Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-23 Thread thomas malloy

Taylor J. Smith wrote:


Ed Storms wrote on 4-21-08:

"This is indeed a sad story, Jed, that is repeated many
times each day.  The basic problem is that the American


"Unless we put medical freedom into the Constitution,
the time will come when medicine will organize into an
undercover dictatorship ...
 

They, the Allopathic Healers, MD's, have done just that. The only people 
controlling them are the lawyers. Between the two of them they have run 
the price up to what it is today.




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Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Jed Rothwell

Harry Veeder wrote:


> Winston Churchill proposed a better analogy for universal free
> healthcare. He said it is like the fire department. . . .

The problem with that analogy is that healthcare is more than just putting
out fires. There is the matter of fire prevention and coping with the after
effects of a fire. . . .


Well, it is only an analogy after all. Not a perfect fit.

As you point out fire prevention (inspections, smoke alarms and so 
on) is somewhat analogous to preventive health care and regular checkups.


- Jed



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Harry Veeder


On 22/4/2008 9:29 AM, Jed Rothwell wrote:

> Harry Veeder wrote:
> 
>> If you are opposed to a "free" health care system thean you must have
>> been opposed to the "free" interstate highway system.
> 
> Winston Churchill proposed a better analogy for universal free
> healthcare. He said it is like the fire department. He said, as I recall:
> 
> * When a house is on fire, the fire department goes at once, without
> stopping to ask if the owner is rich or poor.
> 
> * A fire is never voluntary; people do not want their house to burn
> down. Disease also strikes at random and the victim does not want or
> ask to be sick.
> 
> * It benefits the whole of society to put out fires and cure disease quickly.
> 
> I believe the U.K. adapted universal health care partly as a result
> of their experiences in WWII.


The problem with that analogy is that healthcare is more than just putting
out fires. There is the matter of fire prevention and coping with the after
effects of a fire. However, this may explain why health care costs are
rising because we demand more from our health care system which was
originally designed to cover the costs of emergency management only.

Harry



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Stephen A. Lawrence



Jed Rothwell wrote:
 Sometimes they go after the disease has become very serious, and then 
they are bankrupted by the system, which -- as I said -- may charge a 
patient his entire net worth in a few days. Healthcare costs are the 
largest cause of middle-class bankruptcy.


Ironically, I've read recently that the same thing is true in the 
worker's paradise of China.


Government initiatives to provide universal health care -- Mao's 
"barefoot doctors" program -- are a thing of the past, and these days 
it's mostly pay as you go.  Consequently health care costs are a leading 
cause of destitution in China today.


"It is glorious to become rich", said Deng ... flip side:  "It is 
terrible to remain poor in China today"




Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Jed Rothwell

Harry Veeder wrote:


If you are opposed to a "free" health care system thean you must have
been opposed to the "free" interstate highway system.


Winston Churchill proposed a better analogy for universal free 
healthcare. He said it is like the fire department. He said, as I recall:


* When a house is on fire, the fire department goes at once, without 
stopping to ask if the owner is rich or poor.


* A fire is never voluntary; people do not want their house to burn 
down. Disease also strikes at random and the victim does not want or 
ask to be sick.


* It benefits the whole of society to put out fires and cure disease quickly.

I believe the U.K. adapted universal health care partly as a result 
of their experiences in WWII.


Jeff Fink wrote:


If you think health care is expensive now, just wait till it's free.


It should be around 60% cheaper, based on results in all other first 
world countries.


Mind you, healthcare costs are increasing worldwide, in Europe and in 
Japan. Costs are ~60% less than the U.S. but they are still rising. 
In Japan it is a major problem.


Fink wrote that the death rates in the U.K. for colon cancer are 
higher because treatment is delayed, or rationed. First, this is 
incorrect. For the population as a whole, mortality rates from most 
diseases are lower in the U.K. than the U.S. Colon cancer rates are 
about the same in both countries; 19 or 20 per 100,000 (see the two 
links below). Mortality rates for colon cancer are declining in the 
U.K. See Figs. 1.5 and 1.7 here:


http://info.cancerresearchuk.org/cancerstats/types/bowel/incidence/

U.S. rates, 19 per 100,000:

http://www.statehealthfacts.org/comparemaptable.jsp?cat=2&ind=585

Second, healthcare is rationed everywhere, most severely in the U.S. 
It is "rationed" here by scarcity, rather than by plan. Many poor 
people cannot afford to go to the doctor, so they often suffer or die 
from treatable disease. Sometimes they go after the disease has 
become very serious, and then they are bankrupted by the system, 
which -- as I said -- may charge a patient his entire net worth in a 
few days. Healthcare costs are the largest cause of middle-class bankruptcy.


- Jed



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Nick Palmer

Jeff Fink wrote:-

>

Where did you read this? It doesn't sound like the National health Service I 
know. It's possible that this means that 30% die because they are diagnosed 
too late but this doesn't mean that surgery is delayed once diagnosis is 
made. Here is a 2004 link to stuff they are doing to improve diagnosis.Links 
within it suggest that any trouble may be with GPs not referring people 
early enough for further investigation.


http://news.bbc.co.uk/1/hi/health/3957531.stm 



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Stephen A. Lawrence



Jeff Fink wrote:

With the system the way it is in the US, if you need an operation for
something you can get it quickly.
  
