Let's Privatize the Fire Department and Police Department

[quote name='bmulligan']police protection is not even really 'protection'[/QUOTE]

You're still pushing that poorly theorized and completely empirically disproven chestnut?

And yet I'm the one who doesn't want to listen, huh?

:rofl:

A brief summary of bmullgan's last post: myke has facts, and there aren't contrary facts to show that myke is wrong, but myke is wrong.

Heh.
 
[quote name='mykevermin']You're still pushing that poorly theorized and completely empirically disproven chestnut?

And yet I'm the one who doesn't want to listen, huh?

:rofl:

A brief summary of bmullgan's last post: myke has facts, and there aren't contrary facts to show that myke is wrong, but myke is wrong.

Heh.[/QUOTE]

Ugh, myke....go ahead and cling to the argument you THINK you're winning while ignoring the obvious argument that you have no chance of winning: Police and fire 'protection', even by your so-called, proven factual definition, aren't rights, they are privileges granted by the community. Therefore, you'll have to find another justification for making healthcare a right.
 
Meanwhile, back at the ranch, you've come up with ZERO FDs/PDs that have been disbanded by the public, while soonersfan (better than "buckeyefan" indeed ;)) came up with one that even they admit is only potentially tangentially related to the idea of privatizing either estate.

So, if we want to play the "you ignored ____" game, why don't you find me a community that decided to privatize either department? Or would that be too much to ask or you?

Meanwhile, who are you convincing that I've "lost" the argument? Me? Or you?
 
[quote name='mykevermin']
As for your father's pithy saying, that's what lazy people who are too unimportant for their own good say about statistics. It's what people who don't know shit about statistics say about statistics. It's a cute phrase for a bumper sticker, but one that won't wash in the real world. It's a naive, ignorant, defeatist, "I don't wanna know it, and I don't wanna like it" phrase.[/quote]

Oh so you must know my father then? You also must know every other person who said that too, since you know that everyone who says that is lazy, unimportant, doesn't know shit, is naive, ignorant and defeatist, right? You must know a lot of people.

I'm not any of those things, yet I know that stats and data can be and often are skewed in a myriad of ways. As a cynic, I'm always questioning "where is the information coming from?" "Who is telling me this and why?" I've seen that stats can be tortured and specifically selected to support pretty much any view; it may not be convincing but since most of America has to be saddled/chained with tens of thousands of dollars of debt to get a good education, a good deal of the populace will go along with what they're told. They don't think as critically. Hell sometimes they don't even have to be true at all, they can be bold face lies and the people will still chew them up like Coco-puffs (e.g. Iraq has WMD's).

Maybe I'm lazy or naive for being critical of what information I'll accept as fact, or perhaps just don't want to know the truth? Sorry teach, but your argument fails. As a matter of fact, quite the opposite is true: Those who are critical of stats and question their bias/credibility, are usually smarter and less naive than those who eat their coco-puffs with their minds and curtains closed.

And myke, sorry to break it to you, but as a third party (not Bmull or you) I can tell you that you have lost the nitpicky argument. Might want to think about starting to save face, though you don't seem to be concerned about your CAG "face" so please, continue on with your "smarter than thou" and "holier than thou" Ivory tower BS. If nothing else, it's entertaining to me. ;)

To get back to the issue at hand, instead of this semantic bickering, my personal view is that in America, where we have sooooooo much wealth, and sooooo few people have soooooo much money, it is completely fucking atrocious that we let our poor and sick die in our streets. Hospitals will literally kick dieing people out into the street, (well cab drivers paid by the hospitals usually do the kicking). Pharmaceutical companies are racking in the dough, getting old white men's dicks up while the poor and middle class are getting kicked out of their homes b/c they're bankrupt with medical bills. Not everyone can afford to pay for their illnesses, so in a civilized society, where people actually give a shit about each other, it makes sense that we would want to band together to help those that can't help themselves. Here is the rub: I'm not even talking about the UNINSURED!!! I'm talking about the people who actually fucking have and pay for GOOD health insurance, but are getting denied b/c of one of fifty thousand reasons big HMO's can find so they can stamp that "DENIED" and save their company some money.

Adjusters, and physicians employed by health ins. companies get bonuses and commisions by having the HIGHEST DENIAL PERCENTAGE!! They make money by saving their employer money (by denying claims). It's is a fucking racket, it's atrocious, and it needs to stop.

Perhaps the most frustratign thing of it all, is that conservatives and people like Bmull (I'm not saying that you specifically beleive this bmull, but people like you/with your political views genearlly do) live under some false impression that universal health care would actually harm the quality of care in America. THis is completely and totally fucking false! Canda, France, Britain, and EVERY other western democracy (not exagerating or pulling shit out of my ass here, I mean EVERY SINGLE ONE except us) has universal healthcare and most of them have lower infant mortality rates, and higher/longer life expectancies!

This doesn't even start to take into account the increased stress/anxiety Americans have as compared to other countries.

So if the quality of care doesn't suffer, surely these nations must be giving like 50% of their income to the government right? Otherwise it wouldn't even be possible right? WRONG!! They pay roughly the same percentage of taxes that we do. Perhaps they use their tax dollars more wisely than we do (eg. starting wars in the middle east to RAISE gas prices for our people).

Which brings us to "Why?" Why do we tolerate it? Why don't americans give a shit about other Americans?" Simple answer: because the wealthy have the power in this country, and our masses are to afraid, and chained w/ debt and worry to fuckin do anything about it! You know why life is so cushy for people in France? It's because the government is afraid of its people (they have demonstrations and riots and shit to keep their gov in check). Here, the people are afraid of their government. I know I am.

Those of you thinking "then why don't you just leave if you hate the US so much?" go fuck yourselves, because I know there are some of you. Wanting and wishing to improve your country to make it better is the purest form of patriotism there is.
 
[quote name='pittpizza']As a matter of fact, quite the opposite is true: Those who are critical of stats and question their bias/credibility, are usually smarter and less naive than those who eat their coco-puffs with their minds and curtains closed.[/QUOTE]

*sigh*

Hm.

*sigh*

*deep breath*

*count to ten*

Phew...okay. Here goes. Calm now.

