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Health Care A forum for discussing the US health care debate and proposals. All threads on this subject shall be posted here.

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  #121 (permalink)  
Old 06-25-2009
jviehe's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by danielpalos View Post
I am of the opinion that we are better off solving poverty in our republic than we are socializing medicine.
You forgot "official".
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  #122 (permalink)  
Old 06-25-2009
Evil_inKarlate's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
> Its available to all ... But used by comparatively few.
As is healthcare, most of the population most of the time simply carry on with their lives rather than live every other day at the doctors.
True, but when the infrequency is different by orders of magnitude, it's significant. I can count on my fingers the number of times I've been in a courtroom or lawyer's office in my life. I can't do that for the the number of times I've been to some sort of medical facility in the last two years.

Quote:
> its seeks to treat all fairly ... But often fails to do so because it is bound by very specific rules.
Which is not an argument against its free universal application.
I agree that's hardly sufficient grounds to scrap UHC, but it is one of many indicators that UHC is not the panacea that many seem to think it is.

Quote:
> Its generally held to be a success ... Because it does fairly well at a task that has no reasonable private-enterprise alternative.
In the universal application, same for healthcare. Paying for those who cannot pay will always be a public solution.
Except that we do not have that in the courts. If we did, they would be even more overwhelmed than they sometimes already are.

Quote:
> Its a service that all taxpayers benefit from ... Especially those who are politically connected or have the funds to 'grease the wheels'.
Perhaps, granted even, but that's not an argument against its universal application. Health or justice.
Until your uncle can't get a heart transplant because he's strong supporter of the wrong political party. One can almost always appeal a biased judicial ruling - it's hard to appeal a biased treatment denial for a terminal condition. Or less dramatically, I wonder how many 'unexplained leaks' we'll have of politically active people? Or opposition voices quieted by threats of the same?

Quote:
> while all citizens, taxpayers or not also benefit from ... Or sometimes suffer from
They suffer from the universal application of justice?
No the universal application of Injustice, like Kelo or the War on People who use drugs. Healthcare examples include complete discontinuance of ( fill in the blank with infrequent but Very expensive treatment or procedure ) in a few years after UHC's IOU's start coming due ( unless/until somebody with enough political clout needs it, then there will be a rethinking of such a 'callous but well-intentioned miscalculation' ) or complete de-funding of research on any affliction that doesn't pay its own way or affect a politician.


Quote:
> Its extremely complex, requiring the expertise of many many people to make it function ... But provides monetary incentives for excellence, and is reasonably expected to do so in the future
All still the case in a UHC system.
In what fairytale land? UHC is essentially one huge insurance company. Hangnail? $5. Stitches? $50. Heart attack? $50K. Doctors' pay will be dictated by politicians and/or statisticians rather than by their bedside manner or competence.

Quote:
> All these things would also apply to the Health service also ... As would the tactic of delaying action and/or final disposition until the complainant/patient dies, making the point moot.
Already happens in all kinds of health services. Again its not an argument against its free universal application.
Except that when a private company jerks you around, they can be sued, given incentives to improve their practices, and perhaps even be driven out of business. When the government jerks you around, they can... jerk you around.

Quote:
Quote:
And many recognize the shortfalls of over-application of such an approach.
Leaving some out the loop or destitute is about the least American thing I can think of.
I'm not in favor of arbitrarily 'leaving some out of the loop' - I'm in favor of honoring their choice to leave the loop.

Quote:
You guys are known for your patriotism, time to show some more commitment to each other than endless flag waving.
I don't think I'm know for my patriotism - I think America is an unfair cesspool of corruption and selfishness. However, it seems to be the least unfair, nicest cesspool enduring the least corruption of any country I know of. (Not sure where it ranks on the selfishness, since we seem to be over-represented by both extremes.)

