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#102 Jul 21 2009 at 8:29 PM Rating: Decent
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12,846 posts
Thumbelyna Quick Hands wrote:
niobia wrote:
MyTie wrote:
Here is an article about Obama's low approval concerning Healthcare. Thoughts?

http://www.washingtonpost.com/wp-dyn/content/article/2009/07/19/AR2009071902176.html?hpid=topnews


I want ice cream. You are an blockhead. Babies getting more than 1 tooth in at a time aren't fun. Government classes are much more fun than anticipated. Your mom.


SOMEONE apparently is sleep-deprived and missing someone else. Smiley: tongue


You should open a psychic store. Suki cut two more teeth and is missing her Daddy;she has hit a new level of upset.

As for health care, I personally wouldn't mind paying extra in my taxes to ensure that every person under 18 had medical coverage. (after 18, I'd only want to pay, if you weren't the typical Texan) However at this point, I'm really sick of having jackedup medical bills because my hospital is trying to overcompensate for people who aren't paying their bills (or won't)

I have noticed over the years that I have paid my own healthcare, my costs have increased and my benefits have decreased.... I would love being able to have the option to have a government healthcare system and a private one.
#103 Jul 22 2009 at 6:49 AM Rating: Decent
I hear a lot of talk but very few links discrediting what i've said.

Quote:
Oddly enough, doctors' earnings in the UK rate highly on an international scale, but few US trained medics come here to cash in,


Rate highly on an international scale...that's cute.
#104 Jul 22 2009 at 8:28 AM Rating: Excellent
Ministry of Silly Cnuts
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19,524 posts
publiusvarus wrote:
Quote:
Oddly enough, doctors' earnings in the UK rate highly on an international scale, but few US trained medics come here to cash in,


Rate highly on an international scale...that's cute.
Given the massive variation in doctors' earnings within countries, and across specialisms, there are no finite comparisons between countries that stand up to any scrutiny.

Here in the UK a GP (Family Physician) earns an average of just over £100K (about $170K). The range is about $150K to $200K which equates fairly with their US counterparts.

I know several who earn over $200K. I also work with a number of US medics who earn considerably less.

In addition, our medics pay massively lower insurance premiums against medical litigation than US doctors.

So our system costs less to taxpayers than US, pays people about the same or better, has very low waiting times for necessary treatment, provides free treatment, diagnostics and prescriptions to everyone, and saves a fortune through the buying power of an organisation with 60 million customers and 1.4 million employees.

Yeah, lucky you Smiley: dubious
____________________________
"I started out with nothin' and I still got most of it left" - Seasick Steve
#105 Jul 22 2009 at 9:12 AM Rating: Decent
Elinda wrote:
publiusvarus wrote:
Xarus,

Quote:
what do you think should be done varus? Or are you pretending the US health care system is all peaches and cream?


The solution is as simple as two words; TORT REFORM.
Theoretically it should help with insurance costs, but it would also leave us vulnerable to poor practice.

You're right though, I don't think it would happen. When your talking prescribing pills and cutting open bodies, I don't think people would be willing to give up that legal safety net.


Exactly. The only reason your health care provider will not just allow you to die is the threat of being sued.

Further, the numbers don't add up. UK-style health care could save us 50-65% of what we pay for health care - which would be an enormous boon to our international competitivness. Malpractice insurance is about 1% of costs. So if we removed it entirely, we would save 1% - and add to our already steep risk of death whenever we need anything expensive from our providers.

Since health care costs are rising so fast, about what? 2.5% above inflation? that 1% saving literally is gone in a few months.
#106 Jul 24 2009 at 11:37 PM Rating: Excellent
I can has free medical care now please? All my adult life i've been a staunch supporter of the republican ideal, I've hated democrats since before I could vote. My earliest memory of politics was my teachers in grade school preaching to us kids to tell our mommies and daddies to vote for Bill Clinton and lecturing us on why they needed a pay raise so bad, and why Clinton was the savior of the world. I've never been able to trust them, though I'm sure democrats trust me just as much. My break with the republican party is their stance on medical care, there's nothing I fear more than having to go to the hospital, and not just because of my fear of needles but because of my fear of their business office.

