05:42 AM

Willravel, I'd be very hesitant to just assume that a government-sponsored program will yield cost benefits. FWIW, I find this post by Megan McArdle persuasive (excerpt follows):
Quote:

<BLOCKQUOTE>Ezra endorses this comment by one of his readers:
<BLOCKQUOTE> Another advantage of government funding over philanthropic funding is the theoretical ability to do better macro level allocation of resources. If you have, say, 10 billion dollars in one bucket you can have a team of experts figure out the optimal allocation of those resources across a broad range of needs, whereas if that 10 billion dollars is private charitable giving the allocation will be made in chunks of hundreds, thousands, and millions of dollars by individuals who can't see the big picture. Restricted money for sexy causes is a lot easier to raise than unrestricted money for more general and less sexy purposes, and individual organizations and donors allocate funds according to their own interests. So you get things like disproportionately large amounts of money for in vitro fertilization research and disproportionately small amounts of money for free preventive medicine for the poor. Not that there's anything wrong with IVF research, but it ought to be a lower priority compared to other things. It's not the fault of the charities or the donors that this misalocation happens, but it's a problem nonetheless.</BLOCKQUOTE>
Interestingly, this is exactly the argument that was offered for why socialism would be better than capitalism. I don't find it ridiculous; indeed, in 1935, I'm sure I'd have found it incredibly compelling. It took a genius like Friedrich Hayek (and ultimately, the collapse of the Soviet Union) to show why giant national solutions rarely outperform a competitive market.

The problem, it turns out, is that the central planners with the big picture have to design one-size-fits all programs that by their nature have more error built in because they don't have good local information. Also, when the planners make mistakes, as they inevitably will, those mistakes are bigger. They are also harder to detect because again, the planners have a much poorer grade of information about what is happening on the ground than local players do. And because there's no competition, there is no one to grade your performance against, and also, much less incentive to fix mistakes--particularly since those mistakes tend to generate constituencies devoted to protecting them. (See subsidies, farm.)</BLOCKQUOTE>

My own way of putting this is slightly different: people don't stop being people, and begin being angels, just because they are in the government. As the economist James Buchanan pointed out, people and groups who work in government have incentives and agendas just like everyone else, and those may or may not coincide with the "public interest" broadly defined. I'd be very reluctant to sign over everyone's health care to the tender mercies of government programs without being damn sure about what the tradeoffs are and what we're giving up by doing it. Speculative cost benefits aren't enough.

Cynthetiq 10-25-2007 05:53 AM

Quote:

Originally Posted by willravel
ASU - Kaiser is a non-profit, that doesn't stop it from turing down life saving surgeries and overcharging. It doesn't stop it from dropping off uninsured patients on the street. It doesn't stop it from lobbying.

Cynthetiq - stop pretending like people are trying to steal from you. If you pay less under socialized medicine, as I've already demonstrated, then you're paying less. That's actually the opposite of stealing.

will, I live in a city that takes quite good care of it's own community. the local community board impacts my day and nights MORE than President Clinton or Bush could ever do. They have more impact on my quality of life because they can be concerned about the localized issues. Why should I pay for YOUR sidewalk? Why should I care about if there is a bar 200 yards from the next one in YOUR neighborhood? Why should I be paying for roads and highways (not federal roads) in YOUR neighborhood?

will, YES you are sticking your hands into MY pockets.

Will, you've only demonstrated the theory behind it. These things aren't going to appear from thin air. Taxes will be levied in some fashion, and it will be paid for. I've demonstrated that other countries that have these socialized programs have much much higher taxes to pay for such things like socialized healthcare.

Willravel 10-25-2007 07:15 AM

Liquitur - If you look at socialized programs, they do yield cost benefits. They all pay way less per person than we do because the administrative, malpractice, and insurance costs virtually disappear. So if we model our system on one of the other systems, hopefully France, we should see prices drop for everyone. Even Cynth.

Cynth - if you want to live in a city state, that's your call. We have federal issues here in the USA. We have state issues here in the USA. That's how it works here. When you pay taxes, you're paying for sidewalk that *gasp* someone else will walk on, and it may not even be in your community. I know it pains you greatly to pay for something someone else will use, but you do.

You open your pockets by being a citizen. You do, no one else. If you don't want to pay for things like sidewalks or police, then there are plenty of desert islands in international waters that you could inhabit.

Cynthetiq 10-25-2007 07:21 AM

Quote:

Originally Posted by willravel
Liquitur - If you look at socialized programs, they do yield cost benefits. They all pay way less per person than we do because the administrative, malpractice, and insurance costs virtually disappear. So if we model our system on one of the other systems, hopefully France, we should see prices drop for everyone. Even Cynth.

Cynth - if you want to live in a city state, that's your call. We have federal issues here in the USA. We have state issues here in the USA. That's how it works here. When you pay taxes, you're paying for sidewalk that *gasp* someone else will walk on, and it may not even be in your community. I know it pains you greatly to pay for something someone else will use, but you do.

You open your pockets by being a citizen. You do, no one else. If you don't want to pay for things like sidewalks or police, then there are plenty of desert islands in international waters that you could inhabit.

You don't recall that YOU stated you don't differentiate the differences between local and federal government. You lump them all together.

Again, I do open my wallet as needed, but there's no need for me to pay for someone's police force in San Jose. It's not relevant to my life nor is it any consequence for you to pay for the New York City Housing that's just a few blocks from where I live. Now if you'd like to do that with all things, hey that's your perogative. I don't like paying more taxes. You may not like and loathe the monies you earn, I don't.

If I recall you have stated you have a daughter. I don't want to pay for your daughter's education. I'm stuck paying for basic education, but when it comes to higher education? No. I'm not interested in that. You choose to have a child, not me. YOU pay for her higher education.

Or should it be another one of your socialized programs because everyone should have higher education?

Willravel 10-25-2007 07:41 AM

Quote:

Originally Posted by Cynthetiq
You don't recall that YOU stated you don't differentiate the differences between local and federal government. You lump them all together.