Tiny minority or not, he is a role model. If people see somebody who refuses to work and see that the result is living under a bridge in all weather and begging for scraps to eat, they realize that is probably not the life they want. If they see that same person living in a government house, eating free cheese and watching cable TV, raising a litter of welfare kids, and making frequent and free trips to the doctor to break up the monotony, such a life doesn't seem so bad, and thus will not remain a tiny minority.



Quote:
You already provide a minimum of welfare for the indolent, giving them healthcare provides them the chance to improve themselves and the condition of their offspring.
They have that chance without UHC - but are they availing themselves of that chance? To quote a friend of mine - The safety net has become too much like a comfy hammock. I'm all in favor of giving somebody a helping hand, just not a heaping handout.

Quote:
Without it theyll never get out from under the bridge, thus you effectively keep the unhealthy poor.
Revitalizing private charities, public policies that don't promote poverty, and government systems that don't increase medical inflation would all go a long way towards ameliorating that.

Quote:
Moreover the debate is not only about the indolent, but simply the under employed and the under insured.
Health coverage should be decoupled from employment by correcting mistakes in the tax code. Okay, half done... And that decoupling would further reduce the already rare instance of being truly 'under-insured'.

Quote:
Quote:
A bad health insurance company can be driven out of business; a bad health program is forever.
Bad health insurance companies merely change management through buy outs .
Thank you for supporting my position. Bad health care companies change management. They decline, get bought out, and hopefully (tho not assuredly) improve.
Bad health programs? They decline, get more tax money, are used as talking points to re-elect the people who did it wrong in the first place, lather, rinse, repeat, repeat, repeat, repeat.
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  #123 (permalink)  
Old 06-25-2009
Evil_inKarlate's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
I am of the opinion that we are better off solving poverty in our republic than we are socializing medicine.
The only effective solution to 'the poverty problem' would have to be akin to the attempted solution to 'the Jewish question'. I don't think there's the political will, moral justification, or probably a number of other prerequisites to allow that to happen in any of our lifetimes. (Altho if The Big O succeeds in destroying our society, I suppose it might be feasible in the successor one, which I'd probably live briefly to see.)
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  #124 (permalink)  
Old 06-25-2009
Secretary of State

 
Member Since: Jun 2005
Location: San Francisco Bay Area
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Evil_inKarlate View Post
I agree that's hardly sufficient grounds to scrap UHC, but it is one of many indicators that UHC is not the panacea that many seem to think it is.
You know, I can't help looking at that last phrase and thinking that it is very comparable to "democracy isn't the panacea that many seem to think it is," or "connection to the Internet is not the panacea that many seem to think it is," or "central heating is not the panacea that many seem to think it is," or "running water is not the panacea that many seem to think it is."

Certainly it isn't a "panacaea," but it's an indicator of civilization such that not having it brands a society as barbarous. It's something that makes people living in advanced nations outside our borders shake their heads and say, "My God, in the U.S. you can't even see a doctor without paying through the nose, can you believe it?"

Having UHC isn't a panacaea; nothing in the real world is. Not having it, though, is absurd.
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  #125 (permalink)  
Old 06-25-2009
Chocobot's Avatar
Secretary of State

 
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Location: Scotland
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Evil_inKarlate View Post
True, but when the infrequency is different by orders of magnitude, it's significant. I can count on my fingers the number of times I've been in a courtroom or lawyer's office in my life. I can't do that for the the number of times I've been to some sort of medical facility in the last two years.
It all depends on how litigious you are, or how much you need medical/ nursing assistance.

Quote:
I agree that's hardly sufficient grounds to scrap UHC, but it is one of many indicators that UHC is not the panacea that many seem to think it is.
Its not a panacea, people will still get sick, and some will receive sub standard care, as occurs now, and arguments will go on as ever about funding.

Quote:
Except that we do not have that in the courts. If we did, they would be even more overwhelmed than they sometimes already are.
Of course you do. The state, i.e. taxpayers provides lawyers for those who cannot represent themselves, as well as security and clerks and judges etc etc all of which are used by those who cannot pay.

