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Old 04-22-2015, 08:11 PM
 
Location: Del Rio, TN
39,869 posts, read 26,503,175 times
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Quote:
Originally Posted by VTHokieFan View Post
We currently have a single-payer system for the elderly: I believe all people aged 65 and older are eligible. I believe Medicare/Medicaid spends around $900 billion a year, if I am not mistaken, for 45 million people (elderly and disabled). Curious how much the number balloons when 300 million people are thrown on it.
Tax everyone equally to pay for it. Insurance runs what on average, say $300 a month. On top of that, what, $5000 in deductibles. $8000 a year, per person, should about cover it. Lets see how many people are willing to pony up that kind of cash to pay for it.
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Old 04-22-2015, 08:42 PM
 
Location: Foot of the Rockies
90,297 posts, read 120,747,599 times
Reputation: 35920
Quote:
Originally Posted by middle-aged mom View Post
MDs, on average, do well in the rest of the developed world with universal healthcare.

The serious differences are hospitalization and medications including Cancer treatment.

Most U.S. hospitals in the US are not for profits. Many have $ hundreds of millions in profit each year. A lot of it is used to build the brand, advertise, acquire medical practices and either acquire or destroy the competition.
You don't see this sort of thing, to this extent, in the rest of the developed world. Hospitals are lean when in comes to non medical staff. You would likely find senior non- medical administrators making $ 7 figures.

The rest of the developed world relies on MD comprised ComRiative- Effective panels to determine the most efficient treatment protocols. This was a part of the original ACA. Republican's called them death panels and eventually it was struck from legislation. The price of medications are negotiated. No one pays $350 for a simple Walker from a medical supply house when one can buy the same thing for $35 from a Walmart like store. In the U.S. Big Pharm, American Hospital Association and medical equiptment manufacturers/ distributors own Congress. Their interests come before the masses.

Then there's the whole personal responsibility thing. 70% of US adults are overweight/ obese and substantially more vulnerable to otherwise preventable disease, Diabetes, heart Disease and certain Cancers. One- third of US children are overweight/ obese. The rest of the developed world is not dealing with a public that declines personal responsibility to the extent common on the US.
I'm not familiar with hospital administration. I do believe that cancer care is one of the US' fortes, compared with other first world countries.

I'm all for personal responsibility, but I have pointed out in the past that obesity is not just a problem in the US. I've posted stats before. Also, Europe has the highest drinking rate in the WORLD (collectively, varies by country) with the attendant highest morbidity rates for alcohol-related diseases. Most European countries also have higher smoking rates than the US.
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Old 04-22-2015, 09:56 PM
 
Location: Barrington
63,919 posts, read 46,731,596 times
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Quote:
Originally Posted by FallsAngel View Post
I'm not familiar with hospital administration. I do believe that cancer care is one of the US' fortes, compared with other first world countries.

I'm all for personal responsibility, but I have pointed out in the past that obesity is not just a problem in the US. I've posted stats before. Also, Europe has the highest drinking rate in the WORLD (collectively, varies by country) with the attendant highest morbidity rates for alcohol-related diseases. Most European countries also have higher smoking rates than the US.
The U.S. has a better track record with some, not all, Cancers. Treatment assumes one is either insured or has the means to pay upfront for treatment. 11/12 Cancer treatments cost $100,000 or more per round of treatment in the US.

Obesity is viewed as a global healthcare challenge by WHO. The U.S. has the greatest percentage of overweight/ obese people and children.
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Old 04-22-2015, 11:12 PM
 
Location: Foot of the Rockies
90,297 posts, read 120,747,599 times
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Quote:
Originally Posted by middle-aged mom View Post
The U.S. has a better track record with some, not all, Cancers. Treatment assumes one is either insured or has the means to pay upfront for treatment. 11/12 Cancer treatments cost $100,000 or more per round of treatment in the US.

Obesity is viewed as a global healthcare challenge by WHO. The U.S. has the greatest percentage of overweight/ obese people and children.
Technically, no, the US does not have the highest obesity rate in the world. It has the highest rate of first world countries, but several others are close behind.
https://www.cia.gov/library/publicat.../2228rank.html
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Old 04-23-2015, 04:57 AM
 
Location: Long Island
32,816 posts, read 19,480,794 times
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Quote:
Originally Posted by greywar View Post
Really? this is your argument back?

Just give it up. The rest of the world does this cheaper then we do, and with better results in general.

