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Abortion, Civil Rights, Healthcare and other Social Issues Abortion, Civil Rights, Homosexuality, Education, Healthcare and other such issues

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  #46 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

In Germany we have the same discussions about our health care system and how to fix it. As it seems the discussion in the US is just as unhonest and ideology driven as over here.
In Germany we are always just told, not to complain too much as our system isn't as bad/ruined as the Brits-system and not such a giant waste of money like the US-system, but noone is talking about other alternative systems/solutions in other countries.
Is this the same in the USA??

For example, I want to know how good/bad Finnlands system is compared to the US-system. The Finns spend about 7-8 % of their GDP for health, the US nearly 15 % of their GDP. Is the US health industry really so much better and if, are those better results really worth to spend so much money??
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  #47 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Under a National Health Insurance system doctors would benefit financially as there is no transparency, accounting, or competition in the system. Just like now with insurance, doctors bill at high rates and insurance pays it, because there is plenty of profit to go around. Unfortunately, as other govt healthcare systems show, the consumer will be the worst off under this type of system, as it will be abused as all types of welfare are. Its obvisous these few doctors polled havent thought through the problem. Luckily we still have 41% smart people left.
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  #48 (permalink)  
Old 04-01-2008
dannotoronto dannotoronto is offline
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by Si modo View Post
I (I'm not too money savvy and maybe that's why I don't see it not working).
This doesn't bode well for proving your financial independence.

Should we all opt out of public education as well? Regardless of one's ability to pay for their own children's private education, it's still in their best interest to pay a modest amount to the public system in order to ensure a quality education for every child. It's in everyone's best interest that each child receive a quality education regardless of one's own ability to pay. It works the same for health care.

Also, there's no guarantee that the wealthy will always have their money. Wealthy people lose their fortunes all of the time, and then what? They'll lean on universal health care at that time, meanwhile they've never paid into the system. Universal health coverage is insurance for all, regardless of one's current financial situation.
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  #49 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by dannotoronto View Post
Quote:
Originally Posted by Si modo
I (I'm not too money savvy and maybe that's why I don't see it not working).
This doesn't bode well for proving your financial independence....
My having financial independance or not is not any of your business or anyone else's for that matter. Also, my financial situation is not the subject, so this comment is irrelevant, at best.

Quote:
.... Should we all opt out of public education as well? Regardless of one's ability to pay for their own children's private education, it's still in their best interest to pay a modest amount to the public system in order to ensure a quality education for every child. It's in everyone's best interest that each child receive a quality education regardless of one's own ability to pay. It works the same for health care.

Also, there's no guarantee that the wealthy will always have their money. Wealthy people lose their fortunes all of the time, and then what? They'll lean on universal health care at that time, meanwhile they've never paid into the system. Universal health coverage is insurance for all, regardless of one's current financial situation.
1. Here's my whole post, in context.

Quote:
Originally Posted by Si modo View Post
I disagree that it won't work unless all contribute. I'm not getting your reference to stakeholding, so could you expand on that? (I'm not too money savvy and maybe that's why I don't see it not working). For the folks that took the opt out yet still lost their insurance, I don't think they should be allowed to get a free ride. They made the choice (or gamble) to opt out, their insurance gets cancelled, and they are responsible for paying for that choice (budget down their lifestyle, assume debt, get bad credit, etc.) until the next year. Then they can decline opting out or show another proof of coverage to opt out.
2. Now that the search feature is available to all, do a search of my posts (even within the last month) and see what my views are about public education. You may find you are preaching to a choir.

3. The topic is universal healthcare and what MDs say about it; it is not about me.
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  #50 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by jviehe View Post
Under a National Health Insurance system doctors would benefit financially as there is no transparency, accounting, or competition in the system. Just like now with insurance, doctors bill at high rates and insurance pays it, because there is plenty of profit to go around. Unfortunately, as other govt healthcare systems show, the consumer will be the worst off under this type of system, as it will be abused as all types of welfare are. Its obvisous these few doctors polled havent thought through the problem. Luckily we still have 41% smart people left.
Amazing how you can discern all that, given we've never even devised a system.

Remind me to ask you for lotto numbers.
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  #51 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

And the Plan for the millions without access to health care, unaffordable medical bills, and crippling monthly medication costs is:

(drum roll...)

"It sucks to be you, you shouldn't have gotten sick, it'd be best if you crawled under a rock and died, worthless scum."

Ladies and gentlemen, your modern compassionate conservative.
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  #52 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

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Originally Posted by pramjockey View Post
IMHO, healthcare, at some level, is a fundamental right.
Taken to the extreme, then, does the government have the obligation to ensure that people go to medical school?

Hypothetically, let's assume that med school enrollment dropped to nothing, simply because tuitions got too out of control. If healthcare is a "fundamental right", does the government then have an obligation to pay for the medical training of those who want to go, but can't afford it?
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  #53 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

I cannot think of thing the government regulates or runs that is in good shape.......we have not even attempted to exhaust the ability of private insurance to do the job.
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  #54 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by Skerlnik View Post
And the Plan for the millions without access to health care, unaffordable medical bills, and crippling monthly medication costs is:

(drum roll...)

