Medical Forum / Diseases and Disorders / Arthritis / April 2008
Socialized Medicine
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Califchief - 03 Apr 2008 08:00 GMT Originally posted in alt.support.cancer.prostate
> I cannot COMPREHEND why anyone would want the government > to manage or oversee their health care. But many do.
Here is a citation to a decision of the Supreme Court of Canada decision in Chaoulli v. Quebec (Attorney General), 2005 SCC 35, [2005] 1S.C.R.791.
In that decision, the Court held that the socialised medicine scheme under consideration did little more than generate long waiting lines for medical service. Seems that the plaintiff had been *forbidden* to seek medical care outside the bounds of the government-managed system.
Also: I'll remind folks of Hugh Kernley, who I miss with all my heart. He was *first* dxd with extensive metastases. He rarely saw the same NHS (National Health Service) oncologist twice, the medics having each time to try to brief themselves on his case -- not always thoroughly. He was in intense pain from his mets. For a long time, that wonder of socialized medicine miscalled the National Health *Service* refused to prescribe anything more than various forms of narcotics. Finally, with encouragement from this side of the pond, he managed to get radiation therapy for the mets. He told me that it worked wonders. But too late.
Certainly, we Yanks have problems with our medical care system (if such it can be called) but by God we don't have to wait months to see a medic and we have our choice of whom to see. Yes, that's sometimes modified by the vagaries of insurance carriers, but we do nonetheless have choices -- not forced by government clerks to comply.
And I know for a certainty that some of our brothers from the Frozen North travel south to receive their PCa care.
Did I hear someone say that it's "free?" No it is not.
That is a falsehood. TANSTAAFL
There Ain't No Such Thing As A Free Lunch.
Snicker if you will, but it is a home truth.
Regards,
Steve J Tired from ranting. ___ Blue Wave/QWK v2.12
spodosaurus - 03 Apr 2008 15:38 GMT > Originally posted in alt.support.cancer.prostate > [quoted text clipped - 45 lines] > > ___ Blue Wave/QWK v2.12 Considering all the other nations with health care as a right (just like education), why do people keep trotting out the same old tired examples of the UK and Canada? Still, if you cannot afford insurance, they're far better than you get in the US.
Ari
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
shenmei9wise@gmail.com - 03 Apr 2008 19:13 GMT > > Originally posted in alt.support.cancer.prostate > [quoted text clipped - 57 lines] > Many people around the world are waiting for a marrow transplant. Please > volunteer to be a marrow donor and literally save someone's life:http://www.abmdr.org.au/http://www.marrow.org/ I am with you on this, Ari. I have literally seen people die in this country from lack of good health care who have had insurance. The stress of trying to come up with the required almost 2000.00 a month to pay for my insurance is horrifyingly unhealthy. Any of us who have HMO's are probably getting substandard care. We do not have the highest standard of healthcare in the world-we used to when I was a kid and is you had insurance, your doctor decided what you needed. My two long-term relationships have been with men who are brilliant doctors and my best friend is a doctor.They all every day think about quitting medicine because they can't give the best care to their patients. Michael actually has left medicine in this country to work full time for DWB/MSF because he could not in good conscience, continue working in the US in a system that not only didn't work for poor people-it doesn't work for many many middle class people .I spent thousands of dollars last year on my daughter's healthcare because she was with Kaiser. I finally just bit the bullet and paid for health care. That took almost all of the money I had saved for any type of retirement. She, by the way, is now on Medi-Cal, having gotten SSDI first try in just three months-she was that sick. She is getting a much better quality of care through Medi-Cal which will become Medi- care in two years and should be even better. SIDE NOTE: It is just fascinating to read the responses people had to the medicare system when it was first proposed. It was called a communist plot by many people and it was commonly thought that it would ruin the quality of health care in the US. Strangely enough, geriatrics health care is one of the few places where the US is not at the bottom of the pile among the industrial world.
I have so many friends who are European who get great quality of health care. Sometimes it is laborious and can take several months to get to a specialist for non-emergency care but for emergency care, I have heard very few complaints. I have a friend who is an Australian writer who flew back to Perth when she was diagnosed with breast cancer because she felt her quality of care would be better (she is now almost three years cancer free, by the way). This is not just one story: it includes my friend liam who flew home to Ireland to get treatment for prostate cancer even though as a visiting professor, he was insured through UCSF. He felt like his quality of care would be better. I have a friend who has arthritis and is Swedish-She is on ABT (antibiotic therapy) and is doing great. She teaches a Cornell and has health insurance but goes back to Sweden every three months to get a series of IV's and her oral antibiotics. She says it is much less hassle than trying to negotiate the HMO system she would have access to. Conversely, I have a friend who teaches at Mcgill and loves the Canadian health care system although she says is varies greatly from province to province.
What we have now is not working-it doesn't work for me, it didn't work for my daughter, it didn't work for the 17 year old girl who was denied a transplant by CIGNA and died. The list is endless and it is not only the poor who but the middle class who are stressed beyond belief as they try to pay for health care. I have been doing nothing but struggling with health care for the last two years. First Pac Advanage pulled out of California living 200,000 of us uncovered and small agencies scrambling for health care. Then it was my horrifying stint at Kaiser which so inferior as medical care that I should have saved the money; now it is the CIGNA rates that are almost 2000.00 a month (hum...homeless of insured?) .
