A step towards "universal health care" run by the government?

Nurses General Nursing

Published

h.r.6420

title: to amend the internal revenue code of 1986 to impose an excise tax on certain medical care providers that fail to provide a minimum level of charity medical care, and for other purposes.

sponsor: rep thomas, william m. [ca-22] (introduced 12/8/2006) cosponsors (none)

latest major action: 12/8/2006 referred to house committee. status: referred to the house committee on ways and means.

search results - thomas (library of congress)::

the text of the bill has not been published yet, but this looks like one more step towards universal health care. what do you think?

I was not implying that you should leave our country. I was only saying that those who wish to have that option. I apologize if it came out that way. :kiss Of course you have every right to speak up about what you don't like. (Another reason we have a great country)

I accept your kiss of peace...:icon_hug: :redbeathe :biere:

Yes, I do think we have a great life here. There are so many good things about the United States.:lol2:

I accept your kiss of peace...:icon_hug: :redbeathe :biere:

Yes, I do think we have a great life here. There are so many good things about the United States.:lol2:

:monkeydance: Maybe there is the perfect solution out there. I'll let you know when I find it. :idea: :lol2:

Specializes in Critical Care.

The perfect 'solution' is not more socialism, but more capitalism.

The problem with the 'financing' of our system is that it is done almost exclusively by third party payors. The ultimate 'consumer' doesn't pay the bills and so, doesn't care what it costs.

This goes all the way from medicaid users bring their kids to the ED at the first sign of a fever to 'insured' patients demanding everything at any costs.

The solution is a universal 'catastrophic' coverage plan and healthcare accounts that require the individual consumer to hold some interest in what things actually cost.

I also like the Massachusetts plan that makes insurance 'mandatory', like car insurance is in most states. If you don't buy your own plan, the gov't buys one for you and automatically deducts a pro-rated amount from your paycheck. There is an incentive to 'buy your own' if that pro-rated amount exceeds what it would cost to buy your own, and a subsidization of your insurance if that pay check isn't enough to merit 'buying your own'. In that way, everybody is covered but only those that cannot afford otherwise or who elect to do so would be covered by plans dictated by government.

But, if you put not just choice, but cost in the hands of the ultimate consumer, most of the waste in the system would disappear as consumers directly responsible for paying for such things would 'shop' for cheaper deals.

~faith,

Timothy.

American doctors are sought after.

In truth, our medicine is is EXCELLENT medicine- IF YOU CAN AFFORD IT.

If you can't, well, you're screwed.

:yeahthat:

So true, I just hope that I don't cancer. If I do, I'm dead.

Fuzzy

Specializes in Emergency.
Why do people all over the world come to America to get health procedures done? It is because we pay our doctors the best. We have the best healthcare in the world. That is a fact!

If that is your belief, that is fine. But my question is, why would a move to allow your entire population access to this healthcare detract from your country having the "best healthcare in the world". The education of your medical professionals wouldn't change, would it? The standards your medical professionals would be held to wouldn't change, would it?

The present health care system in the USA may provide the best health care in the world--but its to those who can afford it......those who can't pay for it, see a far different system than the one you are talking about.

Specializes in Critical Care.
If that is your belief, that is fine. But my question is, why would a move to allow your entire population access to this healthcare detract from your country having the "best healthcare in the world". The education of your medical professionals wouldn't change, would it? The standards your medical professionals would be held to wouldn't change, would it?

The present health care system in the USA may provide the best health care in the world--but its to those who can afford it......those who can't pay for it, see a far different system than the one you are talking about.

Why is simple: the government can NEVER do things better then individuals with a motivated self-interest. Never. The world tried this and it is communism that is in the 'ash heaps', not capitalism.

In truth, Hillary's plan in 1993 was dead on arrival when she recommended caps on medical training programs and specialities, basically, allowing the government to choose who goes to schools of medicine and what their specialities would be.

Being slotted into a specialty is completely different then competing to do what is within your desire to do. That would create a whole caste of doctors not nearly as committed to being the 'best' because what they are doing may or may not be of ultimate interest to them.

It also served to put the interests of doctors completely against the idea. In actuality, the concept is also completely against the interests of nurses, as well, but we place much more emphasis on altruistic vocationalism then we do professionalism.

~faith,

Timothy.

Specializes in Critical Care.

In fact, Canada's healthcare programs are dependent upon Quebec remaining in the confederation. The tax base in many of the provinces couldn't support the current system without the added tax base of Quebec. Oh, to be sure, the different provinces have programs that aren't tied directly to each other. But the rising taxes to cover other things would quickly put a dire strain on the other provinces if Quebec withdraws.

In Europe, the socialistic 'cradle to grave' mentality, combined with plummeting birth rates, is stagnating their economies, requiring many of those nations to depend upon immigration to prop up their economies. But, that is a short term fix.

You need look no further then the financing of Social Security and Medicare to understand that runaway, unchecked benefits cannot and will not be be self-sustaining.

~faith,

Timothy.

Having health insurance does not guarantee you will get needed care. Even if you are in the ER with a broken leg.

below are graphs on canada's waiting lists. it mostly seems to have gotten worse within 10 years time. sometimes doubling or even quadrupling the wait time:

http://www.fraserinstitute.ca/admin/books/chapterfiles/wyt2004%20pt2.pdf#

on a side note, i also wonder how the income of doctors and nurses differ between canada and america?

below are graphs on canada's waiting lists. it mostly seems to have gotten worse within 10 years time. sometimes doubling or even quadrupling the wait time:

http://www.fraserinstitute.ca/admin/books/chapterfiles/wyt2004%20pt2.pdf#

on a side note, i also wonder how the income of doctors and nurses differ between canada and america?

i believe american nurses are the best paid in the world, for that we can count ourselves fortunate. life is trade offs, that is for certain.

I surely wish you nurses got paid more around the world. You are in a class all by yourselves.

When I was in Swaziland Africa, I was in one of their government hospitals and saw what underpaid and over worked really meant. Patients were laying under beds because there wasn't enough available beds. IV's were leaking and the smell of body fluids was putrid. Of course that is Africa, but they did have private clinics and hospitals which were clean and had up to date equipment. The difference between private and government in the third world is staggering. I wish it could be different. The people in the rural areas have little resources, but even they can make a good life for themselves. I saw one lady leave her mud hut and go to Bible school in South Africa. It is beautiful. Education, ambition and opportunity are what people need no matter what country you are in.

Okay, I don't know what came over me. LOL. Carry on.

I surely wish you nurses got paid more around the world. You are in a class all by yourselves.

When I was in Swaziland Africa, I was in one of their government hospitals and saw what underpaid and over worked really meant. Patients were laying under beds because there wasn't enough available beds. IV's were leaking and the smell of body fluids was putrid. Of course that is Africa, but they did have private clinics and hospitals which were clean and had up to date equipment. The difference between private and government in the third world is staggering. I wish it could be different. The people in the rural areas have little resources, but even they can make a good life for themselves. I saw one lady leave her mud hut and go to Bible school in South Africa. It is beautiful. Education, ambition and opportunity are what people need no matter what country you are in.

Okay, I don't know what came over me. LOL. Carry on.

We are a bunch of insulated whiners in America, lets face it. We are darned lucky to live on easy street, lets face it.

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