........And what will happen when small hospitals start to close, not just the ones like Stroger?
No one wants to PAY the actual caregivers like doctors and hospitals. What will happen when doctors drop out of the government system and accept only private insurance? Who will see Medicare and Medicaid? The same goes for hospitals--they will close, doctors will use ambulatory care centers for same day surgeries and refer more complicated cases to universities.
I guess no one thought ahead of the consequences of trying to ram a garbage plan down the taxpayers throat.
REFORM MEDICARE, MEDICAID AND SOCIAL SECURITY SMALL PORTIONS AT A TIME.
WE NEED TORT REFORM FIRST.
WE NEED INSURANCE REFORM.
WE NEED TO BE ABLE TO SHOP STATE TO STATE FOR CHEAPER COVERAGE, THIS WILL DRIVE DOWN COSTS.
Well said chop007, glad you were first on the Vine today! But we also need to fix the job problem first as well. Not going to matter if the other things you ask for is fixed, when there will be so many without a job. Those jobs would create opportunities for more enrollment in employer sponsored health care programs. Every person on a private program will be better off and less of a burden on the govt. Keep the govt. programs for those who TRULY need it, not those who think the govt. owes them everything.
You are exactly right chop007. That would work if that was the real plan behind government health care. The problem is that it is all about control. When the government controls your health care, they control your capital, your choices, your freedom, and another chunk of your life. This Marxist president, this Marxist Congress, are out of control. Margaret Thatcher once said, "The problem with Socialism is eventually they run out of YOUR money." Vote against anyone who votes for this tyrannical government health care bill or "Cap and Trade". The Marxists are trying their hardest to ruin our economy and our way of life.
The liberals like to brag about England's Health Care. Did you know there are more government administrators in their health care system than there are Doctors and Nurses combined. Did you know that England's Health care System is the third largest employer in the world? China's Red Army is #1. Funny thing... England doesn't brag about it's health care.
Total BS. The reform is meant to cover the uninsured, the unable to afford insurance and the insurable. So that only leaves the illegals. I've heard that shouldn't be a problem in their own countries since the ERs are empty because everyone came here. So once its set up, any one going to an ER without health insurance will have a big flag blinking over their head saying :illegal, illegal".
For Republicans, life is cheap; all that matters is corporate profits.
Note that at the end of the article it says the support for these hospitals has been a target for years. So when Republicans finally defund there hospitals and block healthcare reform, I guess the poor will just have to die. But be assured, for-profit hospitals and insurance companies will be free to charge even more because there will be no alternatives for anybody.
The Dems are asking for these cuts also. So get your head out into the light The system does need change, but to ram something through is idiotic. They keep using 47 million uninsured in this country, but how many of that 47 million are illegals, or people who would rather spend the money on something else.
Only both sides are not the same. Democrats are doing their best to get you a fair deal on insurance and trying to be honest. Republicans are spreading lies to get old people all upset.
The fate of these hospitals actually has nothing to do with the healthcare reform bill, and a lot to do with the bias of Associated Press.
The last paragraph says funding for these hospitals has been a target for years (probably exactly the last 8 years); the only connection to Health care reform is that their clients might soon have alternatives.
We have a grand set of plans to fix health-care that throttles the people who are supposed to actually do the work. Primary care providers and small rural hospitals have been so whittled down in their reimbursements that any more "free" care will stop the system. Unproven savings that are supposed to occur at some point in the future will not keep the doors open. Health-care has problems, but they are fixable with adjustments to the current system. What is being proposed is too radical and expensive to work.
The savings of going single-payer would cover everybody for less than we pay now. Most of the complexity in health care reform is in trying to keep the thieving health insurance corporations around. Insurance companies send 30% of premiums trying to not insure people who need insurance, paying insurance CEOs hundreds of millions of dollars that don't improve anybody's health, or on advertising to convince us we are getting something we are not.
85% of us have insurance. so cutting insurance companies out would save 30%, insuring those without insurance would cost 15%. That means we could cover everybody and still spend 15% less than we do now.
When the illegals show up patch'em up enough to be stable and call INS and deport them. They are 15% of the uninsured in this country and that makes tham 15% of the problem. SOLVING 15% OF THE PROBLEM WOULD BE A GOOD START!!!
The latest bill coming out of the senate, seems to want to push a major portion of the costs onto the states through medicaid. Unfortunatley as of right now they do not offer anyway for the fed govt to offset those additional costs. Either state taxes will have to increase or state services will decrease. We can't afford to have anymore of these non-profit inner city hospitals close. These are the people that need the help the most.
I see, you don't want health care reform so everybody has decent coverage, but I am supposed to believe that you do have compassion for the people who use these hospitals? Why am I not convinced?
I had suggested that we put a 5-8 year expiration on it. If it works vote it in for good, if not then it will not get the votes and will expire. Similar to the Bush tax cuts.
Carl---Good idea, but we were told the same thing about the income tax. Remember, it was only suppose to be temporary. Yes, put everyone on it (gov't officials too) for 5 yrs. with a renew option.
I guess that sounds reasonable. It's like leasing before you buy. One question I have is what will be the qualifications and who will be eligible to receive a government insurance card?
As I think about it, whether illegal immigrants, the mentally ill and drug addicts get a card or not, there will be no change in over crowding and funding shortfall, right?
hey pickled pepper if you include the mentally ill and drug addicts then glenn beck and rush limbaugh will be part of it and I am not paying for those rich elite bastards healthcare.
If we do nothing, insurance premiums will double again over the next 7 years. This time employers are not in a position to pay any of that like they have in the past, so what you see coming out of your paycheck will be more than twice as much. How many times can your premium double before you no longer can afford insurance?
