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Brown-Wyden Healthcare BillFollow

#27 Nov 20 2010 at 2:42 AM Rating: Decent
MoebiusLord wrote:
MDenham wrote:
MoebiusLord wrote:
Your logic is incorrect. Fast food is cheap and convenient yet unhealthy for you in any meaningful quantity. The incentive of saving time and money outweighs the incentive of being healthy in most people. There are countless other examples. Give people a reason that hits them in the pocketbook, they'll respond.
There's one problem in your logic: fast food isn't cheaper than making your own damn dinner.

So it's the incentive of saving time despite the added expense over that of being healthy, which makes a monetary incentive kind of useless because people are already doing stupid things even though it already costs them more.

Impulse meal decision: it would cost me about $14.00 to make cheeseburgers, fries and get soda for myself and my family. I could get the same thing from McDonalds for about $10.00. Try again.
I'd rather not. Instead...

Buns: $1. (If you can't find them at that price, you're not looking in the right places. Most companies that distribute bread products have a local shop that sells excess product for cheap - like "ten loaves of bread for a little over $10" cheap.)
Cheese: About $1.50 for 12 slices. (More if you want actual cheese rather than oily cheese substitute American.)
One pound of hamburger: $2, possibly cheaper. (That gets you enough meat to make ten of the standard cheeseburger at McDonald's, or five Big Macs, or four Quarter Pounders, or about three of their Angus burgers.)
Fries: $2.50. Possibly cheaper depending on where you're shopping (I've seen a two-pound bag of fries for $1, not on sale).

That leaves at least $3 for soda - which you can usually get two 2-liters of for around that price.

Fast food really isn't supposed to be cheaper than making the same food yourself, either. You're paying extra (generally around 200% over what the food cost for the restaurant is - yeah, I know, good luck getting prices that good for most of the ingredients, but it's still feasible) for the time saved.

You're really not going to get any sympathy or agreement out of me for any sort of argument that it's not possible to eat healthy and cheap - I'm kind of forced into it by circumstance.
#28 Nov 20 2010 at 6:39 AM Rating: Good
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gbaji wrote:
Nadenu wrote:
And then there are people like me that are deathly afraid of doctors and won't go unless we're dying. Or something has been cut off. And even then, I'd have to see just what was cut off. I think I could live without an arm.


See a trend? I'm as opposed to seeing doctors as the next guy, but I also accept that that is my decision and I should be the only one responsible for any consequences that happen. In the same way that I don't blame the government if my car breaks down because I haven't gotten an oil change in 5 years.


I actually agree with this. I know that if I'm not going to go to the doctor that it's my decision and I don't expect anyone else to cover my slack. I'm ok with it. But that's just me. We live in a world where people run to the doctor after every little sniffle.
#29 Nov 21 2010 at 4:00 AM Rating: Good
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Bah hiccup

Edited, Nov 21st 2010 5:03am by Aripyanfar
#30 Nov 21 2010 at 4:03 AM Rating: Excellent
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The Americans who want to reform the healthcare system do so because they've looked outside of America, and they see that every other first world country, and even some of the developing countries, have the same or better healthcare outcomes, at half the price of GDP.

Don't tell me it's because of the litigous nature of your system, because that only accounts for a fraction (2%?) of your healthcare costs overall.

Don't tell me it's because America is doing all the medical research in the world, because there are regular news reports here of Australian research bought out by American transnationals which have made an offer the Australian Doctors/Scientists/Engineers just couldn't decline. It's a sore point that Australia as a nation needs to hang onto its intellectual property, but usually doesn't do so.

Don't tell me that if a foreign system was adopted the wealthy who have been smart, or worked hard for their wearlth, wouldn't be able to access premium healthcare to gain a few extra months, or a 5% chance at living, which wouldn't be offered under a public or public/private hybrid system. In Australia at least, there are world class specialists and machinery that you can spend as much private money as you like on them. Experimental medicine, too, which the government doesn't cover. Compounding pharmacies that will make you a molecule to order on public or private doctor's prescription, while the government doesn't cover that molecule.

In Australia you have the choice of having private health cover or not, AND of going public or private healthcare either way. There's screeds of choice, and the entire system costs us half price compared to yours, while our doctors make the same amount of money. Medicine is the most sought after university course here, and only the top students make the placement cutoffs.