I used to spend my days doing real things like debriefing Katrina first responders, doing medical care for the homeless and working with HIV health care, doing trauma workshops for first responders and children right after 9-11, doing millions of projects with the kids (blanket project, soup kitchen project, on and on), and even doing things for ASA (postcard project, secret sender projects,). The health care system in this country has literally made me so self absorbed as i try to scramble for money to pay my own insurance after having spent thousands upon thousands on my daughter's health care, that there is nothing left for others.
I am seriously,as I write, packing things in this wonderful house which I can no longer afford, and beginning to search for housing in Oregon and Hawaii because i can get at least affordable health insurance in these states.
I am not an anomaly. I have this same conversation with people every day. OUR HEALTH CARE SYSTEM IS NOT WORKING.
m
ANN M - 03 Apr 2008 20:29 GMT m, That was an excellent portrayal of what is going on in our health care system. I have been in managed care since becoming disabled, Blue Chip for Medicare, and am having a terrible problem with coverage for my medications. Two of the more expensive ones have been denied twice and about the only ones I have coverage for are the cheaper generics. So far I have no problem with referrals to specialists of which I see five different ones. Hospitalization is a problem with a large copay for each day in hospital.
A friend who lost his job and group rates when his company closed, is paying almost $900 month for individual coverage and has enormous copays for everything. We need changes and we need them soon.
Ann
Jayne - 03 Apr 2008 21:01 GMT > I am seriously,as I write, packing things in this wonderful house > which I can no longer afford, and beginning to search for housing in [quoted text clipped - 5 lines] > > m Your post was exellent M - fair and balanced and all the things the OP wasn't.
As a very long time lurker, I don't know enough about US healthcare to have an opinion. I'm afraid I don't know how your system works.
I know how our system in the UK works though. It isn't perfect, but its better than it was a few years ago. It costs us nothing extra. All of the arthritis treatments I have had - sulphasalazine, methotrexate, arava, all the other anti-inflammatories, steroids, painkillers etc, until I got to Enbrel, which works, cost me nothing. Nor did I have difficulty obtaining it - yes we got the biologics a couple of years later than the US, but I've been taking Enbrel almost 5 years, and never paid a penny. It is delivered every 4 weeks in a refrigerated vehicle to me cost free, and is a brilliant service.
I have had diagnostics, bone scans, arthroscopies and two knee replacements plus the necessary rehabilitation, and have not had to worry about paying for them out of the family budget. If me or my husband were to lose our jobs, we still wouldn't have to worry.
I know we have to wait longer, but my longest wait was 6 months for my first knee replacement on the NHS. Now in my opinion a TKR is not an emergency - it doesn't need to be done immediately. By the time you get to that stage, in general you've lived with knee pain a long time. Here in the UK you can jump the queue and get it done pretty quickly if you are prepared to go at short notice and accept a cancellation.
I can't generalise about other countries systems as I don't know enough about them, and I really dislike uninformed opinions. But until you have a system that is bulletproof and treats EVERYONE, please don't preach about others.
Jayne
d'huit - 03 Apr 2008 21:30 GMT On Apr 3, 7:38 am, spodosaurus <spodosaurus@_yahoo_.com> wrote:
> Califchief wrote: > > Originally posted in alt.support.cancer.prostate [quoted text clipped - 59 lines] > volunteer to be a marrow donor and literally save someone's > life:http://www.abmdr.org.au/http://www.marrow.org/ I am with you on this, Ari. I have literally seen people die in this country from lack of good health care who have had insurance. The stress of trying to come up with the required almost 2000.00 a month to pay for my insurance is horrifyingly unhealthy. Any of us who have HMO's are probably getting substandard care. We do not have the highest standard of healthcare in the world-we used to when I was a kid and is you had insurance, your doctor decided what you needed. My two long-term relationships have been with men who are brilliant doctors and my best friend is a doctor.They all every day think about quitting medicine because they can't give the best care to their patients. Michael actually has left medicine in this country to work full time for DWB/MSF because he could not in good conscience, continue working in the US in a system that not only didn't work for poor people-it doesn't work for many many middle class people .I spent thousands of dollars last year on my daughter's healthcare because she was with Kaiser. I finally just bit the bullet and paid for health care. That took almost all of the money I had saved for any type of retirement. She, by the way, is now on Medi-Cal, having gotten SSDI first try in just three months-she was that sick. She is getting a much better quality of care through Medi-Cal which will become Medi- care in two years and should be even better. SIDE NOTE: It is just fascinating to read the responses people had to the medicare system when it was first proposed. It was called a communist plot by many people and it was commonly thought that it would ruin the quality of health care in the US. Strangely enough, geriatrics health care is one of the few places where the US is not at the bottom of the pile among the industrial world.
