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-- The Right To Everything
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| Originally posted by pkcRAISTLIN Your entire country was formed on liberal ideology you clueless hacks. Where do you think they got �Life, liberty & the pursuit of happiness� for crying out loud? You wouldn�t know "liberal ideology" if it was up you with an arm full of chairs. |
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| Originally posted by Max Thomson Maybe try to get outside more rather than insulting others on the interwebs just because their opinion differs from yours? |
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| Originally posted by Krypton http://www.law.harvard.edu/news/200..._bankruptcy.php http://www.nchc.org/facts/cost.shtml A recent Harvard study found that medical expenditure was a significant contributing factor in 60% of personal bankruptcies in the United States. "Unless you're Warren Buffett, your family is just one serious illness away from bankruptcy...for middle-class Americans, health insurance offers little protection...," said Dr. David Himmelstein of Harvard University, who helped compile the study. The U.S. spends more on health care per capita than any other UN member nation. It also spends a greater fraction of its national budget on health care than Canada, Germany, France, or Japan who have PUBLIC INSURANCE. |
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Healthier than thou Aug 20th 2009 From The Economist print edition How Britain�s health system compares with America�s Illustration by David Simonds THE NHS is the closest thing the English have to a national religion, Nigel Lawson, a former Tory chancellor, once observed. Seldom has that tart comment seemed more apposite than in recent days, as both Gordon Brown and David Cameron leapt to the defence of the NHS following vitriolic criticism in America of Britain�s �Orwellian� health service. Some of the charges against it are absurd, but does the tax-financed NHS deserve such worship this side of the Atlantic? Comparing the performance of health systems is tricky. For one thing, people may attach different values to crucial features such as coverage, choice, equity and the quality of clinical care. For another, people�s health reflects influences like lifestyles that have little to do with medical care. Cost must also be taken into account. The World Health Organisation attempted an evaluation in 2000, in which Britain came 18th out of 191 countries and America 37th, but the methods used to compile the ranking were heavily criticised and it has not repeated the exercise. On the most basic metric of life expectancy at birth, Britain (79.1 years) outscores America (77.8). Longevity is admittedly a crude and indirect indicator of population health. Yet a similar story emerged from a study in 2006 that used direct measures to compare the health of middle-aged people: the Americans were sicker than the English. Another line of inquiry is to investigate how health systems perform in tackling conditions that are treatable, comparing death-rates for such illnesses among the under-75s. Britain does not emerge well from one such ranking, compiled by Ellen Nolte and Martin McKee of the London School of Hygiene and Tropical Medicine. Their study, published in early 2008, placed Britain 16th among 19 advanced countries (France came first). But America came last. On the other hand, Britain scores worse than America in five-year survival rates for cancer. High-tech diagnostic equipment is less abundant: in 2007 there were, for example, 25.9 MRI scanners per million Americans compared with 8.2 in Britain. Expensive new drugs generally become widely available sooner in America than in Britain. One reason is that in Britain they are subject to a cost-benefit assessment. Although this approach has been demonised in America it merely makes explicit the rationing in any medical system through the decisions of insurers and funders. And then there�s the question of overall cost. Even after a huge expansion of the NHS budget over the past decade, spending on health care in Britain amounted to 8.4% of GDP in 2007 compared with 16% in America, according to the OECD. Public spending on health care per person is actually higher in America (through Medicare, Medicaid and other government programmes). Both health systems have their virtues and their faults. At its best, America offers extraordinarily good clinical care, but too many people lack insurance cover or fret about losing it. The NHS provides health care to all at a much lower total cost, but patients have less clout. Both countries are crying out for reforms to bring about better and cheaper care. http://www.economist.com/world/brit...ory_id=14259044 |
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| Originally posted by occrider Don't forget that in addition to paying nearly DOUBLE in terms of health care costs related to GDP, we are achieving poorer results. Why people want to maintain the status quo of a health care system that costs more and delivers less than virtually every other advanced country boggles the mind. That even ignores the moral issue of not providing health care to every citizen. |
I think Obama seriously miscalculated his message on healthcare. The assumption was that the moral argument was all that was needed to curry favor for reform. The system isn't universal, but should be. Then we realize that most Americans actually don't care that their neighbors are uninsured (for anecdotal proof, watch the booing that takes place in townhalls whenever a citizen tells their story of being uninsured).
