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10:51 AM on 08/28/2009
I had a good talk with my doctor. He is for a private option and described how the insurance companies were so hard to deal with. He called it a battle. He aso lamented the fact that tort reform was nto on the table. He suggested that if his malpractice insurance went dowm, his reimbursements could be lowered by the same percentage.
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rlkinny
Liberals do the math.
11:13 AM on 08/28/2009
We need insurance reform before we can have effective tort reform. I remember seeing Senator McCaskill's town hall meeting on TV recently. Missouri had enacted tort reform, but it had no impact on insurance premiums. I guess the insurance companies thought any resultant savings belonged as profits in their pocket.
11:15 AM on 08/28/2009
Ask your doctor this... Why is health care in McAllen Texas the highest in the country when texas tort reform has eliminated most med mal suits?
11:28 AM on 08/28/2009
"Massachusetts has the most expensive family health insurance premiums in the country, according to a new analysis that highlights the state’s challenge in trying to rein in medical costs after passage of a landmark 2006 law that mandated coverage for nearly everyone."

Boston Globe, dated Aug 22nd 2009

This is the model of a Govt run system in Mass.
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10:51 AM on 08/28/2009
LyndaLouise I'm a Fan of LyndaLouise I'm a fan of this user permalink

The main difference between here and there in regard to waiting is that in Canada, the wait may be too long to allow you life. It depends on the treatment needed. Here, there is never a wait when it comes to timely treatment to maintain your life. At least so far. But that will change if our system changes to government care, just like it has in other countries.
Reply Favorite Flag as abusive Posted 10:21 AM on 08/28/2009
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Canada healthcare is triaged care. There is never a wait in Canada for emergency treatment or prolonged waits for life saving treatment. Wait times vary by province and type of medical need. You say that in your country there's never a wait when it comes to timely treatment to maintain your life - I would argue that the people that have cancer (which requires timely treatement to maintain life) and can't afford their chemo or any other treatment, would beg to differ.

Your comments expressing generalizations show that either you're grossly uneducated, you don't do your own research, or you're simply a tr0//. Your profile says you've been a member since Aug 2009 and you have over 100 comments... my guess is tr0//.
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oldngrumpy
My micro-bio is no longer empty
11:42 AM on 08/28/2009
Admittedly a PAID tro// in a post farther back in this thread. There are lots of them and the mechanism that allows them to do their job has been in place and well funded for some time. Can you say "swift boat"?
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11:47 AM on 08/28/2009
It admitted it was PAID? Wow. I've never actually known of one admit it before, so thanks for letting me know :-)
12:12 PM on 08/28/2009
Last time I went to my doctor I waited 1 hour 15 minutes till she came in.
Last time I went to the ER I waited 3 hours 40 minutes for treatment.
My insurance company constantly rejects my doctor's prescriptions for a chronic condition, and requires renewed paperwork and approval every time.

We've already got all the problems the right-wingers are threatening us with. The point of insurance reform is to solve them.
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12:16 PM on 08/28/2009
I really hope that this time something happens for your country that benefits the citizens for once, instead of the insurance companies.
10:41 AM on 08/28/2009
You better believe they do this. I had an endocrinologist in northeast Ohio that warned me in 2004 about the dire consequences of voting Democrat. His main worry was his malpractice fees. He was good at his job so I kept quiet and basically didn't engage with him, but it was a stupid thing for him to say and it did make me uncomfortable. I wish all of these doctors in the exam rooms would keep their mouth shut about their politics.

And about the Canada thing - hey - the Canadian government will PAY for your treatment in the USA. So why wouldn't they come here where they can get to the front of the line because they have insurance - over a US CITIZEN in distress. Talk about RATIONING of care that doesn't make sense.