"It sucks to be you, you shouldn't have gotten sick, it'd be best if you crawled under a rock and died, worthless scum."

Ladies and gentlemen, your modern compassionate conservative.
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No individual can plan his own existence in their view.

So the state planners must arrogate to themselves the right to manipulate any sector of the economic system if the good of “society” or the “general welfare” is paramount.

Ipso- if the rights of the individual get in the way, the rights of the individual must be sublimated.

The Road to Serfdom
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  #55 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by Steve View Post
Taken to the extreme, then, does the government have the obligation to ensure that people go to medical school?

Hypothetically, let's assume that med school enrollment dropped to nothing, simply because tuitions got too out of control. If healthcare is a "fundamental right", does the government then have an obligation to pay for the medical training of those who want to go, but can't afford it?
I don't know. I'm not sure that taking the argument to the extreme is helpful.

I do know that the government has sponsored people to go through med school in return for a commitment to serve in rural areas. So, I guess it's already happening.
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  #56 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by pramjockey View Post
Some very good posts, please forgive me for not replying to each individual point. I can very well understand the points that are being raised.

I think the problem is that I really struggle with medicine being a for-profit enterprise (for the most part). It seems to me that the profit motive is in direct conflict with the motivations inherent in caregiving as a medical provider. Like so many other things, the increasing influence of money has created much of the harm that we see in the system - it's not about providing the best care possible, but about exploiting the sick in order to make money.

I'm not expert enough to be able to really get down into the nitty-gritty of how a system can be designed and implemented effectively. The key word, of course, is effectively. I'm especially weak in the finance side (I'm no finance major in business school!!), so I don't know what would be the best way to fund, but it occurs to me that a tax structure rather than a flat fee makes more sense. And, of course, I recognize that to provide infinite care to the people is impossible. But, I think that it's possible, and necessary, to provide good, effective preventative care to the citizens and residents (hard to separate legal from non-legal) of the US. I also understand that there will also be those exceptional individuals on both sides; those who will abuse the system and those who will never use it. But, I feel that the potential for that abuse is minimal, especially when compared to the good that could be done.
Below is an explanation of how it works around here, might help. Note that, although the hospitals and insurance companies are 'private', most of them are non-profit organizations.

Quote:
In the Netherlands, the government is not in charge of the day-to-day management of the healthcare system. Private health suppliers are responsible for the provision of services in this area. The government is responsible for the accessibility and quality of the healthcare.

Since January 1st 2006 there is a new healthcare insurance system in the Netherlands and you should be aware of the requirements before you leave for the Netherlands.

If you are living in the Netherlands or you are paying income-tax in the Netherlands you are required to purchase a health insurance at a Dutch insurance company. In the past there was a difference between public and private healthcare in the Netherlands. This however has been changed and everybody is now required to purchase basic health insurance.

The basic package

The government has put together a basic package that covers about the same as the previous system. Health insurance companies are legally obliged to offer at least this basic package and can not reject anybody who is applying for it. With the basic package you are covered for the following:

Medical care, including services by GP’s, hospitals, medical specialists and obstetricians
Hospital stay
Dental care (up until the age of 18 years, when 18 years or older you are only covered for specialist dental care and false teeth)
Various medical appliances
Various medicines
Prenatal care
Patient transport (e.g. ambulance)
Paramedical care
You can decide to purchase additional insurance for circumstances not included in the basic package. However, in this case insurance companies can reject your application and they have the right to determine the price.

If you are working for a company in the Netherlands, consider purchasing a collective health insurance policy, this can be a good option as it is often cheaper. However, you are not obliged to buy such a policy when it is offered to you and your employer is not obliged to make you an offer. Ask your employer about the possibilities.

Fees of the basic package

The fees for the basic health insurance package are annually determined by the health insurance companies and are normally approximately €95 per month. Although the Ministry of Health ( Ministerie van Volksgezondheid, Welzijn en Sport) determines a standard premium, the insurance companies determine the additions fee you will have to pay in the end by charging a certain rate and a no-claim charge. It is with these additional fees that the insurance companies compete with each other. There are various health insurance companies and a new law will make it easier to change between health insurance companies.

If you are required to purchase health insurance and are earning a salary, you will also pay a supplementary contribution from your income (rated 6.5% up to the first €30,000 of earnings; 4.4% for self-employed individuals).

The fees of health insurance companies can differ so it is advisable to compare the various prices. To help you with this choice, you can go to: kiesBeter.

For some, healthcare in the Netherlands has become more expensive as a result of the changes. The Dutch government compensates these cases by offering a care grant ( zorgtoeslag). The Tax Administration ( belastingdienst) determines if you are eligible by examining your income. Foreigners are also entitled to this grant if they qualify.

Children under the age of 18 years do not have to pay any health insurance and are insured for free for the basic package of health care.

Netherlands Guide: Healthcare, The medical system In the Netherlands
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  #57 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

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Originally Posted by Skerlnik View Post
I think you misunderstand what would be actually accomplished.

