patrick.net
An Antidote to Corporate Media
1,260,215 comments by 15,050 users - AmericanKulak, Ceffer, HeadSet, mell, Patrick online now
Thunderdome: Should we all be responsible for everyone else's health care?
invite response
2017 May 4, 9:59am 21,551 views 134 comments
« First « Previous Comments 90 - 129 of 134 Next » Last » Search these comments
Having seen a few illegals going to the ER does not mean you know how significant a burden on the system they are.
You're wrong. Having worked as an executive in the health plan for one of the largest health systems in the nation, I know what the burden was based on actual payor data as well as interacting with hospitals and physicians in 6 different states. Don't tell me my business.
http://content.healthaffairs.org/content/31/8/1803.full.pdf+html
Or how about this? US compared to EU countries is an apples to oranges comparison. You are literally comparing white people with healthy lifestyles to obese black people. Im assuming facts are acceptable since this is thunderdome.
Why did you ignore the hispanics? They are as many as the blacks?
CBOEtrader
2017 May 6, 12:38pm
We have a problem of cultural choices. We choose to eat too many ho-ho's and shoot each other.
It's hopeless. People muddle the issue with irrelevant details instead of looking at the big pucture.
How can removing the middle man, streamlining and simplifying the administration, removing the for-profit element, improving preventive care, and regulating services and costs does not make health care better and more affordable?
In the words of Trump, healthcare is A LOT hard to solve than you think. If it were as trivial as you make it out to be, it would've been solved by now.
Having seen a few illegals going to the ER does not mean you know how significant a burden on the system they are.
You're wrong. Having worked as an executive in the health plan for one of the largest health systems in the nation, I know what the burden was based on actual payor data as well as interacting with hospitals and physicians in 6 different states. Don't tell me my business.
Give me the numbers then, don't just blablabla me.
Having seen a few illegals going to the ER does not mean you know how significant a burden on the system they are.
You're wrong. Having worked as an executive in the health plan for one of the largest health systems in the nation, I know what the burden was based on actual payor data as well as interacting with hospitals and physicians in 6 different states. Don't tell me my business.
Give me the numbers then, don't just blablabla me.
Roughly 15% of the uninsured were illegal immigrants. It was obviously worse in CA (upward of 25%) vs other states, but consider that a rough average. It's not just about the cost, but it's also about the experience that other legal and/or insured patients go through as it pertains to wait times.
CBOEtrader
2017 May 6, 12:45pm
Why did you ignore the hispanics? They are as many as the blacks?
Stats suggest the hispanic population does not harbor the same cultural plague as our black communities, and are therefore not as noteworthy.
Give me the numbers then, don't just blablabla me.
Gave you the numbers. Now are you just gonna blablabla me back like you have been?
Let me also add that the uninsured tend to use the ER because they have to be admitted. The ER, on average, costs 5x that of a normal doctor visit.
Gave you the numbers. Now are you just gonna blablabla me back like you have been?
Now I'm going to tell you that the number you gave me is meaningless by itslef. The question was what burden are the illigas on the system. You tell me they are 15% of the uninsured. So if the uninsured are 150 people?
Try again Mr. executive. But this time think more before writing.
FNWGMOBDVZXDNW
2017 May 6, 2:21pm
Let me also add that the uninsured tend to use the ER because they have to be admitted. The ER, on average, costs 5x that of a normal doctor visit.
That was a big driver that was expected to lost costs when the aca lowered the number of uninsured. Common sense tells you that the benefit is long term, while the cost is front loaded. That's too much nuance for a national debate though.
Let me also add that the uninsured tend to use the ER because they have to be admitted. The ER, on average, costs 5x that of a normal doctor visit.
That was a big driver that was expected to lost costs when the aca lowered the number of uninsured. Common sense tells you that the benefit is long term, while the cost is front loaded. That's too much nuance for a national debate though.
Yep, I agreed with some of the things that ACA tried to do and its objectives. Healthcare is the hardest thing for our country to figure out. I give it to Obama for trying.
Gave you the numbers. Now are you just gonna blablabla me back like you have been?
Now I'm going to tell you that the number you gave me is meaningless by itslef. The question was what burden are the illigas on the system. You tell me they are 15% of the uninsured. So if the uninsured are 150 people?
