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    All Forums | Politics

    Healthcare bill

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    wallstreetcappers
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    wallstreetcappers
    wallstreetcappers
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    Posted: Jul. 20, 2017 - 2:35 PM ET #76

    Quote Originally Posted by Raiders22:

    I agree with the first part.  But what do you, as a democrat, see is 'root problem'?

    What 'problems' do you want to go away?  The only 'problem' you mentioned seems to be 'inflation'.

    What else do you see that are problems?


    Inflation is the problem...that is the only problem but it has MULTIPLE aspects to it.

    Costs rising higher than the core CPI for decades is the ONLY problem, we are not prepared to afford healthcare and Obamacare, Trumpcare, Romneycare, NO care...these are not solutions that will solve the problem, they are attempts to manage it but the root issues have so many aspects and frankly I dont think there is a solution to everything because the reasons for these issues have to do with excess profit and greed.

    Uprooting greed and unfair profit is not something we have done very well and those who are taking those profits are pretty smart, well funded and will not just walk away from their situation.

    I think you know the issues, or are you really wanting to do more than take another poke?
    Reply
    Quote Originally Posted by Raiders22:

    I agree with the first part.  But what do you, as a democrat, see is 'root problem'?

    What 'problems' do you want to go away?  The only 'problem' you mentioned seems to be 'inflation'.

    What else do you see that are problems?


    Inflation is the problem...that is the only problem but it has MULTIPLE aspects to it.

    Costs rising higher than the core CPI for decades is the ONLY problem, we are not prepared to afford healthcare and Obamacare, Trumpcare, Romneycare, NO care...these are not solutions that will solve the problem, they are attempts to manage it but the root issues have so many aspects and frankly I dont think there is a solution to everything because the reasons for these issues have to do with excess profit and greed.

    Uprooting greed and unfair profit is not something we have done very well and those who are taking those profits are pretty smart, well funded and will not just walk away from their situation.

    I think you know the issues, or are you really wanting to do more than take another poke?
     
    Raiders22
    Raiders22
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    Posted: Jul. 20, 2017 - 9:00 PM ET #77

    Don't know what you mean by another poke?  I don't recall discussing this issue with you before?
    Yes, I understand the issue pretty well. I have studied it and written on it and discussed it exstensively. 
    I thought from your original comments that you had as well and maybe had some insight on it. Didn't know if you were just doing a general rant or not. Because a lot of folks complain about the issue and just go by the main talking point generalizations they hear from their politicians and medium. 
    Obviously, there is more to it than greed or profit. 
    Sure inflation is the issue.  That's the whole point.  But it is not the problem really. The reasons that drive the inflation are what need to be understood.  Then they can be addressed. But only if folks think inflation truly needs to be addressed at all costs. Because if folks decide to cut back on developing new medicines and technologies, going to the doctor more than they used to, eating too much, cost of medical school, new medicines and technologies, smoking, regulations, malpractice, and even living longer than they used to --- then we can halt inflation. But is that truly what we are trying to do?
    You simply cannot have everyone driving a Mercedes. There certainly are good Fords to drive. 
    For example, look at the issues the Canadians are having now---and they have far fewer people than we do. 
    But, at any rate, the problem is not inflation; inflation is the result of a multitude of things.  You more or less say this. But you cannot lay the blame solely at the feet of the people that provide the results and say they are greedy or seeking a profit. 
    I would counter that an awful lot of that is justly good and well worth the cost---if you want to live longer or healthier. 
    Reply
    Don't know what you mean by another poke?  I don't recall discussing this issue with you before?
    Yes, I understand the issue pretty well. I have studied it and written on it and discussed it exstensively. 
    I thought from your original comments that you had as well and maybe had some insight on it. Didn't know if you were just doing a general rant or not. Because a lot of folks complain about the issue and just go by the main talking point generalizations they hear from their politicians and medium. 
    Obviously, there is more to it than greed or profit. 
    Sure inflation is the issue.  That's the whole point.  But it is not the problem really. The reasons that drive the inflation are what need to be understood.  Then they can be addressed. But only if folks think inflation truly needs to be addressed at all costs. Because if folks decide to cut back on developing new medicines and technologies, going to the doctor more than they used to, eating too much, cost of medical school, new medicines and technologies, smoking, regulations, malpractice, and even living longer than they used to --- then we can halt inflation. But is that truly what we are trying to do?
    You simply cannot have everyone driving a Mercedes. There certainly are good Fords to drive. 
    For example, look at the issues the Canadians are having now---and they have far fewer people than we do. 
    But, at any rate, the problem is not inflation; inflation is the result of a multitude of things.  You more or less say this. But you cannot lay the blame solely at the feet of the people that provide the results and say they are greedy or seeking a profit. 
    I would counter that an awful lot of that is justly good and well worth the cost---if you want to live longer or healthier. 
     
    wallstreetcappers
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    Posted: Jul. 20, 2017 - 9:29 PM ET #78

    Raiders,

    No I stand by what I said. I think inflation is the only issue as to the problems with our healthcare system. I think in this country innovation occurs because of inflation and the profit motivation, but that same profit is what is causing inflation. 