Conservatives ran amuck for the last 8 years; got us involved in 2 wars, doubled the national debt again, let deficits explode, and set us on the path to another great depression. Now they just carp from the sidelines while the adults try to clean up their mess.
When Bush lied to get us into the war in Iraq, was that instead of health care for all Americans? The rest of the industrialized world has national health care; why not us?
The rest of the world got national health care, and all we got is a lousy war in Iraq.
We need to find a way to get insurance out of the picture all together. Why isn't health insurance more like auto or home owners insurance? You pay for protection in the event that something catastrophic happens. Look how well chiropractors, naturopaths and other alternative care providers are doing. Because most don't qualify for insurance reimbursements, none deal with insurance. An office visit is anywhere between $30 and $60. Patients pay out of pocket--end of story. Simply associating with insurance companies is expensive. Time and money is spent getting "pre-certification" from insurers to approve higher-priced procedures and filling out form after form (this also applies to federal system).
Costs have gone way up as well, this is true, but you can't blame doctors alone. Where there's access to large funds (insurance), prices will stay bloated. Where is the old fashioned competition that keeps prices in check? Besides tossing insurance as a solution to this predicament, we need more primary care providers and we need them to reboot back to an older system. We need more physician assistants and nurse practioners to handle the routine things. We should focus on loan forgiveness for those that go into primary care. I support EMRs (electronic medical records) to eliminate expensive waste and published quality and efficiency reports to identify and reward success providers. Tort laws MUST be reformed to protect doctors and to stop the practice of defensive medicine and to reduce the enormous cost of malpractice insurance which is obviously passed on to us. There is an incredible amount of waste and fraud in the current system. Lets give private, non-profit health care co-ops more of a chance. We definitely need this insurance exchange allowing consumers to buy across state lines. Health care savings accounts should play a bigger role. Caps on out of pocket spending and tighter regulations for insurance companies that participate in the exchange. Lets further invest in preventing risky behaviors like smoking, obesity and alcohol abuse that cost nearly $500 billion annually. And if nothing else, we could stop subsidizing the beef industry. :)
Protect doctors? who is protecting the patient? How much is a human life worth? When I take my car in to get fixed and the guy says he can't fix it he doesn't charge me, why do I have to pay a doctor if he doesn't do what he said he would? What happens when they kill your wife by screwing up a surgery? how much is your wife worth to you? What about the drug manufactures who rush drugs to market without proper testing and people begin to drop like flies? If I kill someone I go to prison, why do you want drug makers and doctors to get off with a slap on the wrist? Do you watch GOP state run news, Fox?
Republicans own the tobacco industry so don't be acting like they give a @!$%# how healthy Americans are. In fact they own the insurance Companies and HMO's so they sell you cigarettes to make you sick then profit off that illness. Republicans want people smoking and sick, they make a profit.
Dark Seducer, if you can't make an intelligent comment without hiding behind partisan politics and blaming Fox news, keep your mouth shut because your contributing to the problem. You just lost all credibility. I'm trying to offer solutions, not attack anyone else unlike yourself. I'm NOT a Republican and I DESPISE Fox News and their ridiculous pundits. Go back and read my comment, really. Then compare it with your response. You're venting and subsequently missing the point. I said you cannot completely lay the blame on doctors, which does leave room for some accountability. And by protecting doctors, I mean protect them from frivolous lawsuits with cause the cost of your care to explode! Doing so will lower the cost of YOUR care and your wife's care, my care, etc. If he's guilty of malpractice then sue on, you deserve appropriate compensation. Doctors are to be the patient advocates. THEY are supposed to protect the patient. I lament if you've been wronged personally. Go out and find yourself a good health care provider, voice your opinion in an intelligent, constructive way or no one is going to care what you think.
what was unintelligent about my comments, simply because they make your argument pointless? you are the problem, you have always been the problem, your greed, bigotry and ignorance is destroying this country and if our founding fathers were alive today they would have hung Bush and Cheney from the highest tree.
I know you hate freedom of speech unless it's the bile spewing form a wingnuts mouth. You people are the evil that will bring about the destruction of the human race.
There are a good portion of the people in this country that don't mind paying taxes as long as they go to make this a better country and a nicer place to live, it seems you republicans hate paying taxes unless it's for a war or used as give aways to haliburton. So you think war is good but helping sick people is bad?
I read everything he said and some I agreed with I was commenting on what I didn't agree with. That is what we are on here for to discuss the differences and come to an agreement but I can't have an intelligent converstaion with most of you because you come on here screaming socialism and racism to destract from the real issue of insurance fraud which is why our health care is so high, they are criminals and should be in prison.
Why didn't you butt in when pickled and the others were saying the moronic things he was saying about Obama. Your side always thinks it's fine to slander people but freak out when I finally get fed up and start calling them what they really are.
MY side? It's all about sides with you isn't it? I'm a Libertarian..more like a third wheel than a side, really. You're issues with Conservatives and Christians are clouding your ability to think and express yourself in a useful manner. Let it go!!!
We all talk about the high cost of health care and insurance as well as the high cost of malpractice insurance which does, no doubt, get passed along to us. But I see and hear very little about the salaries of the doctors. I live in rural Kentucky and the houses that our physicians live in, the cars they drive, the private schools their children attend are all completely out of reach for the rest of us. I don't mean to imply that they don't deserve adequate compensation for what they do, but doesn't the salary needed to sustain that sort of lifestyle play a role in the high cost of healthcare for the rest of us? And shouldn't that be addressed somewhere in this debate?
