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American Values and Health CareFollow

#1 Jul 30 2009 at 2:53 PM Rating: Excellent
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Single Payer Health Care is back in the news thank to Obama's own Doctor and Physicians for a National Health Program (PNHP)

Of course special interests and those who follow Herbert Spencer's Survival of the fittest are going to do all they can say to convince the American public that Single Payer system goes against American Values.

Yesterday the New England Journal of Medicine publish an opinion piece by Allan S. Brett, M.D. asking What Are American Values, when it comes to Health Care.

The full text can be found here “American Values” — A Smoke Screen in the Debate on Health Care Reform He sums up his argument very well in the last paragraph.

Quote:
Policymakers debating health care reform should stop hiding behind the smoke screen of “American values.” Discussions dominated by references to uniquely American individualism, uniquely American solutions, or narrowly defined conceptions of choice tell us more about the political and economic interests of the discussants than about the interests of the Americans they claim to represent. In an increasingly diverse country that has a widening gap between rich and poor, a more promising approach is to start with the questions that matter to everyone: Will the system care for us when we’re sick and help prevent illness when we’re well? Will we have access to medical care throughout our lives without risking financial ruin? Will we be able to navigate the system easily, without jumping through unnecessary hoops or encountering excessive red tape? Will health care spending be managed wisely? Health care reformers owe Americans a system that best addresses these questions — not one that merely pays lip service to ill-defined “American values.”

No potential conflict of interest relevant to this article was reported.


Still the Republican Party is holding on to Spenser's idea as gospel and can't admit to all the harm this ideas have created in the last century.

If you are interested in more about Spenser I suggest reading Banquet at Delmonico's: Great Minds, the Gilded Age, and the Triumph of Evolution in America I started reading it while in the hospital and about half way through. It's given me some better insight into how the Republican Party went from the Party of Abe Lincoln to the party of Rush Limbaugh.
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In the place of a Dark Lord you would have a Queen! Not dark but beautiful and terrible as the Morn! Treacherous as the Seas! Stronger than the foundations of the Earth! All shall love me and despair! -ElneClare

This Post is written in Elnese, If it was an actual Post, it would make sense.
#2 Jul 30 2009 at 3:00 PM Rating: Good
ElneClare wrote:
It's given me some better insight into how the Republican Party went from the Party of Abe Lincoln to the party of Rush Limbaugh.


That right reminds me of a conversation I once had with my old history teacher in high school. We were talking about how the parties have pretty much swapped sides as far as ideals and party lines are concerned about every 40 years or so.

If Abe Lincoln were alive today, he'd probably be signed up with the Dems.
If JFK were alive today, he'd probably be a Republican.
If Jefferson were alive today, all we'd be hearing about in the news is whether or not he should be still be wearing a silly wig.

...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.
#3 Jul 30 2009 at 3:38 PM Rating: Decent
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Quote:
...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.


Wasn't that Winston Churchill?
#4 Jul 30 2009 at 4:13 PM Rating: Good
I think the single payer system is not on the table in the US right now. The unique American properties are a combination of distrust of government and lack of sympathy for fellow Americans (often due to actual racism although some of it is due to political philosophy).

If we bother to open a newspaper we all know: the single payer system would be vastly cheaper and that we would have more choice then we do now and that right now, if we get very sick, our insurance company will try to either kill us or move us to the government dole. We know that if our doctors order too many tests, they run the risk of getting kicked out of the network which provides much of their business. And so right now the doctor has to balance the need to do the test (and the risk we will become upset and complain, or potentially sue) versus the risk that our insurance will kick them out of network.

In short we all know our current system is badly broken. And that all of this can be rectified by a UK-style single payer system.

Those initial unique American properties are pretty strong, huh? Either that or people don't actually know the facts yet.
#5 Jul 30 2009 at 4:39 PM Rating: Good
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Admiral Tzemesce wrote:

...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.


Golly, I hope for the sake of your kids that your fiance's dad's inability to form an original, much less accurate, thought isn't a genetic trait.
#6 Jul 30 2009 at 5:25 PM Rating: Decent
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I would love having a single payer health care program. Our insurance (after paying it up till September) dropped us on July 1st (long story) and of course we didn't find out till we went to refill my prenatals and were advised that we didnt have insurance (on july 16th). We got their drop letter on the 23rd and still haven't gotten our refund. :(

Thankfully we saved enough to prepay my care (it comes out to less than I had to pay when I had insurance with Suki). No insurance carrier will cover me (preexisting condition). As for the family, Brent can go to a V.A. and for Suki there is an emergency care clinic that also has good rates. (Shes completely up to date on her vaccines, which our insurance also wouldn't cover unless we wanted to try to go on standby at the local base.)

