Looks like the GOP secretly liked the ACA all along.
@ 7 months ago
Chaska, MN 55318, USA
I'm sure they like it.
My guess, they'll finally do what they should have done. Fix it & keep what's okay. (pre-existing, availability).
but if you're happy with current ACA, it's a tax bill that's failing to cover 100% too.
@ 7 months ago
Spotsylvania, VA 22553, USA
After years of actively sabotaging it... why would we trust the fox to guard the henhouse now?
@ 7 months ago
ACA is perfect: 100% people covered, higher taxes on 25%, keep your doctor, keep your plan...
what's the downside? Single provider, maybe?
Never said it was perfect. Far from it.
But exponentially better than both pieces of garbage the GOP tried passing.
I am just thrilled about all this winning, aren't you?
Now we can get back to important topics, like Russian adoptions.
that's what I'm talking about. ^^^
I know it's not perfect for you, it's not Single Payer socialized care
So who's Putin adopting now?
I think he's already adopted WJ Clinton, I could be wrong, maybe a night with Chelsea
Single payer is simply better and cheaper than the mess of a system we have now.
And the GOP plans were horseshït by any measure.
Awwww so cute how you're playing ignorant re Russia.
here's a question skal.
Do the Democrats in Congress (majority of), believe ACA is okay? If not have they proposed any changes? ( besides single payer)
Ok as is, no.
Proposed changes: only in platform. Kinda a waste of time when the party controlling the House had no intention to fix and has focused on repeal since taking over.
Here's a question - what did you think about the now sunk Senate bill?
didn't like any of the 3.
always said best way is to fix the damn bill via bipartisan.
or let it go as is and let dems own it.
prediction: repeal plus 2 years fails, too.
don Jr. or Spicer getting adopted? You pick your idiot in this one.
although I would support the repeal plus 2.
I know you're happy my insurance premium went up 300%
single payer, single care provider umbrella, medical personnel become government employees..... all would control cost
. similar to the VA model
Funny thing is the GOP owns healthcare now. They're in control and because of their sabotage, ACA (which is popular now) might go down on their watch.
Repeal plus 2 is a horrible idea.
300%? Sounds a bit exaggerated compared to rates that have been released.
I disagree on gop owning "Obamacare", easy to twist back and blame dems for not wanting to fix. (right or wrong)
repeal plus 2 forces bipartisan bill. neither side wins 100%
only 2 other choices remain. dems get to write new bill or it stays in
I don't see dems getting new bill for at least 3 years. unless the bmoron scenario works... dems win house and Senate and Trump and pence quit breathing.
Why would it force a bipartisan bill? The save the GOP from the mess they cause by the repeal? Ha.
Remember, not all parts of the repeal wait two years to take effect.
The mandate is gone immediately.
takes 60 votes for replacement with repeal plus 2.
my so called free healthcare for military service went from $46/month to $215/month. My supplemental insurance went from $386/month to $475/month. military insurance effectively up 300%.
ACA forces primary coverage of military insurance to Medicare as prime @ 65.
yeah my insurance is cheap
if it was a true mandate 100% would be covered, younger not playing the game.
Mandate lacked teeth because conservatives howled. That's their least favorite part.
So either it's a mandate or it isn't. Can't have it both ways...
Are you sure that ACA forced you into Medicare?
yep, everyone in retired and turning 65 after 2013
per tricare reps, part of ACA mandate that affects government workers and families.
military retirees and veterans take it in the ass again. better part the Obama VA bill now says I can't use VA healthcare because I make too much in retirement.
actually may have better off not going over 20.
yep, I'm bitter as fùck. The primary reason for staying in was the promised medical for me & wife.
Was there something else that took effect in 2013 (say...March 1) that could've been responsible?
I'll bite, couldn't find anything March 1
You know there was, but if blaming ACA helps you sleep better at night.
It hit TRICARE hard and caused the changes in prime you blamed on ACA.