Gbaji, America simply can't AFFORD more of the same any more. You don't HAVE good choice if you only have the option of paying twice as much for the same thing as other people get. My partner spent 6 months in LA helping finish a deadline for a sister company that had gotten in trouble. They liked him and tried headhunting him. I'd been flown over for a "spouse visit", and was pleasantly surprised. The areas I visited, stayed and ate at, the places I was driven to, all were much more beautiful in reality than they came across on TV. We talked about relocating, since they were offering him a much better package than he was on. One nail in the coffin was that I'd be so far away from my immediate family. The other nail was that we simply couldn't afford me to be sick in America with my illness, not even on the extravagant package that they were offering.

Edited, Nov 21st 2010 6:35am by Aripyanfar
#31 Nov 22 2010 at 1:38 PM Rating: Good
Aripyanfar wrote:
The Americans who want to reform the healthcare system do so because they've looked outside of America, and they see that every other first world country, and even some of the developing countries, have the same or better healthcare outcomes, at half the price of GDP.

Don't tell me it's because of the litigous nature of your system, because that only accounts for a fraction (2%?) of your healthcare costs overall.

Don't tell me it's because America is doing all the medical research in the world, because there are regular news reports here of Australian research bought out by American transnationals which have made an offer the Australian Doctors/Scientists/Engineers just couldn't decline. It's a sore point that Australia as a nation needs to hang onto its intellectual property, but usually doesn't do so.

Don't tell me that if a foreign system was adopted the wealthy who have been smart, or worked hard for their wearlth, wouldn't be able to access premium healthcare to gain a few extra months, or a 5% chance at living, which wouldn't be offered under a public or public/private hybrid system. In Australia at least, there are world class specialists and machinery that you can spend as much private money as you like on them. Experimental medicine, too, which the government doesn't cover. Compounding pharmacies that will make you a molecule to order on public or private doctor's prescription, while the government doesn't cover that molecule.

In Australia you have the choice of having private health cover or not, AND of going public or private healthcare either way. There's screeds of choice, and the entire system costs us half price compared to yours, while our doctors make the same amount of money. Medicine is the most sought after university course here, and only the top students make the placement cutoffs.

Gbaji, America simply can't AFFORD more of the same any more. You don't HAVE good choice if you only have the option of paying twice as much for the same thing as other people get. My partner spent 6 months in LA helping finish a deadline for a sister company that had gotten in trouble. They liked him and tried headhunting him. I'd been flown over for a "spouse visit", and was pleasantly surprised. The areas I visited, stayed and ate at, the places I was driven to, all were much more beautiful in reality than they came across on TV. We talked about relocating, since they were offering him a much better package than he was on. One nail in the coffin was that I'd be so far away from my immediate family. The other nail was that we simply couldn't afford me to be sick in America with my illness, not even on the extravagant package that they were offering.

Edited, Nov 21st 2010 6:35am by Aripyanfar


Exactly this.
#32 Nov 22 2010 at 1:59 PM Rating: Default
yossarian wrote:
Aripyanfar wrote:
Lots of Australian words.

Exactly this.

Not so much. In law, no health care plan/coverage may be offered for sale that doesn't meet federal government mandates. Poison Pill. I would not have the opportunity to purchase to my needs, desires, etc. The health care plan as passed forces all Americans in to a very round hole, one size fits all, effectively destroying a well running system to deal with the issues of less than 10% of the population. Contrary to Ms. Pyanfar's belief, the majority of Americans who want this want it because they are entitlement whores.
#33 Nov 22 2010 at 2:31 PM Rating: Excellent
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TILT
The irony is that, during the debate, Congressional GOP leaders insisted that -- if only we would listen! -- they had a plan that would fix the problems with the health care system that they admitted existed and do so without the scary "government takeover" or "death panels" or whatever else. They could do what the Democrats wanted to do but do it cheaper, easier and with minimum government intervention. Boehner waved around a GOP plan that he claimed would fix the pre-existing coverage problems, prohibit dropping costumers, allow dependents to stay on their parents plan until age 25 (any of this sounding familiar?), and lower insurance costs by 20% so that affordability wouldn't be a barrier to coverage.