Quote:
Until your uncle can't get a heart transplant because he's strong supporter of the wrong political party. One can almost always appeal a biased judicial ruling - it's hard to appeal a biased treatment denial for a terminal condition. Or less dramatically, I wonder how many 'unexplained leaks' we'll have of politically active people? Or opposition voices quieted by threats of the same?
One can always take a health provider to court, or appeal a medical panel's decision. Your wonderings are just tangential fantasy.


Quote:
No the universal application of Injustice, like Kelo or the War on People who use drugs. Healthcare examples include complete discontinuance of ( fill in the blank with infrequent but Very expensive treatment or procedure ) in a few years after UHC's IOU's start coming due ( unless/until somebody with enough political clout needs it, then there will be a rethinking of such a 'callous but well-intentioned miscalculation' ) or complete de-funding of research on any affliction that doesn't pay its own way or affect a politician.
I get your point, but the justice system makes mistakes too, the current system makes mistakes, so too will a UHC system. Non of which contributes to a case against UHC.


Quote:
In what fairytale land? UHC is essentially one huge insurance company. Hangnail? $5. Stitches? $50. Heart attack? $50K. Doctors' pay will be dictated by politicians and/or statisticians rather than by their bedside manner or competence.
What's wrong with statisticians? Anyway, doctors will still have their pockets filled with gold, earning a very nice living, and be held to very high standards that they will continue to attain. Moreover, money will become less of a concern, letting them focus on the real concern - the patient. You know this already.



Quote:
Except that when a private company jerks you around, they can be sued, given incentives to improve their practices, and perhaps even be driven out of business. When the government jerks you around, they can... jerk you around.
Health providers, trusts in my country are regularly taken to court. They can also be taken to court, as can the government, in your country. This line of attack is utter flim flam.

Quote:
I'm not in favor of arbitrarily 'leaving some out of the loop' - I'm in favor of honoring their choice to leave the loop.
Fine, let them leave the loop, but to avoid leaving some out of the loop one requires to have everyone contribute in some way. The likelyhood is the US will adopt a social insurance system, meaning youll still be using the same providers with the same people you always have been but under a much more streamlined system - probably like Germanys.

Quote:
I don't think I'm know for my patriotism - I think America is an unfair cesspool of corruption and selfishness. However, it seems to be the least unfair, nicest cesspool enduring the least corruption of any country I know of. (Not sure where it ranks on the selfishness, since we seem to be over-represented by both extremes.)
Look, just have a little faith in other Americans will you? Moreover, you obviously want to be regarded as truly the greatest country in the world, so all you have to do is make it happen. UHC is one step on that road.


Quote:
They have that chance without UHC - but are they availing themselves of that chance? To quote a friend of mine - The safety net has become too much like a comfy hammock. I'm all in favor of giving somebody a helping hand, just not a heaping handout.
Ridiculous, without preventive care and frequent check ups, which the uninsured avoid for cost reasons, they are at greater risk becoming debilitated. That affects both the uninsured, the indolent, and the children of both who have no choice in this scenario. Your safety net is just fine, being one of the least generous in the modern world, thus I advise you to stop moaning about it.

Quote:
Revitalizing private charities, public policies that don't promote poverty, and government systems that don't increase medical inflation would all go a long way towards ameliorating that.
Indeed, as would UHC.

Quote:
Health coverage should be decoupled from employment by correcting mistakes in the tax code. Okay, half done... And that decoupling would further reduce the already rare instance of being truly 'under-insured'.
Covering every American would naturally entail some tax and payroll reform re health coverage, so we agree here.

Quote:
Thank you for supporting my position. Bad health care companies change management. They decline, get bought out, and hopefully (tho not assuredly) improve.
Bad health programs? They decline, get more tax money, are used as talking points to re-elect the people who did it wrong in the first place, lather, rinse, repeat, repeat, repeat, repeat.
Hopefully is the operative word here, there's no guarantee new business management will do much better.

