Health Care Reform?

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  • Tue, Aug 18, 2009 - 06:13pm

    #41
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    Re: Health Care Reform?

Overhauling health-care system tops agenda at annual meeting of Canada’s doctors

“We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize,” Doing said in an interview with The Canadian Press.

“We know that there must be change,” she said. “We’re all running flat out, we’re all just trying to stay ahead of the immediate day-to-day demands.”

“(Canadians) have to understand that the system that we have right now – if it keeps on going without change – is not sustainable,” said Doig.

“They have to look at the evidence that’s being presented and will be presented at (the meeting) and realize what Canada’s doctors are trying to tell you, that you can get better care than what you’re getting and we all have to participate in the discussion around how do we do that and of course how do we pay for it.”

http://www.google.com/hostednews/canadianpress/article/ALeqM5jbjzPEY0Y3bvRD335rGu_Z3KXoQw

  • Wed, Aug 19, 2009 - 03:38pm

    #42
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    Re: Health Care Reform?

I still have to question the governments intentions.  If they are willing to regulate the banking system and the executive comensations for the finincial system why not the healthcare insurance companies?  I agree that the insurance companies are too greedy but that is democarcy.  I believe with posts above there is no easy solution.

If you look at the 16% of healthcare in the GDP and ask yourself who in this food chain is willing to give up profit or reduce cost to the end user?  Are the Doctors, nurses, staff, techs, EMS personal, or anyone willing to take a hit on their paycheck?  Are the Hospitals, Drug companies, Nursing homes, or any company willing to take a hit?  So if the government is going to cut costs where will they cut costs?  If anyone has this data that is in the bill please respond.

If anybody can tell me how much it will cost me and my family please respond.  If anyone can tell me what I will get for this money (and I mean after the bill is passed and modified 10 times) then let me know.  If a health insurance company sells you a policy you know what is included in the policy.  You know your deductable, your co-pay, your 80/20 split, your maximum benefit, what is covered and what is not, and how much it costs.  Now granted all these amounts change every renewal but if you dont like the numbers you can always shop around and get a different deal.  What makes a person think that the government wont increase our payment just like the insurance companies do?

One of my concerns is we are relying on the government to do what is best for the people and I am not convinced they will. 

Speculation: If the government does start controlling cost through payroll or profits is this really the time to do this with a down economy?  just think if someone reduces your paycheck by 10-20% just because cost must be controlled.  Can you handle it (only if you have a savings rate of 20%)?  My gut tells me that they will not control costs as much as increase the amount they pull out of my check.

If you do your research you will find that taxing the upper class to pay for this will not work.  This is just a sales pitch.  We will all have to contribute to pay for this.  If someone can anwser the questions above and the anwsers fit into my budget I will gladely change my mind.  I for one do not like to write blank checks.  it intrigues me the number of people that don’t mind.

Two final thoughts.  What in the government plan will keep people from abusing the system?  what is their plan to keep people from showint up to the doctor for every runny nose or scratch?  The insurance companies try to do this through co-pays – office visit pays.  Granted the insurance companies also do this to up their margin and have you pay more than just your monthly payment but this also controls alot of abuse. 

Does the United States have enough healthcare infrastructure to handle the additional poeple that will now have insurance.  In other words there are only so many medical personal what will happen to wait times and healthcare quality when another 20-30 million are instantly insured? When the public plan goes into effect and everyone is covered for eyeglasses, contacts, colds, flues ECT… will the system be able to handle it?  I think not. My mother had to wait 3 months to see a specialist.  Will this turn into 6 months or a year.  Ask your doctor and see what they think.

  • Wed, Aug 19, 2009 - 05:38pm

    #43
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    Re: Health Care Reform?

I just watched this great little 20 minute video about a guy from the US trying to get a little bit of the “free” healthcare while in Canada. He makes it entertaining to watch but it also very disheartening. If this is what we have to look forward to in our near future, just kill me now please.

http://www.pjtv.com/video/Louder_With_Crowder/_PJTV_Undercover%3A_Steven_Crowder_Investigates_CanadaCareWill_ObamaCare_Be_Any_Better%3F/2153/

In Canada, the rich people have the choice of paying substantially more for their optional private healthcare and wouldn’t have it any other way. They see the lines of people outside the free clinics and hospitals and waltz right in past them, or better yet get the doctors to come to them, all the while thinking “suckers” to the not so wealthy, so they’re perfectly happy with the system. The poor, on the other hand, think to themselves that they couldn’t possibly afford any healthcare at all and they’re happy to get whatever they can in the first place, regardless of the quality or the wait times involved. The middle class, however, is saying “What the f***?”

As he says in the video, in cases like these it is always the middle class that gets the shaft. Therefore, I believe the solution is very simple: Elminate the middle class. Our government seems to be doing a very good job of exactly that. In the not too distant future 99% of the population will be poor and will be happy to take whatever the government gives them.