You can cherry pick some specialty, but the WHO data is damning. Refusing to recognize this is refusing to recognize reality.
uhm..not quite

let's look at how the WHO rates the countries:
1. infant mortality...which is NOT measured the same from country to country

...a) has ZERO to nill due with health care..has to due with teen pregos, and LIFE STYLES
...b) the US would have """""one of the lowest rates of age at first pregnancy""""""...especially since it has the HIGHEST RATE of TEEN prego's too...and New Mexico is has the highest rate of all 50 states
btw teen prego's...high risk, with usually lower baby weight.... according to webMD...high risk prego's are defined as..."""You are younger than 17 or older than 35.""""

....c) to rank a group on infant mortality, when many places dont even count it the same was is cherrypicking....ie many countries wont count a birth (infant death) if the unless the baby made it past 24 hour, so a 'bluebirth' doesnt count..yet we DO county it

a girl in my sons school just had a kid(at 14)..the funniest (well maybe not funny) is that as she says, "now I can get welfare just like my mom"


2. life expectancy
Quote:
WHO's lifespan (life expectancy) has been debunked a dozen times

the usa ranked 36. a LE of 78.8

the highest is japan at 82.6


the difference between us and france ....1.6 year

the difference between us and canada.....1.6 year


the difference between us and germany...a HALF a year

the differnce between us and the untied kingdom...4 months




life expectance is more about genetics and life style, than health care

we have a longer life expectancy than them as a whole

the number one place for life expectancy of asian women....USA


not to mention that life expectancy is more about genetics and LIFE STYLES (ie hamhocks, fried twinkies, and fried chicken, mcdonalds, fatbacks certainly dont help)

most other places..they walk/bike
most other places dont have 4 tv's to a house


posting about life expectancy..means actually very little to medicine

difference between us and the highest is....3.3 years ...is that realivily low (79yrs-82yrs)

and the reason...

is not health care


its....


LIFE STYLE (especially EATING, and EXERCISE), and democraphics (ethnics)
demographics, to include eating habits, GENES, TEEN PREGNANCIES, traffic, cancer, etc..ALL effect those numbers


yes I said traffic accidents....you think that the 2x amount of traffic accidents (of the world) is NOT going to lower the top level???



btw

asians have the HIGHEST life span...and FEMALE ASIAN AMERICANS have the highest life expectancy IN THE WORLD

its demographics


if you compared country "A" to country "B"...and said "A" has an average age of 38..and "B" has an average age of 51...which country do you think would be more PRODUCTIVE and HEALTHY

its the demographics


its like the life expectancy list

the USa has an AVERAGE life expectacny of 78.9 (number 30 something on the list)

but if you break it down further

in the USA, the asian american female has a life expectancy of 86(the HIGHEST in the WORLD)(((higher than the 82 in the actual country of japan)))
..whites are around 83...hispanics around 76...and blacks have a LOW LIFE expectacy around 66m/68f....giving us the AVERAGE of 78.9.....if you took the (12-15% population) of blacks of that list..we would have one of the top three life expectancies in the world....

demographic plays BIG ROLES

funny japan is higher than any of the european countries...in life expectancy..and the 3rd lowest in infant mortality....connected...hmmmmm....certainly genetic


we also have the HIGHEST teen pregnancy ...which leads to low baby weight, and high infant mortality.....and the hightest DEMOGRAPHIC with teen pregancies...the african americans (especially southern AA)


life expectancy is not about health care.. but about healthy living.....too bad the liberhaddists dont understand that
and the big lie of the WHO rating....does a country HAVE SINGLEPAYER....hmmm so the ""rating""" is based on their OPINION that having a singlepayer is better

Quote:
The rest of the world does this cheaper then we do, and with better results in general
not really
we spend massively, because we atleast address the problems

we have millions that have diabetes...other country dont diagnose as much as we do

we have millions that have monocular degeneration (blindness) other countries dont fully treat as we do

its the same with most thing...look at the numbers we (the usa) has a better 'treatment' record (life after diagnos) than all other countries

Quote:
Fact No. 1: Americans have better survival rates than Europeans for common cancers.[1] Breast cancer mortality is 52 percent higher in Germany than in the United States, and 88 percent higher in the United Kingdom. Prostate cancer mortality is 604 percent higher in the U.K. and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.

Fact No. 2: Americans have lower cancer mortality rates than Canadians.[2] Breast cancer mortality is 9 percent higher, prostate cancer is 184 percent higher and colon cancer mortality among men is about 10 percent higher than in the United States.

Fact No. 3: Americans have better access to treatment for chronic diseases than patients in other developed countries.[3] Some 56 percent of Americans who could benefit are taking statins, which reduce cholesterol and protect against heart disease. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons and 17 percent of Italians receive them.

