U.S. passes "historic" healthcare bill

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Re: U.S. passes "historic" healthcare bill

Post by mozg » Sat Mar 27, 2010 12:27 am

SamanthaJane wrote:They don't have to pay for it now, unless of course its part of their plan to hire and keep good employees. This legislation actually may make employers more competitive when it comes to offering group plans. As it will become more competitive as all employers are at least offering something.

Oh and in Canada I pay $200 for basic medical ie necessary medical services and advanced medical ie prescriptions, vision, dental, massage, preventative stuff ...
I think they'll have less incentive to pay for anything when they're going to have to pay higher taxes than they do now on what they offer, which the HR 3590 requires.

Personally, I don't really care what you pay in Canada, since I've never had to deal with a waiting list.
'Religion has actually convinced people that there's an invisible man -- living in the sky -- who watches everything you do, every minute of every day. And the invisible man has a special list of ten things he does not want you to do.. And if you do any of these ten things, he has a special place, full of fire and smoke and burning and torture and anguish, where he will send you to live and suffer and burn and choke and scream and cry forever and ever 'til the end of time! ..But He loves you.' - George Carlin

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Re: U.S. passes "historic" healthcare bill

Post by Woodbutcher » Sat Mar 27, 2010 2:38 am

My father-in-law is a retired teacher who winters in Arizona. Eight years ago he started having heart problems while in Mesa. His Canadian Insurance company hired a private plane, two pilots and a nurse to fly him back to Canada. He went into a hospital here immediately, was diagnosed, and was flown further to southern Ontario for quadruple bypass within two days. He was in the hospital for a week, was transported back here, and placed under observation. His medicines are paid for. The bill: nothing.
He was 78 then. He is still alive. What would that cost for a senior in the USA?
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Re: U.S. passes "historic" healthcare bill

Post by maiforpeace » Sat Mar 27, 2010 2:58 am

Woodbutcher wrote:My father-in-law is a retired teacher who winters in Arizona. Eight years ago he started having heart problems while in Mesa. His Canadian Insurance company hired a private plane, two pilots and a nurse to fly him back to Canada. He went into a hospital here immediately, was diagnosed, and was flown further to southern Ontario for quadruple bypass within two days. He was in the hospital for a week, was transported back here, and placed under observation. His medicines are paid for. The bill: nothing.
He was 78 then. He is still alive. What would that cost for a senior in the USA?
They would probably have second mortgaged or sold off their last piece of property and be battling to get approved for Medicaid and Medicare. Or they would be dead. Those are the 'real' death panels, people who lose everything. When you are that old, sick, then lose your home, that's more than enough to kill you.

I have relatives who live in France. What they get in health care compared to Americans can't be compared, it's superior in every way. If Americans actually opened up their eyes and saw what the French get, they would (and should) be so ashamed. Those arrogant Republicans can jeer at French fries, and French wine, but they can't jeer at French health care.
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Re: U.S. passes "historic" healthcare bill

Post by NineOneFour » Sat Mar 27, 2010 3:09 am

Surendra Darathy wrote:
NineOneFour wrote:
The bill includes mandates for employers to offer health care.
You mean, to offer health care as part of a compensation package?

In my experience, if costs rise, the shortage is divided amongst the peasants. If costs fall, the cost of compensation falls with it, and the rest drops to the bottom line, barring any weirdness such as insurance swaps.
Yes, and there's no cost controls, which as I said, i don't like.

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Re: U.S. passes "historic" healthcare bill

Post by NineOneFour » Sat Mar 27, 2010 3:10 am

mozg wrote:
NineOneFour wrote:Yet another guy who cannot read the bill.

The bill includes mandates for employers to offer health care.
Except that under the bill, they can actually require the employee to pay some or all of the cost of that premium. My employer currently pays part of my premium, and I pay part of it. My share, right now, for HMO, vision and dental is around 300$/month.

