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Old 09-04-2018, 12:51 PM
 
Location: Barrington
63,919 posts, read 46,721,445 times
Reputation: 20674

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Quote:
Originally Posted by EastwardBound View Post
I know, how about we have the government take over and decide how much each person and each profession can make. There you go!
That defines what little is known about the in the works trade deal with Mexico.

Mexico Minimum Wage and allowing unions to negotiate on behalf of workers is very much on the table.

This by some who oppose Minimum Wage in the US and advocate for Right to Work.

Too funny.
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Old 09-04-2018, 12:54 PM
 
Location: Victoria, BC.
33,531 posts, read 37,130,597 times
Reputation: 13999
Quote:
Originally Posted by CaliforniaGal View Post
Primary Care Doctors today do not make a lot of money. I don't think Internist do as well. The days of living up on the hill with nice cars are gone for doctors.

You do not want Universal Healthcare. The people in Canada who have money come to the USA for their care. The waiting lists in Canada is long - Our nieces husband is from Canada. Also their taxes are through the roof. How do you think that Universal Healthcare is paid for?
Good grief, so much misinformation in one post...What is the matter with you people that you spread this cattle excrement?

In Canada family physicians make about $271,000 while medical specialists make about $338,000 and surgical specialists earn $446,000....I could live very well on that amount.

People from Canada rarely travel to the US for health care.....I can see my doctor today if I need to.....Our taxes are not much different from yours...In some cases they are much lower.


The tax rate for a married couple with one income and two kids in the U.S. is 12 times as high as the tax rate on the same family in Canada. No, that's not a typo. https://www.huffingtonpost.ca/2018/0...cd_a_23426460/
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Old 09-04-2018, 12:56 PM
 
Location: NC
1,873 posts, read 2,406,421 times
Reputation: 1825
Quote:
Originally Posted by workingclasshero View Post
America has BETTER outcomes medically...yes we are more expensive, but part of that is overhead not related to healthcare, yet our outcomes are better
If you mostly cherry pick cancer and vs Canada it does appear US outcomes are decent, though yours don’t universally show “better.” Since you appreciate quantity of info over quality, here’s a few links that suggest otherwise among all developed countries and a broader more representative set of outcomes.

WHO ranks the US 37th World Health Organization’s Ranking of the World’s Health Systems | thepatientfactor.com

Forbes ranked the US 11 of 11 (hardly liberals BTW) https://www.forbes.com/sites/danmunr.../#11eec2ef576f
Attached Thumbnails
Doctors in America are grossly overpaid.-7a583134-1b92-4de3-9554-ecd3f70317dc.jpeg  
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Old 09-04-2018, 01:03 PM
 
Location: NC
1,873 posts, read 2,406,421 times
Reputation: 1825
Some won’t get it, but until consumers collectively challenge the status quo and campaign finance, these discussion of under lying causes for high cost/poor outcome healthcare in the US are pretty pointless anyway. But carry on, the brick wall will always be there. Just read any healthcare-cost-quality thread here for the last 5-10 years, nothing has really changed, in healthcare and most likely the positions of most member-posts here whose minds were made up long ago.
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Old 09-04-2018, 01:08 PM
 
Location: Long Island
32,816 posts, read 19,476,785 times
Reputation: 9618
Quote:
Originally Posted by Midpack View Post
If you mostly cherry pick cancer and vs Canada it does appear US outcomes are decent, though yours don’t universally show “better.” Since you appreciate quantity of info over quality, here’s a few links that suggest otherwise among all developed countries and a broader more representative set of outcomes.

WHO ranks the US 37th World Health Organization’s Ranking of the World’s Health Systems | thepatientfactor.com

Forbes ranked the US 11 of 11 (hardly liberals BTW) https://www.forbes.com/sites/danmunr.../#11eec2ef576f


really you are going to us the WHO 37 rank???


that rank of 37 is not based on medical quality, diagnois or actual health care

The WHO rankings of 191 health systems worldwide placed the United States 37th....

But the WHO study is much like the annual magazine rankings of colleges: It grabs plenty of headlines but rests on questionable analysis. A closer look at the WHO health care study reveals startling assumptions, critical lapses in statistical judgment, and a clearly predetermined political agenda.....

Breaking "new methodological ground," the WHO report rates national health care performance according to five trendy flavors of the month: life expectancies, inequalities in health, the responsiveness of the system in providing diagnosis and treatment, inequalities in responsiveness, and how fairly systems are financed.
We're Number 37 in Health Care! | Cato Institute
First, consider the study's data. Health statistics for each country were collected from individual agencies and ministries, assuring wide disparities in definition, reporting technique and collection methodology. Indeed, the report concedes that "in all cases, there are multiple and often conflicting sources of information," if sources at all. For the many nations that simply do not maintain health statistics, the WHO "developed [data] through a variety of techniques." Without consistent and accurate data from within a single country, how can meaningful comparison be made among 191 different countries?

Second, the report places undue weight on statistical devices like disability-adjusted life expectancies (DALEs), which measure how long a person can expect to live in good health. The problem is, all the resources a country spends helping disabled people live longer and more comfortably do nothing to help its DALE score, so countries aiming for a good WHO ranking have no reason to spend more helping the disabled. DALEs assume that disabled people's lives have less value than those of people without disabilities, and they make similar discounts on the lives of the elderly. Should the United States stop spending money on its disabled? On its seniors? The WHO's criteria would give granny the boot.

