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Within the next few years the U.S. is going to have a nationwide, single-payer system



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No. 40
Old Nov 16, 2007, 08:49 PM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Lots come to California from other states!
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No. 41
from BBQvegan
Old Nov 16, 2007, 09:59 PM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Originally Posted by CRNA2007 View Post
Here in lies the problem. Everyone will not be paying into it. Thsoe who will use the system the most will pay into it the least. You try to do single payer and we will get endless media stories aon how so and so doesn't have the money to afford the premiums and they should get it for free. We already have so many freebies and giveaways for the poor it is ridiculous.

Are you suggesting that the life and health of a poor person is less worthy than that of someone who has money?
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No. 42
from Katnip
Old Nov 17, 2007, 04:51 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Originally Posted by bayoubengals View Post
If this happens it will be the end of the excellent healthcare we have as we know it.
Nationlized healthcare is worthless, long waits for treatment, denial of services, look at britian and canada. Heard on the radio that 70,000 britons left the country last year for procedures they could not get in Britian. When I was in Great Falls, Montana, late 80's/early 90's, every weekend we were invaded by canadiens seeking healthcare and prescription medicines they could not get in thier own country with its nationalized medicine.
More and more people are leaving this country to get healthcare in places like India and Thailand, becasuse they can't afford it here or they have to wait too long.
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No. 43
from Dierdre
Old Nov 17, 2007, 06:50 AM
Updated Nov 17, 2007 at 06:51 AM by Dierdre

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
I think that what you are really seeing in the push for single-payor/socialized medicine is the lower- to middle- income families who are either not offered healthcare through their jobs or cannot afford healthcare. I was a single mother for four years, and the cost of 'family' insurance at my job was overwhelming. The job paid none of my insurance cost (worked at a LTC facility), and for me to adequately cover myself and my children would have run approximately $300 per check. I made approximately $34,000 per year, too much to qualify for any state assistance, and too much to qualify for subsidized ER care. This ended up with the common sum (nurse)+(single mother)*(semi-tolerable income)+(asthmatic child)= multiple ER Visits and hospital bills paid at $10-$20 per month, which let me tell you is not enough to keep you off the collection agency rolls.

Lower middle-class families who simply can't afford health insurance are left completely out of the 'most wonderful healthcare system in the world.' I (a nurse) have not had a pap smear for five years, have had debilitating migraines treated with excedrin and prayer, have had extremely limited access to the health system due to my financial inability to pay, and the ability to not be turned away at the ER means absolutely nothing to me since I am still going to be expected to pay those bills when they come in.

Socialized medicine or a single-payor plan--is it going to provide ideal, utopian care for everyone in the US? Probably not. Is it going to be better than what I had for the last five years? My initial guess is yes.
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No. 44
Old Nov 17, 2007, 06:59 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Originally Posted by Dierdre View Post
I think that what you are really seeing in the push for single-payor/socialized medicine is the lower- to middle- income families who are either not offered healthcare through their jobs or cannot afford healthcare. I was a single mother for four years, and the cost of 'family' insurance at my job was overwhelming. The job paid none of my insurance cost (worked at a LTC facility), and for me to adequately cover myself and my children would have run approximately $300 per check. I made approximately $34,000 per year, too much to qualify for any state assistance, and too much to qualify for subsidized ER care. This ended up with the common sum (nurse)+(single mother)*(semi-tolerable income)+(asthmatic child)= multiple ER Visits and hospital bills paid at $10-$20 per month, which let me tell you is not enough to keep you off the collection agency rolls.

Lower middle-class families who simply can't afford health insurance are left completely out of the 'most wonderful healthcare system in the world.' I (a nurse) have not had a pap smear for five years, have had debilitating migraines treated with excedrin and prayer, have had extremely limited access to the health system due to my financial inability to pay, and the ability to not be turned away at the ER means absolutely nothing to me since I am still going to be expected to pay those bills when they come in.

Socialized medicine or a single-payor plan--is it going to provide ideal, utopian care for everyone in the US? Probably not. Is it going to be better than what I had for the last five years? My initial guess is yes.
Hi Dierdre,

This is why I am in favor of this. There are many people in just your situation that are finding it a major financial strain to get medical care even though they are hard working people just trying to take care of their families.

Kris
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No. 45
from Jolie
Old Nov 17, 2007, 08:31 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Dierdre,

I understand your plight, and agree that people in your circumstances need help in obtaining healthcare. But I don't believe that it is necessary or desirable to renovate our entire system to provide you with the assistance you need.

I am in favor of providing families like yours with subsidies (in an account that can only be used for health insurance and/or healthcare expenses) to enable you to purchase your own healthcare coverage. That will put you on a level playing field with those of us who have coverage without dismantling the entire system that works well for most people.
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No. 46
Old Nov 17, 2007, 09:15 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
The data does not support the assertion that our health care system works well for most of us. The following chart from the Commonwealth fund is actually very sobering as to the cost benefit equation for our non-system:



We are essentially dead last on average across some pretty important indicators. We can and must do better. Why should we put 25% of our health care dollars into an administrative subsidy for our un and underinsured citizens. It is a far better bargain to set up a single payer system.
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No. 47
Old Nov 17, 2007, 09:17 AM
Updated Nov 17, 2007 at 09:20 AM by HM2VikingRN

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
From a program evaluation/lessons learned approach we should look at what Germany, NZ and the UK are doing better and try to adopt changes based on lessons learned.

37% of our citizens are under or uninsured:



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No. 48
Old Nov 17, 2007, 10:04 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Thank you HM2Viking for all the data you've provided--and the time you must have taken to be so thorough in your investigations.

-Kan
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No. 49
Old Nov 17, 2007, 11:13 AM

Default Re: Within the next few years the U.S. is going to have a nationwide, single-payer sy
Originally Posted by Jolie View Post
Dierdre,

I understand your plight, and agree that people in your circumstances need help in obtaining healthcare. But I don't believe that it is necessary or desirable to renovate our entire system to provide you with the assistance you need.

Ouch, that is pretty harsh! As long as she too is working, she too will be providing for herself as well as paying for social security and medicare for those now receiving those benefits.

Kris
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