DragonCowboy

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I was just wondering what you guys thought about this.

I'm actually going to med school in a year, and I've taken some classes in college (yes, I know, probably biased) that talked about the current state of healthcare.

I was wondering what you guys thought about healthcare as it is now. Some of you guys have much more experience with it than I do.

Do you guys think that healthcare (pre-ACA) is fine as is? If not, what do you guys see is wrong with it? Additionally, what would you do to solve it? What is your opinion of the Affordable Care Act?
 
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Let me guess.... you were given this question as an assignment for your class, and you're wanting smart people like me and ......


Shit, I just realized I'm the only smart poster here.


You're fucked, DC, because I don't even acknowledge posters with under 100 posts. Not that post counts matter. I don't care about them. Never have. Believe what you want.
 

dbair1967

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I was just wondering what you guys thought about this.

I'm actually going to med school in a year, and I've taken some classes in college (yes, I know, probably biased) that talked about the current state of healthcare.

I was wondering what you guys thought about healthcare as it is now. Some of you guys have much more experience with it than I do.

Do you guys think that healthcare (pre-ACA) is fine as is? If not, what do you guys see is wrong with it? Additionally, what would you do to solve it? What is your opinion of the Affordable Care Act?

I've worked in healthcare all my life (pre and post college) and having the government involved is a bad thing. Take a look at the Medicare and Medicaid systems, even with those smaller segments of the healthcare population the government cant control the cost and the quality of care has suffered. You have doctors and other healthcare providers dropping out of the system left and right because reimbursements are too low. There is vast amount of waste and corruption within both those systems.

There were some issues with the system the way it was (mainly cost) but none of those issues are solved by the government taking over the healthcare system.

I've read most of the Obama-care health bill, and it creates far more issues than it resolves.
 
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The system is America is a complete joke. I don’t know what the solution is but i know this one doesn’t work. Can’t afford it.

Great choice for a career. You will make a ton of cash.
 

dbair1967

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The system is America is a complete joke. I don’t know what the solution is but i know this one doesn’t work. Can’t afford it.

Great choice for a career. You will make a ton of cash.

Not if the current administration has their way.
 
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That's because America is a complete joke.

This country went from being the greatest in the world, to being more fucked up than a bag of dicks in two generations.

Yup. I usually stay away from politics because it’s so frustrating. People in power don’t care about about other people, just about making money or getting more power.

It’s sad when emergency rooms won’t help you unless you are on the verge of death. Many people can’t afford going to the doctor or having insurance. If you have to take an ambulance ride, expect a thousand dollar bill. It’s ridiculous.
 

DragonCowboy

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Let me guess.... you were given this question as an assignment for your class, and you're wanting smart people like me and ......


Shit, I just realized I'm the only smart poster here.


You're fucked, DC, because I don't even acknowledge posters with under 100 posts. Not that post counts matter. I don't care about them. Never have. Believe what you want.

Haha, no. The semester's over. I just finished a class. I liked the material taught there, but I thought it was a bit biased, so I wanted to see what others thought.
 

dbair1967

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Yup. I usually stay away from politics because it’s so frustrating. People in power don’t care about about other people, just about making money or getting more power.

It’s sad when emergency rooms won’t help you unless you are on the verge of death. Many people can’t afford going to the doctor or having insurance. If you have to take an ambulance ride, expect a thousand dollar bill. It’s ridiculous.

Its the law, nobody can be turned away for care in an emergency situation even if that person cant afford to pay.

The media also never tells you about the millions of dollars in "free care" thats given out yearly for people & families that cannot afford to pay. Its all part of the plan.
 
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DragonCowboy

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I've worked in healthcare all my life (pre and post college) and having the government involved is a bad thing. Take a look at the Medicare and Medicaid systems, even with those smaller segments of the healthcare population the government cant control the cost and the quality of care has suffered. You have doctors and other healthcare providers dropping out of the system left and right because reimbursements are too low. There is vast amount of waste and corruption within both those systems.

There were some issues with the system the way it was (mainly cost) but none of those issues are solved by the government taking over the healthcare system.

I've read most of the Obama-care health bill, and it creates far more issues than it resolves.

What about the Obamacare bill do you not like?

I feel that capitalism isn't going to work with healthcare. People are going bankrupt because they can't pay their healthcare bills, people feel forced to stay in dead end jobs just because they provide healthcare, and some insurance companies will drop people as soon as they get sick (in California there were even insurance companies that were giving bonuses to workers to rescinded more clients' insurance plans.)

