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View Diary: NPR Hatchet Job at Trying to Discredit Medicaid and Obamacare: Prime Example of a Corporate Shill (183 comments)

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  •  "Healthcare" is a market-driven nomenclature. (9+ / 0-)

    The market, being focused on increasing profits, aims to deliver care at a regular, predictable rate so profits can increase as a result of the need for the care being less. It is supported by the hypothesis that, if healthy people get regular care, they won't get sick--an hypothesis that's not born out by experience. Just considering vehicular "accidents" and the fact that every contact with a medical facility comes with a risk of infection, misdiagnosis or negative drug reactions tells us the hypothesis is baseless.

    The reason medical care should be a public service, in addition to the fact that the public benefits when members are healthy, is because medicine and surgical intervention respond to disutilities. And whenever we're dealing with disutilities (war, crime, drought, etc.) success registers as no need. And no need tends to prompt a cessation of service, even though the potential persists. In other words, people idly waiting are actually a sign of success, but we have a hard time seeing it that way.

    I'm a healthy person. I haven't been seen by any kind of provider in thirty years. People like me do not keep the system up and running, unless we contribute by being taxed. The segregation of revenues into separate funds merely satisfies the impulse to segregate and to justify arguing that there's not enough money to do what needs to be done. (If we can't segregate people, let's segregate dollars. Nobody can object to that. Equality sucks). I'm not signing up for Medicare until it's open to all. I should live long enough.

    We organize governments to deliver services and prevent abuse.

    by hannah on Thu May 02, 2013 at 02:59:13 AM PDT

    •  I have a different but similar take on this (3+ / 0-)
      Recommended by:
      orlbucfan, hannah, New Rule

      If you look at the entire US health care system, from providers to facilities to drug makers to products to services to treatment to prevention, it's geared much more towards treatment than prevention, and both of which tend to be medical much more than natural. Not that medical prevention and treatment isn't necessary and useful in many cases, of course. But it's very expensive (meaning profitable), and isn't always the only or best approach, especially when it comes to prevention, but also in treatment. It tends to discount the usefulness of, as in ignore, and even ridicule, diet, exercise, lifestyle choices, supplements, and alternative medicine. Partly this is because of prejudice towards modern medicine and against more traditional ways of staying and getting healthy, but mostly, I believe, it's because modern medicine is so damn profitable, while traditional "medicine" is not. The system would rather treat a condition, using expensive methods, than prevent it, especially with cheaper natural methods, because there's much more money to be made.

      Medicare and Medicaid should not just encourage but actively promote the full integration of more natural approaches into our health care system, on both the prevention and treatment sides, as well as prevention over treatment, in terms of what it will and won't reimburse the system for. At the same time, Obamacare should do the same for the private health insurance system. Not just to save money, but lives, while improving peoples' quality of living. Ideally, of course, it would turn it all into a government-run single payer system as well, but that's still a ways away. In the meantime, it should actively push health care towards prevention and natural methods, and away from an overuse of modern medicine, which is not only very expensive, but often not as effective as more natural methods, and sometimes much worse.

      Yeah, I know, I'm incredibly naive to wish for and expect this. But I'm not going to fall back on easy cynicism here, because that's cowardly and exactly what the system wants me to do. Positive change does come, slower and in smaller amounts than we'd like, but it does come eventually--if you push for it.

      "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

      by kovie on Thu May 02, 2013 at 07:42:17 AM PDT

      [ Parent ]

      •  Why do we persist in calling it a "health care" (2+ / 0-)
        Recommended by:
        kovie, Ray Pensador

        system? You have put your finger square on the painful node:

        The system would rather treat a condition, using expensive methods, than prevent it, especially with cheaper natural methods, because there's much more money to be made.
        It is a "medical diagnosis and treatment system," at best, just another example of vampire squid capitalism at work. As a nurse I see every day the inherent cruelty, inefficiency and greed that's the real nature of the beast -- "health care" happens by chance and by the efforts of people who still have that weird notion of "care" as their driving force.

        "Is that all there is?" Peggy Lee.

        by jm214 on Thu May 02, 2013 at 08:47:39 AM PDT

        [ Parent ]

        •  Officially, it IS our "health care system" (2+ / 0-)
          Recommended by:
          jm214, New Rule

          Realistically, it's more like what you called it. But instead of getting hung up on semantics we need to focus on what works and what doesn't, both health and money-wise. No serious person in or out of the health care field believes that modern medicine serves no purpose. There are times when open heart bypass surgery, titanium rods and statins are necessary and helpful. But no serious person can claim that they're the only or best way to make and keep people healthy in all ore even most cases. We need a mix of "natural" and "modern" health care to keep healthy people healthy and make unhealthy people more healthy. Both can and should complement and supplement each other.

          "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

          by kovie on Thu May 02, 2013 at 09:00:10 AM PDT

          [ Parent ]

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