  • Thu, Aug 27, 2009 - 01:09am

    #44
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    Re: Health Care Reform?

Okay, this was mildly annoying, but easier than posting the letter on FB, so we’ll see if this works.

The following is a letter to President Obama and our Iowa representatives regarding healthcare reform. I anticipate another letter or two to follow, if I can find the time and energy.

Edited to say that while I initially thought I was successful in uploading the letter, I apparently was not.

Any suggestions on uploading a Word or PDF document, with charts as well as text?

  • Thu, Aug 27, 2009 - 10:15pm

    #45
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    Re: Health Care Reform?

Dr. P,

What a great letter that you crafted. Very professional and very well done.

For those who haven’t read it, you may do so by clicking here

Thanks for your efforts…Jeff.

  • Fri, Aug 28, 2009 - 02:57am

    #46
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    Re: Health Care Reform?

Jeff,

Thanks for posting the link to my letter, and for the kind words!

  • Tue, Sep 01, 2009 - 02:18am

    #47
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    Re: Health Care Reform?

I highly recommend reading the following article. I received the article yesterday from the president of our Iowa ACS (American College of Surgeons) chapter, who sent it out to all Iowa ACS members. It includes most issues that I have discussed in other venues, but puts them all together in a very cohesive manner.

http://www.theatlantic.com/doc/200909/health-care

  • Tue, Sep 01, 2009 - 03:57am

    #48
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    Re: Health Care Reform?

[quote=ccpetersmd]

I highly recommend reading the following article. I received the article yesterday from the president of our Iowa ACS (American College of Surgeons) chapter, who sent it out to all Iowa ACS members. It includes most issues that I have discussed in other venues, but puts them all together in a very cohesive manner.

http://www.theatlantic.com/doc/200909/health-care

[/quote]

Chris,

Your letter and the article punctuate the issues. Fundementally, I agree. There is little that I disagree with on both fronts. I do ask myself, “How can I become the change I expect?”

I believe those of us who are involved with the delivery of “health-care” if we are honest with ourselves will agree that it is time for a reform, just not the type being purposed. Back on page one, I shared this:

I do agree with what has been said about “shadow science” and the last half of the prior century small fortunes were made by layers of corrupt persons in the healthcare field.

At the risk of sounding too Utopian, I would remove all of the insane monetary incentives from the system. I would remove the layers of bureaucracy and unnecessary middlemen who’s only purpose is to turn a profit for their shareholders. I would also remove those who seek to make money by selling the “lottery” mentality of litigation. Alas, this will never happen.

<snip>

There are many psycho-social reasons persons choose to ignore their lifestyles. One reason may be that they feel technology will bail them out. I go back to “follow the dollar”. I can’t nearly make as much money by teaching folks how to live better and healthier lives as I can by treating their illnesses. In some ways the entire “medical model” is broken. We reward our practitioners when they “fix” a problem not when they prevent it from happening.

Yes my friends, we have a mess on our hands. I am afraid, the system may have to collapse before it can be made better. It does not have to come to that, however, there is too much greed for it to happen any other way.

The author of the article you posted, “How American Health Care Killed My Father” highlights some of my points and more.

Why, in other words, has this technologically advanced hospital missed out on the revolution in quality control and customer service that has swept all other consumer-facing industries in the past two generations?

He goes on to say:

…overcome our addiction to Ponzi-scheme financing, hidden subsidies, manipulated prices, and undisclosed results; and rely more on ourselves, the consumers, as the ultimate guarantors of good service, reasonable prices, and sensible trade-offs between health-care spending and spending on all the other good things money can buy.

This point is the only one I take issue with based on my experience caring for many, many elderly persons. I have seem too many times, when a patient’s life was saved, their quality of life restored, and they felt their hospitalization was a failure because, “the food was bad.” And, I have witnessed the oppsite by, the “system” failing them by either infecting them as in what happened to the author’s  father or the surgery was a failure only to hail the experience a success because, “everyone was so nice, and the food was good.”

I fear that we will have some type of “reform” shoved down our collective throats.

C.

  • Tue, Sep 01, 2009 - 12:33pm

    #49
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    Re: Health Care Reform?

Carl,

Thanks for your comments, as always. I am somewhat hopeful that the current “reforms” will be sidelined. At the same time, however, I am upset more than pleased, as we will have missed an opportunity to address the real problems.

  • Tue, Sep 01, 2009 - 01:19pm

    #50
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    Re: Health Care Reform?

[quote=ccpetersmd]

Carl,

Thanks for your comments, as always. I am somewhat hopeful that the current “reforms” will be sidelined. At the same time, however, I am upset more than pleased, as we will have missed an opportunity to address the real problems.

[/quote]

Ah yes, government squandering an opportunity to make something they touch better…..

Its hard not to feel helpless when the evidence is so compelling yet those who can make the right choice refuse to.

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