Comments on: Healthcare: Going back to Massachussets? http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/ Thu, 21 Jul 2016 07:57:19 +0000 hourly 1 http://wordpress.org/?v=4.2.5 By: Registered Nurse http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19874 Fri, 31 Jul 2009 16:33:14 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19874 I am a registered nurse and I work in a not for profit hospital. We struggle to break even, because there are so many uninsured patients and government insured patients. We already have a form of socialized medicine those with insurance pay for those without it.

The government also pays us less money to treat medicare patients than it costs to care for them. And in thise year when my state is running a deficit the government as decided to cut reimbursement to healthcare, but not to limit services. Once again private insurance is left to make up the difference.

If you really want to cut healthcare costs you have to limit care. And another thing, the doctors in my facility do not make extra money if they order more tests. Parents and families are the people that insist that we run every test under the sun.

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By: Ernie http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19842 Fri, 31 Jul 2009 05:02:14 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19842 I have so much to say, but it’s not worth it to say it.

Because sooner or later, the US make a swift move to socialized healthcare.

Just another step towards this country’s death and burial under the weight of the welfare/warfare state.

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By: Robert Strange http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19836 Fri, 31 Jul 2009 02:53:23 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19836 Health care has to be paid for either by out-of-pocket expenses, through an insurance company, by the government (taxes), or a combination of the above. The bottom line is that insurance companies provide no added value – they don’t provide any health care. An insurance company simply collects premiums and then pays for health care after taking a profit and covering overhead expenses. The government (medicare) has a 3% overhead while insurance companies have a 30% overhead – who is able to spend more on health care? We should have a publicly funded, privately delivered health care system for everyone in this country – medicare for all.

The argument regarding the loss of innovation if the government is nonsense. Name the last drug, or procedure, or diagnostic modality invented by an insurance company – there isn’t any. Those innovations are discovered by pharmaceutical companies, medical technology companies etc. Insurance companies do nothing for innovation. Scared that the government would impede innovation? Do we have the most advanced military in the world? – yes, but did we need to pay an insurance company 30% overhead to pass onto the military industry? We pay taxes to the government and the Defense Department has been able to use contractors to finance the most technologically advanced military in the world. Similarly, taxes paid to the government paid directly to doctors, hospitals without the insurance middle man can finance a great health care system at a much cheaper price than the current system.

Single payer – medicare for all, now!

(and please include additional funding through consumption based tax of those that will use the health care system disproportionally as a result of choice – ie tobacco, alcohol, and calorie taxes; furthermore include medical tort reform)

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By: Alexandra Bertagnolli http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19790 Thu, 30 Jul 2009 15:08:52 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19790 Guess what? European/Canadian medicine may be free, but it’s years behind American medicine in terms of technology and quality of care.
Example: There are more CAT scan machines in Connecticut then in the entirety of Canada. Now, where would YOU rather develop a brain tumor?

The problem with the American plan is not the system, but the way people abuse it. I work in a level 1 trauma center, and you would not BELIEVE the minor, trifling complaints people come to the Emergency Room for: bug bites, sniffles, mild fevers, prescription refills, nosebleeds…and the emergency room is the most expensive of care options.
Another factor is that many people who spend the most on healthcare brought it on themselves: by letting themselves become overweight or obese (which places harsh stress on every system in the body) or otherwise not taking care of their bodies; by not having regular checkups, etc etc. It is not the government’s–nor anyone else’s–responsibility to correct the damage that a free-acting citizen brought upon him- or herself.
Another statistic to round this off: 20% of Americans account for 50% (or was it 80%?) of healthcare spending.

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By: James http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19782 Thu, 30 Jul 2009 14:11:44 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19782 Also, I think that a correction needs to be made in the description of the Commonwealth Care program. I believe it should be 869 million (not billion).

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By: Bry http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19781 Thu, 30 Jul 2009 14:10:33 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19781 Many people aren’t aware but the government already has and does run some healthcare and they are terrible at it. It is called VA care. VA care is in shambles and has been for a long time and it treats many veterans of this country terribly. From Walter Reed Army Medical Center to the latest individual case at an air force base where Colton Read, 20 lost his legs during a standard gallbladder surgery and it is reported the tunder federal law the Reads cannot sue. Holding no one accountable. Just like in the government run housing of Fannie mae and Freddie Mac where no one in charge has been held accountable.

Political manipulations and popularity contests don’t belong in the fundamentals or administration of basic quality healthcare.

you want healthcare? Go get it. Demand fair access for you to be able to get it yourself and stop whining and begging for someone else to do it for you. Ask for the playing field to be fair but if you ask for government entitlements and privileges of using other peoples’ resources for your own personal greedy use when you don’t do a darn thing to deserve it, because you think you’re that special, then you deserve what you will get from government run health care (no control of your life saving options). Government run organizations are rarely honorable institutions and are too often politically volatile in nature and lazily implemented with little regard to quality service.

What is this European quality of life that is so far superior that you talk about Jan Kaminski? Some people just so long to worship kings and queens and die at their dictatorial feet. Without evidence or reason you are just another hot air bag like Obama, Bush and the rest of congress.

