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  #41  
Old Oct 04, 2007, 11:25 AM
Katnip's Avatar
Senior Member
Join Date: Aug 2001
Re: When's something gunna give in healthcare?

More companies are also starting to require employees to shoulder more and more of the premiums, as well as much higher deductibles, etc. They say they can't afford to insure people the way it once was done, and I can believe it. Costs have spiraled out of control.

I must say, part of the blame, even a small part lies with the insured. Because we're insured we expect to get every diagnostic test and treatment whether we need it or not. The population wants perfection in their healthcare. If an outcome is not perfect, they are quick to sue, further driving up costs. Too many people don't want to take the responsibility of looking out for their own health and instead wait for the magical medical wand to fix them, rather than going a preventative route.

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  #42  
Old Oct 04, 2007, 12:05 PM
Registered User
Join Date: Mar 2007
Re: When's something gunna give in healthcare?

It's going to get much worse with the population living longer. Preventative care is a drop in the bucket compared to the last year of life in our elderly population which is like the Niagara. Why do we want to live forever?
I thought about this yesterday as we coded a 87 yo, brought her back only then to have her family sign a DNR and order comfort care only-had her extubated (after shocking, meds, and a good pounding) and then she died. Her last 1 1/2 day was spent in a busy ER, alone, scared, tubed, vented, and in pain.
Health care costs will continue to climb because our country has a skewed vision of what is necessary in this world. A trillion dollars in Iraq, but no 17 billion for the health insurance of America's poor and lower middle class children. THANKS GEORGE BUSH...

Maisy

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  #43  
Old Oct 07, 2007, 05:43 AM
Registered User
Join Date: Oct 2007
Re: When's something gunna give in healthcare?

I guess there isnt a solution then?? How are all the other industrialized nations pulling off universal health care?

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  #44  
Old Oct 07, 2007, 06:05 AM
Tweety's Avatar
Tweety (Male)
Admin Team
Join Date: Oct 2002
Re: When's something gunna give in healthcare?

Many opinions on this topic.

I'm going to move this thread to one of the several existing and ongoing threads on this topic. Enjoy the discussion!

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  #45  
Old Oct 09, 2007, 10:26 AM
Senior Member
Join Date: Mar 1999
Re: National Health Care, Your Thoughts

Nation's healthcare crisis gets personal
I write a lot about healthcare reform. Now it's personal.

I was diagnosed this past week with diabetes. As of Friday, I was injecting myself with insulin, something I'll be doing four or five times a day, every day, for the rest of my life. Without the injections, I'll likely die....

http://www.latimes.com/business/la-f...41,full.column

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  #46  
Old Oct 09, 2007, 10:43 AM
ZASHAGALKA's Avatar
ZASHAGALKA (Male)
Who's John Galt
Join Date: May 2005
Re: National Health Care, Your Thoughts

Originally Posted by spacenurse View Post
Is there an example of free market healthcare making safe, therapeutic, effective care available to anyone working full time?
Lasik eye surgery.
Orthodontics.
Eye glasses/exams.

~faith,
Timothy.

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  #47  
Old Oct 09, 2007, 11:02 AM
Premium Member
Join Date: Oct 2001
Re: National Health Care, Your Thoughts

Originally Posted by ZASHAGALKA View Post
Lasik eye surgery.
Orthodontics.
Eye glasses/exams.

~faith,
Timothy.
Timothy,

You raise an interesting point that some of the fastest-growing and most highly desirable (from the standpoint of physician practice) areas of medical practice are those that are largely not covered by private or publicly funded insurance plans.

Infertility and cosmetic surgery would be other examples, since they are often excluded from coverage.

Patients who desire these services find a way to pay for them, at relatively lower cost than other types of medical care, because they involve direct negotiation of price and payment terms between provider and patient, without the costly interference of a third party payor.

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  #48  
Old Oct 09, 2007, 03:11 PM
Senior Member
Join Date: Mar 1999
Re: National Health Care, Your Thoughts

I am glad these are affordable BUT I know 40 something man who is not insured. He paid for the eye exams at a store.
Turns out he has normal pressure glaucoma so bad he cannot drive.
It happened so gradually he didn't know what was happening until he sees as though through a tunnel.
If he had gone to an opthamologist he would likely have been diagnose in time for eye drops to save his vision. Now he cannot work and has applied for disability.
YES he is in school to learn a trade that doesn't require a drivers license.

BUT with many insurance plans would he have seen an opthomologist?

May I request someone to comment on this article?
http://www.latimes.com/business/la-f...41,full.column

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  #49  
Old Oct 11, 2007, 01:30 AM
Registered User
Join Date: Jun 2006
Re: National Health Care, Your Thoughts

Originally Posted by Medic15251 View Post
As the 2008 presidential race draws nearer, health care is fast becoming a hot topic for debate. What are your thoughts on a national health care plan proposed by Hilary Clinton and other democrats? If this becomes law, how do you think it will effect you as a nurse?

I am personally against a national health care plan. I feel like it is putting too much power in the hands of government. It will lead the way to America becoming a socialist country.
NEW MESSAGE:
As a former Canadian nurse working in Public Health in the early '60s in Windsor Ontario, when 7 doctors conceived a health plan they called "Windsor Health". I had $17. removed from my $350.+/-paycheck monthly, and never knew any hardship regarding access to healthcare. That was then. Although money was taken out of paychecks, no one thought the program was "government" run. We all knew the involved doctors, and applauded their efforts.
Their plan was the first of its kind in Canada, and was picked up by all the other provinces. As a Public Health Nurse, my assignments weren't changed as a result of the plan. I was still responsible for health education, making home visits for all postpartum women and their babies, within the first 24 hours following their discharge from hospital at 5-7 days; and people who had contact with active Tb; and those who had required psychiatric hospitalization. I staffed 3 well baby clinics monthly, and was school nurse at 4 schools, 2 private Catholic ones, and 2 public, in my 25 square mile rural area called Yakee Bush, that had 5,000 families. Each fall, children in whom I'd found lice in the hair check of all school kids, weren't treated by their families if their assistance harvesting tomtoes for canning was needed. That was actually my worst problem, and I never felt overworked.