I never said that people can't be critical of statistics. I do it on a daily basis. My issue is that flippantly disregarding data is NOT a reasonable criticism.

"Oh, I'm sure they're funded by this or that agenda-ridden organization," or "I bet the data are flawed because they want to prove this point or that point/cover their asses," or "anyone can prove anything with statistics." That's all garbage; a nonresponse. That's as much of a well-reasoned criticism as shouting "LALALALALAICAN'THEARYOU!" while you have your hands over your ears.

Honestly now. If you want to make a claim, then prove it. Wrangle with the data; demonstrate its flaws, find contrary (research-based!) evidence, look at the r-squared and tell me it's too tiny to be of any significance; look at the sample collection method and point out its flaws, or that the size is too small/nonrandom/not generalizable. Most of what statisticians DO is read and criticize other people's studies. It helps you sort out your own problems and discern what information is usable and what is better off left out of your argument.

Ultimately, what you consider acceptable "criticism" of statistics is akin to trolling the Xbox 360 forums telling everyone "360 sucks." It's just empty rhetoric. Why does the 360 suck; what sucks about it? The hardware, the games, XBL...what? But you can't get that far, because you've already convinced yourself of the rightness of what you believe that you think it's redundant to bother explaining that the 360 sucks in detail. "Xbox 360 sucks" is the totally self-satisfying evidence, and the only evidence you need. Also, to fulfill the analogy, you'd be completely unaware of any reasons for thinking the 360 sucks beyond "360 sucks."
 
[quote name='mykevermin']Statistics Rule![/quote]

Keep digging.

Unless of course anybody wants to :argue: about universal healthcare, I'm all for that.
 
[quote name='mykevermin']Meanwhile, back at the ranch, you've come up with ZERO FDs/PDs that have been disbanded by the public, while soonersfan (better than "buckeyefan" indeed ;)) came up with one that even they admit is only potentially tangentially related to the idea of privatizing either estate.

So, if we want to play the "you ignored ____" game, why don't you find me a community that decided to privatize either department? Or would that be too much to ask or you?

Meanwhile, who are you convincing that I've "lost" the argument? Me? Or you?[/QUOTE]

Apparently reading uses a different skill set than 'fact' quoting. Another tangent bodes well for fuzzying your original argument. As I stated before, the FREEDOM to disband a police department is a more important principle than the fact that cities all over the country aren't currently folding their law enforcement agencies.

You have yet to prove or even attempt an argument justifying your premise that police 'protection' is a right. Go ahead, get some facts for us and analyze them while we wait.
 
[quote name='mykevermin']*sigh*

Hm.

*sigh*

*deep breath*

*count to ten*

Phew...okay. Here goes. Calm now.

I never said that people can't be critical of statistics. I do it on a daily basis. My issue is that flippantly disregarding data is NOT a reasonable criticism.

"Oh, I'm sure they're funded by this or that agenda-ridden organization," or "I bet the data are flawed because they want to prove this point or that point/cover their asses," or "anyone can prove anything with statistics." That's all garbage; a nonresponse. That's as much of a well-reasoned criticism as shouting "LALALALALAICAN'THEARYOU!" while you have your hands over your ears.

Honestly now. If you want to make a claim, then prove it. Wrangle with the data; demonstrate its flaws, find contrary (research-based!) evidence, look at the r-squared and tell me it's too tiny to be of any significance; look at the sample collection method and point out its flaws, or that the size is too small/nonrandom/not generalizable. Most of what statisticians DO is read and criticize other people's studies. It helps you sort out your own problems and discern what information is usable and what is better off left out of your argument.

Ultimately, what you consider acceptable "criticism" of statistics is akin to trolling the Xbox 360 forums telling everyone "360 sucks." It's just empty rhetoric. Why does the 360 suck; what sucks about it? The hardware, the games, XBL...what? But you can't get that far, because you've already convinced yourself of the rightness of what you believe that you think it's redundant to bother explaining that the 360 sucks in detail. "Xbox 360 sucks" is the totally self-satisfying evidence, and the only evidence you need. Also, to fulfill the analogy, you'd be completely unaware of any reasons for thinking the 360 sucks beyond "360 sucks."[/quote]

I have to say, that's a pretty valid point you make here. My sociology 101 course didn't touch on any of this :lol:
 
well, since we have the right to form a police department.....Sorry, I mean ....

Since police and fire departments are a rights, I guess basic sewage is also a right. Sidewalks....we must have a right to those too. Oh, and fresh water, food and air jordans - gotta have some of those.... and, oh, yes, basic transportation must be a right as well. Gotta get to that government job on time so I'll get my weekly bread ration. Let's see, what else can I get my neigbor to pay for that I need...I mean "have a right to..."
 
Oh yeah, I forgot about Ovaltine. That shit is fantastic - and nutritious too. We should have a right to Ovaltine. Mixed with milk it's the greatest. You could LIVE on that shit for months.
 
[quote name='camoor']I have to say, that's a pretty valid point you make here. My sociology 101 course didn't touch on any of this :lol:[/QUOTE]

I think far too many folks are turned away by the content of introductory sociology courses, which seem to often be more reminiscent of a Jerry Seinfeld routine mixed with a politically slanted "here are things we take for granted that we have a part in constructing and maintaining" element, than they are science courses.

I'm glad to see the slippery slope in full effect, bmulligan. Just so we're aware of who's still unconvinced of their own argument, look to the one with the logical fallacies first.
 
[quote name='pittpizza']

Those of you thinking "then why don't you just leave if you hate the US so much?" go fuck yourselves, because I know there are some of you. Wanting and wishing to improve your country to make it better is the purest form of patriotism there is.[/quote]

GTFO you damn communist ;)

besides, the healthcare in Canada and other countries have their own problems too, like long lines, and having to wait for surgeries and stuff. Here in the good ole US of A you can have a heart surgeon on you right away. child death rate and life expectancy arnt the only stats that dictate a healthcare system

If it is possible to keep the current high quality care for the rich, whiile still providng for the poor, im all up for that
 
[quote name='omgu8myrice']GTFO you damn communist ;)

besides, the healthcare in Canada and other countries have their own problems too, like long lines, and having to wait for surgeries and stuff. Here in the good ole US of A you can have a heart surgeon on you right away. child death rate and life expectancy arnt the only stats that dictate a healthcare system

If it is possible to keep the current high quality care for the rich, whiile still providng for the poor, im all up for that[/quote]

Sure you can get a doctor quickly... at the expense of going into bankruptcy. The issues with waiting times are highly exaggerated.

