Fuck I want "socialized medicine" and I want it now!

Calling me hysterical doesn’t help yours. We have a difference of opinion. That doesn’t make either of us crazy.

Leaving 50 million people without access to first world health care is an outrage. Millions more are inadequate insured. That is also an outrage. It is not acceptable.

Under our system my husband can’t even get onto a waiting list. You simply do not grasp that. He will not die on a waiting list, he will never even get to that list under our system. He is not allowed to stand in the line. Never mind getting to the front of the line, he’s not even allowed on the end.

$3500 is about 1/3 the cost of a normal pregnancy and delivery.

It is 1/10 the cost of my hospitalization for an episode of norovirus.

About 1/30 of my husband’s last hospitilization.

It is about 1/100 of the cost of my mother’s first heart attack, hospitalization, and bypass… in 1978. I have a feeling that the same treatment today would be more.

$3500 isn’t even adequate for maintenance for my husband, which runs around $6000/year. Except that, since we’re uninsured and I was laid off last November, he has not been able to get. He’s not actively dying you see, nor is he having an obvious complication. $6k is normal maintenance for when he’s healthy and nothing is going wrong. Such insurance is worse than useless, which is why we’re better off paying out of pocket and begging for charity than dealing with such a bullshit policy. How bullshit? Premiums were $300 a month - or $3600 a year. Fuck that - keep the money and if you something happens pony up $400 more. That’s bullshit. That’s health insurance only in name.

Even worse, if you have NO insurance whatsoever many providers will give you a discount, typically between 25% and 50% but if you have ANY insurance at all you do not have that option. You are also completely cut off from many other programs intended to help the uninsured… In other words, you’re doubly fucked. That’s what I mean by inadequate health insurance. If I had an accident and required $10k in treatment I might be able to argue it down to $5k, but with that horseshit insurance I’m on the hook for $6500 - and it’s a fucking perversion that there are people worse off with their horseshit insurance than those of us completely without.

Because you don’t like that I’m not agreeing with you and I’m telling you in no uncertain terms I think you are ignorant and full of shit. I will not desist. Fuck you, asshole.

You are wrong. My husband is actually doing extremely well - most people born in the 1950’s with his birth defect did not live to grow up. He’s the oldest person with his level of defect in either Illinois or Indiana by about a decade. The damage the diabetes caused was halted. But he won’t continue to do well without access to health care THAT’s why I’m pissed as hell - he’s doing well NOW but because we do not have the money in hand he will NOT continue to do well in the future. He will deteriorate. He will go blind. He may require amputations. His kidneys may fail. And it’s all preventable in his case. But hey - I’m laid off, he’s unemployed, we’re poor, and thus we don’t deserve to live, to keep his eyesight, whatever. You consider us human trash. So fuck you, you selfish bastard. Why should I have any respect for someone who essentially says my husband and I don’t deserve to live, don’t deserve to save his eyesight or feet, don’t deserve relief for the constant and chronic pain he is in due to his birth defect. Why should I be polite to someone who says we don’t deserve to have our medical needs tended to, who essentially says we should crawl off and just die because our lives are too fucking expensive for his taste?

Let’s assume 100,000,000 households - we have single people, joint filers, heads of households, so assume 100,000,000 “contributions” by tax paying citizen entities. The 6k annual cost of the care to keep him healthy comes to $0.00006 per household. That is 6/1000’s of a penny. You aren’t willing to give less than a fucking penny out of your pocket, yet you have the gall to say you “hate” how he’s in a bad spot. Fuck you, you selfish bastard.

ONE PENNY of your tax money could be your contribution to help 166 people just like my husband. How fucking selfish do you have to be to say that’s “too expensive”?

Insurance only works if you spread the risk, and the larger the group spreading the risk the less it costs each individual. So… which is better, spreading the risk over 250,000,000 or 300,000,000? In fact, the risk is NOT spread over 250,000,000 in any case and that pool is divvied up among a multitude of companies. A 300 million strong risk pool would only be to the benefit of those in the pool.

Yes, the healthy subsidize the sick and injured - but you could join the sick and injured at any time no matter how careful you are. Accidents happen. You could get hit by lightning. Some drunk could hit you as you drive down the road. The person cooking your food at a restaurant may have diarrhea and not wash his or her hands well enough after going to the toilet. A sick person could cough or sneeze on you at the store and give you a flu that lands you in the hospital – at which point you WILL need more than $3,500 for your health needs. That’s the whole point of insurance - you pay in while you’re healthy so it will be there if you’re not.

Kisses, bitch.

All of which contributes to the fact that, regardless of your foaming hysteria, I’m still undecided. That’s why it’s an issue, not a slam dunk. Two sides.