    Do you think Merck and Pfizer are interested in cutting script costs here to match what happens in Canada and Europe? If the do so then their margins are shot and you know what happens then? R&D gets shut down, small biotechs that are the real generators of innovation do not get funding and the pipelines get smaller. I think you understand that concept. Big pharma invests in biotech so they can potentially profit large if the little guy strikes it rich with a therapy or discovery. I have a friend who works for a small biotech in California, has a Phd and they tell me how it works..funding is the lifeblood of the little biotech and without it that cottage industry goes under and quick.

    Profit also exists with malpractice lawyers, profit exists with the education industry, profit IS the only issue...and we as a country allow pharma and biotech to gouge the US consumer and in return we get innovation. It is no more complicated than this.

    To me the industry of medicine has turned into a fast food nightmare...now offices are enormous with big staffs and a tight timeline. The idea is to maximize co-pays and in and out quickie visits, churn and burn. That to me is not medicine at all.

    As an example of the poor state of medicine, a few years ago I went for a RARE visit to the GP, I really never go because I do not feel they do anything but check weight and BP and some 5 minute questions...there is no real help going on. I went in because for YEARS, and really decades I've dealt with some sort of food allergy, I get nailed really really bad and I've just dealt with it. So the wife bugs me to go in and I finally do and the GP is clueless, tells me they have some allergist on staff and I should go see them.

    So I go see that guy and I get the arm poke test, the general one quickie quickie and he sells me not on a gastro help but instead some general allergy plan where I take drops and it takes care of everything, THEN I can check out the gastro...obviously the guy makes a nice ammt off that and so I went for it. Insurance doesnt cover and I payed like 300 for it. 

    I go through the 12 week whatever allergy drops deal and nothing changes, I get the followup and the guy doesnt even remember me...just pulls out some chart to remind him of patient number 734 and he asks if things are better, not even remembering my real issue. And of course he has no idea how to help, he has his little sales quota and so I was done and left....no help and 500 in out of pocket and co-pays later.

    So I decided to try things myself and forget the "doctor" route...and I did find what I needed. I use a series of probiotics and enzymes daily, not the crap kind the real good stuff. And I've finally found some help and it was on my own...

    I have two even WORSE personal stories...really bad ones, same story...doctors quickie quickie making HUGE errors, serious errors.

    Our system is broken because cost structures are too high, schooling costs too much, insurance costs too much, doctors cannot really help people. Inflation has destroyed what little good comes from this industry...people cannot afford the help they need, doctors cannot spend the time to know the patient and cannot afford to invest in what best helps the patient. 
    Reply
    Raiders,

    No I stand by what I said. I think inflation is the only issue as to the problems with our healthcare system. I think in this country innovation occurs because of inflation and the profit motivation, but that same profit is what is causing inflation. 

    Do you think Merck and Pfizer are interested in cutting script costs here to match what happens in Canada and Europe? If the do so then their margins are shot and you know what happens then? R&D gets shut down, small biotechs that are the real generators of innovation do not get funding and the pipelines get smaller. I think you understand that concept. Big pharma invests in biotech so they can potentially profit large if the little guy strikes it rich with a therapy or discovery. I have a friend who works for a small biotech in California, has a Phd and they tell me how it works..funding is the lifeblood of the little biotech and without it that cottage industry goes under and quick.

    Profit also exists with malpractice lawyers, profit exists with the education industry, profit IS the only issue...and we as a country allow pharma and biotech to gouge the US consumer and in return we get innovation. It is no more complicated than this.

    To me the industry of medicine has turned into a fast food nightmare...now offices are enormous with big staffs and a tight timeline. The idea is to maximize co-pays and in and out quickie visits, churn and burn. That to me is not medicine at all.

    As an example of the poor state of medicine, a few years ago I went for a RARE visit to the GP, I really never go because I do not feel they do anything but check weight and BP and some 5 minute questions...there is no real help going on. I went in because for YEARS, and really decades I've dealt with some sort of food allergy, I get nailed really really bad and I've just dealt with it. So the wife bugs me to go in and I finally do and the GP is clueless, tells me they have some allergist on staff and I should go see them.

    So I go see that guy and I get the arm poke test, the general one quickie quickie and he sells me not on a gastro help but instead some general allergy plan where I take drops and it takes care of everything, THEN I can check out the gastro...obviously the guy makes a nice ammt off that and so I went for it. Insurance doesnt cover and I payed like 300 for it. 

