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Old 11-14-2016, 03:37 PM
 
Location: near bears but at least no snakes
26,662 posts, read 28,742,859 times
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Quote:
Originally Posted by ScoPro View Post
The 11 million+ illegals aren't going anywhere, just the million (or whatever) criminals from that demographic will be targeted.
The poor have had access to good healthcare for decades as mandated by federal law. Why do you think the ERs & public clinics are so crowded? It's the insurance side that is so retarded by federal restrictions that helps keep costs so high.


Some of those European HC models are not sustainable, nor are they preferable for Americans.


Trump will reach out to the UK for plenty of trade deals, but importing their healthcare/insurance will not be one of them.
ALL the illegals need to go. It is illegal for them to be here in the first place. They broke the law by coming and their kids are a drain on our schools and other services. There needs to be an improvement to the immigration system so that the good ones can get here legally.

Going to an ER is not health care. They shouldn't be cramming the emergency rooms anyway when what they really need is a dr's appointment. They, and all of us, need affordable health insurance.

No, Trump won't accept universal health care but one of these days, we will get it, even here. The current system is flawed but it could have been fixed. Repealing it is a bit drastic.
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Old 11-14-2016, 04:15 PM
 
4,739 posts, read 10,456,472 times
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Going to an emergency room is health care - health insurance is not health care.
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Old 11-14-2016, 10:55 PM
 
Location: Near Manito
20,169 posts, read 24,358,248 times
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Quote:
Originally Posted by ScoPro View Post

Some of those European HC models are not sustainable, nor are they preferable for Americans.
I would like to see some evidence to back up those claims. Have you ever lived in Europe and accessed healthcare? I have, and the treatment and cost was far superior to that of the US. In Europe, you actually can walk into a doctor's office and speak to a doctor. Pharmacies all charge the same for medicines, and the charges are nominal, since the government sets the prices.

If Americans ever get the chance to experience a healthcare system that is devoted to patients, instead of the merry-go-round con game played by American insurance companies, pharmacies, hospitals, and drug companies, they'd never go back.

I've never had it satisfactorily explained exactly what insurance has to do with healthcare, anyway. Being born, getting sick, needing medicines, surgery, etc., are not accidents. They are part of the human experience. Why should it be treated like some game of chance, with actuaries dictating how you will be treated, what care you receive, how long you live? These are medical decisions, which rightly need to made by patients and medical professionals, not a bunch of green eyeshade bean counters.
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Old 11-15-2016, 12:00 AM
 
Location: England
26,272 posts, read 8,441,941 times
Reputation: 31336
Quote:
Originally Posted by Yeledaf View Post
I would like to see some evidence to back up those claims. Have you ever lived in Europe and accessed healthcare? I have, and the treatment and cost was far superior to that of the US. In Europe, you actually can walk into a doctor's office and speak to a doctor. Pharmacies all charge the same for medicines, and the charges are nominal, since the government sets the prices.

If Americans ever get the chance to experience a healthcare system that is devoted to patients, instead of the merry-go-round con game played by American insurance companies, pharmacies, hospitals, and drug companies, they'd never go back.

I've never had it satisfactorily explained exactly what insurance has to do with healthcare, anyway. Being born, getting sick, needing medicines, surgery, etc., are not accidents. They are part of the human experience. Why should it be treated like some game of chance, with actuaries dictating how you will be treated, what care you receive, how long you live? These are medical decisions, which rightly need to made by patients and medical professionals, not a bunch of green eyeshade bean counters.
I have always puzzled at why so many Americans are against universal healthcare. I don't criticize because it's none of my business. But, our NHS works just fine for us, and nobody ever seriously talks of getting rid of it. Sure, it has it's problems, but we are glad it's there to look after us in times of illness.
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Old 11-15-2016, 01:54 AM
 
Location: Itinerant
8,278 posts, read 6,284,602 times
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Quote:
Originally Posted by English Dave View Post
I have always puzzled at why so many Americans are against universal healthcare. I don't criticize because it's none of my business. But, our NHS works just fine for us, and nobody ever seriously talks of getting rid of it. Sure, it has it's problems, but we are glad it's there to look after us in times of illness.
Actually they're not against UHC but are afraid of the costs associated. The issue with HC in the US is the grossly inflated costs from pharma, hospitals and professional in collusion with insurers. For instance I've been billed for HC procedures (non trivial) that would have cost $20k. My insurance had an in network negotiated rate of $7000. My contribution was $0. So It cost me nothing, but we're I uninsured it would have cost $20k, but my HC professional couldn't have discounted the cost prior to procedure without risking his contracts with the insurers he was contracted with. Of course he made a decent profit on the $7k he received from my insurer.

So we have the AMA who set among other things guidelines for practitioner insurer interactions. Insurance companies locking in high pricing that they know they will never have to pay. And Pharma Corps. Gouging for meds that are life saving or common use. Plus people cannot import their own prescription meds from abroad legally, further novel treatments languish in the FDA inbox for years without significant company expenditures (which favors large multinationals with deep pockets and large earnings requirements).

