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COMMUNITY PUNDITS
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TheHandyman 01:22 PM on 08/30/2013
After all is said a done, letting people get filthy rich off of people's health is unconscionable. The health insurance industry has defraud and murdered at least 18,000 people a year for the last 6 years through denial of treatments that could have saved those people's lives. And they do it because it is profitable for the companies. And the ACA will only turn into a single payer health care system when  Read More...
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leorangerie
12:12 PM on 09/02/2013
I knew we were headed for huge trouble twenty years ago when my doctor had four people working in his office doing nothing but insurance paper work. Finally, he said, that's it, no more insurance billing. He now requires payment in full on the day, and they hand you a piece of paper for YOU to sort out with your insurance company. That was 1988, and it's only gotten worse. What I WILL say, however, is that the doctors' I've used have for the most part been highly skilled and worth the money. The tests are what become eye popping in cost.
12:23 PM on 09/02/2013
The American system of medical care is in state of collapse! As a whole, none of the various ways in which medical treatment - via insurance or personal funds or Government program (Medicare & Medicaid) is paid for is affordable. Each medical provider (doctor, hospital, Lab, etc) tries to game the system to get make $$$$s. The last decade in which average Middle Class person could afford a fairly serious medical problem WITHOUT being insured, was in the 1970s. In the decades since then, medical care & insurance premiums have become increasingly unaffordable! So good access to medical care has been rationed to those with the wealth to pay cash or the ability to get obtain better insurance benefits. Unless the whole system is drastically changed, rationing will become more prevalent to those even with insurance. The only people who won't suffer with poor access & lack of options in treatment will be the wealthy.
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leorangerie
12:33 PM on 09/02/2013
Can't argue with you. We've allowed health care to become a commodity. Probably not in our best interest as a country. However, there has to be motivation for the finest doctors to be compensated for their extraordinary skills. One surgeon I know who does spine is booked two years out because he's the best. He does a boatload of pro bono work for the indigent, veterans, etc. But I have no problem with him charging top dollar for his skills...since he donates his skill to many who can't afford him. Wealthy people fly into LA from all over the world for his services, and more power to him. Just my opinion.
12:11 PM on 09/02/2013
I wonder if this will be major headline news on FOX News? No? Oh, I see the dance card is full with just more Obamacre defunding and repealing and stopping ?
Ok then. Carry on and dig that hole deeper.
10:09 AM on 09/02/2013
The lack of productivity is a problem here. Spend days, weeks, months, chasing paper trails and getting nothing done.
The same should be done, when insurance needs my money. “Sent the check last month, you still did not get it.“
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doc Ellis
Don't let nobody sneak up on ya.
08:41 AM on 09/02/2013
"In other words, the world's richest country spends more of its money on health care while getting less than almost every other nation in return."~~~~~

...and what improvements that have been made were done under this administration and the GOP-Tea want to take this back even at the expense of having a functioning governement. Who's side are they on anyway? ~~~ doc
That Old Navy Guy
Not Liberal or Conservative but an American
01:06 PM on 09/02/2013
Sounds a little like our educational system. We pay more per capita on public educations but our students score lower behind other countries.
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doc Ellis
Don't let nobody sneak up on ya.
06:27 PM on 09/02/2013
Ya, it does at that. I think that's called, "The Stinky End Of The Stick". ~~ doc
Ainsi sera groigne qui
Cur tu me vexas?
03:11 AM on 09/02/2013
IIRC the USA spends nearly half or more of healthcare dollars towards providing care to persons in the final 1/3 or 1/4 of their lives. This often includes aggressive treatments to slow or reverse a process that God or nature (which ever you prefer) has deemed is going to happen anyway; death. Treatment "x" leads to complications that now require treatment "y", and often soon enough that cycle is repeated. All the while costs of providing care continue to rack up.

In the years after WWII Americans in particular have grown used to and now expect advances in medical care to keep them *alive*. From antibiotics to cancer we have made incredible gains in the prevention and treatment of disease, in particular those once considered mortal. However what often becomes lost in this is not simply keeping someone alive, but what is the quality of life they will have?

Modern American healthcare is largely based upon *doing* something. This is often quite lucky for doctors and hospitals because they are often paid based upon activity. OTOH travel to other countries and you may hear a different story.

If a panel of physicians say in France looks at one's prognosis and other factors including age and so forth and it is determined that palliative and or hospice care is appropriate....

Long story short in order for US healthcare to become more efficient Americans in general must become more accepting of death.
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GliderRider
Click here for more options
12:52 PM on 09/02/2013
I accept your death.
Ainsi sera groigne qui
Cur tu me vexas?
11:57 PM on 09/02/2013
What a horrible and disgusting thing to say; however fair enough as one does not intend to go alone. So if I were *you* I'd not make any long range plans.
12:48 AM on 09/02/2013
This article would be much more interesting if the top systems were described not just listed.
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04:06 AM on 09/02/2013
I can describe Australia's for you.
Our universal health care is something we don't think about much. It works well and except for those of us who immigrated less than 40 years ago, we don't know any other system.