Skål is in full Nelson from the Simpsons "Ha Ha!" mode.
@ 7 months ago
Yorkville, New York, NY
sequester just forces everything. I'll read the sequester outline, I'll acknowledge it if it's there. still doesn't let Obama off the hook, sequester is his baby too.
BTW: nothing helps me sleep better night. Thanks to Obama's VA thresholds, my PTSD therapy was cancelled and no civilian physic around here provides treatment.
so I get entertained by nightmares
Yeah, it's as amusing as all my Medicaid patients that say they're glad they don't have none of those stupid obummercare plans.
You can't just read the outline, bud. You have to read the specifics of what TRICARE did in response to sequester.
Sorry to hear.
seems that the bottom line of this thread is: when the gubment gets too involved it turns to shït. all they know how to do is waste money.
President Not Sure
@ 7 months ago
Wright City, MO, USA
If elements of gubment are determined to make gubment not work so they can justify cutting it, it's a hell of a lot easier than making something work.
This all goes to show that John Boehner knew his party better than the current leaders. It will be interesting to see if he was also right on tax reform.
@ 7 months ago
Yellow Springs, OH 45387, USA
hey h2o: there is a new wris####ch app invention that senses your sleep disruption and buzzes your wrist just enough to tip you out of the nightmare, without waking you. It's a life changer for those of us with ptsd. look into it.
@ 7 months ago
Lakeland, MN 55043, USA
wrist watch. lol
301-363 Quality Ave N, Lakeland, MN 55043, USA
Did that go anywhere?
@evil - looks like it was a typical Kickstarter project.
Maybe paid for a semester of his tuition at Macalester.
Well at least it sounded good and it triggered the twát filter.
Long Island City, Queens, NY
I did go somewhere Skål, not sure where it's at now. someone bought the app I'm pretty sure. hopefully they'll continue with it: the results are really outstanding for a lot of people.
ptsd- related sleep disturbances are awful because lack of sleep blocks other efforts to get better. You can't improve your mental health without restful sleep.
It sounds like you know some people who got in on the beta?
I looked on the Pebble store - not there. Doesn't look too be available for apple/Android watches either. (Or something similar)
try living with this shìt
i go to bed hoping to sleep through the night, hoping I don't hurt the wife, punch a hole in the wall, ???????
reliving bad history sucks
drinking to sleep, sucks
no place to turn (So far) for help, sucks
just think, if you slept better, you wouldn't be so grumpy. then you'd become a liberal. May not be worth it.
seriously though, I hope you find a solution.
@ 7 months ago
17702 Eric Ave, Cerritos, CA 90703, USA
Me too, H2O. I have the added joy of menopause hormonal issues, which really fúck with sleep on their own. My ptsd is related to the beatings and worse suffered at the hands of my ex.
I know your ptsd issues are far worse than mine, H2O; I have enough problems to fully appreciate what you are going through. Really I hope you find a solution.
... that being said, the reason I came too this thread was to congratulate the three brave Republican senators who refused to let the people down on the health care issue. As our young Dr. Froyda says, guess it's really not so bad after all.
Republicans have been claiming for years and years about having "something better" than Obamacare?? YOU FÚCKING LIED, BÍTCHES!!! You got butkus you dumb asshats. hahahahaha
Obama's kicking back on some island right now laughing his ass off you stupid idiots! You can't do the ONE THING YOU'VE SCREAMED ABOUT FOR SEVEN YEARS.
Full control of two of the three branches of government and you fúcking can't accomplish one major piece of legislation? Complete and utter fail, you dumb fúcks. Good luck with that tax reform thing. hahahahaha fúcking losers!!!
Yay! I'm young!
My prediction right now is that 4 to 5 years from now we will go to single payer, courtesy of President Warren and a cooperative congress.
compared to me you are young, sonny
hey why don't you connect with me on LinkedIn?
