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Interesting article on Obama health care plan



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No. 40
Old May 17, 2009, 10:37 PM

Default Re: Interesting article on Obama health care plan
Man oh man, where do I even start?

How about here...first you said this

Originally Posted by wowza View Post
When you pool a group of people, the cost to the individual goes down
Then, hilariously, you said this:

Originally Posted by wowza View Post
Thus the average cost to the individual is not going to change

Which is it?

Moving on...

Unfortunately this idea doesnt work for decreasing the costs of the whole country. If you are part of a smaller group-(?????) you will be paying closer to the actual cost of your actual care because your costs cannot be buffered by healthy people. It doesnt increase the cost of your care- just the costs you see. If we pool the entire country into 1 plan, it is not going to decrease the cost OF THE SYSTEM; that is fixed based on prevalence of disease and the cost of treating disease. Thus the average cost to the individual is not going to change we will just be re-distributing costs.
First of all, yes the average cost to the individual would change. You yourself admitted that. And I have NO IDEA what you are talking about when you're talking about a smaller group. I explicitly said the entire country would be included. That's a lot of people. A large risk pool = less costs to each individual. Do you want to me to post some links regarding how a risk pool works to help you out here?

Second...yes, actually, a single large risk pool would actually reduce overall costs as well. Are you aware at the moment how many employees are employed by most hospitals whose sole purpose is to negotiate with for-profit insurance companies? Do you know how much wasted money is spent training, retaining, and keeping those folks up to date? Can you imagine a better use for that money? Can you agree that reducing their workload and knowledge base to one payer leads to a streamlined and simplified system? (not to mention one unmotivated by profit, much like the police and fire protection you now enjoy)
Further, a single payer system encourages people to use preventative medicine, rather than waiting until the last minute to go to the ER which incurs costly and unecessary fees, most often shouldered by the public anyway. 20 dollars worth of antibiotics is a lot cheaper than meningitis later on. Won't you agree?


Third, do you know how basic economics work? Are you aware that one very large customer has immense negotiating power? Can you imagine the buying power of a single-payer system to negotiate drug costs etc?




Second- the system is not broken. People get timely care- they just have to pay for it. Y
Are you aware that the standard of care we receive is either poorer or on par with other countries who utilize a public health plan (or at the very least, price ceilings on health services and insurance)? Why do you suppose that is?

If you want a solution i have one that involves a national health care plan for those uninsured:

Create a national health care plan that has certain restrictions-
1) if you currently smoke or use illegal drugs you are not eligible. Evidence of either of these disqualifies you for 2 years.
2) If you are obese by body fat measurements (not BMI) and not handicapped or elderly, you are not elligible.
3) As an adult if you did not graduate from high school and do not have a valid excuse- you are not eligible.
4) If you are non-compliant with your medications and not from side effects, you are kicked out
5) Only US citizens or those who have green cards are eligible.

Those who are not eligible and those who want to pay for it, can always get private insurance.

Then people would have some motivation to stop all these crappy lifestyle habits and lose some weight. We almost overnight would have a healthier, more compliant population and a better educated populace in one foul swoop.

This is embarrassingly terrible. First of all, who are you going to hire to oversee all of this? How much will that cost? Who gets to decide what a "good excuse" is for not graduating high school? What about the immense cost to our country in terms of dollars with regards to lost productivity due to illness and disease?
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No. 41
from CRNA2007
Old May 18, 2009, 12:12 AM

Default Re: Interesting article on Obama health care plan
Probably the same way the Obama administration will measure saved jobs.



Originally Posted by Magsulfate View Post
I read somewhere today that they were considering paying providers for the QUALITY of care they give.

Hm. I wonder how they would measure THAT!

I can only imagine.
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No. 42
from CRNA2007
Old May 18, 2009, 12:20 AM

Default Re: Interesting article on Obama health care plan
Wow, so it's selfish to want to keep more of what you earn, but not selfish to take from another individual that which you did not earn? The system we have right now is not broken and works just fine. The broken part comes in to play with all the medicaid abuse we have in the system. I have a novel concept make people work and provide for themselves.




Originally Posted by Koyaanisqatsi View Post
What people like you never seem to understand is how a risk-pool works. If we are all paying into the same system, the risk/cost goes DOWN. Have you ever worked for a small company? Did you notice how sky-high the insurance cost was? There's a reason for that.

Yes, I know you want to be selfish and care only about yourself and your family. Fine. At least be smart about it. I am not knocking selfishness, I'm just saying that it is in our best interest to cover everyone and keep costs DOWN.

