Universal Healthcare in the USA

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ZippZ

Member
Jul 24, 2000
108
13
81
Thing I worry about universal healthcare is what I see from the Veterans Administration, which is basically universal healthcare for Soldiers and Veterans. Seen all the corruption, inefficiencies, and mistreatments on the news but figured it's just typical media and political exaggeration.

I talked to a group of old retired veterans last week and all they talked about is how much they hate the VA healthcare system. And hate is an understatement. They had soo much resentment that it was eye opening for me. I wonder if this is what would happen with universal healthcare here.
 

ivwshane

Lifer
May 15, 2000
32,324
15,123
136
Thing I worry about universal healthcare is what I see from the Veterans Administration, which is basically universal healthcare for Soldiers and Veterans. Seen all the corruption, inefficiencies, and mistreatments on the news but figured it's just typical media and political exaggeration.

I talked to a group of old retired veterans last week and all they talked about is how much they hate the VA healthcare system. And hate is an understatement. They had soo much resentment that it was eye opening for me. I wonder if this is what would happen with universal healthcare here.

I don't know anyone that likes bad government. That's why people need to hold those in charge of running such institutions accountable. If the people don't do that then who is really to blame?

http://www.nationaljournal.com/defense/obama-has-every-reason-to-fix-the-va-why-hasn-t-he-20140514

http://www.nationaljournal.com/defense/who-really-broke-veterans-affairs-20140520
 
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Moonbeam

Elite Member
Nov 24, 1999
72,685
6,195
126
The problem I have M is not whether someone has something better, but how do we get to what is best for us. We've arrived at an end without considering how to get there.



We'd best keep to our feet when dreaming of Imladris or we might wind up in Barad-dûr. Shall we not try then? Of course we ought to, but we need a good map and trusty guides before embarking on a journey which cannot be undone. I'd prefer wisdom and knowledge over all else when dealing with such matters.

Nice post.

I don't know much about the pluses and minuses of Obama care. I do know that I was paying almost 500 a month for somebody in my family important to me that could not get coverage because of previous conditions. It's been good for me and the individual in question.
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,076
136
Quick, tell me the last time you personally needed a GP in a non-emergency situation to diagnose something.

Even the really serious problems are not handled by your family doctor. If your family doctor thinks you might have cancer, they refer you to another doctor that is better suited for making that call. If they suspect one of many common chronic problems, they'll refer you to a lab that takes blood and tests things. A doctor is needed to look at the results of that test, but why do we need doctors doing the initial referral?

.. I'm really not going to bother with you. Honestly, you have quite simply don't posses any concept of the reality of the practice of medicine. Last time I, personally, need a diagnosis? Years ago, but that's not unexpected. Just to discuss the example you used; a GP does, in fact, diagnose you with cancer as such:

"You've had a chronic cough?" .. orders chest xray
"You have a shadow on your chest xray?" .. orders cat scan of the chest
"Your cat scan shows a spiculated mass?" .. "refers" to IR/CTS depending on location (and not "refers" as in "please make all the decisions," "refers" as in "you have the mechanical skills necessary to acquire a piece of tissue for me.")
"Biopsy showed squamous cell carcinoma?" .. long discussion with patient regarding options with likely referral to oncologist at this time for multidisciplinary treatment and management of chemotherapy.

How about that? Certainly some general practitioners lack the experience/comfort with managing various illnesses, but the vast majority do it without problem. You honestly think an endocrinologist should be managing all diabetics? Or a pulmonologist all patient's with COPD? Yeah, that's a brilliant solution for cost savings; not to mention absurd.
 

IGBT

Lifer
Jul 16, 2001
17,956
137
106
so now it's a forgone conclusion that obama care has death panels..who selects the panel members?? Is Mzz Nancy Pelosi involved somehow??
 

werepossum

Elite Member
Jul 10, 2006
29,873
463
126
You think Canadians wait months for those same procedures in emergency circumstances?

My mother had a fall yesterday morning breaking her hip. While in hospital they did the x-ray and found what they believe is cancer. In the 24 hours since then she has had a second round of X-rays, CT scan and bone scan.

We don't have to wait if we don't want to either. You can pay for scans on your own at private clinics. If you want it free for non emergency matters there could be some wait but in most cases it's not a long wait.
I think it's usually longer, sometimes seriously longer. In both of these cases it would not have been considered an emergency.