Something has got to change, if you go into a hospital in the US they don't ask you what is wrong they hand you a clip board and put you through a full interview, Do you have insurance, if you answer no they want a major credit card, don't have that? Some hospitals throw you out to bleed to death. There's a hospital near where I used to live that would turn ambulances away if the patient did not have insurance. It's a problem that needs to be dealt with, If we don't do socialized healthcare "First do no Harm" should apply not only to doctors but to anyone who works in a hospital. A patient should be able to sue any hospital personnel who turns them away when injured or critically sick under malpractice. That would discourage these disgusting excuses for medical care professionals, and impact the medical care profession in a way that it needs, a firm kick to the backside.

In all seriousness I fear nothing more than going to a hospital in America, I will treat the flu with whiskey until i'm on my deathbed to stay out of them. If you were poor you would to. I don't like the methods Democrats use but there is a greater evil to worry about and as long as Democrats make war on that monster I have no quarrel with them. A few years under Liberal rule is more tolerable than a lifetime of fear of needing a doctor and after a 2 hr visit being charged more than I can make in 3 years at a full time job.



Edited, Jul 25th 2009 7:47am by Soulrunner
#108 Jul 25 2009 at 2:56 AM Rating: Good
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15,952 posts
Sorry to be late getting back to you.
publiusvarus wrote:
Aripya,
Quote:
As far as I know, the standard expectation of a board of directors of a private corporation is to achieve 15% profit a year.

A government organisation has no obligation to make any such profit from (ill) people. It merely has to live within it's planned budget. That's a 15% savings in costs right there.


Please tell me you're not that stupid. And do you know where that 15% profit goes? There's a reason the US has the best doctors in the world. And it doesn't involve a desire to work for free.
Erm. Profit. Profit comes after paying expenses such as salaries of all staff, including surgeons and specialists. Please tell me you're not that stupid. All profit goes to the shareholders, and only the shareholders. (Yes, including senior administrative management staff with share bonuses.) Of course that 15% I quoted might be a bit out of date, because we've had a couple of burst bubbles since then, but you get my drift. Public institutions automatically cost less than the amount of profit the shareholders demand the board of directors make every year. It makes up for the inefficiencies that can creep in with some behemouth organisations, both public and private.
publiusvarus wrote:
Aripyanfar wrote:
In healthcare, the statistic is that one dollar of early prevention saves $20 of cure down the line.


Did you see a picture of the new surgeon general? Obama does seem to have a thing for fat black women.
Not that I should hare off after your complete Straw Man, but I gather you have no idea what menopause does to the physical metabolism of the average woman, no matter how stringently she eats and exercises. And I doubt with her responsibilities and her desk job she gets to work out much. She looks like a great 53 year old woman with a natural menopausal excess of estrogens to me.
publiusvarus wrote:
Aripyanfar wrote:
In private systems, doctors on behalf of insurers have to consider how much tests or treatments cost against the income they bring in


And in a govn systemt, doctors will be acting on behalf of a govn that tells them who qualifies and who doesn't.
In Australia, doctors decide what is medically needed, and best for the patient, period. Any and all patients who make a booking with them, or who come into ER. Hospital administrators get more headaches, but they don't get to impinge on doctor's medical calls. They get to tinker around with cleaning and secretarial services, building maintenance, catering contracts etc and wrangle with the government. The government gets much more of a headache, balancing the budget, not the doctors. The one thing that you'll notice in a government run facility is that everything is triaged by need. Unimportant things really get bumped to the back. So I've had a test in a hospital, and was called back for a new appointment time the very next day, to be told it was positive, and how to manage the condition. And I've had a different test in a hospital, for something that I had a 2% chance of having, but they wanted to eliminate that chance just in case, and they made a new appointment with me 2 months later, which I assumed meant, as was indeed the case, the result came back negative.

My condition means I'm monitored for a lot of things. I've learned to pre-gauge exactly whether a test came back negative, or positive, and how serious the positive results are, by just how fast they book me in for a new appointment.

At 20 had to get my wisdom teeth out because they were growing horizontally forward underneath my gums into the roots of the teeth before them. They hadn't yet, but in the end they'd grow forward enough to damage, hurt and kill the existing teeth next to them. I wasn't in any pain at all from them, (the way my wisdoms were growing in had been discovered from an x-ray for a different condition) but the dentist predicted they'd be trouble in the future. So he booked me into a free extraction of my wisdoms, and I was told might be up to 2 years before I'd get my surgical slot because it wasn't urgent. So I was surprised when I actually got called in for the surgery 9 months later.

