Healthcare Thread (really "Sickcare" in America)

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Electromatic
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Re: Healthcare Thread (really "Sickcare" in America)

Post by Electromatic »

broken iris wrote:
Electromatic wrote:So the entire governmental angle here has been on access, when do we get to quality for the money?
There are provisions in the ACA about reimbursements being driven by successful results, though god knows how that would be measured. The entire government angle has been to provide subsidized insurance, nothing I have seen says anything about access outside of maximum distance requirements to hospitals that provide certain 'essential' services.

All the marketing leading up to the ACA is in how many people "who didn't have insurance" will be able to have insurance now, as if insurance actually healed or even helped people.

So far, I've read mostly that people paying for the policies are going to be paying a lot more and drug companies will be making more, while the government has found ways to make it technically less expensive for the federal government.

When do we have the discussion about quality and or the lack therof in this country? Where you live, has a tremendous effect on whether you live or die based on the care you can get depending on your malady.

So far the only people that are happy work for McKesson.

I fail to see how the "Affordable" Care Act is making healthcare affordable.
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broken iris
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Re: Healthcare Thread (really "Sickcare" in America)

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Fox News wrote: ObamaCare officials confirm there is still no system built for taking billions of dollars in subsidies and giving it to the insurance companies. So how does the system work without a payment mechanism? Tonight, Megyn Kelly reported that the administration is going to let insurance companies estimate how much money they should receive. Then the feds will cut them a check and figure out the real amount later.
:shake:

Good thing healthcare isn't a matter of life and death.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by surfndestroy »

Electromatic wrote:When do we have the discussion about quality and or the lack therof in this country? Where you live, has a tremendous effect on whether you live or die based on the care you can get depending on your malady.
I live under a single payor system and where you live still has a tremendous effect on the care you get. Believe it or not, most doctors don't like to live in the boonies and you'll find even fewer specialists. Short of slavery, you can't make doctors go to the people.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by simple schoolboy »

Electromatic wrote:
broken iris wrote:
Electromatic wrote:So the entire governmental angle here has been on access, when do we get to quality for the money?
There are provisions in the ACA about reimbursements being driven by successful results, though god knows how that would be measured. The entire government angle has been to provide subsidized insurance, nothing I have seen says anything about access outside of maximum distance requirements to hospitals that provide certain 'essential' services.

All the marketing leading up to the ACA is in how many people "who didn't have insurance" will be able to have insurance now, as if insurance actually healed or even helped people.
Has anyone linked to the study that seemed to indicate Medicaid patients have identical healthcare outcomes to those without insurance, they were just less likely to go bankrupt. Thats nice, but I also wonder if they ended up consuming more healthcare for the identical end result.
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broken iris
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Re: Healthcare Thread (really "Sickcare" in America)

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http://www.usnews.com/news/articles/201 ... ealth-care

Colin Powell Endorses Single-Payer Health Care

Former Chairman of the Joint Chiefs of Staff and Secretary of State Colin Powell attends an event honoring the 20th anniversary of the Persian Gulf War on Jan.20, 2011, in College Station, Texas.

Former Secretary of State Colin Powell marveled at the success of single-payer health care in places such as Canada, South Korea and across Europe.

At a prostate cancer survivors breakfast last week, former Secretary of State Colin Powell, a Republican, marveled at the quality of single-payer health care systems abroad and suggested the U.S. follow suit.

Amid frustration with the rollout of President Barack Obama's health care plan, some members of Congress who agree with Powell are pushing for consideration of such a system.

Sen. Bernie Sanders, I-Vt., introduced the American Health Security Act of 2013 on Monday, which would require states to create their own single-payer insurance systems. A House version was introduced in March by Rep. Jim McDermott, D-Wash.

In single-payer systems, the government pays for most non-elective medical care. Supporters say adopting that tax-financed model would improve care and dramatically reduce costs by eliminating overhead and insurance company profits. Opponents fear rationing and reduced personal choice.

The 2010 Affordable Care Act, commonly known as Obamacare, retained the private health insurance industry and forces Americans to buy private insurance policies or face a fine. Attempts to include a public health insurance option were blocked by Republicans and conservative Democrats who feared it would be a backdoor to a single-payer system.

Powell said, however, that he would welcome the adoption of a socialized insurance system.

"I don't see why we can't do what Europe is doing, what Canada is doing, what Korea is doing, what all these other places are doing," Powell said at the Dec. 5 event. "I am not an expert in health care, or Obamacare, or the Affordable Care Act, or however you choose to describe it, but I do know this: I have benefited from that kind of universal health care in my 55 years of public life."

The retired four-star general pointed to his military health insurance as an example of high-quality government insurance and shared an anecdote regarding his firewood supplier -- a woman named Anne -- who sought help paying for an MRI scan not covered by her private insurance policy.

"Every country I've visited, every developed country, they have universal health care ... I think universal health care is one of the things we should really be focused on," Powell said. "Whether it's Obamacare, or son of Obamacare, I don't care. As long as we get it done."

Although widely regarded as a possible GOP presidential candidate in the 1990s, Powell drifted from party orthodoxy during President George W. Bush's second term, growing increasingly skeptical about the Iraq War. He endorsed Obama in 2008 and 2012.

Rep. Rush Holt, D-N.J., sees Powell's endorsement of single-payer systems as a sign Americans will embrace the idea "sooner rather than later."

"It's not a foreign idea," he said, pointing to millions of Americans with Medicare, Medicaid and military-provided health insurance.

