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View Diary: Alyssa's story. Or Why Single-Payer Cannot Come Soon Enough. (56 comments)

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  •  jpmassar: not insanity: specialization (8+ / 0-)

    because, seriously, you want the docs to be that good at treatments.

    It's a different ballgame for a guy like Max Cleland, who's been living with three amputations for more than 40 years, than it is for a guy who just woke up in Landstuhl last week. Lots more acute, not to mention the counseling and psych aspects of whether "living like this is worth doing".

    That's a different ballgame from a 12-year-old who's pregnant.
    Both are different ballgames from Alyssa.
    Both are also different ballgames from a 70-something stroke patient.
    All these are different from a housecleaning worker who needs a mammogram / cervical cancer screening, or a school janitor who needs a prostate exam.

    I remember going WTF when the President started talking about health insurance reform instead of health care access, and having a really bad feeling.

    Looks like I was, as usual, underestimating the scope of the craptasticity.

    LBJ, Lady Bird, Anne Richards, Barbara Jordan, Sully Sullenberger, Ike, Drew Brees, Molly Ivins --Texas is no Bush league! -7.50,-5.59

    by BlackSheep1 on Thu Nov 29, 2012 at 09:04:33 AM PST

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    •  The NHS in the UK seems to do fine without such (4+ / 0-)
      Recommended by:
      allie123, weck, elwior, WheninRome


      Obviously specialization is very important in terms of treatment, but in terms of administration?

      •  ?? I bet even the UK NHS doesn't expect (4+ / 0-)
        Recommended by:
        jpmassar, weck, charliehall2, allie123

        an ob/gyn to also be a bone surgeon and / or Alzheimer's specialist.

        Insofar as the paperwork, looks to me like the US has its own solution: administer it like SS/Medicare. That's got the lowest overhead of any gov't program going ... which may be why the GOP so hates it.

        LBJ, Lady Bird, Anne Richards, Barbara Jordan, Sully Sullenberger, Ike, Drew Brees, Molly Ivins --Texas is no Bush league! -7.50,-5.59

        by BlackSheep1 on Thu Nov 29, 2012 at 09:16:54 AM PST

        [ Parent ]

        •  They don't BUT (5+ / 0-)

          all the forms are the same. The records are centralized. The specialists talk to each other, and to the patient's GP. Who, by the way, is often at a clinic no more than 15 minutes away.

          They don't live in their own little sphere and do the same tests over because they'll make more money that way, or do test a today and then wait 3 days for test b because the insurance company won't let you do test and and b on the same day, or let you do just test b without test a.

          And the care is, for the vast majority of cases, light years better than what you get here.

          It also includes mental health. And physical therapy. And family counseling. And home visits, by nurses, doctors, or therapists, when needed. Excellent prenatal and well baby care, including home visits from a nurse during the first few weeks.

          For EVERYBODY. FOR FREE (well, covered by taxes).

          I want it. Now. Increase my taxes, I wouldn't mind.

      •  Here's a link to their data. (5+ / 0-)
        Recommended by:
        jpmassar, weck, elwior, allie123, bluedust

        I diaried about this a few days ago.  Apparently last week 3000 people had to wait approximately 4 hours for treatment.  Shocking!

        I don't blame Christians. I blame Stupid. Which sadly is a much more popular religion these days.

        by detroitmechworks on Thu Nov 29, 2012 at 09:21:31 AM PST

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