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riddler

45,000 americans die every year due to lack of health insurance

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Funny, that - you seem to have somehow misplaced the rest of [MY post - I wonder how THAT could have happened?



HUH? Look, I want to make my points and exchange ideas and learn, I don;t know what you're talking about, just make a point.



Go look at post #42. If you can't figure out what I'm talking about after that, then forget about it.

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Maybe you can go re-read the part you snipped about about how the Dems are cutting Medicare/Medicaid payments and reconcile it with:



Again, enough ridiculous pettiness, please make your point about elderly having their benies cut. If off the top of your head or you heard, don't waste your time. I'd like to learn someting substantive.



Re-read what I posted - it's really NOT hard to understand. As to the quote you snipped, I'm sure that your data using expertise will stand you in MUCH better stead looking for it than my paltry, non-data-using self could ever do.
Mike
I love you, Shannon and Jim.
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"The Free Enterprise Fund is a non-profit, 501(c)(4) organization focusing on limited government and tax relief" http://fefund.org/page1.aspx

"The National Center for Policy Analysis (NCPA) is a nonprofit, nonpartisan public policy research organization, established in 1983. The NCPA's goal is to develop and promote private alternatives to government regulation and control, solving problems by relying on the strength of the competitive, entrepreneurial private sector. Topics include reforms in health care, taxes, Social Security, welfare, criminal justice, education and environmental regulation." http://www.ncpa.org/about/

Not saying that the original study wasn't biased, but there's some definite bias in the direction of the status quo in the link you posted.

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Not saying that the original study wasn't biased, but there's some definite bias in the direction of the status quo in the link you posted.



Actually read the article I linked instead of assuming its false based on your pretenses.
--"When I die, may I be surrounded by scattered chrome and burning gasoline."

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Actually read the article I linked instead of assuming its false based on your pretenses.



:D I did. Critically. The definition of which includes doing at least a little bit of research into the organizations that those quoted are affiliated with so that I can identify possible biases behind their comments. Which I then posted so others can see that the comments quoted are not from unbiased sources.

I liked that the bias of one of the original study authors was clearly identified in the article. It's just too bad that the author didn't do the same for other people that were quoted.

The whole health care debate is a great exercise in critical reading. There are so many logical fallacies to be found in arguments from both "sides" and so much bias in every quote.

I doubt that we will ever see a truly unbiased argument regarding health care in the US from either side, much less one that doesn't contain at least one logical fallacy. Which is pretty sad. We are easily fooled because we are fools...

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I doubt that we will ever see a truly unbiased argument regarding health care in the US from either side, much less one that doesn't contain at least one logical fallacy. Which is pretty sad. We are easily fooled because we are fools want to believe our beliefs...



True statement, but I thought I would make it a little less .... harsh.

Everyone has personal beliefs. Some belief that they deserve "free" health care as a "right." Others belief that they don't want to be "burdened" by the expense created by others choices - obesity, smoking, skydiving, driving cars, high school sports - and believe in their right to independence which comes with personal responsibility.

When there's a sharp conflict in beliefs, then one camp usually views the others as "fools"... when, in reality, it's just a difference of views.

Neither side is "wrong" and both are valid... but they are in conflict.

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'
stay away from moving propellers - they bite
blue skies from thai sky adventures
good solid response-provoking keyboarding

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.



my words are more honest - if that is your point
stay away from moving propellers - they bite
blue skies from thai sky adventures
good solid response-provoking keyboarding

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Everyone has personal beliefs. Some belief that they deserve "free" health care as a "right." Others belief that they don't want to be "burdened" by the expense created by others choices - obesity, smoking, skydiving, driving cars, high school sports - and believe in their right to independence which comes with personal responsibility.



Good points. I suspect there are at least three -- and probably more that I haven'tt hought of this early morning (for me) -- "sides" as well.

Some believe personal responsibility doesn't stop with themselves. That's their belief system, altho' some may mock or deride it.

Some are capitalists, want the most capable workforce, and focus on the bottomline regardless of ethical/moral positions. I'm confident you know better than most that the most critical cognitive development occurs among infants and children. What they are exposed to (or aren't) can severely hinder or help development. A nation's economic capabilities are largely driven by it's people. (So there's a national security/hard power argument lurking in there as well.)

