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Old 03-12-2015, 07:09 PM
 
18,804 posts, read 8,462,725 times
Reputation: 4130

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Quote:
Originally Posted by middle-aged mom View Post
Free Market Reform Ideology

Which of the following elements of Free Market Reform do you support?

-Insurers free to decline anyone or any condition, at any time

- Healthcare providers free to decline anyone, for any reason, at any time.

-No Medicare, Medicaid or VA or EMTLA. Hospitals are free to decline anyone who can't pay.

-No FDA

-No Anti-Trust

-No caps on Medical Malpractice

-No supplement for residencies.

-No licensing of medical schools, hospitals, MDs or healthcare workers.

- No patents

Free markets assume there is a reasonable balance of buyers and sellers and knowledge.

Most people are admitted to the hospital on short notice. They are not in position to negotiate. Assuming they could negotiate, how long would it take to get admitted given the hospital was busy haggling fees instead of saving lives? How would a patient evaluate the worth of a medical service, MD, or hospital? Would they consider the number of " likes" on their respective Face Book pages or reviews compiled by friends, family and employees?

Would these glowing reviews about friendly bedside manner offset reviews from people who were dissatisfied because the MD diagnosed Brain Cancer or failed to cure Diabetes, while omitting the pesky detail that the reviewer is morbidly obese and does not take his meds?

Do you think some providers will accept goats and chickens in exchange for service?

Seems to me it would make more sense to go into law than healthcare and encourage reckless medical malpractice suits any time you don't like the outcome. I mean, after all, someone has got to pay for all the pain pain and suffering, eh.
"Originally Posted by Mircea View Post

Americans could be paying an average of $583 per year instead of $15,745 if only they would allow Free Market reforms in medical care to be implemente"

The doc and his/her office is but a small part of overall HC costs.

My office overhead alone for a family of 4 is $400/yr. And my office is a small, very efficient bare bones low rent in a low COL community. If I was to net $200K/yr in gross income to myself, that brings it up to $800/yr per family of 4, just for routine office care. Big city doc could easily be double. These are free market costs.

No meds. No testing, labs, x-rays or scanning. No ER's. No surgery and no hospitalization.
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Old 03-12-2015, 07:21 PM
 
Location: Central Maine
4,697 posts, read 6,445,432 times
Reputation: 5047
Quote:
Originally Posted by Cynthetik View Post
The very reason I cannot stand Obamacare is because Americans are now forced to get health insurance that they can't afford to begin with. Employers will skimp out on working hours so they don't have to pay for my insurance. My mother has to pay for my insurance until I'm 26, and she's struggling financially as it is without having to pay $300 a month.
Your mother has to pay for your insurance until you're 26? No. That's her choice.

There is nothing mandatory about you staying on your mother's policy. Children up to age 26 may - MAY - stay on their parent's health insurance policy, but they do not have to.

Quote:
Originally Posted by Cynthetik View Post
If I had a choice, I'd opt out of my employer's insurance so I get more hours, and more pay.
Okay, so which is it - are you on your parents' policy, or do you get health insurance through your employer? You DO know you don't need health insurance from both, right??

Quote:
Originally Posted by Cynthetik View Post
I'd opt out of being under my parent's insurance so my parents don't have to suffer.
There's nothing except ignorance of the law that's keeping you on your parents' insurance if you don't want to be there.
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Old 03-12-2015, 07:52 PM
 
Location: Ohio
24,621 posts, read 19,152,432 times
Reputation: 21738
Quote:
Originally Posted by middle-aged mom View Post
Free Market Reform Ideology
Is that from some Left-Wing Talking Points Site?

Quote:
Originally Posted by middle-aged mom View Post
Which of the following elements of Free Market Reform do you support?

-Insurers free to decline anyone or any condition, at any time
Sure.

Free Market means Free From Coercion......all transactions are voluntary between parties, not forced, coerced or threatened via extortion or taxation.

What you've done, is this....

Scare Tactic
If you suppose that terrorizing your opponent is giving him a reason for believing that you are correct, then you are using a scare tactic and reasoning fallaciously.