Do you think that if they stop paying for the rest of that premium and make me do it that they're going to raise my salary by that amount? Just because they're forced to offer the ability for their employees to join a group plan, that does not mean they will have to pay for it.
They can do that now. Or just not offer you insurance at all. I don't think you get it, dude.

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Re: U.S. passes "historic" healthcare bill

Post by NineOneFour » Sat Mar 27, 2010 3:11 am

mozg wrote:
SamanthaJane wrote:They don't have to pay for it now, unless of course its part of their plan to hire and keep good employees. This legislation actually may make employers more competitive when it comes to offering group plans. As it will become more competitive as all employers are at least offering something.

Oh and in Canada I pay $200 for basic medical ie necessary medical services and advanced medical ie prescriptions, vision, dental, massage, preventative stuff ...
I think they'll have less incentive to pay for anything when they're going to have to pay higher taxes than they do now on what they offer, which the HR 3590 requires.
There is NO higher tax on health care for employers.
Personally, I don't really care what you pay in Canada, since I've never had to deal with a waiting list.
My, aren't we uninformed.

Longest waiting times in the industrialized west: Canada
Second longest: United States


Oooops....
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Re: U.S. passes "historic" healthcare bill

Post by Randydeluxe » Sat Mar 27, 2010 3:23 am

mozg wrote:Personally, I don't really care what you pay in Canada...
Fortunately, there are many Americans who care about the details of the superior health care systems around the world.
mozg wrote:... since I've never had to deal with a waiting list.
Incredible non sequitur. Well played. :cheers2:

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Re: U.S. passes "historic" healthcare bill

Post by mozg » Sat Mar 27, 2010 12:22 pm

Randydeluxe wrote:
mozg wrote:Personally, I don't really care what you pay in Canada...
Fortunately, there are many Americans who care about the details of the superior health care systems around the world.
In my own experience, there were two types of people who really think the rest of the world does it better and desperately wanted government health care to come to the United States.

The first group is full of people who due to their own poorly chosen priorities have brand new cars, great big houses, and all the luxuries that money can buy, but refuse to pay for health insurance. Similarly, this group of people will often be seen on the television news being interviewed regarding all sorts of matters relating to government benefit programs. They will be wearing at least a pound of gold jewelry, more than one carat of diamonds, and clothing from such labels as Prada when they discuss how any cuts to government program are unfair because they need to eat.

The other type are people who have health insurance, are generally pretty financially well off, and feel for some weird unknown reason extremely guilty about that. They will typically try to make me feel guilty as well, because I have health insurance and financial stability, and will often over-emphasize the level of 'luck' that has gone into my current situation in an effort to try and get me to cheerfully part with what I have earned. If that does not work, they'll simply declare they have a right to it, and take it anyway.
Randydeluxe wrote:
mozg wrote:... since I've never had to deal with a waiting list.
Incredible non sequitur. Well played. :cheers2:
Then why is it that so often when discussing health care with Canadians (or the British), I hear something like 'Sure, we have waiting lists, but at least my health care is free.'

I mean for one, it's not free if the cost is hidden in taxes, and why have I never heard an American discuss being on a waiting list for an elective procedure?
'Religion has actually convinced people that there's an invisible man -- living in the sky -- who watches everything you do, every minute of every day. And the invisible man has a special list of ten things he does not want you to do.. And if you do any of these ten things, he has a special place, full of fire and smoke and burning and torture and anguish, where he will send you to live and suffer and burn and choke and scream and cry forever and ever 'til the end of time! ..But He loves you.' - George Carlin

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Re: U.S. passes "historic" healthcare bill

Post by Gawdzilla Sama » Sat Mar 27, 2010 12:35 pm

I'm on the pre-paid plan. When I was younger I surrendered various (probably unimportant) body parts and now my health care is covered 100%.

Sometimes I wonder if it was worth it.
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Re: U.S. passes "historic" healthcare bill

Post by SamanthaJane » Sat Mar 27, 2010 1:34 pm

mozg wrote:
SamanthaJane wrote:They don't have to pay for it now, unless of course its part of their plan to hire and keep good employees. This legislation actually may make employers more competitive when it comes to offering group plans. As it will become more competitive as all employers are at least offering something.

