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Old 03-09-2017, 06:58 AM
 
Location: On the Candy Eye Island
473 posts, read 307,547 times
Reputation: 477

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Quote:
Originally Posted by tinytrump View Post
after my sis got her hubby's bill of being airlifted sent to the ER- OR and Critical care and unfortunately died --she did not b-- anymore about her Obamacare- his bill for a week- was over $100K, the medivac was $34K alone-
she shut her trap...she is ms. healthy- do not eat salt or sugar etc etc- republican etc etc
Quote:
Originally Posted by ohhwanderlust View Post
You can live the healthiest lifestyle possible and still run into health problems and emergencies. Eating your broccoli daily won't save you if a drunk driver hits you.

Never take good health for granted.
Both are very true. It is easy to think we are healthy till we die but anything can happen. And every human being should be able to have healthcare. Unfortunately even some people are ready to pay more taxes etc. to secure that, goverments are able to not use those extra moneys into healthcare but they spend it for something else.
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Old 03-09-2017, 08:23 AM
 
18,802 posts, read 8,471,648 times
Reputation: 4130
Quote:
Originally Posted by unit731 View Post
Seems all skipped over your posting. As it makes too much common sense.

The last year available on Google - 2011 - the CEO of Kaiser Permanente -made $9,000,000 - nine million dollars in salary and income. The health care industry does make it difficult to find the salaries of it's CEO's

All of the countries with a single payer health care system - people live longer and people are healthier.

And all spend less of GDP then the US of A.

Oh, but we don't want no socialism. We want profits for the big hospitals and big pharma. That's the American way. Screw the patients. Pay the stockholders a good annual dividend.
Going single payer/UHC won't make overall costs go down. For several reasons. Most importantly because there will be more universal access. So more people, more patients, more medical encounters. And more medical testing and treatments will be done. So much in medicine is left undone today.

And then there will be some central administrative bloat. Not equal to the entire private sector, but some.

And finally such a system will have to satisfy us docs. If the docs don't get a decent wage they will buck hard enough to crimp the effort. Most docs don't want UHC because it leaves them in a more vulnerable pay and regulatory position. Most docs (and most patients) want choice, and don't want to be forced into any system.

More reasons I still support a public option and leave the private sector to their wishes.
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Old 03-09-2017, 08:53 AM
 
Location: the very edge of the continent
89,026 posts, read 44,824,472 times
Reputation: 13712
Quote:
Originally Posted by PCALMike View Post
Here you go again. First off, Americans pay property taxes, payroll taxes, state income taxes and local income taxes on top of federal income taxes.
So do those in other countries, and that has been explained to you. We're doing an apples to apples comparison since single payer health care for all is federal/national, not local, and not related to retirement benefits or local/state taxes.
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Old 03-09-2017, 10:00 AM
 
14,221 posts, read 6,961,631 times
Reputation: 6059
Quote:
Originally Posted by InformedConsent View Post
So do those in other countries, and that has been explained to you. We're doing an apples to apples comparison since single payer health care for all is federal/national, not local, and not related to retirement benefits or local/state taxes.
Nope, countries fund different programs in different ways. Some fund lots of stuff through property taxes (America is pretty unique in the way it funds schools). Some countries dont and instead fund most of it through federal taxes. Some can mostly fund health care locally and then the federal government mandates that the taxes raised are used for health care etc. Some countries might have 80% of their taxes being federal taxes. Some countries might have 20% of taxes being federal taxes. But the overall total tax take could be the same in both countries.
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Old 03-09-2017, 10:09 AM
 
14,221 posts, read 6,961,631 times
Reputation: 6059
Quote:
Originally Posted by Hoonose View Post
Going single payer/UHC won't make overall costs go down. For several reasons. Most importantly because there will be more universal access. So more people, more patients, more medical encounters. And more medical testing and treatments will be done. So much in medicine is left undone today.

And then there will be some central administrative bloat. Not equal to the entire private sector, but some.

And finally such a system will have to satisfy us docs. If the docs don't get a decent wage they will buck hard enough to crimp the effort. Most docs don't want UHC because it leaves them in a more vulnerable pay and regulatory position. Most docs (and most patients) want choice, and don't want to be forced into any system.

More reasons I still support a public option and leave the private sector to their wishes.
You keep talking in the abstract all the time, but dont come up with specifics. Every developed country has universal coverage. Can you be specific instead of talking about "capitalism", "diversity", "freedom", "America is different", "shining city on the hill" etc?
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Old 03-09-2017, 10:10 AM
 
Location: the very edge of the continent
89,026 posts, read 44,824,472 times
Reputation: 13712
Quote:
Originally Posted by PCALMike View Post
Nope, countries fund different programs in different ways.
I would agree to the US taxing like Sweden. Would you?