Hmm... this looks like the old "We pay a lot but we have better care" 
argument.  The United States has, if I recall correctly, the most 
expensive health care system in the world.


Let's cut the chase.  Does this horribly expensive health care actually 
benefit us? How long do people live in the United States live?  Check 
out the Wiki page:


http://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy

Wiki lists the life expectancies a couple different ways.   Their first 
list is taken from the "made in the USA" CIA world factbook; it lists 
the United States as #29 in life expectancy among the countries of the 
world.


According to the United Nations list, which they show later on the page, 
the United States ranks #38, just behind Cuba.


Not so hot, eh?

Here's the CIA list, down to and including the United States:

Rank CountryLife expectancy at birth
 ---
1Andorra83.52
2Japan  82.02
3San Marino 81.8
3Singapore  81.8
5Sweden 80.63
6Australia  80.62
6Switzerland80.62
8France (metropolitan)  80.59
9Iceland80.43
10   Canada 80.34
11   Italy  79.94
12   Monaco 79.82
13   Liechtenstein  79.81
14   Spain  79.78
14   Norway 79.78
14   Israel 79.78
17   Greece 79.38
18   Austria79.21
19   Malta  79.15
20   Netherlands79.11  
21   Luxembourg 79.03  
22   New Zealand78.96
23   Germany78.95  
24   Belgium78.92  
25   United Kingdom 78.7
26   Finland78.66  
27   Jordan 78.55  
28   Bosnia and Herzegovina 78.17

29   United States  78

You can no doubt quibble with some of the numbers, and you can no doubt 
lay a lot of the blame at the door of McDonalds rather than the HMO's, 
but none the less the overall picture is pretty clear:  We're not 
getting what we pay for here.


Incidentally, while a lot of the difference in life expectancies is due 
to heart disease (McDonalds-related deaths) most of the rest is probably 
due to differences in infant mortality. That's another area where, in 
the United States, we pay a fortune and don't get much in return.  
Again, Wiki lists the numbers provided by the U.N. and by the CIA:


http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate_(2005)

I won't reproduce the list here, but I will note that, according to the 
CIA, 42 countries, including Cuba, have lower infant mortality rates 
than the United States.




Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread leaking pen
Actually, i am.  I favor tolls on the goods being shipped by companies
along said system using public tax dollars.  on the goods, not the
trucks, because the truckers have it hard enough as is.

On Mon, Apr 21, 2008 at 10:29 PM, Harry Veeder <[EMAIL PROTECTED]> wrote:
>
>
>
>  If you are opposed to a "free" health care system thean you must have
>  been opposed to the "free" interstate highway system.
>
>
>  Harry
>
>
>
>  >
>  > Jeff Fink wrote:
>  >
>  >> If you think health care is expensive now, just wait till it's free.
>  >>
>  >> Jeff
>  >>
>
>



-- 
That which yields isn't always weak.



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Taylor J. Smith

Ed Storms wrote on 4-21-08:

"This is indeed a sad story, Jed, that is repeated many
times each day.  The basic problem is that the American
people have accepted the idea that life in this country
should be based mainly on the individual effort, with
socialism being un-American. Liberalism, which tries to use
the state to protect the individual, is considered a dirty
word. These ideas are accepted by the ordinary working
person even though this is not in their self-interest to
do so ..."

Hi All,

Unfortunately, using "the state to protect the individual,"
as evidenced by our current military adventure in Iraq,
founders on human greed and egotism.  I have chronic
Lyme disease, a condition which is claimed not to exist
by powerful elements in the medical and pharmaceutical
establishment.  The disease is suppressed as long as
I take antibiotics (which are relatively cheap when
compared with the antibody destroyers used to treat, for
example, multiple sclerosis and other so-called autoimmune
diseases.)  I know that I would not be able to legally
obtain antibiotics with a centralized health care system in
the United States, regardless if it fascist or socialist.

Benjamin Rush, M.D.,  Physician to George Washington and
signer of the Declaration of Independence wrote:

"Unless we put medical freedom into the Constitution,
the time will come when medicine will organize into an
undercover dictatorship ...

All such laws are un-American and despotic and have no
place in a republic.  The Constitution of this republic
should make special privilege for medical freedom as well
as religious freedom."

Source: "The Autobiography of Benjamin Rush"

My fear of the power of the state, which inevitably leads
to corruption and despotism, compels me to work for medical
freedom despite the arguments of compassion and efficiency.

Jack Smith




RE: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread Jeff Fink
With the system the way it is in the US, if you need an operation for
something you can get it quickly.

I read that in Great Britain 30% of the people with curable colon cancer are
dying from colon cancer, because, by the time the operation is scheduled it
is no longer curable.  You can bet that these delays do not apply to the
political leaders.