It concerns me that you have a problem with your rural doctors' lifestyles, i.e. their salaries. It's only natural that their salaries would be disproportionally higher than most rural residents. First of all, they spent many years of their lives getting the education needed to become a doctor. Medicine isn't a career field most people could enter. Med school is rigorous and very difficult. It requires tons of smarts, and even more tenacity. So... it makes me squirm when I hear the jealousy over their salaries. They have earned them. On a side note, I wonder how much the average doctor owes in student loans. Something else to think about, eh? Oh... I am personally not a doctor, or other medical professional, nor do I have anyone in my family who is in the medical field. We are only average in intelligence, obviously not the right stuff, and we know that. It makes it a lot easier for us to respect the efforts made by those who can achieve a degree in the most difficult occupations.
I agree, Alfster. Many candidates view medical school as too long, too hard, too costly...and decide to do something else. Why punish or put limitations on the best and the brightest who didn't share this view. Frankly, I don't want my surgeon to live just like I do. If they did, I would think something was amiss.
Perhaps you misunderstood my first comment. I do think that physicians should earn fair compensation for what they do. They have spent a great deal of time earning degrees and gaining expertise that any one of us might need to call on to heal an ailment or save a life. But surely their compensation plays some sort of role in our cost for healthcare. Maybe it is just my perception.
And in response to your comment about "squirming" Alfster. Not to be nasty, but it makes me "squirm" when people who have worked hard their entire lives are hesitant to take their sick children to the pediatrician because they are worried about their deductible and copays and said pediatrician has two Mercedes parked in front of his 7500 square-foot home located square in the middle of the golf course. I'm not jealous at all. I wouldn't trade my life, home or children for anything in the world, but there has to be a happier medium somewhere in between.
If people in rural areas resent the lifestyle of their doctors, maybe the doctors should not practice in the rural areas. Maybe that's why many rural areas don't have doctors.
I have a different problem with doctors. They often bill for a lot more than insurance will pay, like $150 for an office visit. Then insurance pays them $60, and they call it even. Why, then if someone without insurance comes to their office, or they have insurance but it refuses to pay, the doctor wants the whole $150 from the distressed person rather than the $60 they would find adequate if insurance is paying?
It's only natural that their salaries would be disproportionally higher than most rural residents
Natural? Like doctors are the ONLY ones that have to go to school to learn their trade...
First of all, they spent many years of their lives getting the education needed to become a doctor.
Their cholce, no one (maybe mom and dad) forced them to do this. No need to set up our health in such a nonsustainable way either.
Med school is rigorous and very difficult.
Boo Hoo
So... it makes me squirm when I hear the jealousy over their salaries
Ok so call it jealousy and you can feel better. Don't dare think that it is wrong to make a profit off of someones poor health, that just sounds bad, call it jealousy and then you can feel like you are some kind of noble soul.
I wonder how much the average doctor owes in student loans. Something else to think about, eh?
Do you wonder how much your plumber owes in student loans? If not, why not?
It makes it a lot easier for us to respect the efforts made by those who can achieve a degree in the most difficult occupations.
Really is that what you think you are doing? I think it has more to do with turning your nose brown, but that is just me.
It's funny that you should bring up the practice of physicians charging large fees and then accepting lesser payments from insurance companies. I have often wondered about that when we get our EOB (explanation of benefits) from the insurance company. I believe that practice is one that should be stopped as part of this coming reform. The minimum amount a physician or lab will accept as suitable payment should be the maximum they are allowed to bill. It shouldn't matter if that bill is be paid by the individual or the insurance company.
I watched in complete amazement as Glenn Beck took the letters of the Presidents name to make words in order to prove he was a terrorist. I, of course, thought this was an exercise in stupidity but to my utter shock many of his viewers believed what he said. So I thought if it’s that easy to sway stupid people to your way of thinking let me see what I can come up with using Beck’s name, which sounds suspiciously German anyway.
“G” hmm that’s easy Germany, the fatherland!!
“L” stands for “Luftwaffe, the German airforce
“E” stands for Extermination of the jews
“N” stands for Nazi
“N” he likes them so much he needed to say it twice, Nazi
“B” Buchenwald an extermination camp ran by the Nazi’s
“E” Extermination
“C” Concentration camp
“K” For the KKK
OMG can you believe it, I just proved Glenn Beck is a Nazi the same way he proved the President of the United States was a terrorist
I'm one of the lucky ones that was able to carry insurance into retirement, but can see through friends and relatives that our current system is broke. I feel that change is needed and that the legislation can be passed and then expanded on as needed in the future. I cannot believe that our govt would be so uncaring that they would allow the safety net hospitals to close.
As for the mentally it and drug addicts not being on insurance, they are on Medicare so there is no reason why they can't be signed up on the new insurance. It would reimburse the hospitals and care givers for at least the insurance portion of their fees, which may be more than they get currently.
As for the poor, there are subsidies written into the bills so payment would continue. One of the doctors says that "to them, co-pays are no-pays" but if you are getting 80-90% of the bills then it is not longer a no-pay.
And as for illegals not being in the system, then it is a perfect chance for them to be deported. If they are not sharing in the cost of the system (not paying taxes), not here legally and are part of the problem (seems to me that if they can afford to send money back home then they can afford their medical bills) then it is time that we solve the problem by deportation. The only other answer that I can see is to bill their employers for the health care costs. It might solve the problem of employers hiring illegals for super cheap wages if they had to foot the bill for emergency services.
why would you not insure the mentally ill? and the Cons seem to forget that their two biggest mouth pieces Limbaugh and Beck are drug addicts. Cindy McCain had a drug problem and used John's government supplied naval health care to get cured!!! Cons do drugs too, they are just in the closet about it the same way they are about being gay, hi Lindsay Graham!!! I knew he was gay the first time I saw him!!!
