Mother tongue: Polish Joined: February 18, 2003 Location: Poland
RE: America, America...
Originally written by John Bunch on August 11, 2009 10:59 PM
They are going to vote in "universal" care for us, but there is a provision that allows them to opt themselves and their families out !!
John,
I keep thinking out loud. I have no way of knowing whether all details of ObamaCare are good or bad and how that system would work in practice. In my days, federal employees had to belong to a federal pension system which later was phased out and merged with the Social Security. So modifications are possible along the way. We are talking about a minimum of civilizational decency. I for one never use the universal healthcare system in Poland because I cannot afford the waste of time. I only use the private one and pray not to have to go to the hospital which is when I would have to use the state system. The latter is used, though, but the overwhelming majority of population who cannot afford the private system. Both system should be there for people to freely choose between.
Expert Mother tongue: English Posts: 1804 Joined: February 1, 2008 Location: United States
RE: America, America...
I don't know either, but I think that the burden of proof is on Obama to show how the government taking over 15 % of our economy would be better than what we have now, more efficient, less wasteful, etc. In my view, Obama has failed miserably in showing me why I should support it. Meanwhile, the latest controversy is the alleged "fascist" symbols, being used by Obama. You decide...
Expert Mother tongues: Polish, English Posts: 2906 Joined: September 13, 2008 Location: United States
RE: America, America...
Originally written by Jacek K. on August 12, 2009 1:23 AM
The latter is used, though, but the overwhelming majority of population who cannot afford the private system. Both system should be there for people to freely choose between.
Yes, I agree, although I absolutely adoid doctors: medicine people make more sense to me.
Mother tongue: Polish Joined: February 18, 2003 Location: Poland
RE: America, America...
Originally written by John Bunch on August 12, 2009 8:10 AM
...the government taking over 15 % of our economy
Here is how that sector works:
A patient in Illinois was charged $12,712 for cataract surgery. Medicare pays $675 for the same procedure. In California, a patient was charged $20,120 for a knee operation that Medicare pays $584 for. And a New Jersey patient was charged $72,000 for a spinal fusion procedure that Medicare covers for $1,629.
The charges are among a long list of high fees cited in a survey released online Tuesday by America's Health Insurance Plans, which represents 1,300 health insurance companies. The group said it had used Medicare payments for comparison because Medicare was so familiar and payments are, on average, about 80 percent of what private insurers pay.
The survey, insurers and some economists say, shows the sort of irrational pricing of medical care that is an integral part of the nation's health care problems and that is largely being ignored, some say, in the current debate. http://www.nytimes.com/2009/08/12/health/policy/12insure.html?_r=1&hp
Expert Mother tongue: English Posts: 1804 Joined: February 1, 2008 Location: United States
RE: America, America...
Don't you get that Medicare does this by underpaying doctors ?? That is why 40 % of doctors in the U.S. won't take patients with Medicare. The U.S. government holds down costs by under-paying for medical care !
Imagine if Medicare paid for translation. You would send them a bill for $ 100 and they would send you $ 55, and then brag about how they are "holding down costs" (would you do business with them again, or would you prefer to work for people who pay the full bill ?). (But as Thomas Sowell has pointed out, the cost of something is not the same as the price. The price is what you pay for it, the cost is what it costs to produce it. By underpaying, you are not changing the costs one bit, you are just changing what is paid for those costs).
BTW, the fraud in the Medicare system is gargantuan...
Illinois owes doctors billions for Medicare, and still has not paid them...
Meanwhile, Lasik surgery continues to fall in price every year. Why ? Because it is free market, and is not part of a cartel.
Expert Mother tongue: English Posts: 1804 Joined: February 1, 2008 Location: United States
RE: America, America...
Meanwhile, that "ideal" system, Medicare is subject to a whopping, staggering $ 60 billion in fraud every year. Obama has of course not mentioned how a public "option" like Medicare, which is like a sieve and is used as a cash cow for all kinds of criminals, would be any different than "ObamaCare". Would the fraud number just increase ?
To answer my own question: it is IRRELEVANT. The reason is that this whole thing is, as I have mentioned, not about health care at all. It is about power, and the goal of the Democrats is to vastly increase the power of the federal government, and thus create even more people who are dependent on government "largesse". As someone pointed out, the Democrats use the increasing debt to in essence bribe voters with "goodies" like "free health care". George Will called this the "expanding dependency agenda of the Democratic Party".
Mother tongue: Polish Joined: February 18, 2003 Location: Poland
RE: America, America...
Originally written by John Bunch on August 12, 2009 3:07 PM
Don't you get that Medicare does this by underpaying doctors ??
Maybe, but are those doctors not exaggerating charging $12,712 for cataract surgery, $20,120 for a knee operation and $72,000 for a spinal fusion procedure?