Top of the line medical insurance is over $12,000 per yr now in the US.  I
pay a fraction of that for $5000 deductible disaster insurance.  The money I
save in a year easily pays that deductible.  The only problem I have is that
I don't get the tests done that I should have done. As one example, I can't
bring myself to pay $1200 out of pocket for a colonoscopy.  If all these
tests were "free" I would get them but, the waiting list would be months or
years long, and the tax burden to pay for it all would be overwhelming.

Medical technology has become a curse.  Most of us feel like we have the
right to any million dollar procedure that will extend our life a few more
years as long as someone else pays for it, but ultimately that someone is
you and me.  

We cannot afford to finance every impractical procedure that some researcher
comes up with.  We must put a lid on medical madness before we are all
bankrupt.  

We will all die from something sometime.  At some point we will have to let
death happen.

Jeff

-Original Message-
From: Edmund Storms [mailto:[EMAIL PROTECTED] 
Sent: Monday, April 21, 2008 11:38 PM
To: vortex-l@eskimo.com
Subject: Re: [Vo]:OFF TOPIC A friend without health insurance

Yes Jeff, that is an argument that is always raised when some form of 
socialized medicine is suggested. The fact is that under no successful 
system is the service completely free. For example, I'm one of the lucky 
people who has good insurance.  Nevertheless, I have to pay part of the 
service and I have to actually be sick to want to endure the process of 
seeing a doctor. However, I don't have to worry about emergencies nor 
not being able to afford to get well. Of course, if everyone had such 
insurance, more doctors would be needed to handle the increased load. 
Simply making more low-interest loan money available to attend medical 
school would eventually solve this problem. Again, this money would have 
to be provided by a government program because we now see what happens 
when the process is turned over to private companies. After all, an 
advancing society needs to make getting a higher education in any field 
much easier, so why not encourage an education in medicine along with 
the other options?  Meanwhile, the government would be free of the 
influence being applied by the combination of powerful insurance and 
medical providers. Influence in the government would be more evenly 
balanced through the efforts of employers and voters.  Gradually, a 
single payer, government run system will be created simply because all 
other options have obviously failed. Eventually, we will have a process 
similar to Social Security, but in health instead of income. Why not 
start sooner rather than later? How much more suffering must occur 
before the conclusion becomes obvious?

Ed


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Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-22 Thread R C Macaulay

Howdy Vorts,
A Medivac chopper cost 15k to transport a patient 100 miles. Look around at 
the medical industry and notice the never ending construction of medical 
facilities on a huge scale. These new hospital facilities represent a "new 
industry" of unprecedented scope and costs. There is no expense spared in 
treating a patient and the equipment, supplies and services are so advanced 
that it requires skilled workers to operate simple devices. The record 
keeping for drugs,procedures, insurance and liability costs alone is beyond 
the scope of any other industry. Like the stock market and social security, 
the medical  system is unsustainable.
Most societies collapse, not from lack of planning, but from the lack of 
understanding the principle of the laws of human nature.
The desire to stay alive. There is real money in feeding this desire... 
well.. err.. until.. the money runs out.. then it's every man for himself... 
the poor dumb saps left in Berlin after WW2 must have had some difficulty 
reconciling exactly what happened. However, as in Paris and London, they 
rose again... along with the Euro..
In the USA, we have a strangely connected atmosphere like Europe and Japan 
after WW2. Not caused by bombed out cities but by affluence. Moscow is 
another strangely connected atmosphere.. caused not by bombed out cities nor 
affluence.. but by criminal minds running government. The USA is now 
entering  a triad of the above events  in a strangely connected way.

Richard

Jeff Fink wrote:


If you think health care is expensive now, just wait till it's free.


Bush correctly pointed out that anyone in the U.S., even an uninsured poor 
person, can get healthcare at an emergency room, just as my friend did. He 
did not say that after a few days in the hospital you will be billed more 
than your net worth, and then hounded by bill collectors until they run 
you out of house and home.


- Jed




Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Harry Veeder



If you are opposed to a "free" health care system thean you must have
been opposed to the "free" interstate highway system.


Harry

> 
> Jeff Fink wrote:
> 
>> If you think health care is expensive now, just wait till it's free.
>> 
>> Jeff
>> 



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Edmund Storms
Yes Jeff, that is an argument that is always raised when some form of 
socialized medicine is suggested. The fact is that under no successful 
system is the service completely free. For example, I'm one of the lucky 
people who has good insurance.  Nevertheless, I have to pay part of the 
service and I have to actually be sick to want to endure the process of 
seeing a doctor. However, I don't have to worry about emergencies nor 
not being able to afford to get well. Of course, if everyone had such 
insurance, more doctors would be needed to handle the increased load. 
Simply making more low-interest loan money available to attend medical 
school would eventually solve this problem. Again, this money would have 
to be provided by a government program because we now see what happens 
when the process is turned over to private companies. After all, an 
advancing society needs to make getting a higher education in any field 
much easier, so why not encourage an education in medicine along with 
the other options?  Meanwhile, the government would be free of the 
influence being applied by the combination of powerful insurance and 
medical providers. Influence in the government would be more evenly 
balanced through the efforts of employers and voters.  Gradually, a 
single payer, government run system will be created simply because all 
other options have obviously failed. Eventually, we will have a process 
similar to Social Security, but in health instead of income. Why not 
start sooner rather than later? How much more suffering must occur 
before the conclusion becomes obvious?


