View Poll Results: What should be fixed first?

Voters
50. You may not vote on this poll
  • Cost

    35 70.00%
  • Medical Malpractice

    6 12.00%
  • Medicare Fraud

    7 14.00%
  • Coverage Denial

    9 18.00%
  • Claim Denial

    5 10.00%
Multiple Choice Poll.
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Thread: What should be the first step to fixing healthcare in the US?

  1. #21
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Lord Tammerlain View Post
    They may have come from other countries but where were they trained? Except for the Canadian doctor, the others I expect would have had training in the US, Japan or Europe. At least in Canada doctors from developing countries (trained in those countries) have a very difficult time in getting certified to practice
    yes, most went to school in the countries you mentioned. Although I spent 6 years in Thailand and I was impressed with their doctors who were trained and educated there.
    This Reform Party member thinks it is high past time that we start electing Americans to congress and the presidency who put America first and their political party further down the line. But for way too long we have been electing Republicans and Democrats who happen to be Americans instead of Americans who happen to be Republicans and Democrats.

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Perotista View Post
    Glad to have you back Pol, it was a lonely night last night. I don't know. I might be a pretty good political prognosticator and I do have my senate update number 3 for 1 Nov posted. I don't have an answer, it seems everyone is forecasting what will happen, either heavenly panacea via the ACA or the nuclear holocaust. My guess is something in the middle which will be worse for those who already had insurance and a whole lot better for those who had none or very poor policies.

    What I can't understand is why all the major hospitals down here are buying up all these private practices. Has that happen up there where you live? Emory has bought our our original family practice, Piedmont has bought out our lung and heart doctors practices, Northside the cancer treatment place in our county, Peidmont bought our county hospital, Now Emory, Peidmont, Northside are huge, huge big hospitals in Atlanta. I feel something is amiss.
    Same thing happening here in Ohio. The World famous Cleveland Clinic is partnering with Summa Health Systems and Catholic Health Partners, which are the largest hospital systems in Ohio. It looks like everyone than can is merging with others. Plus, one of our largest local hospitals has just closed down an entire wing of the hospital. That does not make sense, Pero, but they're doing it! The problem is that they are laying off "non-essential" health care personnel, and creating problems for nurses who are being expected to pick up the work. When you're sick or injured, you do not need to be cared for by a tired, overworked and angry nurse who is working 50 to 60 hours a week!

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    Re: What should be the first step to fixing healthcare in the US?

    Clearly cost is going to be the runaway winner.

    The only significantly effective way to get costs down in such a constantly changing high-tech industry as healthcare where supply is naturally comparatively very limited is to significantly reduce the population and thus demand .. then, foundational rules of economics will drop the prices.
    You don't trust Trump? Well, there's only one way to leverage him to do what's economically right for us all: Powerful American Political Alliance. Got courage?! .. and a mere $5.00?

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Ontologuy View Post
    Clearly cost is going to be the runaway winner.

    The only significantly effective way to get costs down in such a constantly changing high-tech industry as healthcare where supply is naturally comparatively very limited is to significantly reduce the population .. then, foundational rules of economics will drop the prices.
    So you're saying the only way to reduce costs is to either decrease the number of people using health care or decrease the number of people alive (which effectively does the same thing)?
    Education.

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by polgara View Post
    Same thing happening here in Ohio. The World famous Cleveland Clinic is partnering with Summa Health Systems and Catholic Health Partners, which are the largest hospital systems in Ohio. It looks like everyone than can is merging with others. Plus, one of our largest local hospitals has just closed down an entire wing of the hospital. That does not make sense, Pero, but they're doing it! The problem is that they are laying off "non-essential" health care personnel, and creating problems for nurses who are being expected to pick up the work. When you're sick or injured, you do not need to be cared for by a tired, overworked and angry nurse who is working 50 to 60 hours a week!
    Something is going on. I wonder if it is a way for all these big hospitals, now to include family and specialized practices to get around Obamacare and the cuts they are expected to receive in reimbursement. Forming their own in family network so to speak. I don't know what is happening, but something certainly is. It looks like soon our medical field will be just like our banking system where 5 or 6 huge mega banks control the whole U.S. It might be the same with 5 or 6 huge medical type facilities, companies, corporations, hospitals, call them whatever applies controlling all the health care in the U.S.

    Is this another unintended consequence of Obamacare? I just don't know but it is scary.
    This Reform Party member thinks it is high past time that we start electing Americans to congress and the presidency who put America first and their political party further down the line. But for way too long we have been electing Republicans and Democrats who happen to be Americans instead of Americans who happen to be Republicans and Democrats.