If European quality of life is so great how come they are moving to implement more non-traditional European style policies with the election of political candidates such as sarkozy (elected during a reportedly battered French economy), Berlusconi (elected during a reportedly stagnating economy) and Merkel to mention a few. How come there are many European residents speaking about government run healthcare not allowing them to receive life saving treatment because they “don’t qualify.” One wont be able to say, no no I worked hard I have good insurance and I want the best tests. The answer will likely be, “there are no best tests, everyone gets the same”, likely not able to even demand one, as everyone gets the same. From that type of liquored up bum on the corner who yells at everyone that passes and urinates and defecates on the sidewalk and in people’s yards and never does a darn thing to help anyone in the community to a person who helped teach and inspire students at the schools across the country or a person who helped create inventive devices such as temperature controlling equipment to bring millions of people comfort in their homes and offices. Under government run healthcare everyone gets the same low-quality, dictated to care. The bum gets government run healthcare and the teacher and industrial producer get the bum style healthcare. But the people in power will be allowed to get the best for themselves and their family you can bet on that. It’s called class system. Privilege will no longer come from the recognition of hard work it will come from how popular you are, what color you are, what family you are from.

Did you know Obama stands against school of choice and insists on citizens to send their children to public schools but sends his own children to private schools?

Did you know that Obama and congress would not be part of this government run healthcare system?

If I get ill here in America I get all the latest testing immediately upon arrival at the hospital or upon demanding such care. If government runs healthcare you will be treated like cattle as a number. You wont be able to demand testing and the best care because everyone gets the same… what the government currently in power says you get. However, congress and Obama will get to demand their best care. Because they dictate. See how that works. It’s called dictatorship. And that is not even touching on the ethnic cleansing style politics that can and likely will get involved with this insane government run healthcare pitch. You might think, “no they could and would never do that with someone’s health.” Yet, it happens with many basic needs such as it happens in government run housing, education, jobs… it’s often labeled as affirmative action or as simple as was recently was seen in the Ricci v. DeStefano supreme court case (your skin color precludes you from surviving – we the government are taking your achievements and giving them to a voting constituency that gives us votes). Watch it happen. Right now African descent is the flavor of the month for politicians seeking to bribe voting constituencies they see as giving them a boost in the polls but that demographic does and will change. california Democrats in particular are currently in an attempt to ship in a voting constituency from Mexico to expand their politcal support and therefore are advocating giving illegal aliens full coverage health insurance with your money. No matter what color or racial background you are affirmative action is racial discrimination and it will come for you. There is already talk of provisions in the healthcare bill that would implement affirmative action style politics into the funding of doctor programs and with the federal government involved that will only expand.

A lot of Americans like me don’t expect healthcare for nothing but we also aren’t going to be gouged and cheated, we want to pay our way and just want to be charged a fair price. Demand government stop predatory medical billing and encourage insurance growth and competition but Keep government out of the healthcare business and out of administering our healthcare system. We don’t want a dictatorship run by politics and tyrants!

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By: James http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19780 Thu, 30 Jul 2009 14:09:55 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19780 “Why? Because quality of life in continental countries of Old Europe is 500% better than here.”

Please back up this claim. I have no reason to believe this whatsoever. In my experience I have found it to be comparable to, but not exceeding, quality of life in the US.

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By: CJ http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19777 Thu, 30 Jul 2009 14:06:30 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19777 One major difference HN is you get to choose which college or university you want to attend. Your health care company is often chosen for you by your employer without any consent or choice available to you.

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By: bill butler http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19775 Thu, 30 Jul 2009 13:53:00 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19775 Assuming that all of the current furor is about cost, then digitizing medical records, form standardization, cutting (or eliminating) insurance company overhead and other currently proposed measures are baby steps in the right direction and will have some financial payoffs. Hats off and thanks to the Obama administration for a willingness to address the issue.

Alas, but ultimately no system, Massachusetts’ experiment or the current federal proposals will flatten the long term cost curve without addressing the fundamental and primary factor – the increasingly unhealthy state of America. And even with a frank, concerted effort far beyond what is currently being discussed on the federal level, positive results won’t show up for years to come.

It is instructive to look at smoking and tobacco use. Progress has been made and American’s smoking rate has been cut by over half from its peak. But the process has required two generations (over 40 years) since it became a public health issue, a “take no prisoners” battle against well funded special interests, reams of studies linking smoking to health issues, an enduring public health campaign, strong support from the health care community, economic incentives in terms of product taxes and insurance surcharges, a multitude of lawsuits against tobacco companies, countless regulatory interventions on the local, state and federal levels and a begrudging acceptance amongst Americans that it wasn’t their God-given prerogative to smoke themselves and the people around them into a hospital and early grave.

Wow, all of that just to get people to do something (or not to do something) that is in their own best interest.

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By: John http://blogs.reuters.com/great-debate/2009/07/29/healthcare-going-back-to-massachussets/#comment-19774 Thu, 30 Jul 2009 13:47:20 +0000 http://blogs.reuters.com/great-debate/?p=4673#comment-19774 Most private colleges have not the quality of ivy. There are thousands of private colleges, good quality private colleges that can compares with public colleges are just about hundreds. And the good private colleges, it has need based financial aid so the cost in these colleges are not higher than public schools. Does private health insurance provide need-based fee to normal people? If not, that will be expensive and poor quality like poor quality private colleges. We need an europe style health insuance.

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