I just figured it out!!!!!!! the cons don't wan't the mentally ill on the plan because then the doctors would cure the disease that makes people cons. I knew it was either a mental illness or a chemical imbalance, no one can be that evil naturally!!!
I agree, how badly could she have been cut. Why not wash the cut and put a band-aid on it and quit giving herself pedicures. People without insurance run to the emergency room for minor colds, coughs, scratches, bruises, etc., Most of these can be taken care of at home with bed rest, fluids, and over the counter drugs. (aspirin, tylenol, etc). But because it's free they rush to emergency rooms. How about people just using good old common sense. Take some responsibility people and quit depending on the government for everything.
Take some responsibility people and quit depending on the government for everything.
UMMMM you were just ragging on people who run to the emergency room for minor things and now suddenly the hospital is the government?
How about people just using good old common sense.
You don't really seem to know much about this, why would you expect anyone else to do any better?
I agree, how badly could she have been cut.
See, you can diagnose this persons need from a description on the internet. Why the heck do we need to pay doctors all that money to do what you have just done for free?????????
You sound like one of those liberals that expect the government to do everything for you, because you are to lazy to do for yourself. Have you ever been in an emergency room and saw some of the people waiting to see the doctor? Most shouldn't even be there, and would have been better to stay home. When I was with the fire department we were required to take everyone to the emergency room even when we could tell there was nothing wrong that an over the counter treatment couldn't cure or relieve the pain. Visit an ER and see for yourself.
If the system weeds out the less worthy they will get caught by those whose lives are dedicated to protecting these that in essence believe we do to these just as we would likely do to our brothers. Now why do we take our health care so serious? We want to live long enough to win the lottery? Is there a thrill that will take us to the grave in peace that I'm missing? In the end I'm looking at the stats coming out of Massachusetts, if it's the model then we are reading the dangers in this article, the proposal weeds out the unworthy.
For a very long time the conservative movement has attempted, and in many respects succeeded, to paint liberals as communists. But if you take a closer look at conservatism you will find that it resembles communism much more closely than liberalism does.
The Soviet Union and Communist China placed almost no restrictions on business and industry because the very people who ran those businesses were the very people who ran the Government. There were no rules or regulations to force companies to pay a fair wage to their employees, none to stop industry from dumping toxic waste anywhere it desired, none to assure the products were safe for the public to use, none to make work places safe for the workers. Deregulation has been the battle cry of the conservative movement from day one and each year that the conservatives are in charge more and more of our regulatory agencies put in place by liberals are defunded and disbanded. Our conservative politicians are so tightly linked to big business that it has become harder and harder to tell one from the other.
Conservatives, just like the Communists they pretend to hate, want to force the entire country to believe in the same thing, Christianity for the Conservatives and Atheism for the Communists whereas the Liberals are happy to allow each and every person to believe in whatever they desire.
Whereas the Communists gave business and industry free reign to use employees as slave labor and pollute the environment, their subjects were a completely different matter. The governments of the Soviet Union and Communist China micromanaged their peoples lives, spying on their every move, telling them what they could read, listen to, watch, and say. Conservatives could care less about what business and industry do but love to pry into peoples private lives, they like to ban books from our libraries, censor our movies and TV programs and consolidate our media outlets so only their side of the story can be told. Liberals, on the other hand, could care less what people do in the privacy of their own home but want to keep big business from polluting and taking advantage of their workers.
One ploy Stalin used to take control after the revolution was to fill the Government with people who were strict party supporters but had little if any knowledge of the Government job they were assigned to do. This very ploy has been used by the Bush administration, he filled most of his appointed positions with unqualified wingnuts from Pat Robertson’s Regent University. He even created new positions to fill with Christian movement types where they oversee the Parks Department, the Surgeon General and many others.
When Jack Abramoff and Grover Norquist claimed there was a communist behind every tree I truly think there was a mirror behind every tree and they were simply seeing themselves.
The reform of health care involves some many things that no one has even discussed yet in this ongoing debate. I cannot see the fall of all small community hospitals or large safety net hospitals. There may be some physicians that will limit their practice to private pay patients only and some already do. At this point, even though I support health care reform so that those who are in the middle, the working poor, will have an insurance source, I don't have faith that much will change in this area. I don't believe that the Republicans and Democrats will be able to agree on a plan. What I do fear is that they will throw some inadequate plan together, just to say they did something, that, in the end, won't help anyone. And I can only hope and pray that they don't follow the Baucus plan to make families pay these huge insurance premiums and fine these families if they don't pay for health insurance. These families have to make a choice between insurance and food now. His plan certainly will not work.
Simple, make the ER for emergancies only & tell the illegals to go to any of the spanish organizations that are backing them to stay and take the jobs away from the American citizens.
Here's a study on the DSH program for anyone who is interested in some detailed analysis on the structure of the incentives and how hospitals react. Its a pretty good... I made it myself.
........And what will happen when small hospitals start to close, not just the ones like Stroger?
No one wants to PAY the actual caregivers like doctors and hospitals. What will happen when doctors drop out of the government system and accept only private insurance? Who will see Medicare and Medicaid? The same goes for hospitals--they will close, doctors will use ambulatory care centers for same day surgeries and refer more complicated cases to universities.
I guess no one thought ahead of the consequences of trying to ram a garbage plan down the taxpayers throat.
REFORM MEDICARE, MEDICAID AND SOCIAL SECURITY SMALL PORTIONS AT A TIME.
WE NEED TORT REFORM FIRST.
WE NEED INSURANCE REFORM.
WE NEED TO BE ABLE TO SHOP STATE TO STATE FOR CHEAPER COVERAGE, THIS WILL DRIVE DOWN COSTS.
