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View Diary: The Corporate Empire Strikes Back: Corporate Dems Seek "Alternative" To Public Option. Again. (252 comments)

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  •  Coburn is single-handedly blocking veterans (3+ / 0-)
    Recommended by:
    greenearth, phonegery, i like bbq

    health benefits from going forward because there has been no "offset" to pay for this. Can you just imagine the response to Medicare for all? Especially when that would force Congress to finally grapple with the completely broken "sustainable growth rate" formula that is set to decrease physician reimbursement by 21.2% starting on January 1, 2010?

    Medicare for all would be a complete meltdown if every physician in the country stopped seeing Medicare patients, and that's exactly what would happen if Medicare for all happened without a very real SGR fix. And that's not greed talking; it's simple economics. Nobody can stay in business if the cost of every transaction is greater than revenue.

    "But there is so much more to do." - Barack Obama, Nov. 4, 2008

    by flitedocnm on Thu Nov 12, 2009 at 08:44:17 AM PST

    [ Parent ]

    •  Where was the "offset" to pay for the wars that (7+ / 0-)

      have created so many veterans?

      "Don't knock football...it's just like chess but without the dice" - john07801

      by voracious on Thu Nov 12, 2009 at 08:54:06 AM PST

      [ Parent ]

    •  perhaps that is something that should be (0+ / 0-)

      addressed. Why is the cost of every transaction greater than the revenue? Isn't it because built into those costs, is to provide health coverage for those folks who don't have it and can't afford to purchase it? Also rather than recommending the most efficient and cost effective procedures, the more expensive ones are usually prescribed first. For example, if someone thinks they have broken a bone, all indications point to the fact that a bone has been broken, why won't a simple X-ray do, why must you get an MRI. Sometimes an MRI is in order, but not for every single ache and pain. Sometimes it is a case, just because we have the technology, we need to use it, whether it is necessary or not. I handle Worker's compensation for the company I work for. Just 6 months ago, we had an employee pull a muscle in her back, rather than give her an inexpensive pain releiver, or muscle relaxer, she was perscribed Celebrex, a very expensive dosage of Celebrex. When I questioned the cost, well over $200.00, I was told that is what the doctor perscribed. It turned out the Celebrex didn't work, and she wound up taking Alevee, which worked better, and was much less expensive. It is not as if these practices don't go on all the time. Expensive drugs are almost always perscribed first, and only when they don't work or the side effects are too annoying that the less expensive alternative is explored.
      If we would offer Medicare for everyone, the only way it could be accomplished would be if there was strict oversight, and waste in the system would be remedied. I have told the story over and over again about my Mom needing a wheelchair and she was provided one by Medicare, however, she used this wheelchair for 15 years, and rather than pay for it outright, it was leased at the cost of $115.00 per month for the entire 15 years. Abuses such as this should be investigated and not allowed to take place, it would do much to ferret waste from this system.

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