    I go through the 12 week whatever allergy drops deal and nothing changes, I get the followup and the guy doesnt even remember me...just pulls out some chart to remind him of patient number 734 and he asks if things are better, not even remembering my real issue. And of course he has no idea how to help, he has his little sales quota and so I was done and left....no help and 500 in out of pocket and co-pays later.

    So I decided to try things myself and forget the "doctor" route...and I did find what I needed. I use a series of probiotics and enzymes daily, not the crap kind the real good stuff. And I've finally found some help and it was on my own...

    I have two even WORSE personal stories...really bad ones, same story...doctors quickie quickie making HUGE errors, serious errors.

    Our system is broken because cost structures are too high, schooling costs too much, insurance costs too much, doctors cannot really help people. Inflation has destroyed what little good comes from this industry...people cannot afford the help they need, doctors cannot spend the time to know the patient and cannot afford to invest in what best helps the patient. 
     
    Raiders22
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    Posted: Jul. 20, 2017 - 9:31 PM ET #79

    Define 'doctors cannot really help people'?
    I think you will find if anything they Over help people. 
    Reply
    Define 'doctors cannot really help people'?
    I think you will find if anything they Over help people. 
     
    Raiders22
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    Posted: Jul. 20, 2017 - 9:34 PM ET #80

    Yes. For sure it costs millions sometimes to develope a new drug.  You are correct about that. But the reason is not solely profit. It also has some to do with the regulations etc. That's why in other countries you can get them early. Etc. 
    Reply
    Yes. For sure it costs millions sometimes to develope a new drug.  You are correct about that. But the reason is not solely profit. It also has some to do with the regulations etc. That's why in other countries you can get them early. Etc. 
     
    Raiders22
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    Posted: Jul. 20, 2017 - 9:42 PM ET #81

    I get that folks have the bad dealing with docs nowadays. All of them are on iPads and so forth and seen in a rush to get to the ne t patient.  But in their defense, they cannot answer everything.  It is not like the old days where GP did it all. Now he refers you to a specialist and you get better specialized treatment because of that. Yes, it costs more.  But in most cases it is well worth it. 
    An allergy specialist is way more in tune with these things than a GP---just by definition. 
    And they can't see as many patients as they should because of so much paperwork that had to be done nowadays. 
    But with a food allergy it is not always a simple thing---like stay away from peanuts.  It does sometimes take multiple tests and trials to narrow down what the issue is---and then to find an individualized treatment plan.  This is the sort of thing that drives cost up I realize.  But it is usually worth it in the long run. 
    Sorry that you apparently didnt have a good experience.  But maybe should have given the guy more latitude or even gone to see another allergist. 
    Reply
    I get that folks have the bad dealing with docs nowadays. All of them are on iPads and so forth and seen in a rush to get to the ne t patient.  But in their defense, they cannot answer everything.  It is not like the old days where GP did it all. Now he refers you to a specialist and you get better specialized treatment because of that. Yes, it costs more.  But in most cases it is well worth it. 
    An allergy specialist is way more in tune with these things than a GP---just by definition. 
    And they can't see as many patients as they should because of so much paperwork that had to be done nowadays. 
    But with a food allergy it is not always a simple thing---like stay away from peanuts.  It does sometimes take multiple tests and trials to narrow down what the issue is---and then to find an individualized treatment plan.  This is the sort of thing that drives cost up I realize.  But it is usually worth it in the long run. 
    Sorry that you apparently didnt have a good experience.  But maybe should have given the guy more latitude or even gone to see another allergist. 
     
    Raiders22
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    Posted: Jul. 20, 2017 - 9:44 PM ET #82

    But if you are having to take these things daily, I would still reccomend seeing someone else. Just to see if they can pinpoint the issue. Still pretty cool that you sort of solved it.  Sometimes old-fashioned or home remedies are also still relied upon effectively. 
    Reply
    But if you are having to take these things daily, I would still reccomend seeing someone else. Just to see if they can pinpoint the issue. Still pretty cool that you sort of solved it.  Sometimes old-fashioned or home remedies are also still relied upon effectively. 
     
    wallstreetcappers
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    Posted: Jul. 20, 2017 - 9:46 PM ET #83

    Quote Originally Posted by Raiders22:

    Yes. For sure it costs millions sometimes to develope a new drug.  You are correct about that. But the reason is not solely profit. It also has some to do with the regulations etc. That's why in other countries you can get them early. Etc. 

    Doctors cannot help because they are fast food workers due to high costs of running their businesses. To really help someone you need the time to spend with the person and really analyze their situation and I have not seen a doctor in decades that has the time to really practice medicine and know their patients...we are a number at the deli line now.

    Regulations are not a bad thing, regulations are in place due to the mistakes of the industry. Abuses of the past cause regulation of the present and future.