As someone who's in healthcare I'm all for socialization of such. Hospitals and the free market go together like mashed potatoes and peanut butter. (Note I say hospitals, not necessarily medical technology). I think the case in point is the rather lengthy story of Beth Israel Deaconess hospital in Boston- except I can only sort of paraphrase from what I remember reading in this book). Originally Beth Israel Hospital, it was *the* hospital in the northern horn of the US, for both patients and healthcare providers. Thanks to competition from another healthcare system that was privately funded, Beth Israel had to merge with Deaconess, which was a hospital known for a more fiscally-efficient, money-oriented means of operation. As a consequence, the two styles couldn't work well together at all, and basically it fell apart.

I'm not that great at articulation, but basically, while money is definitely a significant thing for hospitals to worry about, it should be the last thing they should have to worry about. Hospitals and health care just don't operate the same way as a business, and that's why I think they need to be socialized, because in the current system hospitals are being driven into the ground, employees are being driven out by awful conditions and the end result is that patients suffer. There is only one goddamn thing that discriminates one human from another with regards to healthcare, and that's how effective said care will be to the end of solving their affliction. It doesn't matter whether or not you can pay, what your income is, race, gender, orientation, whatever. Everyone should be treated the same but now we have for-profit hospitals that can pick and choose their patients, and that's just disgusting.

I guess to sum up my thoughts is that (and it may be a pipe dream, but I dunno) by socializing clinical care you take away at the basic level the problem of money, be it discrimination against patients, or patients being unwilling to go see a clinician about a health issue. Hospitals shouldn't be treated like businesses or expected to compete like businesses do. They should be judged on quality of care alone, for its patients and employees both.

Yeah. To that end obviously I believe healthcare is a right.
 
Well put Hex, and omgu8myrice (great name btw) you're flat out wrong about long lines and having to wait for surgery. It's bullshit that is fed to you so you don't demand universal healthcare, and demand that every man woman and child, be treated regardless of their financial stance.

Soooo much crap is fed to the public about the pitfalls of universal healthcare that are flat out untrue, much like the crap fed to the public about WMDs in Iraq.

With universal healthcare, the prerequisite to leaving a hospital isn't "Are you insured and did you pay your bill?" It's "Are you well enough to leave and do you have a safe place to go?" This misconception about long lines, impoverished doctors, and third rate medical equipment is so false it's infuriating. Big Pharma, bureacrats and the AMA spend big bucks on lobbyists (4 per congressman) to keep it this way.

I'm sooooo looking forward to kicking these special interests out on thier fucking asses and getting EVERYBODY good healthcare.

To anybody thinking "I don't want to have to pay for bums who don't buy health insurance!" know that having health insurance doesn't mean your bills get paid. Hell nowadays, the big HMO's are so bad there is a pretty good chance you'll get a DENIED stamped on your claim, so not only are you out all those premiums you paid (likely several hundred dollars a month), you're also out 5k for your ambulance ride, 10k for your x-ray, 20k for your hospital stay, 30k for your surgery, (it goes on and on)... All for reasons such as "you didn't pre-approve the ambulance ride (while the blood was gushing out)" or "it's experimental" or "you failed to disclose your great great half uncle had a bladder infection."

Also people think this would require higher taxes, which is complete shit. What it would require however, is some re-distribution of the BBBBBillions of profits that Pharma and Ins. companies are raking in. Some billionaire CEO's and Bush's cronies might be a little miffed.

Democracy has failed in the area of medicine and healthcare (and education); the people have not voted those in power who will help them in these areas.
 
I am for everyone having health care. However I am not for the government being the entity that supervises it. There is no reason to think that the government can do the job any better than the current system and lots of reasons to think it cannot.

As to the "long lines" issues, it is completely true, ask any health care policy expert or simply ask any Canadian. There's a maxim in health care policy: "Cost, Access, Quality: Pick any two at the expense of the third". Obviously, we want to keep costs down and we want high quality of care so it's inevitable that access to care will take the hit. It's not literally people waiting in line outside the hospital or doctor's office; it's the long waiting lists for elective procedures or testing or visits to a specialist; you can expect to wait weeks or months or even years in some cases. It's so bad that the Canadian government outsources many of their citizens to get care in the U.S. and many Canadians are willing to pay out of pocket to get procedures done in U.S. rather than waiting there turn in the Canadian system. Americans will not tolerate such a system and unless we are willing to endure higher costs (unless people want lower quality of care) which then defeats the purpose. Really the best way to cut costs is to instill the philosophy of being proactive with our health rather than reactive. All too often, patients that I see believe they are healthy because they never had to see a doctor in their life... until they come into the ER with a stroke because of their smoking and uncontrolled hypertension and cholesterol that could have been managed with medication. I would argue that healthier patients are the ones that see their doctor regularly to pick up health problems early before they become life-threatening. An ounce of prevention really is worth a pound of cure.

Now here is how the government views health care through Medicare. First of all, they will only pay for hospital visits with a diagnosis; they will not pay for a routine physical examination. So already, they encourage patients to wait for problems before they go see the doctor. Secondly, they reimburse based on DRG's (or Diagnostic Related Groups) which means each diagnosis is given a lump sum to cover all the costs in treating it while the health care provider keeps the excess... or takes a hit if they are "inefficient" and spend more. This implies that everyone that comes in with the same diagnosis can be treated the same way which is simply not true. Obviously some patients are sicker than others and incur more costs but this encourages providers to cut corners or at worst dump sicker patients to other hospitals (which happens a lot).