It is true that the Government here takes steps intervening in medical decisions in favour of cost. They intervene in which medicines they'll subsidise. Most medicines DO get listed on the Pharmaceutical Benefits List. The most expensive medicines, those that cost perhaps upwards of $100,000 a year per patient, WON'T get approved, unless they've passed a rigourous proof of effectiveness study. In Oz, if you earn under $20k a year, a medical script will cost you $4 max and the government pays the rest. Everyone else pay about 10% of the cost of the medicine, up to a maximum of $30 per prescription.

Edited, Jul 25th 2009 8:28am by Aripyanfar
#109 Jul 25 2009 at 3:29 AM Rating: Good
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15,952 posts
publiusvarus wrote:
Aripyanfar wrote:
Doctors in Government healthcare organisations usually merely need to determine if and how someone is ill, and order treatment accordingly.


Doctors in Govn healthcare will be making as much as teachers.

WIth my admittedly not incredible Google searching skills:

Average Australian doctor's wages c.2004
Quote:
Consultant (Specialist)
Approximate Basic Salary 115 - 200,000
Estimated Salary after average overtime 130 - 220,000
Grossed up pay with salary packaging 145 - 240,000

If a doctor works in a hospital, 30% of his/her wage is usually tax free, there's also 9% on top extra pay that goes into Superannuation that is invested wherever the individual pleases at a very low tax rate, and can only be accessed once the person passes the age of 55.

Average American specialist's wages

Quote:
$150,267–$306,964


Rates of pay for Victorian (Australian) public school teachers
It's a pdf, so I can't copypasta a neat table, but basically teachers are rated by expertise and experience, they start out at $52,571 and if they're really good wind up at $84,767. That's not counting Heads of Subjects, and Principles, who go up to $150,000

In Australia hospital Interns start out at $50,000.


As far as the wage stats for doctors go in both America and Australia, I wouldn't trust them as far as I couls throw them, if the stats are collected via the tax office, and not via who or what entitity is actually paying them. In Aus when you get to that type of salary you are usually running it off via a Family Trust, private company, or other tax dodges, that grossly hides how much you are getting and how much tax you are paying.

PS in Australia, with our vast government health network, there are two types of university course that are so highly contested to enter that you have to achieve almost perfect scores in high school to earn a coveted place. The most coveted is medical school. The second most coveted is Law school.
#110 Jul 25 2009 at 3:45 AM Rating: Excellent
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15,952 posts
publiusvarus wrote:
Jophed,

Quote:
Of course not. It's a health care bill, not a job creation bill. In fact, I answered the same way the last time you asked that dumb question.



but Obama just said this;

Quote:
"This isn't about me. This isn't about politics. This is about a health care system that is breaking America's families, breaking America's businesses, and breaking America's economy," Obama said on a visit to a Washington hospital.


So obviously "fixing" healthcare is going to save american families, businesses, and the economy.


Also if this legislation is so good why not make it available for everyone to read?

Actually I agree with varus on this one. The option of free universal healthcare WILL be good for business, the economy, and jobs in the long run. (And families, of course.)

There's a certain level of illness that means a person starts making poor judgements, is more likely to be irritable, or starts making bad mistakes at work. This lowers morale in general, or can lead to costly and damaging accidents. This can greatly add to the costs of a business needlessly.

There's a certain level of illness that makes the difference between someone being able to work or not work, or between only working part-time instead of full time. This puts less cash in the sick person's pocket, and means that they contribute to the growth of the economy far less. Companies also suffer when their already trained and familiar employees leave or drop their hours due to illness. In fact, a rash of severe illnesses or disabilities can contribute to a downturn.

Despite what anyone might think of someone who doesn't manage to secure an income straight out of school and save relentlessly, putting away and keeping money for whatever dire illness might strike them or their family members in the future, it is, in fact in everyone else's much better interest to make sure that everyone's health needs are met, and they are as work-ready as possible, even if the tax payer foots all the bill in the present. Over time, keeping the improvident or the unlucky work-ready will lead to collecting higher taxes from them down the line.

The option of free adequate healthcare for everyone -> takes money out of system short term -> healthy, more emotionally balanced workforce and investors -> more money created by system later -> economic growth -> more jobs.

PS, sorry, not trying to pharm posts, It's just that after a certain amount of writing I feel the wall of text is so eye-bleeding it needs to get broken up for the psychological relief of everyone involved.

Edited, Jul 25th 2009 11:35am by Aripyanfar
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