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#27 Aug 25 2009 at 5:31 AM Rating: Decent
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The US has issues with it's health care system and lots of other problems stem from that. I still consider myself 'lucky' for being an American.

Hopefully, Obama will have the inertia to, at least, keep the ball of change moving. Even if ever so slightly.






Edited, Aug 25th 2009 3:57pm by Elinda
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#28 Aug 25 2009 at 5:47 AM Rating: Good
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Hopefully, Obama will have the inertia to, at least, keep the ball of change moving. Even if ever so slightly.


Change never comes from inertia.
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#29 Aug 25 2009 at 5:53 AM Rating: Good
Elinda wrote:
I still consider myself 'unlucky' for being an American.


Nah, you really shouldn't.
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#30 Aug 25 2009 at 5:56 AM Rating: Good
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RedPhoenixxx wrote:
Elinda wrote:
I still consider myself 'unlucky' for being an American.


Nah, you really shouldn't.
I typo-ed. Now it's permanent. Smiley: mad
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#31 Aug 25 2009 at 9:45 AM Rating: Excellent
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I used to think I was lucky too, but it's gotten quite embarrassing
to see how difficult it is to do something genuinely positive for the nation as a whole. It ain't about Republican or Democrat, it's about helping as many people as we can with life and death issues.

We can live in capitalistic idealism all we want but it's entirely clear that Canada and most of Europe are getting much better health care for a greater number of people than the USA. You can argue silly isolated cases or other minor things, but having this new system would benefit so many people with such, frankly, minor changes that are being blown out of proportion. The world isn't going to go to hell just because taxes might go up a little and people will actually have more choice as far as their health care goes.
#32 Aug 25 2009 at 11:58 AM Rating: Default
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CBD wrote:
gbaji wrote:
Did Mr. Reid happen to mention what percentage of that 16% were uninsured by choice? No? Can you guess why?


Probably because the majority of them "choose" to not have it because they can't afford to have it.

Fun facts aren't fun unless you ignore the facts though, right?


Interesting comment from a guy who's just guessing... The "fact" is that only 9% of people living in the US (that includes illegals btw) need assistance paying for health insurance (ie: They can't actually afford it on their own). This does not mean that all of them cannot afford *any* health care. Just that they can't purchase health insurance without assistance.

But hey. Quoting 16% sounds better than 9%. Which was my point...

Quote:
gbaji wrote:
people with those rare conditions which require expensive and specialized treatments simply don't get them in time to save their lives.


Citation. You keep saying this sh*t with nothing to back it up


ok

Or this

And this

Or this

Is there anyone who isn't aware that long delays to get diagnosed is a major problem in the UK NHS? That's what I was talking about. While there is some rationing of care as well, the biggest problem is that tests for less common conditions (although you'd think the breast cancer stuff would be more common, but go figure) sometimes takes so long that the problem has advanced to an incurable state (or even fatal).


Quote:
Good idea, let's throw out a citation about all these people dying because they can't get treatment. There should be a ton of them, so I'd like to see at least fifteen unique cases with no outside circumstances.



Sure...

Edited, Aug 25th 2009 12:59pm by gbaji
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#33 Aug 25 2009 at 12:16 PM Rating: Good
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gbaji wrote:
Interesting comment from a guy who's just guessing...


Smiley: lolSmiley: lolSmiley: lol

This is coming from the guy who says he knows sh*t just because he's soooo smart and boy isn't it soooo obvious. Oh, and while we're on this topic - any slippery slope logic is all guesswork, buddy.

gbaji wrote:
Is there anyone who isn't aware that long delays to get diagnosed is a major problem in the UK NHS? That's what I was talking about.


That is most certainly not what you were talking about. You said treatment. You can either admit you're lying because you have no proof that treatment is delayed, or you can admit you're a fucking idiot and thought treatment is comparable to diagnosis.

I don't particularly care which you choose.

Meanwhile, only one of the articles says that diagnosis was delayed because test results weren't returning fast enough. That article is three years old. The other articles make it very clear the problem is either with the patients for not seeing their GP fast enough, or with the doctors not being able to place the symptoms fast enough. Try again.

gbaji wrote:
Sure...


What, you can't do it because that's not the case?

Edited, Aug 25th 2009 4:17pm by CBD
#34 Aug 25 2009 at 12:22 PM Rating: Excellent
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although you'd think the breast cancer stuff would be more common, but go figure) sometimes takes so long that the problem has advanced to an incurable state (or even fatal).