Lastly, and to me this is the most ridiculous part, the DRG system also punishes the provider for doing too good of a job since inherent in the DRG system is that a certain diagnosis should require X number of hospital days so if they leave earlier, then they won't pay for it since it would have been an "inappropriate hospitalization". This happens all the time in my specialty since I see lots of strokes, many of which are mild and I often can reach a diagnosis and initiate appropriate treatment after 24 hours at which point they can be discharged to a rehab hospital. However, in order for patients to qualify for rehab, they need to be in the hospital for a minimum of 3 days. So they just sit in the hospital unnecessarily which incurs costs, increases the risk of hospital related complication and keeps a bed unavailable for a truly sick patient that could have used it.

The government is just so damn inefficient so the idea of them managing health care on a universal scale is just frightening to me. Why would anyone want the government to play a larger role in your health?

Everyone is to blame for the rising costs of health care and the politicians most of all since no one in the government has a thorough enough understanding of the situation or is brave enough to propose real solutions. It's not a simple "Big Pharma" is to blame or the insurance companies are to blame... fundamental a change in how we view health care and if we are willing to make the tough choices to responsibly distribute the limited health care resources that we have.
 
[quote name='dopa345']I am for everyone having health care. However I am not for the government being the entity that supervises it. There is no reason to think that the government can do the job any better than the current system and lots of reasons to think it cannot.[/QUOTE]

The government will more than likely be more efficient at providing healthcare than the current system we have.

Profit making companies have to much interest in denying operations and care, the system in the US is expensive and inefficient because we essentially have a whole entire layer of bureaucracy just for that purpose.
 
Dopa: I agree with your proactive approach, I'm very much a proponent of holistic, more natural medicine- curing the root problem, not pallatively [sic?] getting rid of the symptoms. While I couldn't say whether or not the government would fuck it up or not (who knows what direction the country will take with a new president) but the problem of choosing between going in to have your furuncle removed or buying food for your childruns and honestly universal means seems to be the best way to do that on the patient level.

I'd almost go so far as to maybe suggest salary caps for doctors. It wouldn't be popular but maybe then the less-than-ethical doctors would be forced to realize that they have a dirty job to do, rather than shoving all of their work on us nurses, PAs and MAs so they can go tee-off with their golf buddies.


My point is that it's atrocious to force medical institutions to compete like companies.
 
The government will more than likely be more efficient at providing healthcare than the current system we have.

Profit making companies have to much interest in denying operations and care, the system in the US is expensive and inefficient because we essentially have a whole entire layer of bureaucracy just for that purpose.

Fine, you can say that but what supports that contention? I've worked with both private insurers and state Medicaid and Medicare and while private insurers have their own issues, with state Medicaid and Medicare you have to jump through far more hoops just to give quality care to your patients. Every day I have to fill out per-authorization forms because some pencil-pusher thinks they can do a better job in treating my patients than I do.
 
[quote name='dopa345']I am for everyone having health care. However I am not for the government being the entity that supervises it. There is no reason to think that the government can do the job any better than the current system and lots of reasons to think it cannot.

As to the "long lines" issues, it is completely true, ask any health care policy expert or simply ask any Canadian. There's a maxim in health care policy: "Cost, Access, Quality: Pick any two at the expense of the third". Obviously, we want to keep costs down and we want high quality of care so it's inevitable that access to care will take the hit. It's not literally people waiting in line outside the hospital or doctor's office; it's the long waiting lists for elective procedures or testing or visits to a specialist; you can expect to wait weeks or months or even years in some cases. It's so bad that the Canadian government outsources many of their citizens to get care in the U.S. and many Canadians are willing to pay out of pocket to get procedures done in U.S. rather than waiting there turn in the Canadian system. Americans will not tolerate such a system and unless we are willing to endure higher costs (unless people want lower quality of care) which then defeats the purpose. Really the best way to cut costs is to instill the philosophy of being proactive with our health rather than reactive. All too often, patients that I see believe they are healthy because they never had to see a doctor in their life... until they come into the ER with a stroke because of their smoking and uncontrolled hypertension and cholesterol that could have been managed with medication. I would argue that healthier patients are the ones that see their doctor regularly to pick up health problems early before they become life-threatening. An ounce of prevention really is worth a pound of cure.

Now here is how the government views health care through Medicare. First of all, they will only pay for hospital visits with a diagnosis; they will not pay for a routine physical examination. So already, they encourage patients to wait for problems before they go see the doctor. Secondly, they reimburse based on DRG's (or Diagnostic Related Groups) which means each diagnosis is given a lump sum to cover all the costs in treating it while the health care provider keeps the excess... or takes a hit if they are "inefficient" and spend more. This implies that everyone that comes in with the same diagnosis can be treated the same way which is simply not true. Obviously some patients are sicker than others and incur more costs but this encourages providers to cut corners or at worst dump sicker patients to other hospitals (which happens a lot).

Lastly, and to me this is the most ridiculous part, the DRG system also punishes the provider for doing too good of a job since inherent in the DRG system is that a certain diagnosis should require X number of hospital days so if they leave earlier, then they won't pay for it since it would have been an "inappropriate hospitalization". This happens all the time in my specialty since I see lots of strokes, many of which are mild and I often can reach a diagnosis and initiate appropriate treatment after 24 hours at which point they can be discharged to a rehab hospital. However, in order for patients to qualify for rehab, they need to be in the hospital for a minimum of 3 days. So they just sit in the hospital unnecessarily which incurs costs, increases the risk of hospital related complication and keeps a bed unavailable for a truly sick patient that could have used it.

The government is just so damn inefficient so the idea of them managing health care on a universal scale is just frightening to me. Why would anyone want the government to play a larger role in your health?[/quote]

None of what you say is true about Canada, at least not according to my Canadian soon to be mother-in-law, who also is in the health care industry. Sounds like your parroting some rightist talking points that are simply not grounded in reality.

The government is inefficient? Oh yeah, are your PDs, FDs, and school's inefficient? Are your streets ineffcient, your courts, your post office? Guess what!? For every inefficient government you can point to, I can point to ten "private" inefficiencies. Again, Sounds like your parroting some rightist talking points that are simply not grounded in reality. You make it sound like some gov. beaurocrat is going to be peforming my cardiogram...are you serious? Pah-lease, gimme a break, thats laughable.