    Pharma will not invest in a biotech that fails to offer a big payday, they can take fliers but biotechs are in business to take risks and have big payoffs to try and hit it out of the park so to speak.


    Reply
    Quote Originally Posted by Raiders22:

    Yes. For sure it costs millions sometimes to develope a new drug.  You are correct about that. But the reason is not solely profit. It also has some to do with the regulations etc. That's why in other countries you can get them early. Etc. 

    Doctors cannot help because they are fast food workers due to high costs of running their businesses. To really help someone you need the time to spend with the person and really analyze their situation and I have not seen a doctor in decades that has the time to really practice medicine and know their patients...we are a number at the deli line now.

    Regulations are not a bad thing, regulations are in place due to the mistakes of the industry. Abuses of the past cause regulation of the present and future.

    Pharma will not invest in a biotech that fails to offer a big payday, they can take fliers but biotechs are in business to take risks and have big payoffs to try and hit it out of the park so to speak.


     
    wallstreetcappers
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    Posted: Jul. 20, 2017 - 9:50 PM ET #84

    Quote Originally Posted by Raiders22:

    But if you are having to take these things daily, I would still reccomend seeing someone else. Just to see if they can pinpoint the issue. Still pretty cool that you sort of solved it.  Sometimes old-fashioned or home remedies are also still relied upon effectively. 

    The reality is as we age our body does not produce the needed enzymes to digest and the probiotics for the gut...so I am taking a veggie based product that works great. 

    I really think the gluten/peanut/dairy phenom could be solved if people had the proper levels of gut probiotics and enzymes...instead doctors give pharma solutions because it is a quick solution...or tell you to avoid certain foods rather than get the tools in the gut you need to digest properly.
    Reply
    Quote Originally Posted by Raiders22:

    But if you are having to take these things daily, I would still reccomend seeing someone else. Just to see if they can pinpoint the issue. Still pretty cool that you sort of solved it.  Sometimes old-fashioned or home remedies are also still relied upon effectively. 

    The reality is as we age our body does not produce the needed enzymes to digest and the probiotics for the gut...so I am taking a veggie based product that works great. 

    I really think the gluten/peanut/dairy phenom could be solved if people had the proper levels of gut probiotics and enzymes...instead doctors give pharma solutions because it is a quick solution...or tell you to avoid certain foods rather than get the tools in the gut you need to digest properly.
     
    Europa
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    Posted: Jul. 21, 2017 - 2:06 AM ET #85

    Congressional Budget Office (CBO) released the score today that 22 millions people will lose their health insurances in Senate's current Health Bill. While 32 millions will lose health insurances if GOP repeals ACA but no replacement which was once advocated by Pres. Trump just couple days ago. 
    Reply
    Congressional Budget Office (CBO) released the score today that 22 millions people will lose their health insurances in Senate's current Health Bill. While 32 millions will lose health insurances if GOP repeals ACA but no replacement which was once advocated by Pres. Trump just couple days ago. 
     
    Raiders22
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    Posted: Jul. 21, 2017 - 6:57 AM ET #86

    Quote Originally Posted by wallstreetcappers:


    The reality is as we age our body does not produce the needed enzymes to digest and the probiotics for the gut...so I am taking a veggie based product that works great. 

    I really think the gluten/peanut/dairy phenom could be solved if people had the proper levels of gut probiotics and enzymes...instead doctors give pharma solutions because it is a quick solution...or tell you to avoid certain foods rather than get the tools in the gut you need to digest properly.

    Same as any allergy mostly.  Some people are simply allergic to some things --- from penicillin to poison ivy to peanuts,etc.

    I still agree with good research online nowadays you can fix some issues.  But still a good idea to get a specialist to help.  There really are some good, dedicated ones.

    Reply
    Quote Originally Posted by wallstreetcappers:


    The reality is as we age our body does not produce the needed enzymes to digest and the probiotics for the gut...so I am taking a veggie based product that works great. 

    I really think the gluten/peanut/dairy phenom could be solved if people had the proper levels of gut probiotics and enzymes...instead doctors give pharma solutions because it is a quick solution...or tell you to avoid certain foods rather than get the tools in the gut you need to digest properly.

    Same as any allergy mostly.  Some people are simply allergic to some things --- from penicillin to poison ivy to peanuts,etc.

    I still agree with good research online nowadays you can fix some issues.  But still a good idea to get a specialist to help.  There really are some good, dedicated ones.

     
    Raiders22
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    Posted: Jul. 21, 2017 - 7:38 AM ET #87

    Quote Originally Posted by wallstreetcappers:


    Doctors cannot help because they are fast food workers due to high costs of running their businesses. To really help someone you need the time to spend with the person and really analyze their situation and I have not seen a doctor in decades that has the time to really practice medicine and know their patients...we are a number at the deli line now.