Haven't touched LinkedIn for almost a decade. Just not used - all the networking is done with Doximity.
The US News and World Report Hospital/Clinic and residency rankings are all polled from Doximity now, so there's
Little reason to use anything else.
The single payer FUD has been coming out heavy this last week to distract from the looming BCRA failure. That's just a fraction of what we'll see if it actually is proposed in either chamber.
I'm less optimistic for that reason. The right has done an excellent job at distorting single payer into a boogeyman.
That's very true. And the Medicaid expansion has helped a lot of desperate people. Not in states that opted out of that, of course. But the state option is useful to show the benefit. Now we just need to expand on that.
Hudson, WI 54016, USA
Its always good to see the result of those state-as-laboratory experiments. They suck for those on the "we shouldn't do it that way" end of things, but at least we cam all learn.
...and bítches gots to learn. Apparently.
It's "bupkis" by the way.
Northwest Harbor, NY 11937, USA
Sorry Drew. Guess I was thinking of Dick Butkus or something.
So: YOU GOT BUPKIS, BÍTCHES.
Yeah, so we've had a few of those state as laboratory experiments with single payer - CA and VT. Politicians seem to balk at the price tag. Changing the nomenclature for funding insurance from premium to tax, even if the
Total amount is less, seems to a very powerful poliical disincentive.
I've rather enjoyed Brownbackistan's tax cut paradise experiment.
me too, the schadenfreude is delicious until I remember that actual people are suffering through no fault of their own... unless they voted for the idiocy, in which case whatever they get, they deserve.
I also notice that there is no defense of any of this from anyone like pns, h2o, or even that idiot plc.
I guess they realize that we need to go where Obama dared not: single payer, Bernie is coming out worth the plan soon and Dems will have enough time to refine it and get buy in while they're out of power. 2020 will bring it.
The GOP that beat their chests for 7 years but didn't actually have any sort of a plan or even a plan for a plan. The Democrats will develop a plan if they're smart. I'm curious to see how it develops.
"You can always count on Americans to do the right thing--after they've tried everything else!"
I think we're getting closer to "everything else"
I'm not so optimistic about the Democrats being smart. They still have essentially the same old guard leadership that sits high on their laurels and expects people to vote for them because "lesser evil"
evil I have already made my statement about this and anything else the govt gets involved in. they will fūck it up worse than it was and spend way too much money doing it
None of your weak, tender little girl asses will even admit to voting for Trump will you? "Who, me? Oh no, naturally it's not my fault. I voted for [cool alt candidate who is safe since it's hindsight].
I voted for Trump and I believe it was the best choice. I wish the gop would have not said anything about ocare. it was meant to fail from the beginning. it's all about control.
It's been surprisingly resilient despite the active sabotage by the GOP. Rubio messing up the risk corridors really drove premiums up.
Now that ACA is popular, time for the destructive shenanigans to get the spotlight.
If the Dems had guts, they'd highlight these moves every time rate hikes are brought up.
But they don't.
Kind of like they didn't bring up all the background work, committees etc to which the ACA was subjected, when the GOP said Dems "shoved it down our throats"??
Main St & Mulberry St, Stillwater, MN 55082, USA
Democrats are spineless. And clueless.
Close just substitute politicians for democrats
O'Fallon Township, MO, USA
"shoved it down our throats", comes from the vast majority of the citizens opposing the bill, not some fùcked up committee meeting.
Based on mostly bullshït misinformation.
The great thing about the BCRA disaster was that telling the truth about what was in it killed it.
No need to make shït up.
Truly...the facts spoke and the people said, wtf. The people think maybe the ACA is better than they thought.
The people said, we wanted out with the ACA because you, Republicans, tell us its awful.
What Republicans failed to realize is that not every change is good change, particularly with health care! News flash: it's about more than politics!!
The people demand not just "a change" but "a change FOR THE BETTER." Wake up and smell the leadership, it smells like blood sweat and tears. Get to fúcking work.