It would be convenient for you if this was even close to true. The reality, of course, is that I call the whole government the US government, the state governments the state government, the county, etc. I was using a descriptive term for the whole government when you misunderstood me.
Quote:

Originally Posted by Cynthetiq
Again, I do open my wallet as needed

You need to pay for medical care for people in your neighborhood and they you. Collectively, you'll get better care and you all end up paying less per person in taxes than you are currently in insurance. Sounds like a no brainer.
Quote:

Originally Posted by Cynthetiq
If I recall you have stated you have a daughter. I don't want to pay for your daughter's education. I'm stuck paying for basic education, but when it comes to higher education? No. I'm not interested in that. You choose to have a child, not me. YOU pay for her higher education.-

I wasn't aware it took tax dollars to pay for home schooling. I hope to get my checks soon. I hope we can fix the public school system so that it caters to creativity and education instead of assembly line useless fact cramming.
Quote:

Originally Posted by Cynthetiq
Or should it be another one of your socialized programs because everyone should have higher education?

In 20 years when almost all of the decent jobs in the US are gone and the dollar has dropped below the peso, I suspect people may look back and wish that we ad the foresight to make better educations more available to everyone.

Cynthetiq 10-25-2007 07:48 AM

Quote:

Originally Posted by willravel
It would be convenient for you if this was even close to true. The reality, of course, is that I call the whole government the US government, the state governments the state government, the county, etc. I was using a descriptive term for the whole government when you misunderstood me.

:sniff: :sniff:

I seem to have stepped in some bullshit. You may recall we were talking about STATE government.
LINK
Quote:

Originally Posted by willravel
So, in your mind, when someone says "US government", they always mean "federal government". Interesting. Did you know that states, counties, and even cities have government? So when I say "US government", I could mean federal, state, county, or city.


Ustwo 10-25-2007 07:58 AM

Am I the only one that gets a chuckle out of the unintended humor in the NSFW tag in the title?

loquitur 10-25-2007 08:27 AM

Willravel, I remain to be persuaded that the cost benefits you're touting are likely to materialize (the French system runs deficits, for example), particularly outside the very short term. But even assuming that in terms of cash outlays, there will be some reduction of overall cost, at a certain point the rigidity built into the system will almost certainly affect it negatively, as it does almost every single government program ever invented - and severely degrade it after a relatively short adjustment period (certainly less than 10 years). Govt bureaucracies simply are not flexible, not adaptable, and highly resistant to being made so. Ever has it been so, ever will it be - which was the point of my post up above in #263.

Willravel 10-25-2007 08:50 AM

Quote:

Originally Posted by Ustwo
Am I the only one that gets a chuckle out of the unintended humor in the NSFW tag in the title?

I do, but then I remember why it's nsfw.
Quote:

Originally Posted by loquitur
Willravel, I remain to be persuaded that the cost benefits you're touting are likely to materialize (the French system runs deficits, for example), particularly outside the very short term. But even assuming that in terms of cash outlays, there will be some reduction of overall cost, at a certain point the rigidity built into the system will almost certainly affect it negatively, as it does almost every single government program ever invented - and severely degrade it after a relatively short adjustment period (certainly less than 10 years). Govt bureaucracies simply are not flexible, not adaptable, and highly resistant to being made so. Ever has it been so, ever will it be - which was the point of my post up above in #263.

I demonstrated through verifiable sources that we pay more per capita on health care than any other industrialized country. I believe it was the Organization of Economic Cooperation and Development that held the study on health care expenses of the industrialized nations including the US. The amount of GDP that is spent on healthcare in the US is staggering, dwarfing even France who has the best health care in the world according to the massive WHO study released a few years back (and nothing has changed since then).

Cynthetiq 10-25-2007 08:50 AM

Quote:

Originally Posted by loquitur
Willravel, I remain to be persuaded that the cost benefits you're touting are likely to materialize (the French system runs deficits, for example), particularly outside the very short term. But even assuming that in terms of cash outlays, there will be some reduction of overall cost, at a certain point the rigidity built into the system will almost certainly affect it negatively, as it does almost every single government program ever invented - and severely degrade it after a relatively short adjustment period (certainly less than 10 years). Govt bureaucracies simply are not flexible, not adaptable, and highly resistant to being made so. Ever has it been so, ever will it be - which was the point of my post up above in #263.

exactly well stated and pointed out in my own post about Icelandic healthcare #230

Quote:

Sigursteinn Másson, chairman of the Organization of Handicapped in Iceland (OHI), agrees. “I know many employees within the health sector feel bad about charging high sums to people who often have little money,” Másson said. That’s why hospital staff often recommends unnecessary hospitalization, he explained.
One can easily look at the shiny exterior of the program, but peel away the veneer and you'll see it's just as mechanical, complex, and expensive as any other.

loquitur 10-25-2007 11:20 AM

Quote:

Originally Posted by willravel
I demonstrated through verifiable sources that we pay more per capita on health care than any other industrialized country. I believe it was the Organization of Economic Cooperation and Development that held the study on health care expenses of the industrialized nations including the US. The amount of GDP that is spent on healthcare in the US is staggering, dwarfing even France who has the best health care in the world according to the massive WHO study released a few years back (and nothing has changed since then).

We do spend more. Ever asked why? As I said up above, it's cultural.
Quote:

Consider this quote from <A HREF="http://econlog.econlib.org/archives/2007/10/maggie_mahar_vs.html#more">Maggie Mahar, quoted by Arnold Kling</A>, with Kling's comments:<BLOCKQUOTE>Mahar starts out her post with an interesting poll

Dr. Steven Schroeder, former head of the Robert Wood Johnson Foundation and Distinguished Professor of Health and Health Care at the University of California, San Francisco, told a provocative story about a poll that asked patients in the U.S. `Canada, Australia, New Zealand and the U.K the following question:

“If your personal doctor told you that you had an incurable and fatal disease, would you accept that diagnosis or seek a second opinion?"

