[FONT='PrimaSans BT,Verdana,sans-serif'][quote name='elprincipe']Sometimes yes, sometimes no. Preventive care, applied more widely, increases costs more than it decreases them. I was part of the discussion in the other thread as well. More often than not, the tests for X amount of people cost more than treating the illness of the guy who gets sick. Now, I'm not making a judgment as to if the cost is worth it; after all, there is some non-monetary benefit to preventing the pain and suffering of getting sick. However, to claim that this is a "key" to lowering costs demonstrates a fundamental misunderstanding of this issue.[/QUOTE]
http://www.annals.org/content/139/11/950.full.pdf+html
Using a very expensive test such as a MRI to check for one or two problems would be the sometimes no area. Using an inexpensive test such as a physical to check for dozens of problems would be the sometimes yes area.
[quote name='elprincipe'] Theoretically, yes. However, the government has set the fine at a fairly low level. The government has also mandated that insurance companies accept people with "pre-existing conditions" (otherwise known as people who are already sick, as well as those likely to get sick). If my fine is $1000 and my insurance premiums are $2000, why the hell would I, being a somewhat healthy person, not pay the fine and expect that I could get away with paying half as much? After all, if I did get seriously ill, I could just buy insurance and they'd have to take me, right?[/QUOTE]
Therein lies the problem with myopia. My wife is a somewhat healthy person and she has consumed the better part of $40K in medical bills before the age of 32. The new law is trying to push people into doing the intelligent thing. The mentality of fines versus premiums forgets medical costs that would make premiums far more attractive and I hope you educate people when you run into that mindset.
[quote name='elprincipe'] True, although it's been shown that having health insurance doesn't increase overall health. For example, look at health outcomes of senior citizens following the passage of Medicare. [/QUOTE]
Dmaul pointed out a while back that people with insurance have better cancer survival rates than people without insurance even when people with insurance had a more advanced cancer than people without insurance.
http://www.google.com/publicdata?ds...untry:USA&dl=en&hl=en&q=life+expectancy+chart
According to the chart, life expectancy has gone up. Is that because of Medicare or some other factor or their combination?
[quote name='elprincipe'] See above. This just isn't true in many/most cases. For some things yes, this is absolutely a cost savings, but overall no.[/QUOTE]
I guess we need some reeducation. If you get people involved in maintaining their health earlier, you save money. If you get people involved in maintaining their health on their death bed, you lose money.
[quote name='elprincipe'] I know we've had this discussion before on this board, but there are only 30+ countries that do health care better than the U.S. if you use the WHO (I think?) rankings. More or less this means that if you are poor, yes, many countries do health care better; but if you can afford it, ours is among the best.[/QUOTE]
Therein lies the problem. A set of new tits is a luxury. A new heart valve is a necessity. So, health care might seem like a luxury, but can easily be a necessity. You have dozens of countries capable of decoupling the ability to pay and treatment. Overall, their results have exceeded our results and done so for less money. If these countries were paying more for health care and having poorer overall results, I would be on the insurance companies' side.
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