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I think health care would be much more efficient if you had trained nurse practicioners handling routine care. But you are right. You must have a trained doctor on staff reviewing all assessments.
Thanks for your support of nurse practitioners. Generally they work under "standing orders", e.g, a course of penicillin for strep, an alternative for those allergic, etc. Whether the doc has to be on premises or not is usually a matter of legal interpretation of state law. I used to work in an immunization clinic where we had standing orders and there was no doc around.
Quote:
Originally Posted by Greatday
The new clinic concepts, such as the ones in WalMart, have licensed physicans doing the exams with the assistance of licensed nursing staff.
Don't be so sure the assistants have licenses, or if they do, that they are RNs. A lot of offices employ MAs (medical assistants) to do this work. Much cheaper for them than paying an RN.
What happens to the person that.. let's say has hernia.. goes in and has it checked and find out that.. yes, that's what is . Now you have to have surgery,but you don't hve the insurance to cover it.
Walmart does have that $4 prescription plan (but what if the drug has no generic and it's like $80 a pill?).
If you need a referal to a doctor for your hernia, you would get it. As for the cost, there are various ways to work out payment plans today.
As for the scripts - if the med not generic, then you pay the freight.
If you need a referal to a doctor for your hernia, you would get it. As for the cost, there are various ways to work out payment plans today.
As for the scripts - if the med not generic, then you pay the freight.
GreatDay.. that doesnt make sense.. Hernia surgery is probably pretty .. well simple and NOT as costly..although costs a good penny..
What about more expensive procedures.. kidney transplants, heart surgeries. you get the idea. Are you suggesting that by "payment plans" you pretty much finance the surgery.... So. who's gogn to "finance" the surgery.. some bank? Then there's interest. Isnt' yoru "financing" ability based no income etc.. so what if you don't qualify for the amount you need? Where does the difference come from. What if you die before you pay it off!
That type of plan doesn't make sense.. and isn't practical for everyone. It's not Universal.
No.. everyone should pay into the pot and then dip intot hat pot when they need surgeries.. etc. Universal One Payer Health System.. Perhaps Dr. Check ups and visits like originally mentioned don't need to be paid for by governemnt.. but everything else does. . and yes, also those expensive non generic drugs.. .perhaps if hte gov't is responsible.. maybe, just maybe.. those drugs would stop being so ridiculously expensive.. gov't could negotiate better pricing..etc.
GreatDay.. that doesnt make sense.. Hernia surgery is probably pretty .. well simple and NOT as costly..although costs a good penny..
What about more expensive procedures.. kidney transplants, heart surgeries. you get the idea.
You made the leap from a walmart clinic visit - referring someone who needs a hernia repair - to a kidney transplant - wow!
And once again - we don't need government to pay for these things. We simply need to make insurance more affordable and more accessible - to assist in paying for these types of expenses. Please note, I said assist - I don't believe that the taxpayers should be responsible to pay all of your medical bills TM -
You made the leap from a walmart clinic visit - referring someone who needs a hernia repair - to a kidney transplant - wow!
And once again - we don't need government to pay for these things. We simply need to make insurance more affordable and more accessible - to assist in paying for these types of expenses. Please note, I said assist - I don't believe that the taxpayers should be responsible to pay all of your medical bills TM -
and I believe that in order for ANYTHING to be affordable to anyone is for insurance companies to be bye bye!! Say adios to the CEO's million dollar salaries and bonuses.. say bye bye to those billions they make and the millinos that they waste NOT on healthcare but on other stupid stuff that has NOTHING to do with the health of their insured..
Bottom line GreatDay..as long as you have some companies trying to make a profit off someone's "health insurance" it will not be affordable for most.. only the rich and hte elite.
Insurance companies are why we are in this mess.
And.. Taxpayers would all be paying into a system so it wouldn't be free. I'm not oppsed to having certain things..like I said.. a Dr. check up and visit at $65 be out of pocket.. or co pays similar to insurance like we have now.. But not ONE child or ADULT should not be covered for what they need..
Look at it htis way.. right now my cousin hada baby (yes, it was an oops.. it's really my cousins daughter). Seh's covered as a dependent under her dad (she's a college studen) but her baby isn't (was for jus 1 month). Of course.. she doesn't have any money etc.. well yesterdday the baby had to go the ER for emergency care for RSV and stay overnight.. yes, she is applying for medicaid for him (he's only 8 weeks old) .. but who right now is going topay for that hospital stay (they live in a state that is the 4th lowest salary paying in the country, btw - but medical cost remain the same.. HIGH).. the taxpayers!!! First, if she gets medicaid and second.. if medicaid doesn't cover that bill it will go unpaid..etc etc.
NOPE.. you need a One payer Universal System that covers eveveryone!
NOPE.. you need a One payer Universal System that covers eveveryone!
And, this is where you and I disagree.
Nor, will you ever get everyone paying into such a system as you suggest.
We don't need government involved per se
We DO NEED affordable health insurance to cover the catastrophic areas - not the day to day things. This type of insurance is, and can be, very affordable with a few things done, legislatively.
I really question Rep. Conyer's figures. Kaiser Permanente figures the average family premium for health insurance to be around 12K per year, how is Conyers getting it down to 6K?
I know that some savings may be realized via volume and consolidation, but 50%? Seems rather exagerated, although as someone who is paying these outrageous premiums currently I would welcome seeing a test program to see if it is as effective as claimed.
^^^ That's the best idea I've heard in a long time: a test project. I do not believe there is all this waste and inefficiency either, but would like to see it proven.
$12,000/yr seems a bit high, higher than we pay. I believe ours is currently about $6000 for a family of four. (It comes out of my husband's paycheck, so I don't usually see it.)
^^^ That's the best idea I've heard in a long time: a test project. I do not believe there is all this waste and inefficiency either, but would like to see it proven.
$12,000/yr seems a bit high, higher than we pay. I believe ours is currently about $6000 for a family of four. (It comes out of my husband's paycheck, so I don't usually see it.)
You would have to have a big enough pool to make it valid though - and, IMO, the pool would have to be scattered nationwide. Volunteers perhaps???
And, why must it come out of your husbands check? LOLOLOL
It comes out of his check because his is the steadier job. I could get insurance through the job I have now, and it would save us a little money, but it's not as good a policy. So it might cost us money in the long run. Nurses get lousy insurance, maybe b/c the docs can afford more out of pocket (I work in a dr's office).
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And, why must it come out of your husbands check? LOLOLOL
