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Old 02-07-2019, 02:17 PM
 
7,669 posts, read 8,510,952 times
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Quote:
Originally Posted by LordSquidworth View Post
She’ll burn out and be a nobody. She’s on the fringe, most democrats when given another choice, will go with the other choice.

The US could easily afford free college for kids coming from families making sub six figures, it’d cost a rounding error.

The US can afford Medicare for all. We’re already paying for it with a lot of waste, we the taxpayers just get nothing for it. Our medical system though is structurally broken. The only real way to fix it is totally destroy it and start over, but nobody has the backbone for that.

She’s “popular” right now and probably helps them sell some copies. Beyond that, she’ll be forgotten soon enough.
Tearing down our medical system would be catastrophic and dumb. With all its inefficiencies and problems we produce a super-preponderance of the world's best doctors and Ph.D researchers who drive nearly all of the world's best treatments and advances.

Speaking of inefficiencies in medicine an easy and very valuable place to start would be limiting emergency room "frequent fliers."

When he was a 4th year medical student my son was working in the ER at Parkland in Dallas. After a long day, about to leave an exceptionally heavy man was wheeled in. My son asked the guy if he had been in before that day.........this was trip #3 OVER A 12 HOUR PERIOD. They guy's gag was simple he'd eat M&Ms, donuts, fudge etc. until his blood sugar was off the charts and then he'd call an ambulance or have a buddy haul him to the ER. He knew a couple of magic words to avoid the line and he'd use the ER as his personal medical staff.

Turns out this guy was one of a group of roughly 15 people who over the course of ~18 months accounted for over 1,000 ER visits.

Everyone to the left of center should be forced to spend a couple of days inside a big city ER for a real look at government sanctioned, heck government required, waste.
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Old 02-07-2019, 02:24 PM
 
7,669 posts, read 8,510,952 times
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Quote:
Originally Posted by LordSquidworth View Post
Local and national politics are different beasts.

As crazy as national politics can be, crazy local politics is normal.



The UK and Australia have a bunch of fat people.

They spend less than half as much on health care.

Fat people are an issue, but not the issue.
Nice dodge. The average American measures 1.5 pts higher on the BMI than the average person from The UK. Australia is further down the list.

And your spending claim is hollow as well. He drive and therefore pay vastly larger amounts of medical research and development than either The UK or Australia or any other country for that matter.
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Old 02-07-2019, 02:47 PM
 
6,163 posts, read 1,491,270 times
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Quote:
Originally Posted by Quietude View Post
Yes, yes, the right's new boogiewoman. After all, Clinton's out of the game and Pelosi's getting old.
The right hates Clinton and Pelosi because they are on the other team. AOC is simply a regurgitated version of Hugo Chavez. I am not a GOPer but she is a gift to the GOP who have Trump to deal with. I guess chaos breeds chaos. The more she talks the more she motivates the opposition.

Gives me hope the 3rd parties will rise.
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Old 02-07-2019, 02:49 PM
 
6,163 posts, read 1,491,270 times
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Quote:
Originally Posted by EDS_ View Post
Nice dodge. The average American measures 1.5 pts higher on the BMI than the average person from The UK. Australia is further down the list.

And your spending claim is hollow as well. He drive and therefore pay vastly larger amounts of medical research and development than either The UK or Australia or any other country for that matter.

Could be we have better food than the UK. Or at least tastier.
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Old 02-07-2019, 03:02 PM
 
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Quote:
Originally Posted by Oklazona Bound View Post
Could be we have better food than the UK. Or at least tastier.
Almost certainly!
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Old 02-07-2019, 03:27 PM
 
11,126 posts, read 20,719,238 times
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Quote:
Originally Posted by EDS_ View Post
Tearing down our medical system would be catastrophic and dumb. With all its inefficiencies and problems we produce a super-preponderance of the world's best doctors and Ph.D researchers who drive nearly all of the world's best treatments and advances.
This is true!

Unfortunately for us, we are also paying for those advances while the rest of the world benefits from them and pays a pittance what we do for our same drugs.

Healthcare spending as a % of GDP is double what it once was...that is in effect a tax, and it hurts the middle class the most.

