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Socialized medicine

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  • D dennisd45

    Just why, exactly, is letting insurance companies and wealth be the criteria for health care rationing better?

    No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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    Ryan Roberts
    wrote on last edited by
    #10

    Define 'better', if I have a severe illness, now is 'better'. Consultants earn much of their salary from private work, while doing a mandatory amount of work for the NHS. Health insurance buys you the private time.

    Ryan

    "Michael Moore and Mel Gibson are the same person, except for a few sit-ups. Moore thought his cheesy political blooper reel was going to tell people how to vote. Mel thought that his little gay SM movie about his imaginary friend was going to help him get to heaven." - Penn Jillette

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    • R Red Stateler

      Good point. I am equally sick of wealth being the criteria for determining beachfront property and Ferrari rationing.


      "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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      Ed Gadziemski
      wrote on last edited by
      #11

      There should be a picture of espier in the dictionary.com entry for "red herring[^]" as he is masterful at using them rather than sensible and on-topic argument.


      KwikiVac Vacuum Cleaner Supplies

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      • R Ryan Roberts

        Define 'better', if I have a severe illness, now is 'better'. Consultants earn much of their salary from private work, while doing a mandatory amount of work for the NHS. Health insurance buys you the private time.

        Ryan

        "Michael Moore and Mel Gibson are the same person, except for a few sit-ups. Moore thought his cheesy political blooper reel was going to tell people how to vote. Mel thought that his little gay SM movie about his imaginary friend was going to help him get to heaven." - Penn Jillette

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        Ed Gadziemski
        wrote on last edited by
        #12

        Sounds like you have the usual half-arsed British system of social program implementation. You all just can't go the full measure to obtain a system like the Italian or French, you must bastardize it with "free market" principles.


        KwikiVac Vacuum Cleaner Supplies

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        • E Ed Gadziemski

          There should be a picture of espier in the dictionary.com entry for "red herring[^]" as he is masterful at using them rather than sensible and on-topic argument.


          KwikiVac Vacuum Cleaner Supplies

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          Red Stateler
          wrote on last edited by
          #13

          Ed Gadziemski wrote:

          sensible and on-topic argument

          What's unsensible about Ferrari rationing? Ferraris are cheaper than MRI machines.


          "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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          • E Ed Gadziemski

            Sounds like you have the usual half-arsed British system of social program implementation. You all just can't go the full measure to obtain a system like the Italian or French, you must bastardize it with "free market" principles.


            KwikiVac Vacuum Cleaner Supplies

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            Ryan Roberts
            wrote on last edited by
            #14

            Agreed, we should ditch it entirely.

            Ryan

            "Michael Moore and Mel Gibson are the same person, except for a few sit-ups. Moore thought his cheesy political blooper reel was going to tell people how to vote. Mel thought that his little gay SM movie about his imaginary friend was going to help him get to heaven." - Penn Jillette

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            • E Ed Gadziemski

              There should be a picture of espier in the dictionary.com entry for "red herring[^]" as he is masterful at using them rather than sensible and on-topic argument.


              KwikiVac Vacuum Cleaner Supplies

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              led mike
              wrote on last edited by
              #15

              Ed Gadziemski wrote:

              There should be a picture of espier

              What picture? There's a picture.... what picture? :-D

              led mike

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              • R Red Stateler

                Good point. I am equally sick of wealth being the criteria for determining beachfront property and Ferrari rationing.


                "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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                73Zeppelin
                wrote on last edited by
                #16

                espeir wrote:

                Ferrari rationing

                This is so true. I want my damned Ferrari.

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                • D dennisd45

                  Medical miasma[^] Sounds pretty good to me!