Another point is, when I had insurance it was charged out the butt to overcompensate for all of the noninsurance carriers. >.<

#7 Jul 30 2009 at 11:30 PM Rating: Good
Pensive the Ludicrous wrote:
Quote:
...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.


Wasn't that Winston Churchill?


No one knows for sure who said it (it's been attributed to Georges Clemenceau, Dean Inge, Benjamin Disraeli, and Maurice Maeterlinck, among others); but people are fairly sure that Churchill never said it.
#8 Jul 31 2009 at 4:43 AM Rating: Excellent
niobia wrote:
I would love having a single payer health care program. Our insurance (after paying it up till September) dropped us on July 1st (long story) and of course we didn't find out till we went to refill my prenatals and were advised that we didnt have insurance (on july 16th). We got their drop letter on the 23rd and still haven't gotten our refund. :(

Thankfully we saved enough to prepay my care (it comes out to less than I had to pay when I had insurance with Suki). No insurance carrier will cover me (preexisting condition). As for the family, Brent can go to a V.A. and for Suki there is an emergency care clinic that also has good rates. (Shes completely up to date on her vaccines, which our insurance also wouldn't cover unless we wanted to try to go on standby at the local base.)

Another point is, when I had insurance it was charged out the butt to overcompensate for all of the noninsurance carriers. >.<
I'm in a similar boat here. I'm leaving a job to start a small business (which already has one employee aside from me-- I'm creating new jobs! ;D). All I can afford is catastrophic insurance, and even if I could find a decently priced full coverage policy, it wouldn't cover the cost my narcolepsy treatments as it's a preexisting condition. I can pay for my modafinil, the generic's only ~$40 for a month's supply, but xyrem is about $600 a month so I'll be going back to the less expensive, less effective tricyclic antidepressants (which also make me twitch, and leave my brain feeling like it's been replaced with a large ball of dry cotton) so I can lead some semblance of a normal life.

I'm planning to take off most of August to accommodate the rebound attacks that will hit while I'm changing meds.

The fact of the matter is, this "American values" argument isn't a smoke screen, it's a sack of ********* In early America, the wealthy could afford the services of a physician to come to their home to treat their illnesses. What did the poor and working class do? They went to local poorhouse where they received medical treatment that was (wait for it!) paid for by the local municipality out of tax revenues. Granted, the medical care provided by these facilities was terrible on the best of days, but the fact is government-provided healthcare has been part of the American experience since the very earliest days.

The current insurance-based system is a product of the 20th century. Modern insurance policies started gaining popularity during the depression, but during World War II, they became a way of getting around war-time wage caps and by the 1950s employer-sponsored health insurance had become a standard component of compensation. Medicare and medicaids introduction in the 1960s did bring about a damaging increase in medical costs over the following decades (due to mismanagement, though, not some evilness inherent to government-paid healthcare). By the end of the 20th century, the universality of employer-sponsored health insurance combined with the skyrocketing of medical costs had priced even routine doctors visits out of the range of lower-income Americans. While the poorest citizens have medical access through Medicaid, there's a huge gap (filled with low-income workers, small business owners, and the self-employeed) who make too much money to qualify for Medicaid, but too little to take on the crushing premiums of even a minimal insurance policy.
#9 Jul 31 2009 at 4:49 AM Rating: Good
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As much as I moan when I see the NH contributions out of my salary, I'd hate to have to worry about it like you Americans do.
#10 Jul 31 2009 at 4:49 AM Rating: Decent
Mindel wrote:
there's a huge gap (filled with low-income workers, small business owners, and the self-employeed) who make too much money to qualify for Medicaid, but too little to take on the crushing premiums of even a minimal insurance policy.


And what happens to these people in the event of a catastrophic illness or accident? They lose everything & go bankrupt, while suffering from the catastrophic illness or accident & taxpayers pay for it anyways.

And it's my personal opinion that this generally does not help the recovery process.
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#11 Jul 31 2009 at 5:02 AM Rating: Good
Omegavegeta wrote:
Mindel wrote:
there's a huge gap (filled with low-income workers, small business owners, and the self-employeed) who make too much money to qualify for Medicaid, but too little to take on the crushing premiums of even a minimal insurance policy.


And what happens to these people in the event of a catastrophic illness or accident? They lose everything & go bankrupt, while suffering from the catastrophic illness or accident & taxpayers pay for it anyways.

And it's my personal opinion that this generally does not help the recovery process.