Where it becomes an issue is when we need a hip or knee replacement. A wait of 6 months is not uncommon and when you are crippled that can be a lifetime.

The up side is that no one ever goes bankrupt having a $80,000 hip procedure.
No one ever goes bankrupt paying any hospital bill. Universal health care is as natural as breathing.
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aeuropeanvoice
the dog ate my micro-bio,sorry
10:11 AM on 09/02/2013
Your long waiting lists for those two medical interventions are not the inevitable by- products of a better health care I guess ,it is most likely due to a lack of orthopedics .
10:54 AM on 09/02/2013
We have that in Canada too, but we don't make the top ten list. There are variations within universal health care systems.
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Caymus77
We the people ARE the Government
08:33 PM on 09/01/2013
Seems to me we should be adopting the most efficient model. Why should Americans pay MORE?
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Joseph Hemphill
Marine Corps veteran, Small business owner
01:59 AM on 09/02/2013
Obscene insurance profits...
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dresdengirl
09:31 AM on 09/02/2013
Bingo
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Liban CZ
Straight as an arrow.
07:43 PM on 09/01/2013
But, still most people are fat, in America.
What to do, what to do? put more money it to health care! and the round we go, and go, nowhere...
Iwouldprefernotto
Your micro-bio is empty
07:49 PM on 09/01/2013
So we'll get healthier by spending less money?
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Liban CZ
Straight as an arrow.
07:59 PM on 09/01/2013
yes, you got it.
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Cadillac Rosa
Faith is the surrender of the mind, of reason.
03:41 AM on 09/02/2013
You think Australians or Britons don´t have an obesity problem?
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06:17 AM on 09/02/2013
Australia does
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Liban CZ
Straight as an arrow.
08:35 AM on 09/02/2013
so, most of the world is fat. lol
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berrygoat
07:42 PM on 09/01/2013
Most of those universal health care driven,efficient countries are flying under the defense umbrella of the US or NATO. There's the rub. Re-think that whole "Empire" thing and concomitant defense commitments around the world and we'd be there.But ya know how it works...The Machine must be fed before the people.
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aeuropeanvoice
the dog ate my micro-bio,sorry
10:14 AM on 09/02/2013
But of course,that is it !
The rest of the world has better health care because of NATO or the US military spending .
sounds absolutely logical to ...who ,exactly ?
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CPAwADD
Always look on the bright side of life.
05:55 PM on 09/01/2013
USA! USA! Oops I'm reading the graph backward we're least efficient.
05:54 PM on 09/01/2013
Wooo!!!!! USA! USA! We totally dominated Brazil and Serbia!
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aeuropeanvoice
the dog ate my micro-bio,sorry
10:15 AM on 09/02/2013
But not Greece !
03:36 PM on 09/01/2013
Just exactly what do you expect from a country that rules by greed. And is governed by the rich, well DUHHH. Money trumps everything in the US. Yet the sheeple keep on following the rich expecting things to change. Good luck with that....
We have a country ran by the rich.. Eventually it will get bad enough that people might decide they have had enough. Demand change. Stop listening to the lies that the rich will take care of you. Stop listening to the professional spinners that tell you its the poor peoples fault. Or just keep drinking the cool aid. All the data is out there to decide the truth. It does take a little effort to find the truth.
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DBinVA
C. None of the above
11:28 PM on 09/01/2013
I was wondering how many comments I would have to read before I hit on one of the big 3 Lib talking points. It's always greed, lack of empathy, or racism. It didn't take long.
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Joseph Hemphill
Marine Corps veteran, Small business owner
02:00 AM on 09/02/2013
Well please enlighten us ignorant rubes as to what the problem is then perfessor...
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doc Ellis
Don't let nobody sneak up on ya.
08:48 AM on 09/02/2013
Now that your query has been resolved why not consider going home to Fox, this way, we irritating progressive liberals won't ruin your day? ~~~ doc
02:51 PM on 09/01/2013
Pay people to not have children. It's the opposite of what we do now. That's the answer to the college crisis, unemployment, housing, food prices, and global warming. No more first world babies.
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VA Jill
I'm not perfect and neither are you
02:05 PM on 09/01/2013
I worked in the US healthcare system. You don't have to tell me it's inefficient.
11:57 AM on 09/01/2013
Some industries require direct state intervention if not complete nationalization. Even rich guys like doctors to that have been able to practice first rather than the terrifying "congratualtions, your the first person who could afford this! Iv read up on this so bear with me and lets see how it goes"
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12:23 PM on 09/01/2013
There is a precedent.

The U.S. nationalized its railroads during WW I.