What the people want is universal coverage. For everything but birth control and abortion. Oh and also for no money. No raising taxes even a dime or we'll scream SOCIALISM!!!! hahaha good luck asshats.
The most unpopular part of the ACA, the individual mandate, makes the popular parts possible.
We simply can't have our cake and eat it too. But that's what we want.
Exactly so. The GOP is going to run into that conundrum repeatedly... they are politically incapable of understanding that concept.
I think the Minnesota people are getting too giddy.
Murray Hill, New York, NY
And I'm spent
Minnesota people think taxing the middle class into poverty is an acceptable solution.
Increased minimum wage (double or better)
$100k is rich
Speaking of taxation - Still waiting to know how much the Cadillac tax has affected you, H2O.
Pretty broad statement re MN, h2o. Care to back that up at all or is this a trumpism?
Overall, MN is doing pretty well economically. State unemployment is well below national levels. We do have a health care premium issue, with large recent increases.
....aaaand he's got nothing.
It's everything I expected from you, h2o!
just read your & doc's statements.
self identifying, maximum taxation to satisfy a socialist agenda
bet you even believe our healthcare should be available to everyone, worldwide.
it's funny though, skal doesn't want to see it totally government run (paycut). he just wants more of the government pie. medical costs can escalate as long as we can have higher taxes & more government money
if you want single payer so bad, why not Single provider?
that way you can keep your doctor and the plans the same for everyone.
but this debate is moot: repeal, replace, repair, etc. is doa in Congress.
ACA is good enough, here to stay, untouched by GOP, and defended in totality by Dems
skal, to answer your question....
"skal doesn't want to see it totally government run (paycut)"
As someone strongly considering heading back to the VA, I find that hilarious.
Oh good, you're learning.
Why not single provider?
Competition. I want it to still exist for care delivery.
meaning you want more money, at someone else's expense
it figures you would see something requested that was earned as hilarious.
but never fear, the ONLY place locally that treats combat related PTSD is unavailable to me.
gotta love a good screwing
It's hilarious because going back to the VA is a significant pay cut, exactly what you are saying that I'm trying to avoid
It's almost like you have no clue what you're talking about and just trying to get in cheap jabs
You're going to the VA?
I thought you were referring to me trying to get the VA to do it's damn job.
either way a fine example of socialized healthcare.
pay cuts, refusal of service.
No. I wouldn't attack you for your PTSD. I'm not an asshøle.
The VA is an example of single payer with one provider. No competitor for things like service, wait times, etc.
With a single payer and multiple providers, the providers still compete for your business.
Those that are better at controlling costs can have do better financially too.
Other countries have made this approach work. Could work here.
Nationalizing health systems is a political non starter.
Single provider & payer, controls all costs.
we could do away with:
Medicare and Medicaid
even control treatment options, somewhat like UK
evil's elective surgeries would be totally out of pocket in advance
That would control costs. But the US isn't ready for an NHS type system.
We already control treatment options here in the US - we are just less up front about it.
unless the money is there.
Backdoor rationing is still rationing. We do a lot of it here and then point at wait times for elective stuff in other countries while pretending everything is peachy here.
One huge difference between elsewhere and here is primary care.
Here it is a loss leader. That's why we have a shortage.
Other countries use it more effectively.
There was some article describing different countries' systems in terms of what we have in the US (cuz we have bits and pieces of a lot of types). I'm too lazy to find this article
Also hehheh "backdoor"
That's the Drew we know and love
Totally holding out for my free ass implant surgery.
I thought it was the camel-toe makeover.
I don't think that can be overcome without sewing it shut!
Skal ??? ? medical opinion
Maybe crack spackle? I think there was an SNL "ad" for that many years ago. For use by plumbers on the other side of things...but I don't see why the same approach wouldn't work for camel toe.
...the sewing issue I think.
That'd get you about halfway to finishing the lower part of gender reassignment
I'll stick with crack spackle.
