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Universal Health Ins? The Candidates.

Universal Health Ins? The Candidates.

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Old Dec 16th 2007, 3:18 pm
  #76  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Elvira
So it's okay for some people to go uninsured..........as long as it's not a majority.......... or even a tiny wincy minority...... say 16% or so?

This is the reality of healthcare without insurance:

http://www.guardian.co.uk/news/galle...ture=330307690

Makes me sick...

.
I did not say it was ok imo.

I was just trying to say what the objection/concern of many Americans is.

But I think for many people, if the choice is between giving up THEIR (perceived) safety and someone else staying uninsured, they would not want to make the sacrifice.

As I said, I personally would be for the government guaranteeing/subsidizing insurance.
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Old Dec 16th 2007, 3:29 pm
  #77  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Tracym
I did not say it was ok imo.

I was just trying to say what the objection/concern of many Americans is.

But I think for many people, if the choice is between giving up THEIR (perceived) safety and someone else staying uninsured, they would not want to make the sacrifice.

As I said, I personally would be for the government guaranteeing/subsidizing insurance.
The problem here is that government subsidies seem, in reality, to be a mere direct transfer of taxpayers' money to corporate profits.

Why do we actually need the insurance companies at all for the universal component? They are a middleman who removes money from the system for no perceivable benefit to the payers. What exactly is the function of the insurers?
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Old Dec 16th 2007, 3:34 pm
  #78  
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Default Re: Universal Health Ins? The Candidates.

Good discussion
Originally Posted by Tracym
I have no problem paying more taxes either.
What I would be most afraid of is rationing. I think that is the major fear.
Do you not think that the manner in which insurance companies operate their policies is de-facto rationing? Pre-existing conditions, picking and choosing which services to pay for, flat out denying coverage or raising premiums thru the roof so as to effect the same on consumers?
Originally Posted by Tracym
I don't think (hope!) most Americans are so uncaring they want people to go without health care. They're just not willing to "put their necks on the line" to ensure that for others..
Having money taken from your wage is no different than the premium you choose on the plan you opt for. You are correct, Americans are a very caring and giving people, but if the numbers were headlines instead of school shootings, would the outrage not be more audible? This issue is one which mainly affects the working class. Its root is in profit. There is a disconnect here.
Originally Posted by Tracym
Sure, many people are uninsured. Or underinsured. But not all - probably not even the majority..
Sorry Tracy, but if one person dies because a system based entirely on profit is deemed "American" and therefore should not be changed, something is really wrong in my mind. Sure, there are those who fall victim to a Dr's ineptitude or an error of beaurocracy, but to write them off because they didn't get a second job to pay the premium or that they are one of a small percentage. Its just wrong. Thats a moral high gound response, I know.
Originally Posted by Tracym
So the majority (albeit shrinking perhaps) feels safe. Whether or not they should is a different debate. But if they currently feel safe - and have a choice of doctors, in-network or out, etc..... maybe if an insurance company is bad, their companies will switch to a different one... they system seems relatively ok and safe to them..
No argument except to say that my prior employers have offered health bennies in order to remain competitive in the employee hiring game. Thats business using business, ok, fair enough - but did you ever hear of a firm improving their health bennies at a cost to them and 100% in the favour of the employee. I do think thats one of the failings of an employment-based system. You are correct that if all the employees petitiond HR to change providers, they might act, but chances are they would roll the add'l cost over to those employees. No?
Originally Posted by Tracym
To switch to an NHS style system asks them to give that up - to have (basically) only once choice - the government system. To many.... that is terrifying. Giving up what they are familiar with, and feel fairly safe with - and put their trust into the government..
I think you are thinking of "Socialised Medicine" as was popular in the old USSR. In the UK there is BUPA as an optional shortcut, fyi.
Originally Posted by Tracym
Everyone being in the same boat - well that's not really a yank-style goal. The philosophy here is more - work hard, earn your way - the american dream etc..... and provides for some being better off than others. Right or wrong, I don't think the argument of - well some might be worse off, some better, but we'd all be in the same boat will sit well necessarily (especially with those who have a good deal now)..
True, agree, no argument (makes a change, eh?)
Originally Posted by Tracym
Everyone having a right to treatment - that's great. But... with the fear of rationing.... the right to treatment doesn't do you any good, if the wait is too long, and the treatment is no longer successful. And that problem DOES occur with govt. systems. How often - one can argue. But not never..
I refer my honorable friend to the comments I made some moments ago.
Originally Posted by Tracym
The power of the vote as leverage - sure. Eventually. But if you're sick now, you'll be dead before you get a chance to vote the current administration out..
We could just shoot them. It happens often here.
Originally Posted by Tracym
I will be amazed if the yanks vote to have the entire health care industry taken over by the govt. I personally would also be horrified. Here - not talking about every other govt..
Don't confuse Socialised and Universal Health Care, there is a big philosophical diff between the two and Americans like philosophy.
Originally Posted by Tracym
Government run insurance - imo that might work. If I were hoping for something, that'd be it.
Well at best its a step in the right direction. A hybrid scheme to take the evil off a huge social program? Yeah.