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by polgara View Post
    Same thing happening here in Ohio. The World famous Cleveland Clinic is partnering with Summa Health Systems and Catholic Health Partners, which are the largest hospital systems in Ohio. It looks like everyone than can is merging with others. Plus, one of our largest local hospitals has just closed down an entire wing of the hospital. That does not make sense, Pero, but they're doing it! The problem is that they are laying off "non-essential" health care personnel, and creating problems for nurses who are being expected to pick up the work. When you're sick or injured, you do not need to be cared for by a tired, overworked and angry nurse who is working 50 to 60 hours a week!
    I suspect one of the reasons that private practices have been merging with hospitals is that if they combine, overall malpractice insurance is lower.
    Education.

    Sometimes I think we're alone. Sometimes I think we're not. In either case, the thought is staggering. ~ R. Buckminster Fuller

  7. #27
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    Re: What should be the first step to fixing healthcare in the US?

    I can't remember all that my father thinks should happen, but he sells insurance for a living. I can only remember four main points; regardless, it should be considered.

    1.) Close the border. There is nothing wrong with legal immigration, but illegals coming over using our hospitals is driving costs up. If an immigrant comes over legally, then they should be able to have care.
    2.) Force insurance companies to sell nationally. In some states, there are insurance companies that just compete on the state level, and essentially have a two company monopoly. If we provided time and maybe government assistance to expand the insurance companies nationally, we would have countless companies competing on a national scale. More competition hopefully correlates to better coverage and costs.
    3.) Penalize insurance companies for denying coverage on people who have paid for coverage.
    4.) TORT reform. Doctors should be held accountable for their mistakes, but there has to be a limit to how much you can sue for. Malpractice insurance is crazy, and the cost affects everyone.

    Thoughts?

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by The Mark View Post
    So you're saying the only way to reduce costs is to either decrease the number of people using health care or decrease the number of people alive (which effectively does the same thing)?
    The only significantly effective way, yes.

    Slapping cost controls on suppliers will only reduce the number of suppliers and increase the scarcity to the point of simulating long waiting lists .. either way, socialistic consequences result that are not good for both the consumer and producer.

    What little else that can be done isn't effective enough to be of noticeable value.

    And robbing consumer Peter to pay consumer Paul is unpalatable for too many Pauls, as those tens of millions justifiably complaining about their new increase in healthcare insurance rates exemplify.
    You don't trust Trump? Well, there's only one way to leverage him to do what's economically right for us all: Powerful American Political Alliance. Got courage?! .. and a mere $5.00?

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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by sookster View Post
    I can't remember all that my father thinks should happen, but he sells insurance for a living. I can only remember four main points; regardless, it should be considered.

    1.) Close the border. There is nothing wrong with legal immigration, but illegals coming over using our hospitals is driving costs up. If an immigrant comes over legally, then they should be able to have care.
    2.) Force insurance companies to sell nationally. In some states, there are insurance companies that just compete on the state level, and essentially have a two company monopoly. If we provided time and maybe government assistance to expand the insurance companies nationally, we would have countless companies competing on a national scale. More competition hopefully correlates to better coverage and costs.
    3.) Penalize insurance companies for denying coverage on people who have paid for coverage.
    4.) TORT reform. Doctors should be held accountable for their mistakes, but there has to be a limit to how much you can sue for. Malpractice insurance is crazy, and the cost affects everyone.

    Thoughts?
    Additional suggestion: Somehow force medical services to charge at or slightly above cost, and somehow force insurance companies to pay exactly that.
    Education.

    Sometimes I think we're alone. Sometimes I think we're not. In either case, the thought is staggering. ~ R. Buckminster Fuller

  10. #30
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    Re: What should be the first step to fixing healthcare in the US?

    Quote Originally Posted by Redress View Post
    First is cost. Not so much because of where it is, but because of how fast it is rising. All of them are areas that should be looked at. Claim denial is one that I that hit close to home and I got to learn about such things as "first denial", where the insurance company denies as many claims as it can when first submitted, even when they know they will have to pay out, simply because slow paying makes them a shockingly large amount of money and there is no downside to doing it. Denial of coverage and fraud are probably the hardest to fix, but that does not mean working towards improvements is not worthwhile.

    Excellent poll by the way.
    I think a lot of people are unaware that insurance companies make a lot of their money from investment of premiums.
    Anyone wondering what I'm talking about start here:
    The Psychology of Persuasion

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