And some people prioritize public health. Infectious diseases don't disriminate against those who some believe are responsible and those who some don't believe are. Treating the results of infectious diseases, which includes lost productivity (so I'm back to the capitalist argument) almost always (not aware of any exceptions, there may be?) costs less. Costs of outbreaks of recent infectious disease (SARS, etc) have ranged into the billions (source: George Atkinson, former S&T Advisor SecState under Rice.)



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Neither side is "wrong" and both are valid... but they are in conflict.



What's the best way to resolve that conflict?

Marg

Act as if everything you do matters, while laughing at yourself for thinking anything you do matters.
Tibetan Buddhist saying

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.



my words are more honest - if that is your point




There are none so blind than those that refuse to see.

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COMPASSIONATE LIBERALISM: Giving granny an aspirin instead of the angioplasty she needs.

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If enacted as scheduled on Jan. 1, 2010, policy changes recommended by the federal Centers for Medicare and Medicaid Services (CMS) -- the government's insurer for the elderly and disabled -- will severely cut current Medicare reimbursements to cardiologists and oncologists for critical care services that are provided to patients in physicians' offices or other out-of-hospital setting, such as chemotherapy to treat cancer, and various cardiac procedures to monitor and treat heart disease, such as nuclear imaging and heart catheterization.

These cuts will force cardiologists and oncologists to limit care to their Medicare patients, withdraw from treating Medicare patients altogether or require their patients to pay more out of pocket to make up the difference in the cost of these services.



Do you have a source for your quote? The way it reads, it appears to have been written in an effort to be intentionally misleading. It doesn't say that critical care will be denied under Medicare or Medicaid. It says that doctors won't be reimbursed for performing critical care procedures outside of hospitals.

It could be that performing critical care procedures outside of hospitals saves money without adding risk. Or, it could be that such procedures taking place outside of hospitals are statistically more likely to result in complications or death of the patient. I haven't seen the data, so I can't say.

What I don't see in your quoted material is any indication that the proposed legislation will result in "giving granny an aspirin instead of the angioplasty she needs."
Math tutoring available. Only $6! per hour! First lesson: Factorials!

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.



my words are more honest - if that is your point




There are none so blind than those that refuse to see.



i already have a national health service - and it has served me and my family well - as well as the poorest and the sickest.
stay away from moving propellers - they bite
blue skies from thai sky adventures
good solid response-provoking keyboarding

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Neither side is "wrong" and both are valid... but they are in conflict.



What's the best way to resolve that conflict?

Marg



I think it will take more of a philosophical compromise on the part of both camps. It will take a REASONABLE discussion trying to understand the goals of the people of the United States. There will always be those stubborn ones that REFUSE to listen.... on both sides.

But, this IS NOT going to make or break the U.S.

Personally... I just don't want the government to be looking into my patients (or my) private records. And I want my patients to trust that I have HIS or HER best interest in mind... not that of a government mandate.

I have had A LOT of experience with Medicaid the past 7 years. I'm tired of that frustration... and NOW they want to make ALL health care like that?

What frustrated me?
-Medications. I can't give hyperemesis patients Zofran. Only phenergan. WHY? Zofran is better, less side effects. COST. I felt there were more limitations on what I could offer the medicaid patients than my regular insurance or private pay patients.

-Referrals. Patient with carpal tunnel in the third trimester. Getting her set up with a referral BEFORE SHE DELIVERS is QUITE challenging. My nurse would spend HOURS pulling favors.

- Entitled attitudes. Not all of my patients acted this way. In fact, only a small minority, but it was irritating to hear "You HAVE to take care of me." No... I don't HAVE to do anything of the sort. I had selected this population because I WANTED to give back. It's my CHOICE.

BUT I do understand the NEED.

AND... I am willing to accept some compromise in my core belief.

but... it will be a compromise.

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.



my words are more honest - if that is your point




There are none so blind than those that refuse to see.



i already have a national health service - and it has served me and my family well - as well as the poorest and the sickest.




So why do you get all hot and bothered about a country that isn't yours? Why try to impose your beliefs on a completely different population? Why are you trying to be Big Brother and tell the U.S. what to do? We kicked you out of our lives once.... don't be surprised if we don't want to come back.