And if doctors were government employees in a single payer system - they'd have the US government standing behind them if they were sued. Also reimbrusement rates and salaries would be stable and likely adjusted properly with inflation so they wouldn't experience deflation of their income. I'm not sure why more doctors wouldn't want that. They keep making it harder and harder to sue the government so it would be the best option they might ever get.
10:52 AM on 08/28/2009
As far as I understand, Canadians cannot just hop south of the border and access the US health care system. Provincial plans will cover US treatment if the wait time for a particular procedure is unacceptably long. Otherwise, Canadians who go to US would pay for treatment privately. My impression is that anyone who pays privately jumps the line in the US. Before my comment on unacceptable wait times is pounced on, please keep in mind that wait times are tracked in order to identify procedures that have waits that are too long so those procedures can be focussed on for improvement - more staff, more machines, etc.
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oldngrumpy
My micro-bio is no longer empty
11:45 AM on 08/28/2009
"keep in mind that wait times are tracked in order to identify procedures that have waits that are too long so those procedures can be focussed on for improvement - more staff, more machines, etc."

As opposed to our system that dedicates staff and equipment to "high profit" areas.
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ljkcan
I don't let geographical borders limit my thinking
01:01 PM on 08/28/2009
The only time a Canadian Province will pay for treatment in the us is :
Emergency , accident, heart attack ect. I once knew someone who lived in Sarnia and went over to the states to have heart surgery. He was not given prior consent and neither the province or insurance company would pay he went without even asking.

They will send you to the US for something that is urgent and you have to have prior consent from the province.

I wish people would ask Canadians instead of bashing our system, We are willing to answer but I admit I am getting rather tired of the lies I can guarantee you if they are having hips and knees done in the US it is because they are paying for it themselves. People with money want it done yesterday

I waited 6 months for my first knee in Canada but I waited until it had gotten bad and tried everything to avoid it. The cost the tv in my room.

Americans are being ripped off by the insurance industry and you keep picking on our system get your facts right and you will not be so smug.
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MMJones
10:41 AM on 08/28/2009
We are a health-care office. We talk about reform as NECESSARY as we're tired of the insurance companies dictating our patients' care decisions. And, when insurance does a preauthorization, then suddenly decides, after procedure is done, that it is not covered after all, that's the worse. Then the DOC becomes the bad guy.

Reform health care. Then take care of the ancillary reforms that will go along with it. Such as: We are absolutely insurance premium poor ourseves as we pay tens of thousands every year to various insurance companies for the pleasure of doing business. (That's not counting malpractice.) We pay overhead like you wouldn't believe, employee taxes out the yingyong...

Trust me, we aren't making a killing. But what would make the practice of health care absolutely more enjoyable, however, is taking the stress of unscrupulous insurance company dictates OUT of the equation.
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oldngrumpy
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11:49 AM on 08/28/2009
I have been told by oncology physicians and staff that they dedicate 25% of their time and resources to advocating for patients who have been denied tests, drugs, and procedures that are common life prolonging practice. Their one repeated complaint is that they find themselves being dictated to by "customer service" agents who may only have a HS diploma and two weeks of training.
10:41 AM on 08/28/2009
Those who argue that health care will be rationed are totally correct. Under the Obama plan, those with the most need would be served first. Under the current,or Rushpublican plan, those with the most money are served first
10:47 AM on 08/28/2009
Correct, what we have now is rationing based on profit margins, not health needs.
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11:09 AM on 08/28/2009
Healthcare is rationed NOW in three ways:
1- By job and income. If your employer does not provide it, or if you cannot afford it on your own, you are rationed.

2- Most plans top out at $100 to $200K per year. Get some expensive illness or accident, and you are on the way to bankruptcy.

3- Most plans top out at $1 to $2 Mil lifetime. Get some expensive illness or accident, and you are on the way to bankruptcy.
10:41 AM on 08/28/2009
Blue DOG Twon HALL on C=SPAN

NOW
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2garen
10:40 AM on 08/28/2009
People have the right to speak their opinion as long as that opinion is not lies, half truth or intimidation.
The doctor probably sees one person from Canada who vacations in Arizona part of the year. The doctor does not have the right to violate HIPPA. In the same breath he does not have the right to say such thing without viable facts.
10:40 AM on 08/28/2009
Aug 27-2009- on C-Span-

Tom Scully- Bush's CMS Administrator stated Medicare Advantage, Part C- is overpaid!