The first and only argument should have been the one occ just pointed to - efficiency. What people can't seem to get their head around is that the cost won't really increase - it just shifts. The Franken video above includes the example of the Mayo Clinic that I think is very illuminating. Shifting the administration of health care institutions and insurance companies can reduce costs for the consumer that offsets any increase in public cost.
This plan isn't anywhere near as radical as it is being depicted by opponents. Furthermore, it isn't compulsory, which is a frequent claim. I'd challenge anyone who's actually READ the bill to explain how they could ever actually call it socialist. It's absolutely absurd that this is where the public dialogue has settled. And really quite sad. I feel we should be putting health care on the back burner for awhile to focus on civic education. Lord knows most of this country needs it.
There are any number of reasons why healthcare is more expensive in America than elsewhere..and the fact that high costs have caused bankruptcies is irrelevant, because putting it under the mantle of "government" is not going to erase those costs. It is merely going to camoflauge them and spread them out to millions of taxpayers. In addition to spreading costs, any time you reduce the price of something for low income people (another main reason for the bill), demand increases tremendously..
So this bill basically forces companies to accept MORE patients needing to be covered for MORE operations and prevents any discrimination based on pre-existing conditions...prevents companies from charging more for high high risk patients that are likely to result in large losses. Do you guys realize how perverse it is to try and freeze rates and force everyone to be treated equally regardless of the risk/cost they are likely to impose?. This is one of the things Franken was bragging about in that video (Switzerland style). Do you see how much these ideas screw with the the laws of risk vs reward and supply vs demand?
Even if people can't help their medical condition, they should still be expected to pay more. Life isn't fair folks. The world is a very unfair place. Every cosmic injustice can not be remedied by legislation and only harm can come from attempting to do so. If you want to live in a free society, you need to accept some level of inequality..You need to accept that innocent people will sometimes face undeserved suffering. It sucks, yes...but putting a claim on the lives and fortunes of those who don't suffer on behalf of those who do is an even greater injustice..because it is an injustice made by CHOICE rather than chance.
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| Originally posted by Lebezniatnikov I think Obama seriously miscalculated his message on healthcare. The assumption was that the moral argument was all that was needed to curry favor for reform. The system isn't universal, but should be. Then we realize that most Americans actually don't care that their neighbors are uninsured (for anecdotal proof, watch the booing that takes place in townhalls whenever a citizen tells their story of being uninsured). The first and only argument should have been the one occ just pointed to - efficiency. What people can't seem to get their head around is that the cost won't really increase - it just shifts. The Franken video above includes the example of the Mayo Clinic that I think is very illuminating. Shifting the administration of health care institutions and insurance companies can reduce costs for the consumer that offsets any increase in public cost. This plan isn't anywhere near as radical as it is being depicted by opponents. Furthermore, it isn't compulsory, which is a frequent claim. I'd challenge anyone who's actually READ the bill to explain how they could ever actually call it socialist. It's absolutely absurd that this is where the public dialogue has settled. And really quite sad. I feel we should be putting health care on the back burner for awhile to focus on civic education. Lord knows most of this country needs it. |
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| Originally posted by Halcyon+On+On Indeed, when I am on the losing side of a debate, I'd rather prohibit everyone smarter than myself from participating, too. |
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| Originally posted by vinnie97 Stimulus funds come with federal strings attached. I can understand the secession desires from the Texas candidates, though I don't necessarily think it's feasible. |
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| Krypton, the proposed health bill doesn't kill off private plans right away but it mentions a deadline at which point grandfathered plans will expire and have to comply with some compulsory requirements as determined by the Govt. I didn't see said requirements mentioned in the bill...if they're present, I'd love to know. This is just a push for more government control in the lives of its citizenry. |
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| � And when you do, scroll down to subsection C, which states that �Individual health insurance coverage that is not grandfathered health insurance coverage under subsection (a) may only be offered on or after the first day of Y1 as an Exchange-participating health benefits plan.� In other words, after the bill becomes law, all new health insurance plans would have to be purchased through the Health Insurance Exchange, which, according to a House committee summary, is a �marketplace for individuals and small employers to comparison shop among private and public insurers.� The provision Investor�s Business Daily latched onto in is, in reality, all about increasing choice and competition in the marketplace between both public and private health insurance options, not limiting choice. |
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| One needs to look no further than the proposal in the bill (or an addendum to the bill) of IRS power expansion and the granting of direct access to individual bank accounts. You may find Big Brother lovey dovey but I would rather they keep their distance. |
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| � in other words, this section of the actual bill does not do what Limbaugh and Rep. Shadegg and others claim. They are demonstrably wrong (see above). It is simply a check on the status of an individual�s insurance coverage, one that already happens today and would be required under any possible system built on individual health insurance. A few lines down, another section of the bill has been targeted as the part that would supposedly provide the government with private financial information. One line of the section attempt to standardize electronic administrative transactions, such as electronic fund transfers that occur between insurance companies and health care providers for the purpose of administrative simplification. Another line would enable electronics funds transactions to allow �automated reconciliation� of health care costs. This would basically amount to nothing more than an automatic online bill-pay system for people to pay their premiums every month. There is no language in H.R. 3200 that would make it legal for the government to have �direct, real-time access to individual bank accounts.� The bill even includes basic requirements that all personal data that is collected under the provisions is used in a matter that meets privacy and security laws, and it restricts �inappropriate� uses, �including use of such data in determinations of eligibility (or continued eligibility) in health plans.� |
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| Also, I get a little tired of the misdirection of the argument that "health care is a right." What's really meant is "health care insurance is a right." |
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| ANIMALS have access to more expedient healthcare under private plans than humans do under the public option in Canada. |
Lebez pretty much addressed your argument but I'll address some bits.