Bad health programmes decline, are used as talking points, and the managers of such get fired, replaced with new ones who hopefully though not assuredly improve the situation.

Moreover public health programmes, being public, are under greater scrutiny by the public since everyone is paying for it, not just a bunch of shareholders who can simply get outvoted by a larger business block behind closed doors.

A public health programme has far more stakeholders with an interest and say in its operation than a health business, who's customers can only affect change indirectly by getting enough other people to stop using a service they often have little choice but to use.
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  #126 (permalink)  
Old 06-25-2009
Secretary of State

 
Member Since: Jun 2006
Location: US, California - federalist
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by jviehe View Post
You forgot "official".
I am waiting for someone to quibble about absolute, real, or relative poverty.
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  #127 (permalink)  
Old 06-25-2009
Secretary of State

 
Member Since: Jun 2006
Location: US, California - federalist
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Evil_inKarlate View Post
The only effective solution to 'the poverty problem' would have to be akin to the attempted solution to 'the Jewish question'. I don't think there's the political will, moral justification, or probably a number of other prerequisites to allow that to happen in any of our lifetimes. (Altho if The Big O succeeds in destroying our society, I suppose it might be feasible in the successor one, which I'd probably live briefly to see.)
We already have a moral code in our own Constitution. The Bill of Rights is analogous to religious Ten Commandments, but that actually applies to our form of political-economy.

Solving poverty in our republic could be as simple as being moral and ethical to at-will employment doctrine and existing state at-will employment laws, since unemployment compensation that is just above the official poverty rate would solve that form of poverty.

But, you may be right about the populace not having the fortitude of truer Christian morals in the land of Canaan. That is why we routinely elect representatives to government who have to resort to affirmative action regarding morals, even with a McCarthy era phrase in our pledge; and are "ensnared" by it as a result.

Otherwise, solving poverty in our secular republic is as simple as at-will employment doctrine can make it.

Quote:
any hiring is presumed to be "at will"; that is, the employer is free to discharge individuals "for good cause, or bad cause, or no cause at all," and the employee is equally free to quit, strike, or otherwise cease work.[1]

Source: http://en.wikipedia.org/wiki/At-will
Unemployment compensation at-will, could make poverty at-will as well, since mostly the religious would consider religious-poverty a virtue.

In its simplest form, either party can terminate a social contract that results in employment, "for good cause, or bad cause, or no cause at all,", under at-will (employment) doctrine.

Last edited by danielpalos; 06-25-2009 at 10:15 AM.
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  #128 (permalink)  
Old 06-25-2009
jviehe's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by danielpalos View Post
I am waiting for someone to quibble about absolute, real, or relative poverty.
Ok, ill get my shot glass ready then.
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  #129 (permalink)  
Old 06-25-2009
Secretary of State

 
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Re: A Question For Supporters Of Government Run Healthcare...

What do you think of the concept of solving for official poverty instead a symptom of poverty, less well developed health care infrastructure, through direct public sector interference.

If no individual market participant can claim to be in poverty due to a simple lack of income, why would the private sector need more command economics from the public sector, and the added tax burden imposed?
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  #130 (permalink)  
Old 06-25-2009
jet57's Avatar
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Member Since: Mar 2009
Location: San Francisco
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Steve View Post
Having read various threads on healthcare and reading the opinions on both sides, a question comes to mind. This question is directed at those who believe that "the answer" lies in government run healthcare:

What past program has been so phenomenally well-run by the government that you believe that the government is equipped and qualified to run healthcare?

This isn't the place to "make your case" for government run healthcare. Those opinions are well known and and those arguments have been made in other threads.

My opinion is that, with regards to government run health care, it'll be more fucked up than a soup sandwich.

I'm just wondering if there are other programs that the government has run that would be indicative of the government's ability/readiness to run something like healthcare...
So Steve, I answer your challenge and I name more than two programs that have worked well when the proper amount of focus is applied, and you, what, run off, loose interest, feel stuck....