West Seventh, St Paul, MN, USA
use a gorilla epoxy; cheaper, last longer, std resultant
Hey now, here we go again. The freshly proposed Graham-Cassidy-Heller-Johnson amendment is already opposed by 10 governors including Alaska's.
@ 5 months ago
h2o: it's the "long lasting" part that's the problem with epoxy... it's a little too long lasting :(
H2O - clearly losing your Tricare coverage as a part of sequestration was a big problem. The GOP has been aiming to privatize the VA for years and their demands during the budget ceiling fight directly led to your
@ 5 months ago
Coverage change. Sequester wasn't Obama's baby and you know it.
If this new idea makes it through there won't be Dems to blame for the resulting shïtshow.
It's not gonna make it...I have a feeling McCain is going to save the Senate from itself again if he has to. Even though southern belle Lindsey Graham is his bestie.
McCain wants something done the right way, not the slapdash shít sausage passing for bills on health care coverage these days. Good for him for putting our interests above pure political nastiness. It's really a low bar when you think about it.
Plus, imagine the schadenfreude for McCain when it turned out he tanked Trump's entire legislative ship with one vote. It's a gift that's really kept on giving...to the Democrats too, pilots of Trump's new ship.
Wonder if the Dem leaders are studying "Apprentice" episodes and getting a feel for how they should act in this situation. Trump fired the Republicans. Can dems wheel and deal like business folk? They'd be better off trying that approach I think.
McCain has been "concerned", which is code for he's going to vote for it anyways based on what he's done in the past.
His objections to the previous attempt were more over process than content.
Well I guess we'll see. I'm not sure process and content don't come down to the same thing, in the end.
As long as health insurance is involved, it will be all just be a different form of crap..
@ 5 months ago
Villa Park, IL, USA
@ 5 months ago
Spotsylvania Courthouse, VA 22553, USA
nah, wasn't Obama's
What happened next?
yeah, sequestration was one terrible idea. Reid should have trusted his gut and kicked the idea to the curb. McConnell too.
Like with the current health care bill, it's the Dopeler effect... bad ideas seem better when they come at you quickly.
When you don't have time to think things through, those nasty down sides are just a blur, nothing to see there.
More than just that. The Dems made the assumption that the GOP wouldn't want across the board spending cuts (inc defense) and would negotiate to include tax increases as part of the deal.
They wouldn't budge
As a result, H2Os Tricare gets cut.
But at least they saved him from tax increases, right?
Plus, now he has access to the private market, which we know as an irrefutable fact does everything better than the govt
All true. Especially the assumptions of dems that the gop could be somehow indirectly controlled by relying on their consciences to guide them to do the right thing. Really stupid calculus for politicians.
and by "conscience" I mean political conscience, not humanitarian.
So surprise!, Dems, you totally underestimated Congress' ability to fúck it all up. And you underestimated Republican's ability to be complete idiots in the name of ideological purity.
1132 N Ardmore Ave, Villa Park, IL 60181, USA
I look at Healthcare by stepping outside the echo chamber and analyzing how universal Healthcare affects countries. Turns out that the systems are often more efficient, effective, and result in healthier lifestyles.
So... what? Do you imagine no one in Congress brought this up or considered other countries' systems, ami? Its not as if this is a new idea or based on some new information.
We're Murricans. Those other systems must be crap cuz they're not in Murrica and they're socialists. We got us the best dang healthcare in the world dammit!
I hope that there are more AMis out there. And I believe the ranks are growing. Slowly maybe, but sill growing. It will take an educated electorate to drag Washington through the hoardes of lobbyists into the realization that we have one of the most
@ 5 months ago
Miami Township, OH, USA
inefficient health care systems in the world. You couldn't design a more piecemeal, redundant, wastefull system if you tried.
Our kids will eventually demand a system that makes some kind of sense.
