Quote:
Originally Posted by Dane_in_LA
That pretty much describes the German model, but Heaven forbid the US emulates a model that has worked since the 1840s.
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That is not the German model.
You might want to better inform yourself. The German model does not use hospitals.
I live in an 11-county Metropolitan Statistical Area population 3 Million and there are 19 full-service hospitals.
You will never under any circumstances see anything remotely similar to that anywhere in Europe.
Paris, France (population 3 Million) has only 6 full-service hospitals, Berlin, Germany (population 3 Million) has only 3 full-service hospitals and Bucharesti, Romania (population 3 Million) has only 3 full-service hospitals.
Get rid of the freaking hospitals and your health care costs automatically decrease 300% to 700% literally over-night.
An hospital is
the least efficient and least effective means of delivering health care services, which is why Europeans, who obviously have bigger brains than Americans, don't use hospitals.
The reason you have hospitals in the US is because you have all been brain-washed by one of Obama's biggest campaign donors, the American Hospital Association (AHA), who wrote much of the legislation in Obamacare, and who specifically wrote Section 6001
which outlaws the Clinic Model that Europeans use to provide effective, efficient and low-cost health care services.
Quote:
Originally Posted by Bluesmama
I think it is too late to come up with ANY plan or strategy to fix this problem.
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All you need is a real leader who has a brain and isn't owned by anyone, and who has your best welfare in mind.
Step #1: Ban the illegal cartels. Make it so that no hospital can associate with any other hospital. Hospital Cartels like Tri-Health illegally collude to illegally fix prices so that there is no Free Market Competition and you pay the price of the Robber Baron Hospital Cartels force upon you (that is Command Economics just like the Soviets used).
Step #2: Apply the sports/radio rule. No one can own more than one hospital in a Metropolitan Statistical Area. What, um, Free Market Choices do I have? I can go to St Luke East owned by the Sisters of Mercy, or St Luke West owned by the Sisters of Mercy, or Bethesda North owned by the Sisters of Mercy, or Mercy West owned by the Sisters of Mercy or Mercy East owned by the Sister of Mercy. What the hell kind of choice is that? And if not them, then I can go to St Francis owned by the Sister of Charity, or St George owned by the Sister of Charity or Good Samaritan owned by the Sisters of Charity, or Provident owned by the Sister of Charity. Again, what the hell kind of choice is that? Okay so I can go to Jewish Hospital, but that's in the same freaking cartel owned by Tri-Health and all of the Sisters of Charity hospitals. Whooopeeee!
Step #3: License the hospitals out of existence. For any private (ie not run by a city, county, State or university) hospital that offers more three services, force them to purchase an operating license equal to 50% of their gross revenues. That means if a private hospital has an emergency room, and an OB-GYN department, and an orthopedic section their fine, but for the oncology department, that would require a license, and so would the diet/weigh loss clinic, and so would cardio-pulmonary, psychiatry, geriatrics, pediatrics etc etc etc.
Obviously, hospitals couldn't afford the licenses, so they would have to shut down most of their services.
Does that mean no one gets open-heart surgery? No, it just means someone opens a cardio-pulmonary clinic not associated with any hospital, and provides low-cost, highly efficient highly effective services....
just like they do at clinics in Europe.
I've repeatedly shown the article from the Cincinnasti Enquirer where the AHA, the two "competing" (snicker) Hospital Cartels and the insurance companies ran to Columbus to ram through legislation to block doctors from opening a cardio-pulmonary clinic that would only perform open-heart surgery.
The fact that the clinic could charge $13,000 for open-heart surgery frightened the Hospital Cartels, who charge $26,000 to $41,000 for the same procedures.
Yeah, that would cut into their perks for hospital administrators.
Why do you think there are kidney dialysis clinics? Because, hospitals charge way too much. I believe it was California where a group of dialysis patients formed a group, bought their own dialysis machines and then offered the services to others. Then it spread across America. No more going to hospitals and paying with your eyeballs for dialysis.
The American Hospital Association (Obama's best buddies) is still livid over that and has been trying for years out-law those clinics in order to force people to use hospitals again, where they can rape you of all your money.
If you did that, health care would instantly become affordable. You'd pay $2,300 for childbirth instead of $9,200 (in most markets).
After you do that, then you can work on, um, "health insurance" which you have never really had. What you have is a socialist health plan where your money is pooled together in a group, and then you have men subsidizing health care for women, and single people subsidizing health care for families (as I already proved on another thread by showing typical rates for single payers and families).
If you had true health insurance, well, first it would based on actuarial science and I'm sure a lot of people wouldn't want to go there because it's based on risk, so the fat-bodies would pay more than those who aren't fat.
Still, outside of true actuarial science, you could force health plan providers to offer something closer to true actual health insurance, by allowing people to pay for only the coverage they want, just like for your home or auto.
That would go along way from shifting health plans from communist nightmares to free market responsibility. If it was up to me, then if you want emergency room coverage only, then that is what you would buy and it would cost a helluva lot less than what you're paying now. If you want to cover prescription medications prescribed by ER physicians, that would cost a tad more.
If you want doctor's office visits covered, you'd have to purchase a plan for that. If you want general prescription medication coverage, you'd have to purchase a separate plan for that.
I'd make people purchase a separate rider if they want STDs covered. Purchase another rider for HIV/AIDs. If you're an alcoholic, then you need to purchase a rider for cirrhosis of the liver. If you're over-weight, then you'd best purchase a rider for Type II Diabetes.
If you're over 55, you might want to purchase a rider for Alzheimer's and Dementia (right now younger people subsidize that for the old skins).
If you can get pregnant, then a woman had best purchase a child-birth rider, unless her boyfriend will cover her by buying a pregnancy rider for his hindrance.
Yeah, so you already have a communist system where people are paying for other people's health care, most of you just don't get it.
Quote:
Originally Posted by Jaggy001
What makes you think that the Germans do not pay for their health care?
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I had to pay 10 DM once.
I was swimming at a rock quarry (a court-martial offense for military members in Europe) and cut myself to the point I needed stitches and a tetanus shot, so I couldn't go a military facility (plus I was on a Nuclear Duty Roster so that would create complications). My girlfirned took me to her doctor, he sewed me up, gave me a tetanus shot and charged me 10 DM (which actually cost me about $3 or so since the exchange rate was $1 = 3.18 DM at the time).