Originally written by John Bunch on August 12, 2009 3:07 PM
Imagine if Medicare paid for translation. You would send them a bill for $ 100 and they would send you $ 55
If that bill were for having translated half a page, I would reply: Mea culpa! Apologies. Half a page should indeed only cost $55.
Expert Mother tongue: English Posts: 1804 Joined: February 1, 2008 Location: United States
RE: America, America...
Yes, they do charge too much. You are right. But there several reasons for that:
a. Cartels: most hospitals operate as cartels and thus do not have to really compete like they would in a true free market. Btw, this cartel is government-enforced. Only Congress can enforce such cartels, and they do.
b. Patients don't force costs down. When American patients go to the doctor, their insurance pays for it, through their employer. They thus have no real incentive to hold costs down either. If car insurance worked this way, with people using their insurance to pay for routine oil changes and tune-ups, we would pay $ 5,000 for car insurance every year, not $ 600. I for instance have a very "bare bones" health insurance policy that I bought over the Internet. I pay about $ 140 per month as a freelancer for it, and it only covers me for "catastrophic" care, not for regular checkups, which I pay for out of my own pocket. Thus, I have an incentive to hold costs down, and trust me, I do !!
c. "Defensive medicine". Up to 25 % of total U.S. health care costs are "defensive", because doctors are afraid of being sued. If we got rid of the unnecessary lawsuits, we could save hundreds of billions (Obama will not do that, because the Democratic Party is basically "owned" by the trial lawyers, and is made up of lawyers). Note that Obama - as an attorney - has rejected the idea of having "government boards" that would decide on medical lawsuits. It would quite easy to just get rid of the middleman - the lawyers - and have a government panel decide on lawsuits against doctors and hospitals. It would massively save money. But Obama has rejected this idea, even though he wants such panels to decide health care for us (in essence, a bureaucrat who you have never met and who knows nothing about you will decided life and death issues for you. Does that sound, btw, inviting ??).
Mother tongue: Polish Joined: February 18, 2003 Location: Poland
RE: America, America...
Originally written by Jacek K. on August 10, 2009 6:20 PM
Have You No Decency?
Governor Palin writes: “And who will suffer the most when they ration care? The sick, the elderly, and the disabled.” ... If you live in any big city, go down to your local public hospital emergency room. You will probably find people in visible discomfort or illness languishing for hours. A society that cares about human rights and dignity would not tolerate this.
Harold Pollack is a professor at the University of Chicago School of Social Service Administration
"Palin was the last clear expression of capitalism-as-usual before everything went south. That’s quite helpful because she showed us—in that plainspoken, down-homey way of hers—the trajectory the U.S. economy was on before its current meltdown. The core of her message was this: Those environmentalists, those liberals, those do-gooders are all wrong. You don’t have to change anything. You don’t have to rethink anything. Keep driving your gas-guzzling car, keep going to Wal-Mart and shop all you want. The reason for that is a magical place called Alaska. Just come up here and take all you want. “Americans,” she said at the Republican National Convention, “we need to produce more of our own oil and gas. Take it from a gal who knows the North Slope of Alaska, we’ve got lots of both.”
And the crowd at the convention responded by chanting and chanting: “Drill, baby, drill.”
Watching that scene on television, with that weird creepy mixture of sex and oil and jingoism, I remember thinking: “Wow, the RNC has turned into a rally in favor of screwing Planet Earth.” Literally.
But what Palin was saying is what is built into the very DNA of capitalism: the idea that the world has no limits. She was saying that there is no such thing as consequences, or real-world deficits. Because there will always be another frontier, another Alaska, another bubble. Just move on and discover it. Tomorrow will never come."
Expert Mother tongue: English Posts: 1804 Joined: February 1, 2008 Location: United States
RE: America, America...
To me, this is a straw man argument. Perhaps Palin believes that, but most Republicans don't.
Please recall that the Environmental Protection Agency was created by a Republican (Teddy Roosevelt). Traditionally, if you look at the worst environmental degredation, it has often come under Democratic authority (the Rocky Flats Military compound in Colorado was inaugaurated under FDR and it is once of the most polluted places in the U.S.). And if we look at historical precedent, the Left, in its most radical form - the communist countries, were some of the worst polluters in history. No, Jacek, environmental pollution is not a Republican invention. Aren't the congresspeople and Senators from the "coal-producing states" Democrat ? And politicians from states that don't produce such pollutants tend to be from places like Utah and Alabama, where there is no such industry.
BTW, to say that "it is built into the DNA of capitalism" that "the world has no limits" is just not true. Capitalism, or free market capitalism is all about limits and tradeoffs.
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