IS ANYONE LISTENING???????????
Read you loud and clear. Unfortunately, I'm not a liberal in Congress and won't get to vote on it.
Well said chop007, glad you were first on the Vine today! But we also need to fix the job problem first as well. Not going to matter if the other things you ask for is fixed, when there will be so many without a job. Those jobs would create opportunities for more enrollment in employer sponsored health care programs. Every person on a private program will be better off and less of a burden on the govt. Keep the govt. programs for those who TRULY need it, not those who think the govt. owes them everything.
You are exactly right chop007. That would work if that was the real plan behind government health care. The problem is that it is all about control. When the government controls your health care, they control your capital, your choices, your freedom, and another chunk of your life. This Marxist president, this Marxist Congress, are out of control. Margaret Thatcher once said, "The problem with Socialism is eventually they run out of YOUR money." Vote against anyone who votes for this tyrannical government health care bill or "Cap and Trade". The Marxists are trying their hardest to ruin our economy and our way of life.
The liberals like to brag about England's Health Care. Did you know there are more government administrators in their health care system than there are Doctors and Nurses combined. Did you know that England's Health care System is the third largest employer in the world? China's Red Army is #1. Funny thing... England doesn't brag about it's health care.
Total BS. The reform is meant to cover the uninsured, the unable to afford insurance and the insurable. So that only leaves the illegals. I've heard that shouldn't be a problem in their own countries since the ERs are empty because everyone came here. So once its set up, any one going to an ER without health insurance will have a big flag blinking over their head saying :illegal, illegal".
For Republicans, life is cheap; all that matters is corporate profits.
Note that at the end of the article it says the support for these hospitals has been a target for years. So when Republicans finally defund there hospitals and block healthcare reform, I guess the poor will just have to die. But be assured, for-profit hospitals and insurance companies will be free to charge even more because there will be no alternatives for anybody.
The Dems are asking for these cuts also. So get your head out into the light The system does need change, but to ram something through is idiotic. They keep using 47 million uninsured in this country, but how many of that 47 million are illegals, or people who would rather spend the money on something else.
Yes, because these capitalist insurance companies are doing such a fine job of taking care of everyone.
That would be none of them.
They are illegal, they don't get counted.
Like food or rent.
Quit trying to justify this mess by trying to say "it's only the bad people that have this problem"
Start being ashamed that America can not come up with a better plan for itself.
Everyone want change but evidently not right now. People trip me out complaining either way it goes.
Only both sides are not the same. Democrats are doing their best to get you a fair deal on insurance and trying to be honest. Republicans are spreading lies to get old people all upset.
Just another hole in this bill that is being rushed through. Stop throwing sh_— against the wall and seeing what sticks.
The fate of these hospitals actually has nothing to do with the healthcare reform bill, and a lot to do with the bias of Associated Press.
The last paragraph says funding for these hospitals has been a target for years (probably exactly the last 8 years); the only connection to Health care reform is that their clients might soon have alternatives.
We have a grand set of plans to fix health-care that throttles the people who are supposed to actually do the work. Primary care providers and small rural hospitals have been so whittled down in their reimbursements that any more "free" care will stop the system. Unproven savings that are supposed to occur at some point in the future will not keep the doors open. Health-care has problems, but they are fixable with adjustments to the current system. What is being proposed is too radical and expensive to work.
The savings of going single-payer would cover everybody for less than we pay now. Most of the complexity in health care reform is in trying to keep the thieving health insurance corporations around. Insurance companies send 30% of premiums trying to not insure people who need insurance, paying insurance CEOs hundreds of millions of dollars that don't improve anybody's health, or on advertising to convince us we are getting something we are not.
85% of us have insurance. so cutting insurance companies out would save 30%, insuring those without insurance would cost 15%. That means we could cover everybody and still spend 15% less than we do now.
When the illegals show up patch'em up enough to be stable and call INS and deport them. They are 15% of the uninsured in this country and that makes tham 15% of the problem. SOLVING 15% OF THE PROBLEM WOULD BE A GOOD START!!!
Numerous representatives have said on many occasions, health care reform will not cover illegal aliens.
When the illegals walk into the ER they can't be refused treatment due to existing federal laws.
The latest bill coming out of the senate, seems to want to push a major portion of the costs onto the states through medicaid. Unfortunatley as of right now they do not offer anyway for the fed govt to offset those additional costs. Either state taxes will have to increase or state services will decrease. We can't afford to have anymore of these non-profit inner city hospitals close. These are the people that need the help the most.
I see, you don't want health care reform so everybody has decent coverage, but I am supposed to believe that you do have compassion for the people who use these hospitals? Why am I not convinced?
If we push government run health care through and it doesn't work out, is there an undo option available or are we committed forever?
I had suggested that we put a 5-8 year expiration on it. If it works vote it in for good, if not then it will not get the votes and will expire. Similar to the Bush tax cuts.
Carl---Good idea, but we were told the same thing about the income tax. Remember, it was only suppose to be temporary. Yes, put everyone on it (gov't officials too) for 5 yrs. with a renew option.
I guess that sounds reasonable. It's like leasing before you buy. One question I have is what will be the qualifications and who will be eligible to receive a government insurance card?
As I think about it, whether illegal immigrants, the mentally ill and drug addicts get a card or not, there will be no change in over crowding and funding shortfall, right?
Good idea - No one including Obama is exempt form the plan and it automatically expires.
hey pickled pepper if you include the mentally ill and drug addicts then glenn beck and rush limbaugh will be part of it and I am not paying for those rich elite bastards healthcare.
If we do nothing, insurance premiums will double again over the next 7 years. This time employers are not in a position to pay any of that like they have in the past, so what you see coming out of your paycheck will be more than twice as much. How many times can your premium double before you no longer can afford insurance?
