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Old 01-01-2017, 06:11 PM
 
10,181 posts, read 10,232,521 times
Reputation: 9252

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Quote:
Originally Posted by Kthnry View Post
The federal government does a pretty good job of managing Medicare. How different would it be for the government to run a single-payer plan, since that's what Medicare is? Why not just expand Medicare to everyone?
There has been plenty mismanagement of Medicare.

http://www.modernhealthcare.com/arti...NEWS/150309918

https://oversight.house.gov/hearing/...isspent-funds/

 
Old 01-01-2017, 06:35 PM
 
Location: Wayne,NJ
1,352 posts, read 1,525,374 times
Reputation: 1833
Quote:
Originally Posted by Informed Info View Post
There has been plenty mismanagement of Medicare.

http://www.modernhealthcare.com/arti...NEWS/150309918
Just a quick glance at that article says it seems to be a coding problem. Maybe places have learned that a code for one thing that's related to the original treatment but pays higher so they use that. It sounds like fraud, maybe not as overt as payment for services not done but fraud all the same. I wouldn't doubt this also doesn't happen to regular insurance companies either. I'm sure physicians offices learn one code get paid and another one might get questioned.

https://oversight.house.gov/hearing/...isspent-funds/
Waste in Government?? Is this something new?? Isn't there something like $125million the Pentagon can't account for?
 
Old 01-01-2017, 07:44 PM
 
10,181 posts, read 10,232,521 times
Reputation: 9252
Quote:
Originally Posted by Blue biker View Post
Great Britain seem to make it work. Doctors get bonuses based on the number of patients they keep healthy through preventative care. Many people in the US don't go to the doctor for preventative care, they go when the are sick, sometimes seriously, because they can't afford deductibles. In the US we have an obesity problem.
Pay-For-Performance in GB?

Quote:
Several researchers, working at Harvard, decided to take a look at the UK program to see if they could glean any lessons about the effectiveness of Pay-For-Performance. They focused on just a few of the quality measures — those pertaining to hypertension, one of the most under treated, expensive and common ailments known to man. What the Harvard researchers found is as startling as it is disappointing. According to their review of nearly 500,000 primary care patient records, the NHS’s Pay-For-Performance program had no effect on outcomes. Patients were not healthier than they would have been if the bonus program hadn’t existed. In other words, doctors were not motivated by financial incentives to change their behavior to benefit patients.
New Study Shows Pay For Performance Doesn't Work | TIME.com
 
Old 01-01-2017, 07:55 PM
 
10,181 posts, read 10,232,521 times
Reputation: 9252
Quote:
Originally Posted by Blue biker View Post
Waste in Government?? Is this something new?? Isn't there something like $125million the Pentagon can't account for?
Not new.

But let's not pretend the government can/has run "anything" efficiently...including Medicare.

Which was my point since I replied to a post re: Medicare.
 
Old 01-01-2017, 08:55 PM
 
Location: NJ
31,771 posts, read 40,584,943 times
Reputation: 24590
Quote:
Originally Posted by Blue biker View Post
Waste in Government?? Is this something new?? Isn't there something like $125million the Pentagon can't account for?
$6.5 trillion but whose counting. the military is just an efficient means of transferring money from taxpayer to political contributors and cronies.

Audit reveals Army's trillion-dollar accounting gaffes - CNNPolitics.com
 
Old 01-02-2017, 03:42 AM
 
2,160 posts, read 4,953,709 times
Reputation: 5527
Quote:
Originally Posted by CaptainNJ View Post
its usually the domain of wackjob right wingers to make russia out to be the bogeyman. its 2016 (about to be 2017) and Russia is not our enemy. they havent done anything to us. being in an alliance with them is a good thing. sanctioning them and booting their staff is not something to celebrate. there is no justification for treating them as if they are our enemy.

its funny because not too long ago it was the moronic right wing thing to try to label russia as an enemy of ours. i dont know the reaction of the left but they probably thought it was dumb (which it was). its just as dumb now to see the left trying to paint Russia as our enemy. russia is cool with us and so is putin. what have they dont for people to believe otherwise?
The moronic right wing? At one point in time, I'm pretty sure both the right and the left were on the same page as far as Russia was concerned. Maybe you think it's dumb to see the left trying to paint Russia as our enemy now, but I think it's just as dumb to see Trump worshippers either laughing the whole thing off as a leftist conspiracy, and/or saying that Putin & Russia are "totally cool" with the U.S., and that we could be beautiful BFFs frolicking in a fountain together and going to Central Perk later for lattes and warm conversation.

Yeah, Russia is not our enemy, but they are also not our friends. It's probably more accurate to say that we are frenemies.

In YOUR own words:

"there are no such thing as friends when it comes to government. everyone is obligated to act in their own countries best interests."

We maintain diplomatic and trade relations with Russia, but Russia is not an ally, and we certainly are not in an alliance with them. Russia supports Syria, Iran and North Korea for starters. How are we in an alliance with them? Russia has its own self interests. Being our "friend" is not one of them.

There is no proof that Russia interfered in our election, but there is also no proof that they didn't.

No, I don't think it's as simple as Boris & Natasha hacking the DNC by cover of night. And the phrase "Russia hacked the election" is also not accurate, even if Russia WERE directly involved. But I also don't dismiss the CIA and FBI findings as being some government conspiracy or some made-up "MSM" conspiracy. The call for an investigation was a partisan effort with Republicans being in support, and even RonaldusMagnumPI doesn't totally discount the notion.

