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barry12345 11-09-2012 06:25 AM

Quote:

Originally Posted by SDL (Post 3046025)
Your claiming something to be, should not be confused with facts.

So healthcare should not be a for profit industry because you say so? How about the segment of the IT industry that supports the delivery of healthcare so that not be for profit? How about the segments of the construction industry, or the energy industry, or the paper industry, the transportation industry, or every other industry that supports the delivery of healthcare should they be not for profit?

Why should IT be a for profit industry modern society can't be organised or function without it, quality of life for everyone would be severely effected if it where to be denied anyone, why is it ok for you to profit but not a doctor, a nurse, a medical device company, a research company, a medical billing software company, and insurance company the aggregates risk.

You think you should be provided something you want at cost by others but you should be able to sell your services or products at a profit?

One has to define profit versus usage and extortion. Technically competition must be involved in the equation. Even with that manipulation can be still be a factor. Man can also engineer complexity to the point of almost being beyond comprehension by the masses.

MS Fowler 11-09-2012 08:26 AM

Lets make Health care run by a "non=profit corp. I'll be the Chairman of the not-for-profit corp. Of course, I will need a salary to run the corp, and I need a house to entertain in the style I need to attract investors, and I need a nice office and staff, and benefits--but since is a not-for-profit corp, no one will care what those expenses actually are. Its the best new con game in this economy.

MTI 11-09-2012 08:59 AM

Quote:

Originally Posted by MS Fowler (Post 3046067)
Lets make Health care run by a "non=profit corp. I'll be the Chairman of the not-for-profit corp. Of course, I will need a salary to run the corp, and I need a house to entertain in the style I need to attract investors, and I need a nice office and staff, and benefits--but since is a not-for-profit corp, no one will care what those expenses actually are. Its the best new con game in this economy.

Sort of like a religion. You need the trappings and accouterments to shear the sheep?

cullennewsom 11-09-2012 09:17 AM

Quote:

Originally Posted by SDL (Post 3045978)
What evidence is there that the quantity and quality of healthcare delivered under those competing systems is comparable? In what ways would you compare watermellons and kumquats?

There's lots of data. You should start somewhere like Nationmaster. While it may be a challenge to compare individual details and their costs and effects; at the macro level, it's easy to see that people in Western Europe, Canada live longer, healthier lives, and that less of their real income is used to pay for heath care, whether through taxes or self paid services.

I like Hans Rosling's visualizations on the subject. Hans Rosling's 200 Countries, 200 Years, 4 Minutes - The Joy of Stats - BBC Four - YouTube See also gapminder.org and Hans Rosling at TED.
Quote:

Originally Posted by SDL (Post 3046000)
Depends on what the definition of "more most effective" is, no?

People who are willing to pay for healthcare argue it's the best available.

lifespan is easy to measure. Quality of life, not as easy. It is what it is.

Quote:

Originally Posted by MS Fowler (Post 3046067)
Lets make Health care run by a "non=profit corp. I'll be the Chairman of the not-for-profit corp. Of course, I will need a salary to run the corp, and I need a house to entertain in the style I need to attract investors, and I need a nice office and staff, and benefits--but since is a not-for-profit corp, no one will care what those expenses actually are. Its the best new con game in this economy.

So, one or two layers of scum-sucking, corrupt, opportunist *******s; vs the many more layers we currently have? Sounds like an improvement. Though, at this point, almost anything would.

elchivito 11-09-2012 09:44 AM

Quote:

Originally Posted by t walgamuth (Post 3045893)
Although the health insurance premiums have gone up only 4% each of the last two years, my daughter the doc (who is a ughhhhh.....Republican) says they will go up 40% each of the next two years.

I find that hard to believe, since all those of us with insurance have been actually paying for all the healthcare of the folks who don't have any.

With the new system those people should be healthier since they can get preventative medicine instead of going to the emergency room after they are very sick.

It's been my experience that doctors are surprisingly clueless about the minutiae of health insurance, beyond what they'll get paid for each service they perform. Making a blanket statement that rates will go up a certain percentage seems to display personal political bias more than industry expertise.

elchivito 11-09-2012 09:48 AM

The notion that our health should be dependent on a profit driven system does not make any sense.

kerry 11-09-2012 09:56 AM

A profit driven health care system relies on the premise that you can only get health care if you can afford to pay for it directly yourself. It would roughly be equal to saying that the only people who can attend school are the children of parents with enough money to pay for it.
With all the technology involved in medicine nowadays, only the uber-rich can pay directly out of pocket for health care. Some kind of insurance system is necessary for everyone else. What kind of insurance system is most efficient in providing care?

Dubyagee 11-09-2012 10:47 AM

I carry insurance and find it cheaper to pay directly in some cases. I am not uber rich.

HIDA scan was going to hit me for 300 in copay and office visit charges for a supposed 2000 dollar scan. I paid 290 cash including the discount for paying same day.

The GB surgery came to 8700 and some change and I could have paid 3200 cash directly.

The insurance processing and billing tactics (basically hostage negotiation) costs the hospital big. They jack the bills way up to compensate. This is without the government owning the insurance exchange. The government saw a huge opportunity to hijack a great scam and took it.



I always ask the cash price.


iPhone 4

MS Fowler 11-09-2012 11:09 AM

Quote:

Originally Posted by cullennewsom (Post 3046088)




So, one or two layers of scum-sucking, corrupt, opportunist *******s; vs the many more layers we currently have? Sounds like an improvement. Though, at this point, almost anything would.