The system we have right now is broken, and I am sick of argung with people who say stuff like "MY MONEY" all the while offering zero alternatives or ideas. The system right now is completely worthless, and some people are too ideological to see it.
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No. 43
from CRNA2007
Old May 18, 2009, 12:25 AM

Default Re: Interesting article on Obama health care plan
You really believe that is all it is going to cost? HAHAHAHAHHAHAHAHAAHAH



Originally Posted by Hushdawg View Post
Actually the overall cost is going to be about $2,500 per household. This amount can easily be taken from federal budget already allocated for programs which are defunct, no longer work and are simply drains on the economy. This is precisely what the plan is. Obama's complete plan is to isolate programs that can be cut out that will pay for this so that nobody feels any greater tax impact from the universal health care implementation.

Check out the Obama perspective instead of listening to what Rush Limbaugh has to say:

http://healthreform.gov
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No. 44
from wowza
Old May 18, 2009, 04:12 PM

Default Re: Interesting article on Obama health care plan
Originally Posted by Koyaanisqatsi View Post
Man oh man, where do I even start?

How about here...first you said this "When you pool a group of people, the cost to the individual goes down "


Then, hilariously, you said this: "Thus the average cost to the individual is not going to change"


Which is it?
Actually it's both. The two are not mutually exclusive and are different, you just missed the distinction.

In context, the first compares when you have very few people to buffer costs. They pay closer to their costs.

The second compares the AVERAGE cost to the individual ie the average cost of the system divided among the individuals in the system. This is a fixed cost based on the cost of the system. Some will end up paying more under this system; some will pay less. Regardless the average cost is not going to change because those that pay more will be factored out by those that pay less.
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No. 45
from Magsulfate
Old May 18, 2009, 07:28 PM

Default Re: Interesting article on Obama health care plan
Originally Posted by wowza View Post
Actually it's both. The two are not mutually exclusive and are different, you just missed the distinction.

In context, the first compares when you have very few people to buffer costs. They pay closer to their costs.

The second compares the AVERAGE cost to the individual ie the average cost of the system divided among the individuals in the system. This is a fixed cost based on the cost of the system. Some will end up paying more under this system; some will pay less. Regardless the average cost is not going to change because those that pay more will be factored out by those that pay less.
Right. If everyone was going to pay the same... it would average out.. but not everyone is going to pay... some people will not pay at all.. while others will pay a lot.
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No. 46
from UKRNinUSA
Old May 18, 2009, 07:54 PM

Default Re: Interesting article on Obama health care plan
Since Medicare is going to be insolvent by 2020, and health care inequities of our current system are well documented,I would beg to differ that our healthcare system is NOT broken. No wonder Medicare is going bankrupt when you have a pool of high-end users -the only logical solution is to expand Medicare to all to dilute the user pool and therefore lower costs.
If your goal is to provide for quality healthcare for all, why wouldn't you?
If your goal is to line the pockets of the insurance and pharmaceutical industries in the vain hope that you will one day be so privileged, then go ahead keep the current system.
It amazes me that the very people that want government intervention in our lives kept to a minimum oppose a woman's right to choose, oppose euthanasia and are pro capital punishment. Highly illogical!
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No. 47
Old May 19, 2009, 12:03 AM

Default Re: Interesting article on Obama health care plan
Originally Posted by UKRNinUSA View Post
Since Medicare is going to be insolvent by 2020, and health care inequities of our current system are well documented,I would beg to differ that our healthcare system is NOT broken. No wonder Medicare is going bankrupt when you have a pool of high-end users -the only logical solution is to expand Medicare to all to dilute the user pool and therefore lower costs.
If your goal is to provide for quality healthcare for all, why wouldn't you?
If your goal is to line the pockets of the insurance and pharmaceutical industries in the vain hope that you will one day be so privileged, then go ahead keep the current system.
It amazes me that the very people that want government intervention in our lives kept to a minimum oppose a woman's right to choose, oppose euthanasia and are pro capital punishment. Highly illogical!
The illogical element is the inaccurate definition of people's position.

Prolife people are not prolife because the specifically want to oppose people's capacity to choose, they are prolife because they think it's wrong to kill unborn babies. Even Obama points out that the positions of people need to be clarified in order to have rational discussion.

And I don't know how it's illogical to think that killing people just because they are old is wrong while simultaneously thinking that executing the most insidious and vile of criminals is just.

If you take that position, then you'd have to acknowledge that it's "highly illogical" to believe that euthanasia is OK while believing capital punishment is wrong. It rather shows the lack of logic in defining other people as illogical.
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No. 48
from Hushdawg
Old May 19, 2009, 03:14 AM

Default Re: Interesting article on Obama health care plan
Originally Posted by wowza View Post
Second- the system is not broken. People get timely care- they just have to pay for it. You just dont agree with that idea.
Untrue. Those who are uninsured are getting substandard care because the hospital administration does not approve them for costly procedures under the assumption that they will not or cannot pay for them.
People get procedures, transplants, etc based on the kind of insurance they have rather than the level of need.