You mentioned long lines, again, you need to check your facts. They're much longer in America! About twice as long usually (judging by emergency room visits). So much for private efficiency huh?

And that "pick any two at the expense of the third" must be a uniquely American POV, b/c it doesnt appear that England, France, or ANY other Western democracy shares it. Q: What does that say about what Americans think of each other or the value they place on life and health? A: Nothing good.

I do agree that the current system is atrocious, and the fact that it doesn't allow for preventative care is a self fulfilling prophecy.

What are these higher costs that you're talking about?? All of it could be payed for, FREE to every American, just by rearranging some government subsidies (to the tune of several billions) going to big pharmaceutical companies and HMO's; and perhaps by re-allocating some of the billions we're spending on killing Iraqis.

Dopa, are you a Doctor? Wouldn't you like to just deal with treating patients instead of authorization forms and bills and insurance? Wouldn't you prefer to just give care to people who need it, do what you were trained to do, which is treat sickness and illness instead of all the "crap" that you currently have to deal with? You really should speak to an English doctor about what his work-day is like.

Again, Hex gets to the root of the problem which is that it is unebleivably atrocious and horrific, that the citizens of the richest country in the world have to choose between feeding their kids or having medical care. Sad. It's very sad and it says somethign about us as a people; about our values; about how we treat each other. We need to change this.

Also Dopa, nobody is advocating more medicade or medicare. We are advocating UNIVERSAL health care, where it does not matter what forms you fill out or what "conditions" you qualify for.

You have a problem = you get treatment. It's that simple. The 86ing of the beaurocracy alone would save millions.
 
[quote name='Hex']Dopa: I agree with your proactive approach, I'm very much a proponent of holistic, more natural medicine- curing the root problem, not pallatively [sic?] getting rid of the symptoms. While I couldn't say whether or not the government would fuck it up or not (who knows what direction the country will take with a new president) but the problem of choosing between going in to have your furuncle removed or buying food for your childruns and honestly universal means seems to be the best way to do that on the patient level.

I'd almost go so far as to maybe suggest salary caps for doctors. It wouldn't be popular but maybe then the less-than-ethical doctors would be forced to realize that they have a dirty job to do, rather than shoving all of their work on us nurses, PAs and MAs so they can go tee-off with their golf buddies.


My point is that it's atrocious to force medical institutions to compete like companies.[/QUOTE]

Believe it or not, I wouln't necessarily be against caps on physician salaries if the issues of physician debt (the average medical student now has a $200,000 debt when they graduate) and malpractice issues are addressed. There definitely needs to be caps on malpractice damages and a "loser pays" system to discourage frivolous lawsuits. Two thirds of all physicians will get sued at least one in his/her career; far higher depending on the specialty (high risk specialties like OB/GYN's have to pay over $100,000 in malpractice insurance).

It's not really atrocious but more of a necessary evil that medical institutions are now run as a business. Hospitals have to learn to be more efficient in order to continue to deliver high quality care to patients. In the 1990's, hospitals were all in the red because of poor fiscal management that led to hospital mergers. That's a different topic that I won't go into detail (unless we want a discussion on this) but it was necessary, otherwise there would be far few hospitals than they are now.
 
pittpizza - I've actually studied the issues in great detail and come up with my own conclusions. I've "parroted" no one since neither Democrats nor Republicans truly understand the situation. I though you wanted an intelligent debate on the subject. I suppose expertise from your mother-in-law may trump my MBA in health management and my experience as a physician who is neck deep in these issues every day. The quote about access, quality and cost is straight from Stuart Altman who is one of the leading experts on health care policy at the Heller School at Brandeis University. If you have an issue with that, take it up with him. But you are entitled to your opinion just as I am entitled to mine.
 
Please excuse the double post.

[quote name='dopa345']pittpizza - I've actually studied the issues in great detail and come up with my own conclusions. I've "parroted" no one since neither Democrats nor Republicans truly understand the situation. I though you wanted an intelligent debate on the subject. I suppose expertise from your mother-in-law may trump my MBA in health management and my experience as a physician who is neck deep in these issues every day. The quote about access, quality and cost is straight from Stuart Altman who is one of the leading experts on health care policy at the Heller School at Brandeis University. If you have an issue with that, take it up with him. But you are entitled to your opinion just as I am entitled to mine.[/quote]

Of course, I didn't mean to offend, obviosly this fires me up.

Perahps Altman's rule applies in the CURRENT system of healthcare in the US. In that case I would agree, but I don't agree that it HAS to be that way, as there are plenty emprical examples of where that rule fails. See my previous post.

I'm sure you know much more about this than I do (and waaaaayy more than most conservatives who parrot the "first step to communism!" BS). Still, you can't argue with a primary source who knows how it is first hand, who never had to pay a dime for anything health related, and who never had to wait "months or years" for a necessary surgery, as the ill-informed suggest would be the case in a Universal Healthcare system.

As to lower doctor salaries, I completely agree. It is worth pointing out though, that lots of legislation (at least in PA) has been passed to weed out frivilous lawsuits. And the plaintiff of a frivilous suit does have to pay the expenses. Also it's worth reminding the public who think that "McDonalds" verdicts happen every day, that they are the ones (juries) that choose these verdicts. It's not like the injured plaintiff or the lawyers get to pick the verdicts.
 
[quote name='dopa345']pittpizza - I've actually studied the issues in great detail and come up with my own conclusions. I've "parroted" no one since neither Democrats nor Republicans truly understand the situation. I though you wanted an intelligent debate on the subject. I suppose expertise from your mother-in-law may trump my MBA in health management and my experience as a physician who is neck deep in these issues every day. The quote about access, quality and cost is straight from Stuart Altman who is one of the leading experts on health care policy at the Heller School at Brandeis University. If you have an issue with that, take it up with him. But you are entitled to your opinion just as I am entitled to mine.[/QUOTE]

You are a neurologist (MD, Plus 3 years or so of specialized training) and you have an MBA in Health Management?

Pardon me for being rude but you were the one who brought up the the relevance of how Canadians feel about their healthcare, trying to pull rank on pitt for responding that well gee Canadians do tend to like their system does not dazzle me with your brilliance.
 
