Dammit...hit send too fast...

I have worked in several government agencies and the waste and
bueracracy was pathetic. Sorry, but I can't imagine it would get any
better if the gov't started running all healthcare.

On Friday, May 1, 2009, Scott Stroz <[email protected]> wrote:
> Speaking from the caregiver side, Medicare is a joke. The
> reimbursement rates are pathetic. I was told by a friend still in NJ
> that some hospitals are considering dropping their paramedic units
> because of costs -and it's tied, in a lot of places, to Medicare
> reducing reimbursement rates in recent years.
>
> In the company I worked for as a medic Medicare patients accounted for
> approx. 60% of our patients yet only about 35% of our revenue. It used
> to be higher until Medicare reduced their reimbursement.
>
> I cannot recall the exact number, but we got less than $100 per call
> from Medicare - regardless of what was done for the patient. If the
> patient was in cardiac arrest that would not come close to covering
> the costs of equipment, medications, salaries, etc for that call.
>
> On Friday, May 1, 2009, Judah McAuley <[email protected]> wrote:
>>
>> On Fri, May 1, 2009 at 2:38 PM, Scott Stroz <[email protected]> wrote:
>>>
>>> Nothing run by the US government is 'low cost and high quality'
>>
>> A nice cannard but wrong. Government is not terribly good at all sorts
>> of things. It is really quite decent for many things. If government
>> was not, it would not exist or tossed out and reformed. People who
>> believe the contrary just can't be bothered to pay attention.
>>
>> Medicare is a fine example of something that provides pretty decent
>> results (could always be better of course) with costs that are
>> surprisingly good compared to other options, especially when you
>> consider the population they primarily serve. Now, if only they could
>> take the Medicare example and figure out how to apply that knowledge
>> to health care....
>>
>> Its not like single payer healthcare is a new idea (I worked on it in
>> the early 90's) nor is it unproven. It may surprise you to hear this,
>> but it actually has been implemented by "governments" elsewhere with
>> quite acceptable results.
>>
>> If you don't like the idea of government, that's fine. Spouting off
>> stupid crap like "Nothing run by the US government is 'low cost and
>> high quality'" isn't terribly useful in any actual policy discussion.
>> It is demonstrably false and serves no purpose other than demonizing
>> one side of a debate with rhetoric designed to inflame rather than
>> educate.
>>
>> You have a medical background and could bring a nice dose of the
>> reality of your corner of the healthcare world to the discussion. How
>> does emergency medical fit into the overall picture of healthcare
>> reform in the United States? This is important shit. Whinging about
>> the generic "US Government" is not so useful.
>>
>> Judah
>>
>> 

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