Ultimately we all pay in the US either directly or indirectly to keep the medical machine turning. Yet we eliminate competition which would drive down pricing. It's a rigged game that ultimately costs the consumer and it's been rigged by the people making the profits the AMA, hospitals, and pharmaceutical co's.
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Old 11-15-2016, 02:25 AM
 
Location: England
26,272 posts, read 8,441,941 times
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Quote:
Originally Posted by Gungnir View Post
Actually they're not against UHC but are afraid of the costs associated. The issue with HC in the US is the grossly inflated costs from pharma, hospitals and professional in collusion with insurers. For instance I've been billed for HC procedures (non trivial) that would have cost $20k. My insurance had an in network negotiated rate of $7000. My contribution was $0. So It cost me nothing, but we're I uninsured it would have cost $20k, but my HC professional couldn't have discounted the cost prior to procedure without risking his contracts with the insurers he was contracted with. Of course he made a decent profit on the $7k he received from my insurer.

So we have the AMA who set among other things guidelines for practitioner insurer interactions. Insurance companies locking in high pricing that they know they will never have to pay. And Pharma Corps. Gouging for meds that are life saving or common use. Plus people cannot import their own prescription meds from abroad legally, further novel treatments languish in the FDA inbox for years without significant company expenditures (which favors large multinationals with deep pockets and large earnings requirements).

Ultimately we all pay in the US either directly or indirectly to keep the medical machine turning. Yet we eliminate competition which would drive down pricing. It's a rigged game that ultimately costs the consumer and it's been rigged by the people making the profits the AMA, hospitals, and pharmaceutical co's.
Boy, it sure sounds complicated Gungnir. How can it be right that an insurance company can beat the $20,000 to $7,000? Yet an uninsured person would be stuck with the full $20,000 bill? That doesn't seem fair to me at all.
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Old 11-15-2016, 03:07 AM
 
Location: Glasgow Scotland
18,543 posts, read 18,794,659 times
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We have it easy over here in the UK as I cant even start to imagine worrying both about having an operation and the cost as well, Ill never slag off the NHS again.
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Old 11-15-2016, 03:13 AM
 
Location: Edina, MN, USA
7,572 posts, read 9,030,958 times
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Quote:
Originally Posted by Gungnir View Post
Actually they're not against UHC but are afraid of the costs associated. The issue with HC in the US is the grossly inflated costs from pharma, hospitals and professional in collusion with insurers. For instance I've been billed for HC procedures (non trivial) that would have cost $20k. My insurance had an in network negotiated rate of $7000. My contribution was $0. So It cost me nothing, but we're I uninsured it would have cost $20k, but my HC professional couldn't have discounted the cost prior to procedure without risking his contracts with the insurers he was contracted with. Of course he made a decent profit on the $7k he received from my insurer.

.
The $20K is the write off cost. This is such a game. A close friend of mine had an MRI -after ins her portion was $600. Her DR wants her to have 1 each year. She said no way was she paying $600 a year for this. Her DR said - well then just tell the specialist that and they will deeply discount it - it won't be nearly a much. OK - this is with ins. It is such a dang game. So she paid $600 when she probably could have paid $300 or even less. They are going to try to get as much as possible and then write off what they say the ins won't pay or what the patient claims to only be able to pay. If the patient just pays the bill - great for them. If the patient maybe calls and complains I bet they write off more.

UK's system would never work here. I wonder what DRs salaries are like there. The greed here is unbelievable.
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Old 11-15-2016, 03:37 AM
 
Location: Phoenix
3,211 posts, read 2,248,600 times
Reputation: 2607
Quote:
Originally Posted by English Dave View Post
I have always puzzled at why so many Americans are against universal healthcare. I don't criticize because it's none of my business. But, our NHS works just fine for us, and nobody ever seriously talks of getting rid of it. Sure, it has it's problems, but we are glad it's there to look after us in times of illness.
They either philosophically are opposed to the concept of UHS or they or benefitting from the current system.


I currently work in the Middle East and manage an office with a room full of Brits...the one complaint I hear is how long it takes to get a procedure taken care of. Last year, I worked for a Canadian company and the complaint I heard was the same.


I support implementation of some type of UHC system in the USA but there are some benefits to our excessively expensive US system that will need to be addressed.


About Trump reaching out to the UK, I hope he does but it's go to be reciprocated....life is a 2 way street.
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Old 11-15-2016, 04:16 AM
 
Location: Itinerant
8,278 posts, read 6,284,602 times
Reputation: 6681
Quote:
Originally Posted by Umbria View Post
The $20K is the write off cost. This is such a game. A close friend of mine had an MRI -after ins her portion was $600. Her DR wants her to have 1 each year. She said no way was she paying $600 a year for this. Her DR said - well then just tell the specialist that and they will deeply discount it - it won't be nearly a much. OK - this is with ins. It is such a dang game. So she paid $600 when she probably could have paid $300 or even less. They are going to try to get as much as possible and then write off what they say the ins won't pay or what the patient claims to only be able to pay. If the patient just pays the bill - great for them. If the patient maybe calls and complains I bet they write off more.

UK's system would never work here. I wonder what DRs salaries are like there. The greed here is unbelievable.
Agreed on write off cost. The surgeon I used was quite honest and told me the same. You have to accept the initial fee for treatment. Only then can you haggle, which is the complete opposite of normal negotiation. A normal negotiation determines price before service, not price post service. However most insurers handcuff practitioners to prevent this (and some you can negotiate at your own credit risk post service).

It's nuts and a complete nightmare of incestuous money streams. Hiding the real costs of treatment behind apparent costs to the customer.
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