                  No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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                  Rob Graham
                  wrote on last edited by
                  #17

                  I have come to realize that all the arguments pro and con 'socialized medicine' in the US are merely smokescreens promulgated by those who profit most from the status quo (no, not doctors...). The truth seems to me to be that we have had 'universal free medical care' for a long time, but we are unfotunate enough to have institutionalized the least efficient delivery system for it. Anyone can walk up to the emergengy room and get treated without regard to ability to pay. Those of us who can pay (including insurers) pay an indirect tax to fund this (higher charges and insurance premiums), with middle men (hospital corporations and insurance companies) trying to profit as much as they can from this tax. The non-contributors (I'm thinking of the idiots I have to talk to at my insureres help line) siphon off a fair piece as well. Although it goes against my basically conservative philosophy, in this case I have come to believe we would be much better off if we quit arguing about the merits of socialized healthcare (since it is irrelevant - we have it anyway) and started exploring the most efficient and effective way to deliver and fund that. Clearly, what we have today is crap.

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                  • E Ed Gadziemski

                    There should be a picture of espier in the dictionary.com entry for "red herring[^]" as he is masterful at using them rather than sensible and on-topic argument.


                    KwikiVac Vacuum Cleaner Supplies

                    D Offline
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                    dennisd45
                    wrote on last edited by
                    #18

                    I think he is actually making a telling point. He thinks that health care is like a luxury automobile. If you can't afford you, you can't have it.

                    No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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                    • R Rob Graham

                      I have come to realize that all the arguments pro and con 'socialized medicine' in the US are merely smokescreens promulgated by those who profit most from the status quo (no, not doctors...). The truth seems to me to be that we have had 'universal free medical care' for a long time, but we are unfotunate enough to have institutionalized the least efficient delivery system for it. Anyone can walk up to the emergengy room and get treated without regard to ability to pay. Those of us who can pay (including insurers) pay an indirect tax to fund this (higher charges and insurance premiums), with middle men (hospital corporations and insurance companies) trying to profit as much as they can from this tax. The non-contributors (I'm thinking of the idiots I have to talk to at my insureres help line) siphon off a fair piece as well. Although it goes against my basically conservative philosophy, in this case I have come to believe we would be much better off if we quit arguing about the merits of socialized healthcare (since it is irrelevant - we have it anyway) and started exploring the most efficient and effective way to deliver and fund that. Clearly, what we have today is crap.

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                      dennisd45
                      wrote on last edited by
                      #19

                      Rob Graham wrote:

                      but we are unfotunate enough to have institutionalized the least efficient delivery system for it

                      Well said! Emergency room style health care is very expensive, since those who use it wait until they are very sick before going. No preventative treatment can occur.

                      No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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                      • D dennisd45

                        Rob Graham wrote:

                        but we are unfotunate enough to have institutionalized the least efficient delivery system for it

                        Well said! Emergency room style health care is very expensive, since those who use it wait until they are very sick before going. No preventative treatment can occur.

                        No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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                        Rob Graham
                        wrote on last edited by
                        #20

                        Worse, most insurance companies don't cover preventative care, so many who are living payday to payday neglect it as well. Like I said, it shouldn't be about the merits of the concept, but rather about the best way to fund and deliver.

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                        • D dennisd45

                          I think he is actually making a telling point. He thinks that health care is like a luxury automobile. If you can't afford you, you can't have it.

                          No eternal reward will forgive us now for wasting the dawn. - Jim Morrison

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                          Red Stateler
                          wrote on last edited by
                          #21

                          The same reasoning for the socialistic rationing of health care can be equally applied to luxury sedans. You believe that health care is an entitlement because it extends lifespan and it is wrong to deny such a service to somebody merely because he does not have the funds to acquire it. I therefore will hold the position that, since luxury sedans are safer than inexpensive compact cars (and therefore possess the same life-extending properties as health care), we should all be entitled by the state to share in them equally, regardless of income. It's wrong to deny somebody the inherent safety of a luxury sedan merely because he does not have the funds to acquire it.


                          "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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                          • R Red Stateler

                            Mike Gaskey wrote:

                            I'll be 62 next June and I'm perfectly willing to let you dumbasses support me.

                            Jerk.