* In the U.S., 91 percent of patients said they would seek a second opinion.
* In Canada, 80 percent
* In Australia , 71 percent
* In New Zealand, 51 percent
* In the U.K., 28 percent

My line is that America's health care system reflects American values. One of our key values is, "Don't give up!" Suppose you have, say, a problem with your shoulder, and your doctor says that you should just live with it and take a pain reliever every now and then. If you tell twenty of your friends and colleagues about this recommendation, you will come away with the names of 25 doctors you should see. Even if individual doctors want to avoid unnecessary procedures, society is working against them.</BLOCKQUOTE>
Any program to be enacted in America has to fit Americans. I'm sure health care would be quite cheap in, say, Guinea-Bissau, but programs appropriate for that culture wouldn't be appropriate for the US. And that's one of the several clear places where your argument breaks down. You're assuming it's purely attributable to there being some (restricted) scope for the operation of market in the US. Not so. It's at least equally attributable to the distortions of the market by poorly conceived regulation and through the separation of use from payment through insurance and benefits. Throw in the cultural aspects of how Americans use the health care system, and you'll see that your argument breaks down fairly drastically. That's why I think we have to eliminate third-party payment as the most equitable solution.

Willravel 10-25-2007 11:40 AM

I wish he had asked the french the same question. But here's something, the Canadians pay less and get higher rated care. They're only 11% less likely to get a second opinion?

BTW, did they ask uninsured people if they'd get a second opinion? I mean that's 1/6 the population of the US or about 15%. It's hard to say that their vote doesn't count on the issue, if we're going to use those statistics as a part of a discussion about universal health care.

loquitur 10-25-2007 07:49 PM

Canadians who don't like it have the option of crossing the border to get what they want. And many do.

Willravel 10-25-2007 08:06 PM

How many Canadians cross the border for health care vs. how many Americans cross the border for Canadian health care?

loquitur 10-28-2007 09:18 AM

I don't have the numbers, though there have been plenty of stories about Canadians suing to get reimbursed for the cost of going to Buffalo to get treated, after their requests for domestic treatment got buried in the health care bureaucracy. There also was a Quebec Supreme Court decision a few years ago holding that it's a violation of basic human rights for the provincial government to make it illegal to get private medical care. I assume the numbers are get-able, and will consist mainly of people who need non-routine things but have been put on intolerably (to them) long waiting lists to get them.

I don't know of Americans who cross the border to get medical care, though it certainly is possible. The main Canadian health-care import is price-regulated drugs, which are cheaper north of the border, for a congeries of reasons I won't go into here.

Cynthetiq 10-31-2007 07:07 AM

Quote:

National Hospital’s Overdue Debts Discussed
Minister of Health Gudlaugur Thór Thórdarson was harshly criticized at the Althingi parliament yesterday for not paying the National Hospital’s overdue debts and thus throwing tens of ISK millions (ISK 10 million = USD 165,000, EUR 115,000) out the window in penal interests.

Chairman of the Progressive Party Valgerdur Sverrisdóttir raised the subject, claiming the overdue debts of the National Hospital currently add up to ISK 1.1 billion (USD 18 million, EUR 13 million), ruv.is reports.

Sverrisdóttir added that the health care service in the capital region is also heavily in debt and that no one seemed to be making an effort to make down payments on that front either.

Sverrisdóttir continued by criticizing the government and the Minister of Health for poor performance. Thórdarson said that he thought her criticism was undeserved but said he would look into the matter.
I continue to follow the Icelandic Health Care system since it is a socialized system and I have a keen interest in living in Iceland at some point in time.

So if the system is paying for itself and the costs are cheaper, why do they carry an $18M debt?

Unfortunately I cannot get more information since the other papers are written in Icelandic.

dc_dux 10-31-2007 02:04 PM

As interesting as the Icelandic health care system might be, I would rather compare Hillary's plan against, say a Bush plan?

Wait....Bush has never sent any comprehensive health care plan to Congress in the last 6 years.

How about a plan from the Repubs in Congress when they had control for 6 years?

Nope....cant find any plans there either.

The Republican candidates for President?

Nothing as detailed as Hillary's, Obama's, or Edwards' respective plans.

Help!!! Has any Republican proposed anything comprehensive (not just talking points)?

ASU2003 10-31-2007 05:00 PM

The only way I would support a universal system is if it could never get into debt.

Meaning that either taxes would get raised if more people got sick or would fall if less people used health serviices.

I don't think anyone has come up with the right way to fix healthcare, even if it can be fixed at all.

Cynthetiq 10-31-2007 07:58 PM

Quote:

Originally Posted by dc_dux
As interesting as the Icelandic health care system might be, I would rather compare Hillary's plan against, say a Bush plan?

Wait....Bush has never sent any comprehensive health care plan to Congress in the last 6 years.

How about a plan from the Repubs in Congress when they had control for 6 years?

Nope....cant find any plans there either.

The Republican candidates for President?

Nothing as detailed as Hillary's, Obama's, or Edwards' respective plans.

Help!!! Has any Republican proposed anything comprehensive (not just talking points)?

As a registered republican (chosen so I can vote in primary elections since I align myself more to the republicans than to the democrats) I don't care about universal healthcare. I don't give a shit about giving up more to those who don't wish to or can't help themselves and want the government to help themselves. So I don't expect any Republican candidate to come forward to debate point for point on a healthcare plan.

Since I choose to work full time for an employer that provides healthcare benefits, I don't give a crap about giving universal healthcare to those that don't work full time by choice or by issue.

dc_dux 10-31-2007 08:19 PM

Quote:

Originally Posted by Cynthetiq
Since I choose to work full time for an employer that provides healthcare benefits, I don't give a crap about giving universal healthcare to those that don't work full time by choice or by issue.