Finally, on the basis of those flawed statistical measures, the WHO unleashes an emotional assault on free markets, saying that governments must hold the "ultimate responsibility" in "defining the vision and direction of health policy, exerting influence through regulation and advocacy, and collecting and using information." WHO dismisses markets as "the worst possible way to determine who gets which health services," arguing that "fairness" requires the highest possible degree of separation between who pays for health care and who uses it.

Overall, the WHO rankings' mathematical formulations serve only to distract attention from the authors' underlying distaste for individual choice in health care. The report largely ignores the extraordinary benefits the American marketplace brings to health care worldwide, such as new drugs, advanced diagnostic instruments such as MRIs and CAT scans, and lifesaving therapies for cancer and heart-disease patients. Under a WHO-style health care system, lifesaving research and innovation would be stifled and individual choice would be discarded in favor of collective control. Bureaucrats would decide who receives care -- and who does not -- on the basis of statistical tallies that devalue the lives of the elderly, the disabled and the chronically ill.

By contrast, a free-market health care system upholds the right of every person to make his own decisions. Patients are given choices, not issued numbers, and doctors are freed from impersonal "expert panels" dictating what care they can and cannot provide. The WHO's idea of government-provided universal health care is a fantasy that masks a system of dangerous, formula-based rationing.


====================================

WHO's lifespan (life expectancy) has been debunked a dozen times

the usa ranked 31. a LE of 79.8

the highest is japan at 83.8


the difference between us and France ....1.2 year

the difference between us and Canada.....1.2 year


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

the difference between us and the United 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 don't have 4 tv's to a house


posting about life expectancy. Means actually very little to medicine

difference between us and the highest is....4.0 years ...is that relatively low (79yrs-83.8yrs)

and the reason...

is not health care


its....


LIFE STYLE (especially EATING, and EXERCISE), and demographics (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 expectancy of 79.8 (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 87(the HIGHEST in the WORLD)(((higher than the 84 in the actual country of japan)))
..whites are around 84...Hispanics around 77...and blacks have a LOW LIFE expectancy around 66m/68f....giving us the AVERAGE of 79.8.....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 highest DEMOGRAPHIC with teen pregnancies...the african americans (especially southern AA)


life expectancy is not about health care.. but about healthy living.....too bad the liberhaddists dont understand that
=============================


infant mortality= every country is different on how the measure that. to include still births....and on top of that the USA has a high teen pregnancy rating, which leads to a higher infant mortality ....... more about education than health care


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"


============================

oh and the best one...does the country have a UHC of sometype....if they don't, worse ranking.




======================




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.
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Old 09-04-2018, 01:11 PM
 
Location: NC
1,873 posts, read 2,406,421 times
Reputation: 1825
^^ You really like to back up the dump truck with those items that support your premise doncha! And without ever addressing the very high relative cost of US healthcare.
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Old 09-04-2018, 01:13 PM
 
Location: Barrington
63,919 posts, read 46,721,445 times
Reputation: 20674
Quote:
Originally Posted by Rocko20 View Post
Ah yes, let’s punish the brilliant Ben Carson neurosurgeons of America. Who help keep people alive for a living.

When you look at the student loans, training, school, and experience of those doctors, you’ll see they earned every penny. Even a plastic surgeon earns his money. They can make an ugly person less ugly.

When doctors start growing on trees, then you can start paying them less.
Speaking of Cosmeric Plastic Surgeons...

This specialty is as close as one gets to a free market in healthcare.

Most of these practices spend a considerable amount of money on advertising and making their phone ring.

Most people don’t refer because they don’t want to disclose they had surgery to look better/ younger.

Patients know the cost up front ( excluding complications) because they are expected to pay up front.

These surgeons don’t offer a sliding scale based upon a patient’s ability to pay.

These surgeons have no need to participate in insurance networks because; for the most part; insurers excludes the work.

And yet, based on mean income, Plastic Surgery, is ranked #7 out of 125 +/- specialties.
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Old 09-04-2018, 01:15 PM
 
Location: East Coast of the United States
27,556 posts, read 28,647,655 times
Reputation: 25148
Quote:
Originally Posted by sanspeur View Post
In Canada family physicians make about $271,000 while medical specialists make about $338,000 and surgical specialists earn $446,000....I could live very well on that amount.
Okay, but 1 Canadian dollar = .76 US dollars
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Old 09-04-2018, 01:16 PM
 
995 posts, read 1,694,902 times
Reputation: 2030
Quote:
Originally Posted by Midpack View Post
If you read more than one post before lashing out, you’d see we’re in heated agreement. More interested in peddling your POV than a productive discussion...

//www.city-data.com/forum/52993424-post87.html

I would have to respect someone's opinion in order to read their dribble. Carry on.
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Old 09-04-2018, 01:17 PM
 
Location: Barrington
63,919 posts, read 46,721,445 times
Reputation: 20674
Quote:
Originally Posted by sandsthetime View Post
I've always felt that the real problem isn't that doctors are overpaid but the lack of quality doctors in the first place. Mediocre doctors are easy to find, its harder to find truly great ones.
There are 1 million +/- MDs licensed in the US.

How many have you met?

What objective criteria do you use to evaluate a doctor?
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