Of course people are going to get sick. Of course people are going to die. It isn't about that. What I am saying is that the government has a responsibility to provide equal access to healthcare under the law. Basicaly, breaking the stranglehold of the insurance compnaies and big pharma, ultimately.

Why would reform be "unwinnable"?

We don't allow private companies to provide national defense for us, nor do we allow it to be unregulated. Same thing. We've provided for the common defense, now it's high time we promoted the general welfare.



Not getting your point, here. I am primarily concerned with the million of folks with no access to care, except emergency care, and the usurous heathcare insurance industry, that determines if people live or die based on some actuarial table.

My argument is that we can certainly do better. If you see no problem, I'd wager you already have decent insurance, yourself.



I don't really know, but I'm fairly certain no system would be where some guy could just randomly walk into a clinic and grab whatever he wanted. And if you are demanding some foolproof system where there's NO wastage whatsoever, not even the vaunted private sector can do that.

It seems you are looking for reasons to fail, here.
I think that I'm not expressing myself clearly.

What I mean is "unwinnable" is the game of healthcare in general. That is, health care is designed only to postpone the inevitable. Theoretically, we could have a society without crime, without poverty, without drug use, etc, etc. Theoretically (well, for all intents and purposes) this is not the case with health care, when it comes to stopping illness/death. Regardless of what sort of system we adopt or laws we enact, the system will always "fail" people on a long enough time line. Or, think of it this way: some people blur the line between a right to, say, health care, with a right to be healthy.

So, we're socializing a system that cannot possibly please people. Obviously, people who have no access to health care will be pleased to have access to health care. But, when that initial pleasing wears off, and it becomes just another thing to which people feel entitled, there will be significantly more blame of the system for health problems (potentially not the system's fault).

And, I don't particularly want any sort of health care system in the country to fail, socialized or not. To be blunt, I don't want a socialized system, since the inevitable result of such a thing will be another vehicle for taking my money/property and giving it to other people without my consent. But, if it is implemented, I'd rather it be successful, so I could at least get something out of it myself (though I harbor no delusions that it would be "fair" to me).
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  #58 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

I think you're making a false presumption. The goal (in the longterm) of healthcare is not to prevent death.
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  #59 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

Quote:
Originally Posted by Skerlnik View Post
We could use X commodity for this. I submit that health, like education, should not be commodified. My argument is that there are some things that are too important to leave to a "free market". Free markets FAIL, as we are seeing with the housing and loan industry, and we are reaping what weve sown from massive de-regulation.

Health care isn't really a supply/demand thing. It's not a product. It isn't an extravagance, like gourmet food is.
First of all, everything is a product - health care, education, labor/employment, etc. That certain things appeal to the humanitarian in you does not change their realpolitik existence as commodities.

And, the free market does not "fail" to work as a system, but rather it fails some variable amount of people in the system (or, arguably, those people fail in it).

And yes, you could make my argument with any consumable good. That was the point - I was trying to point out exactly that health care is a commodity and should be treated as such, in a frank discussion of the subject. It may sound callous to do so, but not doing so creates idealistic but unrealistic expectations.


Quote:
Ah. But I do not advocate the government becoming a "producer" or supplier of health care. There's already a massive, perfectly good system in place already.
Okay. I'm sort of addressing a general argument and not trying to create a strawman. Some people want full socialization/nationalization of healthcare, some people want a fund to pay insurance for anyone who doesn't have it... I've seen a range of ideas on the matter and won't attribute a specific one to you (intentionally) unless you support one.

Quote:
Are you trying to convince me that people will somehow want to go to the doctor every day, to "maximize" their gain from the system? "Woo-hoo, I wanna have open heart surgery this week!"?
Of course not. I'm trying to convince you that some people will go to the doctor for every cut, bruise, scrape, pimple, and everything else. And, why shouldn't they? If going to the doctor is good, going to the doctor more often is better. And, if a system were in place that makes this "free", people would take advantage of it in a heartbeat.

(A book came out recently about rational/irrational decisions - one of the most interesting premises was that something like 70% of people would opt to pay 15 cents for a gourmet chocolate instead of 1 cent for a Hershey's Kiss, but the number dropped to 30% when the gourmet chocolate was 14 cents and the Kiss was free - "free" has an irrational invitation for excessive use in people's brains. People will do things they wouldn't normally do or get things they don't want simply because they are free).


Quote:
What we're really talking about is using the government as the insuring agent. That nobody puts off seeing a doctor, because of exorbitant copays.

Surely this is a core mission of our government?
I think the core mission of any government is defining and insuring the rights of citizens - I don't like the idea of my government enacting legislation to look after my well being. But, I do think there's something to be said for encouraging preventative care as a vehicle for savings.
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  #60 (permalink)  
Old 04-01-2008
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Re: 59% of US Doctors favor Universal health care

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Originally Posted by pramjockey View Post
I think you're making a false presumption. The goal (in the longterm) of healthcare is not to prevent death.
I'm not presuming that it is. The goal of health care is to insure health, in many people's minds. Some people are just sickly and there's nothing that can be done about it. This won't stop such a situation from tugging at the heart strings or often irrational assumptions that someone or something besides the person's own body is failing that person.
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