If you have had your driver's license suspended, can you get auto insurance?
If you've had a DUI, can you get auto insurance?
If you've had multiple DUIs, can you get auto insurance?

Yes, in all cases....

....because the Free Market works
.

Has the American Hospital Car Association lobbied and bribed State legislatures to enact "enabling laws" or "enabling legislation" to hamper auto insurers?

NO
.


You people need to understand that insurance is Intra-State Commerce and the US Congress has no power or authority.

You people need to get it through your thick skulls, that insurance companies are only allowed to do what State insurance laws and State insurance commissions and State insurance regulators and State insurance regulations allow them to do.

Haven't any of you people ever wondered why you can get high risk insurance for any freaking thing you want, except health insurance?

There is a reason why that is true.

That reason is called the American Hospital Association.

The American Hospital Association has lobbied -- bribed -- State legislatures to enact laws to your detriment....and you people are loving it.

Did I mention that due to the "enabling laws" or "enabling legislation," the American Hospital Association's Blue Cross is forced to use the Community Rating Scheme? The insurance laws do not apply to the Community Rating Scheme.

Repeal all of the "enabling laws" and insurance companies will be able to offer high risk health insurance for those who need or want it.

That's how the Free Market works.


Quote:
Originally Posted by middle-aged mom View Post
- Healthcare providers free to decline anyone, for any reason, at any time.
Sure.

That would violate the Hippocratic Oath making it worthless, but then it already is.

In a Free Market system of Medical Care, hospitals would not exist in the US.

The system of Medical Care in the US would become like the European System.

In place of hospitals, you'd have clinics and polyclinics.

Women would never go to a hospital for child-birth.

Women would go to a birthing clinic and pay a mid-wife $450, or if squeamish, pay a doctor $1,900.

It's $9,200 in this area, because there is no Free Market system of medical care.

$1,900 or $9,200.

Big difference.


Very obviously, if a pregnant woman went to an orthopedic clinic, they'd have to turn her away, since they might have an MICU, but not an NICU.

Quote:
Originally Posted by middle-aged mom View Post
-No Medicare,...
Red Herring
A red herring is a smelly fish that would distract even a bloodhound. It is also a digression that leads the reasoner off the track of considering only relevant information.

Scare Tactic
If you suppose that terrorizing your opponent is giving him a reason for believing that you are correct, then you are using a scare tactic and reasoning fallaciously.

1] Technology up to 65%
2] Consumer Demand up to 36%
3] Expanding Health Benefits or Insuring more people up to 13%
4] Healthcare Price Inflation up to 19% (caused by Consumer Demand and insuring more people)
5] Administrative Costs up to 13% (caused by Technology, Consumer Demand and Regulations)
6] Aging/Elderly up to 7%

Source: United States Government General Accounting Office GAO-13-281 PPACA and the Long-Term Fiscal Outlook, January 2013 pp 31-36


Pick a date: January 1, 1995.

Everyone born prior to that is covered by Medicare, all others are not.

The Medicare program which is necessary because no Free Market system has existed since 1933, would end by attrition.

It is Item #2 that is influenced by Medicare. A few rule changes can fix that.

Quote:
Originally Posted by middle-aged mom View Post
... Medicaid...
Red Herring
A red herring is a smelly fish that would distract even a bloodhound. It is also a digression that leads the reasoner off the track of considering only relevant information.

Scare Tactic
If you suppose that terrorizing your opponent is giving him a reason for believing that you are correct, then you are using a scare tactic and reasoning fallaciously.

The federal government ends Medicaid.

Each State and Commonwealth develops its own system to deal with bizarre-strange-circumstances-where-people-fall-through-the-cracks, since there are bizarre-strange-circumstances-where-people-fall-through-the-cracks.


Quote:
Originally Posted by middle-aged mom View Post
... or VA....
Red Herring

Scare Tactic

Is it your intent to end all Worker's Compensation? Or just Worker's Compensation for military members?

Worker's Compensation is the result of more than 900 years of English Common Law involving the Master-Servant Relationship.

A Servant injured in the employ of his Master is entitled to receive care, compensation and payment for lost wages.


