Re: Ten Reasons Why American Health Care Is so Bad Originally Posted by ooottafvgvah
Care to explain this? Any of it? If a great many people lack access to the care, then it is a failed system, regardless of how 'good' it may be. Consider how we rank in comparison with other countries, with regards to our quality of life, and where we rank in how much we spend per capita.
We also figure statistics differently than do other countries--if you think there is a commonly accepted system you are wrong.
For example, in the US, a premie is going to get everything available to resuscitate, support and heal. If the baby dies, it is a neonatal death.
In many other countries, that is not counted as a neonatal death.
So defining the "goodness" of our system compared to someone else's is not going to happen with any kind of surety.
Watch "Sicko" and then read the reviews and posts of fact checkers. Moore makes some good points, but he is no scientist, he controlled for nothing, he cherry-picked sad cases and made them out to be illustrative of the entire system, and he slanted the reports of health care in other countries to support his contentions (and maybe to sell more movies, who knows).
France is supposed to have the best and most available, and about 6 weeks ago or so, the news broke that their system is bankrupt. You cannot get something for nothing, someone has to pay for it.
If we were as cautious with our healthcare spending as we are with, say buying homes, cars and groceries (well, as some of us are), we could probably see a decrease in health care costs because it would bring some competition to the market.
I can give you a personal example. Less than a year ago, there was an "irregularity" on my mammogram. I was scheduled for a stereo-something or other biopsy, which involved a radiologist, x-rays during the placement of the probe, collection of the tissue at the site via needle biopsy (looked to be an 8 guage!), mammograms before, during and after to be certain the right place had been biopsied, and pathologist's exam of the tissue. My breast surgeon just referred us to where she normally sends her patients.
Thank God they called to let us know what our out of pocket would be! Nearly $5,000! I was more upset about that then I was the possibility that I had breast cancer!
I decided there had to be more than one place to get this done, and through talking with various and sundry people (the most helpful were also the most paranoid--they whispered and didn't want their names attached to the information), I learned of what turned out to be the best place in Dallas. I checked references, read up on the the doc, was very impressed, even before I went to see her.
The out of pocket? just over $1,100. The difference? Gee, I dunno, profit margin?
My point is, we are not savvy consumers. If we have insurance, we don't care, the insurance is paying for it. We go like lemmings wherever we are sent, and we never question about quality, cost, nothing.
It comes back to us (one way or another). We can be responsible fiscally, or we can pay more (and therefore afford less).
For myself, my personal attack on this problem is preparation toward my MSN/FNP. I'm opening a nurse run clinic with another FNP and two RN's. You can bet we will be much less pricey than the MD's down the street, and we won't be sending just anyone for admission to hospital.
I had a patient last week who was admitted for an MRI. She was there three days. We did nothing other than cover her diabetes with insulin and give her pain meds. Nothing. Medicare (aka, you and I) paid for that stay.
Anyway, that's the point I want to make.
And if care is bad, then stand up and say so!!! A bad car dealer, a bad grocer, a bad plumber, soon go out of business. Bad docs and bad hospitals need that same kind of check.
Simple.
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