It's my opinion that everyone should receive proper healthcare. I think America is far too advanced to have people who can't afford healthcare, to have one of the lowest life expectancies of the developed nations, and to have one of the highest infant mortality rates of the developed nations.

First things first, I think we need to reduce those administrative fees. We have such ridiculously high administrative costs adding to our healthcare expenditures that reducing that alone would provide a ton of money back.

I also think that if you want a system in which insurers HAVE to keep everybody on their plan, you have to have an individual mandate. That's the only way insurance companies would survive.

I don't know what plan would work, but this healthcare system in my opinion is just terrible, and I really hope that if Obamacare gets struck down they come up with some other plan to make sure that people can get affordable coverage.

The system is America is a complete joke. I don’t know what the solution is but i know this one doesn’t work. Can’t afford it.

Great choice for a career. You will make a ton of cash.

I agree. I think that the system is terrible. I think too much money is spent in administrative fees, I think doctors make too much money, I think hospitals make too much money, and in many developed countries, insurance companies aren't even allowed to make profits.

I would honestly rather prefer a lower pay if it meant that we could shore up our healthcare problems. I just don't think its fair that some doctors can work so few hours and get paid so much (dermatologists).
 

dbair1967

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What about the Obamacare bill do you not like?

Pretty much all of it. I dont like any healthcare system where the government is involved because ultimately access to care is severely limited, quality of care is compromised and long term cost is unchanged. Further, virtually every example you can think of where the government controls something its becomes a cess pool of waste

I feel that capitalism isn't going to work with healthcare. People are going bankrupt because they can't pay their healthcare bills, people feel forced to stay in dead end jobs just because they provide healthcare, and some insurance companies will drop people as soon as they get sick (in California there were even insurance companies that were giving bonuses to workers to rescinded more clients' insurance plans.)

There is no question there is a cost problem with healthcare today. Unfortunately government control isnt going to negate any of it. Government controls the Medicare and Medicaid programs, and costs within those have risen at a higher rate than those of the commercial insurance plans provided by the private insurance companies. Also, stories of people losing coverage because they got "sick" are grossly exaggerated and in most states this is not allowed by law. Some may choose to drop coverage because its become too expensive, but they are not "dropped"

It's my opinion that everyone should receive proper healthcare. I think America is far too advanced to have people who can't afford healthcare, to have one of the lowest life expectancies of the developed nations, and to have one of the highest infant mortality rates of the developed nations.

There's alot more that contributes to life expectency than the health insurance plans provided. Poor lifestyle is definitely one of the major factors, and until people get their lazy asses off the couch from in front of their TV's and video games, and cease eiting a box of twinkies a week that isnt going to improve.

First things first, I think we need to reduce those administrative fees. We have such ridiculously high administrative costs adding to our healthcare expenditures that reducing that alone would provide a ton of money back.

Then you need to go and study how the already sponsored government programs work, because they are the epitome of administrative waste. Prett much all government is.

I also think that if you want a system in which insurers HAVE to keep everybody on their plan, you have to have an individual mandate. That's the only way insurance companies would survive.

I do think the system would be improved vastly if everyone had coverage, but you cannot force people to buy it and nor do I think the government should be providing it. People try to make the analogy that having healthcare should be like having liability insurance for your car, but you do not harm others if you do not have healthcare for yourself.

I don't know what plan would work, but this healthcare system in my opinion is just terrible, and I really hope that if Obamacare gets struck down they come up with some other plan to make sure that people can get affordable coverage.

Eliminating alot of the government required mandates would go a long way to reducing cost of insurance plans. If you are a single 22 yr old male, there's no reason you should HAVE to have a plan that covers maternity. (Thats just one xample, but maternity care is a costly factor on individual coverage)


I agree. I think that the system is terrible. I think too much money is spent in administrative fees, I think doctors make too much money, I think hospitals make too much money, and in many developed countries, insurance companies aren't even allowed to make profits.

The system isnt terrible. There's alot of great things about our system as it is now. We have the best physicians and hospitals in the world. We have the greatest medical technology in the world. You have incredibly easy access to complex medical diagnostics and specialists here. You can access most care with little or no wait. You cannot say the same about this in other nations where th government controls the healthcare.

I would honestly rather prefer a lower pay if it meant that we could shore up our healthcare problems. I just don't think its fair that some doctors can work so few hours and get paid so much (dermatologists)

Part of the reason some of most elite talents here (United States) go to med school is because they can use that skill and knowledge and make a substantial income. If you take away that motivation we would be relegated to less than excellent prospects going to, and graduating med school. I dont want some party hearty D+ student getting out med school and becoming my cardiologist or neuro surgeon.