Because I'm in a better mood today than I was yesterday, I'll pleasantly point out that the delays they are talking about there is to do with genetic test results. Its relatively new, and is in the process of being hugely expanded to cover all women FOR FREE. Imagine that...

Actual breast cancer results are returned on the same day in most cases. In fact most surgeons now begin an operation as a lumpectomy, the lump is sent for testing, whilst the patient is asleep, and when the results come back owithin the next 15 to 20 minutes (its called frozen section), the surgeon then decides wether to close, or proceed further. (He doesn't need to wake you up to see if you have the right insurance cover either!)



It just goes to show that, as usual, you don't have a clue what you are talking about.


In fact, I have an idea.

Why dont you, gbaji, if you are really against free health care in the US, stop trying to use other countries health systems as an example and save your pathetically misinformed arguments for what is happening in your own backyard.?

For those of us who have worked in public health services for decades and know them inside and out, their advantages and disadvantages and the massive amount of good that has been achieved for individuals, families and communities wich by far makes up for the relatively small sums that we, as individuals need to pay to maintain them, your poisonous rhetoric, lies, innuendo and misinformed opinions about them is as offensive as it is wrong.

Stick to what you know about dude. (Everquest for example) You obviously know less than nothing about public health services in other countries.

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#35 Aug 25 2009 at 12:23 PM Rating: Good
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The articles were also comparing the system to not only US health care but also other European systems, which completely invalidates your point. There appears to be some issues with a certain type of diagnosis that they are aware of and dealing with. The fact that they lag behind Europe as well as the US in this doesn't indicate a weakness with government health care, it indicates a weakness in their health care.

Edited, Aug 25th 2009 3:26pm by Xsarus
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#36 Aug 25 2009 at 3:37 PM Rating: Default
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CBD wrote:
gbaji wrote:
Is there anyone who isn't aware that long delays to get diagnosed is a major problem in the UK NHS? That's what I was talking about.


That is most certainly not what you were talking about. You said treatment.


Yes. Because it takes typically about 2-3 times longer in Europe to get diagnosed properly than it does in the US. They don't have to deny care. They just put you through a run-around getting the care you need if it's not on the common check list of standard government approved illnesses (and sometimes even when it is). You come in with the flu, you get a shot lickity split. You come in with a broken bone, no problem! You come in with some odd symptoms, which could be lupis, or could be some form of cancer, or it might be shingles, or it might be... well. You'd better hope its not something that will get significantly worse in the 6-18 months it'll take them to figure out what you've got and treat you.


I apologize if I wasn't completely clear, but this is *exactly* what I was talking about. Total time from when someone walks in the door until they receive treatment for the health problem they have includes diagnosis. Something which socialized medical systems tend to be poor at. Quite possibly because of the very issue of payment I mentioned earlier. Good diagnosticians are in high demand. They'll tend to gravitate to places like the US, where they can get paid more. What's left is the "lowest common denominator" medicine which you'll typically get in the UK. It's wonderful if you never get sick with something unusual. It's pretty horrible if you do.


I was making the point that there are trade offs with both systems. I stand by that point.
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#37 Aug 25 2009 at 3:46 PM Rating: Decent
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I was making the point that there are trade offs with both systems. I stand by that point.


Complex issues are not free from arbitration just because they are complex.
#38 Aug 25 2009 at 3:54 PM Rating: Decent
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gbaji wrote:
You'd better hope its not something that will get significantly worse in the 6-18 months it'll take them to figure out what you've got and treat you.
...
Something which socialized medical systems tend to be poor at.


Provide proof that the delay in diagnosis is the government's fault in the majority of the situations.

Also, please revise your "6-18 month" guess, removing time for treatment. We've already covered that you can't find where that is an issue.

gbaji wrote:
I apologize if I wasn't completely clear, but this is *exactly* what I was talking about.


It's not that you weren't completely clear, it's that you said something completely different, got caught, and now you're backpedaling like it's your job.

gbaji wrote:
They'll tend to gravitate to places like the US, where they can get paid more.


Citation.

EDIT: lol4kget

Edited, Aug 25th 2009 7:54pm by CBD
#39 Aug 25 2009 at 4:10 PM Rating: Good
gbaji wrote:
Yes. Because it takes typically about 2-3 times longer in Europe to get diagnosed properly than it does in the US.


I tried to find something on this on the internet, and I couldn't. Could you please give me a citation for this?
#40 Aug 25 2009 at 4:12 PM Rating: Good
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I'm not sure where gbaji gets his numbers, but then it seems in his fantasy world 5 doctor visits a year seem a lot for healthy humans.