    Regulations are not a bad thing, regulations are in place due to the mistakes of the industry. Abuses of the past cause regulation of the present and future.

    Pharma will not invest in a biotech that fails to offer a big payday, they can take fliers but biotechs are in business to take risks and have big payoffs to try and hit it out of the park so to speak.


    Sure. You can argue either way if the regulations are good or not. But for sure they drive the costs up and take much needed time away from the doctors.

    Also, not sure you can lay much blame with drug companies. For sure they are in it to make money. It is the same as anything else really. If you don't want a car with power windows, brakes, airbags, cruise control, etc. --- then you simply pay less. If you do not want to take the expensive medicines, etc. that cost so much---you really do not have to take them. But the fact still remains that these things are expensive.  You can go back to the 1960s if you like---the cost is cheaper but the specialized care and new medicines are not there to help folks live longer.

    The drugs cost more than they should to develop---but you can argue that the reasons they do are good reasons.  I get your point when you say that.  I also get the point when someone else says it should be a cheaper process.  I cannot say either of you are completely wrong. It has to be decided what we as a people think is most important.  Elite healthcare is not going to ever be cheap or the incentive is lost.

    Reply
    Quote Originally Posted by wallstreetcappers:


    Doctors cannot help because they are fast food workers due to high costs of running their businesses. To really help someone you need the time to spend with the person and really analyze their situation and I have not seen a doctor in decades that has the time to really practice medicine and know their patients...we are a number at the deli line now.

    Regulations are not a bad thing, regulations are in place due to the mistakes of the industry. Abuses of the past cause regulation of the present and future.

    Pharma will not invest in a biotech that fails to offer a big payday, they can take fliers but biotechs are in business to take risks and have big payoffs to try and hit it out of the park so to speak.


    Sure. You can argue either way if the regulations are good or not. But for sure they drive the costs up and take much needed time away from the doctors.

    Also, not sure you can lay much blame with drug companies. For sure they are in it to make money. It is the same as anything else really. If you don't want a car with power windows, brakes, airbags, cruise control, etc. --- then you simply pay less. If you do not want to take the expensive medicines, etc. that cost so much---you really do not have to take them. But the fact still remains that these things are expensive.  You can go back to the 1960s if you like---the cost is cheaper but the specialized care and new medicines are not there to help folks live longer.

    The drugs cost more than they should to develop---but you can argue that the reasons they do are good reasons.  I get your point when you say that.  I also get the point when someone else says it should be a cheaper process.  I cannot say either of you are completely wrong. It has to be decided what we as a people think is most important.  Elite healthcare is not going to ever be cheap or the incentive is lost.

     
    thirdperson
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    Posted: Jul. 21, 2017 - 8:39 AM ET #88

    Repealing Obamacare is going backwards to old healthcare system which is the worst among rich nations. Losted would be Obamacare improvements in equity, access and quality of care.

    Unlike other countries, US has fewer and weaker ways of lowering costs.  In countries where every citizen is insured, costs are lower because of greater government control to reduce costs.  In the US, healthcare is a commodity sold by mostly private sector to maximize profits.  Free market and competition have failed patients without bargaining power.
    Reply
    Repealing Obamacare is going backwards to old healthcare system which is the worst among rich nations. Losted would be Obamacare improvements in equity, access and quality of care.

    Unlike other countries, US has fewer and weaker ways of lowering costs.  In countries where every citizen is insured, costs are lower because of greater government control to reduce costs.  In the US, healthcare is a commodity sold by mostly private sector to maximize profits.  Free market and competition have failed patients without bargaining power.
     
    Raiders22
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    Posted: Jul. 21, 2017 - 8:54 AM ET #89

    Quote Originally Posted by Europa:

    Congressional Budget Office (CBO) released the score today that 22 millions people will lose their health insurances in Senate's current Health Bill. While 32 millions will lose health insurances if GOP repeals ACA but no replacement which was once advocated by Pres. Trump just couple days ago. 

    If there were no insurance at all, how do you imagine the process would work long-term?

    Reply

    Quote Originally Posted by Europa:

    Congressional Budget Office (CBO) released the score today that 22 millions people will lose their health insurances in Senate's current Health Bill. While 32 millions will lose health insurances if GOP repeals ACA but no replacement which was once advocated by Pres. Trump just couple days ago. 

    If there were no insurance at all, how do you imagine the process would work long-term?

     
    Raiders22
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    Posted: Jul. 21, 2017 - 8:58 AM ET #90

    Quote Originally Posted by thirdperson:

    Repealing Obamacare is going backwards to old healthcare system which is the worst among rich nations. Losted would be Obamacare improvements in equity, access and quality of care.