Ed

Jeff Fink wrote:


If you think health care is expensive now, just wait till it's free.

Jeff

-Original Message-
From: Edmund Storms [mailto:[EMAIL PROTECTED] 
Sent: Monday, April 21, 2008 11:10 AM

To: vortex-l@eskimo.com
Subject: Re: [Vo]:OFF TOPIC A friend without health insurance

This is indeed a sad story, Jed, that is repeated many times each day. 
The basic problem is that the American people have accepted the idea 
that life in this country should be based mainly on the individual 
effort, with socialism being un-American. Liberalism, which tries to use 
the state to protect the individual, is considered a dirty word. These 
ideas are accepted by the ordinary working person even though this is 
not in their self-interest to do so. Your friend probably even voted for 
Bush and would not support a politician who proposed socialized 
medicine, even though variations of this approach work well in other 
countries. We get what we vote for. If we are too ignorant to vote 
wisely, we get the government we deserve. Hopefully, the pain inflicted 
by the Bush philosophy will cause people to reexamine their criteria for 
voting.


Ed

Jed Rothwell wrote:


A friend of mine in his 50s has no health insurance. Normally this is 
not a problem because he is a vet who goes to the VA hospital. He has a 
lot or problems, including some service related ones. The other day he 
suffered from a minor stroke and passed out while at a Lowe's hardware 
superstore. They called an ambulance, which took him to Grady Hospital, 
because that is usually the only hospital in Atlanta that take uninsured 
patients. He was there for 4 days, mostly doped up or asleep to keep him 
from moving. He is much better now.


At Grady they did not have to do much for him other than to take some 
cat scans and keep him immobilized. They sent him home and he went to 
the VA hospital a few days later, where they did a bunch more tests and 
declared him okay.


Anyway, the point of this story is to relate the appalling fact that 
Grady just sent him a bill for $82,000. This is an self-employed, 
ordinary, middle class guy who probably doesn't earn that much in a 
year. In other words, four days of hospitalization for a relatively 
minor health problem cost enough to bankrupt an ordinary person. This is 
insane. The U.S. healthcare system is unsustainable.


Bush correctly pointed out that anyone in the U.S., even an uninsured 
poor person, can get healthcare at an emergency room, just as my friend 
did. He did not say that after a few days in the hospital you will be 
billed more than your net worth, and then hounded by bill collectors 
until they run you out of house and home.


- Jed






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Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread leaking pen
Indeed, Senator Kyle a couple of years ago had a talk in the
Scottsdale galleria, a large office building where I worked, in a town
hall format.  He talked about medicare D, and the beauty of how it
made the us government the largest single buyer, and how it gave med d
such bargaining rights.  my voice from the crowd.  "But Senator Kyle,
YOU wrote the rider on medicare part D that removed its right to
bargain, and forced Medicare patients to pay whatever the drug
companies charged!"
His handlers attempted but failed to escort me out, when I showed the
badge stating i worked there.

Then he mentioned drugs from canada.  But senator Kyle, those drugs
are often the same drugs from the same batches sent here to the us,
sent to canada where they have price controls, and sent back, in
factory original sealed condition.  How could they be unsafe?