The Liberals can run AMUCK only as long as the Conservatives money holds out.
Conservatives ran amuck for the last 8 years; got us involved in 2 wars, doubled the national debt again, let deficits explode, and set us on the path to another great depression. Now they just carp from the sidelines while the adults try to clean up their mess.
When Bush lied to get us into the war in Iraq, was that instead of health care for all Americans? The rest of the industrialized world has national health care; why not us?
The rest of the world got national health care, and all we got is a lousy war in Iraq.
We need to find a way to get insurance out of the picture all together. Why isn't health insurance more like auto or home owners insurance? You pay for protection in the event that something catastrophic happens. Look how well chiropractors, naturopaths and other alternative care providers are doing. Because most don't qualify for insurance reimbursements, none deal with insurance. An office visit is anywhere between $30 and $60. Patients pay out of pocket--end of story. Simply associating with insurance companies is expensive. Time and money is spent getting "pre-certification" from insurers to approve higher-priced procedures and filling out form after form (this also applies to federal system).
Costs have gone way up as well, this is true, but you can't blame doctors alone. Where there's access to large funds (insurance), prices will stay bloated. Where is the old fashioned competition that keeps prices in check? Besides tossing insurance as a solution to this predicament, we need more primary care providers and we need them to reboot back to an older system. We need more physician assistants and nurse practioners to handle the routine things. We should focus on loan forgiveness for those that go into primary care. I support EMRs (electronic medical records) to eliminate expensive waste and published quality and efficiency reports to identify and reward success providers. Tort laws MUST be reformed to protect doctors and to stop the practice of defensive medicine and to reduce the enormous cost of malpractice insurance which is obviously passed on to us. There is an incredible amount of waste and fraud in the current system. Lets give private, non-profit health care co-ops more of a chance. We definitely need this insurance exchange allowing consumers to buy across state lines. Health care savings accounts should play a bigger role. Caps on out of pocket spending and tighter regulations for insurance companies that participate in the exchange. Lets further invest in preventing risky behaviors like smoking, obesity and alcohol abuse that cost nearly $500 billion annually. And if nothing else, we could stop subsidizing the beef industry. :)
Protect doctors? who is protecting the patient? How much is a human life worth? When I take my car in to get fixed and the guy says he can't fix it he doesn't charge me, why do I have to pay a doctor if he doesn't do what he said he would? What happens when they kill your wife by screwing up a surgery? how much is your wife worth to you? What about the drug manufactures who rush drugs to market without proper testing and people begin to drop like flies? If I kill someone I go to prison, why do you want drug makers and doctors to get off with a slap on the wrist? Do you watch GOP state run news, Fox?
Republicans own the tobacco industry so don't be acting like they give a @!$%# how healthy Americans are. In fact they own the insurance Companies and HMO's so they sell you cigarettes to make you sick then profit off that illness. Republicans want people smoking and sick, they make a profit.
Dark Seducer, if you can't make an intelligent comment without hiding behind partisan politics and blaming Fox news, keep your mouth shut because your contributing to the problem. You just lost all credibility. I'm trying to offer solutions, not attack anyone else unlike yourself. I'm NOT a Republican and I DESPISE Fox News and their ridiculous pundits. Go back and read my comment, really. Then compare it with your response. You're venting and subsequently missing the point. I said you cannot completely lay the blame on doctors, which does leave room for some accountability. And by protecting doctors, I mean protect them from frivolous lawsuits with cause the cost of your care to explode! Doing so will lower the cost of YOUR care and your wife's care, my care, etc. If he's guilty of malpractice then sue on, you deserve appropriate compensation. Doctors are to be the patient advocates. THEY are supposed to protect the patient. I lament if you've been wronged personally. Go out and find yourself a good health care provider, voice your opinion in an intelligent, constructive way or no one is going to care what you think.
what was unintelligent about my comments, simply because they make your argument pointless? you are the problem, you have always been the problem, your greed, bigotry and ignorance is destroying this country and if our founding fathers were alive today they would have hung Bush and Cheney from the highest tree.
I know you hate freedom of speech unless it's the bile spewing form a wingnuts mouth. You people are the evil that will bring about the destruction of the human race.
There are a good portion of the people in this country that don't mind paying taxes as long as they go to make this a better country and a nicer place to live, it seems you republicans hate paying taxes unless it's for a war or used as give aways to haliburton. So you think war is good but helping sick people is bad?
You didn't even READ what Rubin said! Just straight into "wingnut, Bush, Cheney, greed..." More blah, blah, blah... Incredible!
Dark Seducer, thank you for discrediting yourself completely, you saved me and every other educated person out there about 30 seconds. Case closed.
I read everything he said and some I agreed with I was commenting on what I didn't agree with. That is what we are on here for to discuss the differences and come to an agreement but I can't have an intelligent converstaion with most of you because you come on here screaming socialism and racism to destract from the real issue of insurance fraud which is why our health care is so high, they are criminals and should be in prison.
Why didn't you butt in when pickled and the others were saying the moronic things he was saying about Obama. Your side always thinks it's fine to slander people but freak out when I finally get fed up and start calling them what they really are.
MY side? It's all about sides with you isn't it? I'm a Libertarian..more like a third wheel than a side, really. You're issues with Conservatives and Christians are clouding your ability to think and express yourself in a useful manner. Let it go!!!
When libertarians put a tatoo on their forehead, then they can opt out of national health care. The tatoo should read:
"If I am injured in an acident or found sick and dieing, DO NOT HELP ME. I would not help you.:
I have often wondered this.
Any one know the answer?
