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Medicare for All

 
Walco 2019-04-30 17:52:30 

No thank you. Just focus on fixing Obamacare and expanding Medicaid ...

 
ray 2019-04-30 17:58:18 

medicare for all

 
mikesiva 2019-04-30 18:01:50 

In reply to ray

The NHS works well in the UK...better than any medical care I've seen in other countries.

And it seems to work in Canada, doesn't it?

 
Walco 2019-04-30 18:20:31 

In reply to mikesiva

Here is the problem. I have my own insurance coverage through Blue Cross Blue Shield and I have no interest in changing to a government plan. Everyone should have medical insurance, yes. So fix Obamacare and expand Medicaid which is another government insurance plan. Medicare for All is not a winning election strategy because there are lots of people like me who vote. And the same objective of covering everyone can be accomplished through other means

 
goofballs 2019-04-30 18:31:19 

In reply to mikesiva

The NHS works well in the UK.

If you ok with joining lines, like 2 yr wait for some surgeries, 6-9 months for a simple knee operation, etc.
These are real examples.

Private insurance here: You get the stress test before you get the symptoms.

Surgery? Next day or next week tops.

Because of private payors, the other arms of insurance (public) also benefit from the overall efficiency,as there should be no discrimination in delivery.

 
ray 2019-04-30 18:53:18 

In reply to goofballs

most people there seem to do fine with the health coverage...not everything has to be next day

 
carl0002 2019-04-30 19:18:16 

In reply to mikesiva

The subtle difference is whether the system provides healthcare or health insurance. In the UK and Canada the system provides health care. You get a health card, you are sick. You go to the dr. In the US its the insurance companies that determine your level of care which basically comes down to your ability to pay. Health care is actually considered a commodity. You don't have health insurance, don't go to the dr in US.

 
mikesiva 2019-04-30 21:14:40 

In reply to goofballs

Do you live in the UK?

It's not a facetious question, I assure you.

But I have never had a problem with long waiting times.

Neither did my mother who had cancer. She spoke glowingly about the NHS until the day she died.

Be wary of right wing British media who have a vested interest in privatisation and so report exceptions as if they're the norm. Their campaign failed because the vast majority of British people want to keep the NHS.

Not everybody can afford health insurance.

 
Ewart 2019-04-30 21:55:13 

In reply to mikesiva


Word!


//

 
goofballs 2019-04-30 23:16:48 

mikesiva
Sorry to hear about your mom, bro!

No I don't live in UK and even if I lived there does not make me an expert in any health care system. razz
I never studied these things, public policies etc, to any great lengths.
I have been there many times though, and have close relatives there and in Canada.

Regarding socialized medicine vs fee for services, debate can go on for eternity.
See Walco's statements above.
With Obamacare and Medicaid all can be covered above and beyond the private policies and the private payments plus Gov't subsidiaries can compensate for a very healthy, advanced health care delivery compared to sitting at desk on a gov't job where nothing gets done in a timely manner.
Problem is, all will get caught in that stagnation of a gov't socialized state of affairs, broad spectrum, cheap, inexpensive treatments, etc. or long waiting lists for even routine surgeries.
With privatization, all move at a brisk pace, namely efficient and timely care with best technology, best care available. All can be covered but not at the government's cheap short changing ways.
There should be no question of not having coverage with Obamacare and Medicaid. Anyhow, all should be treated in the same manner otherwise major breach of standard of care will be there.


Sometimes we don't see everything and are very happy at perceived as "best care" from our perspective.
I have seen enough of that "standard of care" in UK and Canada to cringe. Too many cases to report here or even in a book.
Simple, common one: Person at 55 having severe chest pains with radiation to the arms and shortness of breath. From ER, referred to family doctor who refused to order a stress test, yet prescribed angina and heart medications.
At repeated questioning and urgings from a relative in the medical field, the family doctor still refused stating that wasn't the standard of care. When enormous,persistent, unrelenting pressure was applied and he did order the stress test, leading to catheterization and open heart surgery, he was found to have 99% blockage and could have dropped any minute.
Fifteen years later, still going strong.
His relative at America at age 40 reported family history of cardiac deaths. The doctor in USA insisted he had a cardiac stress test. Had 90+ % blockage, problem fixed and 20+ year later still being a stud. smile
Too many examples, especially for some people in the field who know what is going on.
If they do too many tests (that cost money) they might find too many problems that need advanced treatments like open heart surgery, etc. So, "conservative" treatment is the name of the standard to reduce cost to Gov't.
It is like what happens in jails and prisons. Minimal.