Fact No. 4: Americans have better access to preventive cancer screening than Canadians.[4] Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate and colon cancer:

Nine of 10 middle-aged American women (89 percent) have had a mammogram, compared to less than three-fourths of Canadians (72 percent).
Nearly all American women (96 percent) have had a pap smear, compared to less than 90 percent of Canadians.
More than half of American men (54 percent) have had a PSA test, compared to less than 1 in 6 Canadians (16 percent).
Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with less than 1 in 20 Canadians (5 percent).

Fact No. 5: Lower income Americans are in better health than comparable Canadians. Twice as many American seniors with below-median incomes self-report "excellent" health compared to Canadian seniors (11.7 percent versus 5.8 percent). Conversely, white Canadian young adults with below-median incomes are 20 percent more likely than lower income Americans to describe their health as "fair or poor."

Fact No. 6: Americans spend less time waiting for care than patients in Canada and the U.K. Canadian and British patients wait about twice as long - sometimes more than a year - to see a specialist, to have elective surgery like hip replacements or to get radiation treatment for cancer.[6] All told, 827,429 people are waiting for some type of procedure in Canada.[7] In England, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.[8]

Fact No. 7: People in countries with more government control of health care are highly dissatisfied and believe reform is needed. More than 70 percent of German, Canadian, Australian, New Zealand and British adults say their health system needs either "fundamental change" or "complete rebuilding."[9]

Fact No. 8: Americans are more satisfied with the care they receive than Canadians. When asked about their own health care instead of the "health care system," more than half of Americans (51.3 percent) are very satisfied with their health care services, compared to only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).[10]

Fact No. 9: Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K. Maligned as a waste by economists and policymakers naïve to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade.[11] [See the table.] The United States has 34 CT scanners per million Americans, compared to 12 in Canada and eight in Britain. The United States has nearly 27 MRI machines per million compared to about 6 per million in Canada and Britain.[12]

Fact No. 10: Americans are responsible for the vast majority of all health care innovations.[13] The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other single developed country.[14] Since the mid-1970s, the Nobel Prize in medicine or physiology has gone to American residents more often than recipients from all other countries combined.[15] In only five of the past 34 years did a scientist living in America not win or share in the prize. Most important recent medical innovations were developed in the United States.[16] [See the table.]

Conclusion. Despite serious challenges, such as escalating costs and the uninsured, the U.S. health care system compares favorably to those in other developed countries.
First Thoughts | Blogs | First Things

We're Number 37 in Health Care! | Cato Institute
12% of kidney specialists in the UK said they had refused to treat patients due to limited resources (same source).

One study showed that patients accepted for dialysis stacked up this way.....

65 patients per million population UK
98 patients per million population in Canada
212 patients per million population in the US

Source: Delay, Denial and Dilution: The Impact of NHS Rationing on Heart Disease and Cancer
IEA Health and Welfare Unit (London), David G. Green and Laura Casper.

Here's more proof:

In order not to trigger penalty payments, the KBV devised an Emergency Programme which would, in effect, ration drug prescribing for the rest of the year.

The Emergency Programme proposed five steps:
1. Waiting lists for prescription drugs and other prescription treatments (Heilmittel, which include physiotherapy, acupuncture etc.) except in life threatening or medically essential circumstances
2. Postponement of innovative therapy to the following budget year
3. Radical switching of prescriptions from brand to the cheapest generic
4. Prior authorisation of expensive therapies
5. In the event of budget being exceeded, ‘emergency prescriptions’ to be issued temporarily, for which patients would have to pay out-of pocket and personally claim reimbursement (in Germany, unlike France, patients pay only user charges out of pocket)

Source: Why Ration Healthcare? Page 86

If healthcare costs less in Germany, then why does Germany have to ration?
Healthcare costs less, but we can't give you the medication you need, because we can't afford to buy it.


yes we spend a lot on healthcare...but we also have the BEST RECORDS of health.........
our outcomes (diagnosis and TREATMENT, and RECOVERY) is some of the BEST in the world
a) we rank in the top 10 of RECOVERY from cancer

b)American women have a 63 percent chance of living at least five years after a cancer diagnosis, compared to 56 percent for European women.
c)American men have a five-year survival rate of 66 percent — compared to only 47 percent for European men.
d)Among European countries, only Sweden has an overall survival rate for men of more than 60 percent.
e)For women, only three European countries (Sweden, Belgium and Switzerland) have an overall survival rate of more than 60 percent.

those(b-e) figures reflect the care available to all Americans, not just those with private health coverage. Great Britain, known for its 50-year-old government-run, universal health care system, fares worse than the European average: British men have a five-year survival rate of only 45 percent; women, only 53 percent.

how about a comparison to Canada???

a)For women, the average survival rate for all cancers is 61 percent in the United States, compared to 58 percent in Canada.

b)For men, the average survival rate for all cancers is 57 percent in the United States, compared to 53 percent in Canada.


