A Second Opinion on US healthcare - page 2

Published on Monday, June 28, 2004 A Second Opinion by Bob Herbert In an article a few years ago in The Journal of the American Medical Association, Dr. Barbara Starfield of the Johns Hopkins... Read More

  1. by   AnnB
    Quote from Dixiedi
    Loved your answer to catcolalex Fegus. Too true! The US has lots of problems but it's still the best game available. Some things better

    elsewhere, but they are few in number.

    Dixie, it's not the best game available if you are sick!
    . Have you lived anywhere else? or are you just espousing what most americans say even though they have never been anywhere.The US health care system is in crisis. If you are poor in the US forget it ,if you are rich' halelujah' you can get the best in the world. The inequities in care in the country are appalling. My neighbor had a C-section and the scar split after she went home. The hospital said they would dress the wound twice a week, it needed to be done about three times a day, she was also a diabetic !major infection risk!Her medicaid would no longer pay for any more dressings.I dressed that wound for her, she was lucky as I have an extensive background in wound care.How could you expect laypersons to do that ! You could put your fist in it How appalling!
    We are the only industrialised nation in the world without universal health care. The richest country in the world and 40 million people do not have health care. Health care is not a priviledge it is a human right! We talk so much about freedom and justice for all , where are these people's freedoms from acute and chronic diseases? where is their justice in access to affordable health care ?The infant mortality rates in some parts of this country are worse than some third world counties. The system is broken and we have to fix it, or our nation's overall health is at risk. You cannot have a productive economy with a sick workforce.
    I have lived and worked in Germany and the UK and while their systems may not be perfect no system ever is, people are never denied care on inability to pay,or have to make chioces whether they eat or buy medications as some of our seniors have to do . Ann.
  2. by   Dixiedi
    Quote from AnnB
    Dixie, it's not the best game available if you are sick!
    ....... Ann.
    Please reread my post and do not interject anything into it.
    We were talking about healthcare in this country and living in this country as compared to healthcare in other countries and living in those countries.
    My statement referred to healthcare in this country and living in this country following the same format as the post I was responding to.

    No, I am not nuts but you are apparently confused by the written word or following a line of thought or something.
  3. by   fergus51
    I didn't mean to start a which country is the best debate. I think Canada and the US are, but that's probably cause I am Canadian-American Every place has pros and cons. I would love to take the best of both countries, cause that would be pretty awesome
  4. by   AnnB
    Quote from Dixiedi
    Please reread my post and do not interject anything into it.
    We were talking about healthcare in this country and living in this country as compared to healthcare in other countries and living in those countries.
    My statement referred to healthcare in this country and living in this country following the same format as the post I was responding to.

    No, I am not nuts but you are apparently confused by the written word or fo
    llowing a line of thought or something.


    Dixie
    You must think I am a nutcase!
    I admit I didn't read your whole message and jumped in head first. I totally misinterpreted what you said as I actually agree with most of it.

    Just picked up part of the thread and went with it,that will teach me to read things properly. I should have gone back and read it properly.
    Sorry Ann.
  5. by   Dixiedi
    Quote from AnnB
    Dixie
    You must think I am a nutcase!
    I admit I didn't read your whole message and jumped in head first. I totally misinterpreted what you said as I actually agree with most of it.

    Just picked up part of the thread and went with it,that will teach me to read things properly. I should have gone back and read it properly.
    Sorry Ann.
    No problem. We are all confused, distracted, too quick or something most of the time! Just be thankful it was here where no harm is done than at work/school where there's just no telling what a bit of the above symptoms we all have could have gotten ya.
  6. by   catcolalex
    Quote from AnnB
    Health care is not a priviledge it is a human right! Ann.
    I disagree, health care is a priviledge that we pay for, rights are free. no one pays free speech insurance premiums. it is a purchasable service that is provided. it is also a priviledge that cannot be legally withheld because of inablility to pay. is it any wonder that the system is hurting? with sue-happy lawyers looking for outlandish settlements, illegal immigrants recieving all the health care they need, and politicians wanting it all to be free. sounds like a lot of $ going out but not a lot coming in except for my insurance premiums. all that said, when was the last time you heard of someone going elswhere for better care?
  7. by   Hellllllo Nurse
    As an RN in Texas, I have had several nursing jobs in which no health ins is offered. I 've had an on the job injury that I had to pay for myself. Not only did my employer offer no health ins, they do not carry Workman's Comp.
    Under Texas law, they don't have to.