    Unlike other countries, US has fewer and weaker ways of lowering costs.  In countries where every citizen is insured, costs are lower because of greater government control to reduce costs.  In the US, healthcare is a commodity sold by mostly private sector to maximize profits.  Free market and competition have failed patients without bargaining power.

    I think the premise here is incorrect.  See GB or Canada for examples.

    Also WSC in his above post is more correct when he said none of these options are good.  It is not a choice of forward or backward---they are all simply completely wrong. 

    There are folks that will argue the opposite---very well---that quite simply the free market has not been allowed to work.  But I think both are wrong.

    Reply

    Quote Originally Posted by thirdperson:

    Repealing Obamacare is going backwards to old healthcare system which is the worst among rich nations. Losted would be Obamacare improvements in equity, access and quality of care.

    Unlike other countries, US has fewer and weaker ways of lowering costs.  In countries where every citizen is insured, costs are lower because of greater government control to reduce costs.  In the US, healthcare is a commodity sold by mostly private sector to maximize profits.  Free market and competition have failed patients without bargaining power.

    I think the premise here is incorrect.  See GB or Canada for examples.

    Also WSC in his above post is more correct when he said none of these options are good.  It is not a choice of forward or backward---they are all simply completely wrong. 

    There are folks that will argue the opposite---very well---that quite simply the free market has not been allowed to work.  But I think both are wrong.

     
    Europa
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    Posted: Jul. 21, 2017 - 11:22 AM ET #91

    Quote Originally Posted by Raiders22:

    If there were no insurance at all, how do you imagine the process would work long-term?


    I googled it, but could not find any nation in this planet without health insurance.

    UK has its universal health care since 1948, and Russia, yes Russia has universal health care too. 
    Reply
    Quote Originally Posted by Raiders22:

    If there were no insurance at all, how do you imagine the process would work long-term?


    I googled it, but could not find any nation in this planet without health insurance.

    UK has its universal health care since 1948, and Russia, yes Russia has universal health care too. 
     
    Raiders22
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    Posted: Jul. 21, 2017 - 11:54 AM ET #92

    Quote Originally Posted by Europa:


    I googled it, but could not find any nation in this planet without health insurance.

    UK has its universal health care since 1948, and Russia, yes Russia has universal health care too. 

    Yes.  I am asking you what you think it would be like?  Obviously it used to be that way.

    Reply
    Quote Originally Posted by Europa:


    I googled it, but could not find any nation in this planet without health insurance.

    UK has its universal health care since 1948, and Russia, yes Russia has universal health care too. 

    Yes.  I am asking you what you think it would be like?  Obviously it used to be that way.

     
    shiek
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    Posted: Jul. 21, 2017 - 1:28 PM ET #93

    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.






    Reply
    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.






     
    Raiders22
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    Posted: Jul. 21, 2017 - 1:51 PM ET #94

    Quote Originally Posted by shiek:

    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.






    Yes, the ones mentioned are considered forerunners.  The theory is the others you mentioned will eventually have the same issues.  If it is not totally free, then some people, by definition, will have trouble paying.  They are poor, made poor choices, or choose not to use healthcare.

    'there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms'  Not sure this is what you meant to say?  The consumer is the user?  Of course they have incentive to keep costs down but cannot control it themselves.  Not sure very many people at all understand the charging mechanisms---let alone the average consumer.

    Sure we do so much of the research---but we also regulate a lot the study and release of new drugs, etc.

    Employers are involved by choice.  Theoretically, it is an incentive to draw better employees.  They could do that with other perks like car insurance or matching 401k, etc.

    Yes---a lot of republicans advocate a system like the car insurance system.  They advocate the cross-state use, lots of competition, etc.

    But even this has not proved to address the rising costs.  Even having too many competitors has proven to drive costs up in some studies.

     

    Reply
    Quote Originally Posted by shiek:

    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.






    Yes, the ones mentioned are considered forerunners.  The theory is the others you mentioned will eventually have the same issues.  If it is not totally free, then some people, by definition, will have trouble paying.  They are poor, made poor choices, or choose not to use healthcare.

    'there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms'  Not sure this is what you meant to say?  The consumer is the user?  Of course they have incentive to keep costs down but cannot control it themselves.  Not sure very many people at all understand the charging mechanisms---let alone the average consumer.

    Sure we do so much of the research---but we also regulate a lot the study and release of new drugs, etc.

    Employers are involved by choice.  Theoretically, it is an incentive to draw better employees.  They could do that with other perks like car insurance or matching 401k, etc.

    Yes---a lot of republicans advocate a system like the car insurance system.  They advocate the cross-state use, lots of competition, etc.

    But even this has not proved to address the rising costs.  Even having too many competitors has proven to drive costs up in some studies.