Let me bore you with an example. I just had my annual physical. My doc was concerned with my white cell count. He set up an appt with a hematologist. I told him to send her a five year history. No problem.
As long as the will to sabotage such a system exists, it won't happen.
ACA was sabotaged pretty easily. As much as I wish we could get SP, frankly repubs will do everything possible to break it.
I received a packet from her office containing four pages of med history questions. I called, asked if this was necessary as I was sure he sent all of that info. The person explained that every office had specific forms to be transcribed in their
particular format. Stupid Stupid Stupid.
When I arrived, I handed my paperwork to the person in the window. She asked my name.. I pointed to the top of page one. She asked for my birthday... I pointed to line three. She said she needed to scan my insurance card. I told hrr all of that info
was on page two. She still needed to scan the card. This went on for about ten minutes. STUPID?
To make matters even more absurd, her office is located in the hospital where I've been admitted more than once. They share some, but not all patient info.
As I left they told me I could access all test results and other pertinent information by
visiting the hospitals website called Mychart. My doctor has the same thing. But why these can't be somehow combined is beyond me. Maybe this is the first step.
I remember watching a documentary about health care in Taiwan. That's right. Little, backward Taiwan. A little old lady walked into a doctors office. She handed a card to the nurse. The card was scanned. Her medical history was displayed, her recent
office visits, her medications, her medical procedures. She was there for an MRI. When she left her card was scanned again. It was updated to include her visit. The interviewer asked the doctor how long it would be before he received payment for the
visit. The doctor said that he was paid the moment that the card was updated. Not bad for a little backward country like Taiwan.
And here we are filling out four pages of redundant crap for a simple blood test.
Do people think Taiwan is backwards? I certainly never did... All that aside you're absolutely correct on the redundant nature
Holy Sh¡t... Not Taiwan. It was Thailand.
They kinda sound alike.
It was ten years ago.
All of the above.
I'll go with door 2
Trump is bringing in some consultants from Nambia. He seemed genuinely impressed with their healthcare system.
Is he really?
You're too easy.
Well I too am glad more people are learning about the topic, but seriously ami are you really learning this stuff just now? Its nice jc is so proud of you, but I assumed you were joking.
Because your initial blanket statement is a real Captain Obvious kind of thing.
Also you didn't seem to get my Murrica statements. Really?
Jc that is hilarious, I just assumed you misspelled Namibia (quite common mistake)
Good morning Doc
Doc,,,AMi probably has a better understanding of european healthcare systems than I. He just doesn't believe that they can be adapted for the US. Given the current political climate, he is probably right. I, on the other hand, believe that Trump will
spawn a new generation of voters who will be engaged, informed, and open to looking at any number of new ideas.
Well basic differences in the legal systems in the U.S. and most EU countries contributes significantly to our inability to get EU results, sorry to say.
...EU results in our healthcare system that is.
Skål, was I right about McCain? http://wapo.st/2xXFMk0
Skål did you hear the blue eye mutation story yet? Single mutation of HERC2 turns off...I want to say OCA2 (Brown eye pigment). All blue eyed people are likely traced to a single ancestor, from Europe where the mutation occurred.
Ancestor lived 6k-10k years ago. Cool.
I graduated with some of them.
is the majority here now in favor of single payer health insurance?
does single payer then control procedure & drug costs?
Pleasanton, CA, USA
I'd like to see a hybrid. I really like the german model. It's possible to stay with a private insurer. The single payer system is administered by private insurance companies. They compete on service. The companies are paid a flat fee for each
client they represent. At first, the majority stayed with private insurance. That has drastically changed.
Evil - you were right.
If I ever heard that story, don't recall it.
Brand new story.
If health care workers were government employees, they could have immunity from lawsuits. No malpractice insurance etc. Just sayin.
jc, how do you propose to control costs for procedure & drugs? or are they allowed to escalate as seen fit by provider?