No, it wasn't HIM that just lost credibility.
We all talk about the high cost of health care and insurance as well as the high cost of malpractice insurance which does, no doubt, get passed along to us. But I see and hear very little about the salaries of the doctors. I live in rural Kentucky and the houses that our physicians live in, the cars they drive, the private schools their children attend are all completely out of reach for the rest of us. I don't mean to imply that they don't deserve adequate compensation for what they do, but doesn't the salary needed to sustain that sort of lifestyle play a role in the high cost of healthcare for the rest of us? And shouldn't that be addressed somewhere in this debate?
Thank you for making an intelligent observation and stating it in an educated way. I completely agree with you... and I work in the health care field!
Just wondering....
It concerns me that you have a problem with your rural doctors' lifestyles, i.e. their salaries. It's only natural that their salaries would be disproportionally higher than most rural residents. First of all, they spent many years of their lives getting the education needed to become a doctor. Medicine isn't a career field most people could enter. Med school is rigorous and very difficult. It requires tons of smarts, and even more tenacity. So... it makes me squirm when I hear the jealousy over their salaries. They have earned them. On a side note, I wonder how much the average doctor owes in student loans. Something else to think about, eh? Oh... I am personally not a doctor, or other medical professional, nor do I have anyone in my family who is in the medical field. We are only average in intelligence, obviously not the right stuff, and we know that. It makes it a lot easier for us to respect the efforts made by those who can achieve a degree in the most difficult occupations.
I agree, Alfster. Many candidates view medical school as too long, too hard, too costly...and decide to do something else. Why punish or put limitations on the best and the brightest who didn't share this view. Frankly, I don't want my surgeon to live just like I do. If they did, I would think something was amiss.
Perhaps you misunderstood my first comment. I do think that physicians should earn fair compensation for what they do. They have spent a great deal of time earning degrees and gaining expertise that any one of us might need to call on to heal an ailment or save a life. But surely their compensation plays some sort of role in our cost for healthcare. Maybe it is just my perception.
And in response to your comment about "squirming" Alfster. Not to be nasty, but it makes me "squirm" when people who have worked hard their entire lives are hesitant to take their sick children to the pediatrician because they are worried about their deductible and copays and said pediatrician has two Mercedes parked in front of his 7500 square-foot home located square in the middle of the golf course. I'm not jealous at all. I wouldn't trade my life, home or children for anything in the world, but there has to be a happier medium somewhere in between.
If people in rural areas resent the lifestyle of their doctors, maybe the doctors should not practice in the rural areas. Maybe that's why many rural areas don't have doctors.
I have a different problem with doctors. They often bill for a lot more than insurance will pay, like $150 for an office visit. Then insurance pays them $60, and they call it even. Why, then if someone without insurance comes to their office, or they have insurance but it refuses to pay, the doctor wants the whole $150 from the distressed person rather than the $60 they would find adequate if insurance is paying?
Natural? Like doctors are the ONLY ones that have to go to school to learn their trade...
Their cholce, no one (maybe mom and dad) forced them to do this. No need to set up our health in such a nonsustainable way either.
Boo Hoo
Ok so call it jealousy and you can feel better. Don't dare think that it is wrong to make a profit off of someones poor health, that just sounds bad, call it jealousy and then you can feel like you are some kind of noble soul.
Do you wonder how much your plumber owes in student loans? If not, why not?
Really is that what you think you are doing? I think it has more to do with turning your nose brown, but that is just me.
It's funny that you should bring up the practice of physicians charging large fees and then accepting lesser payments from insurance companies. I have often wondered about that when we get our EOB (explanation of benefits) from the insurance company. I believe that practice is one that should be stopped as part of this coming reform. The minimum amount a physician or lab will accept as suitable payment should be the maximum they are allowed to bill. It shouldn't matter if that bill is be paid by the individual or the insurance company.
I watched in complete amazement as Glenn Beck took the letters of the Presidents name to make words in order to prove he was a terrorist. I, of course, thought this was an exercise in stupidity but to my utter shock many of his viewers believed what he said. So I thought if it’s that easy to sway stupid people to your way of thinking let me see what I can come up with using Beck’s name, which sounds suspiciously German anyway.
“G” hmm that’s easy Germany, the fatherland!!
“L” stands for “Luftwaffe, the German airforce
“E” stands for Extermination of the jews
“N” stands for Nazi
“N” he likes them so much he needed to say it twice, Nazi
“B” Buchenwald an extermination camp ran by the Nazi’s
“E” Extermination
“C” Concentration camp
“K” For the KKK
OMG can you believe it, I just proved Glenn Beck is a Nazi the same way he proved the President of the United States was a terrorist
Dark Seducer,
"S" shut
"T" the
"F" f*%k
"U" up
OMG you have nothing constructive to add!
wow you really don't get how to do that game do you, you need more Beck, your not nasty and vulgar enough.
blah blah blah...either listen and take into account what people have to say, add something constructive, or keep your keyboard shut! Good grief...
Why is it that the people who have the best advice to give, so very seldom follow it?
I'm one of the lucky ones that was able to carry insurance into retirement, but can see through friends and relatives that our current system is broke. I feel that change is needed and that the legislation can be passed and then expanded on as needed in the future. I cannot believe that our govt would be so uncaring that they would allow the safety net hospitals to close.
As for the mentally it and drug addicts not being on insurance, they are on Medicare so there is no reason why they can't be signed up on the new insurance. It would reimburse the hospitals and care givers for at least the insurance portion of their fees, which may be more than they get currently.
As for the poor, there are subsidies written into the bills so payment would continue. One of the doctors says that "to them, co-pays are no-pays" but if you are getting 80-90% of the bills then it is not longer a no-pay.