     

     
    moneym8
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    Posted: Jul. 21, 2017 - 2:17 PM ET #95

    These Trump supporters (husband and wife) are glad Obamacare survived:

    https://www.cbc.ca/news/world/obamacare-gop-trump-kentucky-1.4045757

    The sad irony is the husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    Trump was right when he said he could shoot someone and he wouldn't lose any supporters. Heck, he could kill this woman's husband and she would still vote for him.

    Totally unrelated to the health care debate but just the disgusting stuff Trump says should be enough for someone not to vote for him. If Trump looked at my daughter when she was 10 or 11 years old and turned to his circle jerk crew and said "I'll be dating her in 10 years", I would be in court defending a serious assault charge (then again with Trump probably trying to sue me). Gawd that mofo is a creepy old man.

    Reply
    These Trump supporters (husband and wife) are glad Obamacare survived:

    https://www.cbc.ca/news/world/obamacare-gop-trump-kentucky-1.4045757

    The sad irony is the husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    Trump was right when he said he could shoot someone and he wouldn't lose any supporters. Heck, he could kill this woman's husband and she would still vote for him.

    Totally unrelated to the health care debate but just the disgusting stuff Trump says should be enough for someone not to vote for him. If Trump looked at my daughter when she was 10 or 11 years old and turned to his circle jerk crew and said "I'll be dating her in 10 years", I would be in court defending a serious assault charge (then again with Trump probably trying to sue me). Gawd that mofo is a creepy old man.

     
    Europa
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    Posted: Jul. 21, 2017 - 2:35 PM ET #96

    Quote Originally Posted by moneym8:

    These Trump supporters (husband and wife) are glad Obamacare survived:

    https://www.cbc.ca/news/world/obamacare-gop-trump-kentucky-1.4045757

    The sad irony is the husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    Trump was right when he said he could shoot someone and he wouldn't lose any supporters. Heck, he could kill this woman's husband and she would still vote for him.

    Totally unrelated to the health care debate but just the disgusting stuff Trump says should be enough for someone not to vote for him. If Trump looked at my daughter when she was 10 or 11 years old and turned to his circle jerk crew and said "I'll be dating her in 10 years", I would be in court defending a serious assault charge (then again with Trump probably trying to sue me). Gawd that mofo is a creepy old man.


    Political ideology does dig in deep roots among Donald J. Trump's base. But the other majority Americans won't get pulled in the hole by his base, 12% of Trump counties support Trumpcare in the NBC/WSJ poll.   
    Reply
    Quote Originally Posted by moneym8:

    These Trump supporters (husband and wife) are glad Obamacare survived:

    https://www.cbc.ca/news/world/obamacare-gop-trump-kentucky-1.4045757

    The sad irony is the husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    Trump was right when he said he could shoot someone and he wouldn't lose any supporters. Heck, he could kill this woman's husband and she would still vote for him.

    Totally unrelated to the health care debate but just the disgusting stuff Trump says should be enough for someone not to vote for him. If Trump looked at my daughter when she was 10 or 11 years old and turned to his circle jerk crew and said "I'll be dating her in 10 years", I would be in court defending a serious assault charge (then again with Trump probably trying to sue me). Gawd that mofo is a creepy old man.


    Political ideology does dig in deep roots among Donald J. Trump's base. But the other majority Americans won't get pulled in the hole by his base, 12% of Trump counties support Trumpcare in the NBC/WSJ poll.   
     
    Raiders22
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    Posted: Jul. 21, 2017 - 2:49 PM ET #97

    Quote Originally Posted by moneym8:


    husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    You understand that is not how it works, right?  Trumpcare would not kill them.  They would not even have it, maybe---or have to pay more.
    No one has to work in the coal mines.  If there were contributing factors like obesity---maybe better choices could've been made.  Also, if people didn't have health insurance they should plan to pay or make better choices. It will sometimes come down to personal choices is the theory.  It is just like retirement.  People should start planning to retire as soon as they start working.  Don't live beyond your means and plan to get old and sick and emergencies.
    It may sound crass or unsympathetic.  But people really have to take some accountability.  But that for sure doesn't absolve our politicians from the lack of handle.  It is human nature to want to help others or to want others to have the good things others have.  But it is not completely politicians responsibility to do this for everyone.
    Reply
    Quote Originally Posted by moneym8:


    husband is dying from black lung from working as a trucker in the coal industry. The company did nothing to help him, Trumpcare would have killed him, Obamacare is keeping him alive.

    The wife needs Obamacare for her diabetes and heart condition and Trumpcare would have made it impossible for her to afford the care she needs.

    Even though Trumpcare would kill her husband, and perhaps her, she says she would vote for Trump again.

