US Health System Ranks Last Compared with Peer Nations
- Thread starter What Would Jesus Do?
- Start date
Medicare and Medicaid, and I never said strip Veterans of their benefits there are other ways of handling that
as a matter of fact I did tell him to not use the VA for any of his regular health care and I did offer to pay for his MRI
Why do you keep saying "government run heathcare"?
Medicare and Medicaid are not government run health care. The government manages payments. Not health care.
Medicare is widely praised for its efficiency (low administrative costs) - meaning more of the payments actually goes to health care than when handled through private insurance.
What's your problem with that?
Sure, sure, people bitch about this and that related to medicare. And some of those complaints probably have merit. So let's address those issues to make Medicare even better. And quit this misguided nonsense about "government run healthcare."
As I just pointed out, Medicare and Medicaid are not government run health care. They are government mechanisms for disbursing health care payments to mostly private doctors, hospitals and other providers.
The way these programs are set up means many more people actually receive health care. But Medicare and Medicaid do not themselves provide health care.
I think what I said was he should dis-enroll. Completely. You said he'd be better off. Get him off that terrible gubmint health care and on your Visa card and quit bitching.
NOBODY wants to trade with us. You're, sadly, part of a racket where you're a tool - a tool I have massive respect for - for people to profit off of the sick. We're doing it wrong. If one is living the American dream, working a full time job, with health insurance, and a member of the family gets cancer, emptying their savings account, we have a jacked up system of healthcare.
Again, you're a Republican telling us that the greatest country in the world can't accomplish something that everyone else can pull off. Weird. It gets tiresome.
now you know as well as I do that when the government "manages payments" they are controlling your health care
VA Healthcare is completely separate from VBA who would have reviewed his files and did exams to determine if he needed hearing aids, compensation for AO, etc. That’s the VBA who has a backlog of records to review and these are complex issues that not only need to be reviewed and confirmed but often need to have associated documents from the Veteran to confirm their findings. When a solider is discharged a copy is given to them and a copy to records center. Again, not VA.
As for the care at the VA… sounds like some of his care was done outside the VA through Care in the Community which is done by local providers and managed by a third party contractor… neither are the VA.
Can’t speak to the specifics of his mental health care or being shamed but all VAs have a tool that shows their rating and wait times on Va.gov I’d be hard pressed to think it took more than 6 weeks to be seen once he contacted them for an appointment.
But, not all VAs created equal… comes down to leadership, quality of staffing and funding levels. Congress controls the funding… so next time he reaches out to his representatives make sure he advocates that they fund the VA better vs giving funds one yea and pulling back the next. Finally, so much funding the VA is receiving goes out the door to pay community providers and not to improve their own services.
not saying there aren't problems with our system and those need to be fixed, but to simply say we need a public option without understanding the ramifications is just as problematic
Dems agreed to add a pubic option - which I believe was suggested by Republican Susan Collins. But then the Republicans made them remove it from the bill.
Democrats made 3 major mistakes when negotiating what became Obamacare:
1. Obama took Medicare for All off the table before the negotiations started.
2. Obama offered tax cuts as a way to deliver some of the benefits - without getting anything in return from the Republicans. [Republicans favored this approach; many Dems didn't. Obama offered this concession for free, apparently thinking he was showing good faith that would be reciprocated. Needless to say, it wasn't.]
3. When it became clear that the few Rs who were going to vote for the bill - like Susan Collins - were going to vote in lockstep with GOP orders, the Dems did not add the public option back in.
Here's the interesting part of that...the US government spends twice as much on health care per US citizen as Canada does on its citizens. And Canada covers everyone. And gets overall better outcomes. You want to lose an election in Canada? Advocate for adopting a US-style health care system.
but its so bad, why not take a 4 day vacation every year to Canada for yearly check ups
LOL...yeah...access to health care should be controlled by your cash on hand and how much credit you have available on your cards. MUCH better system. Keeps the riffraff out.
Please.
Doctors provide health care.
Nurses provide health care.
Hospitals provide health care.
Various specialists, aides, labs and equipment makers provide health care.