One last factor in cost which most people who lean democrat or are strongly liberal want to ignore is tort reform. One of the prime factors in high cost of delivering the healthcare is the fact that physician malpractice insurance rates are out of control, and the reason is because its become so easy for someone to sue for what in most cases ridiculously large stettlements. And when physicians see their costs rise, they have to pass it on to the consumer.
 

Bob Sacamano

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Yup. I usually stay away from politics because it’s so frustrating. People in power don’t care about about other people, just about making money or getting more power.

It’s sad when emergency rooms won’t help you unless you are on the verge of death. Many people can’t afford going to the doctor or having insurance. If you have to take an ambulance ride, expect a thousand dollar bill. It’s ridiculous.

Politicians can't help it when big business is footing their election campaign bills and paying off votes.
 

DragonCowboy

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Pretty much all of it. I dont like any healthcare system where the government is involved because ultimately access to care is severely limited, quality of care is compromised and long term cost is unchanged. Further, virtually every example you can think of where the government controls something its becomes a cess pool of waste

I'm not so sure that government regulation will affect it too much. There are plenty of countries that have more government involvement but have MUCH less administrative fees. Taiwan is a great example; they use smart cards that have the entire patient history on it rather than dealing with a bunch of random papers...as a result, Taiwan has some of the lowest admin fees as a percentage of their total healthcare money spent.

There is no question there is a cost problem with healthcare today. Unfortunately government control isnt going to negate any of it. Government controls the Medicare and Medicaid programs, and costs within those have risen at a higher rate than those of the commercial insurance plans provided by the private insurance companies. Also, stories of people losing coverage because they got "sick" are grossly exaggerated and in most states this is not allowed by law. Some may choose to drop coverage because its become too expensive, but they are not "dropped"

One of the reasons why Medicare costs are increasing is because you have a lot of greedy hospital organizations (see McAllen, TX) that order multiple unnecessary tests because their doctors get paid "fee-for-service". Leaving these unregulated (other countries that have government involvement work to negotiate a set price per test with doctors and hospitals) just causes prices to spiral out of control.

I can only imagine that Medicaid costs are rising because of our terrible economic times.

There's alot more that contributes to life expectency than the health insurance plans provided. Poor lifestyle is definitely one of the major factors, and until people get their lazy asses off the couch from in front of their TV's and video games, and cease eiting a box of twinkies a week that isnt going to improve.

I agree. But Europeans aren't necessarily a picture of perfect health either (smoking, etc). Also, infant mortality rates have a lot to do with whether a family can afford healthcare.

Then you need to go and study how the already sponsored government programs work, because they are the epitome of administrative waste. Prett much all government is.

Then that's something that needs to be fixed. That wasted money amounts to about 20% of our total healthcare costs.

Part of the reason some of most elite talents here (United States) go to med school is because they can use that skill and knowledge and make a substantial income. If you take away that motivation we would be relegated to less than excellent prospects going to, and graduating med school. I dont want some party hearty D+ student getting out med school and becoming my cardiologist or neuro surgeon.

One last factor in cost which most people who lean democrat or are strongly liberal want to ignore is tort reform. One of the prime factors in high cost of delivering the healthcare is the fact that physician malpractice insurance rates are out of control, and the reason is because its become so easy for someone to sue for what in most cases ridiculously large stettlements. And when physicians see their costs rise, they have to pass it on to the consumer.

Yeah, doctors do pay a lot for malpractice insurance, but again, I think that's part of the system. In other countries (like Germany), the malpractice insurance isn't nearly as high. Granted, the pay isn't as high either.

I think that students have plenty of motivation to go into medicine. The pay will be at least pretty good (if you're not a primary care doctor, you'll probably make upwards of $100k), and it's a really rewarding profession. At least, that's one of the biggest reasons I applied.



Thanks for responding. I agree with a lot of the points you bring up. Ultimately I'm not saying that it needs to be government controlled (The ACA still puts in place systems for private health insurance -- although yeah it will expand Medicaid and help subsidize the health insurance exchanges). I think the biggest problem is the waste, and I don't know if it's necessarily something that has to come with government involvement. Of the developed countries, we spend the most money per capita on healthcare, and we have the lowest ratio of government involvement. Our spending has constantly outpaced inflation rates, and yet about 24% of Texans (18-19% of Americans) still aren't insured.

It's just ridiculous that we're putting so much money into something that's not giving us the value we deserve.
 
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