You would seem to imply that the prior system, free market health care, is some sort of utopia where people don't have to wait for MRI's, etc. It's easy to do that when you ignore all of the awful things that happened in the prior system--tens of thousands of people dying each year from lack of health care, sick people having their insurance coverage revoked, hundreds of thousands of medical cost-induced bankruptcies every year, etc.

I'm not a defender of Obamacare since I support real socialized medicine. I just want to point out that the previous system you seem to have fond memories of had horrible problems.
The system we had worked pretty well for most of us, although admittedly for 10 - 15% of the population it did not work well.

Easy peasy solution: Get rid of the corruption in government and universal health care will sail through Congress. /s

The problem with UHC is that it's meant to help the commoner and not so much the very rich who acquire their wealth from the commoner. How can the elite prey upon the everyday joe in the street if the gov't sets up laws that shields the majority of the nation who would greatly benefit from UHC coverage, from the select few who can afford all the health care they could ever want or need and then some?

The moment our politicians put up their "Congressional Votes for Sale to the Highest Bidder" signs is the day UHC became virtually impossible to get passed. Then the totally corrupted Conservative run USSC got involved and drove the last nail into the UHC coffin.

It still amazes me how this small group of very powerful rich folks can bamboozle the vast majority of the nation into believing that it's good for the majority of the nation to vote against their own best interests.
lol Easy peasy, just assume that everyone who doesn't want what I want is either corrupt or stupid. Congrats, you have accurately captured the typical Democrat condescension.

While you've been developing your sense of superiority, the rest of us have been figuring out how to provide our own health insurance, education, birth control, day care . . .
 

werepossum

Elite Member
Jul 10, 2006
29,873
463
126
Thing I worry about universal healthcare is what I see from the Veterans Administration, which is basically universal healthcare for Soldiers and Veterans. Seen all the corruption, inefficiencies, and mistreatments on the news but figured it's just typical media and political exaggeration.

I talked to a group of old retired veterans last week and all they talked about is how much they hate the VA healthcare system. And hate is an understatement. They had soo much resentment that it was eye opening for me. I wonder if this is what would happen with universal healthcare here.
That's what I don't understand. We're always told how satisfied are veterans with the VA, yet virtually all of those I know hate it.
 

zinfamous

No Lifer
Jul 12, 2006
110,806
29,557
146
That's what I don't understand. We're always told how satisfied are veterans with the VA, yet virtually all of those I know hate it.

It's an alarming example of one of our many forms of "government-run" healthcare, but it is not particularly telling when considering a hypothetical Universal healthcare system.

The situation at the VA is more indicative, specifically, of the outright shitty way the government treats our veterans.


Hey, look at our Congress Critters and their coveted healthcare. Think they'd be willing to cut some of that down and offer sacrificed resources to ease the VA burden, if only by a little bit?

:hmm: ...
 

doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
I think it's usually longer, sometimes seriously longer. In both of these cases it would not have been considered an emergency.


The system we had worked pretty well for most of us, although admittedly for 10 - 15% of the population it did not work well.


lol Easy peasy, just assume that everyone who doesn't want what I want is either corrupt or stupid. Congrats, you have accurately captured the typical Democrat condescension.

While you've been developing your sense of superiority, the rest of us have been figuring out how to provide our own health insurance, education, birth control, day care . . .

You think its seriously longer? Why? I've used the emergency room in Europe and it was amazing. Fast, clean, and efficient. They didn't charge $2000 for the ambulance ride there either.When it comes to acute care I think they have it way better. I've had to sit in the emergency room for hours in California. Took like 6 hours to see my girlfriend for a broken ankle. Was like hanging out in a soup kitchen too with a hundred other people waiting. Maybe other states have it better but it sucks in California.

Also saying it worked for most of us is dishonest. First off today we have 16% with no insurance and that's the lowest its been in years.

Then you have the underinsured.

Then you have the millions going bankrupt.

Plus those who are denied care.

You're delusional if you think the system was or is good for most people. We have the lowest rated healthcare system in the developed world.

It is expensive, cumbersome, and inadequate.
 
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doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
In 2012:
Underinsured: 31.7 million
Uninsured: 47.3 million
Bankruptcy per year: 2 million
Struggling to pay healthcare related bills: 56 million

How in the world could you post with a straight face that the system worked well for most people. Are you just using the term "most" to mean over 50%?
 

doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
http://www.pbs.org/newshour/rundown/health-costs-how-the-us-compares-with-other-countries/

In the United States:

There are fewer physicians per person than in most other OECD countries. In 2010, for instance, the U.S. had 2.4 practicing physicians per 1,000 people — well below below the OECD average of 3.1.