Quote:
Originally Posted by middle-aged mom View Post
... or EMTLA. Hospitals are free to decline anyone who can't pay.
Red Herring

Scare Tactic

Misrepresentation
If the misrepresentation occurs on purpose, then it is an example of lying. If the misrepresentation occurs during a debate in which there is misrepresentation of the opponent’s claim, then it would be the cause of a straw man fallacy.

EMTALA exists for this reason:

Your child is injured in an automobile accident. Your child is rushed to Good Samaritan Hospital....an American Hospital Association member hospital. You have the wrong insurance, so Good Samaritan sends your child to Citizens County Hospital, or Citizens Memorial Hospital (operated by the county) or Citizens General Hospital (operated by the city) or Citizens University Hospital (operated by the State or the city or both).

En route during the transfer, your child dies.

Another victory for the American Hospital Association's Soviet-style "Out-of-Network" Clause created in 1939 to put those hospitals who refused membership in the American Hospital Association out of business.

Quote:
Originally Posted by middle-aged mom View Post
-No FDA

Red Herring


Scare Tactic

Misrepresentation

Why would there not be an FDA?

The Free Market does not mean freedom to water-down or dilute drugs to the point that they are ineffective, in order to make a profit.

The Free Market does not mean freedom to sell a cure for the headache without telling people the medication cures their headache, but causes blindness or death.


The Free Market is parties acting in Good Faith engaging in voluntary Consumer Transactions.


Why is it so hard for people to get that through their numbskulls?


Quote:
Originally Posted by middle-aged mom View Post
-No Anti-Trust
Hospitals are exempt from anti-Trust Laws.


Yeah, that's right.....the American Hospital Association lobbied State legislatures for exemptions to Anti-Trust Laws.

That's a fact....everyone needs to grow up and get over it.


The American Hospital Association argued that the charitable works its member-hospitals perform outweighs the negative impact and economic losses caused by the lack of competition.

Does anyone not see a problem with American Hospital Association member-hospitals dumping patients on tax-payer funded city, county and State/university hospitals?


Can you say EMTALA?

Quote:
Originally Posted by middle-aged mom View Post
-No caps on Medical Malpractice
Red Herring

Scare Tactic

Where does Medical Malpractice fall into the scheme?


Let's look......

1] Technology up to 65%
2] Consumer Demand up to 36%
3] Expanding Health Benefits or Insuring more people up to 13%
4] Healthcare Price Inflation up to 19% (caused by Consumer Demand and insuring more people)
5] Administrative Costs up to 13% (caused by Technology, Consumer Demand and Regulations)
6] Aging/Elderly up to 7%

Source: United States Government General Accounting Office GAO-13-281 PPACA and the Long-Term Fiscal Outlook, January 2013 pp 31-36


Anyone see Medical Malpractice on the list?

Nope.....the costs associated Medical Malpractice......and the uninsured combined....are so low they are not even on the radar.

Quote:
Originally Posted by middle-aged mom View Post
-No supplement for residencies.
I have no knowledge of that.

I assume you're referring to medical residencies. That is a necessary part of the medical training.


Quote:
Originally Posted by middle-aged mom View Post
-No licensing of medical schools, hospitals, MDs or healthcare workers.

- No patents
Red Herring

Scare Tactic

Misrepresentation

There is absolutely nothing in the Free Market Doctrines that say licenses and patents cannot be issued.

Free Market does not mean free to steal the work or labor of others and pass it off fraudulently as your own or work.

Nor does it mean you are free to misrepresent the owner of the work or labor.

Once again, for the hard-of-hearing.....

THE FREE MARKET IS PARTIES ACTING IN GOOD FAITH ENGAGING IN VOLUNTARY CONSUMER TRANSACTIONS.

How is it Good Faith that someone claims to be trained at a medical facility, when in fact, they have not?

Quote:
Originally Posted by middle-aged mom View Post
-Free markets assume there is a reasonable balance of buyers and sellers and knowledge.
Nope, wrong answer.

That is Okun talking there.

Okun pretended to be an Economist.