Cynthetiq.....that seems very short-sighted to me, but I hope you never leave your current place of employment... or your current employer is not like most and increases the employees share of premiums by 7-10% every year.... or you have a family member who with a pre-existing condition and your employer suddenly changes providers (to save money) to a provider that wont cover you.

Cynthetiq 10-31-2007 08:46 PM

Quote:

Originally Posted by dc_dux
Cynthetiq.....that seems very short-sighted to me, but I hope you never leave your current place of employment... or your current employer is not like most and increases the employees share of premiums by 7-10% every year.... or you have a family member who with a pre-existing condition and your employer suddenly changes providers (to save money) to a provider that wont cover you.

I have left my employer before. I was even laid off twice.

But the choices were simple, my wife signed up for her plan. So long as there is no break in coverage, no pre-existing condition exists. I recently changed plans but not providers, my costs increased slightly since the company I worked for was 50,000 employees worldwide to only 10,000.

My employers have changed providers, and increases are passed on, this year it was 4% of the previous year premiums, to which many ignorant people said, "But I only got a 3% increase how can you allow it to be raised by 4%, 4% is more than 3%." They don't know how to do math when the increase is to the premium has NOTHING to do with the increase in the salary, but it's a good number to point at and demonize the system.

Had I to go on COBRA during the times I was laid off, it would have been expensive. That's okay with me. I don't NEED 125 cable channels with HBO, Showtime, Starz, and Encore. I don't NEED a cellphone. I don't NEED high speed internet. I don't NEED to own a car in a city with good public transportation, in fact on a nice day I can walk to work if I choose.

I have NEVER heard of a company changing providers that exclude members of their full time employment. If that's the case for some places, then so be it. I'll move to an employer that does provide me coverage.

Sorry, scare tactics are not something that I care to debate. Talk to me about facts.

I NEED to take care of my health. Those things *I* need to take care of, *NOT* the Federal government.

So far, the Icelandic government seems to be in debt covering it's 300,000 citizens, 175,000 of which live in Reykjavik which is where this $18M debt is being described as originating.

Seems to me like it doesn't work as advertised or touted. I don't want to buy a pig in a poke, and I'm definitely not interested in being sold a bill of goods.

dc_dux 10-31-2007 08:56 PM

Not scare tactics....facts of life for many.

Health care is the second most important 08 election issue for many Americans. Its not unreasonable to expect to see the issue addressed with substantive proposals from potential candidates and the Repubs have offered very little that I can see.

But i didnt expect to change your mind :)

edit: a study released today:
Quote:

The number of Americans lacking health insurance rose by nearly 8.6 million to 47 million from 2000 to 2006, with children and workers from every income level losing coverage, a new report said on Thursday.

The increase was "driven primarily by the continued erosion in employer-provided health insurance," said the report by the Washington, D.C.-based Economic Policy Institute.

In 2006, 2.3 million fewer Americans received health benefits from their employers than in 2000, the report said, noting the decline does not take the population increase into account...

...For jobholders, this was the sixth straight year of declines in health insurance coverage. The rate fell to just below 71 percent from nearly 75 percent in 2000.

"No category of workers was insulated from loss of coverage," as even workers whose earnings placed them in the top quintile saw coverage rates fall, the report said.
http://www.reuters.com/article/domes...e=domesticNews
scare tactics or facts?

Cynthetiq 11-26-2007 05:50 AM

More Icelandic Healthcare coverage
Quote:

Minister of Health Wants Healthcare without Borders
LINK
Minister of Health Gudlaugur Thór Gudlaugsson, who has earlier proposed a co-Nordic pharmaceutical market, announced last weekend that he would like an international healthcare market, which could eliminate waiting lists for surgery.

Gudlaugsson told Fréttabladid patients should have the ability to choose whether they want to be operated on in other countries, adding that an international healthcare market could also provide better opportunities for healthcare professionals to export knowledge.

A co-European healthcare market is currently in preparation within the EU, but Gudlaugsson believes that the Nordic countries could beat the EU to it and later provide certain leadership in healthcare within Europe.
Of note here is that there are waiting lists for surgery, in a country of 300,000 there are still waiting lists for surgery. What kind of surgery is uncertain and unknown from the article.

host 11-26-2007 08:24 AM

Quote:

Originally Posted by Cynthetiq
More Icelandic Healthcare coverage


Of note here is that there are waiting lists for surgery, in a country of 300,000 there are still waiting lists for surgery. What kind of surgery is uncertain and unknown from the article.

This is from page 5 from a publication dated Feb., 2005:
Quote:

http://archsurg.ama-assn.org/cgi/reprint/141/2/199.pdf
Surgery in Iceland
Gunnar H. Gunnlaugsson, MD, MS; Margret Oddsdottir, MD; Jonas Magnusson, MD, Ph

....CURRENT STATUS
In Iceland there are waiting lists for certain types of surgery.
Today waiting lists exist for eye surgery, tonsillectomies,
hip and knee replacements, and major back surgery.
There are only normal working lists for other types
of elective surgery. The waiting lists have shortened during
the last 2 to 3 years, and the aim is to eliminate them
completely. All patients with cancer undergo operation
within 1 to 3 weeks of their diagnosis. Roughly one half
of the admissions to the general surgery wards are on an
emergency or urgent basis. Patients with cholelithiasis
who seek the emergency department with symptomatic
gallstones are as a rule admitted and operated on within
24 to 36 hours. Almost all cholecystectomies and about
two thirds of appendectomies are done laparoscopically.
Laparoscopic surgery is advanced. Almost all Nissen
fundoplications, gastrointestinal bypass procedures
for morbid obesity, and adrenalectomies are done laparoscopically,
as are most splenectomies. Cancer surgery
is routinely performed as an open procedure. Esophageal
resections are done by the gastrointestinal surgeons.
Since we do not have surgical residents beyond
the second year, all “major” surgery is performed by experienced
surgeons. Interventional radiology is also advanced.
The majority of procedures for aortoiliac disease
and about 20% of elective procedures for abdominal
aortic aneurysm are done through the endovascular route.
Some operations appear to be more frequent in Iceland
than in many other countries when presented as a
number of procedures per 100 000 inhabitants. Icelandic
neurosurgeons, for example, perform about 400 lumbar
microdiscectomies annually (133 per 100 000 inhabitants);
in 1981 they were the first of the Nordic surgeons
to start doing discectomies with the use of the operating
microscope. In 2003, the number of coronary artery procedures
(percutaneous coronary interventions plus coronary
artery surgery) was 806, or 272 per 100 000 inhabitants.
For the frequency of some other operations, see the
Table.....
Contrast Iceland's universal health care benefit with the US system that bankrupts even some who require medical treatment and believed themselves to be adequately insured. The crisis of more than 45 miliion uninsured, a number that is growing, and the burden of monthly insurance payments of a large number who pay premiums for individual coverage, is in the US, not in Iceland.