Try again Mr. executive. But this time think more before writing.
Done with you bro. You give back nothing in return except insecurity and animosity for sound logic that shakes your ideology. It's like debating a religious zealot...your mind is made up.
You give back nothing in return except insecurity and animosity for sound logic that shakes your ideology.
What a fucking idiot. I just exposed your lack of logic.
Stats suggest the hispanic population does not harbor the same cultural plague as our black communities, and are therefore not as noteworthy.
I though you posted that figure to show that the average American longevity is lowered because the blacks. But it also shows that the hispanics compensate for the blacks.
FortWayne
2017 May 6, 7:47pm
Good incomes for services provided have a place in health care, but not the profit motive to the degree it does.
If it's business, the only motivation is profit. Everything else is secondary.
CBOEtrader
2017 May 7, 10:51am
Stats suggest the hispanic population does not harbor the same cultural plague as our black communities, and are therefore not as noteworthy.
I though you posted that figure to show that the average American longevity is lowered because the blacks. But it also shows that the hispanics compensate for the blacks.
No, the hispanics show how our cultural decisions fail us. Hispanics in the US live longer despite being poor and not having the best healthcare BECAUSE they eat healthier than the average american white person. Fruits, veggies, rice, beans, and chicken.
This is still a story about personal decisions.
marcus
2017 May 7, 11:19am
So, I see this as a CAREFUL balance of free market and gov't intervention. If we lose too much free market, we lose innovation and increase gov't corruption and inefficiency. If we allow too much free market, we get outrageous pricing and certain portions of the population left out to die.
Makes a lot of sense. I believe single payer, administered and regulated well could accomplish this. IT already does for the senior that use most of the health care services already.
So you really think Medicare is administered and regulated well and is very cost efficient?
It's more cost efficient than private insurance is.
So you really think Medicare is administered and regulated well and is very cost efficient?
It's more cost efficient than private insurance is.
This is an interesting analysis because comparing administrative overhead of Medicare vs private health plans is apples and oranges. For example with integrated health systems, they handle most of the claims processing and adjudication overhead...not Medicare or Medicaid. So, it is hard to compare.
If you ask independent providers who is easier to work with, most will likely say private insurers because the paperwork and guidelines for Medicare is outrageous. From what I've seen, this is a symptom of how government operates...with far too much bureaucracy and overhead.
Look at auto insurers. If we have private companies in a commodity business like insurance competing against each other, a huge portion of their success will be derived from automation and process improvement. In contrast, the government has no motivation to streamline administrative processes as evidenced by how Medicare/Medicaid is today because they know they'll get funding from the taxpayer and not go out of business. Government, by nature, breeds corruption because it's more driven by politics, getting reelected, and getting the biggest budgets possible, so that's why I'm against single payer. No competition.
Dan8267
2017 May 7, 12:30pm
If it's business, the only motivation is profit. Everything else is secondary.
...including lives, which is why capitalism does not work for health care.
marcus
2017 May 7, 12:46pm
In contrast, the government has no motivation to streamline administrative processes as evidenced by how Medicare/Medicaid is today because they know they'll get funding from the taxpayer and not go out of business
Other countries manage.
HEalth Care costs are so high now, that if we implemented single payer, the administrators would have no choice but to figure out how to streamline the processes and also use their negotiating power to hold prices and costs down.
FortWayne
2017 May 7, 3:52pm
If it's business, the only motivation is profit. Everything else is secondary.
...including lives, which is why capitalism does not work for health care.
Capitalism works fine, if it wasn't for capitalism we'd be all dying off left and right from our unhealthy lifestyle choices.
Capitalism works fine, if it wasn't for capitalism we'd be all dying off left and right from our unhealthy lifestyle choices.
If it wasn't for the socialistic military we'd all be speaking German now.
Capitalism works great as long as certain conditions are met, one of which is elastic demand. Unfortunately, healthcare demand is highly inelastic. Which is why healthcare costs can rise at such high rates year after year.
Dan8267
2017 May 7, 4:58pm
Capitalism works fine, if it wasn't for capitalism we'd be all dying off left and right from our unhealthy lifestyle choices.