Now that they have their chance to show this on the state level, and yes this means actually having to compare to the Democratic plan in results, they can't backpedal fast enough. "Wait... our plan actually has to prove as good in practice and not just on paper? Poison pill! Poison pill! Doesn't count! You can't expect that of us! Poison pill!!!"
____________________________
Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#34REDACTED, Posted: Nov 22 2010 at 3:57 PM, Rating: Sub-Default, (Expand Post) Joph,
#35 Nov 22 2010 at 4:04 PM Rating: Excellent
Liberal Conspiracy
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TILT
It's funny because you've been desperately trying to get a rise out of that tune for a week now. Must be frustrating for you :D

Keep trying, l'il muffin!
____________________________
Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#36 Nov 22 2010 at 6:12 PM Rating: Default
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35,568 posts
Aripyanfar wrote:
The Americans who want to reform the healthcare system do so because they've looked outside of America, and they see that every other first world country, and even some of the developing countries, have the same or better healthcare outcomes, at half the price of GDP.


As I pointed out earlier, when the method used to determine "better" is the same as that used to measure whether their systems have significant government intervention, that statement is meaningless.

Quote:
Don't tell me it's because of the litigous nature of your system, because that only accounts for a fraction (2%?) of your healthcare costs overall.


That's the tip of the iceberg though. The actual amounts of the lawsuits are dwarfed by the costs added to the system by doctors and hospitals attempting to avoid those lawsuits. If I can avoid a lawsuit for X dollars by ordering extra tests and procedures and checks that'll cost my customers 5X dollars, I'm going to do it every single time.

Quote:
Don't tell me it's because America is doing all the medical research in the world, because there are regular news reports here of Australian research bought out by American transnationals which have made an offer the Australian Doctors/Scientists/Engineers just couldn't decline. It's a sore point that Australia as a nation needs to hang onto its intellectual property, but usually doesn't do so.


You realize you just provided an example of US medical dollars funding research in Australia. Has it occurred to you that said research was likely done precisely because they knew that an American transnational would buy up the result?

The "sore point" you're talking about is that your own medical system does not contain within it sufficient funding to do the research itself. If it did, this wouldn't happen. Way to fail to see the big picture though!

Quote:
Don't tell me that if a foreign system was adopted the wealthy who have been smart, or worked hard for their wearlth, wouldn't be able to access premium healthcare to gain a few extra months, or a 5% chance at living, which wouldn't be offered under a public or public/private hybrid system. In Australia at least, there are world class specialists and machinery that you can spend as much private money as you like on them. Experimental medicine, too, which the government doesn't cover. Compounding pharmacies that will make you a molecule to order on public or private doctor's prescription, while the government doesn't cover that molecule.


Ok. But if every single nation in the world adopts the same sort of health care system you have, where will those "better treatments" be developed and provided? I know that this may be hard to conceptualize, but if all medical treatment is the same everywhere there wont be anywhere to get better care, no matter how much more money you have. If every car is a Hyundai, no amount of having more money will help you buy a better car. You can't see this because so far we've all lived in a world in which only some of the first world nations have adopted socialized industries, thus the slack has been picked up by those that haven't. And those living in those countries with socialized industries have benefited as a result. But if *everyone* adopts them, we all lose.


It's the red/green game. As long as someone votes green, the greedy people who vote red get what appears to be something for nothing. But eventually everyone just votes red and everyone loses. That's what you are fighting for btw, which seems pretty darn short sighted to me.

Quote:
In Australia you have the choice of having private health cover or not, AND of going public or private healthcare either way. There's screeds of choice, and the entire system costs us half price compared to yours, while our doctors make the same amount of money. Medicine is the most sought after university course here, and only the top students make the placement cutoffs.


Not arguing that the system doesn't work for now. But ultimately, all "something for nothing" systems fail. That bill you haven't paid yet comes due in one form or another.

Quote:
Gbaji, America simply can't AFFORD more of the same any more. You don't HAVE good choice if you only have the option of paying twice as much for the same thing as other people get.


We can't afford to maintain the socialized system the political left has increasingly forced us into over the last several decades. We absolutely can afford a fully privatized system. It's the stuck-inbetween situation we're in right now that is expensive.

But all that aside, the "solution" presented in the form of this bill is horrible. It makes all of the bad things about our current system worse and doesn't improve on any of the good parts. Regardless of what the right answer is, this absolutely was the wrong thing to do.

