Controversial Michael Moore Flick 'Sicko' Will Compare U.S. Health Care with Cuba's

Published

Health care advances in Cuba

According to the Associated Press as cited in the Post article, "Cuba has made recent advancements in biotechnology and exports its treatments to 40 countries around the world, raking in an estimated $100 million a year. ... In 2004, the U.S. government granted an exception to its economic embargo against Cuba and allowed a California drug company to test three cancer vaccines developed in Havana."

http://alternet.org/envirohealth/50911/?page=1

Specializes in Surgery/ Psych/ Peds ICU/ Coranary Care.

Good Questions Spacenurse. Let me see if I can provide some insite to how to handle those predicaments.

1.With hospitals surgery centers competing for bucks they would welcome anyone who had the intent to pay. If a major surgery cost a years salary lets say after prices dropped. one could then take out a loan. pay over time and still be responsible and maybe become a better driver if the accident was his fault. or more alert if it wasn,t again saving future health cost.

2. Sharing the cost allows lesser responsible peaple to take advantage of more responsible people. In the long run this would increase cost to everyone.NOT FAIR. No incentive to be more responsible.

3. VA, MILITARY. etc. PAY These hero s for thier service and take care of thier bills until they are well enough to take care of themselves again and give them a medical savings account to pay future bills and let the marketplace compete for thier dollars. WE WOULD HAVE A DUTY TO THOSE WHO KEEP US SAFE AND DEFEND US.

This way healthcare collusion companies would not have a guarranteed pool of money to suckle from WHICH ONLY INVITES FRAUD.

4. EMTALA I think that that is the anti dumping act. If peaple became responsible for thier own healthcare. then care would have to given with the expectation that it would be payed for. If people were expected to be responsible then irresponsible people who do not pay would have a tougher time getting care and those who paid even if they could only afford a dollar a week. Would have a n easier time. I would not be apposed to a charity system set up to catch peaple who are falling thru nthe cracks. Make sure it is charity and not a tax. We are charitable and that would be the most effective way to prevent the problem of companies suckleing from big pools of money and not competing properly.

THE PROBLEM IS EVERY TIME YOU PROVIDE A BIG POOL OF MONEY THAT PARISITES CAN FEED FROM. COSTS GO UP AND CARE GOES DOWN. UHC WILL NOT WORK WELL BECAUSE OF THIS. MARKET FORCES AND CAPITALISM IF ITS PURE IS THE ANSWER. AGAIN GET GOVERNMENT AND COLLUSION BUSINESS OUT OF HEALTHCARE. lET MARKET FORCES DO THIER MAGIC. AND WE WILL ALL HAVE A SYSTEM WE CAN AFFORD AND LIVE WITH.

Hey,this is off topic but can someone tell me how to do multi quotes in one posting and only quoting part of a posting so I can quit boring y'all w/ my multiple posts? thx:imbar

I am not bored at all. I learn from your posts. They make me think.

To do multi quotes I shade the section to be quoted then click the "Quotwtag" next to the signage things. multiquote_off.gif

Guess I'm not the best person to explain this.

I like separate posts when quoting allnurses posters because it includes an arrow so I can see the original post.

Sorry. I hope someone explains this better.

I do think the illegals and people who choose not to work and take advantage of government support ARE draining the system (healthcare, social security) for the hardworking citizens.

Yet state revenues collected from undocumented immigrants exceeded what the state spent on social services provided to these immigrants such as health care and education by $424.7 million.51

Immigrant contributions to social services are similar across the country. The National Research Council concluded that immigrants will pay on average $80,000 per capita more in taxes than they will use in government services over their lifetimes.52

51 Undocumented Immigrants in Texas: A Financial Analysis of the Impact to the State Budget and Economy, Office of the Comptroller, Texas, December 2006.

52 James Smith, et al., The New Americans: Economic, Demographic, and Fiscal Effects of Immigration, Washington, DC: The National Academies Press, 1997.

http://www.americanprogress.org/issu...lth_report.pdf

The facts disprove this assertion.

Specializes in Surgery/ Psych/ Peds ICU/ Coranary Care.

who Said Anything About Immigrants. In A Purely Capitalistic System They Would Have Access To To Healthcare Just Like Any Other Person And They Would Most Likely Pay As They Would Have More Money As Thier Work Would Be Paid In Proportion To How Much The Marketplace Values Thier Work. We Get A Free Ride From Keeping Them Illegal And Paying Low Wages. Let The Marketplace Compete Fairly For Thier Services Also

.