[quote name='pittpizza']Fixed.[/QUOTE]

Taiwan specifically because they changed to a single player system fairly recently (1995), they now cover pretty much everyone for a hardly noticeable increase in cost.
 
[quote name='Msut77']Taiwan specifically because they changed to a single player system fairly recently (1995), they now cover pretty much everyone for a hardly noticeable increase in cost.[/quote]

Oh I didn't know that.

I'm just so fed up with everyone (including stuart whatshisname) saying it can't be done when there are so many Nations that have successfully done it. Some of em with lower taxes, higher life expectancies, lower infant mortality rates, and FAR less resources and wealth than we have.

Hillary tried to do it back in what? 1994? 1996? She almost did too, but special interests pretty much BOUGHT congress with millions in campaign contributions so it was defeated.
 
[quote name='Msut77']The government will more than likely be more efficient at providing healthcare than the current system we have.

Profit making companies have to much interest in denying operations and care, the system in the US is expensive and inefficient because we essentially have a whole entire layer of bureaucracy just for that purpose.[/quote]

After working at government run VA and county health facilities, I can tell you that government does not equal efficiency. Plus, it is at these facilities where we have to beg radiology to authorize imaging studies and its also where uninsured patients wait several months for hernia surgeries or gallbladder removals.

I'm not saying that this same thing would happen in a national healthcare system, but...

Plus, the government is already intimately involved in healthcare. Physician reimbursement is based on what is paid by government programs and the government accounts for 45% of our healthcare spending by payers.

It seems like many people have this view that a national healthcare system will be a utopia in which patients and doctors will sing and dance in harmony, while getting any procedures they want instaneously for "free." Well, someone is going to have to pay for all these services and no matter how much they tax us, I can tell you that the gov't will not be able to afford it if everyone gets everything that they want in a timely fashion.

As dopa345 mentioned, there are a lot of ass-backwards aspects of our healthcare system. Our geriatrics patients have to stay in the hospital (very expensive) for 72 hours before being placed in a skilled nursing facility (cheaper), due to how medicare funding works - this is regardless of their condition. And, while people often blame pharma, spending on drugs only accounts for 10% of our expenses; hospital stays account for the largest slice of the pie, 35%. Then, don't let me get started on the 98 yo patients in multi-organ failure in the ICU who are on full code status (and on whom we waste hundreds of thousands of dollars fighting an impossible battle just to extend their hopeless situation.

Someone brought up salary caps on physicians and having them do dirty work. Salary caps would suck because we start getting paid a real salary only in our late 20s or more commonly in our 30s. Before that, we get stuck with expensive and lengthy education process (it's not like graduate school, where people get stipends, etc.). Plus having doctors do the dirty work will not cut costs... would you like a $200,000/yr phlebotomist? Doctors in Poland have always been notoriously underpaid; before they could supplement their income through bribes by patients and pharma... now, the gov't has cracked down on this... so what has happened? With the EU, now many physicians have left the country for greener pastures in Germany or the UK. Those who stay either put up with the shitty system, do private practice, or go on strike... patients have to get private care because the national system is so useless.
 
[quote name='BigT']

I'm not saying that this same thing would happen in a national healthcare system...[/quote]

BINGO! And your "wait list" info about the VA pretty much defeats any argument that Universal Health will result in long lines, since we have that crap already.

[quote name='BigT']
It seems like many people have this view that a national healthcare system will be a utopia in which patients and doctors will sing and dance in harmony, while getting any procedures they want instaneously for "free." Well, someone is going to have to pay for all these services and no matter how much they tax us, I can tell you that the gov't will not be able to afford it if everyone gets everything that they want in a timely fashion. [/quote]

Actually for the most part, you're wrong, but lets go ahead and see you try to support this anyway. Lets see you prove something won't work before we've ever even tried it (especially since it's already been succesfully done in most other developed countries).


[quote name='BigT']
As dopa345 mentioned, there are a lot of ass-backwards aspects of our healthcare system. Our geriatrics patients have to stay in the hospital (very expensive) for 72 hours before being placed in a skilled nursing facility (cheaper), due to how medicare funding works - this is regardless of their condition. And, while people often blame pharma, spending on drugs only accounts for 10% of our expenses; hospital stays account for the largest slice of the pie, 35%. Then, don't let me get started on the 98 yo patients in multi-organ failure in the ICU who are on full code status (and on whom we waste hundreds of thousands of dollars fighting an impossible battle just to extend their hopeless situation.

Someone brought up salary caps on physicians and having them do dirty work. Salary caps would suck because we start getting paid a real salary only in our late 20s or more commonly in our 30s. Before that, we get stuck with expensive and lengthy education process (it's not like graduate school, where people get stipends, etc.). Plus having doctors do the dirty work will not cut costs... would you like a $200,000/yr phlebotomist? Doctors in Poland have always been notoriously underpaid; before they could supplement their income through bribes by patients and pharma... now, the gov't has cracked down on this... so what has happened? With the EU, now many physicians have left the country for greener pastures in Germany or the UK. Those who stay either put up with the shitty system, do private practice, or go on strike... patients have to get private care because the national system is so useless.[/quote]

10% of whose expenses? The same exact prescription that would cost AN INSURED $120 could be bought in cuba for the equivalent of $3 and in England for $10. Someone is making a shit ton of money (look at Pfizer's 1.7 BILLION in earnings from just viagra) and it is not going to help the people. Have you seen the HQ of big insurance companies? They're like Gigantic Saudi palaces.

Salary caps wouldn't suck if the goverment subsidized medical education instead of Pharma's HMO's and Big Oil's coffers would they? The money is there, it has been there, its just being used for bombs and CEO's bentleys instead of books. Again, we're one of the richest nations in the world, and yet many nations w/ far less wealth than us have much better healthcare systems. Something does not add up.

Germany and the UK have Universal Healthcare, so this really isn't an argument against Universal Healthcare, it's an argument against Poland. And honestly, we should be able to do it a little bit better than the Poles right?
 
The big problem that many seem to be overlooking is insurance. Everyone is arguing about government efficiency, quality of health care, etc. The issue is insurance.