Income tax:
  • 31% (7% county and 24% municipality tax): from ~$2,690 – $62,140
  • 31% + 20%: from ~$62,140 – $88,180
  • 31% + 25%: above $88,180
När ska man betala statlig inkomstskatt och hur hög är den? | Skatteverket

PLUS a 25% VAT tax everyone pays regardless of income.

You agree the US needs to do that, right?
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Old 03-09-2017, 10:31 AM
 
18,802 posts, read 8,471,648 times
Reputation: 4130
Quote:
Originally Posted by PCALMike View Post
You keep talking in the abstract all the time, but dont come up with specifics. Every developed country has universal coverage. Can you be specific instead of talking about "capitalism", "diversity", "freedom", "America is different", "shining city on the hill" etc?

Capitalism is the best system for most most business and product. But with HC it fails in so many ways and in so many cases that there has to be central intervention. This is why we have Medicare as it is.

In reference to Arrows paper:

Kenneth Arrow

Where there is a large enough scale of social need, and capitalism fears to tread there, we will develop some central relief.

Diversity in the USA presents some medical problems not seen in say Switzerland. We have huge inner city populations of poor Black people. And HC delivery there is different, and more difficult. And those populations have differing risk factors, tendencies toward different diseases, and different responses to treatments than others. So their HC usage and their insurance coverage has to be different.

Freedom in medicine means choice. Choice of the patient to choose their HC plan and doctor. Choice for the doctor means being able to choose patients and plans.

We need an American HC plan to service and satisfy all our people. We can certainly adopt or adapt parts of HC systems from other countries, but in the end it will have to be uniquely American. Either unique in formation and administration, unique in payment or unique in delivery.
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Old 03-09-2017, 10:43 AM
 
14,221 posts, read 6,961,631 times
Reputation: 6059
Quote:
Originally Posted by Hoonose View Post
Capitalism is the best system for most most business and product. But with HC it fails in so many ways and in so many cases that there has to be central intervention. This is why we have Medicare as it is.

In reference to Arrows paper:

Kenneth Arrow

Where there is a large enough scale of social need, and capitalism fears to tread there, we will develop some central relief.

Diversity in the USA presents some medical problems not seen in say Switzerland. We have huge inner city populations of poor Black people. And HC delivery there is different, and more difficult. And those populations have differing risk factors, tendencies toward different diseases, and different responses to treatments than others. So their HC usage and their insurance coverage has to be different.

Freedom in medicine means choice. Choice of the patient to choose their HC plan and doctor. Choice for the doctor means being able to choose patients and plans.

We need an American HC plan to service and satisfy all our people. We can certainly adopt or adapt parts of HC systems from other countries, but in the end it will have to be uniquely American. Either unique in formation and administration, unique in payment or unique in delivery.
Its still very abstract. Freedom? In single payer countries, patients can choose their doctors and can go to any hospital. No "in-network" restrictions. What you are saying about "have to be uniquely American" is just what every other country has as well. No country has exactly the same health care system as any other country. Every system is "unique". Thats no argument against Medicare-for-all at all IMO. The only specific you mention is "the black people". We cant have Medicare-for-all because of black people's needs? I strongly disagree with that.
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Old 03-09-2017, 11:06 AM
 
Location: Here and now.
11,904 posts, read 5,587,643 times
Reputation: 12963
Quote:
Originally Posted by BeerGeek40 View Post
AND..... not everyone needs health insurance either!


What people do need is responsible behavior and good health habits.
Right. Because accidents and catastrophic illnesses never, ever happen to good people who don't deserve them.
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Old 03-09-2017, 11:38 AM
 
18,802 posts, read 8,471,648 times
Reputation: 4130
Quote:
Originally Posted by PCALMike View Post
Its still very abstract. Freedom? In single payer countries, patients can choose their doctors and can go to any hospital. No "in-network" restrictions. What you are saying about "have to be uniquely American" is just what every other country has as well. No country has exactly the same health care system as any other country. Every system is "unique". Thats no argument against Medicare-for-all at all IMO. The only specific you mention is "the black people". We cant have Medicare-for-all because of black people's needs? I strongly disagree with that.
Like I said freedom in medicine means choice. In my opinion the patient should have a choice of health care insurance plans, including those in the private sector as well as public. If we had a public option the patient would have that choice. Otherwise he or she might choose a private Blue Cross plan. Docs want choice too. They may or may not want to participate in a public option. Or choose some private plans over others. They may want to set up a cash practice or Concierge. But many docs don't like single payer for this reason.

Capitalism can work fine for many low risk and optional medical encounters and treatments. Such as cosmetic surgery or ocular LASIK surgery. Capitalism does not work very well with the patient with an acute gallbladder.

Black people have some medical issues that are different enough that they warrant different treatment. Hypertension and renal insufficiency come to mind. Certainly not a problem covering this through Medicare or its expansion. Aside from getting docs to service them, or getting the patients to the docs. And those are real issues. Real problems. Real differences from other countries. Insurmountable? Of course not.
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