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Index » Regional/Local » USA/Canada » Health Care Page: 1, 2, 3 ... 243, 244, 245  Next
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kurtster
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Posted: Mar 13, 2014 - 8:10pm

 ScottN wrote:

There are so many rumors/false assumptions etc. about the ACA.  One opinion I have read expressed  the notion that the ACA's flaws were actually designed in purposely. That is, to lead to a debate where the next logical step is single payer.  I have frequently posted I favor single-payer HC.  There can always be a private option for those who want it.

 
I resemble that and its either that or the stupidest people in the world are behind it.

What part of we have to pass it to find out what's in it did you miss ?  That is one of the most honest things Pelosi ever said.  Perhaps the only thing.
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Posted: Mar 12, 2014 - 10:41am

 RichardPrins wrote:

Me! {#Mrgreen}

 

Well alright then!{#Lol}
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Posted: Mar 12, 2014 - 10:39am

 sirdroseph wrote:
Of course not and your perfect candidate, party is..........
 
Me! {#Mrgreen}
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Posted: Mar 12, 2014 - 10:32am

 RichardPrins wrote:

While ignoring the negative ones? {#Wink}

Mr. Johnson (via Wikipedia) on...


 

Of course not and your perfect candidate, party is..........
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Posted: Mar 12, 2014 - 10:14am

 sirdroseph wrote:
...I will take all of the positive aspects of a Libertarian president (and who said they were going to be free-market fundamentalist? Gary Johnson sure isn't)...
 
While ignoring the negative ones? {#Wink}

Mr. Johnson (via Wikipedia) on...

sirdroseph
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Posted: Mar 12, 2014 - 10:07am

 RichardPrins wrote:

And very likely neither would a hypothetical libertarian (free-market fundamentalist) president. {#Mrgreen}

 

I agree, but I don't see anyone fixing the healthcare system as long as the pharmaceutical companies own congress regardless of party and I will take all of the positive aspects of a Libertarian president (and who said they were going to be free-market fundamentalist? Gary Johnson sure isn't) opposed to a Democrat or a Republican anyday.  We have been dominated by only Republicans and Democrats for the past 150 years, how is that working out for us?
ScottN
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Posted: Mar 12, 2014 - 9:51am

 sirdroseph wrote:


And evidently neither did the Obama administration.  Pushed through Romney's plan just to say they did something.{#Snooty}

 
There are so many rumors/false assumptions etc. about the ACA.  One opinion I have read expressed  the notion that the ACA's flaws were actually designed in purposely. That is, to lead to a debate where the next logical step is single payer.  I have frequently posted I favor single-payer HC.  There can always be a private option for those who want it.
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Posted: Mar 12, 2014 - 9:49am

 sirdroseph wrote:
And evidently neither did the Obama administration.  Pushed through Romney's plan just to say they did something.{#Snooty}
 
And very likely neither would a hypothetical libertarian (free-market fundamentalist) president. {#Mrgreen}
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Posted: Mar 12, 2014 - 9:46am

 aflanigan wrote:




 

And evidently neither did the Obama administration.  Pushed through Romney's plan just to say they did something.{#Snooty}
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Posted: Mar 12, 2014 - 9:32am

 RichardPrins wrote: 


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Posted: Mar 12, 2014 - 9:04am

International Experts Tell Senators That Single-Payer Improves National Health at Less Cost
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Posted: Feb 24, 2014 - 6:24am

When Doctors Need to Lie - NYTimes.com

I ONCE had the unenviable task of informing a 22-year-old Jamaican man that he was suffering from severe heart failure and would probably need a heart transplant. The man’s father warned me that his son would be devastated to hear the diagnosis. “It would mean a lot to me if you could go back in and tell him he’s going to be all right,” the father pleaded. “Please tell him that if he does the things you say, he’s going to be O.K.”

Though physicians are obligated to disclose all relevant medical information to their patients, it was obvious that this young man wasn’t prepared to hear the news I had to present. He was lying on his stomach, crying, refusing to turn around to talk to me. So I told him exactly what his father had requested. Then, over several days, I eased him into the knowledge of his true condition. Doctors sometimes have to know how to keep secrets.

The moral basis for withholding information from such a patient is clear: Above all, physicians must do no harm. The underlying philosophy is paternalism. Paternalism derives from the image of the paternal figure, the father, in a family. The father is motivated by an interest in his children’s welfare. He acts on their behalf, but not at their behest. The beneficiaries — his children — may even repudiate the actions taken on their behalf.