Oh and in Canada I pay $200 for basic medical ie necessary medical services and advanced medical ie prescriptions, vision, dental, massage, preventative stuff ...
I think they'll have less incentive to pay for anything when they're going to have to pay higher taxes than they do now on what they offer, which the HR 3590 requires.

Personally, I don't really care what you pay in Canada, since I've never had to deal with a waiting list.
Ha! Neither have I or anyone else needing life saving healthcare in Canada. Sure sometimes you need to wait because other people's lives are at stake ... but really if I need my elbow operated on and had to wait because someone needed a heart bypass ... I'd gladly wait.

My dad has four stents in his heart, never paid a dime for three separate operations, never waited either. He hit his head two Christmases back and lost his memory making ability for a few hours. There was never any question, we just went to the hospital he was treated immediately by a neurosurgeon. My darling American husband had a tummy ache one day so we went to look at the pharmacy to see if there was anything to help. He made the comment that if it were any worse it would probably be 'cheaper' to go to Emergency. My response was wouldn't it be better to go to Emerg if it was any worse anyway, for his own health. I think that is when he started to understand the Canadian system. We don't want you to have to look stuff up on line and have to diagnose yourself, we want you to have easy and complete access to doctors. We want everyone to have easy and complete access to doctors.

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Re: U.S. passes "historic" healthcare bill

Post by mozg » Sat Mar 27, 2010 1:46 pm

SamanthaJane wrote:Ha! Neither have I or anyone else needing life saving healthcare in Canada. Sure sometimes you need to wait because other people's lives are at stake ... but really if I need my elbow operated on and had to wait because someone needed a heart bypass ... I'd gladly wait.
I would be appalled if my doctor told me I had to get on a waiting list for knee surgery. I'm not referring to emergencies getting OR priority on a particular day, but if I were told I had to just deal with living in pain for months as some of the stories I have heard from Canadian friends, I'd be really, really unhappy.
SamanthaJane wrote:My dad has four stents in his heart, never paid a dime for three separate operations, never waited either. He hit his head two Christmases back and lost his memory making ability for a few hours. There was never any question, we just went to the hospital he was treated immediately by a neurosurgeon.
My insurance would cover stents at 100%. I'd pay 75$ for the head injury unless I was admitted to the hospital rather than just treated in the ER, in which case the insurance would pick up the whole tab.
SamanthaJane wrote:My darling American husband had a tummy ache one day so we went to look at the pharmacy to see if there was anything to help. He made the comment that if it were any worse it would probably be 'cheaper' to go to Emergency. My response was wouldn't it be better to go to Emerg if it was any worse anyway, for his own health. I think that is when he started to understand the Canadian system. We don't want you to have to look stuff up on line and have to diagnose yourself, we want you to have easy and complete access to doctors. We want everyone to have easy and complete access to doctors.
I don't really know what you're calling a 'tummy ache'. Is it mild stomach upset, diarrhea, vomiting, or pain so bad that he's doubled over? I wouldn't be at the doctor for any of the first three unless it went on for more than a week, or I couldn't keep fluids down. For the fourth, I'd go to the emergency room because depending on the location of the pain it could be something that requires surgery, like a ruptured appendix. I don't go to the doctor for the cold or flu either, because they are (for someone in my general state of good health with a functional immune system) self limiting conditions that will not respond to antibiotics. I can go to a doctor, an urgent care, a specialist, or an emergency room at any time. If I need an MRI or something, I get it done the same day. I might have to wait a couple of hours, not a couple of weeks or months.
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Re: U.S. passes "historic" healthcare bill

Post by NineOneFour » Sat Mar 27, 2010 1:58 pm

mozg wrote:
Randydeluxe wrote:
mozg wrote:Personally, I don't really care what you pay in Canada...
Fortunately, there are many Americans who care about the details of the superior health care systems around the world.
In my own experience, there were two types of people who really think the rest of the world does it better and desperately wanted government health care to come to the United States.