2901 Sorano Ct, Pleasanton, CA 94566, USA
The structure we have now isn't very effective. I've seen examples of plans that control drug costs by covering a limited number of similar drugs. Then it comes down to the two or three lowest cost providers. That's a pretty strong incentive to
I don't see this as a real stumbling block. The pharma companies are used to negotiating. Sometimes it's with insurance companies other times it's with national health boards.
The same holds true for procedures. The whole world manages to establish reasonable prices. the doctors may not be thrilled, but they aren't changing careers. One doctor was asked how he was dealing with the new national healthcare system. He said he
now rents his vacation home on the Riviera instead of buying it.
When a drug is patented there is only one provider. same worth medical devices and even new procedures. No competition...by definition
But you can counter that dynamic. if you have only one buyer, buying for millions, the playing field is considerably more level.
jc that is one poor doctor...even I own a vacation home on the Riviera.
yea, but you used Mr. Evil as a gigolo to pay for it.
why not own the entire process to control the costs?
pharma, docs, hospitals.... all run and subsidized by the government
That's not the only option, so stop pretending it is.
But to answer your question, that would probably be there most efficient but least politically viable option.
Plus, you know as well as I do the Republicans would do everything to make sure it doesn't work,
Just so they could point at it and say see it didn't work, ignoring the sabotage.
I never said it was only option.
is your only option a single payer?
how does single payer control cost or are you going to continually allow multi digit percentage premium increases?
are you going to subsidize premiums for the majority of the citizens while forcing the rest to pay for the entitlement?
are you okay with pharma, docs, hospitals setting the cost and single payer paying as demanded?
who determines the level healthcare provided or under single payer is everything covered?
what if you need a procedure, to survive, and you're not covered?
Let me rephrase: Of the manifestations of SP, a NHS style system is not the only option.
Regarding the rest of the questions, you need to read up on how single payer works a bit.
This app isn't the right place for it.
Neither are right wing sites.
Somehow the rest of the world had tackled those issues. You should look into it. Really.
in other words, h2o, your ignorance is just allowing you to reach the conclusion you want. Stop pretending to have a point.
in other words, you have nothing but smoke & mirrors
I'm in favor of single payer as long as we can tie it to single provider.
the entire rest of the world is single payer, really?
Smoke and mirrors? Hardly. Those issues have been figured out in places that have implemented SP.
No the rest of the world isn't SP. That wasn't a literal statement.
Why tie it to single provider?
why tie it to single payer
You make no sense.
But he's right in his own mind. Because in there he's got all the info he needs up in there.
I've said SP is fine, but to effectively control costs federalize the system.
There is a model there that's in place. VA, good enough for everyone.
So you think government health care is the way to go, h2o?
I disagree that the VA is the sole model for federally applied health carein the U.S. Medicare is a not awfully-applied. Relative to other health care provided in this country it seems
to work acceptably well. Seems like we could start lowering the qualification age slowly, while also shifting cost structures around to accommodate as we go. Not an immediate fix obviously.
VA is the model to use for federally controlled sole provider.
doctors, hospitals, clinics all controlled by the government.
would allow for rural/remote placement of medical people's also
For some reason I doubt the sincerity of your recent conversion to a SP fan.
1728-1762 MN-41, Chaska, MN 55318, USA
Regardless, the single payer, single provider isn't going to happen here. Single payer, multiple provider is more likely if such a system were to get passed here bc of the spirit of competition here.
Compete on service, promote lean processes, etc.
May the best care delivery system win.
Re drugs and procedures - I can tell you for certain some procedures are done more frequently than evidence suggests should be done. Get rid of FFS, prioritize well rather than treat illness, and that incentive goes away
@jc - i agree with you re german model.
"The healing of america" by TR Reid - great book describing the different systems.
I love your paperwork example too, JC. So much fricken redundancy. Same with lab tests/imaging studies. So much waste from repeated items. If only the systems talked together better. Been trying since 2009; slow progress