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FACT CHECK: Distortions rife in health care debate



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No. 20
from wowza
Old Aug 13, 2009, 01:05 PM

Default Re: 5 freedoms you'd lose in health care reform
American College of Surgeons' response to Obama's total blunder yesterday:
"The American College of Surgeons is deeply disturbed over the uninformed public comments President Obama continues to make about the high-quality care provided by surgeons in the United States. When the President makes statements that are incorrect or not based in fact, we think he does a disservice to the American people at a time when they want clear, understandable facts about health care reform. We want to set the record straight.

– Yesterday during a town hall meeting, President Obama got his facts completely wrong. He stated that a surgeon gets paid $50,000 for a leg amputation when, in fact, Medicare pays a surgeon between $740 and $1,140 for a leg amputation. This payment also includes the evaluation of the patient on the day of the operation plus patient follow-up care that is provided for 90 days after the operation. Private insurers pay some variation of the Medicare reimbursement for this service.


– Three weeks ago, the President suggested that a surgeon’s decision to remove a child’s tonsils is based on the desire to make a lot of money. That remark was ill-informed and dangerous, and we were dismayed by this characterization of the work surgeons do. Surgeons make decisions about recommending operations based on what’s right for the patient.We agree with the President that the best thing for patients with diabetes is to manage the disease proactively to avoid the bad consequences that can occur, including blindness, stroke, and amputation. But as is the case for a person who has been treated for cancer and still needs to have a tumor removed, or a person who is in a terrible car crash and needs access to a trauma surgeon, there are times when even a perfectly managed diabetic patient needs a surgeon. The President’s remarks are truly alarming and run the risk of damaging the all-important trust between surgeons and their patients.


We assume that the President made these mistakes unintentionally, but we would urge him to have his facts correct before making another inflammatory and incorrect statement about surgeons and surgical care."
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No. 21
from azhiker96
Old Aug 13, 2009, 06:08 PM

Default Re: 5 freedoms you'd lose in health care reform
Originally Posted by wowza View Post
Medicare is scheduled for a 21% cut in reimbursement. Anyone know it the proposed plan's reimbursement are directly tied to medicare reimbursement?

In otherwords, if the 21% cut in medicare goes through, will there also be a 21% cut in the new gov't plan too?
What I read in the plan was reimbursement rates for the government option would be initially set at medicare rates. I would think that would be whatever rate is in effect at the time the bill takes effect.

I just spoke with an anesthesiologist who has been accepting medicare for over 2 decades. She said Medicare reimburses less now than it did when she started with them in 1982. I'm glad I'm not getting paid less than a similar job in 1982. I wonder how long the docs will be able to hang on if more of their patients move from private insurance to government option. Maybe we will get to find out.
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No. 22
from madnurse2b
Old Aug 13, 2009, 06:25 PM

Default Re: 5 freedoms you'd lose in health care reform
Originally Posted by TurnLeftSide View Post
They don't dictate my provider. I can do a search of providers on the insurance website and choose who I want to provide care to me. I never got anything from my insurance company stating I must see such and such doctor. I'm very happy with my insurance and would rather keep it and see the doctor associated with the hospital where I work instead of going to see another doctor who is not associated with my hospital.
Exactly you can go to the list of doctors on their Preferred Plan Option (PPO) - not anyone that you might want to go to. You cannot go to the one that you think is best through rigorous research - no you have to go to the best one on the list you have that contracts WITH YOUR INSURANCE COMPANY!!!
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No. 23
Old Aug 13, 2009, 07:36 PM

Default Re: FACT CHECK: Distortions rife in health care debate
I have an HMO and haven't had any issues thus far. Yeah, I get a list to docs to choose from. Thats fine with me, as long as I get to choose my doc.
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No. 24
from Agrippa
Old Aug 13, 2009, 07:45 PM