Okun made that claim in the 1960s.....he was quasi-Keynesian and not in favor of Free Markets.

It is mere folly to allow opponents of Free Markets to define what Free Markets are, since --as I've demonstrated -- all you get is Red Herrings, Scare Tactics and Misrepresentations.


Also, Okun was referring specifically to investors.

He was talking about buyers and sellers of stocks, bonds, and other financial instruments, and Capital.

Someone has ripped his statement out of context.


To the extent that the claim is viable, tell us about the gasoline you buy.

What do you know about cars? Combustion engines? Canneries? The canning process? Agriculture and Animal Husbandry? The textile Industry? Etc etc etc?

You don't know anything about those things.

Quote:
Originally Posted by middle-aged mom View Post
Most people are admitted to the hospital on short notice. They are not in position to negotiate. Assuming they could negotiate, how long would it take to get admitted given the hospital was busy haggling fees instead of saving lives? How would a patient evaluate the worth of a medical service, MD, or hospital? Would they consider the number of " likes" on their respective Face Book pages or reviews compiled by friends, family and employees?
That's stupid.


Red Herring

Scare Tactic

Misrepresentation

Straw Man
Your reasoning contains the straw man fallacy whenever you attribute an easily refuted position to your opponent, one that the opponent wouldn’t endorse, and then proceed to attack the easily refuted position (the straw man) believing you have undermined the opponent’s actual position

In a Free Market system, absent an emergency, you'd have the freedom to shop around, you know, get estimates.

In an emergency you would not have that luxury, but then why would it matter?

You have insurance.

In fact, that's exactly why you have insurance.

You just negated your whole argument.


In the Cincinnati Market and many others, the true cost of open-heart surgery is $13,000, as charged by respected, published, big-name doctors.

Oddly, the hospitals charge $26,000 to $41,000.

But that's because you don't have a Free Market.

In a system of Free Market medical care, the cost of open-heart surgery is about the same no matter where you go.

You're going to quibble over $12,900 and $13,100 in an emergency?


It does not matter since you have insurance.


: smack::s mack:


That's exactly why you have insurance.

Your nonsensical idea of shopping for medical care during an emergency is valid only in a world in which insurance does not exist.

You're about to run out of gasoline on the interstate.

Are you going to shop around for the lowest gasoline price, or get gasoline at the nearest place you can find?



Hey, great, your android app has found a place that charges $0.03 less per gallon.....too bad it's too far away for you to get there.

Quote:
Originally Posted by middle-aged mom View Post
A hospital's " Charge Master" determines the cost of a particular blood test to be $199.

Medicare pays $13.47 based upon the true cost , plus overhead. No profit.

Insurance pays $24.50. The difference between what was billed off the "Charge Master" and what the hospital contractually agreed to be paid is reflected as the PPO discount on the Statement of Benefits.

Hospital may negotiate with an uninsured patient for an amount less than $199 but greater than $24.50.
In a Free Market system of Medical Care, no hospital could even charge $199.

Economically...


Mircea
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Old 03-12-2015, 08:41 PM
 
Location: Ohio
24,621 posts, read 19,152,432 times
Reputation: 21738
Quote:
Originally Posted by adiosToreador View Post
Except false because prior to ACA being implemented there were thousands of Americans without healthcare.
Now there's Millions without healthcare.

And your claims are false.....because you don't have Free Market Medical Care, and haven't since 1933.

Quote:
Originally Posted by adiosToreador View Post
Especially considering it's not even a Soviet-styled anything. Keep hating on Obama!
What does Obama have to do with it?

So, the only thing you got is a knee-jerk Obama comment?

As a disabled veteran, I am truly offended by your willful ignorance in the matter of healthcare.

Oh....wait...VA?.......don't you mean NVA.....North Vietnamese Army?


1] You got health insurance through a hospital, not an insurance company.

Quote:
"...the opportunities for fraud [in health insurance] upset all statistical calculations ... Health and sickness are vague terms open to endless construction. Death is clearly defined, but to say what shall constitute such loss of health as will justify insurance compensation is no easy task."
Source: Insurance Monitor July 1919, vol. 67(7), page 38

Oooops.....we haven't even started and you already lost the debate.

