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Thread: Health Care Bill has passed

  1. #191
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    Re: Health Care Bill has passed

    Quote Originally Posted by LaMidRighter View Post
    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 certainly agree with the efficiency angle, but I don't think that overspending is that simple. The entire structure needs to be looked at. In some areas, employment needs to be cut. In others, it needs to be INCREASED.

    And I do not agree with timeframes for benefits to expire; to me, a solid set of parameters for them to continue needs to be developed, and then needs to be re-evaluated from time to time by professionals. My brother is on SSD, and they handle his case VERY efficiently.

    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 with this, but it needs to go MUCH further than that. Insurance companies use every loophole imaginable to NOT pay the provider, and to make it more difficult for the patient. These abuses must be addressed, and the fraud laws won't cover them. It's not fraud when the insurance company repeatedly tells you that you are sending the authorization to the wrong fax number... and they have 16 fax numbers. These kinds of abuses need to be regulated right out, with reforms that force the insurance companies to use some sort of standard or centralized system.



    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.
    Most doctors I know that have left the field have left because of malpractice insurance costs, or poor or lack of insurance reimbursement. I haven't heard that regulations are the issue at all, these days.

    We'll have to play the waiting game I guess, but I think this will be bad.
    I don't, but you're right... we'll have to wait.



    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.
    Staff shortages I absolutely agree with and I agree with CYA costs. I think regulatory compliance cost are problematic, but because they are not efficient or do not address the real issues. I'd like to see more regulation, but more efficient regulation... which would probably mean some regulations cut.
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    Re: Health Care Bill has passed

    Quote Originally Posted by jallman View Post
    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.
    Ahh yes the research industry which will be serving the health care industry that has just been taken over by the government. A rich future I think not


    And, I doubt the research industry will be hiring many more doctors in the US, as it is exporting much of that field to India. Nor do I think US doctors will be willing to take such a big pay cut. (as would happen if tens of thousands of US doctors suddenly applied to become researchers.

    Given the large investment doctors have put into their education and training, combined with how little they would make in comparision to other proffessions the threat of quiting is just that a threat, not reality. They still will be very very well paid, far better then nearly any other career
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    Re: Health Care Bill has passed

    because have you seen obama he will first take over health then dental then soon he will have full control of everything and these people are to retarded to see. They are blinded. And one day you will realize I was the right one in this discussion.

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    Re: Health Care Bill has passed

    Quote Originally Posted by Mystery21 View Post
    obama should go back from where he came kenya
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    Health Care Bill has passedDo NOT troll this thread.
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    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

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    Re: Health Care Bill has passed

    This is from September, but read it and tell me what you think:

    Michael Moore: Why the Current Bills Don't Solve Our Health Care Crisis

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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
    Exactly. They have to keep up with each other, more than the Joneses.
    Some will have to downsize their lyfestyles and their egoes.

  7. #197
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    Re: Health Care Bill has passed

    I winced whenever Pelosi, et al cited the Declaration of Independence and the Founding Fathers. Firstly, as a student of history, I wince whenever a politician liberally uses history to make a point. Second, I have a hard time believing that many of them could agree with this issue even if we were to magically transport them through a time machine. Third, it is probably not a good idea to use Jefferson's memorable writing to make such a big-government proposition.

    "Improve the republic"-yes, use wording like that, but...well, you know where I am going with this. It's brilliant political rhetoric, but lousy historical insight.

    It is historic, but this ties both parties to their votes. Republicans on one hand have the 'nay', and the Democrats on the 'yea'. This may well define an era of political ideology.

    Frankly, this is one of those things that makes me think one way or another, Obama has his chance to be defined for a legacy tomorrow. If it does alright, he may have (for the short-term, in historical terms, let's say 20+ years) beaten George W. Bush's legacy. If something happens with the economy, execution of this bill, or say, with foreign affairs (which as we all know this past decade, a lot can happen that can dramatically shape a Presidency), then Obama could be severely decimated.
    Last edited by Fiddytree; 03-22-10 at 02:44 AM.
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    Re: Health Care Bill has passed

    This country is slowly decreasing in power and economy wise, you might not be able to reconize it now but after Obama's term it will take alot to reconstruct it back to what it was.

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    Re: Health Care Bill has passed

    Quote Originally Posted by Mystery21 View Post
    This country is slowly decreasing in power and economy wise, you might not be able to reconize it now but after Obama's term it will take alot to reconstruct it back to what it was.
    by,by.
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    Re: Health Care Bill has passed

    Quote Originally Posted by Lord Tammerlain View Post
    Ahh yes the research industry
    Yes, the research industry. Just for one.

    which will be serving the health care industry that has just been taken over by the government. A rich future I think not
    Well it's good no one pays you to think, no?

    And, I doubt the research industry will be hiring many more doctors in the US, as it is exporting much of that field to India.
    That's odd considering the job forecast for clinical research scientists remains strong in the US.


    Nor do I think US doctors will be willing to take such a big pay cut. (as would happen if tens of thousands of US doctors suddenly applied to become researchers.
    I wasnt aware that any actual numbers were available as to how many doctors may be making the switch. Perhaps you would like to share these figures and their source with the rest of us?

    Given the large investment doctors have put into their education and training, combined with how little they would make in comparision to other proffessions the threat of quiting is just that a threat, not reality. They still will be very very well paid, far better then nearly any other career
    You are sadly mistaken. The clinical research industry is filled with doctors who make very comfortable salaries comparable to other doctors in their fields.

    And that was but one example. Doctors leave the medical field all the time to pursue other lucrative employment. To say a doctor is stuck practicing medicine is just...stupid.

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