I have a friend who, just out of high school, started a landscaping business. He had three or four employees and was looking to get a group healthcare policy for his company when he was diagnosed with leukemia. He survived, but he lost the business. Then he got graft vs. host disease from a bone marrow transplant. At one point he was more than a quarter million dollars in medical debt. He lost his house, went bankrupt, and has spent the last 10 years on SSI. He can't take the chance of getting a job because he still needs constant medical care and if he earns too much money, he loses his SSI and medicaid benefits, so he sits around and tries to live on the $800 monthly disability payment he gets from the federal government, perpetually locked in poverty just so he can keep breathing. He's in his mid-thirties, and relies on his parents to bring him food as his benefit check barely covers the rent and utilities on the studio apartment he lives in. I wish his experience were unique.

Edited, Jul 31st 2009 9:02am by Mindel
#12 Jul 31 2009 at 5:45 AM Rating: Excellent
Vagina Dentata,
what a wonderful phrase
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It's funny how much people talk about the issues with single payer systems. My whole extended family are Canadian. Not only do they have the same level of health care, even among those without separate, supplemental insurance, they haven't had to deal with the trauma of things like Mindel cited. My sister's closest childhood friend who had to go on welfare b/c she couldn't be insured anywhere and had such crazy hospital bills and a long term chronic illness. My family hasn't had to go to the ER b/c they don't have insurance but immediate medical needs like I used to have to when I had no insurance (as a young'un in my early 20s), even though I was working full time. We pay more in our system proportionately than Canadians. There are no positives for the consumer in our current system--only the providers and the insurance companies, the very people who are lobbying politicians and propogandizing the public.
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Turin wrote:
Seriously, what the f*ck nature?
#13 Jul 31 2009 at 5:54 AM Rating: Good
Annabella, Goblin in Disguise wrote:
It's funny how much people talk about the issues with single payer systems. My whole extended family are Canadian. Not only do they have the same level of health care, even among those without separate, supplemental insurance, they haven't had to deal with the trauma of things like Mindel cited. My sister's closest childhood friend who had to go on welfare b/c she couldn't be insured anywhere and had such crazy hospital bills and a long term chronic illness. My family hasn't had to go to the ER b/c they don't have insurance but immediate medical needs like I used to have to when I had no insurance (as a young'un in my early 20s), even though I was working full time. We pay more in our system proportionately than Canadians. There are no positives for the consumer in our current system--only the providers and the insurance companies, the very people who are lobbying politicians and propogandizing the public.
It's totally OK though, because these people are poor, and poor people don't deserve medical care. Gbaji saids so.

My friend pretty much asked for a life of grinding poverty and hopelessness when he foolishly allowed his DNA to be mutated. It's probably because he voted for Clinton.

Edited, Jul 31st 2009 9:55am by Mindel
#14 Jul 31 2009 at 5:56 AM Rating: Excellent
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TILT
Everyone knows that the people in Canada are miserable with their health care system and have to choose between waiting seven years for a gauze pad or sneaking over the border to take from sweet, sweet Liberty & Freedom Care.
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Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#15ThiefX, Posted: Jul 31 2009 at 6:07 AM, Rating: Sub-Default, (Expand Post) Make a deal with you.
#16 Jul 31 2009 at 6:16 AM Rating: Excellent
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Pensive the Ludicrous wrote:
Quote:
...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.


Wasn't that Winston Churchill?


It's a misquote, but yeah. He was talking about communists, which (in spite of what RushCo is trying to sell you) most Democrats are not.

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#17 Jul 31 2009 at 6:23 AM Rating: Excellent
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ThiefX wrote:
we will admit to the "harm" our ideas of caused.

Nothing says sincerity like the quotation marks around "harm".
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Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#18 Jul 31 2009 at 6:29 AM Rating: Good
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ThiefX wrote:
Quote:
Still the Republican Party is holding on to Spenser's idea as gospel and can't admit to all the harm this ideas have created in the last century.


Make a deal with you.

If Liberals will admit to all of the things they have caused damage to in the last century (public school system, families, national defense, the over all weakening of the greatest country that ever exsisted) we will admit to the "harm" our ideas of caused.


I don't think you have the power to persuade all Republicans, and since when was the Democratic party renamed "Liberal"? :-P
#19 Jul 31 2009 at 6:39 AM Rating: Good
It must be fun to read lewrockwell.com and then regurgitate everything their columnists write.
#20 Jul 31 2009 at 6:43 AM Rating: Good
Vagina Dentata,
what a wonderful phrase
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30,106 posts
Samira wrote:
Pensive the Ludicrous wrote:
Quote:
...or to put it the way my fiance's dad does: If you're young and Republican you don't have a heart. If you're old Democrat, you don't have a brain.


Wasn't that Winston Churchill?