I have so many friends who are European who get great quality of health care. Sometimes it is laborious and can take several months to get to a specialist for non-emergency care but for emergency care, I have heard very few complaints. I have a friend who is an Australian writer who flew back to Perth when she was diagnosed with breast cancer because she felt her quality of care would be better (she is now almost three years cancer free, by the way). This is not just one story: it includes my friend liam who flew home to Ireland to get treatment for prostate cancer even though as a visiting professor, he was insured through UCSF. He felt like his quality of care would be better. I have a friend who has arthritis and is Swedish-She is on ABT (antibiotic therapy) and is doing great. She teaches a Cornell and has health insurance but goes back to Sweden every three months to get a series of IV's and her oral antibiotics. She says it is much less hassle than trying to negotiate the HMO system she would have access to. Conversely, I have a friend who teaches at Mcgill and loves the Canadian health care system although she says is varies greatly from province to province.
What we have now is not working-it doesn't work for me, it didn't work for my daughter, it didn't work for the 17 year old girl who was denied a transplant by CIGNA and died. The list is endless and it is not only the poor who but the middle class who are stressed beyond belief as they try to pay for health care. I have been doing nothing but struggling with health care for the last two years. First Pac Advanage pulled out of California living 200,000 of us uncovered and small agencies scrambling for health care. Then it was my horrifying stint at Kaiser which so inferior as medical care that I should have saved the money; now it is the CIGNA rates that are almost 2000.00 a month (hum...homeless of insured?) .
I used to spend my days doing real things like debriefing Katrina first responders, doing medical care for the homeless and working with HIV health care, doing trauma workshops for first responders and children right after 9-11, doing millions of projects with the kids (blanket project, soup kitchen project, on and on), and even doing things for ASA (postcard project, secret sender projects,). The health care system in this country has literally made me so self absorbed as i try to scramble for money to pay my own insurance after having spent thousands upon thousands on my daughter's health care, that there is nothing left for others.
I am seriously,as I write, packing things in this wonderful house which I can no longer afford, and beginning to search for housing in Oregon and Hawaii because i can get at least affordable health insurance in these states.
I am not an anomaly. I have this same conversation with people every day. OUR HEALTH CARE SYSTEM IS NOT WORKING.
m
i concur. i've got bs/bc traditional coverage and that's considered very good coverage in this state. but, i've been told by two of my own doctors, that even with really good medical coverage, medicine is indeed being rationed in our country -- rationed by the doctors who are pressured by insurers to ration testing, treatments and time spent on each patient to keep their, the insurers, payouts down. don't think for one moment that your medical care is being decided upon by your doctors who actually know what you need. the quality of your medical care in this nation is being decided and dictated by medical insurance companies. as for HMOs, all of the doctors i've seen over the years (even my doctors at kaiser and group health--both of which are HMOs) consider them "group death organizations" (their words, not mine).
kate
d'huit - 03 Apr 2008 21:56 GMT <shenmei9wise@gmail.com> wrote in message news:0300b9af-e2cb-4122-bc5a-36dca131b698@b5g2000pri.googlegroups.com... On Apr 3, 7:38 am, spodosaurus <spodosaurus@_yahoo_.com> wrote:
> Califchief wrote: > > Originally posted in alt.support.cancer.prostate [quoted text clipped - 59 lines] > volunteer to be a marrow donor and literally save someone's > life:http://www.abmdr.org.au/http://www.marrow.org/ I am with you on this, Ari. I have literally seen people die in this country from lack of good health care who have had insurance. The stress of trying to come up with the required almost 2000.00 a month to pay for my insurance is horrifyingly unhealthy. Any of us who have HMO's are probably getting substandard care. We do not have the highest standard of healthcare in the world-we used to when I was a kid and is you had insurance, your doctor decided what you needed. My two long-term relationships have been with men who are brilliant doctors and my best friend is a doctor.They all every day think about quitting medicine because they can't give the best care to their patients. Michael actually has left medicine in this country to work full time for DWB/MSF because he could not in good conscience, continue working in the US in a system that not only didn't work for poor people-it doesn't work for many many middle class people .I spent thousands of dollars last year on my daughter's healthcare because she was with Kaiser. I finally just bit the bullet and paid for health care. That took almost all of the money I had saved for any type of retirement. She, by the way, is now on Medi-Cal, having gotten SSDI first try in just three months-she was that sick. She is getting a much better quality of care through Medi-Cal which will become Medi- care in two years and should be even better. SIDE NOTE: It is just fascinating to read the responses people had to the medicare system when it was first proposed. It was called a communist plot by many people and it was commonly thought that it would ruin the quality of health care in the US. Strangely enough, geriatrics health care is one of the few places where the US is not at the bottom of the pile among the industrial world.
I have so many friends who are European who get great quality of health care. Sometimes it is laborious and can take several months to get to a specialist for non-emergency care but for emergency care, I have heard very few complaints. I have a friend who is an Australian writer who flew back to Perth when she was diagnosed with breast cancer because she felt her quality of care would be better (she is now almost three years cancer free, by the way). This is not just one story: it includes my friend liam who flew home to Ireland to get treatment for prostate cancer even though as a visiting professor, he was insured through UCSF. He felt like his quality of care would be better. I have a friend who has arthritis and is Swedish-She is on ABT (antibiotic therapy) and is doing great. She teaches a Cornell and has health insurance but goes back to Sweden every three months to get a series of IV's and her oral antibiotics. She says it is much less hassle than trying to negotiate the HMO system she would have access to. Conversely, I have a friend who teaches at Mcgill and loves the Canadian health care system although she says is varies greatly from province to province.