                            "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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                            Jorgen Sigvardsson
                            wrote on last edited by
                            #22

                            You're losing your touch. Once upon a time you would litter the soapbox with words like "moron" and "idiot". Is "jerk" the only thing you can muster these days? :P

                            -- Coming Soon to an Illegal DVD

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                            • J Jorgen Sigvardsson

                              You're losing your touch. Once upon a time you would litter the soapbox with words like "moron" and "idiot". Is "jerk" the only thing you can muster these days? :P

                              -- Coming Soon to an Illegal DVD

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                              Red Stateler
                              wrote on last edited by
                              #23

                              Jörgen Sigvardsson wrote:

                              Is "jerk" the only thing you can muster these days?

                              With the rate I pay on Social Security and Medicare...Yes. :|


                              "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

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                              • R Red Stateler

                                Jörgen Sigvardsson wrote:

                                Is "jerk" the only thing you can muster these days?

                                With the rate I pay on Social Security and Medicare...Yes. :|


                                "I curse economic prosperity as it puts an end to much-needed poverty, famine and pestilence." -dennisd45 "I fully support Communists in key positions of our government. I believe that they contribute positively to the liberal ideal." -dennisd45 "Liberals do not exist. You invented them to facilitate your strawman arguments." -dennisd45 "The Communist Manifest was written 150 years ago. It has been rigorously tested and is accepted by left"

                                J Offline
                                J Offline
                                Jorgen Sigvardsson
                                wrote on last edited by
                                #24

                                Well, why don't you try to get some happy pills through Medicare? You've paid for it already. ;P

                                -- This episode performed entirely by sock puppets

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                                • R Rob Graham

                                  Worse, most insurance companies don't cover preventative care, so many who are living payday to payday neglect it as well. Like I said, it shouldn't be about the merits of the concept, but rather about the best way to fund and deliver.

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                                  Mike Gaskey
                                  wrote on last edited by
                                  #25

                                  Rob Graham wrote:

                                  most insurance companies don't cover preventative care

                                  that is because it is, "point of care". Insurance covers damage. HMO on the other hand focuses on preventative care (HMO == health maintenance organization). So, you get what you pay for.

                                  Mike Dear NYT - the fact is, the founding fathers hung traitors. Vincent Reynolds: My opposition is as enlightened as your support, jackass. dennisd45: My view of the world is slightly more nuanced

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                                  • M Mike Gaskey

                                    Rob Graham wrote:

                                    most insurance companies don't cover preventative care

                                    that is because it is, "point of care". Insurance covers damage. HMO on the other hand focuses on preventative care (HMO == health maintenance organization). So, you get what you pay for.

                                    Mike Dear NYT - the fact is, the founding fathers hung traitors. Vincent Reynolds: My opposition is as enlightened as your support, jackass. dennisd45: My view of the world is slightly more nuanced

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                                    Rob Graham
                                    wrote on last edited by
                                    #26

                                    That would be fine if I had that choice. I don't, I get what my multi-national employer is willing to provide, and pay whatever premiums he is unwilling to subsidise. My choices of physicians and hospitals are limited to those the insurance provider deems suitable, as are the treatment options and prescription medications that can be selected without financial penalty. Given the size of the combined (company paid and mine) premiums, I pay a pretty substantial tax for a limited and controlled benefit. I see little difference in this and 'socialized medicine'. What I do see is a crappy delivey system, with tremendous overhead that includes insurance brokers, lawyers and beancounters at multiple levels. A fully government operated delivery system might be worse, but they would have to work hard at incompetence to do worse. 50 years ago we had a real free enterprise health care delivery system, that worked well (for it's time). Since then we have turned it into a bueaucratic nightmare run by people who have no responsibility to the health care consumer, but rather to competing interests. We need to fix the delivery system, and eliminate non-contributors from the process, so that practitioners can enjoy reasonable compensation for their work, and patients can get reasonable care at an affordable price. Neither happens today for the majority of consumers or practitioners.

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                                    • M Mike Gaskey

                                      Rob Graham wrote:

                                      most insurance companies don't cover preventative care

                                      that is because it is, "point of care". Insurance covers damage. HMO on the other hand focuses on preventative care (HMO == health maintenance organization). So, you get what you pay for.