Cheers.
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Old Dec 16th 2007, 3:35 pm
  #79  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by fatbrit
The problem here is that government subsidies seem, in reality, to be a mere direct transfer of taxpayers' money to corporate profits.

Why do we actually need the insurance companies at all for the universal component? They are a middleman who removes money from the system for no perceivable benefit to the payers. What exactly is the function of the insurers?
They do a lot of billing?
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Old Dec 16th 2007, 3:51 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Xebedee
They do a lot of billing?
Don't they just.........and most of it is full of errors...

The problem we are currently facing is that our oldest is that he will have to come off our insurance in 2 months time. So far our insurance company has not contacted us with any options. I guess it will be left to us to battle our way through the insurance maze. I wonder how much it is going to cost us.

Asked some friends what their offspring did........ and were told they just go without insurance. WTF...
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Old Dec 16th 2007, 4:07 pm
  #81  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Elvira
Don't they just.........and most of it is full of errors...

The problem we are currently facing is that our oldest is that he will have to come off our insurance in 2 months time. So far our insurance company has not contacted us with any options. I guess it will be left to us to battle our way through the insurance maze. I wonder how much it is going to cost us.

Asked some friends what their offspring did........ and were told they just go without insurance. WTF...
Is he going to college? Thought they offered reduced rate student insurance?
I'd be amazed if they contacted you.
Our kid lived with us for a bit without insurance and it was a worry to say the least - county services are sporadic at best and paying out of pocket is grim.

Sympathise.
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Old Dec 16th 2007, 4:12 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Xebedee
Is he going to college? Thought they offered reduced rate student insurance?
I'd be amazed if they contacted you.
Our kid lived with us for a bit without insurance and it was a worry to say the least - county services are sporadic at best and paying out of pocket is grim.

Sympathise.
He is going to community college part-time and working part-time.... so no insurance...
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Old Dec 16th 2007, 4:22 pm
  #83  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Elvira
He is going to community college part-time and working part-time.... so no insurance...
Just fell thru this then.
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Old Dec 16th 2007, 4:51 pm
  #84  
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Default Re: Universal Health Ins? The Candidates.

Well all this is a bit deja-discussion, but what the heck. Some plans propose the government also offering insurance - a medicare-like thing. Of course, medicare alone is one of the worst policies, 20% - 50% co-pay.

Originally Posted by fatbrit
The problem here is that government subsidies seem, in reality, to be a mere direct transfer of taxpayers' money to corporate profits.

Why do we actually need the insurance companies at all for the universal component? They are a middleman who removes money from the system for no perceivable benefit to the payers. What exactly is the function of the insurers?
I suppose the reason why could be - the government insurance might be more basic - and "premium" insurance could be a company benefit.

Originally Posted by Xebedee
Good discussion
Do you not think that the manner in which insurance companies operate their policies is de-facto rationing? Pre-existing conditions, picking and choosing which services to pay for, flat out denying coverage or raising premiums thru the roof so as to effect the same on consumers?
Having money taken from your wage is no different than the premium you choose on the plan you opt for. You are correct, Americans are a very caring and giving people, but if the numbers were headlines instead of school shootings, would the outrage not be more audible? This issue is one which mainly affects the working class. Its root is in profit. There is a disconnect here.
Sorry Tracy, but if one person dies because a system based entirely on profit is deemed "American" and therefore should not be changed, something is really wrong in my mind. Sure, there are those who fall victim to a Dr's ineptitude or an error of beaurocracy, but to write them off because they didn't get a second job to pay the premium or that they are one of a small percentage. Its just wrong. Thats a moral high gound response, I know. .
Sure, noone should die because of profit. But all is not equal in systems like the NHS - how fast you get care, and if expensive meds are OK'd can depend upon if you're in a rich or poor health trust. So some can benefit over others there too. Not saying which is better - just that neither is perfect. Again, if the richer people can control things, by getting better insurance, they are unlikely to give up that option willingly. Some get upset with me because I have not been under NHS care myself, and dare to make any criticism. But... I do know one person personally who will die because of being on a NHS wait list. So I'm not gonna say it's perfect, or never happens. Some care, and emergency care, I've heard is excellent. I'm not saying its all bad. Just not perfect.