The first group is full of people who due to their own poorly chosen priorities have brand new cars, great big houses, and all the luxuries that money can buy, but refuse to pay for health insurance. Similarly, this group of people will often be seen on the television news being interviewed regarding all sorts of matters relating to government benefit programs. They will be wearing at least a pound of gold jewelry, more than one carat of diamonds, and clothing from such labels as Prada when they discuss how any cuts to government program are unfair because they need to eat.
I've never ONCE seen such a person being interviewed on the television.
The other type are people who have health insurance, are generally pretty financially well off, and feel for some weird unknown reason extremely guilty about that. They will typically try to make me feel guilty as well, because I have health insurance and financial stability, and will often over-emphasize the level of 'luck' that has gone into my current situation in an effort to try and get me to cheerfully part with what I have earned. If that does not work, they'll simply declare they have a right to it, and take it anyway.
No guilt here. You take from society, you pay back into it. Don't like it, go live off the grid and stop taking government handouts in the form of police, fire protection, military, roads, schools, clean air, clean water, work safety regulations, etc.
Randydeluxe wrote:
mozg wrote:... since I've never had to deal with a waiting list.
Incredible non sequitur. Well played. :cheers2:
Then why is it that so often when discussing health care with Canadians (or the British), I hear something like 'Sure, we have waiting lists, but at least my health care is free.'
No one says it's free. What they do say is that they get to have health insurance and no one can take it away or deny them care, something that you apparently think is ok.
I mean for one, it's not free if the cost is hidden in taxes, and why have I never heard an American discuss being on a waiting list for an elective procedure?

Because the issue isn't wait LISTS it's wait TIMES.

And Americans wait longer than Brits on average.

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Re: U.S. passes "historic" healthcare bill

Post by Surendra Darathy » Sat Mar 27, 2010 2:02 pm

It's really too bad that some opponents of universal health care worry that when the system really starts attending to everyone on an equitable basis, the care provided won't include enough stroking of the ego.
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Re: U.S. passes "historic" healthcare bill

Post by SamanthaJane » Sat Mar 27, 2010 2:04 pm

mozg wrote:
Randydeluxe wrote:
mozg wrote:... since I've never had to deal with a waiting list.
Incredible non sequitur. Well played. :cheers2:
Then why is it that so often when discussing health care with Canadians (or the British), I hear something like 'Sure, we have waiting lists, but at least my health care is free.'

I mean for one, it's not free if the cost is hidden in taxes, and why have I never heard an American discuss being on a waiting list for an elective procedure?
Because Canadians are nothing if not honest =) it does my heart good in a way.

Ok so an elective procedure ... sure we have wait lists. But if you need something in order to survive ... um nope, they get you right in. Kinda the way doctors should act. Oh and then you don't get hit with a bill that will send you into bankruptcy. Also I haven't known anyone who was on a waiting list so all I know is what is reported in the news.

The cost to Canadians is not hidden in taxes, the government is very open about how much it spends and why. The Canada Health Act insures that we get a certain level of service for a certain cost to our provincial insurance. Yes at the end of the day Canadians pay more in tax, but we also get way more for our taxes and the country is healthier as a whole. Sure we have a bit of waste but we still don't spend as much per capita as the US system does and we have the benefit of knowing that everyone in Canada is covered and can go to the doctors if they need to ... and they will never be denied healthcare based on a 'pre-existing' condition.