This is what OBAMA wants to CUT!

Back door elimination to Medicare Med Advantage is now unfolding as to why this was infiltrated into Medicare.

Mr. Scully admits that Med Advantage turned out to be tactfully wrong- he would not admit the other failure- the philosophical failure.

Yet they continue to scare the seniors with their 'death panels' rhetoric.

Scully admits politically- no one wants to tell those 10 million seniors on Med Advantage that the benefits that were subsidized by tax dollars to Insurance companies will no longer be given thus they will not get the benefits they thought they were going to get.

GOP will not - will never admit what they set up has failed miserably.

Just like GOP will never admit MED D failed miserably.

Back door elimination to all democratic institutions- that is the C-Street Philosophy
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10:37 AM on 08/28/2009
I have always maintained that medical school should be free for all qualified applicants. The result would be a glut of doctors and through the law of supply and demand patient costs would fall. That in turn would leave only the physicians who became doctors for the right reasons and weed out those who only entered the profession to make a huge profit on the sufferings of their patients.
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11:02 AM on 08/28/2009
Agreed.
Right now many who want to be doctors to help others, and would be talented, dedicated doctors, just cannot afford it.
12:11 PM on 08/28/2009
I have several relatives in the Netherlands who have become doctors, whose medical education was either paid for or substantially subsidized ( I forget which). After graducation they repaid this by either serving 2 years in Dutch army or by going to practice for 1 year in an underdeveloped country. I'm not positive this practice is still in effect, but something like it may be worth considering to make medical education open to the best of the best, not just those who can afford it or are able to go into massive debt to go to school.
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oldngrumpy
My micro-bio is no longer empty
12:51 PM on 08/28/2009
Bush proved to us that simply being able to buy a diploma doesn't make one capable. More opportunity should be offered to excellent students who can raise the bar of medical graduates back to where it used to be.

Isn't it odd that so many of the desirable models we now look to in our society date back to the 60's and 70's. We should make an effort to return to that era in matters where doing so would be beneficial. The "everything for profit" model that has driven every aspect of our society has failed us miserably. Those "better days" also included a 72% top marginal tax rate with few shelters and dodges for the wealthy. None of them missed any meals and our nation was the envy of the civilized world.
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Witkacy
10:37 AM on 08/28/2009
As my wife lay in labor a year and a half ago, the anesthesiologist who came in to administer the epidural made it a point (TV news was on at the time) to bark out a few nasty remarks about Al Gore. His coworkers had a laugh about him, when he was gone from the room; but I found it offensive & inappropriate (not least because our political beliefs were the very opposite of those of this cranky old wingnut). The care in the hospital was so good, however, that we made nothing of the incident.
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StephCaster
10:36 AM on 08/28/2009
Shirley Rish, you are a true America! You go girl!
10:33 AM on 08/28/2009
doctors will lose money, they already hate dealing with medicare, it will be bad for their businesses, why cant he speak his opinion?
10:37 AM on 08/28/2009
Does the doctor want to listen to all of his patients' political opinions? Doubt it.
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kareemachan
watashi ha tororu ga oroka da to omoi masu。
10:44 AM on 08/28/2009
Because it has no place in the doctor's office, where he's supposed to help the patient, not give his/her opinions with a captive audience. Discussion is one thing, but not there, not like that. It's fairly obvious.
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constitutional 1
Ring-ding-ding-ding-dingeringeding!
10:32 AM on 08/28/2009
its simple, find a different doctor if you dont like... while you can
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JuergenHartl
Social-Democrat by conviction
11:08 AM on 08/28/2009
Easier said than done, when the insurance companies tell you which doctor you can see and wich one you can't. In a lot of rural places there is no choice!
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DennisMM
12:22 PM on 08/28/2009
In the words of Quentin Tarantino, "THAT'S A BINGO!"
10:32 AM on 08/28/2009
pull his licence
10:22 AM on 08/28/2009
God I'm glad I live in Canada.
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10:35 AM on 08/28/2009
I'm with you kimmisner :-)