Medicare writes checks to those folks.
Please tell me you understand the difference.
When you buy something for yourself, how many justifications do you file for approval? How many people sign off on your decisions to spend?
The 'administrative stuff' is usually in place to try and prevent fraud.
When you're spending your own money, that really isn't an issue.
When someone else is spending your money, it becomes a thing.
If the only fatty you're paying for is yourself, what's the problem?
And Medicare tells us what kind of care we can provide
Good thing actuaries at insurance companies don't do that, amirite?!?!?!
hawkeyetraveler
HB Heisman
Not sure what your point is … do you think the insurance industry today is administratively efficient? It is not.
Relative to the fatties: regardless of whether you are in private insurance or a government program, the overall cost of insurance is a function of the healthiness of each person in the program. So my costs are directly related to how fat our society is…full stop. So, one way for us to dramatically improve our healthcare system is to focus on preventative care and the number one thing we can do for that is to eat healthy, exercise and lose weight.
I have no issue if someone wants to be obese. Go for it. I have an issue if that increases the cost to society for the rest of us. The solution is easy. If you are fat you should pay more for insurance - just like smokers do.
No, I think people paying for their own shit is the most administratively efficient.
The solution is easy.
Have people pay for their own healthcare.
The cost is only socialized because of government mandates.
No, Medicare tells you which services they cover.
But I'm glad that you seem to be agreeing that it isn't Medicare or the government that's providing health care.
Still just writing the checks.
You do know medicare recipients pay a monthly fee in addition to having paid into the "system" for decades, right?
hawkeyetraveler
HB Heisman
Ah got it. Yes I agree that is the most efficient administrative mechanism. So if a child has some rare disease that family, if they aren’t upper class, will have to be bankrupted to pay for the treatment, or let their child die.
I guess it is one way of handling things. Not very neighborly or humane if you ask me, but I will give you credit for being a remarkably consistent prick in your attitudes towards things,
This ranks among the dumbest shit you've ever posted. What happens when someone can't pay their $25,000 bill? Who do you think ends up paying for that? You think the doctors and hospitals just write it off? I'm going to answer for you because I sure don't trust you to be honest...that cost gets "socialized". Everybody pays more for the people that can't or won't pay. Have you always been this dumb?
They dictate the hoops to jump through, and Medicaid is a loss leader for a lot of providers.
Are you purposely being obtuse? I would love to have Canada’s system here…instead of being ripped off by insurance companies and hospitals. If I lived anywhere else I wouldn’t want to trade systems with an American.
What entitles someone to something they can't pay for?
The 'trust me to answer' bit is hilarious considering I answered your question in the oil thread and you fled from mine, you coward.
What 'socializes' the cost? Honest enough to answer?
I don't think you'll acknowledge people have set the law to force that plunder.
Why is USA’s so bad? I was on my parent's insurance until I finished law school and employer has paid 100% of medical and dental insurance for my family. Never had a copay. We moved overseas and they have free healthcare (government take a % of my pay for this) and people wait days to get in. But luckily, they have private hospitals, which my healthcare reimburses me for.
Doctors have a moral and ethical duty to provide care, you moron. You can look those words up since personal experience will fail you.
Lying sack of crap. I posted that the oil companies are sitting on over 9,000 leases right now and Biden opened up over 70 million acres in the Gulf for leases. What was denied wouldn't have the slightest impact on production.
LOL...YOU do dumbass. Your bill is higher to pay the costs of others. Or more likely, our costs are higher to pay for you.
I have no idea what that means.
Sadly, the days of great government healthcare in Canada are over. Their system has been in crisis for a few years now.
The average wait time in an Ontario ER is 22 hours. In the worst rated American state, it's less than 3 hours (NJ).
https://www.ctvnews.ca/health/canad...-was-decades-in-the-making-says-cma-1.6849408
And they all too frequently will provide nothing more than the level of care that Medicare will reimburse for,.. You know this.
They could invest more and still not come close to what the US govt pays...and per your article, they're working on it. What you don't see is a call to go to an American system.