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'


No. I think I worded my thoughts correctly. But you can word yours how you see it and THATS OK.

See. That is EXACTLY my point.


my words are more honest - if that is your point



There are none so blind than those that refuse to see.


i already have a national health service - and it has served me and my family well - as well as the poorest and the sickest.



So why do you get all hot and bothered about a country that isn't yours? Why try to impose your beliefs on a completely different population? Why are you trying to be Big Brother and tell the U.S. what to do? We kicked you out of our lives once.... don't be surprised if we don't want to come back.


a good idea is a good idea. for instance we only introduced a minimum wage here about ten years ago - but you'd thought of the idea long before that :)
stay away from moving propellers - they bite
blue skies from thai sky adventures
good solid response-provoking keyboarding

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....
So why do you get all hot and bothered about a country that isn't yours? Why try to impose your beliefs on a completely different population? Why are you trying to be Big Brother and tell the U.S. what to do? We kicked you out of our lives once.... don't be surprised if we don't want to come back.



What??? What about you US guys telling the rest of the world has to be armed from teeth to tooth? What about the US guys sticking thier noses in nearly every corner of the world "to clean up the mess" (or simply are increasing it) ??? The Big Brother is WHO (or at least thinks it is :P )???

:D:D:D Your post is just too funny. :P

dudeist skydiver # 3105

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When there's a sharp conflict in beliefs, then one camp usually views the others as "fools"... when, in reality, it's just a difference of views.

Neither side is "wrong" and both are valid... but they are in conflict.



I dunno, I chose the word fool partly because it's harsh. If we don't question what we are told, regardless of who is saying it or whether they are saying something that we think we agree or disagree with, we are fools.

I'd like to think that the reason the arguments being made on both sides are so flawed is because those making them didn't pay attention in their college composition classes. That fits better into my Pollyanna fantasy world view than does the idea that these arguments are flawed on purpose - using whatever means necessary to play on the hopes and fears of the population (death, taxes, government interference, lack of medical care) and the core beliefs of the society (freedom, democracy, charity, the superiority of capitalism over communism) to sway those who can't or won't think for themselves.

If only we could be presented candidates who are able to compromise, argue logically and show respect for those who don't share their opinions... Nah, wouldn't work, someone like that would never get elected.

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Some belief that they deserve "free" health care as a "right.".



this would be better phrased 'some believe that all citizens should have healthcare even the poorest and the sickest'



Your thought would be better phrased: "fuck you if you have shown any personal responsibility. How dare your fucking ass earn something that others should have handed to them. The more irresponsible a person is the more commendation they deserve.

&And doctors - watch your asses. We'll make sure you don't get shit for simply cruising through life - you will not only be taxed for everyone else, but we'll pay you what we want to pay you. Nonworkers of all lands, unite!"


My wife is hotter than your wife.

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You don't know what you are talking about, Doctor. You are the problem. If it wasn't for doctors we would have zero troubles with doctors charging too much, doctors practicing defensive medicine, or doctors causing iatrogenic pathology.

Lawyers and politicians know how this system should be run. How it was intended to run. If there is a problem, legislation is the cure.

Shoot, we can simply pass a law banning shouldert dystocia. But the AMA opposed it, leading to unnecessary Erb's palsy and excessive health care costs.

Quit causing Erb's palsy. Quit causing placenta previa (another law I've got on my mind.)

In fact, while you are at it, quit detecting treatable conditions. If you would quit finding omphaloceles then we wouldn't have to treat them.

Quit being part of the problem, doctor. And quit treating them. Health care will be much more affordable.

p.s. I am concerned thàt your patient load involves mainly women under 50. I would expect in this day and age of new enlightenment and understanding that you would allow more elderly, males and transgendered to be your patients.

Thus, we will require you to provide inexpensive obstetrical care to anyone who seeks it, or we will have your license suspended. Furthermore, you will not be compensated for any visit that we feel was not reaonably necessary.

An 80 year old man has as much right to an AFP screening as a 23 year old woman, and you must provide that service. However, if such is deemed to be unwarranted, you will not only not be paid, but will be fined for wasting resources.