On Mon, Apr 21, 2008 at 6:33 PM, Edmund Storms <[EMAIL PROTECTED]> wrote:
> Yes, I agree. However, even if I were paying the bill, how would I, while
> sick, bargain with the doctor to lower my payment? The insurance company and
> the government are supposed to do this for me, in their own  self-interest.
> If the government were the single payer, they would have a bigger stick to
> keep the costs under control. I suggest, the problem is that the medical and
> insurance companies are in bed together. Together, they have paid for a
> government that won't intervene. As long as the employer/employee pay, and
> the government won't stop the rape, why change a profitable system? The
> medical/insurance companies have no reason to lower costs because both gain
> profit from the situation, the insurance companies with higher premiums and
> the medical companies with more income. Every time the government tries to
> bring the situation under control, both scream socialized medicine and
> predict loss of quality. The voters buy the nonsense and continue to pay.
> Unfortunately for the medical/insurance companies, the rest of the system is
> stating to hurt and is starting to put pressure on the government. Perhaps
> if a few more of the purchased congressmen are voted out of office, things
> will change.
>
>  Ed
>
>
>
>  leaking pen wrote:
>
>
> > Unfortunately Ed, health insurance is in part the problem. When
> > insurance and not a person was paying the bill, doctors and hospitals
> > found they could charge more. Insurance companies raise prices to
> > compensate, but are thus willing to pay more, and the cycle continues.
> >
> > On Mon, Apr 21, 2008 at 8:10 AM, Edmund Storms <[EMAIL PROTECTED]>
> wrote:
> >
> >
> > > This is indeed a sad story, Jed, that is repeated many times each day.
> The
> > > basic problem is that the American people have accepted the idea that
> life
> > > in this country should be based mainly on the individual effort, with
> > > socialism being un-American. Liberalism, which tries to use the state to
> > > protect the individual, is considered a dirty word. These ideas are
> accepted
> > > by the ordinary working person even though this is not in their
> > > self-interest to do so. Your friend probably even voted for Bush and
> would
> > > not support a politician who proposed socialized medicine, even though
> > > variations of this approach work well in other countries. We get what we
> > > vote for. If we are too ignorant to vote wisely, we get the government
> we
> > > deserve. Hopefully, the pain inflicted by the Bush philosophy will cause
> > > people to reexamine their criteria for voting.
> > >
> > > Ed
> > >
> > >
> > >
> > > Jed Rothwell wrote:
> > >
> > >
> > >
> > >
> > > > A friend of mine in his 50s has no health insurance. Normally this is
> not
> > > >
> > >
> > > a problem because he is a vet who goes to the VA hospital. He has a lot
> or
> > > problems, including some service related ones. The other day he suffered
> > > from a minor stroke and passed out while at a Lowe's hardware
> superstore.
> > > They called an ambulance, which took him to Grady Hospital, because that
> is
> > > usually the only hospital in Atlanta that take uninsured patients. He
> was
> > > there for 4 days, mostly doped up or asleep to keep him from moving. He
> is
> > > much better now.
> > >
> > >
> > > > At Grady they did not have to do much for him other than to take some
> cat
> > > >
> > >
> > > scans and keep him immobilized. They sent him home and he went to the VA
> > > hospital a few days later, where they did a bunch more tests and
> declared
> > > him okay.
> > >
> > >
> > > > Anyway, the point of this story is to relate the appalling fact that
> Grady
> > > >
> > >
> > > just sent him a bill for $82,000. This is an self-employed, ordinary,
> middle
> > > class guy who probably doesn't earn that much in a year. In other words,
> > > four days of hospitalization for a relatively minor health problem cost
> > > enough to bankrupt an ordinary person. This is insane. The U.S.
> healthcare
> > > system is unsustainable.
> > >
> > >
> > > > Bush corr

RE: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Jeff Fink
If you think health care is expensive now, just wait till it's free.

Jeff

-Original Message-
From: Edmund Storms [mailto:[EMAIL PROTECTED] 
Sent: Monday, April 21, 2008 11:10 AM
To: vortex-l@eskimo.com
Subject: Re: [Vo]:OFF TOPIC A friend without health insurance

This is indeed a sad story, Jed, that is repeated many times each day. 
The basic problem is that the American people have accepted the idea 
that life in this country should be based mainly on the individual 
effort, with socialism being un-American. Liberalism, which tries to use 
the state to protect the individual, is considered a dirty word. These 
ideas are accepted by the ordinary working person even though this is 
not in their self-interest to do so. Your friend probably even voted for 
Bush and would not support a politician who proposed socialized 
medicine, even though variations of this approach work well in other 
countries. We get what we vote for. If we are too ignorant to vote 
wisely, we get the government we deserve. Hopefully, the pain inflicted 
by the Bush philosophy will cause people to reexamine their criteria for 
voting.

Ed

Jed Rothwell wrote:

> A friend of mine in his 50s has no health insurance. Normally this is 
> not a problem because he is a vet who goes to the VA hospital. He has a 
> lot or problems, including some service related ones. The other day he 
> suffered from a minor stroke and passed out while at a Lowe's hardware 
> superstore. They called an ambulance, which took him to Grady Hospital, 
> because that is usually the only hospital in Atlanta that take uninsured 
> patients. He was there for 4 days, mostly doped up or asleep to keep him 
> from moving. He is much better now.
> 
> At Grady they did not have to do much for him other than to take some 
> cat scans and keep him immobilized. They sent him home and he went to 
> the VA hospital a few days later, where they did a bunch more tests and 
> declared him okay.
> 
> Anyway, the point of this story is to relate the appalling fact that 
> Grady just sent him a bill for $82,000. This is an self-employed, 
> ordinary, middle class guy who probably doesn't earn that much in a 
> year. In other words, four days of hospitalization for a relatively 
> minor health problem cost enough to bankrupt an ordinary person. This is 
> insane. The U.S. healthcare system is unsustainable.
> 
> Bush correctly pointed out that anyone in the U.S., even an uninsured 
> poor person, can get healthcare at an emergency room, just as my friend 
> did. He did not say that after a few days in the hospital you will be 
> billed more than your net worth, and then hounded by bill collectors 
> until they run you out of house and home.
> 
> - Jed
> 
> 


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Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Edmund Storms
Yes, I agree. However, even if I were paying the bill, how would I, 
while sick, bargain with the doctor to lower my payment? The insurance 
company and the government are supposed to do this for me, in their own 
 self-interest. If the government were the single payer, they would 
have a bigger stick to keep the costs under control. I suggest, the 
problem is that the medical and insurance companies are in bed together. 
Together, they have paid for a government that won't intervene. As long 
as the employer/employee pay, and the government won't stop the rape, 
why change a profitable system? The medical/insurance companies have no 
reason to lower costs because both gain profit from the situation, the 
insurance companies with higher premiums and the medical companies with 
more income. Every time the government tries to bring the situation 
under control, both scream socialized medicine and predict loss of 
quality. The voters buy the nonsense and continue to pay. Unfortunately 
for the medical/insurance companies, the rest of the system is stating 
to hurt and is starting to put pressure on the government. Perhaps if a 
few more of the purchased congressmen are voted out of office, things 
will change.