What we have now is not working-it doesn't work for me, it didn't work for my daughter, it didn't work for the 17 year old girl who was denied a transplant by CIGNA and died. The list is endless and it is not only the poor who but the middle class who are stressed beyond belief as they try to pay for health care. I have been doing nothing but struggling with health care for the last two years. First Pac Advanage pulled out of California living 200,000 of us uncovered and small agencies scrambling for health care. Then it was my horrifying stint at Kaiser which so inferior as medical care that I should have saved the money; now it is the CIGNA rates that are almost 2000.00 a month (hum...homeless of insured?) .
I used to spend my days doing real things like debriefing Katrina first responders, doing medical care for the homeless and working with HIV health care, doing trauma workshops for first responders and children right after 9-11, doing millions of projects with the kids (blanket project, soup kitchen project, on and on), and even doing things for ASA (postcard project, secret sender projects,). The health care system in this country has literally made me so self absorbed as i try to scramble for money to pay my own insurance after having spent thousands upon thousands on my daughter's health care, that there is nothing left for others.
I am seriously,as I write, packing things in this wonderful house which I can no longer afford, and beginning to search for housing in Oregon and Hawaii because i can get at least affordable health insurance in these states.
I am not an anomaly. I have this same conversation with people every day. OUR HEALTH CARE SYSTEM IS NOT WORKING.
m
i concur. i've got bs/bc traditional coverage and that's considered very good coverage in this state. but, i've been told by two of my own doctors, that even with really good medical coverage, medicine is indeed being rationed in our country -- rationed by the doctors who are pressured by insurers to ration testing, treatments and time spent on each patient to keep their, the insurers, payouts down. don't think for one moment that your medical care is being decided upon by your doctors who actually know what you need. the quality of your medical care in this nation is being decided and dictated by medical insurance companies. as for HMOs, all of the doctors i've seen over the years (even my doctors at kaiser and group health--both of which are HMOs) consider them "group death organizations" (their words, not mine).
kate
and i want to add, the scope of employee medical insurance coverage is not only dictated by insurers to doctors, but also by the companies who purchase the coverage from insurers for their employees. these companies negotiate with insurers what will and will not be covered to limit the companies' costs; and those company generated limitations on our medical care get dictated to doctors through the insurers. so it seems "our bodies are owned by the company store", so to speak.
kate
Diane - 03 Apr 2008 23:22 GMT First, I've taken the liberty of changing the heading to Universal Health Care, meaning just what it says--health care that's available to all citizens.
>>but by God we don't have to wait months to see a medic and we have our choice of whom to see.<<
Joe, this may be true for you, but not for millions of Americans who can't afford health care or who can't get it due to pre-existing conditions. I have many friends who fall into those categories. John and I moved to NC, in part, so that he could get insurance with his Crohns disease. He pays 12K a year for his insurance.
The World Health Organization's most recent ranking of health care in 191 countries puts the US at #1 in terms of expenditures per capita (more than double the next highest country), but only at 37th in quality (infant mortality, etc) http://dll.umaine.edu/ble/U.S.%20HCweb.pdf
Clearly something needs to change. We are the only "developed" country that doesn't provide access to health care for all its people. No one is saying we should copy exactly the health care system of another country. We can learn from the flaws in the systems in Canada etc and make our system better.
If anyone wants to educate themselves to the health care views of our three primary candidates, here's a helpful and neutral site: http://www.healthcentral.com/healthcare08/
This is such an important issue, and it affects so many of us right here in this group.
diane
d'huit - 04 Apr 2008 00:40 GMT First, I've taken the liberty of changing the heading to Universal Health Care, meaning just what it says--health care that's available to all citizens.
>>but by God we don't have to wait months to see a medic and we have our choice of whom to see.<<
Joe, this may be true for you, but not for millions of Americans who can't afford health care or who can't get it due to pre-existing conditions. I have many friends who fall into those categories. John and I moved to NC, in part, so that he could get insurance with his Crohns disease. He pays 12K a year for his insurance.
The World Health Organization's most recent ranking of health care in 191 countries puts the US at #1 in terms of expenditures per capita (more than double the next highest country), but only at 37th in quality (infant mortality, etc) http://dll.umaine.edu/ble/U.S.%20HCweb.pdf
Clearly something needs to change. We are the only "developed" country that doesn't provide access to health care for all its people. No one is saying we should copy exactly the health care system of another country. We can learn from the flaws in the systems in Canada etc and make our system better.
If anyone wants to educate themselves to the health care views of our three primary candidates, here's a helpful and neutral site: http://www.healthcentral.com/healthcare08/
This is such an important issue, and it affects so many of us right here in this group.
diane
we all know that good universal coverage is not going to happen overnight, bugs will have to be worked out of the system once it's begun; and obviously, it is not going to be free for everybody. input, from all spectrums of our populace, will be necessary and valuable. the web site you provided, and thank you for posting it, diane, made me think of a question that will have to be resolved by our legislators. but, for most of us on asa, i'm curious about our concensus/opinion:
what percentage of net income, individually and corporately, would you say is a sane/livable percentage to contribute to national universal coverage?
kate
Translucent Troglodyte - 04 Apr 2008 19:07 GMT >First, I've taken the liberty of changing the heading to Universal >Health Care, meaning just what it says--health care that's available [quoted text clipped - 28 lines] > >diane My apologies for a lurker barging in on the scene...