 
Walco 2019-05-01 02:19:13 

In reply to goofballs

Virtually every major Democratic candidate except Biden and Klobuchar supports Medicare for All.

 
goofballs 2019-05-01 04:42:55 

In reply to Walco

I hope not. Funding will be one of several major issues. Public will jump for joy for "free health care" but there is no free lunch. Also, an elderly lady told me once, freeness does give stroke."

Medicare is not the most efficiently managed health organization wrt to monitoring need for treatment, utilization, etc. I daresay, the worst!
Whereas all other entities are managed care,including Medicaid, which actively or proactively monitor need for tx and authorize tx based on basic universal criteria, Medicare does not do such, unless some Managed care organizations like Blue Cross, Aetna, etc. buy out the Medicare policy or whatever arrangements and then they monitor the tx and costs. Called managed medicare (not by CMS).
Medicare might audit 4-5 years later and then determine that a particular tx was not needed. Patient or doctor might have passed on by then. The sickest population but with no systemic monitoring of care and cost.
Everybody else needs pre or prior authorization.
Managed care is here to say and most agree that the criteria are fair compared to the blatant milking of the system before.
Some will need hardcore evidence before authorizing big, expensive procedures. So, what's the problem forwarding the EKG and/or stress test results or catheterization picture to show there is indeed a blockage there? Approval takes minutes nowadays as they have doctors and clinicians at the other end "to manage" care.

 
mikesiva 2019-05-01 07:00:12 

In reply to goofballs

No worries...my mum fortunately went quickly.

Food for thought....

How do British people feel about the NHS?

Satisfied 59%
Dissatisfied 22%

How do Yanks feel about their health care system?

Satisfied 20%
Dissatisfied 50%

Says it all

 
Dukes 2019-05-01 10:59:36 

In reply to goofballs

Here are some observations.

1.The people who shout the loudest about fiscal responsibility i.e REPUBLICANS, run up the largest deficits with their massive tax cuts and profligate military spending.

2.Some rich people i.e REPUBLICANS,feel that some people i.e poor uneducated people do not require health and education, as that is a privilege rather than a right as human beings.

3.The USA spends more money per capita on health than any other country in the world yet has poor health outcomes because the money is not evenly distributed.

4.The USA has the highest maternal mortality rate of all developed countries.

5.There is a place in America named FLINT MICHIGAN-NUFF SAID.

 
Walco 2019-05-01 11:28:16 

In reply to Dukes

Ok Dukesie. Now please address the issue raised in the lead post smile

 
ray 2019-05-01 14:33:21 

Healthcare for the poor sucks in the US

 
goofballs 2019-05-01 16:15:51 

In reply to ray

as in most parts of the world if you don't have coverage, or if you do, you get poor man's socialist type of care even in developed countries like Britain and Canada.

Problem with USA is mostly no access to outpatient care, primary prevention, etc. if you do not have coverage.
So, as all know, even people coming from Canada, if you go to the ER, whether you have insurance or not, they have to treat you or admit you if clinical criteria is there.
Without primary care/prevention, the ERs are generally backed up with these people who go there for problems that didn't need such intensive EMERGENCY intervention, or lack of outpatient care cause the conditions to be of Emergency proportions.
Cough, fever, diarrhea, bronchitis, etc. will always take back seat in priority in ER over chest pain/heart attack, gunshot wound, common in Baltimore ERs.
Of course people with limited knowledge would bawl for murder!
Medicaid/Obamacare will ensure outpatient care and primary prevention, save enormous expenses and clogging of ERs (and cries of discrimination).