I actually support AOC's tax policies but think it's important to use the money to keep a lid on inflation via paying down the debt and making the dollar stronger.
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Old 02-07-2019, 04:16 PM
 
7,669 posts, read 8,510,952 times
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Quote:
Originally Posted by wheelsup View Post
This is true!

Unfortunately for us, we are also paying for those advances while the rest of the world benefits from them and pays a pittance what we do for our same drugs.

Healthcare spending as a % of GDP is double what it once was...that is in effect a tax, and it hurts the middle class the most.

I actually support AOC's tax policies but think it's important to use the money to keep a lid on inflation via paying down the debt and making the dollar stronger.
Lots of countries freeload off of us basically every NATO member, especially Canada on the military spending side. More or less the whole world and again especially Canada on the medical side.

IMO AOC's tax ideas are more or less crazy in the literal sense and doomed to go nowhere. People need to realize that, other than maybe the poorest 5%, our income metrics will crater to the level of France and England if we so the socialist route. For my kid's sake I hope it does not happen. Take whatever you make now and multiply by about .65 for a taste of that reality.
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Old 02-07-2019, 06:22 PM
 
7,225 posts, read 4,674,289 times
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Quote:
Originally Posted by k374 View Post
A whole lot of blame for our broken system lies with the individual. Obesity and indifference toward healthy living is rampant. It's common sense that prevention is a million times cheaper than cures but our system favors shying away from telling people to their face the hard truth that they are health delinquents who need to exercise and eat right because they do not want to "offend" anyone. ...

... Huge subsidies should be given to people who prove to their doctors that they are doing everything in their power to live a healthy lifestyle ...
This sounds attractive, as incentives matter. If we’re good behavior is conducive to reducing costs, then it behooves us to encourage good behavior. That is after all the philosophy behind good driver discounts, installation of smoke alarms and security systems at home, and so forth.

However, it remains to be demonstrated, how much of healthcare cost is due to devastating late-life ailments, and how much is due to chronic ailments that could have been forestalled through better taking care of one’s health. For example, it remains to be shown to what extent Alzheimer’s is contingent on behavior. To fat, sedentary people get Alzheimer’s earlier in life, and with greater probability? Probably not. What about pancreatic cancer? Is weakly correlates (so I’m told) to dietary habits, but only weakly. About the only habit that correlates strongly with all sorts of devastating late-life ailments is smoking… and we already have (in many cases) separate health insurance rates for smokers and non-smokers.

In other words, if the main cost of healthcare isn’t health-maintenance, but dealing with devastating illness that ultimately kills us in old-age, then maybe behavioral incentives won’t do much for reducing costs.

That brings us to another idea, much maligned, but actually quite sensible: death panels! You’re old, your illness is untreatable, you die. Here’s your morphine – die painlessly but die you will. Why spend $500K to delaying the inevitable by 6 months?

Quote:
Originally Posted by EDS_ View Post
Tearing down our medical system would be catastrophic and dumb. With all its inefficiencies and problems we produce a super-preponderance of the world's best doctors and Ph.D researchers who drive nearly all of the world's best treatments and advances.
As with most things, be it music or math or medicine, America excels at the top. America's top experts in any field, are generally the top experts everywhere. Where America struggles woefully is at its middle. It's middle falls behind. Costs for resetting a dislocated shoulder, repairing a dental cavity, setting a broken ankle, treating a stomach-bug... it's those costs which are comparatively high, with quality that's... mediocre at best.
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Old 02-07-2019, 07:09 PM
 
Location: Aurora Denveralis
5,530 posts, read 1,833,354 times
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I want to thank this thread for saving me any need to listen to Faux News; you fine chaps have simply regurgitated its entire contents for the day. Win!
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Old 02-07-2019, 07:25 PM
 
98 posts, read 32,187 times
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Quote:
Originally Posted by Quietude View Post
Maybe because the state was barreling over a cliff when Brown took over and is now in one of its most impressive economic booms of all time, leading the US in almost every respect and still setting goals (like emissions reductions) for the rest to follow.
Most entertaining thing I’ve read on c-d in a LONG while....
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