The issue of health care is paramount to me, and not only from the standpoint of humanity.
In the United States, I've been feeling a rage build about the issue for a long time, and I've finally put it in economic terms that everyone I talk to seems to agree upon, and that is this:
IMO, lack of guaranteed health coverage has stifled the economic growth of this country.
The country was built upon an entrepreneurial spirit that simply cannot thrive in this environment because it's really hard to be a creative spirit when you have to work for someone else just because you need insurance.
In today's terms, where would Daniel Kaymen (the Segway, and wheelchairs that can climb stairs, etc.) be if he had had to put the availability of health insurance before the development of his ideas?
I was diagnosed with MS at the age of 20, it has colored my entire life, because I have always (well, at least since I started looking at things with an adult eye) had to consider the availability of health insurance first. I'm certainly not the only person who has had to make major life decisions based on nothing directly related to my abilities or aspirations.
The insurance lobby will be hard to overcome; those profit margins of close to 30% will be hard to argue against, but from a humanitarian view, is it really proper to profit from illness? I strongly disagree with Senator McCain's opinion that the market will sort things out, because there is no incentive for it to do so as long as it is allowed to be exclusionary.
/soap box
TT
 Signature Gender is not binary
Diane - 04 Apr 2008 19:57 GMT TT, Thanks for inserting your reasoned and calm email into this discussion. I've been able to support myself at a writing career only because I'm lucky enough to have government health insurance through my former husband. I pay the entire premium myself, and it's a killer, but at least I have it, unlike many other people. If not for that insurance, I couldn't have this career and would have to go back to being a social worker employed by a company/hospital that would offer health insurance. And quite honestly, if I had to go back to that 9-5 work, I'd be on disability because I can no longer manage that physically. Granted, the loss of my books to the world might not be any big thing, but it's a big thing to me to be able to do the work I love.
But leaving you and me and creativity out of it, I'm more worried not just aboutpeople living below the poverty line, but those middle income people who cannot afford insurance (much less a vacation. ahem) and those who are locked out because of pre-existing conditions.
diane
Translucent Troglodyte - 04 Apr 2008 20:59 GMT >TT, Thanks for inserting your reasoned and calm email into this >discussion. I've been able to support myself at a writing career only [quoted text clipped - 15 lines] > >diane I'm concerned about that group of people, too, but I make my argument because it seems it would carry more weight in today's discussions revolving around the decline of US productivity, value of the dollar, etc. I think the "movement" would gain more support, from more diverse factions.
Since it seems that there are only a few people who truly care about the people living at the margins, my thought is that if the case can be made that these free-market policies are limiting America's growth as much as our so-called poor education system, then those people on the margins will benefit vicariously. I don't think they'll care how the assistance comes as long as it comes...
On a personal level, I'm facing the possibility/probability of becoming officially disabled. I have enough energy to do a desk job and not much else, my living space certainly shows that.... It may improve once I finally have my hip replacement and am not in chronic pain, but... the fatigue from the MS is pretty bad, and I am getting to the point where I need accomodations, not easy to attain in general, and impossible to get working for a company with 2 full-time employees... that's a side track... it scares the heck out of me as to how I will cope in the 2 years between being approved for SSDI and being eligible for Medicare.
I'm glad you are able to follow your heart, even though it makes the road harder.
TT
 Signature Gender is not binary
d'huit - 04 Apr 2008 20:02 GMT >First, I've taken the liberty of changing the heading to Universal >Health Care, meaning just what it says--health care that's available [quoted text clipped - 28 lines] > >diane My apologies for a lurker barging in on the scene...
The issue of health care is paramount to me, and not only from the standpoint of humanity.
In the United States, I've been feeling a rage build about the issue for a long time, and I've finally put it in economic terms that everyone I talk to seems to agree upon, and that is this:
IMO, lack of guaranteed health coverage has stifled the economic growth of this country.
The country was built upon an entrepreneurial spirit that simply cannot thrive in this environment because it's really hard to be a creative spirit when you have to work for someone else just because you need insurance.
In today's terms, where would Daniel Kaymen (the Segway, and wheelchairs that can climb stairs, etc.) be if he had had to put the availability of health insurance before the development of his ideas?
I was diagnosed with MS at the age of 20, it has colored my entire life, because I have always (well, at least since I started looking at things with an adult eye) had to consider the availability of health insurance first. I'm certainly not the only person who has had to make major life decisions based on nothing directly related to my abilities or aspirations.
The insurance lobby will be hard to overcome; those profit margins of close to 30% will be hard to argue against, but from a humanitarian view, is it really proper to profit from illness? I strongly disagree with Senator McCain's opinion that the market will sort things out, because there is no incentive for it to do so as long as it is allowed to be exclusionary.