Ed

leaking pen wrote:


Unfortunately Ed, health insurance is in part the problem. When
insurance and not a person was paying the bill, doctors and hospitals
found they could charge more. Insurance companies raise prices to
compensate, but are thus willing to pay more, and the cycle continues.

On Mon, Apr 21, 2008 at 8:10 AM, Edmund Storms <[EMAIL PROTECTED]> wrote:


This is indeed a sad story, Jed, that is repeated many times each day. The
basic problem is that the American people have accepted the idea that life
in this country should be based mainly on the individual effort, with
socialism being un-American. Liberalism, which tries to use the state to
protect the individual, is considered a dirty word. These ideas are accepted
by the ordinary working person even though this is not in their
self-interest to do so. Your friend probably even voted for Bush and would
not support a politician who proposed socialized medicine, even though
variations of this approach work well in other countries. We get what we
vote for. If we are too ignorant to vote wisely, we get the government we
deserve. Hopefully, the pain inflicted by the Bush philosophy will cause
people to reexamine their criteria for voting.

Ed



Jed Rothwell wrote:




A friend of mine in his 50s has no health insurance. Normally this is not


a problem because he is a vet who goes to the VA hospital. He has a lot or
problems, including some service related ones. The other day he suffered
from a minor stroke and passed out while at a Lowe's hardware superstore.
They called an ambulance, which took him to Grady Hospital, because that is
usually the only hospital in Atlanta that take uninsured patients. He was
there for 4 days, mostly doped up or asleep to keep him from moving. He is
much better now.


At Grady they did not have to do much for him other than to take some cat


scans and keep him immobilized. They sent him home and he went to the VA
hospital a few days later, where they did a bunch more tests and declared
him okay.


Anyway, the point of this story is to relate the appalling fact that Grady


just sent him a bill for $82,000. This is an self-employed, ordinary, middle
class guy who probably doesn't earn that much in a year. In other words,
four days of hospitalization for a relatively minor health problem cost
enough to bankrupt an ordinary person. This is insane. The U.S. healthcare
system is unsustainable.


Bush correctly pointed out that anyone in the U.S., even an uninsured poor


person, can get healthcare at an emergency room, just as my friend did. He
did not say that after a few days in the hospital you will be billed more
than your net worth, and then hounded by bill collectors until they run you
out of house and home.


- Jed














Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Jed Rothwell
OrionWorks wrote:

>I agree with Jed, and especially with Mr. Storm's assessment of the
>situation. Some form of a modified (Americanized) socialism is
>probably the only way we will be able to survive the health cost
>crisis.

Something like Medicare for everyone would be fine with me. It is silly to call 
such things "socialism."  We have always been a collectivist society, quite 
unlike Europe and Japan. The Japanese were astounded by the behavior of 
American GIs after WWII for many reasons, not least of which was their 
collectivist, socially responsible, volunteerism. For example, when a cart full 
of fruit being pushed by an old lady spilled on the street in front of a 
trolley car, the GIs on board jumped out, picked up the fruit, loaded it on to 
the cart and jumped aboard again. In 1945 anyone would have done that, civilian 
or soldier. Nowadays we would probably look the other way, but someone with my 
upbringing would instantly volunteer. The GIs were not being kind-hearted so 
much as they wanted to get on their way without destroying the fruit. No 
Japanese person would have done that back then, and I doubt many would today.

Our tradition of helping other Americans -- and also, on the dark side, 
interfering with their personal lives -- goes back to the Mayflower. In 
Colonial New England, when people who did not teach their children the ABCs by 
age 6, the government took the children away. The rugged individualist American 
is mostly mythology. You don't build a civilization in the wilderness without 
collectivism. See H. B. Parkes, "The American Experience," (Alfred A. Knopf, 
1947)

But regarding health care, it is a complex problem, and especially the 
technical side admits no easy solutions. That's a subject the readers here can 
understand. Medical technology has improved tremendously, but it tends to be 
expensive, high-tech stuff, and there is a built-in imperative to use whatever 
we invent. For example, when kidney dialysis came along, many patients died 
because they could not afford it. The Johnson administration eventually pushed 
through a law making it available to everyone who needed it. That cost a 
tremendous amount back in the 1960s, although it improved the state of the art 
and today dialysis machines are mass produced and much cheaper. As I have 
pointed out here before, many diseases cost nothing in the 1960s because they 
were incurable and the patient died quickly, but today they cost tens of 
thousands or hundreds of thousands to fix.