The issue isn't limited to health insurance (I personally believe that auto insurance should be provided by each state through taxes). Insurance companies charge an arm and a leg and rip off everyone involved. They pressure doctors into doing things their way, they pressure pharmaceutical companies into doing things their way, and, most of all, they pressure our politicians into doing things their way. You want to talk about government overhead increasing the cost of health care? Look to the billions in profit the insurance and pharmaceutical companies in America are reaping from dying, sick Americans in need of health care that's being either denied or overlooked.

You can look to other countries with universal health care all you want, say this sucks, say that sucks, whatever. Who's to say our policies will be like theirs? You're arguing the bits and pieces of a plan that hasn't even been proposed yet. You're assuming the plan will have some aspect you consider negative, and then debunking the pros of that aspect with supporting evidence from another country. That's a bit ridiculous. There's no reason to make assumptions about what policies this plan, which doesn't yet exist, will hold.

One thing's for sure: countries with universal health care have less corruption in their insurance and pharmaceutical sectors. Less of their dollar is going to conniving CEOs, who avoid taxes through off-shore banking and complex company structures. Less of their dollar goes to the bonuses of corporate fatcats denying treatment to those who need it. Less of their dollar goes to pay off politicians who pass legislation allowing the corruption to continue. Less of their dollar is spent on pills with 7800% profit margins. I want to be able to say the same about my dollar.
 
[quote name='Koggit']The big problem that many seem to be overlooking is insurance. Everyone is arguing about government efficiency, quality of health care, etc. The issue is insurance.

The issue isn't limited to health insurance (I personally believe that auto insurance should be provided by each state through taxes). Insurance companies charge an arm and a leg and rip off everyone involved. They pressure doctors into doing things their way, they pressure pharmaceutical companies into doing things their way, and, most of all, they pressure our politicians into doing things their way. You want to talk about government overhead increasing the cost of health care? Look to the billions in profit the insurance and pharmaceutical companies in America are reaping from dying, sick Americans in need of health care that's being either denied or overlooked.

You can look to other countries with universal health care all you want, say this sucks, say that sucks, whatever. Who's to say our policies will be like theirs? You're arguing the bits and pieces of a plan that hasn't even been proposed yet. You're assuming the plan will have some aspect you consider negative, and then debunking the pros of that aspect with supporting evidence from another country. That's a bit ridiculous. There's no reason to make assumptions about what policies this plan, which doesn't yet exist, will hold.

One thing's for sure: countries with universal health care have less corruption in their insurance and pharmaceutical sectors. Less of their dollar is going to conniving CEOs, who avoid taxes through off-shore banking and complex company structures. Less of their dollar goes to the bonuses of corporate fatcats denying treatment to those who need it. Less of their dollar goes to pay off politicians who pass legislation allowing the corruption to continue. Less of their dollar is spent on pills with 7800% profit margins. I want to be able to say the same about my dollar.[/quote]

Speak on it Koggit, Speak on it!
 
Universal health care is a great idea, as long as you have a relatively small population so that your country can afford it (Europe).

There is no way on this earth that we can afford it for nearly 400 million people, many of which are already on welfare. Not without raising taxes to 80%+
 
[quote name='thrustbucket']Universal health care is a great idea, as long as you have a relatively small population so that your country can afford it (Europe).

There is no way on this earth that we can afford it for nearly 400 million people, many of which are already on welfare. Not without raising taxes to 80%+[/quote]

Ugh, more parroting. Polly want a cracker? Have you read anything in this thread at all?

What if I told you that we spend FAR more than any other country per capita, on healthcare under the current system. Would you believe me? Well it's true, and totally refutes your point about our population size, being that it is a per capita statistic.

Every single nation with universal healthcare, without exception, spends less per capita than we do, and almost all of them have better healthcare.

Universal healthcare, would SAVE us money. So yeah...um...nice try?
 
[quote name='thrustbucket']Universal health care is a great idea, as long as you have a relatively small population so that your country can afford it (Europe).

There is no way on this earth that we can afford it for nearly 400 million people, many of which are already on welfare. Not without raising taxes to 80%+[/quote]

thats pretty flawed logic. with more people, there is more income, and im pretty sure that the United States can afford it. Esp. since we are ALREADY spending more of a percentage of our GDP on healthcare than countries with nationalized healthcare.

My main concern is accessibility and quality. If a system is devised that can keep both up while still being nationalized, id be all up for that. If it drops too low, then forget it, i can afford my healthcare right now anyway.
 
It seems to me that universal health care is a lot like communism. It's something that on paper would be wonderful, but rarely if ever is executed as it should be.
 
[quote name='Msut77']Taiwan specifically because they changed to a single player system fairly recently (1995), they now cover pretty much everyone for a hardly noticeable increase in cost.[/QUOTE]

I agree, Taiwan has done a great job providing health care coverage to their citizens. However the quality of coverage is lower than in the U.S.. While for basic services, the disparity is not as much of an issue, in specialized care such as cancer treatment, the quality issue becomes much more evident. Also Taiwanese doctors are expected to see up to 30 patients an hour. Hey, I could do a half-assed job and see that many patients an hour but that's poor patient care and I also can get sued when I inevitably screw up and miss something which will happen if I can only spend a few minutes per patient. In many countries, especially in Asia, the concept of malpractice is non-existent so doctors don't have to worry about covering their ass and just churn out as many patients as possible. So if we want such a system, we have to be willing to sacrifice quality of specialized care to provide basic services to everyone (which is not necessarily wrong and some people do advocate this approach) but there also has to be protection for physicians to limit liability or even do away with the concept of malpractice except for egregious errors if we are expected to see more patients for less money.
 
[quote name='pittpizza']



Every single nation with universal healthcare, without exception, spends less per capita than we do, and almost all of them have better healthcare.[/quote]
You aren't selling me on anything. I already know our welfare system is bloated beyond proportion. The fact that medicare and medicade is a large part of it certainly isn't a good thing.

Universal healthcare, would SAVE us money. So yeah...um...nice try?

Next time you, or a family member, is ill - go get your surgery or care in Canada or Cuba. Then come back and tell us about the wonderful experience. (Hint- We may not see you for a year or two)
 
[quote name='daroga']It seems to me that universal health care is a lot like communism.[/quote]Who are you, and what did you do with Daroga?
 