As far as I know, I will repeat here, I am not aware of any systemic Clinical discrimination, to the dismay of some here.
The doctors have to make clinical decisions irrespective of other factors. Cannot deny admissions from the ER. They are the ones responsible. They have their license and liabilities to account for.
Denial of appropriate level of clinical care is a serious offense, tantamount to a serious crime for which the clinician is responsible and culpable.

If somebody is in the ER and the physician there deems it necessary to admit the patient, the hospital has to accept the patient, without any monetary or insurance factors. In face, many don't even to bother check insurance status till after patient is admitted. You have to admit.
Now, with Obamacare, we would get all the uninsured and help them apply for medicaid or other insurance, so they can get access to primary, outpatient care and meds.
EMTALA
Link Text
Fines are about $100,000 per violations by hospital.

So many issues. I am not blindly parroting a particular political pov but trying to throw some light on facts.

 
Dukes 2019-05-01 18:26:48 

In reply to Walco

lol lol lol lol lol lol lol

The haves are fearful that if the have nots get something they will have less.They get more and more of the pie but can never be satisfied with what they have.
They will always want more.

INCREMENTALISM seems to be your watchword.

I am OK with that.

 
Star 2019-05-02 14:51:30 

In reply to goofballs

If you ok with joining lines, like 2 yr wait for some surgeries, 6-9 months for a simple knee operation, etc. These are real examples.

Exaggeration to the max.

Cite 3 cases where a person waited 2 years for surgery.

 
goofballs 2019-05-02 15:11:37 

In reply to Star
What? I don't acknowledge or respect your subpoena!
Deal with it. razz
Don't beat your stomach too much. lol lol

I cannot cite cases for obvious reasons. The above is in relation to Britain and I know two close family members plus many others.
My initial response is pertinent. Give your opinion, perspective, experience rather than criticize Brian Lara.

Reminds me of T$T in the 1980s. Let's say prostate problems.
Thousands of men had severe prostate problems and they had to wait 1-3 years in the "system" before getting a spot for surgery at the general hospital. So they have a catheter hanging out of their penises for that long. I dared not ask but could imagine what sex life they had.
They could go to the private nursing home/hospital next door and pay $2000 for surgery tomorrow or next week. The system could not afford anything, so the people suffered.
Private plus public funds way better than Gov't funds alone and if it becomes universal for all, Help me God!! This is where I agree with the lead article.

 
goofballs 2019-05-02 15:17:02 

In reply to goofballs


I forgot to add that invariably the catheters would be blocked and the poor man would be bawling with pain and required several ER visits to change it.

Btw, current Medicare covers only 80% of costs. Patient is responsible for 20% of all costs.

Medicare is loosely monitored in that anybody can be admitted or have any tests ordered without need for authorization. Lots of waste.

They do screw up the inpatient big time without getting their hands messy. Cannot say here because if I tell I would have to kill you. wink

 
Star 2019-05-02 15:54:17 

In reply to goofballs

What? I don't acknowledge or respect your subpoena!
Deal with it. razz
Don't beat your stomach too much. lol lol

I am lost. No idea what you are talking about.

Give your opinion, perspective, experience rather than criticize Brian Lara.

Maybe you are replying to the wrong guy here mate.

 
goofballs 2019-05-02 17:45:29 

In reply to Star
1. Just pulling a Barr on you. smile
Can’t force him to do squat in spite of the stomach beating and other histrionics

2. Asking for your contribution rather than just a criticism or nit picking on one POINT which is anecdotal but a fact per the reporter.

 
goofballs 2019-05-02 19:05:05 

Simply put, although I don't like being this way,
You are accusing me of lying, Sir.
Pulling a Nancy Pelosi on me
wanting me to come testify and bring the uncooked books.
lol lol lol lol lol

 
Star 2019-05-02 19:48:04 

In reply to goofballs
Ok, excuse my "goofiness" or should I say slowness.

Move to the head of the class.

 
goofballs 2019-05-02 23:35:54 

In reply to Star

: cool

Just don’t steal my Goofy title,ok!
lol

 
Arawak 2019-05-03 02:04:44 

Every first world country has a publicly funded universal healthcare system of some sort.

Living up here in the Great White North, I can tell you that our system is by no means perfect, but the hyperbole you hear from goofballs and other goofy people about wait lists is blown way out of proportion.