Default Re: FACT CHECK: Distortions rife in health care debate
I have a PPO and I've had problems. That must mean that our healthcare system is great!
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No. 25
from azhiker96
Old Aug 13, 2009, 10:20 PM

Default Re: 5 freedoms you'd lose in health care reform
Originally Posted by madnurse2b View Post
Exactly you can go to the list of doctors on their Preferred Plan Option (PPO) - not anyone that you might want to go to. You cannot go to the one that you think is best through rigorous research - no you have to go to the best one on the list you have that contracts WITH YOUR INSURANCE COMPANY!!!
True, and this will not change with the new health care bill. Once again, you will only be able to use government health insurance with doctors who accept that as payment just as it is with medicare today.
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No. 26
Old Aug 13, 2009, 10:45 PM

Default Re: FACT CHECK: Distortions rife in health care debate
Originally Posted by TurnLeftSide View Post
Another thing is, you can't make all these people be compliant with their meds and diets. So what is Obama gonna do to the docs whose patients are noncompliant diabetics, not pay them? That's not fair at all to the physician.
That would be like applying "The No Child Left Behind" law to health care.
Hm....make doctors & nurses' pay dependent on patient compliance.

It's not so far fetched......it's exactly what's being done to teachers.
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No. 27
from wowza
Old Aug 14, 2009, 08:34 PM

Default Re: 5 freedoms you'd lose in health care reform
Originally Posted by azhiker96 View Post
True, and this will not change with the new health care bill. Once again, you will only be able to use government health insurance with doctors who accept that as payment just as it is with medicare today.
Actually in certain specialties there are very few doctors who will take medicare. For instance it is really hard to find a dermatologist who takes medicare. You think you have to wait a while to see a dermatologist with normal insurance or cash...
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No. 28
Old Aug 16, 2009, 05:35 PM

Default Re: FACT CHECK: Distortions rife in health care debate
Speaking of distortions....

Misinformed critics commonly charge that the infant mortality rate in America is higher than in numerous other nations. A closer inspection of the facts, however, reveals that this is only because the definition of “live births” in other nations differs markedly from the definition in the U.S.—thereby making the comparisons utterly invalid.

In Switzerland, for instance, a newborn infant must be at least 30 centimeters long in order to be classified as “living.” In France and Belgium, babies born prior to 26 weeks gestation are automatically registered as “dead”—even if they go on to survive for several hours, days, or even weeks before ultimately dying. And when they do eventually die, they do not inflate infant-mortality rates because they were never technically considered “alive.”

In the U.S., by contrast, a “live birth” is any infant that “breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles”—regardless of the infant’s size or prematurity. If such high-risk American infants ultimately die, they do inflate our country’s infant-mortality statistics.

It’s apples and oranges, get it?
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No. 29
from herring_RN
Old Aug 17, 2009, 10:03 PM

Default Re: FACT CHECK: Distortions rife in health care debate
Originally Posted by ozoneranger View Post
Speaking of distortions....

Misinformed critics commonly charge that the infant mortality rate in America is higher than in numerous other nations. A closer inspection of the facts, however, reveals that this is only because the definition of “live births” in other nations differs markedly from the definition in the U.S.—thereby making the comparisons utterly invalid.

In Switzerland, for instance, a newborn infant must be at least 30 centimeters long in order to be classified as “living.” In France and Belgium, babies born prior to 26 weeks gestation are automatically registered as “dead”—even if they go on to survive for several hours, days, or even weeks before ultimately dying. And when they do eventually die, they do not inflate infant-mortality rates because they were never technically considered “alive.”

In the U.S., by contrast, a “live birth” is any infant that “breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles”—regardless of the infant’s size or prematurity. If such high-risk American infants ultimately die, they do inflate our country’s infant-mortality statistics.

It’s apples and oranges, get it?
That has been posted repeatedly in this forum

People in other modern first world countries don't go broke or become homeless because they get sick or are in an accident.
That's been posted a lot too.
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