patrick.net

Vicente says

michaelsch says

“Healthcare reform done deal!” - Yea, sure.

http://dgsinclair.typepad.com/.a/6a00d8341c003953ef0120a64c3697970b-800wi

Another “Mission accomplished”!

The only outcome the GOP can achieve by digging in their heels further and fighting this to the bitter end will be like Custer deciding to stand and fight. They’d do best to cut their losses and move on. Probably they won’t.
Truly the rhetoric of people like Rush have been their worst enemy. Unless you are a HARDCORE conservative that spends all day being angry and having it reinforced by FoxNews and AM radio, all this “Nazi” imagery just makes ‘em look like loons. The hardcore people in fact are not even a majority of Republican voters. But GOP leadership has become so VERY strident and unaccepting of any variation from rigid party line, that anyone who disagrees in the minutest detail is just a “RINO fool”. This was one of the things that led to my disaffection and change of party before last election.
WORK HARDER NOT SMARTER…..wait that doesn’t sound right….

What I tried to say is: There is no healthcare reform done yet.

In fact all we have is a health care coverage reform. Even narrower: it is a health insurance reform. This reform includes a huge number of measures, some of them may be good (IMO) some very bad. On top of this lots of them are probably even impossible.

For example, I like the pressure on insurance companies to accept patients with "pre-existing conditions". However, they are very creative in rephrasing things and creating alternative reasons to deny coverage, so we probably won't get the intended effect.

However, this reform does no improvement in the major problem of American healthcare system. The problem is that healthcare providers are preoccupied with coverage rather than care. Even more so with everybody around the providers, like IT, facility management, LAbs, Pharms, lawers, you name them.

With central government subsidized care this problem is going to be much worse than even today. What happens right now is that major Healthcare companies are declaring and trying to get all possible certifications that demonstrate they are compliant with all applicable and inapplicable government regulations. Since this consumes all their resources they are actually neglecting patient care. On top of this, as soon as they are certified they are death scared of ant changes to their processes, equipment, software, etc. As the result, we gonna get more and more outdated and expensive care.

The bottom line is: there is no healthcare reform in it, just another stimulus package, this time going to health insurance industry.

michaelsch says

What I tried to say is: There is no healthcare reform done yet.

I disagree. Pre-existing condition exclusion on it's own is a reform. I suppose it depends on what definition you use for "reform" but I am not a semanticist.

Al Franken talking with his constituents about healthcare:

http://www.youtube.com/watch?v=SCNs7Zpqo98&NR=1

welp, I knew you could not find proof. Great try though. "I heard" ... lmao.

rileybryan says

we’re in it now. and as they say “we can fix it later”

...and it's better than nothing.

We can stop worrying about the kids, the Adults already are the beginning of the end.
Our kids are going to inherit our half assed, mediocre, mulligan, do over, gullible mentaliy.
Our kids, will have to fight amongst them selves though and figure out, who will craft our giterdone system that no body expect to work, in the future. Democracy is done.

Welcome to Facism,

Woo-oooo-Woo-oooooo HALT!!!! DO you have your Medi Corp I.D. Please stay put the Police are on their way! Halt and present your Medi Corp I.D. Woo-oooo-Woo-oooooo

Vicente says

I disagree. Pre-existing condition exclusion on it’s own is a reform. I suppose it depends on what definition you use for “reform” but I am not a semanticist.

OK, ok, it looks like a significant reform. But it is a reform of health insurance not a reform of health care.

I agree that this reform will allow more patients to see doctors more. However, it very likely will force doctors to see their patients much less, because they will be even more than today preoccupied with other stuff.

I know what is going to happen.

1. Cost overruns
2. Fraud
3. Additional coverage extended to groups
4. Rising deficits in the program
5. Lower payments to physicians
6. Lower payments to hospitals
7. Delays in payments
8. Rising taxes on the rich
9. Rationing by doctors, hospitals, government
10. Delays in treatment
11. More HMO care: assembly line medicine
12. A search for scapegoats

Come back to this in 2016.

Soylent Green

The answer to all our health care woes.

wcalleallegre says

12. A search for scapegoats

I'll start - I blame you.

happy now?

Paralithodes says

You miss that by barring an industry from selling a product/service, you would be barring individuals from the choice of purchasing that product/service.

Do you really want me to provide you with a list of things that you can not legally sell to other people?

This is such a stupid argument I don't even know where to begin.