What happened?
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  #131 (permalink)  
Old 06-25-2009
Chocobot's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by jet57 View Post
So Steve, I answer your challenge and I name more than two programs that have worked well when the proper amount of focus is applied, and you, what, run off, loose interest, feel stuck....

What happened?
He wasn't really expecting an answer, or to have to explain much beyond 'government doesnt work'.
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  #132 (permalink)  
Old 06-25-2009
Secretary of Defense

 
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Chocobot View Post
He wasn't really expecting an answer, or to have to explain much beyond 'government doesnt work'.
Chocobot, I'm just curious, why do you care one bit what health coverage The United States has? Are you planning on moving here? Do you already live here?
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  #133 (permalink)  
Old 06-25-2009
Chocobot's Avatar
Secretary of State

 
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by wiggidy View Post
Chocobot, I'm just curious, why do you care one bit what health coverage The United States has? Are you planning on moving here? Do you already live here?
The US is a major battleground of the worlds future, where alot of right wing ideas play themselves out and gain momentum. Perhaps even spreading to other countries. Not that the right's approach is always wrong - welfare and prison policy for example. However, I dont want the filthy notion of letting some go without coverage to spread to my country or anywhere else in the world.

The world can either go down the US route, or the european route. Healthcare is a major pillar of societal policy. Im interested in making sure the world follows the euro model, so I take the intellectual battle to the right in the US before they can spread their filthy ideology elsewhere.

Besides, its a fascinating argument.
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  #134 (permalink)  
Old 06-25-2009
Steve's Avatar
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by jet57 View Post
So Steve, I answer your challenge and I name more than two programs that have worked well when the proper amount of focus is applied, and you, what, run off, loose interest, feel stuck....

What happened?
Whassatmatta'??? Feeling neglected?

Let's look at your responses:

Quote:
I can think of two right off the bat: Social Security (no matter what opinion one has of it, no elderly are missing any checks, which the elderly nevcer had before).
Wrought with fraud.

How many times do you hear about someone dying, and someone else continuing to cash their Social Security checks?

Often, I think...

Quote:
The New Deal's another one. The fact is people who wanted to go to work did and this coupled with labor support and like legislation started a great middle class.
Yeah.

75 years ago.

Got anything a little more current?

Quote:
World War II was actually a pretty good govenrment run program as well if memory serves: we defeated a world wide enemy, put more people to work than ever which lifted us out of what was left of the depression and we began the G.I. Bill (another winner) and the Marshall Plan wasn't half bad either.
I fail to see how the execution of a war translates to being able to run health care.

But, please, expound...
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  #135 (permalink)  
Old 06-25-2009
Chocobot's Avatar
Secretary of State

 
Member Since: Jun 2008
Location: Scotland
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Re: A Question For Supporters Of Government Run Healthcare...

Quote:
Originally Posted by Steve View Post

Quote:
Wrought with fraud.

How many times do you hear about someone dying, and someone else continuing to cash their Social Security checks?

Often, I think...
Ridiculous. Social security collects and pays out hundreds of millions, billions even, and pays it out regularly to millions of people every week every month.

Moreover, if you don't think fraud is mainly an occasional feature of mostly private business transactions, then you really haven't been out much.

Quote:
Yeah.

75 years ago.

Got anything a little more current?
Witness your own original question;

What past program has been so phenomenally well-run by the government that you believe that the government is equipped and qualified to run healthcare?

I'm just wondering if there are other programs that the government has run that would be indicative of the government's ability/readiness to run something like healthcare...
As everyone can see, no mentioned of exactly what period you wish to speak of.

Quote:
I fail to see how the execution of a war translates to being able to run health care.

But, please, expound...
Easily;
Modern war is a vastly complicated exercise of planning, work, commitment and above collecting and spending money. There are many similarities, as this is same in running a healthcare system. Often healthcare workers are even referred to as frontline, or not frontline.
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