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Old 07-26-2011, 04:19 PM
 
15,912 posts, read 20,189,698 times
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Quote:
Originally Posted by Grim Reader View Post
You are leaping to the conclusion that every bit of tax paid in Belgium goes to health care. A fairly remarkable feat of mental athletics.
Only an idiot would think every penny or euro from taxes would go to health care....

And it's a fairly remarkable feat of mental athletics to even suggest it........
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Old 07-26-2011, 04:56 PM
 
1,733 posts, read 1,821,659 times
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Quote:
Originally Posted by plwhit View Post
Only an idiot would think every penny or euro from taxes would go to health care....

And it's a fairly remarkable feat of mental athletics to even suggest it........
Well, that is what you said, so I'll let your judgement stand.

The fact is, a scan in Belgium costs about $ 1000. In America, it costs 4500 and up. In Belgium, the patient pays a co-pay, and the rest is covered from a small fraction of taxes.

In the US, it is a bit more complex. The hospital bill the insurance company for everything they can get, and the insurance company pays what they have to. Normally, that ends up involving a lot more bureaucracy than in Europe, and a lot more people whose salaries need to be paid.

Health care is probably the biggest problem facing America at the moment, and unwillingness to learn from Nations doing better is the biggest reaon America is in trouble.

Sometimes, you have to man up and fix the problem, rather than make excuse after excuse.
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Old 07-26-2011, 04:59 PM
 
Location: Ohio
24,621 posts, read 19,152,432 times
Reputation: 21738
Quote:
Originally Posted by henrjam View Post
I have just seen the bill that was sent to one of my relatives in Belgium for a full body PET Scan. It comes to 700 Euros, $1000. It seems that the average cost in the US is $4.500 and up.
By the way, when it comes to that technology, there is no second class or outdated equipment.

Another detail, that person is covered by one of those awful "European Socialist HC systems" that frighten so many.

So, the cost to her was 28 Euros, $40.

No comment!!!
Quote:
Originally Posted by henrjam View Post
This is nothing more than a well managed public insurance HC system.
Your knowledge of the situation is incredibly superficial.

Have you even been to Belgium? It's like 10 Million people. Does 10 Million equal 308 Million? Nope. You might want to educate yourself on a concept called "Economies of Scale."

Just because you can provide cost-effective efficient quality health care for 10 Million people, it does not logically follow that you can provide cost-effective efficient quality health care for 308 Million people.

That's even harder to do with societal attitudes. Europeans go to the doctor to get well, while Americans go to the doctor to feel good.

"Getting well" and "Feeling Good" are not the same thing, and "Feeling Good" costs a helluva lot of money, especially since it is highly subjective and not quantifiable.

You are also either totally ignorant of, or have completely ignored the fact that the European health care model and the US (and British) health care model is not the same thing.

The US (and British) health care model is centered on the hospital. A hospital is the least efficient means of health care delivery.

The Euro-model is centered on specialty clinics.

Huge difference.

I live in a Metropolitan Statistical Area that has 3 Million people in 11 counties in 2 States and one Commonwealth (Kentucky). We have 19 full-service hospitals (23 if you count the ones in Kentucky and Dearborn County Indiana).

Find a European city with 3 Million people that has more than 12 hospitals.

You can't do it. Paris with 3 Million people has 6 hospitals and both Bucharesti and Berlin have 3 Million people have 3 hospitals.

Why? Because they use the Clinic Model.

You cannot use the Clinic Model because Obama's best friend, the American Hospital Association wrote most of the crap in Obamacare and who outlawed doctor-owned anything force the grotesquely inefficient Hospital Model on you.

And even that wouldn't be so bad except the Hospitals are organized as Cartels and they collude and fix prices, which is illegal. And that is a proven fact.

Child-birth around here really only costs $2,300 but the Hospital Cartel charges $9,200 because they collude and fix prices (illegal).

As the Cincinnati Enquirer reported, open-heart surgery really only costs $13,000 but you pay $26,000 to $41,000 because the Hospital Cartel colludes and fixes prices (illegal).

Normally, when you have a business and you have a division that is losing money you either shut it down, spin it off or sell it. Let's say you own the High End Rear End Company and you manufacture hand-crafted pewter butt plugs.

You have the production division, the warehouse division and the distribution division (trucking/cartage). And let's say your distribution division is losing money hand over fist. You have three options: Sell the distribution division to someone else who can operate it at a profit, spin off your distribution into a separate company and see if that can benefit from that, or shut down the distribution and contract owner-operators independently to deliver your products.

Why don't you just raise your prices to cover the losses of your distribution division? You can't because there's an animal called Price Elasticity.

If you raise the price of your beautifully hand-crafted pewter butt plugs, then people will either do without or seek substitutes like butt plugs made of plastic, rubber, ceramic, Styrofoam, brass, depleted uranium, paper mâché or wood.