Yeah, you can spend hours in emergency or a walk-in clinic waiting to be seen while life-and-death patients are triaged ahead of you. Yeah, family doctors can be hard to find. Yeah, we need to improve this.

But if this is the price we pay so that my access to any medically necessary procedure is the same as a bum on the street, or a single working mother, then I'll take it. This is the point of living in a civilised society.

Americans do not have a health care system. They have a health care industry that moves medical product. You get what you can afford or what your insurance is willing to pay for. It's not necessarily what you need. Many of my wife's colleagues who have gone south of the border come back with stories of being pressured to order tests they don't need, because the insurance will cover it. They have 'sales targets'. A doctor. Whose focus should be providing the most appropriate care, not delivering profits to shareholders.

Medical debt is not a thing in Canada. I mean... maybe somewhere someone took out a loan to get some course of treatment that wasn't available here, but I don't know any of these people. Generally when there's evidence that shows efficacy the procedure is covered. People don't die on a waiting list waiting for cancer treatment. If you need a surgery for something, you get it. If you need it right away you go to the front of the line.

Again... we have lots of holes in our system I'd love to see fixed. I'd like to see dental care added in. And universal pharma. I know this costs money, but I'm perfectly willing to be taxed higher to help fix them even if *I* don't directly benefit from them. Because this is how a just and civilised society behaves. Or if altruism fails, let's consider that we all benefit from a happy, healthy, well educated society.

Arawak

PS - When we're done with this topic, let's discuss countries with prison industries rather than correctional systems.

 
Runs 2019-05-03 02:24:05 

In reply to Arawak

You nailed it, medicine is a profitable business in the US, big pharma rewards doctors for prescriptions written etc
My poor parents get sent to so many unnecessary tests and procedures but we dare not oppose them going. My brother who is a Pharmacist says maybe just the thought that they are ok after each exam keeps them going.

 
openning 2019-05-03 02:48:14 

In reply to Arawak

Bro, I just had Cataract surgery on my Right eye a week ago, will have it done to my left eye on June 11, the operation cost to me is $0

 
goofballs 2019-05-03 03:25:34 

In reply to openning

razz razz Yuh old!!

 
goofballs 2019-05-03 03:42:03 

In reply to Arawak, Runs
Oh well. I guess you guys know much more.
Maybe if we are accustomed to something......
"Truth" depends on your perspectives, anecdotes, facts or alternative facts, hearsay, old wives tales,CNN, etc.
Society, especially this back room has a lot of (h)experts who know it all.

I would agree on one thing, hyperbole or not. Nobody is denying the coverage in America is less than desirable but nobody can be denied inpatient care regardless of insurance. See EMTALA.
The outpatient coverage leaves a lot to be desired although more and more people have been getting coverage by Obama's initiative, Medicaid, etc. and there are more and more free community clinics.
Discussions here have been about going totally socialist....Medicare (which is very flawed, imho) or keeping both the private and public delivery, of course with the taxpayer paying for the public care, or have the private revenue helping with cost of Medicaid, Medicare, etc.

So Medical Assistance coverage ensures they get tx, at the same standard of care.
Medicare (Government) is the only insurance co that I know of that would let a doctor order any and every test or inpatient admission without authorization, but audit years later. (Lots of waste).All other insurances need pre approval for tests, most expensive meds, etc. It is in the insurance companies' financial interest that unnecessary tests, procedures, tx, etc.are not allowed.


medicine is a profitable business in the US, big pharma rewards doctors for prescriptions written etc
My poor parents get sent to so many unnecessary tests and procedures