Now, I'm a good deal older, with relatives on both sides of the Ontario Healthcare Insurance Program - OHIP(healthcare providers and patients). As a senior, after spending 44 years in California without many health problems, I've had 2 "critical" illnesses in the past year.
Employers aren't allowed by their healthcare insurance providers, to let Medicare be the primary insurance, so they have to pay high premiums (over $1000./month) for senior employees. So I've had difficulty keeping jobs, once my age is known by the insurance carrier, who makes it known by the excess premiums. 2 weeks before health benefits would start, I've been fired summarily, although I'd been praised for my work.

Somehow, I'd thought that I would work as long as possible, as I love being a Nurse. I never thought the end of the line would come due to age, because there's a law against that! How naive!

My genetically acquired depression deepens and the financial ramifications of not working create susceptibility to stress related illness (which is all illness). I can't afford my medications, and have to beg for samples. (Medicare "D" is a bad joke, as the monthly premiums for each manufacturer of my ($9./capsule, iiiqd) antidepressants; my $375./month proton pump inhibitor which is the only one that works for my GERD; and my diuretic (which I can pay for). When the Canadian dollar was less valuable than it is now, and before the pharmaceutical companies backlashed Canada for providing medicine for Americans, I purchased them through my sister's neighborhood pharmacist. I can't afford "supplemental" health insurance (which I had thought Medicare "B" was, until I was rudely awakened, to realize that since doctors' fees had increased greatly, that plan was compulsory, and its premium removed from my social security check.

So be warned my younger colleagues, unless we have a "national" or "state program", you could end up like me - which could be worse. If you have DM or any other chronic illness, the expense of frequent hospitalizations and procedures will take all you have, except your home if you own it. But repairs, maintainance and replacement of worn faucets, etc. will not be possible.

Bearing the cost of healthcare for those less fortunate than you are now, isn't severe, due to the high number of employed people contributing to the program. Who took the "care" out of healthcare, anyway? Why have we become so selfish that we begrudge the same amount or much more, that our taxes pay for poor, unfortunate peoples' healthcare now?

Government is just the cashier of the Canadian programs, which are run by doctors who don't have to curb diagnostic studies, or have regulations on what medications may be prescribed. Nor is there any demand for a certain number of patients a doctor must see daily. They practise as they always have, freely, but chafe at their lower incomes than American doctors still receive. However, their lifestyles are comfortable, financially, and their status among others, is high. Oh, and hospital lobbies don't resemble those of deluxe hotels, but their equipment is "state of the art".

Read the references HMViking has generously researched and shared, in the MM thread. The content of those sites gives me hope for my children and grandchildren's welfare. It appears that we have concerned socially conscious doctors working away at a very acceptable program, here.

I'm even hopeful that pharmaceutical companies might once again be manufacturers of medicines, not entrepreneutial money grabbers who "double dip" grants with high prices for products whose research they they house. However, severe adverse side effects are often belittled as billions are spent to market them (think HRT, and ED prescriptions easily attained by men seeking greater thrills, who don't have ED). The costs of heart disease are multiplying far beyond that before the ballyhoo. Soon we'll know the effect on lifespan caused by those previously misreported/hidden effects!

While I'm ranting, I have to say how impotent HIPPAA was in New Jersey, with gossip rampant with confidential info shared on George Cooney. A month of suspended duty, at the cost of using travel nurses will be borne, which may change the guilty ones' behaviour - or not. The only difference that waste of paper patients sign, on the mistaken assurance that their private lives will remain private, only allows government agencies, insurance companies, etc. to access their health information, without so much as a patient's knowledge that it has been released! The substitution of a phrase which aknowledges receipt of the whole law, is a disgusting deceit. Hopefully a clean sweep of healthcare will abolish it.

Whew! If you read all this, I hope you gained gumption to be part of the solution.......

So despair not, hope and healthcare is at hand.

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  #50  
Old Oct 14, 2007, 02:15 PM
HM2Viking's Avatar
HM2Viking (Male)
TARDIS
Join Date: Apr 2006
Re: National Health Care, Your Thoughts

Medicare Drugs Cost Excess $15 Billion, Report Says (Correct)

By Lorraine Woellert and Avram Goldstein
(Corrects estimate of savings cited by trade group in 13th paragraph.)
Oct. 13 (Bloomberg) -- Insurance companies offering Medicare-funded prescription drug plans are costing U.S. taxpayers almost $15 billion a year in excess administrative fees and pharmaceutical costs, a congressional study found.
The study released today also found insurers fail to pass on $1 billion a year in discounts from drugmakers to participants in Medicare, the U.S. health program for the elderly and disabled.
``The use of private insurers to deliver Medicare drug coverage is driving up costs and producing only limited savings on drug prices,'' said Representative Henry Waxman, a California Democrat and chairman of the House Oversight and Government Reform Committee. The panel's Democratic staff prepared the analysis.
accessed today at http://www.bloomberg.com/apps/news?p...vhBBU&refer=us .

Medicare part D is nothing more than a corporate giveaway.

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