Sorry you feel that way.
Next time you want a little drool with your vote, you'll be in good shape! :eek:
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Sorry you feel that way.
Next time you want a little drool with your vote, you'll be in good shape! :eek:
Oh no, I'm quarreling with another of DY's lefty's on this matter, guess that will destroy Bat's rhetoric that all liberals think the same!
You know what I do when I'm wrong? I admit it.
Lorax, just admit you said something stupid, then denied saying it and tried to cover it up with name-calling and lame quips, and be done with it.
You turtle when you're wrong. You know that's true Bobby..
How is that?
Once in a blue moon liberals take a rational position...very rare, not enough to concern me.
NPR had a special today and the topic was not enough Primary Care Doctors..50 % say the best part of their job is the relationship with the Patients...the area that is hurting the professional is the Insurance regulations and costs associated with their practices..what I heard was the canary choking in the mine...the Medical profession is not saying it but a over haul is needed...when the PC's are leaving or going into specialities to repay their loans [[ because of high debt and relative lower pay) because the "CURRENT health care climate is changing their practices and outsiders dictate their practices...my experience with my friends who are caring Doc's try to stick it out , but their lives are difficult and they are forced to see more patients in shortertime frames..thus a decrease in the very activity the enjoy the most. Patient care...they wouldliek to see a "medical home" environment...if this doesn't reforce why we need change ...maybe the people dying for lack of care might .
gibran, I was listening to the same NPR program. Correct me if I am wrong but think the program said that insurance companies, employers and medicare were all restricting fees forcing a more rapid production turnover. Some doctors have patients with language and cultural barriers to communincation. As far as I know, these doctors don't get any credit for dealing with these impediments.
If primary care doctors were allowed to spend more time with their employees, there would probably be longer waits to see a doctor.
Since the satisfaction of PC 's MDs are in patient contact that pesky little number of patients per hour thing is a barrier ;)...especially if you have to find a translator.:o
I keep thinking Soylent Green would be a solution to health care related issues..maybe then some of our brothers on this forum/cc would then find common ground...or even a yearly Death Race 2000...or have only the neocons fight wars..that would reduce protracted health care cost...or at least decrease utilization of proctologists....:D
Insurance companies follow the lead of Medicare when it comes to cuts....ALWAYS. Therefore, we see the root of the problem...the coercive government monopoly in the form of Medicare.
BCBS was conceived long before modern medicare...it was originally conceived as a non profit to insure Doc's ability to get paid with something besides chickens..it then started to transition into a for profit and used insurance doctors justify actuaries decisions for medical issues...then the Doc's felt the pinch and decided to organize their practices as precurser to managed care...
so you really have to ask yourself who do you trust with your medical needs: some Insurance Doc whose bonus depends on incentives; or an actual practice doctor who enjoys spending time with their patients...
Gibran, I hear stories about working with poor immigrants. Examples- Korean lady comes in with a sore stomach and needs a translator. Translation more than doubles the doctor/patient dialogue time. Turns out the patient has been eating things that the doctor has never heard of. 45" to wade through all this. Next. Somali man comes in. Real emergency otherwise he would not let a woman doctor violate him with her touch. He is told he needs an operation soon. Man tells doctor he will travel back to Somalia to see his own doctor to get a second opinion. Next patient a Somali woman who does not show up for her appointment because she feels better that day. Next patient, ghetto kid who empties his pockets and has crack on the counter. Recieved treatment before police are called. Message that Hmong lady with history of 30 minute labors is on way to hospital. She is known to not be taking her medicine.
Whatever system, present or future, pays doctors for doing piecework will be a failure unless it allows for different circumstances. Otherwise doctors will avoid working with such patients. Most doctors will want to work in the burbs where they can make more money for the same time spent with patients. To pay doctors on the basis of outcomes would chase a lot of doctors away from problematic time consuming patients for sure.
Quote: "think "turtle" is some old lady way of politely saying "taking a dump.""
No, It was in reference to Cheddar's propensity to tuck tail and flee when he's proven wrong. I have sent him reeling with my exceptional debating skills and keen insight on more than one occasion.