2] In 1933, the American Hospital Association established a committee, which began dictating Soviet-style to its member hospitals that provided insurance, the types of medical services that were allowed to be covered under insurance, and the amount to charge for medical services that were permitted to be insured.

Source: H. E. Frech III, Competition & Monopoly in Medical Care (Washington: The AEI Press, 1996), pages 102-130.

Source: Michael A. Morrisey, Health Insurance (Washington, DC: Department of Health & Human Services, 2008), page 5.


You lose.

You have not had a Free Market system of Medical Care since 1933.

You have had --- and continue to have --- a Soviet-style Command Market system of Medical Care.

3] The American Hospital Association lobbied the several State legislatures --- because healthcare is Intra-State Commerce and the US Congress has no power or authority -- to obtain "enabling laws" or "enabling legislation" that allowed hospitals who were members of the American Hospital Association to skirt and by-pass and make an end-run around insurance laws and regulations.

Quote:
NY Laws 1934, c. 595, adding Article 14, §§452-461, to the New York Insurance Law. The 1939 legislature adopted a new codification of the Insurance Law, effective June 15, 1939, in which Article DC-C, §§250-259, was substituted for Article 14, broadened to include non-profit medical indemnity
corporations, and amended in other respects.


Alabama: Acts 1935, act no. 544, amended. Acts 1936 (Ext. Scss.) act no.169, Acts, 1939;

California: Stat. 1935, c 386, amended, Stat. 1937, c. 881, Stat. 1939, A. B. 1712;

Illinois:Rev. Stat. (1937) §§551-562;

Mississippi: Laws 1936, c 177;

Georgia: Laws 1937, no. 379, p. 690;

Maryland: Laws 1937, c. 224;

Massachusetts: Annotated Laws (1938 Supp.) c 176A;

Pennsylvania: Stat. Ann. (Purdon, 1938) tit. 15, a 49A, §§2851-1301—2851-1309;

Kentucky: Acts 1938, c. 23;

New Jersey: Laws 1938, c. 366;

Connecticut: Laws 1939, S. B. 51;

District of Columbia: S. B. 497, 76th Cong. 1st Scss.(1939);

Iowa: Laws 1939, c. 222;

Maine: Laws 1939, c. 149;

Michigan: Laws 1939, H. B. 145;

New Hampshire: Laws 1939, H. B. 232;

New Mexico: Laws 1939, c. 66;

Ohio: Laws- 1939, S. B. 181;

Rhode Island: Laws 1939, c. 719;

South Carolina: Acts 1939, H. B. 845;

Texas: Laws 1939, Subst. H. B. 191;

Vermont: Laws 1939;

Wisconsin: Laws 1939, S. B. 288.

Note: The Iowa, Michigan, and Wisconsin acts were passed in 1939 after bills had been defeated in 1937.
Source: See each State law.

Those laws are still on the books, although many have been amended, naturally, in favor of the American Hospital Association.

It would be hypocritical to scream at publicly traded corporations, or unions, think-tanks, special interest group or industry trade associations for doing exactly what the American Hospital Association has done.


Interference in the the Free Market is interference.....period.....doesn't matter who wrongfully interferes.

When you have interference in the Free Market, you no longer have a Free Market.

Quote:
A formal approval process by the Blue Cross Commission of the AHA began in 1938, and only those approved could use the Blue Cross symbol and name. The process set the stage for a long history of publicly promoting these nonprofit hospital-sponsored plans as different than those sold by other insurance companies.

By the end of the 1930s, approximately half of the states had passed enabling legislation for hospital care service plans like Blue Cross.

Source
: Robert Cunningham III and Robert M. Cunningham Jr., The Blues: History of the Blue Cross and Blue Shield System, (1997) page 3.

Note: Book was sponsored by the Blue Cross Blue Shield Association

4] Out-of-Network. The existence of the "Out-of-Network" Clause created by the American Hospital Association in 1939 is proof of the absence of a Free Market.