I expect that my friend who suffered a stoke would have gotten no treatment 40 
years ago, except for bedrest and nursing, which would have cost practically 
nothing. He would have recovered just as well as he did, because they performed 
no surgery or invasive diagnostics. They spent $82,000 on stuff like MRIs to 
determine that:

1. It wasn't so bad.

2. There was nothing they could do anyway.

If I were the patient, I would want them to do the same thing! I have seen what 
stokes can do to people.

There are other factors driving up the cost of medical care such as greedy 
insurance companies and so on, but the technical conundrum is something we can 
all sympathize with. It is not caused by villains or unreasonable people. It is 
like traffic jams: no one is at fault, but collectively we cause the problem. 
The only solution is also collective.

- Jed





Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread leaking pen
Unfortunately Ed, health insurance is in part the problem. When
insurance and not a person was paying the bill, doctors and hospitals
found they could charge more. Insurance companies raise prices to
compensate, but are thus willing to pay more, and the cycle continues.

On Mon, Apr 21, 2008 at 8:10 AM, Edmund Storms <[EMAIL PROTECTED]> wrote:
> This is indeed a sad story, Jed, that is repeated many times each day. The
> basic problem is that the American people have accepted the idea that life
> in this country should be based mainly on the individual effort, with
> socialism being un-American. Liberalism, which tries to use the state to
> protect the individual, is considered a dirty word. These ideas are accepted
> by the ordinary working person even though this is not in their
> self-interest to do so. Your friend probably even voted for Bush and would
> not support a politician who proposed socialized medicine, even though
> variations of this approach work well in other countries. We get what we
> vote for. If we are too ignorant to vote wisely, we get the government we
> deserve. Hopefully, the pain inflicted by the Bush philosophy will cause
> people to reexamine their criteria for voting.
>
>  Ed
>
>
>
>  Jed Rothwell wrote:
>
>
> > A friend of mine in his 50s has no health insurance. Normally this is not
> a problem because he is a vet who goes to the VA hospital. He has a lot or
> problems, including some service related ones. The other day he suffered
> from a minor stroke and passed out while at a Lowe's hardware superstore.
> They called an ambulance, which took him to Grady Hospital, because that is
> usually the only hospital in Atlanta that take uninsured patients. He was
> there for 4 days, mostly doped up or asleep to keep him from moving. He is
> much better now.
> >
> > At Grady they did not have to do much for him other than to take some cat
> scans and keep him immobilized. They sent him home and he went to the VA
> hospital a few days later, where they did a bunch more tests and declared
> him okay.
> >
> > Anyway, the point of this story is to relate the appalling fact that Grady
> just sent him a bill for $82,000. This is an self-employed, ordinary, middle
> class guy who probably doesn't earn that much in a year. In other words,
> four days of hospitalization for a relatively minor health problem cost
> enough to bankrupt an ordinary person. This is insane. The U.S. healthcare
> system is unsustainable.
> >
> > Bush correctly pointed out that anyone in the U.S., even an uninsured poor
> person, can get healthcare at an emergency room, just as my friend did. He
> did not say that after a few days in the hospital you will be billed more
> than your net worth, and then hounded by bill collectors until they run you
> out of house and home.
> >
> > - Jed
> >
> >
> >
>
>



-- 
That which yields isn't always weak.



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread OrionWorks
>From Edmond Storms:

> This is indeed a sad story, Jed, that is repeated many times each day. The
> basic problem is that the American people have accepted the idea that life
> in this country should be based mainly on the individual effort, with
> socialism being un-American. Liberalism, which tries to use the state to
> protect the individual, is considered a dirty word. These ideas are accepted
> by the ordinary working person even though this is not in their
> self-interest to do so. Your friend probably even voted for Bush and would
> not support a politician who proposed socialized medicine, even though
> variations of this approach work well in other countries. We get what we
> vote for. If we are too ignorant to vote wisely, we get the government we
> deserve. Hopefully, the pain inflicted by the Bush philosophy will cause
> people to reexamine their criteria for voting.
>
>  Ed

I work for the state of Wisconsin. As a humble public servant we have,
relatively speaking, some of the best HMO heath insurance the common
man & woman can get in our country.

Like most health insurance costs the state's aggregate expenses have
steadily increased along with everyone else's, often well over 10%
each year, year after year. Predictably, these relentless increases
eventually hit the state coffers in unpleasant ways. About three to
four years ago our state unions were informed of the fact that we
would actually have to start PAYING a small monthly premium OUT OF OUR
OWN POCKETS. Boy! Did the ka-ka hit the fan! I don't expect much
sympathy from the Vort membership, especially from those few brave
souls who are actually trying to make a living pursuing the American
dream of private entrepreneurship.

Unfortunately, it would seem that some of my colleagues prefer to
gloss over the fact that the common taxpayer, the private business man
& woman who pays our state salaries are struggling each day to make
ends meet, let alone pay their own draconian health insurance
premiums. As best as I can figure most Wisconsin state employees are
now required to fork out somewhere around $30 (single) to $80 (family
plan) a month from out of their own pocketbooks to pay their share of
the premium. Meanwhile the state kicks in somewhere around five
hundred (single) to a thousand (family) a month tax free to pay the
remainder of the premium. This is, of course, not taxable.