                                      Mike Dear NYT - the fact is, the founding fathers hung traitors. Vincent Reynolds: My opposition is as enlightened as your support, jackass. dennisd45: My view of the world is slightly more nuanced

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                                      Rob Graham
                                      wrote on last edited by
                                      #27

                                      As an additional point, I have several co-workers (in other parts of the US) who are offered HMO as an alternative (or in some cases only) plan. Most of them would argue that the HMO offers little preventative care, and that what they actually paractice is "specialist minimization", since it is quite difficult to actually see a physician who is a specialist. It's basically up to the HMO to determine whether your condition warrants consultation with one of their limited supply of specialists. Even closer to a 'socialized medicine solution', which further supports my argument that we are already (at least most of the way) there, but had, along the way, implemented a terribly inefficient and costly delivery system.

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                                      • R Rob Graham

                                        That would be fine if I had that choice. I don't, I get what my multi-national employer is willing to provide, and pay whatever premiums he is unwilling to subsidise. My choices of physicians and hospitals are limited to those the insurance provider deems suitable, as are the treatment options and prescription medications that can be selected without financial penalty. Given the size of the combined (company paid and mine) premiums, I pay a pretty substantial tax for a limited and controlled benefit. I see little difference in this and 'socialized medicine'. What I do see is a crappy delivey system, with tremendous overhead that includes insurance brokers, lawyers and beancounters at multiple levels. A fully government operated delivery system might be worse, but they would have to work hard at incompetence to do worse. 50 years ago we had a real free enterprise health care delivery system, that worked well (for it's time). Since then we have turned it into a bueaucratic nightmare run by people who have no responsibility to the health care consumer, but rather to competing interests. We need to fix the delivery system, and eliminate non-contributors from the process, so that practitioners can enjoy reasonable compensation for their work, and patients can get reasonable care at an affordable price. Neither happens today for the majority of consumers or practitioners.

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                                        TheGreatAndPowerfulOz
                                        wrote on last edited by
                                        #28

                                        Rob Graham wrote:

                                        with tremendous overhead that includes insurance brokers, lawyers and beancounters at multiple levels.

                                        ah, you've hit on the head the reason why we don't have a universal health care system and why every effort to create one has failed and will forever fail: the entrenched status-quo industry. It's the same reason we'll never get a flat-tax system in place either: doing so would put entire segments of "professionals" out of work, accountants and IRS agents in the tax case, insurance companies, agents and like people.

                                        Silence is the voice of complicity. Strange women lying in ponds distributing swords is no basis for a system of government. -- monty python Might I suggest that the universe was always the size of the cosmos. It is just that at one point the cosmos was the size of a marble. -- Colin Angus Mackay

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                                        • T TheGreatAndPowerfulOz

                                          Rob Graham wrote:

                                          with tremendous overhead that includes insurance brokers, lawyers and beancounters at multiple levels.

                                          ah, you've hit on the head the reason why we don't have a universal health care system and why every effort to create one has failed and will forever fail: the entrenched status-quo industry. It's the same reason we'll never get a flat-tax system in place either: doing so would put entire segments of "professionals" out of work, accountants and IRS agents in the tax case, insurance companies, agents and like people.

                                          Silence is the voice of complicity. Strange women lying in ponds distributing swords is no basis for a system of government. -- monty python Might I suggest that the universe was always the size of the cosmos. It is just that at one point the cosmos was the size of a marble. -- Colin Angus Mackay

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                                          Rob Graham
                                          wrote on last edited by
                                          #29

                                          ahz wrote:

                                          : doing so would put entire segments of "professionals" out of work, accountants and IRS agents in the tax case, insurance companies, agents and like people.

                                          In this case it's headed rapidly in the direction of pricing itself out of business. More people are being forced into the emergency room door mode, as health care insurance costs (not to maention 'pay it all yourself' costs) increase at double digit percentage rates each year. It may become a problem we're forced to fix, regardless of who gets displaced.

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