I think that insisting on some other alternative "perfect solution" should not be a requirement to realizing that the latest health care bill was/is a disaster and should be rolled back to the greatest degree possible. I just don't accept the idea that we can't undo a mistake unless we can come up with not just something better, but something "perfect". Not enacting the mandates in this bill is "better" than enacting them. We shouldn't need to know anything else except that.

The arguments in favor of keeping the healthcare bill as passed are similar to a smoker insisting on not quitting because no one's cured lung cancer yet. Moronic!


Quote:
My partner spent 6 months in LA helping finish a deadline for a sister company that had gotten in trouble. They liked him and tried headhunting him. I'd been flown over for a "spouse visit", and was pleasantly surprised. The areas I visited, stayed and ate at, the places I was driven to, all were much more beautiful in reality than they came across on TV. We talked about relocating, since they were offering him a much better package than he was on. One nail in the coffin was that I'd be so far away from my immediate family. The other nail was that we simply couldn't afford me to be sick in America with my illness, not even on the extravagant package that they were offering.


If the package was "extravagant", then you should have been pretty fully covered. What could you not afford? I suspect that most of the coverage issues are largely overblown (for pretty obvious political reasons).
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More words please
#37 Nov 22 2010 at 8:14 PM Rating: Excellent
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gbaji wrote:
Ok. But if every single nation in the world adopts the same sort of health care system you have, where will those "better treatments" be developed and provided? I know that this may be hard to conceptualize, but if all medical treatment is the same everywhere there wont be anywhere to get better care, no matter how much more money you have. If every car is a Hyundai, no amount of having more money will help you buy a better car. You can't see this because so far we've all lived in a world in which only some of the first world nations have adopted socialized industries, thus the slack has been picked up by those that haven't. And those living in those countries with socialized industries have benefited as a result. But if *everyone* adopts them, we all lose.

Do you understand how someone qualifies for a Masters or Doctorate at university? They must come up with ORIGINAL research. Something no-one else has done before, that demonstrably works, as assessed by professionals. Even if entrepreneurs vanished off the face of the Earth (doubtful), then tertiary education would keep generating medical innovation. Not just from Medical and Science Doctorate graduates, but a fair minority of Engineering and IT graduates also apply their research and inventions to medical devices.


gbaji wrote:
Quote:
My partner spent 6 months in LA helping finish a deadline for a sister company that had gotten in trouble. They liked him and tried headhunting him. I'd been flown over for a "spouse visit", and was pleasantly surprised. The areas I visited, stayed and ate at, the places I was driven to, all were much more beautiful in reality than they came across on TV. We talked about relocating, since they were offering him a much better package than he was on. One nail in the coffin was that I'd be so far away from my immediate family. The other nail was that we simply couldn't afford me to be sick in America with my illness, not even on the extravagant package that they were offering.


If the package was "extravagant", then you should have been pretty fully covered. What could you not afford? I suspect that most of the coverage issues are largely overblown (for pretty obvious political reasons).
A pre-existing condition that requires 5 hours of hospital treatment per week for an indefinite amount of time, or a cure is found, whichever comes first, $2,000 a month of regular primary prescription medication (at the price of the "no-name" generic version), regular GP (family doctor) visits and secondary medications for the secondary illnesses I have almost constantly because my body's broke and can't cope with certain classes of infection, less frequent but regular specialist appointments for monitoring and medication adjustment purposes, and a few unavoidable emergency room visits a year for the past 15 years for the times my body tanks towards coma anyway, despite good care and careful living? I've got a virus eating my brain-stem, and a second active virus that eats red-blood cells that is usually only active in immune-deficient patients. The brain-stem is more of a problem since, you know, that's the bit of your body that makes your heart beat, your lungs breathe, your kidneys flush, your bone producing new blood, your oesophagus swallow, your body digest food... You know how elite athletes hit "The Wall" when their body quits delivering enough oxygen to their cells, and they start operating anaerobically? It ******* hurts like hell, and I'm in that state 100% of the time. I can't take painkillers except for special occasions, every single type if taken regularly leads to organ damage I can't afford, and to tolerance leading to complete ineffectiveness. My lungs are usually fine, but my heart doesn't beat correctly. My mitochondria don't work properly. All my internal organs are swollen and painful. My vision is variable. I've lost my fine motor control. I can't concentrate the way I used to. I have episodes of dizziness and episodes of paralysis.