Good Questions Spacenurse. Let me see if I can provide some insite to how to handle those predicaments.

1.With hospitals surgery centers competing for bucks they would welcome anyone who had the intent to pay. If a major surgery cost a years salary lets say after prices dropped. one could then take out a loan. pay over time and still be responsible and maybe become a better driver if the accident was his fault. or more alert if it wasn,t again saving future health cost.

2. Sharing the cost allows lesser responsible peaple to take advantage of more responsible people. In the long run this would increase cost to everyone.NOT FAIR. No incentive to be more responsible.

3. VA, MILITARY. etc. PAY These hero s for thier service and take care of thier bills until they are well enough to take care of themselves again and give them a medical savings account to pay future bills and let the marketplace compete for thier dollars. WE WOULD HAVE A DUTY TO THOSE WHO KEEP US SAFE AND DEFEND US.

This way healthcare collusion companies would not have a guarranteed pool of money to suckle from WHICH ONLY INVITES FRAUD.

THE PROBLEM IS EVERY TIME YOU PROVIDE A BIG POOL OF MONEY THAT PARISITES CAN FEED FROM. COSTS GO UP AND CARE GOES DOWN. UHC WILL NOT WORK WELL BECAUSE OF THIS. MARKET FORCES AND CAPITALISM IF ITS PURE IS THE ANSWER. AGAIN GET GOVERNMENT AND COLLUSION BUSINESS OUT OF HEALTHCARE. lET MARKET FORCES DO THIER MAGIC. AND WE WILL ALL HAVE A SYSTEM WE CAN AFFORD AND LIVE WITH.

First,typing in all caps is rude. It is the equivalent of shouting at someone.

What you are describing is the moral hazard argument for controlling health care costs. Malcolm Gladwell wrote an excellent article that debunks your assertions. I will quote relevant passages for your consideration.

People without health insurance have bad teeth because, if you're paying for everything out of your own pocket, going to the dentist for a checkup seems like a luxury. It isn't, of course. The loss of teeth makes eating fresh fruits and vegetables difficult, and a diet heavy in soft, processed foods exacerbates more serious health problems, like diabetes.

...

The U. S. health-care system, according to "Uninsured in America," has created a group of people who increasingly look different from others and suffer in ways that others do not. The leading cause of personal bankruptcy in the United States is unpaid medical bills. Half of the uninsured owe money to hospitals, and a third are being pursued by collection agencies.

...

The death rate in any given year for someone without health insurance is twenty-five per cent higher than for someone with insur-ance. Because the uninsured are sicker than the rest of us, they can't get better jobs, and because they can't get better jobs they can't afford health insurance, and because they can't afford health insurance they get even sicker.

...

The moral-hazard argument makes sense, however, only if we consume health care in the same way that we consume other consumer goods, and to economists like Nyman this assumption is plainly absurd. We go to the doctor grudgingly, only because we're sick. "Moral hazard is overblown," the Princeton economist Uwe Reinhardt says. "You always hear that the demand for health care is unlimited. This is just not true. People who are very well insured, who are very rich, do you see them check into the hospital because it's free? Do people really like to go to the doctor? Do they check into the hospital instead of playing golf?"

....

For that matter, when you have to pay for your own health care, does your consumption really become more efficient? In the late nineteen-seventies, the rand Corporation did an extensive study on the question, randomly assigning families to he

alth plans with co-payment levels at zero per cent, twenty-five per cent, fifty per cent, or ninety-five per cent, up to six thousand dollars. As you might expect, the more that people were asked to chip in for their health care the less care they used. The problem was that they cut back equally on both frivolous care and useful care. Poor people in the high-deductible group with hypertension, for instance, didn't do nearly as good a job of controlling their blood pressure as those in other groups, resulting in a ten-per-cent increase in the likelihood of death.

...

Health Savings Accounts are not a variant of universal health care. In their governing assumptions, they are the antithesis of universal health care.