    Employers in Texas refuse to pay for treatment of on the job injuries, and they get away with it.
    The very rich and the very poor can get health care in The US. Those of us in between are screwed.
  8. by   All_Smiles_RN
    Quote from catcolalex
    with sue-happy lawyers looking for outlandish settlements, illegal immigrants recieving all the health care they need, and politicians wanting it all to be free
    You've got that right, that's a big part of the problem!
    ...Jennifer...
  9. by   efy2178
    Living in the Midwest and working at the University of Iowa Hospitals and Clinics I would have to disagree with some of the statements. We serve indigent Iowans from all over the state many of whom cannot pay for care. Yet they receive the best healthcare has to offer. Especially those who receive care for Ophthomology, ENT, Orthopedics which ranks tops in the country if not the world. I work in the Heart Care clinic and often refer patient to social workers who do not have health care but can apply for 'state papers' and get the necessary care. However, we are not the 'poor man's' clinic.
    I take some issue with this article suggesting that we (the US) are very lax. Yes, as a world power we should be tops but being 13 in accordace with this rating criteria is not neccessarily the worse. MOST countries have little more than palliative care without medicine. OK, many of the European countries fare well but again I don't think you can say all of healthcare is worse off given their benchmarks. I work in Heart care. How does infant mortality measure that? Or low birthweight babies? Point is there are many benchmarks missing.
    Definitely I think we need improvement. Definitely I think there are those in control who make too much money for what they contribute while those without money to pay for medicines (which, BTW are produced in the US and sold cheaper in Canada--same drugs but sold cheaper because of bulk buying) struggle deciding whether they should pay for food or medicine. I certainly believe in healthcare reform but it will be a long haul. My best advise is what I have known for many years now. Want good health care? Ask a nurse who should you go to and where to go. They know.


    'Your system is mine too. I'm an American citizen so I still have the right to "choose" to live anywhere I want. And yes, I choose to benefit from the system where I live and I also contribute to it, same as everybody else. Where did I badmouth the US exactly? I am honest about the problems with the American healthcare system, just like I am with the Canadian healthcare system. What's the problem with that? Should I pretend the US system is perfect? Why the defensive reaction?

    As far as the second statement you don't like, I'll explain. I don't believe people should be denied care because of money and I don't like having to constantly be thinking about it at work (seeing the treatment of the medicaid vs private pay, seeing the hospital lay off workers because they have been stiffed on too many bills, etc). It isn't something you see in Canada. I like my wages here in American dollars because putting my American dollar paychecks on my Canadian debt is helpful thanks to the exchange rate. It's simply an honest discussion of the pros and cons of living in each country. I maintain the US has more opportunities for nurses, but it isn't where I would want to get sick. Life is always about tradeoffs and that's the one I have made for now. I will most likely choose to live in Canada again in the future where my career opportunities are not as good, but the benefits are better. If you can point me in the direction of a perfect country, I'll happily leave and stop annoying you.[/QUOTE]
  10. by   fergus51
    I don't know what part you disagreed with? The part that money plays a role in care? I don't mean to imply that ALL care is ALWAYS just about money in the US, just that it is a factor and it does impact certain aspects of care. I don't think it is possible to ever say anything that applies to every healthcare institution in the US or Canada for that matter since both countries are so huge. What happens in a small town in Iowa is going to be very different from a large city in California for instance.

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