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Thread: Health Care Bill has passed

  1. #171
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    Re: Health Care Bill has passed

    Quote Originally Posted by CaptainCourtesy View Post
    We are very different, philosophically, on this, LMR. I support most social programs as a necessary evil so that society does not crumble. I do not support social darwinism, which to me, is the opposite. How we take care of the weakest and neediest members of our society, defines our society. I do think a lot of these social programs need streamlining and a lot of reform. But society has modernized and changed dramatically from the 19th century. And government needs to change with society.
    Here's my take on social programs. We have them, but they are prone to abuse and waste. Waste is easy, going overbudget means something for once. Currently all one has to do to increase their fiscal budget for the next year is find a way to overspend the current one, well, when you reward overspending of course you will get more overspending. Hold people to a solid budget and punish any intentional malfeasance to the fullest extent of the law. Waste should be reduced. To eliminate abuse, simply up the standards and set a timeline for benefits to expire. Allow for exemptions and temporary extensions for those who are able bodied, and I think those tweaks would work.





    I don't agree. Increased regulation needs to occur, not only around safety/quality, but around efficiency and abuses. The industry needs HUGE reforms.
    I think instead of creating more regulatory conditions, we could just enforce fraud laws. Much of the inefficiencies today come from having so many compliance angles, this applies to both my field and the provider field as well. If.....say the HHS was the singular authority, but if you overcharge, double-dip bill, or misrepresent services then I see no reason why state financial regulatory authorities cannot simply have expanded capablities. In other words, I think we get it as far away from the feds as possible.



    I agree completely with the first sentence. The second I think is doctors being over dramatic. Not going to happen.
    I don't know about that Cap. There were quite a few doctors who retired in La. to get insurance licenses around the late '80s and early '90s when the state regulations became too burdensome. There is only so much a professional can take before saying it isn't worth the trouble.



    Yes, reforms that could have been put in place, weren't. As far as costs go, I think we'll see some slight increases. Unsure if it will be more than that.
    We'll have to play the waiting game I guess, but I think this will be bad.



    The insurance industry needs to lose a lot of influence in legislative matters. I may not agree with some of the things that the AMA advocates (and no, I am not a member), but it's a drop in the bucket compared to insurance abuses that I have encountered.
    Insurance companies vary in coverage models and customer models honestly, it's kind of like agents. When one company gets a bad satisfaction rating it makes all the news servers, but when a company gets it right we hear nothing, kind of like doctors, lawyers, and every other professional. Much of the insurance problem in health is twofold, it works similarly to auto insurance being the main problem, and as well, prices are skyrocketing through little fault of the actual service providers but as a direct result of staff shortages, regulatory compliance costs, and CYA medicine due to tort abuse.
    Neither side in an argument can find the truth when both make an absolute claim on it.

    LMR

  2. #172
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    Re: Health Care Bill has passed

    Quote Originally Posted by Baralis View Post
    This may be true but dont you think that if people are now covered that alot wont go alot more frequently?

    Most people will not go to the ER for a cold but many will go to the doctors office. I suspect doctors will have alot more business once people are covered.
    Overall, that should keep health costs DOWN. If people went to the doctor more often at the first sign of trouble, "big ticket items" could be minimized, and the overall expense would go down.

    Let me give you an anecdotal example from my own practice. One of my specialty areas is treating clients with eating disorders. If you send me someone who has just started their eating disorder within the past month or so, I can usually arrest it and get it under control inside a year or two (YMMV). If, however, I start seeing someone who has had an untreated or poorly treated eating disorder for SIX YEARS, I can pretty much guarantee a 5-7 year recovery time, including at least one hospitalization, if not more. Now, there are lots of reasons for folks to not go see a practicaner, but lack of coverage and/or lack of money are huge reasons. And then they wait and then the problem is bad enough that more money needs to be used... insurance money, tax money, charity money, all of it.

    Early intervention beats everything. If this bill helps people see doctors quicker and more often, costs should go down.
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  3. #173
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    Re: Health Care Bill has passed

    Regarding the doctors who are threatening to quit

    What are they going to do should they quit?