Understand? Doctors are now nurses. We will prescribe standard procedures from which you may only deviate with an appropriate endorsement from the "best practices committee" staffed by a cadre of lawyers, economists, and private citizens.

Strict compliane with best practices is a requirement for your getting paid, unless it is determined that you services were medically unnecessary.

Be glad you are not an emergency physician. We will only compensate them for true medical emergencies. No longer will we allow them to get government money for assessing and treating a Puerto Rican with a cold. However, they will be fined for not treating any person who shows up.

If you have any ideas on how to get back at pediatricians, let us know.


My wife is hotter than your wife.

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Heh, the authors of the OP's linked story pretty much made it up.



There's always going to be the issue of questioning the source of data, and no, none of it is going to be perfect. So you have to look at who did it, where their funding came from, and what the range of data is.

On one hand, you have a consortium of three different, respected universities, sharing information and concluding results. It's unlikely there is a profit motive in making the statement that so many people die every year from a lack of health insurance, and it's unlikely that one private source contributed money to fund this study. Also, we're talking about a 10-year period, with massive numbers of people, with a wide statistical range, tempered by normalization factors help show a pretty clear and definite pattern (just my opinion).

On the other hand, there is one guy, who doesn't appear to be a doctor at all, reading the study and concluding that it's false because ... why exactly? I didn't see any actual statistics to back his claims. He just stated "that kind of stuff is junk science" - I guess we should trust him because he knows about that kind of stuff. Another guy said "we need a more careful study". But where is he providing any single datum to back up his belief? And who exactly funds the site junk science?

As far as appeals to authority go, I'm gonna side with the people that provide data, not the people that question it with no data of their own.
Trapped on the surface of a sphere. XKCD

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If you have any ideas on how to get back at pediatricians, let us know.



Counselor, you are a wise man.

As far as the peds - THEY cause disease! Have you ever seen a pediatrics clinic?! All those mobile petri dishes! Leaking all over the place! No biohazard labels on those lil infectious sources! Transmitting bacterial and viral agents. It's the fault of the pediatric clinics that there is so much infectious disease in this country!

AND... Pediatrics practices HORRIBLE age discrimination. Try going to your local peds guy when you're 45! That should be illegal. They shouldn't be able to refuse treatment to you just because you're older!!!



- and christelsabine - The U.S. shouldn't do it either. I've been rather consistent with that opinion.

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And about 26% I beleive w/o looking it up, are insured thru MEdicare/Medicaid. What % are insured theru their employer with such horrible insurance that they pay $500 off the top for a family of 4 in premium copay and then deductibles on top of that.



Sounds fine to me.

I had a nice 100% coverage, no-deductible policy. It cost my employer $1000 a month to cover my wife and I where a $500 per person deductible policy would be in the $700 range and high deductible closer to $600. You'd be best off with a high deductible plan to cover catastrophic things with the price difference going into a tax free health savings account until you have the out of pocket maximums covered.

Health insurance is about getting the insurance company's negotiated rates so you're spending $12.50 on blood work instead of the full $300+ retail price. It's about having $40,000 in treatment for a broken leg covered so you don't get bankrupt. As long as you can pay with pre-tax money (HSA/FSA) you're better off paying for minor things out of pocket.

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I had a nice 100% coverage, no-deductible policy. It cost my employer $1000 a month to cover my wife and I where a $500 per person deductible policy would be in the $700 range and high deductible closer to $600.



What % of emplyers buy a kickass policy like that? 10% maybe. Is this a case, 'I have mine, tough shit for you all?" Kinda my point.

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What % of emplyers buy a kickass policy like that? 10% maybe.



In my experience, I could get this sort of coverage by working for either a very large corporation that had tens of thousands of employees and could negotiate a great rate OR a small, well-funded VC company that had kick-ass product and was competing for the best talent. Both scenarios happened in the "good" economies, not the "bad" economies, where the company paid for the insurance.

I still work as a contractor for some of the smaller companies. Now that the economy is bad, they offer insurance to their employees for sale. If I were still an employee, it would cost me about $1,000/month to insure my wife and two children - the same cost as my home mortgage.
Trapped on the surface of a sphere. XKCD

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