CBOEtrader
2017 May 7, 5:59pm
Capitalism works fine, if it wasn't for capitalism we'd be all dying off left and right from our unhealthy lifestyle choices.
Since michael Moore's film sicko was released we've implemented massive extra government intervention to fix healthcare. How's that worked?
How much longer will you pretend government intervention in healthcare isn't the problem?
https://mises.org/blog/how-government-regulations-made-healthcare-so-expensive
Looks to me like the US doesn't have enough government in healthcare. More government seems to lead to lower costs.
CBOEtrader
2017 May 7, 6:05pm
Looks to me like the US doesn't have enough government in healthcare. More government seems to lead to lower costs.
Lol, and you call this a free market?
Lol, and you call this a free market?
No, I don't believe I did. What I said was that the lowest cost healthcare systems are LESS market oriented than the US system. So, it would appear that less free market leads to lower costs.
Dan8267
2017 May 7, 7:05pm
Since michael Moore's film sicko was released we've implemented massive extra government intervention to fix healthcare. How's that worked?
The ACA is a massive extra government intervention? I think not. It's the Republican plan from the 1990s. It does not have
- single payer
- and end to private insurance
- divorcing employment from health insurance
- nationalization of insurance
- nationalization of health care
The ACA is the old system with lipstick. If anything it was a give away to big private insurance companies because of the individual mandate.
Dan8267
2017 May 7, 7:07pm
More government seems to lead to lower costs.
This has been proven time and time again.
CBOEtrader
2017 May 7, 7:59pm
What I said was that the lowest cost healthcare systems are LESS market oriented than the US system.
Your chart contradicts this assertion.
Here's an interesting article regarding single payer and healthcare in general. I'm intrigued by the idea of single payer for basic healthcare. However, Medicare is single payer for the elderly, and it's really expensive and onerous. I believe the problem is that Medicare provides too much access to expensive treatment options, so the costs get out of control. Again, if we went with Medicare for all, it would need to be not-cutting-edge healthcare and then people can buy private insurance for more advanced coverage.
What I said was that the lowest cost healthcare systems are LESS market oriented than the US system.
Your chart contradicts this assertion.
I'm sorry but I don't see cause and effect of free market meaning more expensive. We have far from a free market system today...it's bastardized. As I just posted, an option would be Medicare for all for standard healthcare (i.e., no cutting edge expensive care), but we would need to crack down on illegal immigration and provide states latitude to deploy work requirements. Then, let the free market reign for private insurance.
FortWayne
2017 May 7, 8:49pm
If it wasn't for the socialistic military we'd all be speaking German now.
It's not a socialistic military, we live in capitalism and what build great military is capitalism. if we were in socialism, we'd all be riding horse and buggies getting beat up by other countries.
CBOEtrader
2017 May 7, 9:21pm
I'm sorry but I don't see cause and effect of free market meaning more expensive.
That's because the opposite is true. Prior to 1965, healthcare grew at exactly the rate of CPI. Since government began interfering in the healthcare market costs have risen more than 20 times faster than the CPI.
Take today's prices, divide by 20 to get an estimate of what healthcare should cost in a free market.
"I'm sorry but I don't see cause and effect of free market meaning more expensive. We have far from a free market system today...it's bastardized"
It's simple. Capitalism performs poorly in markets with inelastic demand. It allows companies to raise prices as high as they want with no reduction in demand. That is the cause and effect.
marcus
2017 May 8, 6:22am
Should we all be responsible for everyone else's health care?
You mean like EVERY OTHER FIRST WORLD COUNTRY ? Yes. Not on'y becasue we know it would cost less, but also becasue it's the right thing to do.
Yes. Not on'y becasue we know it would cost less, but also becasue it's the right thing to do.
Incomplete. 2 or 3?
« First « Previous Comments 90 - 129 of 134 Next » Last » Search these comments
1. No, I should only be responsible for the care of me and my family.
2. Yes, healthcare is a basic human right for everyone in this country.
3. Yes, healthcare is a basic human right for every citizen of this country.
4-5. Add "except the fatties." to 2 and 3.
6. Extra credit: Kill the bankers!
#SuperSizeIt