Oh boy!
Most of have had code of ethics that they take nothing from drug companies, not a free lunch or a pen even, lest it be construed as conflict of interest.
The gov't has a mandatory public record/listing of what/how much money a doctor receives from drug companies. Google it!
There is a $30+ charge to my friend's name for one lousy stale sandwich years ago he was given during an educational lunch program.
Btw, who determined that those tests were unnecessary? Complaining about the diagnostic tools we have available, or not doing tests like stress test, colonoscopies, etc. till people drop? (like in socialists countries).
Big Pharma charges a lot for their drugs. Prump has been singing some song about reducing prices.
There are crooks, like in most sectors of the community. Unfortunately also with the get rich, wannabe millionaire overnight few who chose to go the medical route. You hear about them when they get busted like that QC principal's son dealing Rx drugs to the drug mafia.
The only entity that makes any kind of money (sky is the limit) is the Pharma business. Yes, there might be a n increasing amount of doctors in US going the VIP or Cadillac way naming their own price but most others are paid at a standard rate based on work done and some have administrative allowances.
So Big Pharma is making all the Big Money and neither side of the mob, Dems or Reps have been able to control it because of their Big Money and Influence with the politicians.

So, buy subsidized drugs from CANADA!
Or better yet, INDIA..

 
openning 2019-05-03 03:44:51 

In reply to goofballs

Age is just a number, my mom died at 102 years in 2015, full of wit.

 
goofballs 2019-05-03 03:57:18 

In reply to openning

I thought I was in London last few months with the fog, but the Ophthalmologist told me My eye was fogged up by a cataract.

Basic surgery is free but for a co pay with my commercial insurance, or Medicare 80%.
However, I was given a glossy brochure like the new car magazines offering all kinds of "options" that are not covered by any insurance but in this non socialist system we have choices.
If you want lens with both near and far sightedness inserted (not needing reading glasses even) is $1100. Some more features and you pay $2400 per eye.
If you want laser surgery for the 15 min procedure, you pay $1100.
I didn't ask if they come with wipers.
Seems like a waste?
Some people just want those advanced features. Like you spend thousands on your car for show or convenience.
In a free society, you should have the option and freedom to choose, just like you pay a Lincoln Continental doctor $1000 cash for a typical $50 visit.

I am having mine next month. Admiring the glossy magazine.

 
goofballs 2019-05-03 03:58:39 

In reply to openning

I was busy with something else, so didn't follow thru with my stroke. Check swing!

I meant to say we are in the same boat. lol lol lol

But, but, mine came on early.

 
openning 2019-05-03 04:32:12 

In reply to goofballs

I was recommended to my Ophthalmologist 3 years ago, saw him three times a year since 2016, last December after a visit, he said to me, the next time he will be seeing me, is in surgery.
Got a called early March with the dates of the surgery, the prescription was sent to the pharmacy I've been dealing with 2-3 weeks before the surgery.
Th prescriptions is good for one surgery, the refills are ready to be pick up anytime.

I am seeing better out of my Right eye already, was driving the day after the surgery.
The surgery I had and will be having is, Cataract Extraction with Lens Implantation

 
Runs 2019-05-03 12:48:44 

In reply to goofballs

As I said the system is corrupt and all about filling their pockets, no respect anymore for the Hippocratic oath.

Insys execs guilty of bribing doctors to push drugs, marking first U.S. conviction in opioids fight

 
Arawak 2019-05-03 13:51:30 

In reply to goofballs

In a free society, you should have the option and freedom to choose, just like you pay a Lincoln Continental doctor $1000 cash for a typical $50 visit.


I'm not entirely opposed to this, if you first make sure that you provide for everyone who does not have the financial luxury of "choice". The biggest problem is the lack of incentive this two-tier health care gives to the minority with wealth and power to maintain an improve the 'standard" system.

I mean, up here we do have two tier health care even though we don't acknowledge it. Rich ppl go to India, Mexico, USA, and a host of other places if they want to jump the queue for their hip surgery, or they want some wacky treatment with no evidence to support it, or when they decide that the article they read in some mens health magazine gives them better insight than a team of clinicians with decades of education and experience, supported by an entire global community with similar qualifications, and backed by research and clinical evidence.

I'm actually all for it... they have paid their taxes to support the public system, and if they choose to free up the resources that they are entitled to for use elsewhere, everyone's a winner. Until, of course, they come back home with complications from botched jobs or BS treatments, and we have to take care of them after all.

 
goofballs 2019-05-03 14:36:19 

In reply to openning

The surgery I had and will be having is, Cataract Extraction with Lens Implantation

From the little I have read and understood,
That is the standard and most of us don't need anything more unless we want specials.