/soap box
TT
don't apologize for being a lurker coming out of the shadows. welcome to asa, tt. your comments offer an interesting perspective, one that isn't generally thought about.
an aside to and pertenant to your perspective is the fact that many companies (large enough to provide decent health care coverage) lay claim to, and wrench away from their employees, any new ideas or inventions that their employees come up with, while employed with those companies. often, those ideas and inventions are buried in company archives and are never made available to the marketplace. that, too, stymies entrepreneureship, because of the need for a job that provides medical coverage.
i, too, disagree that the marketplace will sort things out with regard to the availability of medical coverage for everyone. the marketplace is self-correcting/self-adjusting, but only in terms of its profitability/business oriented protocols. and those protocols are not always inclusive of, nor responsive to humanity's needs. it has generally been profit first mentality, and correction when outrage precipitates it. profit is its sole/soul incentive. biz is biz.
don't get me wrong. business is important and capitalism is often a good thing. however, there are some things that business/capitalism, in its quest for profits, makes quite a mess of and we witness that mess often, during the course of each and every year.
kate
Nann Bell - 05 Apr 2008 03:56 GMT Ok, I've been trying not to get into this fray, but I must - partly inspired by TT (welcome out of lurkdom!). My brother is an independent software consultant and is good enough to demand rates that make my jaw drop. He is also nearing the 40th anniversary of being diagnosed with Type 1 diabetes. My SIL also has pre-existing conditions, in her case disabling ones that have kept her from ever holding down a job so she doesn't even have disability.
My brother works hard, faithfully pays his taxes, pays his bills and has never been on any kind of public assistance. He also has always taken the initiative in learning everything new that comes out about diabetes and works to appropriately control his blood sugar levels. But he has never been able to buy decent health insurance because of the diabetes, however well controlled it is, and because he is self-employed. They finally were able to get some group coverage through a professional organization but the group has been unable to control costs and he now pays about the same as Melinda for coverage with a *$10,000* deductible. Do those of you who oppose universal coverage honestly think this is right?
As for making decisions - my husband decided to go back to school to become a priest. Generally this would be considered an admirable thing. Our health insurance favored MDs and services provided through Shands Health Care in Florida, so we had to change to something that covered us where the seminary was. Our only available option was a student plan that was generous in MD and services coverage, but topped out on prescriptions at $4000. This kept me from trying Enrel when my RD wanted to and even Arava, which was not yet generic, cost us an additional $2000 out-of-pocket in an academic year.
After graduation, we moved to Michigan and had a year of Mike doing more stuff for the ordination process. Guess what - COBRA only applies if you are on an employer managed plan. Student health plans don't qualify. That is also true with excluding pre-existing condition clauses. Our only option was the last-resort insurance which only pays for services and hospilization, not for office visits or meds (and Michigan's is better than most states). I can tell you, in southern Michigan at that time, new patient visits with doctors ran $180-200 and established pt. visit were $90-100. It adds up fast when you have chronic illnesses - and we were paying the premiums on the last resort insurance as well. Fortunately, my mother was in a position to help us out so we didn't have to go into our investments - and Mike did some substitute teaching when he wasn't tied up with pre-ordination duties. Is it right that we should be put through this because Mike pursued a career change? Shouldn't we have at least had the option to buy into a decent health plan? And shouldn't my brother and his wife have that option as well?
We now have fairly good insurance through Mike's current position. Still, in 2 years our premiums have increased by 30% while our set co-pays (office visits and meds) have increased by 50% - all while our insurer has posted record profits and has more than doubled their reserve funds to $2.8 BILLION. This is not right - health care and health insurance shold be not-for-profit, they should not be about increasing the shareholders dividends!
And I truly believe we have a moral call to care for others in our society. Not everyone has the earning ability some of us have experienced. For those of you who profess to be Christian, let me remind you what Matthew 25:31-46 says, particularly vs. 40 "Truly I say to you, as you did it to one of the least of these my brethern, you did it to me." (RSV)
 Signature Nann remove the Gator cheer to email me Change everything. Love & forgive.
Kelly C. - 03 Apr 2008 23:38 GMT ((((M))))
I am going to selfishly and shamelessly beg you to move to the Willamette Valley, so I can have a chance at hugging you in person.
Kelly C.
>> > Originally posted in alt.support.cancer.prostate >> [quoted text clipped - 138 lines] > > m BettyB - 04 Apr 2008 05:46 GMT >((((M)))) > >I am going to selfishly and shamelessly beg you to move to the Willamette >Valley, so I can have a chance at hugging you in person. > >Kelly C. An off topic question for you Kelly. Where in the Willamette Valley are you? DH and I spent six years in Monroe, on Hwy 99W between Eugene and Corvallis. We really liked it there but needed the money that DH gets from working full time in Silicon Valley, CA. -- BettyB -- www.flamingo-code.com "I have noticed even people who claim everything is predestined, and that we can do nothing to change it, look before they cross the road." - Stephen Hawking
Kelly C. - 04 Apr 2008 15:47 GMT >>((((M)))) >> [quoted text clipped - 12 lines] > predestined, and that we can do nothing to change it, > look before they cross the road." - Stephen Hawking Hi Betty, I was born and raised in Eugene, and now live in Salem. I am very familiar with Monroe, and my mother lives on Hwy 99, midway between Junction City and Eugene.
Howdy, neighbor!:)
Kelly C.