Such paternalism was once widely accepted in medicine. In the mid-19th century, the American Medical Association’s code of ethics stated that physicians had a “sacred duty” to “avoid all things which have a tendency to discourage the patient and depress his spirits.” But times have changed. The prevailing ethical mantra in medicine is patient autonomy. Today, patients own their health information. They have the right to direct their own care, and to do so they must be fully informed. As doctors, we no longer “care for” as much as “care with” our patients through their illnesses.

While this is a welcome development, it should not obscure the fact that there is still a place for old-fashioned paternalism in medicine — though the decision to defy a patient’s wishes or withhold information is one of the trickiest that we doctors face.

When I started my medical internship, in 1998, I viewed patient autonomy as an absolute good, an ethical imperative that trumped all others. I had learned in medical school about some of the most infamous breaches of autonomy in the history of medicine. For example, in the Tuskegee experiment, a clinical study conducted by the United States Public Health Service between 1932 and 1972, black men with syphilis were intentionally left untreated, despite the availability of penicillin, in order to study the disease’s complications.

I also learned that even well-meaning paternalism can be damaging. The doctor-patient relationship is founded on trust, and any instrument of paternalistic interference not only compromises the relationship but also can erode faith in the profession. Studies have shown that patients who have been deceived by their physicians, even if the deception is well intentioned, have reported immense frustration and even thoughts of suicide. Who are we as doctors to decide which truths our patients can handle? (...)


ScottN
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Posted: Jan 19, 2014 - 9:33pm

 oldviolin wrote:
Bottom line for me? The same old argument with, I might add, some inconvenient truth. The government is a poor administrator of resources and a proven mega waster of public funds. How do we have a quality product and manage it fairly apart from the political black hole? 
That is an understandable response.  But, I suggest we all question our assumptions on the inevitability of a gov't black hole.

This is anecdotal to be sure, but my personal recent significant experience in the private HC system couldn't have been more bulloxed up if simple random billing was done.   First, thankfully the health issue was successfully dealt with. Then began a nightmare that has/will cost me exorbitantly even though I supposedly had a good quality comprehensive private policy. I will have to bring suit (almost equally expensive), or declare bankruptcy. Or be sued.  In contrast:  My extensive experience w/Medicare via my mother's long term illness has shown the system works quite well.  So too, for me at least, does Social Security.  These are mature bureaucracies with known deficiencies and yet sound structure, imo.  ACA is not likely going to help much, if at all—-to my great disappointment. Its detractors may be correct in their resistance (though for the wrong reasons, imo).  I am not nearly as familiar with Medicaid.

In sum, it is hard for me to see how the government could do a worse job than the private sector.   Should we be able to summon the political will to try UHC, as most of the west has already done, I think we'll work the inevitable kinks out.  Currently we pay a much higher percentage of GDP than the rest of the western world for HC (not deeply fact checked) —- our peers. A transition will take many years. And, as in most other UHC countries of which I am aware, we can have a parallel private component for those who insist and have very deep pockets.

Really, I simply don't see a better alternative to a problem that many agree starts with a currently broken, deeply flawed and inequitable HC system.  Do you?
oldviolin
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Posted: Jan 19, 2014 - 5:12pm

 ScottN wrote:
Reduce the age the age of Medicare eligibility to zero.  iow, Universal Single Payer healthcare for all.

Taxes go up? Of course.  But HC premiums, as such, will no longer exist.  There are such gross inefficiencies in our current system (and with the ACA), plus outrageous profits for a few, that we will hear wailing from everywhere.  But really, isn't Health Care a public service on an equal footing with police, schools, defense, roads, civic infrastructure in general?  Those are publicly provided services  and are provided through government because everybody needs them and it benefits our society.  Why should HC be different and privatized?  UHC is ultimately more equitable and less expensive (by far) than is our current menu of HC options, ACA included.  In fact, the short comings of the ACA, imo, indicate that the way forward on HC is through publicly funded health care for all.

Of course, there are a myriad of issues that will require answers.  But that can be achieved.  Isn't it time we join the rest of western world in HC treatment for all of our country?  The ER, which is our universal health care system now, is extraordinarily expensive and inefficient, and for many other reasons, not an answer.

As a percentage of our GDP, health care will costs will dramatically decline and be on a par with rest of the developed world.