That's what I will be having. The implanted lens will fix my distance vision and I will settle for reading glasses.
Experts feel that it is a waste to pay for fixing both type of vision problems as the reading one is invariably not fixed with the other more expensive implanted lens.

Many well to do or not so well but gullible go for the $1100 extra to get laser tx which is not really needed unless your eyes are screwed up with inflammation, complications from diabetes, etc.
But, it is laser technology! "I had my laser done." razz

 
openning 2019-05-03 14:57:43 

In reply to goofballs
My mom suffered with Cataract and Glaucoma, when she was in her late eighties, she refused surgeries to correct the problem, and slowly lose sight.
Having that history in my family and our medicare system, I am in my doctor's office numerous times a year.

 
goofballs 2019-05-03 15:19:04 

In reply to Runs

As I said the system is corrupt and all about filling their pockets,

I have a little bit of time, not to fight but maybe educate and remove the shroud of darkness and ignorance. I thought people study Google nowadays.
As I said, this back room is something else. All about taking one incident or just one opinion and running with it like wildfire.
Hasty generalizations, or like Trump and the backroom natives here, distortion to suit an agenda or argument.
I always remember the "belly homen" in the village spreading all kinds of stories or converting them into facts.
Big Pharma's lobbyists (briberies?) with both parties has to be enormous as no one would touch them and their fleecing of society. Like defense and other industries, good for the 'Crats and Repugs in politics who most here are fanatic about. You scratch my back......

As far as physicians are concerned, I have friends in the field and based on my estimate, 99.9% are well educated, honest, hard working and have a desire to help humans.
Private practitioners are paid at a standardized rate determined by the particular managed care or Medicare/Medicaid. No manipulation there, or it is jail time.
Many colleagues chose to go the cash only route and nobody blames them or should as more time is spent dealing with managed care bureaucracy and paperwork and to collect the compensation.

Previously an employer might hire a physician and compensate him about 20% of the revenues his work brought in.
Most employed now follow a standardized compensation basis actually initiated by the Gov't, Medicare.
Now, the gov't has guidelines for employed physicians The value for unit is probably cheaper than the auto mechanic or plumber for a pediatrician or family doctor and maybe 5-10 times more for super skilled specialists like neurosurgeons.

RVU= Relative Value Unit.
An RVU represents the total of three component RVUs, each of which is adjusted based on the geographic location in which a physician practices. The three component RVUs are:

Physician work RVU, including the time and clinical skill necessary to treat a patient during an encounter.
Practice expense RVU, including labor costs as well as expenses for building space, equipment, and office supplies.
Professional liability insurance expense RVU, including the cost of malpractice insurance premiums.
The Centers for Medicare & Medicaid Services (CMS) adds each geographically-adjusted component RVU to arrive at a total RVU for every CPT code. The agency then multiplies the total RVU by the Medicare Conversion Factor, a national value that converts the RVU into a dollar amount. In 2017, the conversion factor is $35.89.


So, for physicians, everything is standardized x for the Bentley guys who collect straight cash from willing consumer of his service.

Where is the room to illegally/immorally manipulate and fill pockets? People das shoot some shit yahso.
As I sais, there are crooks all over the place. Unfortunately a miniscule amount of Hypocrites who pay dearly for any crimes committed, like drug dealing, fraud.
One occasional case comes up and suddenly everybody is all about making money.

 
XDFIX 2019-05-03 15:20:34 

Healthcare and free education should be an inalienable right for all citizens - the government through its people owe it to its citizens by any means necessary!

 
carl0002 2019-05-03 15:24:07 

In reply to Arawak
Could not have said it better myself. Healthcare as a commodity is the greatest injustice a country can impose on its populace and have them believe it's the best thing in the world.

Read an article the other day about a study which says that the American people have consistently voted for policies that have the net effect of reducing their life expectancy. The American in the name of ideology will actually vote against his own best self interest just to deny others.

 
openning 2019-05-03 15:33:40 

In reply to goofballs

That's what I will be having. The implanted lens will fix my distance vision and I will settle for reading glasses.

