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“The Price We Pay” Healthcare

Discussion in 'Too Hot for Swamp Gas' started by QGator2414, May 9, 2022.

  1. G8tas

    G8tas GC Hall of Fame

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    Or not
     
  2. vegasfox

    vegasfox GC Hall of Fame

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    The investment guru Jim Roger's says he told his wife if he ever gets sick when he's in America "Please try to get me to Singapore." In Singapore hospitals Healthcare workers wash their hands a lot.

    As a pharmacy student I did grand rounds at Shands where we'd walk around and sometimes examine patients. I washed my hands every time I entered a patients room. Most people didn't.

    My dad died from cdiff that he contracted at a hospital in Altamonte Springs, FL. An employee at the hospital told me, "That's on us." Imagine having to take a relative to the bathroom 15-25 times a day for 3 years because they have diarrhea that never goes away.

    If you work in a hospital WASH YOUR HANDS
     
  3. duggers_dad

    duggers_dad GC Hall of Fame

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    Powerful counterargument.
     
  4. 92gator

    92gator GC Hall of Fame

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    Or perhaps more accurately, an "illness profit system."

    (Health is unprofitable; illness... quote lucrative).
     
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  5. CHFG8R

    CHFG8R GC Hall of Fame

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    Well it's failing at that because healthcare debts are the No. 1 cause of bankruptcy in the US.
     
  6. CHFG8R

    CHFG8R GC Hall of Fame

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    If you have a service plan (insurance), you would. Or, at least you'd expect to be compensated after the fact. Also, a heart attack and faulty alternator are kind of non-comparable in terms of. . . . importance.
     
  7. CHFG8R

    CHFG8R GC Hall of Fame

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    It would be nice to at least have the discussion. We have Medicare already in place. We fund it with 1.4% payroll deduction (matched by employer) and it covers somewhere between 1/5th and 1/6th of the population. What would that deduction have to rise to if we want to extend to everyone. Also, already being a public/private system, I imagine it would already be better than the egalitarian/one-size-fits-all systems in England and Canada.

    So what's the holdup? Why can't we just look at the numbers and decide for ourselves. The fact we can't even have this discussion is pathetic, but, along with this shooting of the UHC CEO, is kind of telling. IMO, the minute you put it on the table, the insurance companies are cooked, and they know it. Literally nobody, outside of bought politicians (Jim Clyburn) will ever have their back on this, and they know it. Which is why they spend very hard on both sides (Jim Clyburn) to make sure it never even gets brought up for discussion.
     
  8. QGator2414

    QGator2414 VIP Member

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    Medicare really is why the system is so screwed up. It is why the fascism is alive and well in the system.

    That said...I think we should fund every single person a HSA with $2K and that still leaves a few hundred billion to be used for chronic illnesses and people in need. We can do this with the current 1.45% payroll tax. From there we have the insurance companies sell catastrophic plans where the coding system is completely restructured. Allow people to contribute tax free money to their HSA and when they die it passes along to the HSA of those they wish to leave any money left. If we want to discuss increasing the tax to increase the HSA deductions or amount needed for chronic illness and those in need. By all means. Might learn we could lower the tax as well.

    We need to simplify the system and give the power back to the doctors and patients.

    But Big Insurance/Big Provider/Big Pharma does not want this. They want Medicare and the complexity they are able to use and abuse.
     
  9. CHFG8R

    CHFG8R GC Hall of Fame

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    Yawn. You lost me at "fascism".
     
    Last edited by a moderator: Dec 5, 2024
  10. G8tas

    G8tas GC Hall of Fame

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    Like I said in another thread. People care more about what transgenders do than healthcare expenses
     
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  11. QGator2414

    QGator2414 VIP Member

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    I lost you because of your bias and not really wanting to discuss the issue. If attributing a word to the reality of the current situation makes you unable to discuss the issue. Then you are part of the problem.
     
  12. CHFG8R

    CHFG8R GC Hall of Fame

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    I'm sorry, but using the term "fascist" to describe something that even a lot of rich, tax-moaning Trump voters love (Medicare) is a clear signal that YOU'RE not trying to have a serious discussion. Sorry, but HSA's sound like a silly solution to this, especially when considering what government tends to do with accounts like these (steal from them).
     
  13. GolphinGator

    GolphinGator GC Hall of Fame

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    I have been in the insurance business for 40 years. I stopped selling any medical insurance 37 years ago. I didn't even write my own.