Originally Posted by Xebedee
No argument except to say that my prior employers have offered health bennies in order to remain competitive in the employee hiring game. Thats business using business, ok, fair enough - but did you ever hear of a firm improving their health bennies at a cost to them and 100% in the favour of the employee. I do think thats one of the failings of an employment-based system. You are correct that if all the employees petitiond HR to change providers, they might act, but chances are they would roll the add'l cost over to those employees. No?
Very poosibly. An employment based system seems to have run it's course - I think a different system of insurance would be great. Too bad I'm not smart enough to figure out the ideal one.

Originally Posted by Xebedee
I think you are thinking of "Socialised Medicine" as was popular in the old USSR. In the UK there is BUPA as an optional shortcut, fyi.
True, agree, no argument (makes a change, eh?)
Yes - I am aware of BUPA as an option. So the rich can arguable still get "better" care than the poor. I think most yanks would be ok with the idea of SOME basic healthcare available to all, as long as they could have "fancier" insurance like they do now, if they and/or their employers paid for it.

Originally Posted by Xebedee
I refer my honorable friend to the comments I made some moments ago.
We could just shoot them. It happens often here.
Don't confuse Socialised and Universal Health Care, there is a big philosophical diff between the two and Americans like philosophy.
Well at best its a step in the right direction. A hybrid scheme to take the evil off a huge social program? Yeah.

Cheers.
Although I'm not a fan of the woman in general, I think the type of program Hilary Clinton proposed has the best chance of actually happenening. As I recall - the option to buy into government run health insurance - subsidizing the poorer folks, and allowing those who are happy to keep what they have.

I am vehemently opposed to the govt running the doctors and hospitals here - not to them offering insurance. HIPAA has done a lot for people with pre-existing conditions - insurance companies are now made to cover pre-existing conditions. There is obviously a gap to be filled (people uninsured or buying private). If the government fills that gap - sounds a good plan to me.

Cheers to you too
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Old Dec 16th 2007, 4:53 pm
  #85  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Elvira
He is going to community college part-time and working part-time.... so no insurance...
Sympathise there as well.

No state plan? That's be what he'd do here in Illinois. Don't know about yours...
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Old Dec 16th 2007, 5:21 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Tracym

What I would be most afraid of is rationing. I think that is the major fear.
That is irrational....because the current system is rationed, it's called not providing the service because your insurance isn't good enough.

The fear that the NHS is the only system is also silly, people can top up on the system to buff their cover. It allows a sensible level of base cover for ones population, and allowing those who can afford more to top their coverage.
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Old Dec 16th 2007, 5:26 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Tracym
I do know one person personally who will die because of being on a NHS wait list.
More than 18,000 adults in the USA die each year because they are uninsured and can't get proper health care, researchers report in a landmark study released Tuesday.

http://www.usatoday.com/news/health/...nce-deaths.htm
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Old Dec 16th 2007, 5:29 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Tracym


Yes - I am aware of BUPA as an option. So the rich can arguable still get "better" care than the poor. I think most yanks would be ok with the idea of SOME basic healthcare available to all, as long as they could have "fancier" insurance like they do now, if they and/or their employers paid for it.
Difference is, BUPA top up can be had for 30-50 squid a month versus several hundred dollars plus for basic coverage. So you don't need to be rich to get it, it's just a cost of a dinner out once a month.
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Old Dec 16th 2007, 5:39 pm
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by marriedtothemod
That is irrational....because the current system is rationed, it's called not providing the service because your insurance isn't good enough.

The fear that the NHS is the only system is also silly, people can top up on the system to buff their cover. It allows a sensible level of base cover for ones population, and allowing those who can afford more to top their coverage.
Sigh, generally doesn't take long before this tone starts....

This has been done to death before, I'm out.
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Old Dec 16th 2007, 7:42 pm
  #90  
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Default Re: Universal Health Ins? The Candidates.

Originally Posted by Elvira
Don't they just.........and most of it is full of errors....
Ain't that the truth! I've only ever had one hospital visit in my life (simple stuff, minor op). But the bill came and it was all wrong; some procedure incorrectly coded, so instead of being covered it showed up as my responsibility, tens of thousands I think it was. I had to make a LOT of calls to get it cleared up, and manage the whole resolution process, to avoid being hit by these charges. Later, I had some blood work done, and again I got the bill (and it was shockingly high; complex blood/urine work, but still - amazing cost!). I challenged it and got it covered, but that's two mistakes in one year.

If these 'private' guys, supposedly the beacon of efficiency, can make these kinds of mistakes, I'm not sure we're that much worse off with the Govt. handling it!

I'm with Tracy and others on this though; I want the doctors / hospitals to remain private and independent, and have the govt. focus on the funding side, and on negotiating the rates, and on dealing with the drug companies. Sadly, I do think Hillary's plan has the best chance of working. The danger of many of the proposals is that the republicans will get back in and overturn everything. we need a solid change to the infrastructure that, once set in motion, will be hard to reverse.
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