Cataract extraction is an option for people who have clinically significant lens opacity.
During the Cataract Extraction with Lens Implantation, the eye’s natural lens is removed and replaced by a manufactured lens implant selected to compensate for the eye’s refractive errors. In effect, the lens implant acts like a permanent contact lens within the eye.

Most people I am in contact with, that had the surgery, say their vision is almost 20-20.

 
goofballs 2019-05-03 15:33:45 

In reply to Arawak

When I was small and had to walk all the way to the backdam, I would ask why we had to go to town to call my brother in Canada.
I had a dream.....
What if I could have a phone that doesn't have to be connected by wire which I could take with me and talk on my long walk to the backdam without Sitara gyal. razz
Rest is history, but i didn't apply for a patent for my thought.wink

Here is a thought. It has been attempted.
If the guy pays $2000 for surgery and the poor man has no chance.
Maybe collect $2500 directly/indirectly from the rich one(s) Gov't contributes $500 for a total of $3000. Then negotiate with the hospital/surgeon to accept $1500 per surgery.
Everyone is a winner, including the facility as the bulk would make up for the reduced price.
This is a very simplistic way of looking at it. The economists and policy makers can sort out the technicalities.
We need those private payors!! Ok, their funds to support care for all.
Plus, we need choices available for the elite and fancy car drivers. Throw in some luxury taxes.

 
goofballs 2019-05-03 15:34:52 

In reply to XDFIX, Carl
True.

cool

 
goofballs 2019-05-03 15:35:34 

In reply to openning


Most people I am in contact with, that had the surgery, say their vision is almost 20-20.

They won't guarantee for the reading part.

 
openning 2019-05-03 15:37:42 

In reply to goofballs

Government Health care should be a right for all citizens

 
goofballs 2019-05-03 15:38:44 

Well, I gotto go check my cholesterol and liver levels now.

Those darn tests!! twisted smile

 
goofballs 2019-05-03 15:40:05 

In reply to openning

True, without too much dilution. This is where the wealthy private spenders can contribute with their champagne taste.

 
Runs 2019-05-03 15:41:56 

In reply to goofballs

You are entitled to your views but l maintain what I have said. wink
I have experienced such, too many people become doctors with the sole aim being personal enrichment, don’t give a damn about the patients. Get them in and out of the office fast, prescribe, bill, bill send them to do unnecessary tests as per insurance coverage etc. Dentists are also doing the same thing, max out coverages, unnecessary xrays etc. I also have family members and friends who are doctors and am well aware of the shenanigans. Mind you these are exemplary folks who are not corrupted.
The system needs a massive overhaul but who will go up against big Pharma?

Just don’t take my word, here are facts.
Link Text
Link Text

 
carl0002 2019-05-03 17:06:08 

Another one Just for gullible goofyballs

Drug company founder convicted of bribing doctors with money, strippers to sell more Fentanyl

 
goofballs 2019-05-03 17:32:35 

In reply to Runs

I will bow to the hexpert(ise) here, mostly based on an article or incident.

A few notes:

I also have family members and friends who are doctors and am well aware of the shenanigans. Mind you these are exemplary folks who are not corrupted
.
In similar vein,
Says who? You?

Unnecessary tests based on who? My aunt who is afraid of an injection? Some social work students or economists who know little about medicine and rationale for tests or the individual scenario?

If doctors are really ordering unnecessary tests, why are the insurance companies authorizing the big bucks for the tests that are
"unnecessaryily"running up their cost of business operation and cutting on their profit margin for the public stock holders?
Think!! (Rather than firing from the hips like Nancy and companies, Impeach the MF).
Plus a patient has the right to refuse any or everything, especially if they think doctors are crooks. They will believe the obeah man.

Carry on with your authoritative conclusions. Don't let my commentary slow y'all down. Impeach dem, all of dem! lol lol lol lol

 
goofballs 2019-05-03 17:41:32 

In reply to carl0002

As I said , with the exception of Chrissy, there are many belly homen here who will take a story and spin and spin like to gotay dhall till the wheels drop out.
How many times that one story of an industrial crook has been posted?
One solitary case and impeach the whole world.

