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08-24-2010, 03:08 PM
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Abby Normal
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Join Date: May 2009
Posts: 11,245
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Quote:
Originally Posted by whell
Single - payer systems do not seem to be faring well either. In fact, many such systems, including the Canadian system, appear to be ready to explore market - based alternatives.
http://www.civitas.org.uk/pdf/Canada.pdf
I would also challenge you on a couple of points:
First, that single - payer is disconnected from the regulatory enviroment. Rather, single - payer is the ultimate regulation of the health care delivery system. It removes the free market almost completely from the equation, and fully regulates the delivery of care in the market: who can deliver care, under what circumstances the care can be delivered, the timing of the delivery of care, and the cost of delivery.
Second, that PPACA is "little more that re-arranging the deck chairs on the Titanic. PPACA does little in the near term to impact the delivery of health care. It gets at cost in a rather hopeful way - that requiring individuals to purchase health care will increase improve overall funding by increasing the amount of incoming premium dollars. I'd suggest that there are still plenty of holes in the funding scenario that could likely result in further - you guessed it - regulatory intervention to plug the holes.
PPACA utlimtely could change how most poeple in this country buy health insurance. In the extreme, it could signficantly reduce the number of individuals who buy health insurance in the group market from an employer. On its face, this isn't a bad thing in and of itself. I've often said that if I were King for a day, I'd outlaw employer sponsored group health insurance. (I might even go so far as to outlaw health insurance, but that's a whole differnent thread). It creates an uneven playing field where the largest groups can puchase coverage more economically than smaller groups, and subjects small groups to more unpredictable year over year health insurance premium cost increases. PPACA doesn't necessarily solve this. It does, however, create a powerful incentive for employers - and I'd suggest in partcilular smaller employers - to get out of providing group health insurance coverage. This could result in dramatic change in how the health insurance market, and ultimately the health care delivery system, might operate.
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the best insurance in the US today is Medicare, a single payer system.
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08-24-2010, 03:36 PM
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Resident octogenarian
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Join Date: May 2009
Location: Maryland
Posts: 20,860
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Quote:
Originally Posted by whell
Single - payer systems do not seem to be faring well either. In fact, many such systems, including the Canadian system, appear to be ready to explore market - based alternatives.
http://www.civitas.org.uk/pdf/Canada.pdf
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What an absolute load of crap. The Canadian system is not now, never was known as "Medicare" the authors appear to be totally confused, they must have gotten their information from Grassley and Hatch.
The Single Payer system is a health insurance system with a single insurer. Like any other insurance company they tell you what they will pay for and what they will not pay for. Even doctors in Canada get confused and at one point a group of doctors in Alberta asked the system to buy them an MRI machine. The response was that if they thought they could profitably operate such a machine they were perfectly free to buy one. Does Aetna buy MRI machines?
I could recount experiences of my family still in Canada but it probably would be a waste of time. I will simply suggest that you try the WHO site and see where Canadians stand vis-a-vis Americans. I believe you will find they live longer, have fewer strokes or heart attacks and the infant mortality rate is lower. BTW no Canadian was ever forced into bankruptcy by medical expenses.
If anyone there is considering abandoning single payer for a system like ours it would have to be that barking idiot Harper.
__________________
Great minds discuss ideas; Average minds discuss events; Small minds discuss people.
Eleanor Roosevelt
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08-24-2010, 03:53 PM
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Senior Member
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Join Date: Aug 2010
Location: Metro Detroit
Posts: 13,016
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Quote:
Originally Posted by merrylander
What an absolute load of crap. The Canadian system is not now, never was known as "Medicare" the authors appear to be totally confused, they must have gotten their information from Grassley and Hatch.
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Dang. Grassley and Hatch are everywhere. They've even infiltrated Health Canada's web page, who seem to acknowledge the "medicare" reference.
http://www.hc-sc.gc.ca/hcs-sss/medi-assur/index-eng.php
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08-24-2010, 03:55 PM
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Senior Member
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Join Date: Aug 2010
Location: Metro Detroit
Posts: 13,016
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Quote:
Originally Posted by merrylander
I believe you will find they live longer, have fewer strokes or heart attacks and the infant mortality rate is lower. BTW no Canadian was ever forced into bankruptcy by medical expenses.
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If you read the article on the link that I posted, you'd see that these facts are acknowledged in the article as well. It also provides reasons why this might be the case: reasons that are disconnected from the delivery of health care in Canada.
Last edited by whell; 08-24-2010 at 03:58 PM.