Holt is an enthusiastic supporter of the Expanded & Improved Medicare For All Act proposed by Rep. John Conyers, D-Mich. The bill has been introduced annually since 2003 and would finance public health insurance for all Americans with a payroll tax. Holt also supports Obama's health care overhaul, but feels it should be considered a first step.
Powell should have been our first black president. This guy is the bridge between Republicans and Democrats.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by Stickman »

For 4500$, I'll bring in my own anesthesia and a bevy of top shelf models to keep me company while I'm in the H.

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Re: Healthcare Thread (really "Sickcare" in America)

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Yeah. I know everything is not always as it seems, and nothing's black and white, and there's usually more to the story..blahblahblah...that is just plain ridiculous.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by broken iris »

Kaius wrote:Yeah. I know everything is not always as it seems, and nothing's black and white, and there's usually more to the story..blahblahblah...that is just plain ridiculous.
Agreed. It's the nature of how our for-profit insurance system works that is insane. When my daughter was born, we had selected a hosptial where all the ob/gyn's and delivery room doctors were on our plan so that we would be covered. The doctors were concerned she about an elevated white blood cell count and that she might have an infection, so she spent her first night in the NICU were the doctor on call from 12-8 was on some kind of rotation from another hospital and was not in our plan. Our insurance initially balked at paying the $2500 we were being billed for it (it being the doctors consult time, the NICU facilities and nurses were covered) and it took about 6 hours of my wife and I's time on the phone will them and the hospital to get it worked down $400. What was really fucked up was the hospital and insurance company were pointing fingers at each other and claiming the other was at fault and was taking advantage of them. :shake:
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stip
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Re: Healthcare Thread (really "Sickcare" in America)

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One of these days I should scan and post a history of the legislative battle to get Obamacare passed (the article is about 50 pages of small print). It's a remarkable story (not necessarily in a good way) . All of these problems are pretty easy to fix insofar as we are aware of what works, what has a decent chance of working, and what doesn't. But this would require a political will that just isn't there. With Republicans opposed to any health care reform at all just to deny Obama a victory, the more conservative/corporate/insurance oriented democrats were able to highjack the entire process because their votes were necessary to cross the 60 vote threshold in the senate. If even a handful of republicans signed on for single player it probably would have been doable.

As is, this will get better once it is institutionalized and there are no longer political points to be scored off of a blanket resistance to it.
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Re: Healthcare Thread (really "Sickcare" in America)

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I hope you're right about it getting better, but for me it's a "see it to believe" kind of deal.
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Re: Healthcare Thread (really "Sickcare" in America)

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yeah, there's no guarantee. But historically obamacare is not unprecedented for a major policy roll out like this (in terms of flaws with initiating policy or conceptual weaknesses), and given the fact that half the gov't is actively trying to sabotage it, it didn't do so bad. Most of us are unsurprisingly illiterate regarding policy history, so it's easy to lose sight of that.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by Electromatic »

http://www.ajc.com/ap/ap/govt-airlines- ... k_homepage

Ok, and I love this because it's for some transparency in pricing from the airline industry.

but if it's good for them. WHY THE FUCK ISN'T this RULE IN PLACE IN THE FUCKING HEALTHCARE INDUSTRY????????

We have the worst healthcare system in the freaking universe in terms of value and the "rural poor" are being shat on for service along with the veterans primarily due to the fucking cost of care. The ACA does nothing to address cost. NOTHING, it just shifts it around.

Why the fuck isn't this rule in place for the cable industry too?

If the government is going to do anything, how about we pass some laws that actually provide the consumer with information like what a service actually costs at the end and or the contents of that product that we are consuming.
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broken iris
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Re: Healthcare Thread (really "Sickcare" in America)

Post by broken iris »

Electromatic wrote: If the government is going to do anything, how about we pass some laws that actually provide the consumer with information like what a service actually costs at the end and or the contents of that product that we are consuming.
I thought the ACA did require estimated pricing for common procedures, but I don't know for sure and the administration seems to be enforcing only select provisions of the law.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by elliseamos »

i'm putting this here b/c mental health needs to be better recognized/treated/discussed (no more stigma)/funded.

this lady sounds certifiably paranoid and should have received some treatment for it:

http://abcnews.go.com/US/wireStory/woma ... r-25032697
Electromatic
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Re: Healthcare Thread (really "Sickcare" in America)

Post by Electromatic »

broken iris wrote:
Electromatic wrote: If the government is going to do anything, how about we pass some laws that actually provide the consumer with information like what a service actually costs at the end and or the contents of that product that we are consuming.
I thought the ACA did require estimated pricing for common procedures, but I don't know for sure and the administration seems to be enforcing only select provisions of the law.

I've heard tale of this, but in practice, I don't see much or any of it.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by BurtReynolds »

Haven't been able to log on the website for weeks. thought I'd try the phone number:
washington healthcare wrote:your wait time is... 3 HUNDRED AND 46 MINUTES.
BWAHAHAH

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Re: Healthcare Thread (really "Sickcare" in America)

Post by BurtReynolds »

ooooooh really fucked up by redialing. wait time is now over 500 minutes.
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Re: Healthcare Thread (really "Sickcare" in America)

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Can I get an update on your wait time, Burt?
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Re: Healthcare Thread (really "Sickcare" in America)

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hang on I'll call back.
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Re: Healthcare Thread (really "Sickcare" in America)

Post by BurtReynolds »

Only 144 minutes!
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