In the world of the Hospital Cartel, they have "divisions" too. They have
Allergy and Immunology, Anesthesiology, Dermatology, Emergency Medicine, Trauma Center, Internal Medicine, Cardiology, Endocrinology, Gastroenterology, Geriatric, Oncology, Hematology, Nephrology, Pulmonary, Rheumatology, Neurology, Neurosurgery, Obstetrics & Gynecology, Ophthalmology, Orthopaedics, Otolaryngology, Pediatrics, Psychiatry, Psychology, Neuro-Psychology, Radiology, Surgery, Sleep Hygiene/Clinic, Vascular, Diet & Weight Loss, Nutrition and Urology (to name a few).

Now, let's say the Diet & Weight Loss Clinic at Jewish Hospital is losing money faster than the US government can spend it. What does the Hospital do? Do the shut it down, sell it or spin it off?

Nope. They just raise the prices and fees for all other services to cover the fact that the Diet & Weight Loss Clinic is a sink-hole.

What about Price Elasticity? Not really valid here. Health care is like water. No matter what the price of water is, you will pay for it because there are few if any substitutes for water.

If you want water to bathe, cook, clean, wash your car, to drink or for other purposes, you're going to pay whatever it costs. Health care is the same way.

So if you want to see health care costs drop 350% to 700% in less than 24 hours, here's all you have to do:

1) Adopt the Sports/Radio Rule: One hospital, and only one hospital per MSA. That means the Sisters of Mercy who own all of the St Francis, St George, Mercy and Bethesda hospitals will have to sell off some of their hospitals, and so will the Sister of Charity who operate Good Samaritans and St Elizabeth hospitals in every major US city, and so will the others.

2) Shut down the Hospital Cartels and start prosecuting for price-fixing and collusion. I would say complain to the FTC, but the AHA owns Obama so the FTC isn't going to do squat, and if push comes to shove, Obama will just stick an AHA member as head of the FTC and that will be the end of that. Or maybe he'll put someone from Monsanto or Cargil there (like we don't have enough already).

3) Repeal that part of Obamacare that bans doctor-owned anything. That is prima facie evidence of price-fixing and collusion, because the AHA blocked competition. From the point of view of the AHA, why should you pay $13,000 for open-heart surgery when you can pay $26,000 to $41,000?

Why do you think kidney dialysis at a clinic is cheaper than that at a hospital? Why do you think the AHA has been trying to outlaw kidney dialysis clinics for the last 10 years? They want you pay through the nose (and kidney) instead of paying Free Market fees and rates.

Do that, and if there are still problems with the costs, and I'm sure there will be because some have this bizarre idea that it should be for free, then start eyeballing the "health insurance" companies. I don't believe the world will end if "health insurance" companies have profits capped at 20% or they are banned.
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Old 07-26-2011, 05:19 PM
 
Location: Beautiful Niagara Falls ON.
10,016 posts, read 12,572,543 times
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I had one in Toronto. Cost $0.
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Old 07-26-2011, 05:59 PM
 
6,734 posts, read 9,338,075 times
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In Belgium, a percent of your taxes = insurance premiums.

It's not a hard to understand concept.
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Old 07-26-2011, 06:37 PM
 
Location: North Cackelacky....in the hills.
19,567 posts, read 21,862,853 times
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Quote:
Originally Posted by ozzie679 View Post
In Belgium, a percent of your taxes = insurance premiums.

It's not a hard to understand concept.
What is that percentage do you think?
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Old 07-27-2011, 08:08 AM
 
Location: Long Island
32,816 posts, read 19,471,329 times
Reputation: 9618
Quote:
Originally Posted by lucknow View Post
I had one in Toronto. Cost $0.
some one paid for that service you recieved....it certainly wasnt free
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Old 07-27-2011, 08:09 AM
 
Location: North Cackelacky....in the hills.
19,567 posts, read 21,862,853 times
Reputation: 2519
I LOVE how people equate what they pay (when subsidised by others) as the cost of a particular item or procedure,conveniently ignoring the fact it WAS paid for by others....
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Old 07-27-2011, 08:30 AM
 
22,768 posts, read 30,719,635 times
Reputation: 14745
Quote:
Originally Posted by oz in SC View Post
I LOVE how people equate what they pay (when subsidised by others) as the cost of a particular item or procedure,conveniently ignoring the fact it WAS paid for by others....
i agree, this is the most meaningless comparison i've ever seen.

The $1000 figure could've been subsidized by the Belgian taxpayers,

and / or,

the $4500 figure could've included costs that the US Medical provider transfers to the people who pay, that's used to cover all those people who don't pay a cent.
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Old 07-27-2011, 08:32 AM
 
Location: Londonderry, NH
41,479 posts, read 59,756,720 times
Reputation: 24863
I believe the $3500 difference is profit being extracted by the private owners of the American health care system. Eliminate private ownership of hospitals and health insurance companies and the prices would drop accordingly.
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