It's not hard to determine how many doctor visit an very healthy person should have each year. Age and gender need to be factor in aw well, as it's often normal for males to put off getting their annual check ups, while women tend to have at least 2 annual exams due to needing to see a GYN/OB for annual pelvic exam. Eye and dental exams add 2 or more visits a year.

While one shouldn't need to see a doctor for most minor illnesses, one can expect to have to take a child more then once a year for various childhood illnesses and occasional accidents.

After certain age one will also need every few years if not annually, to be screened for various illnesses. Even with a decent insurance plan the cost add up fast if you're face with anything major.

Now factor in that few people are lucky enough to have perfect health all though their life. Plus there are things healthy people often face that can increase their number of doctor visits any given year, such a pregnacy.

Develop or be born with an chronic illness and one's lucky to only have to see a doctor 3 or 4 times a year. Be mentally ill and it's easy to have to be seen 15 times a year, which makes the coverage that many insurance plans ofter for psychiatric appointments far too little if one needs medication and therapy.

So enjoy your good health while it lasts because like most Americans, you're just one medical crises away from financial ruin. Plus can it be the reason so few Americans see a doctor more then 5 times a year is the fact they can't afford it.

Even with Medicaid and State covering most of my medical care, there are some standard treatments for chronic pain, which I go without since they aren't covered for adults. One visit to a pain management clinic costs over one third of my monthly check. My medications under Jonwin's medical insurance would be more then his monthly income.

The facts just add up that most Americans would be far better off under a single payer system of health care.
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#41 Aug 25 2009 at 4:20 PM Rating: Excellent
I'd gladly take the trade offs of the UK system over the ones in the US system any day.
#42 Aug 25 2009 at 4:42 PM Rating: Good
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ElneClare wrote:
I'm not sure where gbaji gets his numbers


As i've pointed out a few times now, he pulls them straight out of his ***** obviously.

This entire paragraph is fictional, for example :
gbaji wrote:
Yes. Because it takes typically about 2-3 times longer in Europe to get diagnosed properly than it does in the US. They don't have to deny care. They just put you through a run-around getting the care you need if it's not on the common check list of standard government approved illnesses (and sometimes even when it is). You come in with the flu, you get a shot lickity split. You come in with a broken bone, no problem! You come in with some odd symptoms, which could be lupis, or could be some form of cancer, or it might be shingles, or it might be... well. You'd better hope its not something that will get significantly worse in the 6-18 months it'll take them to figure out what you've got and treat you.




And this one is not only fictional, its absolutely offensive to all of us second rate practioners who are too incompetant to get employment in the US...

gbaji wrote:
Total time from when someone walks in the door until they receive treatment for the health problem they have includes diagnosis. Something which socialized medical systems tend to be poor at. Quite possibly because of the very issue of payment I mentioned earlier. Good diagnosticians are in high demand. They'll tend to gravitate to places like the US, where they can get paid more. What's left is the "lowest common denominator" medicine which you'll typically get in the UK. It's wonderful if you never get sick with something unusual. It's pretty horrible if you do.


Question gbaji. Has it occured to you that a fairly large proportion of the doctors who come to the US, do so, because they know they can make huge amounts of money from the system you have there rather than any percieved desire to work at the bleeding edge of medicine??

No? thought not....


I'm not sure why gbaji is making this stuff up. I mean, by all means formulate (make up) your own opinions, but making up *facts* that have no basis in reality is just laughable.





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#43 Aug 25 2009 at 4:53 PM Rating: Decent
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Has it occured to you that a fairly large proportion of the doctors who come to the US, do so, because they know they can make huge amounts of money from the system you have there rather than any percieved desire to work at the bleeding edge of medicine??


And why is that? Could it possibly be that those doctors are not being paid adequately for their work and deserve more for their skills? It is because they want to make more money that they are better doctors, as it shows an increased ambition and incentive to work their best.

Obviously.
#44 Aug 25 2009 at 5:00 PM Rating: Good
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FYI, if you're interested and never have, you can now watch Sicko at FreeDocumentries.com

This thread seemed as good a place as any to let folks know. I make no claims for content on the rest of the site which seems to range between "pretty good" and "fringe wackiness"

Edited, Aug 25th 2009 8:04pm by Jophiel
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#45 Aug 25 2009 at 5:15 PM Rating: Excellent
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Pensive the Ludicrous wrote:


And why is that? Could it possibly be that those doctors are not being paid adequately for their work and deserve more for their skills? It is because they want to make more money that they are better doctors, as it shows an increased ambition and incentive to work their best.



