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Of course I do not disagree, but here's the rub....we are a nation of only 34 million people with a tax based system providing everything considered a necessity and deemed worthy of government oversight in our society, so where is it do you think we should pour our limited amount of money.
Defense, Scientific Research, Resource extraction, Infrastructure... and many more necessities ~ pick one!
When you pick one, the others suffer.... complicated balance but time and time again our system and way of life is often and with justification, well received and not just by those of us who decide to hang our hat here.
No I am not saying that single payer is the only option acceptable to me but in light of the alternative's as displayed elsewhere it is preferable at this time to me.
We can go on and on about the failures in ALL of the various systems but in that regard I believe we would agree the balance sheet apropos pre-2011 would be in stark contrast ineed.
I am one watching with great interest the genesis of the ACA and praying beyond measure it gets a solid grip upon America to precipitate further growth towards a more universal aspect along with some reason applied to charges as applied by your medical establishment being of such a varied and unexplainable discrepancy across the board.
Here's a thought; as a senior I cannot help but wonder at the consumer clout of an additional 350 million dictating in a more rational manner the provision of healthcare towards any type of single payer system. Unlike yourself I do not see that as a stifling effect on either research and development or growth of services. Many of the worlds contributions to either of those two areas were simply purchased and swallowed whole with the outrageous profits made available to American pharma companies by 350 million Americans paying through the nose because they were given no other choice other than to go without.
I think we already had this conversation is the past, almost verbatim. : )
What I think we need to do, is allow this new law to evolve and hope it turns out for the best. At the very least allow for a year to pass so that some data is released and can get a handle of how well it is performing. Right now, that is up in the air!
Of course I do not disagree, but here's the rub....we are a nation of only 34 million people with a tax based system providing everything considered a necessity and deemed worthy of government oversight in our society, so where is it do you think we should pour our limited amount of money.
Defense, Scientific Research, Resource extraction, Infrastructure... and many more necessities ~ pick one!
I do not disagree either. This may be perceived as an attack on Canada and how it chooses to allocate its resources, but it is not.
I am simply making the point that there is both a scientific and economic benefit to allowing for some nations to focus a greater portion of their resources towards scientific research. As a result, those nations will always have higher HC expenditures than Canada. That is a reality that people need to accept.
I do not disagree either. This may be perceived as an attack on Canada and how it chooses to allocate its resources, but it is not.
I am simply making the point that there is both a scientific and economic benefit to allowing for some nations to focus a greater portion of their resources towards scientific research. As a result, those nations will always have higher HC expenditures than Canada. That is a reality that people need to accept.
It is absolutely geared towards income. The ACA provides subsidies based on income to cover co-pays and deductibles. My point had nothing to do with my income level, how is that even relevant to the topic anyways?
Scientific research and how it is funded has alot to do with the way the system is designed.
Limited network? How do you think this actually works in reality? Do you honestly think we spend hours searching for a specialist in big cities? For people that do not like staying in network, they opt for a POS/PPO plan. Which allows you to go anywhere you like.
Well get over it. The world is changing and so is the US HC System, time to stop focusing on the past.
Ed - i'm making points fishing for information - this isn't about me attacking the U.S system if it works or is starting to work for more people.. If anything if you clear up misconceptions about it that is a good thing for the rest of the readers in this forum.. We aren't familiar with all the ins and outs of the system by osmosis or at least I am not.. I don't have enough time to try and understand the ins and outs of any system including our own - its not my bag.. I don't work in the industry.. For me based on what I know about HC, I prefer the simplicity of our system and I think that it, by design may actually be more cost effective than the one in the U.S..I've certainly had great experiences with our HC.. honestly zero complaints overall. If you disagree or have insight to show the countrary, well great i'm a receptive audience and I don't have to lace my commentary with
F*ck either lol... I don't say to you no offense but I don't give a F*ck about this and that...
As for Scientific research, even with our system I'm pretty sure if the Gvmt of Canada ramped up funding for R and D than there would be increased benefits in that arena... Having said that I think Brusan makes a great point, where do you focus a finite number of dollars.. Canada has a lot of commitments with its dollars across the board plus like any country we have to look at the balance sheet and long term financial sustainability.. The U.S does as well - its a finely tuned balance and I really think needs to be tailored to the type of society we live in.. At the end of the day, the average Canadian and American lives to about the same age... Its not like in one country people are dying in their 50's on avg here so even with the best Hospital network in the multiverse - at the end of the day the avg U.S dude ends up in a box at about the same age as the avg CAD dude..
As for income, many in Canada when they think of copay don't know if its geared to income in the U.S.. My point wasn't to bring up your income or mine specifically where we make above avg incomes, it was to get an understanding that based on someone in the U.S - anywhere in the U.S from coast to coast not specific locales that they aren't burdened with medical costs if they can't afford it - plain and simple.. In Canada largely everyone is not... I honestly don't know in the U.S if that is the case, by design it certainly is more hard to understand than ours. Its almost as if you need a bunch of high priced administrators - administrating it lol.
As for getting over the issue in the past - ok I will!!... simply saying that it is recent so yes it will be on the minds of individuals here and certainly is probably a big reason why people wouldn't want to go down that road, rightly or wrongly.. 2010 is not long ago it has nothing to do with not accepting change.. I don't know how you draw some of the conclusions you do or why you get so testy so quickly.
Thank you for clearing much of that up Fusion. Also do not assume I am getting testy, lol. I say the things I say in the kindest tone possible. Dont get offended by a F*ck you here and there homie ; )
Those of us who were fortunate enough to have employer provided "top-up" optional insurance providing things like dental caps and crowns, implants along with extended health coverage like grief counselling, massage therapy, acupuncture, eyeglass provisions are at least somewhat familiar with copays in that some of those plans had features built-in to provide cost control such as an initial payment either on an as usage or once per year basis of some kind.
Copays are not foreign to us, just the least attractive of options available in provision of our primary healthcare.
Of late I have become more alarmed at the malfeasant behaviour of our various Provincial governments impacting the provision of healthcare in that they spend recklessly in other areas then demand more transfer payments from our Federal government which in turn creates another spectrum of adversarial nonsense.
Canadians are required to remain ever vigilant but some are totally unaware of how the two levels of government conflict when it comes to our healthcare. One is charged with oversight while the other is responsible for it's provision, if either spend recklessly in other budgetary areas we all end up listening to them berating and accusing each other across the floor ~ sound familiar?
When you select an Insurance plan you can opt for one that you have to stay within Network or one that you can see any professional that accepts your insurance.
You found an example of 33 plaintiffs in California and all of a sudden that is how the entire system operates.
Just one quick example. Most recently I lived in the Boston area before relocation. I opted for a plan that stayed within Network and never had any issues locating a specialist. My wife one night accidentally broke a glass and debris flew in her eye. What were we able to do with our supposedly "limited" options? Walk into this place (Massachusetts Eye and Ear Infirmary) and cared for by one of the best Eye and Ear Hospitals on the planet. Cost? $40.00 out of pocket.
What a terrible experience staying within network eh?
I never said that is how the whole system operates. I stated that that was a new concern that didn't exist before reform.
The example of the 33 plaintiffs is not the first. The headline does say " again ". How many others have had the same issues but haven't taken it to court? Is it the same across the whole country?
If you want to talk about a law and how it could be improved, then please reference specifics in the law. What part of the ACA do you not agree with and how could it be improved?
Simple. The whole system should be more equitable. Every citizen should get the same coverage for the same price.
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disagree with you on this.