Shame on you for using your husband’s condition to poison this debate. You’re obviously either too emotionally involved to debate honestly, or a complete scumbag. Your tactics are despicable.

Oh, and fuck you.

Hope your husband does well, but you can fuck right the fuck off.

Broomstick, I don’t want to derail this so I offer this just as an aside - sorry to everyone else in this thread.

I think you and hubby should consider applying to immigrate to Canada. Here’s a link to the quiz to determine your suitablility: http://www.cic.gc.ca/english/immigrate/skilled/assess/index.asp - based on some other threads, I think you would score quite highly, and Calgary (where I am) still has an unemployment rate of around 3% with loads of positions in your area of expertise. Your husband’s diabetes should not prevent a move.

[/hijack]

:rolleyes:

No, but his spina bifida and other medical complications might - I have looked into this, believe me. You are correct, I score quite highly on their quiz (high school French finally pays off, among other things). It is still a possibility, but you can probably understand that moving to another country and across a continent from my other family members is quite a drastic action, especially since it would likely require a significant period of separation from my husband and we might have difficulties others don’t due to his medical situation.

If, however, things do not improve or get worse over the next year I will certainly consider the option more strongly. We’ve discussed moving west within the US, moving to Calgary wouldn’t be that much different in a sense. (I would have to get used to some other things being different, I’m sure)

I’ll take a closer look at your cite a bit later, but I just wanted to provide a couple of examples to help illustrate the inefficiencies of the healthcare industry.

On a publicly-traded company’s Income Statement, the line item “Selling, General, and Administrative” (SG&A) is used to report expenses that are not tied directly to producing goods or services. Things like HQ utilities and back office expenses go in there. Things like AR and IT payroll go in there as well. A healthcare provider will probably report all its back-office (non-physician) salaries here. Physician salary would probably get reported in cost of revenue, not SG&A, although malpractice insurance might go in SG&A (I’m just not sure). But, SG&A does not cover things like equipment, drugs, etc. It’s administrative overhead.

Let’s look at the SG&A as a percent of revenue for four public companies: two hospital chains and two manufacturing companies:



Company                    2007 Revenue   2007 SG&A   SGA/Rev
=======                    ==========     ========    =======
Tenet Healthcare           $8.8B          $3.6B        41%
Univ. Health Svcs          $4.7B          $1.7B        35%
Ford                       $172B          $21.2B       12%
GM                         $181B          $16.5B       9%


(figures from filings available through Yahoo Finance)

Even Ford and GM, hardly healthy companies, just kill the healthcare companies in keeping overhead low. Why do these big, market-driven, publicly-traded healthcare companies spend 35-40% of their revenue on back office functions? Are they run by morons who just need a good consultant? Or, is this the best you can do in healthcare? My experience suggests the latter. Spending 41% of revenue on non-revenue-generating expenses is just nuts. But that’s good enough for the most successful for-profit healthcare companies out there.

And it’s not just the minutia of billing. There’s
[ul]
[li]Provider Enrollment: Got a new doc? They need to be enrolled in every insurance plan before they can see those patients. You have to have staff to do this. Your new doc is burning salary and not seeing patients while the enrollment process is grinding along. There goes a few tens of thousands of dollars.[/li][li]Contract maintenance: Dozens of contracts, renegotiated every couple of years. That doesn’t get done by itself. Some of the people who manage contracts? Lawyers. They don’t work cheap.[/li][li]Eligibility verification: Patient has an insurance card. Is he eligible today for this service? A clerk has to look that up every freaking time someone comes to the desk. Go to a website, put in the info, wait for response. More salary down the fucking tube.[/li][li]Payers are dicks: Payer changes a data requirement. You think they tell every provider? Nope, they just deny your claims so you have to scramble to figure out why you’re not getting paid. Make corrections to the system and re-submit. Yeah, there’s staff time we couldn’t have found a better use for.[/li][li]Training: Your clerks need to know how to deal with all these different kinds of insurance. There’s a couple days of training for each clerk per year to keep them sharp enough to remember what to do when someone presents a card from the Grace L. Ferguson Insurance and Storm Door Company. You’re paying them to sit in class to learn how to navigate a completely arbitrary system, with rules you have to be some sort of savant to memorize. Plus, of course, you have to employ a staff of people to deliver the training. In my company, we have four people devoted to this task. They’re not volunteers.[/li][/ul]

I can probably think of a couple more if I worked at it a little bit longer, but I want to go to bed. Honestly, I don’t know how to fix the US system. But fixin’ it needs. It is just out of control. A single payer system would eliminate all of these problems. Sure, it would present its own problems. But for the healthcare provider, live would get a lot easier.

The best US medical care is like the best that the US has to offer on so many fronts: World-class. That doesn’t help those who can’t even afford maintenance medication.