    I had to have a stent put in a year ago and North Florida made me pay my out of pocket cost before they would admit me for the operation. I guess if I had not had a couple thousand dollars I would have had to go without. At least here in Gainesville we have Shands that will treat you without paying up front.
     
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  14. CHFG8R

    CHFG8R GC Hall of Fame

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    Funny thing is, the best ones are always non-profit. And the worst (HCA) always for-profit. Note: Not suggesting people don't make good money working for non-profits or that non-profits are charities. Just that the non-profit business model seems to be a better fit for medical.
     
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  15. QGator2414

    QGator2414 VIP Member

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    You clearly are missing the point of my comment. The government by overstepping its role has created the fascism in the system. It is how Big Insurance/Big Pharma/Big Providers have taken over. It is one of the driving factors in why healthcare costs so much.

    It is the reality the government and big business are in control and not concerned about the doctor/patient relationship.

    But if you are all upset over the comparison...that is on you. And shows you have no real want to address the problem.
     
  16. CHFG8R

    CHFG8R GC Hall of Fame

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    It's called corruption not fascism. Maybe lay off the loaded language if you want to have productive conversations. It just amazes me how people can do the literal thing they accuse their enemies of and be completely unaware of it. This is exactly what the right (correctly in many cases) has been accusing the left of. "Everything I don't like is a Nazi. . . or fascist. . . . or Stalin. . . or Mao!"

    The problem isn't "fascism", it's an openly pay-to-play system that is openly financed by rich people, big corporations/industries. What do you expect? They have a lot of money, thus they can buy policy. Same for every other major industry in this country.
     
  17. QGator2414

    QGator2414 VIP Member

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    You say corruption. I say fascism. Both very similar. The problem is the government got too involved in healthcare. Which has led to where we are...where the Big Business Lobbies are able to dictate way more than they should. It is why we need less involvement by both government and Big Business. We need to get back to giving the patients and doctors the power they need and deserve.

    The recent data has it at 3/4ths of doctors are now employed by big business. That is not good. And it began with Medicare. It is the root that grew the system to where it is today. I am not advocating for government to completely remove itself from healthcare either. Shoot. I advocate to take what we are doing and just shift how it is being used to make things more efficient to give the power back to the patient and doctor. Unfortunately both the big government crowd and big business crowd would not like it. But they really are one in the same.

    More than three-fourths of doctors are employed by corporations, report finds | Healthcare Dive
     
  18. CHFG8R

    CHFG8R GC Hall of Fame

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    No, they're not similar.

    And, hate to break this to you, but you're sounding a bit like a leftie here. I mean, I and a lot on the left agree about the corporatization of medicine, but it is odd seeing this come from a conservative. That said, one of the worst offenders was founded by our very own Senator Skeletor. . . er, Scott.

    In general, though, I think you and I agree on this. I have ZERO issue with DOCTORS getting rich. That's the way it was for most of my life. They had a private practice, maybe some investment properties around town, etc. and they did very well for themselves. They deserve it.

    However, the BA major or Finance major at the top can get bent. Unfortunately, as you pointed out, most Doctors are now employees and it's the douche finance guy making all of the money. Anything we can do to reverse that would be fine by me.
     
  19. QGator2414

    QGator2414 VIP Member

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    Nothing to break to me on my thoughts with healthcare. They have been pretty much the same for a long time with minor adjustments to dealing with reality. The corporates have been trying to take over dentistry. And they are slowly getting traction imo. But doubt they will get it where they have in medicine. Shoot we could sell our practice today for a massive sum to a DSO. But that would include giving up control and 3-5 years of misery until the contract ended.

    The way you fight these corporations is by removing their power and giving it back to the patient and doctor.

    Which is why we should focus on HSAs and catastrophic policies with a pool of money for chronic diseases and those that can’t help themselves. But everyone thinks they are getting a “free” checkup every year. So they need insurance. We don’t need insurance for a doctors visit. Medicare laid the groundwork for the system to become what it has become. It would be interesting to see where United Health makes most of their money. Pretty sure they are the largest provider of Medicare plans in the country…
     
    Last edited: Dec 5, 2024
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  20. wgbgator

    wgbgator Premium Member

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    He doesnt sound like a leftie, years ago he was in here arguing people should be able to barter or negotiate with old-style gen practictioners, which arent coming back. I think he imagines a world where we all have small-town doctors circa 1930, and you can pay in chickens or bitcoin or something after haggling. You call them up and they come deliver your baby in your house or something. Which hey, that would be nice to have home service. Some countries do this, but they also have huge hospitals systems and nationalized healthcare that resemble Medicare more than anything he is talking about.
     
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