I am a very healthy 38 year old. I haven't used the system very much but the system is paid about $200 per month for me by myself and my employer as I mentioned before. The base rate for healthcare charged for me is about $60, the rest is for dental, eyecare and nothing related to life saving treatment and is optional. I have paid into the system on a sliding scale since I was 18 and had a full time job. Now in that time I haven't really needed all that much. One operation to repair something that I was born with, a trip to the podiatrist or two (darn high heels) and my yearly check ups. Then I got pregnant and I was in that Doctors office all the freaking time. It was great, no worrying if I would have any issues at all. Ok ok I didn't get a sonargram every week, heck I only had two and the second was only because I had some spotting and was a little scared. I could have paid for that fancy 3D thingy ... which frankly is a little creepy but I digress. I walked out of the hospital with no bills, plenty of medication and invitations to call or return should I have questions. I went back the next day because my son was a little too yellow and he was admitted right away. His father and I were given a private room to watch him suntan for 24 hours. No questions no problems, just here you are and by the way here is some tea and some video's to help you feel better. My best friend had an issue with her first pregnancy and was tracked by geneticists for her second ... she never paid a dime for it.

I'm not saying any of this to brag about Canada and how fabulous it is. I'm saying this because it should be a basic human right to know that, within reason, people are going to be able to go to the doctor. This thing about pre-existing conditions is crap and pathetic. Life is a pre-existing condition! This idea that people are scared to go to the doctor because their rates may go up is crap. This idea that only people who don't work hard get sick is really crap because it is usually people who work hard who do get sick! And furthermore the idea that someone who gets sick somehow deserves it ... pathetic and moronic. Everyone can get sick, you, your mother, the guy down the street ... anyone.

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Re: U.S. passes "historic" healthcare bill

Post by NineOneFour » Sat Mar 27, 2010 2:10 pm

mozg wrote:
SamanthaJane wrote:Ha! Neither have I or anyone else needing life saving healthcare in Canada. Sure sometimes you need to wait because other people's lives are at stake ... but really if I need my elbow operated on and had to wait because someone needed a heart bypass ... I'd gladly wait.
I would be appalled if my doctor told me I had to get on a waiting list for knee surgery.
But you're not appalled at all if you have to wait several weeks, are you?
I'm not referring to emergencies getting OR priority on a particular day, but if I were told I had to just deal with living in pain for months as some of the stories I have heard from Canadian friends, I'd be really, really unhappy.
I assume that you can actually read.

Wait times in Canada: worst
Wait times in the US: second worst.

Now - wait for it - there are more than two countries in the industrialized world.
SamanthaJane wrote:My dad has four stents in his heart, never paid a dime for three separate operations, never waited either. He hit his head two Christmases back and lost his memory making ability for a few hours. There was never any question, we just went to the hospital he was treated immediately by a neurosurgeon.
My insurance would cover stents at 100%. I'd pay 75$ for the head injury unless I was admitted to the hospital rather than just treated in the ER, in which case the insurance would pick up the whole tab.
And if it cost too much for the insurance company, they'd declare that you had a pre-existing condition and drop your ass and deny treatment.

If you lose your job, you lose your insurance.

It isn't just about YOU and it isn't just about what you have now. It's about security.
SamanthaJane wrote:My darling American husband had a tummy ache one day so we went to look at the pharmacy to see if there was anything to help. He made the comment that if it were any worse it would probably be 'cheaper' to go to Emergency. My response was wouldn't it be better to go to Emerg if it was any worse anyway, for his own health. I think that is when he started to understand the Canadian system. We don't want you to have to look stuff up on line and have to diagnose yourself, we want you to have easy and complete access to doctors. We want everyone to have easy and complete access to doctors.
I don't really know what you're calling a 'tummy ache'. Is it mild stomach upset, diarrhea, vomiting, or pain so bad that he's doubled over? I wouldn't be at the doctor for any of the first three unless it went on for more than a week, or I couldn't keep fluids down.
Yeah, because you don't get it paid for through taxes. So you suffer.
For the fourth, I'd go to the emergency room because depending on the location of the pain it could be something that requires surgery, like a ruptured appendix.
People without health insurance don't go at all. They live with the pain.

But, you know, fuck em, right? I mean, it's not as if you know any of them anyway, so they must not be human beings.
I don't go to the doctor for the cold or flu either, because they are (for someone in my general state of good health with a functional immune system) self limiting conditions that will not respond to antibiotics. I can go to a doctor, an urgent care, a specialist,
No you can't. You have to make an appointment. You don't just get to walk in off the street unless the doctor is having a particularly nice day.