[quote name='daroga']It seems to me that universal health care is a lot like communism. It's something that on paper would be wonderful, but rarely if ever is executed as it should be.[/QUOTE]

Except on the whole it is executed far better than the US system.
 
[quote name='daroga']It seems to me that universal health care is a lot like communism. It's something that on paper would be wonderful, but rarely if ever is executed as it should be.[/quote]

It is.

However, what is the alternative? Accepting ballooning medical costs? Health care companies have to be forced to pay benefits through court? Wildly different costs for the patient based on their insurance?

I want the free market to work, but we don't have that in the US right now.

I say, give the insurance companies a couple more years to ship up or be sunk.
 
[quote name='The Crotch']Who are you, and what did you do with Daroga?[/QUOTE]

Was there a time when daroga was less kooky?


But anyhoo dopa as little time as is spent per patient (and that problem can be fixed) in Taiwan their system still rates high in quality and satisfaction.
 
I'm sure MykeV is furiously finding facts and researching figures for financing our new national heathcare system. Gruelingly crosschecking his math, calculating the necessary tax base to institute the latest and largest free rider health program in the world. Figures can't lie, especially when the stakes are life and death.

I humbly await the results of your latest polling data. But in the interim, having given this much reasonable thought and consideration, I'd just like to state for the record, and mykes disbelief, my opinion on this national healthcare fiasco...I mean proposal.

I'm actually in favor of a public healthcare system. I'm not too keen on a 'national' system, yet, as there are too many caveats to relinquishing complete control to an autonomous federal authority. Taking a cue from the Social Security system, it's best not to give the fed any more money that they can misspend and replace with an IOU. SS is also an 'insurance' program, albeit a perverted one, that does nothing but infuriate everyone and satisfies no one. Nevertheless, a baseline system of healthcare for citizens could alleviate many problems in our society and be a spark to re-ignite our national pride, spirit, and drive - if it's handled properly, and preferable locally.

Looking at how healthcare is distributed now, specifically in public hospitals around the country, we are already providing emergency healthcare to everyone who demands it. The ones who pay for it through insurance, or privately, are already paying for the ones that don't. This is at best, an ineffective subsidy program.

The only difference between this and a government run program is who gets to be the middleman. Currently, insurance people decide which procedures get covered and how much premiums should be. I'm sure most here know what it's like to have to deal with an insurance company not paying benefits, or at least you know of the long standing cultural jokes about the process. In a program subsidized by the 'people', we have recourse with the people running the program. We get to decide which procedures get covered, which medicines are covered. We do it through our representatives. It's why we're supposed to revere representative democracy so much. With insurance companies we have no such avenue for appeal save the court system. The downfall of the public system, though, is that you have no recourse through the courts. In the case of malpractice, you're pretty much screwed. But, we all get to enjoy that same dirty bus 'free ride' together.

So, doctors still get paid, drug companies still get paid, insurance companies get the shaft, and we all get to see the doctor every time we get a sore throat. Take THAT, myke. Now do your best to tell me wherer and why I may be wrong.
 
[quote name='bmulligan']So, doctors still get paid, drug companies still get paid, insurance companies get the shaft, and we all get to see the doctor every time we get a sore throat. Take THAT, myke. Now do your best to tell me wherer and why I may be wrong.[/quote]

I'll save you some time and a copayment. The vast majority of sore throats are caused by viral infections (viral pharyngitis)... Drugs won't really help. Just stick to salt water gargles, personal humidifiers, lozenges, and tylenol. Even strep throat, which benefits slightly from antibiotics, is a self limited disease, and you can do the same as above and you'll most likely be fine (it's mainly only treated to prevent the possibility of rheumatic fever). Strep throat is unlikely if you have a cough, a runny nose, and/or lack a fever.
 
B when you say National this is what really scares me. I'm afraid of Hillary and Obama putting it up, not just because of the tremendous cost but trying to force me to take shots.
In terms of cost I can see National Healthcare BREAKING our system or slowing it down to a grinding halt, at least for operations. I say breaking because so many people here are fucking fat and I'm sure some would end up in surgery.
In terms of Taiwan so many people are thin, through diet, excersize or both. In other words they don't eat shit.
I believe a Universal Healthcare system could work but even before ANY politician proposes this a complete overhaul must be done. By this I mean we have to convince people to change their eating habits, make sure they're taking preventative measures in seeing the doctor too and stress the importance of this. The last is making sure they regularly exersize.
These are the "safe" suggestions. Going further would require being honest by Politicians and risk some of their funding. Part of this would be to push people eating Organic. Roll your eyes all you want out there but these Pesticides and Herbicides are NOT good for you. Getting more clean and renewable energy produced is another. I mean putting viable solar panels on every home as well as going to businesses and power plants to do this. We can't believe all that smoke from Coal and Oil being burned and put in the air is healthy. All of these are factors and would help to contribute to truly affordable Health Insurance. This isn't something you can just push at the next election. You need a "Green, Clean, Healthy Revolution" and THIS is the revolution where everyone gets what they want.
 
Someone earlier made the analogy between state sponsored auto insurance and state run healthcare. I initially poo-pooed this idea as a poor comparison as the different tiers of auto owners drive vastly different types of cars, which would amount to a greater subsidy for Mercedes drivers' repairs compared to those who drove a cheap Fords. This analogy is becomes more accurate when comparing fat people or smokers and their healthcare costs compared to skinny fit people, but in an inverse ratio.

How fair is it to charge rich people in taxes more for the same level of care as some poor person who doesn't even pay into the system? Will employers be paying the premiums and giving us our missing compensation from the old system? Will that compensate for the increased tax burden that will assuredly occur? The non-payers and number of claimants will vastly outnumber the payers - quickly overtaking the Social security system's payer/payee ratio leaving us with a bankrupt system almost immediately.

I'm not sure how this can be rectified, or balanced, I haven't given it that much thought yet. The government solution would be to borrow more money from the Fed, at interest, plunging us further into an unpayable debt. At least that's the Government's answer to everything else - and look where it's taken us.
 
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