The number of hospital beds in the U.S. was 2.6 per 1,000 population in 2009, lower than the OECD average of 3.4 beds.

Life expectancy at birth increased by almost nine years between 1960 and 2010, but that’s less than the increase of over 15 years in Japan and over 11 years on average in OECD countries. The average American now lives 78.7 years in 2010, more than one year below the average of 79.8 years.

Spending on almost every area of health care is higher in the United States than in other countries. For example, nearly $900 per person per year goes on administrative costs. This is far higher than in, say, France, which spends $300 per person, but which also has a system in which health care services are reimbursed in a similar way to the U.S.

A large amount of higher overall hospital spending in the U.S. can be explained by services costing more in U.S. hospitals rather than because U.S. hospitals are delivering more services. When we look across a broad range of hospital services (both medical and surgical), the average price in the United States is 85 percent higher than the average in other OECD countries. To put this in perspective, a hospital stay in the United States costs over $18,000 on average. The countries that come closest to spending as much — Canada, the Netherlands, Japan — spend between $4,000 and $6,000 less per stay. Across OECD countries, the average cost of a hospital stay is about one-third that of the U.S., at $6,200.

Our data suggests that the U.S. does do more tests than other OECD countries. The U.S. did 100 MRI tests and 265 CT tests for every 1000 people in 2010 — more than twice the average in other OECD countries. It does more tonsillectomies and more knee replacements than any other OECD country. It also has more Caesarean sections and coronary bypass procedures than in most other countries.

These procedures and the use of expensive diagnostic tests are all subject to physician opinion on whether they are desirable or not. The fact that U.S. physicians decide that more procedures and tests are desirable compared to their peers in other countries could be due to a few different things, such as:

A fear of litigation that sees physicians test for everything so that they cannot be blamed for not having covered all bases

Payments that mean that physicians get paid more if they do more interventions, regardless of medical necessity.

Because patients ask for more tests and services. It is often comforting to feel that medical problems are being diagnosed or treated, regardless of whether they are medically necessary. As these services are often paid for by insurance policies, the immediate cost of extra treatment for a patient is often zero or very low.

Anyways no need for me to quote the whole article.
 

glenn1

Lifer
Sep 6, 2000
25,383
1,013
126
In 2012:
Underinsured: 31.7 million
Uninsured: 47.3 million
Bankruptcy per year: 2 million
Struggling to pay healthcare related bills: 56 million

How in the world could you post with a straight face that the system worked well for most people. Are you just using the term "most" to mean over 50%?

The system is working to have those receive the care be responsible for paying for it, which is exactly as it should be. That is the most fundamental element of fairness you can get, not your "let the middle class get taxed to pay for Bubba after he goes 'hey y'all watch this!' for the 59th time." Or lactation consultants for inner city crackheads.

And before you attempt to counter with "well they get 'free' emergency room care now," that's also just to get them out of the way of paying customers. When people abandon their cars at the side of the road we just tow them away, not fix them up at taxpayer expense and return them to their owners. "Free emergency room service" is exactly that, cleaning off right-of-way as a safety measure for the rest of us. Whether it's someone's 1993 Yugo off the side of I-95 or the driver from the doorway of General Hospital it's the same principle.
 

doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
Yeah don't let facts get in the way of what you just posted. You even quoted the nearly 80 million people who are not taken care of. Surely all those people just need to work harder and pay more money into the system. Right?

The "I got mine, you go get yours" attitude is why the USA is falling behind in almost every metric that we use to measure prosperity.

Worse yet is that despite your idealism we still spend 2.5x per person for healthcare than countries with fully functioning systems

That's 2.5x as much for a faulty, broken, and inadequate system

Fist bump!
 

glenn1

Lifer
Sep 6, 2000
25,383
1,013
126
Yeah don't let facts get in the way of what you just posted. You even quoted the nearly 80 million people who are not taken care of. Surely all those people just need to work harder and pay more money into the system. Right?

The "I got mine, you go get yours" attitude is why the USA is falling behind in almost every metric that we use to measure prosperity.

Worse yet is that despite your idealism we still spend 2.5x per person for healthcare than countries with fully functioning systems

That's 2.5x as much for a faulty, broken, and inadequate system

Fist bump!