My friend said he left medicine because of a lot of know it all pseudo doctors with sociology and economics first degrees telling skilled people how to practice medicine, based strictly on how much money they can save for the corporation. Mostly not appreciating or understanding one fart as to what is going on.

In this way CCC is no different from some in the population who act blindly. Actually, as if they are the hexperts.

Nice talking on this thread earlier. Mi done now. Leaving up to the know alls to continue with their theories and knowledge.
I only hope not that one day one of us gets in a position where we need acute/serious medical interventions and the armchair experts convince you that it was unnecessary.

 
Runs 2019-05-03 17:56:24 

In reply to goofballs

Translate that gibberish dude are you off your meds? Totally irrelevant, you did not rebut anything I said in a coherent manner.
Did you even open up the links I posted and read the ProPublica reports?
Money make people do all sortsa things in case you did not know.
You are one eccentric dude lol
Take it easy and kind regards

 
goofballs 2019-05-03 18:13:43 

In reply to Runs

Just for the courtesy of a reply to a decent guy :
Cheers! cool


I cannot break it down anymore. It will be unnecessary intervention on my part.
So, you on your own.
Read again or ask for help. smile

 
goofballs 2019-05-04 15:47:01 

Question: why is there such a scarcity of doctors?
Answer :1. It is not worth it (financially, emotionally, loss of half of productive life studying, etc) to go to medical school anymore (except for Asians who view things differently)........in as much as some hexperts here tout about the money they making. Ask children of doctors (except Asian origin peeps).

2. More and more are retiring early. Had enuff of the Not Know it All hexperts dictating medical care based on finances, pleasing Massa etc. Clinical care takes like a fifth priority in the scheme of things.

GOOD NEWS!
Medicare will soon be profitable. Celebrate!

More and more systems are grabbing a nurse or an undergrad student and giving them a crash course in medicine and letting them loose out there with license to prescribe, perchance to kill. (No more supervision required, per previous provisions of law).
The typical Medicare patient has about 5-10 complicated medical problems and is on about 10-15 necessary meds for the various problems that can have serious interactions or side effects if people don't know how to use them. Better to go back in the village and die at home, you say?
Or get killed out by cheap, socialist, barefoot style medicine.

People will get what they wish for.
***I will pay out of pocket and go see Dr Dukesy who I will trust for his knowledge and training.

P.S. Canada at least offered 130% of salary compared to most Americans. At least that is what they kept on offering my friend. Yet, they begging people to go there. Socialism dictate their treatment of patients per that word "standard of care."
Now, half of middle east doctors are going there.

 
YoungWarrior 2019-05-04 16:22:20 

In reply to goofballs

Dude, you don’t need to keep posting garbage to defend your opinion.
The fact is that 30-45 thousand Americans die each year because they cannot afford to pay for medical care, shameful for a so called “first world country “
Guess how many die because they cannot afford medical care in other developed countries? Zero!

 
YoungWarrior 2019-05-04 16:37:45 

In reply to goofballs

Or get killed out by cheap, socialist, barefoot style medicine.


I assume you know that Canadians on average have a longer life expectancy than Americans,...so much for your opinion.

 
goofballs 2019-05-04 16:48:59 

In reply to YoungWarrior

Ok, erase it if you want, if it is garbage.

The perception that doctors are the problem amongst the Know it All yahso will not be changed.
I am not trying to change facts, just stating them.
If it does not fit in the scheme of some, it must be garbage, right? And your opinion, not facts is what again?


Don't worry, Medicare will soon become profitable!!

The fact is that 30-45 thousand Americans die each year because they cannot afford to pay for medical care, shameful for a so called “first world country “
Guess how many die because they cannot afford medical care in other developed countries? Zero!


I guess you have real, factual knowledge from some press, and their PERCEPTION, right?
It is all relative.
However, I am not disputing that there should be more universal coverage for outpatient and preventive care.
Inpatient care cannot be denied to any in USA.
The 40 year old farmer in Jamaica who dropped dead from a heart attack did not lack medical care, right? He just died.

 
goofballs 2019-05-04 16:51:57 

I am practicing my typing skills. Just ignore. lol lol lol