I cannot fathom what your point is, Cynthetiq? Is it simply that "you've got yours", so that indicates "anyone can get their's?"

Cynthetiq 11-26-2007 08:54 AM

Someone asked me if I knew anything about the Icelandic healthcare system since it is supposed to be a great system and I have a desire to live there one day. But if you look at the fact that Iceland cannot provide great coverage for 300,000 people as highlighted by large debt and waiting lists from the articles I posted.

Quote:

Originally Posted by host
I cannot fathom what your point is, Cynthetiq? Is it simply that "you've got yours", so that indicates "anyone can get their's?"

And yes, isn't that part of the American Dream? that people can strive to achieve and earn more and better their lives than previous generations? Seems to be working for me as a 1st generation immigrant. Seems to be working for my wife who grew up below the poverty line.

host 11-26-2007 09:10 AM

Quote:

Originally Posted by Cynthetiq
Someone asked me if I knew anything about the Icelandic healthcare system since it is supposed to be a great system and I have a desire to live there one day. But if you look at the fact that Iceland cannot provide great coverage for 300,000 people as highlighted by large debt and waiting lists from the articles I posted.



And yes, isn't that part of the American Dream? that people can strive to achieve and earn more and better their lives than previous generations? Seems to be working for me as a 1st generation immigrant. Seems to be working for my wife who grew up below the poverty line.

You don't know how frustrating it is to read your posts on this thread, thinking as I do, that you do not have a clue. You forage for flaws in Iceland's admirable universal healthcare effort, while these parasites suck our "system" dry, for their own selfish gain, using questionable or illegal methods...the Frists took HCA public, at huge ancillary expense, and then, again at huge expense for fees to m&a lawyers and investment bankers, they took HCA private again, just recently:

Quote:

http://www.npr.org/templates/story/s...oryId=16045685
Feds Fight Rampant Medicare Fraud in South Florida

by Greg Allen

Listen Now [5 min 13 sec] add to playlist

All Things Considered, November 6, 2007 · It doesn't sound sexy, but amid the bikinis, beaches and palm trees of South Florida, one of the most popular and lucrative crimes now is Medicare fraud, and a team of federal investigators and prosecutors are tasked with putting a stop to it.

The dollar totals are staggering: Law enforcement officials say they've uncovered more than a half-billion dollars in fraudulent claims this year in South Florida alone.

If you want to know how bad Medicare fraud is in Miami, a good place to start is with a study released by federal inspectors. They visited, at random, nearly 1,600 businesses in Miami that bill Medicare for services allegedly delivered to beneficiaries.

The U.S. attorney in Miami, Alexander Acosta, says the inspectors found that nearly one-third of the businesses — 481 — didn't exist.

"Those 481 businesses — so-called businesses that didn't exist — had billed $237 million in fraud over the past year," Acosta says.

That study helped focus national attention on the problem of Medicare fraud in Miami — especially among shell companies that purport to sell what's known as "durable medical equipment" — wheelchairs, walkers, respirators and the like.....

http://www.usatoday.com/tech/techinv...ionaires_x.htm
New names among the richest on Forbes' billionaires list
Updated 3/11/2005 5:40 AM

....Tennessee had three entries on the list: Martha Ingram and family of Ingram Industries at No. 228 with $2.6 billion; Frederick Smith of FedEx at No. 306 with $2.1 billion; and <h3>Thomas Frist Jr. and family of HCA Inc. at No. 584 with $1.1 billion.....</h3>
<h3>...and in a state with less than 9 million people with 1.7 million unisured, this is what is happening to the most important hospital in a metro area of 5 million residents, as a consequence of caring for the uninsured:</h3>
Quote:

http://www.google.com/search?hl=en&s...nt&btnG=Search
Sweeping changes expected for Grady | ajc.com
Pete Correll, a leader of the Metro Atlanta Chamber of Commerce, ... <h3>Grady's equipment has suffered as the cash-starved hospital has focused on paying its ...</h3>
http://www.ajc.com/metro/content/met..._1116_web.html - 48k - Cached - Similar pages - Note this


http://broadcastatlanta.com/index.ph...974&Itemid=871
DeKalb Gives $5 Million To Grady, Asks For Audit And Plan
Mary Swint
Tuesday, 09 October 2007

...“The issue is not going away,” Commissioner Kathie Gannon said. “The $5 milllion is a token amount of money. It says DeKalb County is doing its part, supporting the mission and vision of Grady.” She added that the board looked forward to working with the hospital authority on developing a plan for Grady.

Commissioner Burrell Ellis introduced the last resolution to come up for a vote. It urges the Governor and General Assembly to raise the Medicaid reimbursement rates to the maximum levels permitted under federal rules to adequately cover Grady’s cost in caring for Medicaid patients. The Ellis resolution also asked the state to provide health insurance to more uninsured and underinsured residents by extending Medicaid to cover more adults and extending Medicaid and PeachCare to cover all Georgia children. The resolution also urged the Governor, Lieutenant Governor and Speaker of the House “to state publicly at the earliest opportunity their intention to request the 2008 Session of the General Assembly“ to make these proposed changes.