 
Bottom line for me? The same old argument with, I might add, some inconvenient truth. The government is a poor administrator of resources and a proven mega waster of public funds. How do we have a quality product and manage it fairly apart from the political black hole?
ScottN
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Posted: Jan 19, 2014 - 4:45pm

Reduce the age the age of Medicare eligibility to zero.  iow, Universal Single Payer healthcare for all.

Taxes go up? Of course.  But HC premiums, as such, will no longer exist.  There are such gross inefficiencies in our current system (and with the ACA), plus outrageous profits for a few, that we will hear wailing from everywhere.  But really, isn't Health Care a public service on an equal footing with police, schools, defense, roads, civic infrastructure in general?  Those are publicly provided services  and are provided through government because everybody needs them and it benefits our society.  Why should HC be different and privatized?  UHC is ultimately more equitable and less expensive (by far) than is our current menu of HC options, ACA included.  In fact, the short comings of the ACA, imo, indicate that the way forward on HC is through publicly funded health care for all.

Of course, there are a myriad of issues that will require answers.  But that can be achieved.  Isn't it time we join the rest of western world in HC treatment for all of our country?  The ER, which is our universal health care system now, is extraordinarily expensive and inefficient, and for many other reasons, not an answer.

As a percentage of our GDP, health care will costs will dramatically decline and be on a par with rest of the developed world.


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Posted: Jul 27, 2013 - 3:14pm

on the upside some nice tech coming out (i've posted some other vids on this "tricorder" type stuff too)


Isabeau
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Posted: May 26, 2013 - 7:01pm

 steeler wrote:
  cc_rider wrote:
It is the vicious truth about health care. 'Rationed Care' is the big bogeyman foes of socialized medicine use, but the fact is, insurance companies have been rationing care for YEARS.
 
Yes, indeed, on that last paragraph.
 
Agreed
steeler
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Posted: May 26, 2013 - 6:57pm

  cc_rider wrote:

It's not just coming, it has been here for some time now. The label of 'undesirable' is strictly avoided though, instead the term is 'uninsured'. If you are jobless and of limited (but not zero) means, your options for health care are, shall we say, limited. Some might say 'rationed'.
The truly destitute can receive care under a variety of programs, it ain't much but it's something. But the middle class unemployed or under-employed are S.O.L.

It is the vicious truth about health care. 'Rationed Care' is the big bogeyman foes of socialized medicine use, but the fact is, insurance companies have been rationing care for YEARS.

 





Yes, indeed, on that last paragraph.
bokey
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Posted: May 26, 2013 - 11:09am

 cc_rider wrote:

It's not just coming, it has been here for some time now. The label of 'undesirable' is strictly avoided though, instead the term is 'uninsured'. If you are jobless and of limited (but not zero) means, your options for health care are, shall we say, limited. Some might say 'rationed'.
The truly destitute can receive care under a variety of programs, it ain't much but it's something. But the middle class unemployed or under-employed are S.O.L.

It is the vicious truth about health care. 'Rationed Care' is the big bogeyman foes of socialized medicine use, but the fact is, insurance companies have been rationing care for YEARS.

 
I prefer the term "undesirable" due to it's use in the past.

 Obama just uses a different term for the same plan as you know who.

 To him it's just a game though,not even a sick ideology.If he gets a higher score,in his mind he'll think he's won some kind of game.

 At least in that regard,history will show him to be the clear winner,and he's not even done yet.

 


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Posted: May 26, 2013 - 11:00am

 bokey wrote:
Not to start a CT thing, but the future for the baby boomers is genocide.All licensed physicians or therapists are somehow now "legally" required to give DHS open access to all their patients records on their hard drives if they want to maintain their license.

 Please, no political crap,HItler or Soylent Green jokes.This is the way it is,it isn't a movie.It does echo history though.

 They will start to cull the herd within 10 years.I don't know exactly how the demographics of who is considered an "undesirable" and thus cast into the elimination pool will be determined, but I know it's coming.
 
It's not just coming, it has been here for some time now. The label of 'undesirable' is strictly avoided though, instead the term is 'uninsured'. If you are jobless and of limited (but not zero) means, your options for health care are, shall we say, limited. Some might say 'rationed'.
The truly destitute can receive care under a variety of programs, it ain't much but it's something. But the middle class unemployed or under-employed are S.O.L.

It is the vicious truth about health care. 'Rationed Care' is the big bogeyman foes of socialized medicine use, but the fact is, insurance companies have been rationing care for YEARS.
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