In America, I doubt I could get an insurance policy without lying, and if I did they'd soon realise what they had on their hands, and challenge my right to coverage. Even if I DID get a policy, the out-of-pocket expenses would eat me alive.

Edited, Nov 22nd 2010 9:29pm by Aripyanfar
#38 Nov 22 2010 at 9:10 PM Rating: Excellent
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gbaji wrote:
As I pointed out earlier, when the method used to determine "better" is the same as that used to measure whether their systems have significant government intervention, that statement is meaningless.
There are only two measurements that count. What is the health-related outcome? How much total GDP does the country spend on medical care? Whether that GDP is private, public, or a mix of both is irrelevant. YOUR system costs twice as much as all the other variable systems, without delivering a better outcome.

gbaji wrote:
Quote:
Don't tell me it's because of the litigous nature of your system, because that only accounts for a fraction (2%?) of your healthcare costs overall.
That's the tip of the iceberg though. The actual amounts of the lawsuits are dwarfed by the costs added to the system by doctors and hospitals attempting to avoid those lawsuits. If I can avoid a lawsuit for X dollars by ordering extra tests and procedures and checks that'll cost my customers 5X dollars, I'm going to do it every single time.
That's a fair point. But that's what consent forms are for. Secondarily, your system still sucks and still needs fixing.

gbaji wrote:
You realize you just provided an example of US medical dollars funding research in Australia. Has it occurred to you that said research was likely done precisely because they knew that an American transnational would buy up the result?The "sore point" you're talking about is that your own medical system does not contain within it sufficient funding to do the research itself. If it did, this wouldn't happen. Way to fail to see the big picture though!
They don't buy it if it isn't already going places. They buy up patents. Far too much research that looks promising fails to pan out after it's gone to proper long-term, large, random double-blind human trials. They buy the successes, not the in-development ventures. Way to be a condescending **** though!

gbaji wrote:
]Not arguing that the system doesn't work for now. But ultimately, all "something for nothing" systems fail. That bill you haven't paid yet comes due in one form or another.
Human Capital, have you heard of it? It's utterly indispensable, and it pays dividends directly to private companies, individual pockets, and to the government pockets. It pays for itself, in circles. How well those circles are managed determines if the circles get larger or smaller.

gbaji wrote:
We can't afford to maintain the socialized system the political left has increasingly forced us into over the last several decades. We absolutely can afford a fully privatized system. It's the stuck-inbetween situation we're in right now that is expensive.
About 50 other nations are running hybrid or highly regulated systems that perform as well or better, at half the cost. Why do you think that the system wasn't left in it's original state? It's because it wasn't working. Fully private, unregulated medicine leaves a society in a *********** Victorian state, healthcare-wise.

gbaji wrote:
But all that aside, the "solution" presented in the form of this bill is horrible. It makes all of the bad things about our current system worse and doesn't improve on any of the good parts. Regardless of what the right answer is, this absolutely was the wrong thing to do.
I've lost track. Does this bill force people into taking out insurance, with the government paying the installments if individuals can't afford it? Because that means that costs for insurance companies will plunge, as more healthy people enrolled will dilute the number of sick people on their books. People who otherwise couldn't afford treatment will get it, and the government will recoup much if not all of the cost of covering the poor, since less workdays (and less taxes) will be lost to illness and infirmity. Does this bill allow for not-for-profit insurance companies? Because I have to tell you, the Credit Union not-for-profit "banks" here provide the same services without most of the fees. A wonderful option I have taken full advantage of.

gbaji wrote:
I think that insisting on some other alternative "perfect solution" should not be a requirement to realizing that the latest health care bill was/is a disaster and should be rolled back to the greatest degree possible. I just don't accept the idea that we can't undo a mistake unless we can come up with not just something better, but something "perfect". Not enacting the mandates in this bill is "better" than enacting them. We shouldn't need to know anything else except that. The arguments in favor of keeping the healthcare bill as passed are similar to a smoker insisting on not quitting because no one's cured lung cancer yet. Moronic!
I agree people should go for a compromise solution if the perfect solution isn't available. I just don't agree that this compromise is worse than the status quo.
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