Ellis pointed out Grady provided $72 million in unreimbursed care to uninsured and underinsured patients in 2005 and the Medicaid program pays Grady for about 85 percent of the cost for caring for Medicaid patients, causing the state’s largest hospital to lose $144 million in 2005. His resolution was approved....

http://209.85.165.104/search?q=cache...lnk&cd=1&gl=us
State to give Grady $5.4M next year
Hospital board claims the money still is not enough

By Gayle White
The Atlanta Journal-Constitution
Published on: 11/08/07

Financially strapped Grady Memorial Hospital got a boost from the State Department of Community Health on Thursday, but not as much help as Grady officials had hoped.

Under a new formula for distributing federal funds, Grady will get $5.4 million more for next year than in 2007— but still considerably less than in 2006.

Grady Health System's estimated share of the funds in 2008 will be about $73.2 million, up from $67.8 million in 2007. But in 2006, the hospital system received almost $91 million.

Clayton Shepherd, treasurer of the board that governs Grady, said the additional money will help "a little bit," but that the state board of community health "just doesn't get it" when it comes to Grady.

"This is not what Grady really needs," Shepherd said. "We had hoped this Department of Community Health would be a big help to Grady in the turn-around process."

The federal money being distributed is from the Disproportionate Share Hospital fund, commonly called DSH or "dish," set aside for hospitals that provide most health care for the poor. Grady is by far Georgia's largest provider of health care to the poor and uninsured.

But because Georgia has changed the criteria hospitals must meet to qualify for the funds, about three dozen more hospitals are now eligible—meaning the pie has to be sliced into more pieces. And the federal government furnishes only about $260 million to cover about $1 billion in uncompensated costs for Georgia hospitals.

In a statement released after the meeting, the Department of Community Health emphasized its obligation to the whole state, saying Grady "is by no means the only hospital incurring costs from indigent and <h3<uncompensated care of the state's 1.7 million uninsured.".....</h3>

http://209.85.165.104/search?q=cache...lnk&cd=1&gl=us
Shutting Grady would swamp other hospitals, many say

By GAYLE WHITE / gwhite@ajc.com
Published on: 11/25/07

Consider these possibilities:

A well-insured woman's long-awaited hip replacement is postponed. Her bed has been taken by a homeless woman in need of emergency surgery for a broken hip.

A house in Buckhead bursts into flames, and several people are burned. Helicopters airlift them to Augusta to the state's only burn center.

A late-night pileup occurs on the Downtown Connector. Ambulances race the most severely injured passengers to Macon, where the specialists they need are available around the clock.

Those and other images of metro Atlanta without Grady Health System have brought business leaders, elected officials, doctors and clergy together in a historic effort to save the state's largest public hospital.

Having Grady healthy is in the best interest of all metro Atlanta residents and all other hospitals, said Dr. Robert Albin, chairman of the board of the Medical Association of Atlanta.

"There's no doubt in our minds that the medical delivery system in Fulton and DeKalb counties is entirely incapable of absorbing the inpatient, outpatient, emergency and referral load if Grady is not there," Albin said.

"People would be naive to believe there wouldn't be a logjam in the emergency rooms in all our hospitals. They would be naive to believe there wouldn't be a shortage of beds. The access to health care people have taken for granted may be severely compromised."

Hope for survival

Months of studying, meeting and negotiating could come to a head Monday when the Fulton-DeKalb Hospital Authority is scheduled to vote on restructuring management of the Grady Health System.

A task force of the Metro Atlanta Chamber of Commerce proposed turning over day-to-day management to a private nonprofit corporation run by a board independent from county politicians.

Leaders of the task force, which was created at the request of the hospital authority, said the shift is mandatory to attract the money needed to keep the hospital afloat.

Grady has lost money every year since 2000 and faces a projected record deficit of about $55 million this year.

Chamber leaders say they have a $200 million commitment for capital improvements at Grady if the proposal is approved.

Critics argue that county, state and federal governments should fund the hospital adequately under its current management system and warn that creating a private corporation could endanger Grady's commitment to the poor.

Both sides say Grady must be rescued. At stake is a range of medical services, from a neonatal intensive care unit that cares for babies from throughout Georgia, to Crestview, the state's largest nursing home.

Right now, Grady is the front-line hospital in the event of a plane crash at Hartsfield-Jackson International Airport, a major influenza outbreak in metro Atlanta or an assassination attempt on a visiting presidential candidate. And, as a teaching hospital for Emory University and Morehouse schools of medicine, Grady Memorial Hospital trains a quarter of Georgia's physicians.

"Grady doctors go all over the state," said Ben Robinson, executive director of the Georgia Board for Physician Workforce. "Grady is servicing rural Georgia as well as Atlanta."

Selling point for business

Any threat to Grady threatens not only medical care across metro Atlanta but possibly the region's economy, business and medical leaders say.

"Atlanta hosts over 3 million people a year in conventions and trade shows alone," said Bill Howard of the Atlanta Convention and Visitors Bureau. "Trauma centers are probably not at the top of the mind for meeting planners, but they become top of the mind if an emergency comes up."

Georgia Tech economist Thomas Boston, who conducted studies in 2001 and 2006 on the economic impact of Grady, said Grady is an essential part of the social infrastructure that draws businesses to Atlanta.

"Major corporations will not move to an area they perceive has overcrowded and inefficient health care services," Boston said.

Business aside, some Atlanta area clergy are saying Grady is essential to the moral vision of the city because of its role in indigent care.

Grady is there, said the Rev. Gerald Durley, co-chairman of the Regional Council of Churches of Atlanta, "for the least, the lost and the left out."

http://209.85.165.104/search?q=cache...lnk&cd=1&gl=us
9 reasons Grady could matter to you

By GAYLE WHITE
The Atlanta Journal-Constitution
Published on: 11/25/07

What's so important about Grady? Medical experts say the 115-year-old hospital offers a range of services not duplicated elsewherein Atlanta.