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| Originally posted by vinnie97 Krypton, the proposed health bill doesn't kill off private plans right away but it mentions a deadline at which point grandfathered plans will expire and have to comply with some compulsory requirements as determined by the Govt. |
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| I didn't see said requirements mentioned in the bill...if they're present, I'd love to know. |
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| This is just a push for more government control in the lives of its citizenry. One needs to look no further than the proposal in the bill (or an addendum to the bill) of IRS power expansion and the granting of direct access to individual bank accounts. You may find Big Brother lovey dovey but I would rather they keep their distance. |
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| And Capitalizt is correct, health costs that are causing personal bankruptcy would simply be spread across the population in the form of tax hikes, not to mention the base insurance one may likely be required to purchase. |
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| Also, I get a little tired of the misdirection of the argument that "health care is a right." What's really meant is "health care insurance is a right." |
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| I agree 100% with the "bridge to govt run care" espoused by that video because Obama himself has been ambiguous on that point. He is just using a more staggered approach. ANIMALS have access to more expedient healthcare under private plans than humans do under the public option in Canada. |
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| If that's the end goal here, I want no part of what the maniacs on the left are selling...NONE |
) is going to change for the better is by government action. None of your freedoms are being infringed upon. | quote: |
| (and I am presently self-employed and uninsured). |
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| Originally posted by Krypton Only an idiot would buy pet health insurance. And vet costs are no where near that of human costs because when pets get a serious illness, usually, they'r just euthanized. I find it ridiculous to even compare human healthcare to that of animals. |
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| So you'r just one serious illness away from bankruptcy, and yet, you seem to not even care. |
Yeah, dogs can be expensive. My previous dog had a tumor and we paid about 10,000 for a series of operations that probably only extended his life by about a year. But wow did we love that guy. 
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| Originally posted by Lebezniatnikov Amazingly, this is a pretty rational discussion: |
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| Originally posted by Lira Interesting video. Not just because of how they actually manage to debate civilly, but because this whole health care problem is really exotic to me as a foreigner... Universal health care was instituted in Brazil right after it got its democratic ruling back (a couple of decades ago), and it's now considered essential - I fail to understand why anyone would be opposed to that |
There's nothing wrong with stating the truth, Leb...if an entity accepts a large sum of federal money, why would one not expect some kind of mandate, requirement or direction in how it be used? I can understand how a state might prefer autonomy in the way it doles out some of the fiat money.
Also, the video I posted above plainly reveals what a single-payer system brings in terms of rationing, etc (i.e. waiting for even what many would deem emergency procedures to be provided). The Pres already made it clear this was his preference initially and is only backing down due to scrutiny, even from members within his own party. At the aforementioned privately insured animal clinic in Canada, the differences in are made abundantly clear and if commenting on that paints me in some unfavorable light, guilty as charged.