I hope thats a troll.....

but just in case.....

Everywhere I've worked, there are plenty of opportunities for doctors to make large, even obscene sums of money, depending on how they choose to arrange their work.

Many of the best doctors I know/have known are not in it for the cash tho. Sure, they like to make a comfortable living, and its a rare medic that doesn't have a nice house or two, stylee car and a garage full of toys if thats what they enjoy, or a well stocked wine cellar or whatever.

But to imply that the best doctors go to where the money is, is just plain wrong. Some of the *best* doctors I've known over the years, donate (for free!!!!)massive amounts of time to overseas, third world type programmes, a huge variety of local programmes (rape crisis or child health for example) and all sorts of endevours, purely because they want to help people. Odd concept for the likes of gbaji I know, but its true. they want to help people because they see it as the right thing to do. Which if you think about it for a minute, is exactly why most people go in to medicine in the first place.

For sure, some doctors shoot off to the states to make a mountain of cash (theres one or two of them in my family), and do so very succesfully, and I am equally sure there are many doctors who go to the states to work at places considered the Centres of Excellence for their particular field to improve their knowledge and experience and to conduct research or whatever.




But I'm getting a bit sick of hearing that doctors go to the US because they get paid more, and thats what makes them better doctors.

Its just not true.

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#46 Aug 25 2009 at 5:17 PM Rating: Good
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Jophiel wrote:
FYI, if you're interested and never have, you can now watch Sicko at FreeDocumentries.com



Also availiable here.

Well worth a watch imo.
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#47 Aug 25 2009 at 5:23 PM Rating: Decent
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Quote:
I hope thats a troll.....


I want you to think hard about whether that statement is consistent with my position in the other million threads we've had recently about healthcare. If you can't remember them, then I want you to think about how often it is that I agree with gbaji.
#48 Aug 25 2009 at 5:29 PM Rating: Good
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Pensive the Ludicrous wrote:


I want you to think hard


Aparently, because my wife and I choose to live and work somewhere other than the USA, I am incapable of thinking very hard....
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#49 Aug 25 2009 at 5:43 PM Rating: Decent
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Dare to dream paulsol. Dare to dream.

The only thing holding you back is yourself.

You have to learn how to actualize your potential to obtain true happiness.

You are good enough to deserve compensation for your work you know, and when you save lives in the medical field, you deserve the highest compensation of all.

Okay you know what I feel like taking a shower.
#50 Aug 25 2009 at 5:44 PM Rating: Default
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CBD wrote:
Provide proof that the delay in diagnosis is the government's fault in the majority of the situations.


Proof? It's a government run health care program. It has a poor record of diagnosis times. Where else should we be looking? The patients? This is diagnosis time *after* they've showed up to the first doctor. The doctors? Maybe. But they're part of the system. It's no different than blaming the insurance companies for the fact that some patients are denied coverage. In fact, that's the exact point I was responding to. In both cases, there is a desire to cut costs, which ultimately affects quality of service. In the US, under some conditions, your private insurer may not pay for a specific procedure. In the UK, under some conditions, the government run health system may take an abnormally long amount of time to figure out what is wrong with you.


I was merely pointing this out as a counter to the flaws with private health care. You're not really "comparing" two things unless you actually look at the good and bad of both. A whole lot of people seem to want to only look at the bad aspects of private health care, while ignoring the problems with government run health systems. All I was trying to do was point out that they are far from perfect.

Quote:
Also, please revise your "6-18 month" guess, removing time for treatment. We've already covered that you can't find where that is an issue.


I provided four separate links to four separate types of illnesses in which delays caused problems for patients in the UK NHS. My statement was not a guess. It was an approximation of the delays present in the four articles:

Infant tumors: 3 months.
Cancer in teens: 4 months.
Arthritis: 9 months.
Genetic breast cancer tests: 2 years.

The larger point being that in all four cases, the delays were directly attributed to significant health impact for the patients.

You kinda lose the right to demand I provide "proof" and "cites" if you refuse to read the links I provide.
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#51 Aug 25 2009 at 5:45 PM Rating: Good
Pensive the Ludicrous wrote:
Quote:
I hope thats a troll.....


I want you to think hard about whether that statement is consistent with my position in the other million threads we've had recently about healthcare. If you can't remember them, then I want you to think about how often it is that I agree with gbaji.


For the record, I was extremely confused by your post, but thought you meant it. I think it's because you don't use sarcasm that much, so I was a bit surprised to see it. Smiley: lol I was a bit sad that you'd think that the drive to make more money makes a better doctor. I'm happy now.
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