BettyB - 05 Apr 2008 02:35 GMT >"BettyB" <bettyb1656@yahoo.com> wrote in message >> An off topic question for you Kelly. Where in the Willamette Valley [quoted text clipped - 14 lines] > >Kelly C. We really enjoyed being in Monroe. Coming from years in San Jose it was something to know my neighbors. But no jobs. So we are back in San Jose so DH can work and I am working with a wonderful personal trainer at a Gold's Gym. Don't think I would be willing to give that up. -- BettyB -- www.flamingo-code.com "I have noticed even people who claim everything is predestined, and that we can do nothing to change it, look before they cross the road." - Stephen Hawking
Harvey R. Stone - 03 Apr 2008 23:43 GMT >> Considering all the other nations with health care as a right (just like >> education), why do people keep trotting out the same old tired examples [quoted text clipped - 82 lines] > > m Well said,,,,,, I am going to have to see how this plays out.... I know that the USA,,, is in trouble as far as finances go and we may be going into a serious recession. We can not cover the promises of Soc. Sec to a generation coming up. Any of you that think a big change in our health system is going to be free,,,, you need to look deeper. The pendulum of the left and the right controlling what takes place with out government is moving to the left which means that all of your hopes for health care may come about. I for one,,, am willing to give the change a fair chance and hope for the best with you.
Harv
Walt Hanks - 04 Apr 2008 00:41 GMT I'm only going to say two things.
One: I have some of the best insurance available in the USA - Federal Blue Cross - and I have already shelled out $2400 this year in co-pays. That's $800/month. It is breaking me.
Second: "Single-payer" does not have to mean Federal Payer. There are many local single-payer models that work well.
Walt
>> > Originally posted in alt.support.cancer.prostate >> [quoted text clipped - 138 lines] > > m Califchief - 04 Apr 2008 07:00 GMT Jayne wrote:
> I know how our system in the UK works though. It isn't perfect, but > its better than it was a few years ago. It costs us nothing extra. Who pays for it? Does Santa bring it each Christmas?
> I know we have to wait longer, but my longest wait was 6 months for > my first knee replacement on the NHS. And here's a Brit who is now dead because the NHS would not treat him after he was diagnosed with cancer, until it was too late.
>> Also: I'll remind folks of Hugh Kernley, who I miss with all my heart. >> He was *first* dxd with extensive metastases. He rarely saw the same [quoted text clipped - 5 lines] >> encouragement from this side of the pond, he managed to get radiation >> therapy for the mets. He told me that it worked wonders. But too late.
... Socialized medicine covers you from erection to resurrection! ___ Blue Wave/QWK v2.12
Califchief - 04 Apr 2008 07:00 GMT Ari wrote:
> Considering all the other nations with health care as a right > (just like education), why do people keep trotting out the same > old tired examples of the UK and Canada? Still, if you cannot > afford insurance, they're far better than you get in the US. They're far better than in the US????????
Then why do so many snowbirds visit the U.S. for their medical treatment?
Well, they don't want to wait 6, 8, 10 months for a doctor's appointment, or a year or more for surgery.
That's because so many folks with "free," "it's a right" (your terms) medical care head straight to an ER/ED for handnails, scraped knees and runny noses, thus overloading the medical profession.
I honestly believe you didn't read this portion of the quote....
> Here is a citation to a decision of the Supreme Court of Canada > decision in Chaoulli v. Quebec (Attorney General), 2005 SCC 35, [quoted text clipped - 5 lines] > been *forbidden* to seek medical care outside the bounds of the > government-managed system.
> Also: I'll remind folks of Hugh Kernley, who I miss with all my > heart. He was *first* dxd with extensive metastases. He rarely [quoted text clipped - 7 lines] > to get radiation therapy for the mets. He told me that it worked > wonders. But too late. As a youth, I saw the same happening in military hospital ERs. Dependents thought they had a "right" to use "free" medical care in overcrowded ERs for acne, runny noses, warts, etc.
It's the same here today with hobos/freeloaders and wetbacks in the U.S. who get "free" medical care in ERs. Then bleeding hearts weep when a wetback mother is deported with or without her American-born child.
"Free" for them.....not for the American taxpayers who see their wallets being emptied.
... Socialism is the equal distribution of poverty. ___ Blue Wave/QWK v2.12
Califchief - 04 Apr 2008 07:00 GMT Harvey wrote:
> I know that the USA,,, is in trouble as far as finances go and > we may be going into a serious recession. We can not cover > the promises of Soc. Sec to a generation coming up. What pyramid scheme/scam has ever been able to pay the tailend?
And Social Security is the ONLY legal pyramid scheme/scam in the country.....relying on current wage earners -- except some exempt government employees such as congress (they're exempt from all laws) and the post office -- to buoy up the system with higher and higher SS taxes.
Every individual who has attempted to operate a pyramid/ponzi scheme it has served time in a federal "hotel."
The same has happened with Medicare -- higher and higher monthly premiums out of our retirees' pocket - out of their monthly SS check.
Those pushing for "free" health care have their heads up their a.ses. Who the hell do they believe is going to pay for it?
Have they looked at other countries where the tax rate is as high as 80% of income?
Do they want the same here?
