View Poll Results: Should those with self-inflicted ailments be charged more for health care?

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  • Yes, their life choices cost everyone more money

    4 20.00%
  • Yes, and higher costs should be expanded to cronic healthcare users (ex:hypochondriac)

    3 15.00%
  • No, everyone should pay the same no matter how much health care you use

    8 40.00%
  • No, with some other reason

    5 25.00%
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Thread: Charge more for healthcare of self-inflicted ailments?

  1. #41
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    Re: Charge more for healthcare of self-inflicted ailments?

    I couldn't choose from the options listed, but maybe someone can explain to me how this would work.

    I used to smoke but quit which made me become overweight. Do I get rewarded or punished? Will it depend on my dopamine, seratonin or some other enzyme or hormone? If there is a public option how do you all feel about the government telling you what kind of lifestyle to pursue? If dangerous lifestyles will be punished gays and firemen would have to be included. A gay fireman may as well self-immolate.
    I would rather be exposed to the inconveniences attending too much liberty than to those attending too small a degree of it.--Thomas Jefferson

  2. #42
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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by Kali View Post
    Cali sucks right now and is bankrupt.
    I so want to change that C to a K

    Human Taxidermist - - now offering his services for all your loved ones
    Quote Originally Posted by jallman View Post
    How the hell did you just tie in a retroactive reparative measure with a proactive preventative measure. Not even close to being the same thing.

  3. #43
    Stigmatized! End R Word! Kali's Avatar
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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by DeeJayH View Post
    I so want to change that C to a K
    Did you have anything to add to this topic?
    ~Following My Own Flow~

  4. #44
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    Re: Charge more for healthcare of self-inflicted ailments?

    I'd like a poll on those who voted no and see how many of them are obese or smoke.

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    Re: Charge more for healthcare of self-inflicted ailments?

    My feeling is that all "ailments" are ultimately "self-inflicted", and that regardless of whether one lives the life of an abstemious saint or a debauched hedonist, one is still going to die exactly once- no more, and no less.
    What would be the purpose, exactly, or charging "more" for certain terminal conditions? Is it believed that if one subscribed to a more moderate lifestyle, one might never die?
    I just... don't see the point, I guess.

  6. #46
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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by 1069 View Post
    My feeling is that all "ailments" are ultimately "self-inflicted", and that regardless of whether one lives the life of an abstemious saint or a debauched hedonist, one is still going to die exactly once- no more, and no less.
    What would be the purpose, exactly, or charging "more" for certain terminal conditions? Is it believed that if one subscribed to a more moderate lifestyle, one might never die?
    I just... don't see the point, I guess.

    You obviously haven't had much contact with patients...

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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by MyOwnDrum View Post
    You obviously haven't had much contact with patients...
    No, not really. I'm young, so not too many people i know have died yet.

    Why, if I had "contact with patients", would it really really change my perspective?
    Do people who lead abstemious lives drop dead instantly, without any hassle or fuss, while overindulgent folks linger around forever with tubes hanging out of their noses, bothering the young'uns?

    Educate me.

  8. #48
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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by 1069 View Post
    No, not really. I'm young, so not too many people i know have died yet.

    Why, if I had "contact with patients", would it really really change my perspective?
    Do people who lead abstemious lives drop dead instantly, without any hassle or fuss, while overindulgent folks linger around forever with tubes hanging out of their noses, bothering the young'uns?

    Educate me.
    Self-inflicted health problems make up a large percentage of healthcare costs. In a given day on a hospital ward you'll find greater than 50% of patients have brought on their situations through their own behaviors and/or lifestyle.

  9. #49
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    Re: Charge more for healthcare of self-inflicted ailments?

    Quote Originally Posted by MyOwnDrum View Post
    You obviously haven't had much contact with patients...
    So are we really gonna get down to letting our doctors become the Police? That PE Song F The Police is in my head right now
    ~Following My Own Flow~

  10. #50
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    Re: Charge more for healthcare of self-inflicted ailments?

    Example. A nurse will have, say, 4 patients on a given shift.

    Bed A) A 53 yr old male with a history of IV heroin addiction. His admitting diagnosis is cellulitis, which is a severe infection of the skin requiring IV antibiotics. This is common in IV drug abusers who no longer have viable venous access therefore they resort to skin popping. Because this patient has no IV access, he requires a PICC line, which is a Peripherally Inserted Central Catheter (average total cost $600-$1,400). Some of these patients cannot be accessed with a PICC and therefore require a standard central line which averages $1,600-$2,300. This patient will require several days of inpatient IV antibiotic therapy, and is often manipulative and extremely draining on staff time and resources.

    Bed B) A 62 yr old morbidly obese woman with type 2 insulin dependent diabetes and congestive heart failure (CHF), hypertension, and chronic renal insufficiency. Because she has been non compliant with her diet and her diabetes is poorly controlled, her micro-vasculature has been affected, leading to these other problems. She is oxygen dependent at home ( average monthly cost $201) and has been on disability for several years. She does not weigh herself daily as she's been instructed, therefore she has frequent admits in fluid overload causing respiratory distress, secondary to her CHF. Her renal insufficiency is advancing to the point where she will be needing hemodialysis ($8,000 per patient per year). She had bypass surgery (average cost $44,820) last year after cardiac catheterization (average cost $3,688)revealed multi-vessel coronary blockages requiring a 5-way coronary artery bypass graft (CABG). She is on diuretics and a bipap to assist her with breathing. She is a demanding woman who is draining the staff of the hospital with her multiple and frequent demands.

    Bed C)Is a little old lady, age 89. She has senile dementia and lives with her husband who is 90. Her condition is deteriorating and her husband is having difficulty caring for her. She's admitted with a urinary tract infection and increased confusion. The daughter is trying to figure out what to do next, her father is still driving and very stubbornly won't give up his license. He can't care for his wife any longer. The patient has been falling at home, is losing weight, and needs nursing home placement. Social services is working on all this.

    Bed D) is Mexican farmworker who became disoriented and fell from a ladder hitting his head. An MRI of his brain ($1500-$1800) revealed neurocysticercosis, caused by a worm in the brain from eating undercooked pork, a condition much more common in Latin America. He will require brain surgery.

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