You're not even a Trump worshipper, though, so I know this is your latest City Data posting effort to troll the left-leaning on this board because, as you've already stated, it's fun to get underneath people's skin. I don't see you putting the "moronic right wing" (your words) in their place on this thread, when they are posting moronic alt-right garbage about Hillary and Podesta having satanic blood orgies, semen-laced dinners, kebab food and rape, and Obama being an Indonesian Muslin [sic] terrorist antichrist. Is that stuff just too stupid to respond to, do you think it is actually credible, or is it just more fun to troll the left than the right? Your prerogative, either way, so have fun! I know you take joy & glee in being the resident contrarian, so I can anticipate that any discussion attempted with you is going to entail philosophical ramblings about semantics and how you are supposedly a neutral and anti-government anarchist. If this is going to be like the "Driving is a privilege not a right" thread, I don't have the patience or the energy, so I'll just let you win now. You're welcome.
 
Old 01-02-2017, 08:30 AM
 
789 posts, read 700,431 times
Reputation: 593
Quote:
Originally Posted by Kthnry View Post
The federal government does a pretty good job of managing Medicare. How different would it be for the government to run a single-payer plan, since that's what Medicare is? Why not just expand Medicare to everyone?

What's your plan for delivering health care once Obamacare has been repealed? Besides selling policies across state lines, which we have established won't work.
NO, they do NOT do a good job of managing Medicare unless you consider BILLIONS in fraud and waste good managing.

Whats MY plan? lulz. The most certain truth about any gigantic government program....once instituted, people think life cannot function without it. It really is sad when you are brainwashed to believe the Federal Govt can deliver goods and services in a more efficient manner than the private sector. It simply is not true. Never has been, never will be.
 
Old 01-02-2017, 08:44 AM
 
789 posts, read 700,431 times
Reputation: 593
Quote:
Originally Posted by Blue biker View Post
Hip-replacement patients have to wait as it's not considered life threatening. How many people have to wait in the US for someone WITHOUT any medical knowledge to approve treatment? Great Britain started their NHS in 1948?? I guess it's worked pretty good for OVER 60yrs. What about people in the US who don't buy medications because they CAN'T afford them. Or don't get hip replacement surgery because they can't afford deductibles, etc.

I don't know of any nurses that get MORE money if there are MORE patients in a hospital, do you??? Any nurses I know get paid hourly and with OT make more money. Hello McMagnusFly you WAKE UP!!!
Really? Your test to see if something works is how long the government has been running it? Why on earth do you believe that the Federal govt should make health care choices for you and your family? Your operating assumption is the faulty one. That the govt can craft a one size all solution to fit the millions of variable inputs and outcomes of health care. It cannot, nor will it ever be able to. This is the same faulty assumption all socialists believe.....that govt can create magic bullet solutions to society's problems if they just take more and more of your money. It is quite astounding this reach. That a person is suddenly endowed with wisdom and virtue just by working for the Federal bureaucracy.

The point about nurses is their profit is their salary. Their salary is based on supply/demand for nurses and the quality of their experience etc. Once you put the govt in charge, you will essentially get lowest common denominator care, where the govt needs to fix salaries to fit the financial model on how to make the whole thing work...which it won't. Same for doctors. Realize that doctors in the NHS are paid for the number of patients they have also. Funny thing about incentives, they tend to be universal.
 
Old 01-02-2017, 08:54 AM
 
789 posts, read 700,431 times
Reputation: 593
Quote:
Originally Posted by Docendo discimus View Post
There is no proof that Russia interfered in our election, but there is also no proof that they didn't.

What amazes me about this entire debate is the lack of historical context:

Russia ALWAYS is interfering or trying to interfere with our govt at its highest levels and has been doing so since the 1950s. WE ALWAYS do the same to them. This is not eye opening, it is not jaw dropping, it is not new. In 2015 the Chinese perpetrated the biggest hack in history on our govt employees. A devastating breach that dwarfs poor Podesta and his little email trove. Why did no one on the left care? Bc it didnt matter to their preferred narratives of the day which were somewhere between men having access to the ladies room and racist cops on murderous hunting trips to the inner city. Remember "the 1980s called they want their foreign policy back" by our temper tantrum in chief?

NOW the narrative must be woven to come up with a way to delegitimize Trump's win and come up with a myriad of excuses for Hillary's loss.....so we have non-stop 24/7 coverage of the "omg omg omg omg Can you believe the Russians...THE RUSSIANS tried to interfere with our election!!!!". They didnt hack any voting machines mind you, if they did anything at all it was simply releasing embarrassing emails that point to things we all knew but the media wouldnt tell us....that the DNC & the media are in cahoots to push their own candidates. This last minute tantrum by Obama as he is being shown the door truly makes him look small. And Putin owned him by not responding in kind, making him look even smaller. Obama has gone against decades of smooth power transition in foreign policy by going rogue in last couple weeks.

Hey, in Israel's last election, we seriously intervened against Netanyahu. Did anyone care? I'll hang up and listen...
 
Old 01-02-2017, 11:07 AM
 
2,132 posts, read 2,214,760 times
Reputation: 3924
Quote:
Originally Posted by RonaldusMagnus View Post
Whats MY plan? lulz. The most certain truth about any gigantic government program....once instituted, people think life cannot function without it. It really is sad when you are brainwashed to believe the Federal Govt can deliver goods and services in a more efficient manner than the private sector. It simply is not true. Never has been, never will be.
So your view is that government should not be involved at all in health care and it should be entirely managed by the private sector? How do you see that working? Are there other countries anywhere else in the world where this is done successfully? And can you try to reply without insults and snark?
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