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In United States
Registered Jul 14, 2012
Gogogan's most recent comments:
- On 18 Jul 2012
Why your health insurance is so expensive and why obamacare fails.,
I once told my landlord that mold was growing on the dry wall due to a water leak. She offered to come paint over the mold.
She is legally liable to clean up the mold. What state are you in?
Thanks. I was aware of that, but was using this story to make a point.
Regarding the rental, the landlady hemmed and hawed, finally called an expert who said the entire wall had to be taken down and the adjacent windows re-set. She didn't want to do it. Our lease was close to cmpletion, so we waited a few weeks and moved out.
The Law is most beneficial if you are in a position to benefit from it. The legal battle would have done nothing for us short term and long term would have created plenty of animosity. So we left.
- On 17 Jul 2012
IMO, that person, the older brother figure, seldom enters medicine, meaning MD program, to start with. I believe that Patch Adams (Robin William's character) is an outlying data point.
I had the same pediatrician for my childhood years. We would see him once or twice a year until I was 10. I remember the visits very well. He would ask what we were eating, how we got along in school, what we excelled at, any problems, etc. etc. The trip was something everyone looked forward to. He had a paper chart, would scribble something quickly at the end. But for the majority of time, he was watching us.
I went back once when I was 16 and it was a completely different experience. I saw him for maybe 1 minute, he didn't remember who we were, I'm not sure he even looked up at me from the chart... And that was it. I remember thinking, "what a waste of time." A couple of years later, he had quit.
This is what medicine has become. It is impersonal, mechanized, highly "efficient", and managed by third parties. You cannot have a personalized experience in medicine any longer unless you pay top dollar for it. But there are plenty of doctors who don't want top dollar. They just don't want the hassles. Those doctors are gone. Good doctors will not replace them unless the system allows it.
- On 17 Jul 2012
Eliminating health insurance will fix all healthcare problems!,
The hospital's primary interest is profit margin.
As far as I know, the great majority of hospitals are non-profit.
A non-profit cannot carry a profit at the end of the fiscal year. All their income must be divested.
This does not mean that the organization does not care about profit margins.
Many states have health care insurers which are also health care providers.
The organization will create a for-profit insurer and a non-profit hospital.
The hospital will apply for tax-exemption.
The insurer will be for-profit, publicly or privately sell shares and increase book value to arrange for more favorable bond auctions.
Without the profit margin, the organization would go out of business. A profit margin is required.
The tax exemption is the major perk of having a non-profit hospital.
But, it comes at a significant financial risk. If the hospital is in the red the following year and did not have a for-profit institution backing it, it would fail.
So, the for-profit institution will backstop the non-profit institution to make certain that the organization can survive (by having cash in reserve).
This is a legal loophole, but very well known and commonly used.