It's a misquote, but yeah. He was talking about communists, which (in spite of what RushCo is trying to sell you) most Democrats are not.



When my grandma was a teenager in England, she became a Communist for a while. She was the kind of gal that Winston was criticizing. Drinking, smoking, hanging out, becoming RED.
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Turin wrote:
Seriously, what the f*ck nature?
#21 Jul 31 2009 at 6:56 AM Rating: Default
Mindel,

Quote:
What did the poor and working class do?


WTF is medicare and medicaid for?


Quote:
While the poorest citizens have medical access through Medicaid, there's a huge gap (filled with low-income workers, small business owners, and the self-employeed) who make too much money to qualify for Medicaid, but too little to take on the crushing premiums of even a minimal insurance policy.


The simple fact is any plan that doesn't involve major tort reform and some way to keep us from paying for 30 million illegal aliens care is not a good one.

The reason the doctors run so many tests to diagnose the problem is if they don't they get sued out of business.

Do we really want a politician determining who gets what care based on how much money a certain care costs?



Jophed,

Quote:
Everyone knows that the people in Canada are miserable with their health care system and have to choose between waiting seven years for a gauze pad or sneaking over the border to take from sweet, sweet Liberty & Freedom Care.


You think you're being witty but that's closer to the truth than you realize. We had a ridiculous number of people coming from the northeast and canada to take advantage of Tenn care. It ended up nearly bankrupting the state before Bredesen, yes a democrat, fixed it.



#22 Jul 31 2009 at 7:01 AM Rating: Good
Vagina Dentata,
what a wonderful phrase
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30,106 posts
Quote:

WTF is medicare and medicaid for?


Most adults who are working poor and working class aren't eligible for it, except here where they can pay into it. Also, undocumented immigrants don't have access to national healthcare plans.
____________________________
Turin wrote:
Seriously, what the f*ck nature?
#23 Jul 31 2009 at 7:01 AM Rating: Excellent
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TILT
publiusvarus wrote:
You think you're being witty but that's closer to the truth than you realize. We had a ridiculous number of people coming from the northeast and canada to take advantage of Tenn care. It ended up nearly bankrupting the state before Bredesen, yes a democrat, fixed it.

TennCare site wrote:
TennCare is a government-operated medical assistance program designed for people who are eligible for Medicaid, as well as for some children who do not have insurance. TennCare is a Medicaid waiver, or demonstration, program. Its purpose is to demonstrate that the use of managed-care principles can generate sufficient savings to enable the state to cover more than Medicaid eligible people.

TennCare provides health coverage for 1.2 million low-income children, pregnant women and disabled Tennesseans with an annual budget of $7 billion.

Just so we're clear on this: Canadians were abandoning their frosty lands and government-run health care systems to travel to Tennessee and... use the state's government-run health care system?

Well, see? Now we know a government system can work better than Canada's! Thanks, Varus!
____________________________
Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#24 Jul 31 2009 at 7:02 AM Rating: Good
I'd like to take this moment to apologise on behalf of Communism for all the "harm" we caused along the years.

We're sorry. We didn't really mean it. The Goulags? Yeah, sorry about that. The re-education camps? Ooops. The whole "Dictorship working on behalf of the proletariat"? Yeah, that was a bit of a blunder. What's that? The Khmers? Yeah, that too. Mao? Yeah, he'll make the blooper section. Stalin? Sure, but at least he had a nice moustache. My grand-ma? Dude, she's like 83, leave her out of this.

So anyway, no hard feelings I hope. Can we be BFF now?
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#25 Jul 31 2009 at 7:06 AM Rating: Excellent
publiusvarus wrote:
Mindel,

Quote:
What did the poor and working class do?


WTF is medicare and medicaid for?
Medicaid covers the disabled, blind, and pregnant living in poverty. Medicare coves retirees. The working poor and lower middle class have... absolutely nothing.

Quote:
The simple fact is any plan that doesn't involve major tort reform and some way to keep us from paying for 30 million illegal aliens care is not a good one.

The reason the doctors run so many tests to diagnose the problem is if they don't they get sued out of business.
Any plan that doesn't cover every citizen and legal resident in the United States is an unacceptable one. Tort and immigration reform are just distractions.

Quote:
Do we really want a politician determining who gets what care based on how much money a certain care costs?
Despite this just being a silly FUD tactic, how is this at all difference from an insurance bureaucrat determining who gets what care based on how much money a certain care costs?


Edited, Jul 31st 2009 11:06am by Mindel
#26REDACTED, Posted: Jul 31 2009 at 7:18 AM, Rating: Sub-Default, (Expand Post) Jophed,
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