And as for illegals not being in the system, then it is a perfect chance for them to be deported. If they are not sharing in the cost of the system (not paying taxes), not here legally and are part of the problem (seems to me that if they can afford to send money back home then they can afford their medical bills) then it is time that we solve the problem by deportation. The only other answer that I can see is to bill their employers for the health care costs. It might solve the problem of employers hiring illegals for super cheap wages if they had to foot the bill for emergency services.
why would you not insure the mentally ill? and the Cons seem to forget that their two biggest mouth pieces Limbaugh and Beck are drug addicts. Cindy McCain had a drug problem and used John's government supplied naval health care to get cured!!! Cons do drugs too, they are just in the closet about it the same way they are about being gay, hi Lindsay Graham!!! I knew he was gay the first time I saw him!!!
I just figured it out!!!!!!! the cons don't wan't the mentally ill on the plan because then the doctors would cure the disease that makes people cons. I knew it was either a mental illness or a chemical imbalance, no one can be that evil naturally!!!
She went to a hospital after cutting her toe during a pedicure. What was she using, a Bowie knife? And we wonder why some are swamped.
I agree, how badly could she have been cut. Why not wash the cut and put a band-aid on it and quit giving herself pedicures. People without insurance run to the emergency room for minor colds, coughs, scratches, bruises, etc., Most of these can be taken care of at home with bed rest, fluids, and over the counter drugs. (aspirin, tylenol, etc). But because it's free they rush to emergency rooms. How about people just using good old common sense. Take some responsibility people and quit depending on the government for everything.
UMMMM you were just ragging on people who run to the emergency room for minor things and now suddenly the hospital is the government?
You don't really seem to know much about this, why would you expect anyone else to do any better?
See, you can diagnose this persons need from a description on the internet. Why the heck do we need to pay doctors all that money to do what you have just done for free?????????
You sound like one of those liberals that expect the government to do everything for you, because you are to lazy to do for yourself. Have you ever been in an emergency room and saw some of the people waiting to see the doctor? Most shouldn't even be there, and would have been better to stay home. When I was with the fire department we were required to take everyone to the emergency room even when we could tell there was nothing wrong that an over the counter treatment couldn't cure or relieve the pain. Visit an ER and see for yourself.
If the system weeds out the less worthy they will get caught by those whose lives are dedicated to protecting these that in essence believe we do to these just as we would likely do to our brothers. Now why do we take our health care so serious? We want to live long enough to win the lottery? Is there a thrill that will take us to the grave in peace that I'm missing? In the end I'm looking at the stats coming out of Massachusetts, if it's the model then we are reading the dangers in this article, the proposal weeds out the unworthy.
For a very long time the conservative movement has attempted, and in many respects succeeded, to paint liberals as communists. But if you take a closer look at conservatism you will find that it resembles communism much more closely than liberalism does.
The Soviet Union and Communist China placed almost no restrictions on business and industry because the very people who ran those businesses were the very people who ran the Government. There were no rules or regulations to force companies to pay a fair wage to their employees, none to stop industry from dumping toxic waste anywhere it desired, none to assure the products were safe for the public to use, none to make work places safe for the workers. Deregulation has been the battle cry of the conservative movement from day one and each year that the conservatives are in charge more and more of our regulatory agencies put in place by liberals are defunded and disbanded. Our conservative politicians are so tightly linked to big business that it has become harder and harder to tell one from the other.
Conservatives, just like the Communists they pretend to hate, want to force the entire country to believe in the same thing, Christianity for the Conservatives and Atheism for the Communists whereas the Liberals are happy to allow each and every person to believe in whatever they desire.
Whereas the Communists gave business and industry free reign to use employees as slave labor and pollute the environment, their subjects were a completely different matter. The governments of the Soviet Union and Communist China micromanaged their peoples lives, spying on their every move, telling them what they could read, listen to, watch, and say. Conservatives could care less about what business and industry do but love to pry into peoples private lives, they like to ban books from our libraries, censor our movies and TV programs and consolidate our media outlets so only their side of the story can be told. Liberals, on the other hand, could care less what people do in the privacy of their own home but want to keep big business from polluting and taking advantage of their workers.
One ploy Stalin used to take control after the revolution was to fill the Government with people who were strict party supporters but had little if any knowledge of the Government job they were assigned to do. This very ploy has been used by the Bush administration, he filled most of his appointed positions with unqualified wingnuts from Pat Robertson’s Regent University. He even created new positions to fill with Christian movement types where they oversee the Parks Department, the Surgeon General and many others.
When Jack Abramoff and Grover Norquist claimed there was a communist behind every tree I truly think there was a mirror behind every tree and they were simply seeing themselves.
The reform of health care involves some many things that no one has even discussed yet in this ongoing debate. I cannot see the fall of all small community hospitals or large safety net hospitals. There may be some physicians that will limit their practice to private pay patients only and some already do. At this point, even though I support health care reform so that those who are in the middle, the working poor, will have an insurance source, I don't have faith that much will change in this area. I don't believe that the Republicans and Democrats will be able to agree on a plan. What I do fear is that they will throw some inadequate plan together, just to say they did something, that, in the end, won't help anyone. And I can only hope and pray that they don't follow the Baucus plan to make families pay these huge insurance premiums and fine these families if they don't pay for health insurance. These families have to make a choice between insurance and food now. His plan certainly will not work.
Simple, make the ER for emergancies only & tell the illegals to go to any of the spanish organizations that are backing them to stay and take the jobs away from the American citizens.
Here's a study on the DSH program for anyone who is interested in some detailed analysis on the structure of the incentives and how hospitals react. Its a pretty good... I made it myself.