Quote:
During the 1940s, there was a growing movement to ensure that all Blue Cross plans offer direct enrollment to individuals as well as groups, recognizing "that their social purpose and public relations require that the opportunity of enrollment should be available to all." Plans began to use a once-a-year community enrollment campaign, providing an enrollment window opened to the general public.

Source
: Federal Security Agency, US Public Health Service, 1947.


This Blue Cross Commission becomes the Blue Cross insurance Company in 1946.




Tell us.....does your homeowner's insurance have In-Network and Out-of-Network roofers?

Does your auto insurance have Out-of-Network body shops? Paint shops? Repair shops?



Strange how you're so ready and willing to condemn something you have never experienced and which has never existed in your life-time.


There are ~5,754 registered hospitals in the US.

More than 5,000 are AHA members.

5,000 / 5,754 = 86.8%

Smells like a monopoly.



Oh, and here is what the AHA claims were hospital expenses for Calendar Year 2012:

$750,602,099,000 (All Hospitals)
$677,968,038,000 (Community Hospitals)

"All Hospitals" includes prison and military hospitals.

$750 Billion.

That is what, $15 TRILLION was GDP for 2012 so:

$750 Billion / $15 TRILLION = 5%

Doesn't exactly jive with reported healthcare expenditures, does it?

Nope.

Get it together, troop.....

Mircea
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Old 03-12-2015, 08:47 PM
 
Location: Los Angeles, California
4,373 posts, read 3,227,364 times
Reputation: 1041
Quote:
Originally Posted by Mircea View Post
Now there's Millions without healthcare.
Would love to see you prove this.


Quote:
What does Obama have to do with it?
It's Obama's brainchild - called ObamaCare for a reason.

Quote:
As a disabled veteran, I am truly offended by your willful ignorance in the matter of healthcare.
Then you don't have very thick skin.

The rest of your post was entirely way too long. Sorry, not reading that.
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Old 03-12-2015, 08:49 PM
 
191 posts, read 171,923 times
Reputation: 93
I am kind of surprised that someone collecting a VA disability and relying on VA hospitals and probably not having paid a cent for healthcare can make any kind of comment about buying health insurance and dealing with insurance companies and negotiating payments and bills with providers. Oh well, I give up that's pretty much norm for this forum.
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Old 03-12-2015, 09:05 PM
 
13,900 posts, read 9,766,243 times
Reputation: 6856
I love Obamcare. Every dooms day prediction made by conservatives has been a lie and the law is working in spite of Republicans doing everything to stop it.
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Old 03-12-2015, 09:12 PM
 
13,395 posts, read 13,497,029 times
Reputation: 35712
Funny. My life hasn't been effected at all by the ACA.

Let's just hope no one you love every gets sick and doesn't have coverage.
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Old 03-13-2015, 04:23 AM
 
27,307 posts, read 16,212,564 times
Reputation: 12102
Quote:
Originally Posted by Winter_Sucks View Post
I love Obamcare. Every dooms day prediction made by conservatives has been a lie and the law is working in spite of Republicans doing everything to stop it.
It may be working for you since you are leeching off of someone else.

I had insurance I liked tailored to me that ironically was more affordable than what could have replaced it.

I deliberately went with no insurance. My fine zeroed out with my tax credits. So I have the personal satisfaction that no parasite is leeching off of me. I have the personal satisfaction that I am not paying for junk on any health plan that I don't need such as all that female junk.

So because of your idiot hero and his monstrous lie I don't have health insurance.
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Old 03-13-2015, 01:35 PM
 
1,199 posts, read 734,263 times
Reputation: 609
Quote:
Originally Posted by T-310 View Post
It may be working for you since you are leeching off of someone else.

I had insurance I liked tailored to me that ironically was more affordable than what could have replaced it.

I deliberately went with no insurance. My fine zeroed out with my tax credits. So I have the personal satisfaction that no parasite is leeching off of me. I have the personal satisfaction that I am not paying for junk on any health plan that I don't need such as all that female junk.

So because of your idiot hero and his monstrous lie I don't have health insurance.
You choose to have insurance because of political ideology and you have money to cover unexpected medical bills but unlike you, many of us are not trust fund babies.
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