So your logic is that because people should pay for the medical services they use rather that just pass the costs onto some other wealthier taxpayer to bear, we're falling behind in prosperity. I guess all that personal responsibility gets in the way of prosperity in your world. Hell, why limit yourself to healthcare then? We'll just let those who want to work do so, and pay for the entire living expenses of everyone else.
 

doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
Facts. They're right above you. You're ignoring them for some kind of ideological reason that does not match reality.
 

doubledeluxe

Golden Member
Oct 1, 2014
1,074
1
0
Almost 80% of Americans are living paycheck to paycheck and 25% have no money. Your imaginary world where everyone just pays their own way does not match reality. It's not done in any developed nation and those 3rd world nations that do operate that way have very high poverty rates.

I'm from CA which has a poverty rate of 25%. I currently live in a South American country and the poverty rate here is a bit over 30%. I think the level of poverty is different but one thing remains the same. A society with high levels of poverty is subpar, in my opinion, compared to one that has low levels. Europe is at about 15% overall including places like Bulgaria and Romania. I lived in a Western European country that was around 5%. It's a huge difference. I really can't stress this enough.

So on an ideological level, since that's all you're offering, you should decide what kind of society you want to live in. One with high poverty and the crime levels associated with it or one where your kids are safe to ride their bike down the street and you don't have to worry about someone stealing your cell phone out of your car while you're sitting in it.
 

Spungo

Diamond Member
Jul 22, 2012
3,217
2
81
"You've had a chronic cough?" .. orders chest xray
You're saying nurses don't know that xrays are used to diagnose chronic coughing?

"You have a shadow on your chest xray?" .. orders cat scan of the chest
Correct, analysis of xrays should be handled by a doctor.


How about that? Certainly some general practitioners lack the experience/comfort with managing various illnesses, but the vast majority do it without problem. You honestly think an endocrinologist should be managing all diabetics? Or a pulmonologist all patient's with COPD? Yeah, that's a brilliant solution for cost savings; not to mention absurd.
As you jokingly suggest, yes, 100% of my dad's cancer was handled by an oncologist. 100% of my mom's cortisone shots are done by a guy who only does orthopedic stuff. It would be awesome if a family doctor would give those cortisone shots, but that's not the situation. The doctors around here don't even treat things like depression. I had to get a referral to a psychiatrist just to get fluoxetine. I've been taking that for years and it's still 100% handled by a psychiatrist. It's absurdly expensive, but that's the system. I'm left wondering if family doctors actually do anything.

btw I'm in Spokane. Move to Spokane if you are qualified to prescribe mundane things and give cortisone injections. The metro area has about half a million people. Housing is relatively cheap because population is spread out. The climate is pretty nice. Never too hot, never too cold.
 
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glenn1

Lifer
Sep 6, 2000
25,383
1,013
126
So on an ideological level, since that's all you're offering, you should decide what kind of society you want to live in. One with high poverty and the crime levels associated with it or one where your kids are safe to ride their bike down the street and you don't have to worry about someone stealing your cell phone out of your car while you're sitting in it.

Since in your formulation I'm going to have my money seized either way, I'd rather someone actively have to take it from me rather than be a passive recipient of it after you and your ilk send the government in to take it on your behalf. That being said, if you want to be a terrified coward afraid of the big bad boogeyman poor person be my guest.
 

Nebor

Lifer
Jun 24, 2003
29,582
12
76
Almost 80% of Americans are living paycheck to paycheck and 25% have no money. Your imaginary world where everyone just pays their own way does not match reality. It's not done in any developed nation and those 3rd world nations that do operate that way have very high poverty rates.

I'm from CA which has a poverty rate of 25%. I currently live in a South American country and the poverty rate here is a bit over 30%. I think the level of poverty is different but one thing remains the same. A society with high levels of poverty is subpar, in my opinion, compared to one that has low levels. Europe is at about 15% overall including places like Bulgaria and Romania. I lived in a Western European country that was around 5%. It's a huge difference. I really can't stress this enough.

So on an ideological level, since that's all you're offering, you should decide what kind of society you want to live in. One with high poverty and the crime levels associated with it or one where your kids are safe to ride their bike down the street and you don't have to worry about someone stealing your cell phone out of your car while you're sitting in it.

It's pretty one sided to only mention the drawbacks of a high poverty society and none of the positives.
 

fleshconsumed

Diamond Member
Feb 21, 2002
6,485
2,362
136
It's pretty one sided to only mention the drawbacks of a high poverty society and none of the positives.

I'm genuinely curious, what would those be besides top 1% doing/getting pretty much whatever they want?
 
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