    Flip burgers at Burger King, become engineers (dont have the training) become vetenarians (possible).

    Move to another country that doesnt have socialized medicine like Somalia (as every major economy other then the US has it)

    It is just hyperboyle by those doctors, a few will quit, the vast majority will not
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  4. #174
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    Re: Health Care Bill has passed

    Quote Originally Posted by Harry Guerrilla View Post
    I understand, I'm talking about the level of manipulation.

    It has increased a lot now.
    Well let me ask you this. If one party becomes arrogant during the term of it's president, don't you think that the other party, once in power, will do the same thing.

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    Last edited by danarhea; 03-22-10 at 01:53 AM.
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    Re: Health Care Bill has passed

    Quote Originally Posted by Lord Tammerlain View Post
    Regarding the doctors who are threatening to quit

    What are they going to do should they quit?

    Flip burgers at Burger King, become engineers (dont have the training) become vetenarians (possible).

    Move to another country that doesnt have socialized medicine like Somalia (as every major economy other then the US has it)

    It is just hyperboyle by those doctors, a few will quit, the vast majority will not
    Why would they quit when they will be getting a bonus for treating people on medicare? Plus, with everyone insured I would think it would be easier for them to get paid by everyone else.

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    Re: Health Care Bill has passed

    Quote Originally Posted by danarhea View Post
    Well let me ask you this. If one party becomes arrogant during the term of it's president, don't you think that the other party, once in power, will do the same thing.

    It takes two to tango, and the Donkeys and Elephants are perfect dancing partners.
    I have no doubt that if this isn't repealed, Republicans will manipulate and play with this as much as they can.
    That is the very nature of both parties.

    Both will cry and clamor that the other is "evil" but they do the same/similar things when in power.

    That's pretty much why I'm against it in the first place, that and the cost.
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    Re: Health Care Bill has passed

    Quote Originally Posted by CaptainCourtesy View Post
    Overall, that should keep health costs DOWN. If people went to the doctor more often at the first sign of trouble, "big ticket items" could be minimized, and the overall expense would go down.

    Let me give you an anecdotal example from my own practice. One of my specialty areas is treating clients with eating disorders. If you send me someone who has just started their eating disorder within the past month or so, I can usually arrest it and get it under control inside a year or two (YMMV). If, however, I start seeing someone who has had an untreated or poorly treated eating disorder for SIX YEARS, I can pretty much guarantee a 5-7 year recovery time, including at least one hospitalization, if not more. Now, there are lots of reasons for folks to not go see a practicaner, but lack of coverage and/or lack of money are huge reasons. And then they wait and then the problem is bad enough that more money needs to be used... insurance money, tax money, charity money, all of it.

    Early intervention beats everything. If this bill helps people see doctors quicker and more often, costs should go down.
    Kinda like Dental care, wait too long it takes a basket full of dough. Get regular checkups your good to go until the next checkup in three or six months.
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    Re: Health Care Bill has passed

    Quote Originally Posted by Lord Tammerlain View Post
    Regarding the doctors who are threatening to quit

    What are they going to do should they quit?

    Flip burgers at Burger King, become engineers (dont have the training) become vetenarians (possible).

    Move to another country that doesnt have socialized medicine like Somalia (as every major economy other then the US has it)

    It is just hyperboyle by those doctors, a few will quit, the vast majority will not
    Having an MD opens up all kinds of options besides practicing medicine. I imagine the research industry will swell its ranks with a lot of disgruntled doctors in the coming months.

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    Re: Health Care Bill has passed

    Quote Originally Posted by Harry Guerrilla View Post
    I have no doubt that if this isn't repealed, Republicans will manipulate and play with this as much as they can.
    That is the very nature of both parties.

    Both will cry and clamor that the other is "evil" but they do the same/similar things when in power.

    That's pretty much why I'm against it in the first place, that and the cost.
    Bingo - Congratulations, you have found the message!! But, unfortunately, that message got lost in all that screeching about "pull the plug on grandma", "Obama is not a US citizen", and the other silliness.
    The ghost of Jack Kevorkian for President's Physician: 2016

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    Re: Health Care Bill has passed

    i hate it we will soon be in communism

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