Also, you get to do these things because you have insurance, which in America, still, is ephemeral, and can be taken away from you.
or an emergency room at any time.
No, you can't. I mean, you can go there, but they'll toss your ass out if it isn't an actual emergency.
If I need an MRI or something, I get it done the same day. I might have to wait a couple of hours, not a couple of weeks or months.
I call bullshit.

http://www.prospect.org/csnc/blogs/ezra ... wait_times
Here's a fun puzzle. Fill in the blanks in the statement below:
In his talk, __________ conceded that "the ___ healthcare system is not timely." He cited "recent statistics from the Institution of Healthcare Improvement… that people are waiting an average of about 70 days to try to see a provider. And in many circumstances people initially diagnosed with cancer are waiting over a month."
If you said "Troy Brennan, CEO of Aetna," and "United States," you'd be right! If you said Canada, or Britain, you'd be wrong. The article goes on:
A Commonwealth Fund study of six highly industrialized countries, the U.S., and five nations with national health systems, Britain, Germany, Australia, New Zealand, and Canada, found waiting times were worse in the U.S. than in all the other countries except Canada. And, most of the Canadian data so widely reported by the U.S. media is out of date, and misleading, according to PNHP and CNA/NNOC.

In Canada, there are no waits for emergency surgeries, and the median time for non-emergency elective surgery has been dropping as a result of public pressure and increased funding so that it is now equal to or better than the U.S. in most areas, the organizations say. Statistics Canada's latest figures show that median wait times for elective surgery in Canada is now three weeks.

"There are significant differences between the U.S. and Canada, too," said Burger. "In Canada, no one is denied care because of cost, because their treatment or test was not 'pre-approved' or because they have a pre-existing condition."
A recent Business Week article arrived at similar conclusion:
oth data and anecdotes show that the American people are already waiting as long or longer than patients living with universal health-care systems. Take Susan M., a 54-year-old human resources executive in New York City. She faithfully makes an appointment for a mammogram every April, knowing the wait will be at least six weeks. She went in for her routine screening at the end of May, then had another because the first wasn't clear. That second X-ray showed an abnormality, and the doctor wanted to perform a needle biopsy, an outpatient procedure. His first available date: mid-August.


The article continues on" "If you find a suspicious-looking mole and want to see a dermatologist, you can expect an average wait of 38 days in the U.S., and up to 73 days if you live in Boston, according to researchers at the University of California at San Francisco who studied the matter. Got a knee injury? A 2004 survey by medical recruitment firm Merritt, Hawkins & Associates found the average time needed to see an orthopedic surgeon ranges from 8 days in Atlanta to 43 days in Los Angeles. Nationwide, the average is 17 days."

One important note on our system's wait times is that, unlike in other countries, we don't collect the data. "There is no systemized collection of data on wait times in the U.S," says Business Week. "That makes it difficult to draw comparisons with countries that have national health systems, where wait times are not only tracked but made public." That's a side benefit of the universal systems, which due to their coherence and incentives, are actually quite transparent. That allows not only for an accurate assessment of the problems, but the effective deployment of resources to treat them.

And by the way, want to know which country has the lowest wait times in international comparisons? Hint: It's where sauerkraut comes from.


Oh, that not enough for you, Mr. America is #1? From that BusinessWeek article:

The Commonwealth study did find one area where the U.S. was first by a wide margin: 51% of sick Americans surveyed did not visit a doctor, get a needed test, or fill a prescription within the past two years because of cost. No other country came close.


You cherry-picked MRI time because America does very well with MRI scans.

The cherry-picking is obvious and everyone is wise to this game. Canada has long waiting times, so you pick on Canada for that and try to imply it's also true across the rest of the industrialized world.

Next, we'll hear from you about the handful of cancers that are better treated in the US, while ignoring the majority of cancers that have lower rates in Europe.

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