Its great only if I am one of the layers of scum-sucking.......http://www.peachparts.com/shopforum/images/smilies/biggrin.gif

Air&Road 11-09-2012 12:16 PM

Quote:

Originally Posted by t walgamuth (Post 3045893)
Although the health insurance premiums have gone up only 4% each of the last two years, my daughter the doc (who is a ughhhhh.....Republican) says they will go up 40% each of the next two years.

I find that hard to believe, since all those of us with insurance have been actually paying for all the healthcare of the folks who don't have any.

With the new system those people should be healthier since they can get preventative medicine instead of going to the emergency room after they are very sick.


I don't know if your daughter is correct with the 40% number, but the concept appears to be sound. They certainly won't hang at a mere 4% increase. BTW, my daughter is mostly democrat.

Air&Road 11-09-2012 12:20 PM

Quote:

Originally Posted by elchivito (Post 3046097)
The notion that our health should be dependent on a profit driven system does not make any sense.


Well, I guess we will now see if our health depending on Obamacare makes any sense.:rolleyes:

When at some point later in life you find that they choose not to treat you, it's possible that you would have a different opinion about it.:)

Air&Road 11-09-2012 12:21 PM

Quote:

Originally Posted by elchivito (Post 3046094)
It's been my experience that doctors are surprisingly clueless about the minutiae of health insurance, beyond what they'll get paid for each service they perform. Making a blanket statement that rates will go up a certain percentage seems to display personal political bias more than industry expertise.


It sounds to me like the 40% number was just a place holder in the explanation to indicate that the rates will go up substantially. I'm afraid that she will be quite correct about it.

Air&Road 11-09-2012 12:23 PM

Quote:

Originally Posted by Botnst (Post 3045914)
It occurred to me that this is a golden opportunity to predict the future.

The expense of health care will enter an exponential growth curve. The gov will eventually contain costs by limiting wages, essentially putting all health care workers on a GS- type pay schedule, scaled to current pay rates initially. This will be a de facto expansion of the gov to include all of health care. Like all gov wage and price controls, the beneficial aspect will be immediate but short-lived. The gov will respond by expanding its control of the health care system and by rationing -- this is the soviet model.


I think that this is a TOTALLY plausible scenario.:)

JB3 11-09-2012 12:36 PM

Quote:

Originally Posted by Dubyagee (Post 3046131)
I carry insurance and find it cheaper to pay directly in some cases. I am not uber rich.

HIDA scan was going to hit me for 300 in copay and office visit charges for a supposed 2000 dollar scan. I paid 290 cash including the discount for paying same day.

The GB surgery came to 8700 and some change and I could have paid 3200 cash directly.

The insurance processing and billing tactics (basically hostage negotiation) costs the hospital big. They jack the bills way up to compensate. This is without the government owning the insurance exchange. The government saw a huge opportunity to hijack a great scam and took it.



I always ask the cash price.


iPhone 4

This is a classic example of why private for profit insurance is a big problem.

You pay religiously every month sometimes an incredibly amount of money, and when you get sick, you get to fight tooth and nail for services you pay towards without complaint on a monthly basis. Your example is you end up bypassing and paying out of pocket, and you are happy with that arrangement?

If you cant afford to enter into this pleasant relationship with the demon, and you still get sick, the Government ends up picking up most of the tab in the end.

I just defies belief that so many people will argue against their own interests in the support of making these private companies richer and richer.

Private insurance can be run properly, just look at car insurance, but with health care, its grown into a horrendous monster, and IMO, it can't remain without being culled and made the serve the people once again. Right now, an insurance company serves its bottom line, not your health problems. If its not working as a private service without being overwhelmed by greed, it makes more sense to make it a public service instead, after all, no one can say that the US government is run with profit in mind.

If someone hits your car and they have insurance and are definitely at fault, you can pretty much assume you will be receiving a check.

If car insurance were run the same way as health insurance, you would get dozens of denials of coverage, and dozens of reasons why they won't have to buy you a new car, but only new seatbelts, or only one tire, or please send them 50 letters from the mechanic describing why 4 tires are needed, ect ect ect.

Air&Road 11-09-2012 12:57 PM

Quote:

Originally Posted by dropnosky (Post 3046200)
This is a classic example of why private for profit insurance is a big problem.

You pay religiously every month sometimes an incredibly amount of money, and when you get sick, you get to fight tooth and nail for services you pay towards without complaint on a monthly basis. Your example is you end up bypassing and paying out of pocket, and you are happy with that arrangement?

If you cant afford to enter into this pleasant relationship with the demon, and you still get sick, the Government ends up picking up most of the tab in the end.

I just defies belief that so many people will argue against their own interests in the support of making these private companies richer and richer.

Private insurance can be run properly, just look at car insurance, but with health care, its grown into a horrendous monster, and IMO, it can't remain without being culled and made the serve the people once again. Right now, an insurance company serves its bottom line, not your health problems. If its not working as a private service without being overwhelmed by greed, it makes more sense to make it a public service instead, after all, no one can say that the US government is run with profit in mind.

If someone hits your car and they have insurance and are definitely at fault, you can pretty much assume you will be receiving a check.

If car insurance were run the same way as health insurance, you would get dozens of denials of coverage, and dozens of reasons why they won't have to buy you a new car, but only new seatbelts, or only one tire, or please send them 50 letters from the mechanic describing why 4 tires are needed, ect ect ect.


Yeah, have the government take it over. That'll fix it.:rolleyes:


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