The issue about what to do with the health-care system is sometimes presented as a technical argument about the merits of one kind of coverage over another or as an ideological argument about socialized versus private medicine. It is, instead, about a few very simple questions. Do you think that this kind of redistribution of risk is a good idea? Do you think that people whose genes predispose them to depression or cancer, or whose poverty complicates asthma or diabetes, or who get hit by a drunk driver, or who have to keep their mouths closed because their teeth are rotting ought to bear a greater share of the costs of their health care than those of us who are lucky enough to escape such misfortunes? In the rest of the industrialized world, it is assumed that the more equally and widely the burdens of illness are shared, the better off the population as a whole is likely to be. The reason the United States has forty-five million people without coverage is that its health-care policy is in the hands of people who disagree, and who regard health insurance not as the solution but as the problem.

http://www.gladwell.com/2005/2005_08_29_a_hazard.html

Markets are amoral and often fail to meet the needs of patients.

Specializes in Surgery/ Psych/ Peds ICU/ Coranary Care.

Sorry about the caps. It is easy to pull up a quote. I am writing from my dicky-do and not pulling from the universe of other thinkers. I could pull in volumes from everywhere on the evils of collectiveism and the evils of any ism one can talk about. all ism are at thier base irrational as they are a system to exploit an individual. the only systems that make any sense are ones that promote individual responsibility. Yes there are many people with bad teeth. This is not the fault of of systems that promote responsibility. Quite the opposite we now have a system that promotes irresponsibility and I posit that UHC will only increase individual irresponsibility and you will still have a segment of the population with bad teeth. When I worked with kids in a psychiatric setting. I was in charge of 2 wards. one run by a Phsychiatrist who was fruedian and one run by a Behavior modificationist.

Fruedian=No stress just support and do not expect any responsibility out of those kids.

Behavior mod= promote and reward responsible behavior. make a cost (punishment)for irresponsible behavior.

I am sure you can guess the results yep! fruedian ward was a wreck ,holes in walls kids were reclusive withdrawn openly destructive , masterbating, rocking to and frow etc. etc.

Behav. Mod Ward= Clean ward kids dressed and clean, would line up in straight line to go to class, creativity flurished, the were happy for the most part, they became extraverted and played well and worked hard

Quite a contrast and quite metaphor and microcosm of comparing a system that promotes responsibility and one that does not.

Specializes in Surgery/ Psych/ Peds ICU/ Coranary Care.

I am all alone now I can say what I feel everyone has left this forum I CAN SHOUT IN CAPITAL LETTERS ALL I WANT NOW> NOONE TO HEAR ME SHOUT lol.

Ultimately none of this matters as in 2,000,000 years we will all be lumps of coal and in 10,000,000,000, years I will be a diamond (lol)

Specializes in Med-Surg.
Interesting idea! How do we do away w/ insurance co.? (Ifyou need a volunteer I'll bring my own weaqpons:lol2::devil::lol2:)

Yeah there is that little problem about the insurance companies, but you might have to stand in line with your weapons. :)

Specializes in Med-Surg.
Hey,this is off topic but can someone tell me how to do multi quotes in one posting and only quoting part of a posting so I can quit boring y'all w/ my multiple posts? thx:imbar

Go through the posts and click multiquote_off.gif on each post you want to quote. Then hit Post Reply. You can not use quick reply on this function. Then you can edit out long posts to quote only want you want to. :)

Why ‘Sicko’ Is Striking a Nerve (6 Letters)

Published: July 7, 2007

http://www.nytimes.com/2007/07/07/opinion/l07sicko.html?_r=1&oref=slogin

ap: in your travels on this film, did you find many health-care providers with (a) sense of altruism?

moore: i find doctors these days pretty demoralized by the whole system. because family doctors don't make that much money anymore. insurance companies really give them a lot of grief and make them jump through a lot of hoops to collect their money. remember when you were a kid and went to the doctor? there might be one woman sitting behind the glass making the appointments. you go today, there's five or six people behind the glass, filling out forms, fighting with the insurance company. we've really gone down the wrong road here by allowing profit to enter the equation.

http://www.indystar.com/apps/pbcs.dll/article?aid=/20070706/entertainment03/707060311/1005/entertainment

Specializes in Cardiac Care, ICU.
I am not bored at all. I learn from your posts. They make me think.

To do multi quotes I shade the section to be quoted then click the "Quotwtag" next to the signage things.

Guess I'm not the best person to explain this.

I like separate posts when quoting allnurses posters because it includes an arrow so I can see the original post.

Sorry. I hope someone explains this better.

Thanks for helping the technologically challenged. By quotetag do you mean the quote button at the bottom of posts? B/c I tried this and couldn't figure out how to get more than one on to the reply screen.

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