Cite?

The US medical system spends a larger percentage than any other Western medical system on paper-shuffling. It’s an item of faith for many that private companies will always incur less bureaucracy than public organizations, and it’s simply not true. The US medical system spends more, not less, on bureaucratic overhead than does the Canadian, German or French systems.

Add to that the overhead of running the medical insurance companies, who have to turn a profit. How can they do that? Simple. Deny coverage to those who need it, charge as much as the market will bear to those who you predict will remain in good health, and fight making payments tooth and nail. Oh, and all those people who prevent undesirables from getting coverage, as well as those who try to keep those who need treatment from getting money to cover it? Paid out of your healthcare dime.

Oh, and after reading your latest response to Broomstick, howsabout you show a little moral courage and stand by your convictions? The US system is in shambles, and if you can’t face its consequences, perhaps it’s time to stop defending it - rather than lashing out towards those who have concrete evidence of its shortcomings.

Right. I’m lashing out. She has been condescending, dismissive, patronizing, and insulting from her first response to me, and I’M the one lashing out.

What planet did some of you idiots beam down from?

:eek:

:o

:smack:

:confused:

I’m sorry, I laughed uncontrollably at that. I’m sure that wasn’t the desired response, but I think it tempers slightly the level of asshole you were being before. :smiley:

Hehe don’t feel bad. I was kicking myself at work for forgetting to mention a detail on the tooth. Corn sorting gives you alot of time to analyze everything into morbidly indepth detail.

Anyway not all UHC implementations include dental. While a strong proponent of UHC in fairness I should mention that.

I remember a poor Canadian of mine griping about how her wisdom teeth where coming in and hurt so bad and how she was too broke to go to the dentist.

So the wisdom tooth fella would be just as screwed in Canada as the US.

Wait. Seriously. Now that the tension has been carved a bit, why do you think I’m being an asshole?

The territory I’ve covered in this thread:

  1. I’m skeptical of, but interested in, UHC.

  2. I’ve acknowledged my ignorance on some issues (IOW, I’ve actually changed my stance).

  3. I’ve thought and read and asked questions.

  4. In return for raising THE most important issue in UHC (that it’s a huge financial decision, and possibly not one that should be forced on the U.S.), I’ve been attacked repeatedly and called “asshole”, and told that I think Broomstick’s family are “human trash”. Why is this acceptable?

I don’t change my mind under personal attack, people. It makes me dig in harder.

Again, UHC is an ISSUE. It has two sides. One is not an asshole or a husband-hater or whatever simply because one is skeptical.

Heavens, and I thought Ogres were supposed to be thick-skinned.

The question remains: why do you think I was the one lashing out, when Broomstick was demonstrably the one who started slinging insults?

We’ve all been right here on Earth. What planet are you on that you’re not being a huge dick?

The simple, brutal fact of the matter is that this is not just some academic exercise where the people who suffer and die do so only on paper and so there’s no harm and no foul. It’s not even discussing real issues halfway around the world. This is real life, and the people we are consigning to suffering and death are real people right in front of us–our neighbors, our friends, in some cases our families. Not being willing to help them, it IS a harm and a foul. Pointing that out doesn’t make someone hysterical, no matter how many times you say it or what kind of insulting icons you put alongside the insult.

Because you’re taking money from Broomstick’s husband and giving it to fat-cat CEOs as a bonus. Shame on you. You’re what’s wrong with American health care. UHC will prevent you from taking money from sick people and giving it to eeeeeeeevil CEOs.

I’m going to have to withdraw my rolleyes from Ogre and present them to kidchameleon.
Sorry Ogre. :wink:

ETA: Anybody that spells evil with more than 3 e’s deserves disdain unless they’re being obviously sarcastic. Maybe I’m being whooshed.

You have, actually, been pretty calm, and you defenitly were at first. However, your problem was that you just kept upping the aggression levels until we were shouting at each other. The only real “insults”, at first, were along the lines of ‘Why can’t you people understand this?’, which, perhaps, wasn’t directed as you like you took it.

Otoh, I went overboard too. That’s what I get for running from other things to here.

I acknowledge that it’s a financial burden for those people who are young and healthy. I also think that, in the end, it will benefit everyone (like SS has, and will if we don’t screw that up), and that, even if it did screw some people over, it would still be morally proper to pursue it.

So you’re saying I’m an asshole for snapping back at someone who DEMONSTRABLY insulted me first? How does that work, exactly?

And no shit it’s an intensely personal issue. It’s medicine, for fuck’s sake. But does that mean we go all hysterical and make half-baked national decisions? I certainly hope not.

I work for a pharmaceutical company. I’m EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEVIL.