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Simplepleasures 13,478 Views

Joined: Nov 17, '06; Posts: 3,125 (42% Liked) ; Likes: 2,995

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  • May 14 '09

    when a family member gets cancer or is an accident premiums will be raised. those people too will join the elderly and permanently disabled in medicare.
    healthy people will pay for their insurance and then join the public system when they need the most healthcare.

    if we achieve single payer everyone with an income will pay and all americans will have the same insurance. coverage.
    i doubt congress will vote for low quality care when they will have the same.

    how obamacare will affect your doctor expect longer waits for appointments as physicians get pinched on reimbursements.

    at the heart of president barack obama's health-care plan is an insurance program funded by taxpayers, administered by washington, and open to everyone. modeled on medicare, this "public option" will soon become the single dominant health plan, which is its political purpose. it will restructure the practice of medicine in the process

  • May 14 '09

    Quote from SharonH, RN
    Are you familiar with Kaiser? The docs there work on salary. It's not the end of the world....
    I was going to say the same thing.

    Also, salaried doctors would not do the tricks that I have seen dozens of times.. that is a doctor randomly walking through a hospital, poking his head in a patient's door and signing the chart to get a slice of the pie.

    In working with a charity several years to help poverty-stricken people in the USA you would be amazed at the number of cases I turned up going over medical bills trying to negotiate the payoff for the hospital. We investigated the charges when we noted multiple doctors in a short period of time. One case I was able to prove that 3 of the 6 doctors had never actually administered care to the patient or had provided insight for a diagnosis and we got those charges dropped from the invoice.

    Imagine how many cases around the country are going unchecked.

    Universal healthcare with salaried doctors will eliminate this kind of problem and also the serious problem of unnecessary testing and other things that corporate doctors do to pad the bill and bring more income for the hospital and themselves.

  • May 14 '09

    Quote from markuskristian
    The fear is over the potential waiting lists that may come from universal health care.
    You are implying that there are no waiting lists in our current corporate run healthcare system.
    Nothing could be further from the truth.

    At least in universal healthcare the waiting list is prioritized on the basis of urgent need and first-come first-served as opposed to who has the better health insurance or can pay the most money.

  • May 14 '09

    Quote from markuskristian
    The fear is over the potential waiting lists that may come from universal health care. It's a very real possibility as it has happened in Canada and Britain, however we can't be certain if it will in fact happen in America. We can only wait until it comes to fruition to find out. IMHO, with the general shortage of health care staff, it will happen.

    The second fear may or may not happen. Will there be an option to purchase private insurance for private health care. If not, it seems unjust to limit one's ability to receive better and/or quicker health care when they have the willingness to pay for it. If it is allowed, those that will pay for private insurance will also be paying for the universal care, and no one likes paying twice for the same thing.

    I resent your leftist coined term of "fear-mongering." It a legitimate fear. The true outcome of universal health care in America will just have to be seen firsthand.
    Yes, you might have to wait for some things longer than you do now. So what? We already have people dropping dead in the emergency room all over the country. For most NON ESSENTIAL SERVICES, a little wait isn't going to kill anyone. I know we are used to getting immediate treatment every single time our little tummy hurts, but this has spoiled us, and as a result we pay exponentially more for health care, and get LESS than every other country.

    Learn to set some priorities. Getting care RIGHT NOW when it can wait 3 days isn't a big priority on my list. Neither, as Sue said, is spending a ridiculous amount of money on heroic, wasteful end-of-life measures that do no good.

  • May 14 '09

    Quote from SuesquatchRN
    The big fear, IMO, is of rationing, that certain people won't be able to have procedures done/care performed because of lack of funds.
    This is a valid concern, but as has been pointed out, private insurers already heavily ration care, especially given that they are motivated by making a profit.

    The whole fear of "socialized" medicine is one of the most irrational and ridiculous things I have ever seen as an American, and makes me truly ashamed of the fear-mongering that takes place in this country.

  • May 14 '09

    The big fear, IMO, is of rationing, that certain people won't be able to have procedures done/care performed because of lack of funds.

    Well, Medicare does a lot of stuff for the very old - hip replacements, knee replacements - while uninsured children go without minimal care until they reach school age and must be vaccinated to attend.

    We need to rethink the entire US health care paradigm, inlcuding who gets what. Yes, I know, we all deserve everything, but we can't afford to continue spending the majority of our health care budget on the dying.

    I work this crappy desk job as opposed to floor nursing because I need the benefits. How much better served would the worl be were I able to serve at the bedside per diem without worrying about benefits. And how much better could the little CAH serve were they not worried about supporting as many bean counters as clinicians.

  • May 14 '09

    Quote from Not_A_Hat_Person
    Private insurers do this already.
    Yes -- within the last week, I heard a physician (pro-single-payer) discussing this on "Morning Edition" on NPR, and his comment on this was (and I'm paraphrasing here), people are so concerned about the idea that a "faceless government bureaucrat" might be making the decisions about their healthcare -- well, how is that any worse than a faceless insurance company bureaucrat making the decisions, which is what we've got now? At least the "faceless government bureaucrat" would not be primarily motivated by generating profits for his employer, which is the primary motivation for the insurance company bureaucrat ...

  • May 14 '09

    I've never understood why this is such a massive debate in the USA. Government controlled healthcare seems to work just fine in Canada, UK, Australia, New Zealand and most of the rest of the Industrialized world. Why is it that the USA is so far behind?

    Oh, of course, because the politicians in control are paid big bucks by the healthcare conglomerates to maintain status quo.

    Let's face it, healthcare in the USA is too much about business these days and not enough about providing care to the patients. You only find that on an individual basis at the levels of nurse and physician, anyone above that level is only looking at the bottom line.

  • May 14 '09

    With my husband Medicare pays within a month.
    My insurance company takes many months.

  • May 1 '09

    i can tell you what i have experienced living with and working in this system.

    Quote from bluehair
    i for one would love to hear from some of our international allnurses members who currently live in a country with government run healthcare.

    topics of interest that you might be able to share from your experiences:
    - rationing of healthcare (age related, co-morbidity related, etc.)
    no rationing that i have seen.
    - waiting lists for care - how often, how long, etc.
    sometimes waiting is an issue but this is blown out of proportion in the media. urgent and emergency care has no wait time. a friend was diagnosed with breast cancer and she was in surgery within 48 hours. a coworker needed hip surgery and he was in within 4 weeks.
    - is it really free to residents, or is there some sort of copay?
    well not "free", it is paid for by our taxes, but free at point of access.
    - do you also have private insurance available?
    people still can supplement with private insurance for dental and eye care if they have no coverage through their employer.there are programs that cover kids dental care and you are covered for eye care if you have certain conditions( i am covered as i have diabetes).there is a free foot care clinic in my area where anyone can get free nail care and chiropodist examinations.
    what does that do for citizens who chose to use it over the public healthcare system?
    there isn't an option to not use the public system.
    and what percent of the populace (estimated) use private insurance if it is available?
    i don't know. i don't know anyone personally who uses private.
    - how would you compare nursing salaries to us? (tough one, i know, as cost of living varies so much as well...) how would you compare nursing shortage, responsibilites, etc. as well?
    i not having worked in the us i can't compare the two.certainly no shortage of nurses where i am.

    hope this is of some help. interested to hear what others think.

  • May 1 '09

    I think we need to let the President and legislature know out opinion.

    I think the insurance industry makes profits without providing anything useful.

  • May 1 '09

    Quote from KCIN
    I am very hopeful now that democrats have a super majority in congress that something concrete will be done soon. I hope obama remembers that his mother was on her dying bed arguing with the greedy insurance companies.
    He ought to know that you can't legislate repentence from the sin of greed. The insurers' and their legislative handmaidens' love of money is the root of all the evil. They heartlessly deny medically necessary care to the sick and injured, just to make more money. Insurers bring no value whatsoever to health care. They write off the fines and legal fees they pay out when they're found guilty of fraud time and time's part of their overhead and they simply write it off as the cost of doing business. Obama should know that the only way to stop them from perpetuating our broken health care system is to eliminate them, and put a single payer health care system in place.

  • May 1 '09

    I am very hopeful now that democrats have a super majority in congress that something concrete will be done soon. I hope obama remembers that his mother was on her dying bed arguing with the greedy insurance companies.

  • May 1 '09

    Quote from StNeotser
    As it currently does for Medicare, the federal government would bargain for lower prices and upgraded care for every Health Care for America enrollee.

    Sorry, got a problem with this. Like they "bargained" for Medicare Part D? Those K Street lobbyists will be busy greasing Republican and Democrat house members palms, so that the health insurance lobby wins again.
    I haven't heard much talk of this lately, but my hope is that the new Congress will act to repeal Part D. Making a super profit from the sale of medically necessary prescription meds is just plain wrong. What manner of bullies and crooks would allow such a shameless rip-off? (Of seniors, or any sick person for that matter). Our government shouldn't be precluded from using its bulk purchasing power to secure lower medication prices; if other industrialized countries have figured this out, what's our problem? Big PHrMA and their Congressional handmaidens are taking their profits and fighting us with them.

    I've got a problem with the whole campaign finance system in this country that allows this kind of legalized bribery. The government doesn't set out to cheat people. Soulless cheaters set out to encumber and corrupt good government and we, the people, have to put a stop to it. We voted for change we can believe in and now, we've got to follow-up and follow-through by speaking up and calling out the special interests. If we don't hold the government accountable for serving the interests of the people, who will? It's our government, and this is about OUR health care.

  • May 1 '09

    Any "plan" that keeps the insurance industry in the picture is no better than what we have now, unless all of the companies a) standardize their lists of covered and non-covered services; b) standardize their paperwork so that we aren't turning ourselves inside out every day trying to keep up; c) stop denying coverage based on pre-existing conditions, and d) make it AFFORDABLE to everyone.

    I don't see the insurance companies doing any of the above anytime soon. The system is broken. This is one case where you can't "run with the hares and hunt with the hounds", for neither the hares nor the hounds will permit it. We have to scrap the system entirely and build a new one, or just let the present one go on until it collapses under its own weight...........a half-arsed attempt at accommodating all sides here will only result in NO one being happy.

    That's my opinion, anyway............there are plenty of others.