In the United States, 85 percent of women aged 25 to 64 years have regular PAP smears, compared with 58 percent in Great Britain.The same is true for mammograms; in the United States, 84 percent of women aged 50 to 64 years get them regularly — a higher percentage than in Australia, Canada or New Zealand, and far higher than the 63 percent of British women.







which country has the highest cancer rate (cases not recovery)...denmark..they are the SICKEST (in terms of cancer) in the world
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Old 04-23-2015, 05:08 AM
 
Location: Florida
76,971 posts, read 47,621,806 times
Reputation: 14806
Quote:
How can the US afford a single-payer system?
By charging 50 cents for aspirin as opposed to the current 50 dollars.
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Old 04-23-2015, 05:30 AM
 
Location: Long Island
32,816 posts, read 19,480,794 times
Reputation: 9618
Quote:
Originally Posted by Finn_Jarber View Post
By charging 50 cents for aspirin as opposed to the current 50 dollars.
90% of doctors and clinics are not charging that.....those 'type' of charges are usually isolated to hospitals

people ADVOCATING for singlepayer...NEVER take into the FACT that medicine and medical care COSTS MONEY...they think they can DIRECT the cost down..in an ever EXPANDING realm

things are expensive

for example the average hospital uses a lot of electricity...about 400,000 a month...thats 5 million dollars in electric costs yearly.....you are not going to cut that piece of overhead with singlepayer

hospials also have a very high overhead in laundry, sanitation, cleaning (too include keeping floors highly shined(sealed), food service, and personnel

when you go to the local doctor and pay him/her 100..its not 100 going into their pocket

they have lots of overhead costs:
rent/lease/mortgage
property taxes
electric costs
equipment costs(and many pieces of equipment are not even made here)
cleaning costs
supply costs
personnel costs
etc



and we ALREADY have a doctor and nurse shortage

Shortage of Doctors an Obstacle to Obama Goals
http://www.nytimes.com/2009/04/27/he...cy/27care.html

Nation faces shortage of primary-care doctors
http://www.dallasnews.com/sharedcont...1.3cf46f4.html

Forecasts for a registered nurse shortage range from 400,000 to more than 1 million.
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Old 04-23-2015, 05:36 AM
 
Location: Orlando
8,276 posts, read 12,858,570 times
Reputation: 4142
Quote:
Originally Posted by HappyTexan View Post

One pays into medicare their entire working life.

The other is government welfare.

You want single payer then be ready to be taxed another 8% on top of the 6% you pay now.
And you still have to pay taxes for medicaid.
I think you would be surprised how little it would add to the expense. Medicare is the most economical health care available. They operate on a 2-3% margin vs 25-50%for the for profit systems. If we lowered the age of medicare and eliminate the ACA we could reduce the cost of health care by 1/2. Understand that the ACA has been highly effective for most.

Single Payer would be the best option, but not one the reps want as their buddies in healthcare and insurance would not be able to rape the system, well except the Rick Scotts of the world.
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Old 04-23-2015, 05:38 AM
 
Location: Unperson Everyman Land
38,642 posts, read 26,374,838 times
Reputation: 12648
Quote:
Originally Posted by greywar View Post
Really? The states going to give me a free PS4? OMG how awesome! AND pay for me to go out to the movies?

Lets be real. The vast majority of developed countries do single payer because it makes sense, and removes the middleman of insurance companies. They're getting similar results for half the cost.

How can we not afford to might be the better question.



It doesn`t remove the middleman of insurance companies.

Government becomes the middleman with all the corruption, incompetency and unaccountability that we`ve all come to expect.
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Old 04-23-2015, 05:43 AM
 
Location: Long Island
32,816 posts, read 19,480,794 times
Reputation: 9618
Quote:
Originally Posted by AONE View Post
I think you would be surprised how little it would add to the expense. Medicare is the most economical health care available. They operate on a 2-3% margin vs 25-50%for the for profit systems. If we lowered the age of medicare and eliminate the ACA we could reduce the cost of health care by 1/2. Understand that the ACA has been highly effective for most.

Single Payer would be the best option, but not one the reps want as their buddies in healthcare and insurance would not be able to rape the system, well except the Rick Scotts of the world.
singlepayer( ie government paid and controlled) would be the worst option... look at all the problems with the VA...
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