    You understand that is not how it works, right?  Trumpcare would not kill them.  They would not even have it, maybe---or have to pay more.
    No one has to work in the coal mines.  If there were contributing factors like obesity---maybe better choices could've been made.  Also, if people didn't have health insurance they should plan to pay or make better choices. It will sometimes come down to personal choices is the theory.  It is just like retirement.  People should start planning to retire as soon as they start working.  Don't live beyond your means and plan to get old and sick and emergencies.
    It may sound crass or unsympathetic.  But people really have to take some accountability.  But that for sure doesn't absolve our politicians from the lack of handle.  It is human nature to want to help others or to want others to have the good things others have.  But it is not completely politicians responsibility to do this for everyone.
     
    Europa
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    Posted: Jul. 21, 2017 - 3:04 PM ET #98

    Quote Originally Posted by shiek:

    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.







    Medical expense is accounted for number one reason for people filing financial bankruptcy in the United States. Few years ago, a buddy of mine has been billed with over $400,000 for his acute peritonitis which he brought back from abroad. And that was over 10 years ago, it could easily cost him over half million for the same medical treatment today.  
    Reply
    Quote Originally Posted by shiek:

    From my perspective there has to be some type of universal coverage.   Too many people have been bankrupted and/or died simply do to the luck of the draw.   I've heard GB and Canada mentioned as problems w such a system but according to my doctor Taiwan and Switzerland should be the models

    Additional observations, it seems there is something inherently wrong w the current Medicare system when there is very little incentive for the ultimate consumer to keep the cost of the service down or even understand the charging mechanisms.

    I've heard anecdotally that the reason drugs cost so much more here is that we pay a disproptionate share of the research costs (see NATO)

    Why are employers even involved in healthcare.   It seems that the system should be modeled after the car insurance system.

    Interesting discussion.







    Medical expense is accounted for number one reason for people filing financial bankruptcy in the United States. Few years ago, a buddy of mine has been billed with over $400,000 for his acute peritonitis which he brought back from abroad. And that was over 10 years ago, it could easily cost him over half million for the same medical treatment today.  
     
    shiek
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    Posted: Jul. 21, 2017 - 5:40 PM ET #99

    Medicare is free, other than the fixed nominal monthly fee, so how is there any incentive for us, the consumer of such service to keep it down.  

    My understanding is tricky person started the employers involvement in medical insurance but don't agree there should be a connection.

    I understand the point on responsibility choices but your not suggesting that the poor generally r to blame for getting cancer, which from my perspective is what a safety net should be all about
    Reply
    Medicare is free, other than the fixed nominal monthly fee, so how is there any incentive for us, the consumer of such service to keep it down.  

    My understanding is tricky person started the employers involvement in medical insurance but don't agree there should be a connection.

    I understand the point on responsibility choices but your not suggesting that the poor generally r to blame for getting cancer, which from my perspective is what a safety net should be all about
     
     
    Raiders22
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    Posted: Jul. 21, 2017 - 8:52 PM ET #100

    Free?  Nah. Not really. For example, you pay taxes all your life.   Same as SS. We figured out long ago ppl don't plan to get old and retire and don't plan to get sick. Some folks even think we don't plan to go to college. It is all a matter of perspective. 
    Big incentive if you are the current taxpayer and your rates go up. 

    You may not like employers offering it.  But if you were an employer and your competitor offered it---then you'd think twice. It is a great perk for those that get it. Sometime better than a higher wage.  And if you are looking for work and it is offered at a place and not at another---you have to consider it with the current state. 

    Poor and rich both get sick. Young and old.  That's not my point. If most folks planned to get old and sick. Then when the young that haven't had time to save get sick --- or a catastrophic illness happens --- the burden is nowhere near what it currently is. Same as anything else. Like SS, Medicare, etc. 
    But sure, you are correct. Folks should exercise, eat better, etc. 
    And for the discussion to be steady you have to consider by-and-large --- not go straight to the extreme.  You can't gain traction that way to me. 
    Reply
    Free?  Nah. Not really. For example, you pay taxes all your life.   Same as SS. We figured out long ago ppl don't plan to get old and retire and don't plan to get sick. Some folks even think we don't plan to go to college. It is all a matter of perspective. 
    Big incentive if you are the current taxpayer and your rates go up. 

    You may not like employers offering it.  But if you were an employer and your competitor offered it---then you'd think twice. It is a great perk for those that get it. Sometime better than a higher wage.  And if you are looking for work and it is offered at a place and not at another---you have to consider it with the current state. 

    Poor and rich both get sick. Young and old.  That's not my point. If most folks planned to get old and sick. Then when the young that haven't had time to save get sick --- or a catastrophic illness happens --- the burden is nowhere near what it currently is. Same as anything else. Like SS, Medicare, etc. 
    But sure, you are correct. Folks should exercise, eat better, etc. 
    And for the discussion to be steady you have to consider by-and-large --- not go straight to the extreme.  You can't gain traction that way to me. 
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