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View Diary: Big Healthcare Reform News (333 comments)

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  •  Health care is not free (0+ / 0-)

    For some reasons Americans have this mindset that "universal health care" = "free health care".  People need to look at it like food, or rent.  Sorry, but that's just the truth, unless you want to raise taxes by 10% across the board.

    "Could an omnipotent being create a rock so heavy that even that being could not lift it?"

    by awkawk on Wed Nov 12, 2008 at 11:44:31 AM PST

    [ Parent ]

    •  corporate middlemen (3+ / 0-)
      Recommended by:
      mmacdDE, Brooke In Seattle, quotemstr

      bean counters between the actual medical provider and the patient.  That is not acceptable

      don't always believe what you think...

      by claude on Wed Nov 12, 2008 at 11:49:46 AM PST

      [ Parent ]

      •  There will always be bean counters... (0+ / 0-)

        ...who will approve and deny care both as a matter of policy and as a matter of individual application of policy.

        When Medicare denies a treatment option, it's still a bean counter decision (hopefully, to the greatest extent possible, based on an objective process of evaluating cost vs. statistical benefit to the patient). Medicare is currently quite generous with allowable procedures (although not necessarily with reimbursement) but as costs become politically difficult to deal with, I would expect that this generosity will wane and the standard of medical review in individual cases will become higher.

        Sadly, due at least in part to insufficient case-by-case Medicare review, the blatant fraud in the system is shocking. Although, of course, private insurance companies don't advertise such fraud if they experience it, I seriously doubt (based on personal anecdotal experiences with the level of review done by private insurance companies) that they experience nearly this level of fraud. These long term problems make me very skeptical of a universal government funded system run by private enterprise.

        Of course, a centrally controlled system (either since most of the payments, approvals, and denials are done by the government or because the health care system itself is actually run by the government) has knobs to control costs not by "denying" a procedure but simply "delaying" it by limiting the number of resources available to perform it (either by keeping the compensation low or by simply not buying more equipment or hiring more practitioners).

        Some bean counter will always be deciding if Nataline Sarkisyan gets a liver transplant or not - and it will always be based at least in part on the cold reality of available resources (government or private), political pressure (on administrators or by regulators), and odds of "success" (quality and quantity of life).

    •  what are you talking about? (0+ / 0-)

      I honestly question whether you understand the economics of healthcare with this post. I will give you the benefit fo the doubt by asking you the rephrase what you mean so that I can understand.

    •  Please, raise my taxes. (2+ / 0-)
      Recommended by:
      Odysseus, samddobermann

      Honest, raise them. I'd gladly pay 10% more if you gave me decent healthcare for that. For most people, that would probably be less than $2000/yr, and you can't buy health insurance for that.

      Guarantee me I can call a doctor and get an appointment, that if I get sick or in an accident I'll get the treatment I need, and I won't lose everything I've worked my entire life for to pay for it.

      My sister has that - but she lives in England.

      And her doctor makes house calls...

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