TRAUMA

When a major tragedy happens in Atlanta — from the 1996 bombing at Centennial Olympic Park to the Bluffton University baseball team's deadly bus wreck in March — Grady Memorial Hospital's medical team is usually on the front line.

On an average day, Grady's trauma unit treats about 10 severely injured patients — about 3,700 a year.

Grady is one of only four Level One trauma centers in Georgia, a designation that signifies 24-hour-a-day coverage by a range of medical specialties. The others are in Macon, Augusta and Savannah.

"Grady sees literally twice the volume of trauma we do in a year," said Vernon Henderson, the surgeon who heads trauma at Atlanta Medical Center, which has a Level Two trauma center. "Grady is the standard-bearer for trauma in Georgia."

AMBULANCE

If workers from the Centers for Disease Control and Prevention are exposed to a biohazard, specially trained Grady paramedics will transport them. Grady's is the only such team in the country outside the U.S. Army and is training medical transport teams from other cities.

As for day-to-day operations, Grady ambulances make more than 90,000 trips a year, transporting more than 66,000 patients.

INFECTIOUS DISEASE

Last year, clinicians from six countries visited Grady's infectious disease center, which is recognized internationally for HIV care. Patients with tuberculosis and increasingly with tropical diseases also are cared for there.

Besides treating 4,700 outpatients last year, infectious disease doctors were consulted on more than 1,000 additional inpatient cases.

The infectious disease clinics also dispensed more than $33 million worth of medication for the Georgia AIDS Drug Assistance Program.

MEDICAL EDUCATION

Earlier this year, Emory University neurosurgery resident Luis Tumialan allowed a television crew to film his life for a CNN documentary called "Grady's Anatomy."

Tumialan is passionate about Grady. "We take enormous pride in what we do here," he said.

About 900 of Emory University School of Medicine's 1,000 medical residents and almost all of Morehouse School of Medicine's 100 residents train at Grady. Emory and Morehouse faculty serve as Grady's attending physicians.

As many as half of the medical residents who come from out of state to train at Grady stay in Georgia, said Dr. Thomas Lawley, dean of Emory's medical school.

MENTAL HEALTH

Schizophrenia, depression, addiction — more than 1,000 patients a year are admitted to Grady's famed 13th floor with those and other mental health problems.

Some come through the health system's emergency psychiatric service, one of the busiest in the country with more than 17,000 annual visits. Altogether, patients see Grady psychiatric staff members more than 77,500 times a year.

With state mental hospitals already crowded, hospital officials say, many patients would be on the streets unmedicated without Grady.

NEONATAL SPECIAL CARE

Some are tucked under blankets decorated with teddy bears and bunnies. Some are invisible in isolettes that keep them in the dark, as if they were still in the womb.

The babies in the neonatal special care units at Grady are among the state's most fragile infants and are often born to indigent mothers. Some are delivered as much as three months premature, weighing less than 2 pounds. They will stay here for weeks or months until their organs develop more fully and they reach a weight more normal for birth.

On an average day, the Grady staff cares for 30 infants. Last year, about 600 were born or brought here from 55 counties across North Georgia.

POISON CONTROL

If a panicked mother in Hahira or a doctor in Valdosta calls the state poison hotline, Grady answers.

Grady operates the Georgia Poison Center, with funding provided by the U.S. Department of Health and Human Services and the Georgia Department of Human Resources.

The center, whose phones are staffed by doctors, nurses and pharmacists, answers about 200,000 calls a year — 800 a month from animal owners whose pets have just eaten something suspect.

SICKLE CELL DISEASE

With more than 1,000 patients, Grady is home to the world's largest center for adults with sickle cell disease, the most common genetic blood disorder in the United States. The Georgia Comprehensive Sickle Cell Center at Grady also has the only around-the-clock emergency department just for adults who develop acute complications from sickle cell disease.

The combined approach allows Grady doctors to do research on sickle cell disease.

"We're heavily involved in national trials to improve treatment and avoid complications," said the center's medical director, Dr. James Eckman.

BURNS

An average of one severely injured patient a day is admitted to Grady's 23-bed, specially equipped burn unit, the larger of only two such units in the state.

Many patients end up hospitalized for weeks because of severe pain and high risks of infection, scarring and complications. Grady physicians see outpatients for burn care about 2,000 times a year.

Georgia-Pacific executive Eric Armstrong was lighting a water heater at an Oklahoma vacation home two years ago when a propane leak caused a flash fire that burned him and his wife. Georgia-Pacific flew them back to Grady.

"My husband and I both talked about what great care we got," said Barbara Armstrong. Today, she's a volunteer in the burn unit.

Willravel 11-26-2007 09:16 AM

Quote:

Originally Posted by host
You don't know how frustrating it is to read your posts on this thread, thinking as I do, that you do not have a clue.

One sympathizes.

Cynth, do you really, honestly think that our healthcare system is better than Iceland? Is that your honest informed opinion? Because it strikes me as a desperate last stand in a losing battle.

Cynthetiq 11-26-2007 09:16 AM

Quote:

Originally Posted by host
You don't know how frustrating it is to read your posts on this thread, thinking as I do, that you do not have a clue. You forage for flaws in Iceland's admirable universal healthcare effort, while these parasites suck our "system" dry, for their own selfish gain, using questionable or illegal methods...the Frists took HCA public, at huge ancillary expense, and then, again at huge expense for fees to m&a lawyers and investment bankers, they took HCA private again, just recently:


<h3>...and in a state with less than 9 million people with 1.7 million unisured, this is what is happening to the most important hospital in a metro area of 5 million residents, as a consequence of caring for the uninsured:</h3>

Don't worry, the frustration is reciprocated not just in this thread but in many of your long quotations and diatribes. I try my best and that's all that I can do.

Quote:

Originally Posted by willravel
One sympathizes.

Cynth, do you really, honestly think that our healthcare system is better than Iceland? Is that your honest informed opinion? Because it strikes me as a desperate last stand in a losing battle.