Originally Posted by wowza View Post
If you want a solution i have one that involves a national health care plan for those uninsured:

Create a national health care plan that has certain restrictions-
1) if you currently smoke or use illegal drugs you are not eligible. Evidence of either of these disqualifies you for 2 years.
This would involve making tobacco illegal. While we're at it let's make pork and alcohol illegal too, there are just as many (if not more) life-threatening diseases and afflictions related to those.
Republicans are the strongest supporters of the tobacco industry (Believe me, I was raised in NC), so now while we have more Dems in congress is the time to promote this type of law.
What about "illegal" drugs or "controlled substances" that are prescribed?
There are a LOT of grey areas in this qualifier.

To be clear: I have no problem with making tobacco, pork and alcohol illegal... heck it would make me very happy. But you need to see the full repercussions of your statement.

Originally Posted by wowza View Post
2) If you are obese by body fat measurements (not BMI) and not handicapped or elderly, you are not elligible.
OK this makes no sense... if you are at risk for health problems then you don't have the right to access medical care to treat those health problems?
I can understand people who are morbidly obese without a medical reason being put on a program to reduce weight and being made to comply with it, but denying healthcare altogether?

You know, there is way too much bigotry in that kind of thought process to even entertain it further.

Originally Posted by wowza View Post
3) As an adult if you did not graduate from high school and do not have a valid excuse- you are not eligible.
What constitutes a "valid excuse"?
If you were raped and decided to carry the baby but you were forced out of school because of Public School regulations where you live, is that a valid excuse? If not, will you be willing to set up a tax-funded abortion clinic?
What about all the people who have undiagnosed mental illnesses which preclude learning?

Just a thought.. the assumption is that those who do not graduate high school are not contributing to society.
I worked for a man once who dropped out of school in the 8th grade because his father died and he needed to support his mother and younger siblings. He never completed school but he (at the time) owned 4 different businesses and more than 300 acres of developed land. He provided jobs for hundreds of people and created products that served millions.
Yet you would deny him medical coverage?

Originally Posted by wowza View Post
4) If you are non-compliant with your medications and not from side effects, you are kicked out
I can see where you're coming from here. But we also have to be sure that it isn't the same method that medical insurance providers give.
Example:
My mother was prescribed a medication for a condition, the insurance refused to cover the name brand and forced her to take the generic. The generic, in this case, had certain inactive ingredients which caused an allergic reaction in my mother. The insurance refused to accept that she had to have the name brand because her condition was not consistent with the side effects of the ACTIVE ingredients.
The result? My mother had to stop taking the medication until she could eventually get a doctor to find an alternative medication and write the prescription in such a way that the insurance company could not force a replacement.

Originally Posted by wowza View Post
5) Only US citizens or those who have green cards are eligible.
No problem with that whatsoever, those on education visas and tourist visas will be able to pay a reasonable flat rate for services, but as they are not contributing to the taxes they should not be provided completely free services. Makes sense to me.

Originally Posted by wowza View Post
Then people would have some motivation to stop all these crappy lifestyle habits and lose some weight. We almost overnight would have a healthier, more compliant population and a better educated populace in one foul swoop.
Right, because losing weight is easy.
I weighed 300lbs for 4 years. I exercised nearly every day and always totaled more than 4 hours a week of cardio in a gym, had no medical reason for my weight and ate moderately.
I did not lose anything until I moved to the Philippines and got married. Now in 2 years I've lost 80lbs.

Sometimes we don't know WHY we are fat and no amount of work seems to make an effort.
It is bigoted to state that people automagically can lose weight.

The only way to have a truly healthy society is if everyone has equal access to healthcare.
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No. 49
from Hushdawg
Old May 19, 2009, 03:20 AM

Default Re: Interesting article on Obama health care plan
Originally Posted by Honnête et Sérieux View Post
The illogical element is the inaccurate definition of people's position.

Prolife people are not prolife because the specifically want to oppose people's capacity to choose, they are prolife because they think it's wrong to kill unborn babies. Even Obama points out that the positions of people need to be clarified in order to have rational discussion.

And I don't know how it's illogical to think that killing people just because they are old is wrong while simultaneously thinking that executing the most insidious and vile of criminals is just.

If you take that position, then you'd have to acknowledge that it's "highly illogical" to believe that euthanasia is OK while believing capital punishment is wrong. It rather shows the lack of logic in defining other people as illogical.
Actually I agree with you.

I believe that abortion should be treated like any other medical procedure and should be recommended by a doctor for cases which are medically and psychologically sound.

I believe that the death penalty should absolutely be executed (hah! pun!) for murderers, rapists and child molesters.

I am also opposed to euthanasia.

I support free and socialized health care for the masses.
Even if you want to call it socialism.
I don't care.

Having the "communist" stigma on the term "Socialized" is SO 1980s.
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