Exceptional debating skills!!! LOL!!!! :eek:
I thought you had misspelled "Turdle" as in the link below:
http://toiletturdle.com/
Nothing like putting your "debating" skills into perspective. :eek:
In my field we now have cultural awareness classes on disability education to help us in the counseling of people with disabilities from other cultures...It is a interesting class...but raises the same issues that you have [[ I was trying to be funny, failed though)..
Medical school really doesn't have extra classes in disability and cultural awareness...let alone translator issues..
When I ran a program in San Antonio years back we were always questioning the lack of Hispanic patients and the follow-up to treatment plans... It finally dawned on me that we were losing a lot in translation....so I purposely put together a bi-cultural treatment team...PT, OT, SLP, Cognitive Therapist, VR counselor and nueropsychologist...we had a higher degree of success afterwards...the sad part is that this was in the 1990's and in San Antonio...the real question was why didn't anyone recognize the need before a gringo from the motor city developed a treatment team in the Alamo City? we need to be sensitive and aware of patient needs to be better professionals..and a Spanish high school language class don't cut it.
^Who is surrendering what to insurance companies? what the hell are you talking about?
When was the last time an insurance exec said give me your money or I will sick the IRS on you?
It amazes me how many left wing socialist ideologues think that some lazy bureaucrat in DC will have your best interests in heart when the cost of insurance will skyrocket and you will not have the care you thought you might.
Osama wants to tax you if you don't enroll in a plan, what a fascist pig he is.
The government taking control of the health care system will ruin hospitals in Michigan and across the US.
Most all Doctors don't want to be told how musch they can earn and what should be administered to a patient. The problem is that too many ambulance chasing maggot lawyers are driving up health care costs for everyone and Obama and the Dems, being paid off by trial lawyers, don't want to cap awards.
This is also being pushed by the Union maggots who will benefit at the thought of having unionized social servants giving them more union dues.
The schools in the US will be decimated by the socialized takeover of the health care system by out newly elected dictator.
What company will want to invent or invest billions or tens of millions when the socialists in power will limit what you can make and how drugs will be rationed?
Answer, Obama is lying to you as he does every day, about his intentions and plans, and you eat it up because you are either to dumb to understand the issues or are in the bag for government control over peoples lives.
These facts can't be repeated too often. http://www.nchc.org/facts/cost.shtml
Premiums for employer-based health insurance rose by 5.0 percent in 2008. In 2007, small employers saw their premiums, on average, increase 5.5 percent. Firms with less than 24 workers, experienced an increase of 6.8 percent.2
The annual premium that a health insurer charges an employer for a health plan covering a family of four averaged $12,700 in 2008. Workers contributed nearly $3,400, or 12 percent more than they did in 2007.2 The annual premiums for family coverage significantly eclipsed the gross earnings for a full-time, minimum-wage worker [[$10,712).
Workers are now paying $1,600 more in premiums annually for family coverage than they did in 1999.2
Since 1999, employment-based health insurance premiums have increased 120 percent, compared to cumulative inflation of 44 percent and cumulative wage growth of 29 percent during the same period.2
Health insurance expenses are the fastest growing cost component for employers. Unless something changes dramatically, health insurance costs will overtake profits by the end of 2008.5
According to the Kaiser Family Foundation and the Health Research and Educational Trust, premiums for employer-sponsored health insurance in the United States have been rising four times faster on average than workers’ earnings since 1999.2
[And our health system is 37th in the world although we pay more than anyone else in the world.]
4real, you are "for real" man.
Right on, let’s keep health care as a commodity that is bought and sold in the market for a profit. That’s the only way the rich and well born can really make a profit off of others misery. :D
I knew the writing was on the wall back in 1985 when the AMA changed its ethical guidelines to say that medicine was no longer just a profession but rather both a profession and a business. I started to invest heavy back then and have made a “killing ever since.” :rolleyes:
Why not use as much marketing, advertizing and promotion to create needs for products and services as you can? It’s all about maximizing the bottom dollar. We already allocate/ration health care by cost, why change a good thing? :confused:
I want to take the nearly 17% of last year’s GDP dedicated to health care and double it! It’s already twice per capita what every other industrialized nation spends; let’s push for triple.
4real keep up your posts, they are as good as gold.