I didn't say that it was. Please learn2read because nothing stated it as such.

I've only stated that I got mine and I don't give a shit about those lazy fuckers and other people who make choices and don't want to suffer the consequences of their choices.

I'm pointing out simply that for 300,000 people they seem to have the same flaws that people complain about in the UK and other socialized systems of debt and waiting lists.

Willravel 11-26-2007 09:23 AM

Quote:

Originally Posted by Cynthetiq
I didn't say that it was. Please learn2read because nothing stated it as such.

I didn't say you said it was. I was asking if you do. Do you believe the American system of healthcare is better than Iceland's?
Quote:

Originally Posted by Cynthetiq
I've only stated that I got mine and I don't give a shit about those lazy fuckers and other people who make choices and don't want to suffer the consequences of their choices.

"Fuck the poor" is an attitude usually reserved for the uber-rich. I don't know you to be a neocon, so it's surprising.

host 11-26-2007 09:26 AM

Quote:

Originally Posted by Cynthetiq
Don't worry, the frustration is reciprocated not just in this thread but in many of your long quotations and diatribes. I try my best and that's all that I can do.

Why the vague attack and the reference to "other threads"? If you could see yourself, here. It would come off like this:

"I'm, young, healthy, well educated, but...I'm "self made", so that entitles me to not alter my perspective to consider the circumstances of anyone else who seeks affordable medical insurance coverage who is NOT young, healthy and well educated..."

I attempted to point you in the direction of your lack of perspective and empathy regarding the issue of affordable health care coverage, and you respond with:
Quote:

....the frustration is reciprocated not just in this thread but in many of your long quotations and diatribes...
The "long quotations" are intended to break through the "wall of denial", and the information "void" that is the buiding material of the wall....

Cynthetiq 11-26-2007 09:43 AM

Host, I can see myself. I have an opinion that is formulated by my actions and experiences which differ than yours. You don't like that. Pretty plain and simple.

will, fuck the poor that don't help themselves. Does that clarify it better? As for the USA vs. Iceland healthcare system, I don't think that Iceland's healthcare system can scale to cover the amount of Americans. I don't know much about the Icelandic Healthcare system, abaya asked me what I thought of it and I have posted my findings as I find them here. To asnwer your question directly, yes, I feel that the American system is fine in comparison to the Icelandic system. I don't ever expect something for nothing since I don't expect the government to ever take care of me.

Willravel 11-26-2007 09:48 AM

Quote:

Originally Posted by Cynthetiq
will, fuck the poor that don't help themselves. Does that clarify it better?

That reads as "all poor that aren't insured don't help themselves, so fuck them". Unless you have anything at all besides cruel baseless judgments of the poor, that sentiment seems rather useless. Obviously not all poor people without healthcare are in that situation by choice. Most of them CAN'T HELP IT. They work twice as hard as you or I and get half as much, and yet there you are judging them. It'd be fascinating if it weren't so disappointing.

Stop acting as if
1) You're better than people because you were fortunate enough to get opportunities to live comfortably.
2) All poor people are lazy.

Both ideas are inane at best, and deeply ignorant and judgmental at their core.

host 11-26-2007 10:14 AM

....hmmm
 
Where does the negativity towards the poor...the powerless come from?

Is it not much more reasonable to direct the negativity at money churners like the Frists of HCA...the fraudulant billers assaulting medicare and the lax enforcement that permitted it to occur...the healthcare insurance and pharma lobbies who convince our congress to vote in the industry interests instead of ours...

Good god! Resentment of the poor would not even make my list. It is a tribute to those who paid for the campaigns to convince people to focus their vitriol on the least powerful and influential that to any extent it seems to have worked....especially because it seems to make no sense to lash out at those with least power and resources.

ottopilot 11-26-2007 10:30 AM

edit

Ustwo 11-26-2007 10:52 AM

Quote:

Originally Posted by host
Where does the negativity towards the poor...the powerless come from?

Is it not much more reasonable to direct the negativity at money churners like the Frists of HCA...the fraudulant billers assaulting medicare and the lax enforcement that permitted it to occur...the healthcare insurance and pharma lobbies who convince our congress to vote in the industry interests instead of ours...

Good god! Resentment of the poor would not even make my list. It is a tribute to those who paid for the campaigns to convince people to focus their vitriol on the least powerful and influential that to any extent it seems to have worked....especially because it seems to make no sense to lash out at those with least power and resources.

Interesting how you fail to mention the insane malpractice law suits such as those which HURT WOMEN AND COST THEM THEIR LIVES in the case of John Edwards, but since the litigation lawyers donate almost exclusively to democrats I can see where you think this isn't a problem even though its chasing OB/GYN's out of my democrat controlled state so they can practice without fear of losing everything to a frivolous lawsuit.

You know host if you want to get on that bully pulpit, you need to be consistent in how you approach an issue, otherwise you get to be our Anne Coulter, only without the fuckability factor.

host 11-26-2007 10:53 AM

"a state of mind"? What are you talking about?

If we could sometime have an actual discussion here...plain talk without the eyerolling and innuendo....and the vague incoherent attempts to defend the indefensible....

No wonder the "six questions" thread is bringing em all out of the woodwork....it is apparantly the best we are going to see on here.

Willravel 11-26-2007 11:09 AM

Quote:

Originally Posted by Ustwo
Interesting how you fail to mention the insane malpractice law suits such as those which HURT WOMEN AND COST THEM THEIR LIVES in the case of John Edwards, but since the litigation lawyers donate almost exclusively to democrats I can see where you think this isn't a problem even though its chasing OB/GYN's out of my democrat controlled state so they can practice without fear of losing everything to a frivolous lawsuit.

You know host if you want to get on that bully pulpit, you need to be consistent in how you approach an issue, otherwise you get to be our Anne Coulter, only without the fuckability factor.

Are you saying you want to have sex with John Edwards? If not, what the hell are you talking about?

ottopilot 11-26-2007 11:18 AM

edit


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