... My salad days wilted in the refrigerator. ___ Blue Wave/QWK v2.12
Califchief - 05 Apr 2008 00:00 GMT Kate wrote:
> the state won't pay for it, because he is on ssdi; Someone lied to him.
A person on SSDI is entitled to Medicade (Medical in California), even after his Medicare kicks in. Medical will cover many things that Medicare doesn't cover - hearing aids, eyeglasses, drugs.
... Inane sigline found. (A)bort, (R)etry, (S)wipe a better one? ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Thumper wrote to Harv:
> Health care should be a right. Not a privilege. Can you find that clause in the Constitution?
Perhaps in the Bill of Rights?
That sounds exactly like the bleeding hears who shout that wetbacks have a right to sneak across the border. Everyone has a "right" to this and that and screw the taxpaper who's left with the bill.
... Bigot: Anyone who's winning an argument with a liberal. ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT -=> Quoting Threecedars1@comcast2.net to All <=-
> no, chief. you're horribly wrong. i wish what you said were true > for his sake. but he lives in washington, not california where you > live. he has to spend down most of his ssdi check on medical care > before the state (medicaid) will pick up anything for him and they > don't care what his rent is or food or gas or anything like that. Medicade has a cap on income.
From a person's income, they are supposed to subtract rent, gas, electricity, phone, transportation to medical appointments, and a couple of other things I can't remember.
Someone in Washington is flat out lying to him.
Usually to keep the welfare budget down, they reject white males by lying to them (not expecting them to file an appeal) and pamper the minority whores who keep popping babies out every 12 to 18 months.
... Socialism is the equal distribution of poverty. ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Thumper skirted a the bush to avoid answering this question:
>>> I know how our system in the UK works though. It isn't perfect, but >>> its better than it was a few years ago. It costs us nothing extra.
>> Who pays for it? Does Santa bring it each Christmas?
> Who pays for the 5 year Iraq war? > Thumper Why did you evade the question? Does the answer hurt?
___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Thumper failed to respond to this:
>> And here's a Brit who is now dead because the NHS would not treat >> him after he was diagnosed with cancer, until it was too late.
>> Also: I'll remind folks of Hugh Kernley, who I miss with all my heart. >> He was *first* dxd with extensive metastases. He rarely saw the same [quoted text clipped - 5 lines] >> encouragement from this side of the pond, he managed to get radiation >> therapy for the mets. He told me that it worked wonders. But too late. Yep, the epitome of "free", socialized, government health care.
... Annoy a liberal - think for yourself! ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Harv wrote:
> I do not know what a f#$%wit is but it seems to be > something you know alot about. That's a Canadian word Ari learned from numbnuts tommy.
... Liberal: An intellectual with both feet firmly planted in mid-air. ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Harv stated:
>>> the changes taking place and make the best of it. Soc.Med >>> has not really worked anywhere in the world. And Ari pounded out on the keyboard:
>> Spoken like a truly ignorant fuckwit. To which Harv replied:
> Spoken like a good liberal,,, if you can not contriute,,,, you > can always call names. Yeah, Ari learned good from numbnuts tommy.
... Liberal: a person whose interests aren't at stake, yet. ___ Blue Wave/QWK v2.12
Califchief - 06 Apr 2008 06:00 GMT Thumper asked:
> How many people here take advantage of the great socialized > medicine, MEDICARE? Anyone on SSDI or over 65 should be. That's the socialize program created by JFK with mandatory withholdings from pay checks.
If you work for reported wages, you have to pay; there's no choice to opt out.
And like OASDI taxes with wage earners, Medicare has had to raise and raise and raise the monthly insurance premium of those on limited, fixed incomes.
If a certain candidate for president wins and raises taxes 2 or 3 times as promised, we'll see income taxes soar to 66% to 99%.
... My ... ..-"""""-.. ..-"""""-.. ... .' ___ '. .' ___ '. ... / ."\ `\ \ / ."\ `\ \ ... ; /, ( | ; ; /, ( | ; ... ; /_ '._ / ; ; /_ '._ / ; ... | |- '._`) | | |- '._`) | ... ; '-;-' \ ; ; '-;-' \ ; ... ; """" / \\ ; ; """" / \\ ; ... \ '.__..-' / \ '.__..-' / ... '._ 2 0 0 1 _.' '._ 2 0 0 1 _.' ... ""-----"" ""-----"" ... worth. ___ Blue Wave/QWK v2.12
Califchief - 07 Apr 2008 07:00 GMT Thumper wrote:
> Secondly it's the insurance companies that drive doctors into > partnerships. It's the only way they can afford the staff it > takes to deal with all the red tape that various insurance > companies put them through. If you think red tape from insurance companies is bad, wait 'til you get your socialized medicine and learn how inept Uncle Sam is.
Doctors and pharmacists are quitting because of all the red tape produced by Medicare, Medicade, and other socialistic programs.
... Seize no evil, ears no evil, and nose no evil. ___ Blue Wave/QWK v2.12
Califchief - 07 Apr 2008 07:00 GMT Kate wrote:
> as walt indicated on a separate thread, not all of the > proposed universal health care plans depend upon taxation. Who/what is going to pay for those proposed plans?
Has someone finally learned how to grow money on trees?
... Don't just stand there before me.....KNEEL! ___ Blue Wave/QWK v2.12
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