I consider myself extremely lucky. The smarter of my colleagues
consider themselves extremely lucky as well. Few of us well get rich
on our government salaries. OTOH, it's not likely that any of us will
need to declare bankruptcy as a result of an unexpected trip to the
emergency room followed by a few days stay at the local hospital.

I agree with Jed, and especially with Mr. Storm's assessment of the
situation. Some form of a modified (Americanized) socialism is
probably the only way we will be able to survive the health cost
crisis. Unfortunately, I fear too many of us still consider the "s"
word to be as unspeakable and un-American as uttering the "n" word in
mixed company. We are getting what we paid for.

Regards
Steven Vincent Johnson
www.OrionWorks.com
www.zazzle.com/orionworks



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread leaking pen
I HAVE insurance, but failed to read the deductible part of it.  Went
to the emergency room for a cut open hand, like, you could see fat
tissue and nerves, that cut.  Was told as i was leaving they had my
insurance info, no problem.  Turns out theres a 1 grand deductible on
emergency room visits that are not life threatening, even though THEY
told me to go to the emergency room and not urgent care.

for 5 hours sitting in a waiting room, 15 minutes seeing a doctor, and
3 stiches, 890 dollars.  I net about 500 a week.  Thats not
bankrupting, but it is bank busting for me. and i HAVE insurance.

On Mon, Apr 21, 2008 at 7:14 AM, Jed Rothwell
<[EMAIL PROTECTED]> wrote:
> A friend of mine in his 50s has no health insurance. Normally this is not a
> problem because he is a vet who goes to the VA hospital. He has a lot or
> problems, including some service related ones. The other day he suffered
> from a minor stroke and passed out while at a Lowe's hardware superstore.
> They called an ambulance, which took him to Grady Hospital, because that is
> usually the only hospital in Atlanta that take uninsured patients. He was
> there for 4 days, mostly doped up or asleep to keep him from moving. He is
> much better now.
>
>  At Grady they did not have to do much for him other than to take some cat
> scans and keep him immobilized. They sent him home and he went to the VA
> hospital a few days later, where they did a bunch more tests and declared
> him okay.
>
>  Anyway, the point of this story is to relate the appalling fact that Grady
> just sent him a bill for $82,000. This is an self-employed, ordinary, middle
> class guy who probably doesn't earn that much in a year. In other words,
> four days of hospitalization for a relatively minor health problem cost
> enough to bankrupt an ordinary person. This is insane. The U.S. healthcare
> system is unsustainable.
>
>  Bush correctly pointed out that anyone in the U.S., even an uninsured poor
> person, can get healthcare at an emergency room, just as my friend did. He
> did not say that after a few days in the hospital you will be billed more
> than your net worth, and then hounded by bill collectors until they run you
> out of house and home.
>
>  - Jed
>
>



-- 
That which yields isn't always weak.



Re: [Vo]:OFF TOPIC A friend without health insurance

2008-04-21 Thread Edmund Storms
This is indeed a sad story, Jed, that is repeated many times each day. 
The basic problem is that the American people have accepted the idea 
that life in this country should be based mainly on the individual 
effort, with socialism being un-American. Liberalism, which tries to use 
the state to protect the individual, is considered a dirty word. These 
ideas are accepted by the ordinary working person even though this is 
not in their self-interest to do so. Your friend probably even voted for 
Bush and would not support a politician who proposed socialized 
medicine, even though variations of this approach work well in other 
countries. We get what we vote for. If we are too ignorant to vote 
wisely, we get the government we deserve. Hopefully, the pain inflicted 
by the Bush philosophy will cause people to reexamine their criteria for 
voting.


Ed

Jed Rothwell wrote:

A friend of mine in his 50s has no health insurance. Normally this is 
not a problem because he is a vet who goes to the VA hospital. He has a 
lot or problems, including some service related ones. The other day he 
suffered from a minor stroke and passed out while at a Lowe's hardware 
superstore. They called an ambulance, which took him to Grady Hospital, 
because that is usually the only hospital in Atlanta that take uninsured 
patients. He was there for 4 days, mostly doped up or asleep to keep him 
from moving. He is much better now.


At Grady they did not have to do much for him other than to take some 
cat scans and keep him immobilized. They sent him home and he went to 
the VA hospital a few days later, where they did a bunch more tests and 
declared him okay.


Anyway, the point of this story is to relate the appalling fact that 
Grady just sent him a bill for $82,000. This is an self-employed, 
ordinary, middle class guy who probably doesn't earn that much in a 
year. In other words, four days of hospitalization for a relatively 
minor health problem cost enough to bankrupt an ordinary person. This is 
insane. The U.S. healthcare system is unsustainable.


Bush correctly pointed out that anyone in the U.S., even an uninsured 
poor person, can get healthcare at an emergency room, just as my friend 
did. He did not say that after a few days in the hospital you will be 
billed more than your net worth, and then hounded by bill collectors 
until they run you out of house and home.


- Jed