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08-24-2010, 04:15 PM
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Senior Member
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Join Date: Nov 2009
Location: Sonoma County, CA
Posts: 20,496
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Quote:
Originally Posted by merrylander
If anyone there is considering abandoning single payer for a system like ours it would have to be that barking idiot Harper.
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And as one sided and distorted as that (eight year old) paper is, it doesn't say that, though Whell's original post implied that it does.
John
__________________
Smoke me a kipper. I'll be back for breakfast.
Last edited by Boreas; 08-24-2010 at 04:21 PM.
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08-24-2010, 02:23 PM
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Abby Normal
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Join Date: May 2009
Posts: 11,245
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Quote:
Originally Posted by whell
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Again - pretty wide question
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it allows you flexability
Product - overall, very good. Opportunities for improvement / efficiency can
you mean for those with full access correct? What about the others?
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Delivery - hit and miss, cumbersome, over-regulated
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I would think that 1 0f 11 diagnosis being wrong would be a concern.
by over regulating I assume you mean the insurance companies would like to withhold even more costly services?
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Access - could be improved. Impacted by delivery.
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what does that mean?
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Cost - out of control, over - regulated. The value proposition is fair, but the potential for erosion is increasing.
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Fair? fair to who? isn't there always a potential for erosion by definition?
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Regulatory enviroment - a mess. A hodge-podge of local, state and federal regulations that add costs and decrease efficiencies at every level.
Funding - a mess
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Hasn't history taught us that big businness runs a mock less government regulation? (yes it does)
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Federal and state mandates and programs skew the costs and for all participants in the system.
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That's how the insiders see the demand from government to actually spend money on healthcare instead of just moving premiums to profits?
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Group insurance creates a cost structure that tends to favor the largest groups, or groups that are most favorable (healthy) from an underwriting perspective.
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Good, we agree. One cost for all Americans. Excellent.
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Tax treatment for health care premiums creates advantages for some and disadvantages for others, irrespective of income.
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All tax codes are mess. This is not unique in healthcare.
Overall I'd say your post was a bunch of Hooey.
Of course I am not in the industry. In fact once I became ill I lost all medical coverage so maybe I am unaware of the great healthcare industry.
Last edited by noonereal; 08-24-2010 at 03:10 PM.
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08-24-2010, 02:47 PM
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Senior Member
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Join Date: Aug 2010
Location: Metro Detroit
Posts: 13,016
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[QUOTE=noonereal;37290]
Overall I'd say your post was a bunch of BS.
QUOTE]
Why, thank you.
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08-24-2010, 03:10 PM
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Abby Normal
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Join Date: May 2009
Posts: 11,245
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[QUOTE=whell;37292]
Quote:
Originally Posted by noonereal
Overall I'd say your post was a bunch of Hooey.
QUOTE]
Why, thank you.
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great reply, thanks (all thoese questions and you only decide to comment on this? )
btw I meant to put Hooey, your post sounded like a bunch of hooey but I was not sure how to spell it.
Last edited by noonereal; 08-24-2010 at 03:14 PM.
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08-24-2010, 03:16 PM
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Senior Member
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Join Date: Aug 2010
Location: Metro Detroit
Posts: 13,016
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Quote:
Originally Posted by noonereal
Of course I am not in the industry. In fact once I became ill I lost all medical coverage so maybe I am unaware of the great healthcare industry.
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It can be extremely difficult to maintain objectvity in a discussion about the broad topic of health care. It can be a very personal, emotional topic for many. However, if there is any hope at arriving at a well conceived set of solutions about the issues in the health care system, objectivity has to be the starting point for the discussion.
The "health care issue" is tremendously complex. Folks tend to lump health care delivery together with health insurance and view it all as one common problem. They are very different issues, and both would have their own unique set of solutions.
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08-24-2010, 03:54 PM
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Abby Normal
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Join Date: May 2009
Posts: 11,245
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Quote:
Originally Posted by whell
It can be extremely difficult to maintain objectvity in a discussion about the broad topic of health care. It can be a very personal, emotional topic for many. However, if there is any hope at arriving at a well conceived set of solutions about the issues in the health care system, objectivity has to be the starting point for the discussion.
The "health care issue" is tremendously complex. Folks tend to lump health care delivery together with health insurance and view it all as one common problem. They are very different issues, and both would have their own unique set of solutions.
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so you have disqualified me from discussion because I am ill?
That is handy.
Was I disqualified when I paid over $15,000 a year for what amounted to catastrophic insurance for my daughter and I also?
You who has a vested interest in healthcare can discuss it objectively?
what a crock, a real Palin moment.
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