You mention this language from OpenCongress ensuring the private option as know it stays intact but I can't help but be a little skeptical:
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| And when you do, scroll down to subsection C, which states that �Individual health insurance coverage that is not grandfathered health insurance coverage under subsection (a) may only be offered on or after the first day of Y1 as an Exchange-participating health benefits plan.� In other words, after the bill becomes law, all new health insurance plans would have to be purchased through the Health Insurance Exchange, which, according to a House committee summary, is a �marketplace for individuals and small employers to comparison shop among private and public insurers.� The provision Investor�s Business Daily latched onto in is, in reality, all about increasing choice and competition in the marketplace between both public and private health insurance options, not limiting choice. |
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| Originally posted by Lira Interesting video. Not just because of how they actually manage to debate civilly, but because this whole health care problem is really exotic to me as a foreigner... Universal health care was instituted in Brazil right after it got its democratic ruling back (a couple of decades ago), and it's now considered essential - I fail to understand why anyone would be opposed to that |
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| Originally posted by vinnie97 There's nothing wrong with stating the truth, Leb...if an entity accepts a large sum of federal money, why would one not expect some kind of mandate, requirement or direction in how it be used? |
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| Also, the video I posted above plainly reveals what a single-payer system brings in terms of rationing, etc (i.e. waiting for even what many would deem emergency procedures to be provided). |
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| You mention this language from OpenCongress ensuring the private option as know it stays intact but I can't help but be a little skeptical: |
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| I *may* have jumped the gun on the direct IRS <--> bank account connection but that tax cheat, Rangel, is trying to make it more difficult for the average taxpayer under the guise of one incarnation of the health bill nonetheless: |
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| Originally posted by DOOMBOT From what I've gathered, the Brazilian model is severely underfunded as well. Quality of care is also pretty bad. So what happens when it can't be afforded anymore, as if it can be even right now? It's absolutely amazing. You can even get plastic surgery and sex change operations under the public system down there. |
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| Originally posted by Shakka You obviously don't have a pet--or have never had a pet require an expensive procedure. I wish I had the foresight to get pet insurance for my dog. It's cheap (like $10/month or something). He had cataracts. One of his eyes is now completely blind and there's nothing we can do about it. We had surgery performed on the other eye and it has cost us a total of about $4,000 out-of-pocket in visits to the specialist, surgery, and medication. It's insane. If he were a cat I would've shot him instead! |
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This statement gets tired. You're just one car accident away from death. You're just one electrical socket away from mental retardation. yada yada yada. |
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| Originally posted by Krypton All true which is why we try to prevent it right? |
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| Originally posted by Lira Wait, I don't understand your point - are you saying that it is a good thing that you can get plastic surgeries under the public system? Either way, I should warn you that it only happens in extreme cases (i.e. you were involved in a nasty accident and you need to have your nose reconstructed, or something like that). As for the quality of care being bad, it depends quite a lot on the region, and it has to do with the economy more than with anything else (keep in mind that we're one of the greatest world economies, but we're still working on social equality). The US being the country it is, that's hardly a problem. |
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| Originally posted by Shakka Side note--I recently read that the current president of Brazil didn't even graduate from elementary school--is that true? |
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| Originally posted by Lira Wait, I don't understand your point - are you saying that it is a good thing that you can get plastic surgeries under the public system? |
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| Either way, I should warn you that it only happens in extreme cases (i.e. you were involved in a nasty accident and you need to have your nose reconstructed, or something like that). |
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| As for the quality of care being bad, it depends quite a lot on the region, and it has to do with the economy more than with anything else (keep in mind that we're one of the greatest world economies, but we're still working on social equality). The US being the country it is, that's hardly a problem. |
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| Originally posted by DOOMBOT I find it absurd that the government uses tax dollars to pay for these procedures for people. Give me an example for an "extreme case" where someone would need a sex change. |
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| Originally posted by DOOMBOT It's pretty much common knowledge that the Brazilian system is dangerously underfunded. The system was designed to help with more immediate procedures and lately, more long term care patients are milking the system. You guys are now having to worry about the elderly who were under private care systems who now can't afford to stay on the plan and are moving over to the public system. Not enough tax dollars can pay for your current program. So while you may think that it is working just fine today, which it really isn't, it's probably going to get much worse in the future. |
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| Originally posted by Lira You mean like, hermaphrodites? |
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| Well, we are still struggling with social issues... you're right when you say our system is overloaded, as the elderly become a great part of our population (among other things). But, that's far from being our only problem. We still need to cope with social inequality, poverty, unemployment, illiteracy, among other things. However, and rather surprisingly, Brazil's been doing a good job tackling these issues since the early 90's, after a previous economic boom that failed to address these issues. That's why we're far from having the perfect health care system - if this is an argument against universal health care, you should keep in mind that the countries we live in are so different it renders the comparison absurd. Anyway, if you want my honest opinion, health care in Brazil will worsen if, and only if, our economy breaks down. Otherwise, it will keep improving, as it's happened during the last couple of decades. |
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