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Old Yesterday, 01:29 AM
 
1,291 posts, read 688,248 times
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Quote:
Originally Posted by beachmouse View Post
And yet one of the reasons given for why 'Medicare for all' is a bad idea is that the reimbursement rates providers get from government programs are lower than what private insurers will pay for a given action or procedure and doctors and hospitals wouldn't make enough money to want to remain as providers without the reimbursement rates they get from private insurers.

Can't have it both ways
BeachMouse, I haven't encountered any problem with Medicare.
Quote:
Originally Posted by Supposn View Post
Does Medicare compensate doctors better than Medicaid does?

States pay substantial, (If not the major) portions of payments to Medicaid service providers, while Medicare is a federal program. Do differences of allowable rates induce doctors to accept Medicare, but not Medicaid patients? Do any members know the answer to this? Is Medicaid more acceptable by doctors in some states than others?

Do any of this group's members actually know of this?
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Old Yesterday, 09:57 AM
 
Location: Silicon Valley
3,609 posts, read 1,625,423 times
Reputation: 6122
Quote:
Originally Posted by coschristi View Post
And what if modern medicine has peaked? At least temporarily.

The best contributors to first world health weren’t even medical advances; clean drinking water, climate control, sanitation services, antibacterials, antiseptics, pest control, etc ...

Ever since we achieved IV fluids, antibiotics, supplemental O2, antihistamines, laboratory & imaging diagnostics, prenatal care, sterile surgery, insulin, albuterol & a few others; it’s been nothing but politics & pharma fiddle-f****ng around. For a fee, of course.

Now we have a CDC using the playbook written by Big Tobacco & Cold War competition that outlasted the Cold War. It’s still about swagger, which has no place in medical science.

It seems our life expectancy has peaked as well

See, I don’t think the very recent demographic indicators of ‘the fittest’ are sustainable & if socio-economic status winds up having a detrimental impact on health & mortality; things could start looking very different, very soon.



Rest assured, advances are being made all of the time. As with anything, most are incremental, but they do add up. Of course, the innovators want to be paid as well. One of the more recent trends has been to take cures for diseases and find ways of creating cures for the pockets of people that this doesn't work for. As the pockets of people that get cured gets smaller, the price goes up.



When I was growing up, there were two diseases that would kill you. HIV/AIDS and Hep C. Gilead has made the former extremely manageable and the latter cured outright.



Growing up, getting cancer was generally a death sentence as well. It no longer is in many cases.



Now, the medical community can advance, but it doesn't change a world that's getting more obese, sedentary and is fine with drugs, alcohol and driving too fast.
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Old Yesterday, 11:07 PM
 
1,291 posts, read 688,248 times
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Quote:
Originally Posted by RationalExpectations View Post
Do you have a link to a coherent Economic Darwinism or Medical Darwinism website so we can read it, and come back to comment?
RationalExpectations, It's not unusual for my recall, particularly recall of names and dates) to be less than accurate.

I recall a speaker during a presidential election year describing a person that could have afforded but failed to purchase medical insurance. The person later came to a hospital with an uninsurable and life-threatening condition beyond the person's immediate and long term financial ability to fund.

The speaker's rhetorical question was, “What should the hospital do?”. The audience repeatedly chanted, “Let him die!!”. I believe the speaker was Ron Paul.

That's the Darwinist concept that you find throughout these internet discussion forums. You don't need links to find them.
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Old Today, 09:28 AM
 
2,167 posts, read 531,207 times
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Quote:
Originally Posted by InchingWest View Post
The movie Idiocracy seems to be playing out in real time. There doesn't seem to be too many Nuclear Physicists having 4-6 children.
I spend ski season in Utah, and some of my neighbors have engineering degrees in EE, ME, BioEngineering, and tend to work in high tech or bio-tech companies located in Silicon Slopes. Many have 6+ children. But then again, its Utah.
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Old Today, 09:35 AM
 
2,167 posts, read 531,207 times
Reputation: 3755
Quote:
Originally Posted by Supposn View Post
RationalExpectations, It's not unusual for my recall, particularly recall of names and dates) to be less than accurate.

I recall a speaker during a presidential election year describing a person that could have afforded but failed to purchase medical insurance. The person later came to a hospital with an uninsurable and life-threatening condition beyond the person's immediate and long term financial ability to fund.

The speaker's rhetorical question was, “What should the hospital do?”. The audience repeatedly chanted, “Let him die!!”. I believe the speaker was Ron Paul.

That's the Darwinist concept that you find throughout these internet discussion forums. You don't need links to find them.
I don't find that anecdote particularly useful. What you describe is a conscious choice to be self-insured, and has nothing to do with Darwinism (survival of the fittest). I am self-insured against earthquake damage in my residence; it has nothing to do with Survival of the Fittest.
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