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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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What we thought of the movie "Sicko"

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Grandpa Chuck - 30 Jul 2007 17:59 GMT
Hello dear friends,

We went to see "Sicko" yesterday as planned. To us it is definitely  a
MUST SEE  movie.  It will really make you wonder why the United States
has to be so far behind other nations on something as important as
health care. The is the only country where people are forced into
bankruptcy and lost their homes even if they have health insurance. It
is also the only country where the doctor has to get prior approval
from an insurance company or anyone else before providing a service to
a patient regardless of who that person is or their financial status.
We have heard it said that doctors would leave medicine in droves if
we ever pass a universal health care plan in this country. Just wait
till you see the French general practice doctor who drives a new Audi
and owns a one million dollar three story house on his wages paid by
the government. Even if you are not a Michael Moore fan, if you
believe only half of what is said in the movie, we think you will
still believe you would be better off medically if you lived somewhere
else - even Cuba. Go see it yourself and take the time to think about
what you just saw.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 29, 2007 is 3,651.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 30, 2007 it has been 1552 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Loretta Eisenberg - 30 Jul 2007 19:16 GMT
Thanks Chuck, I think I will see this this weekend.

Loretta
jtees4 - 30 Jul 2007 19:27 GMT
>Hello dear friends,
>
[quoted text clipped - 15 lines]
>else - even Cuba. Go see it yourself and take the time to think about
>what you just saw.

Michael Moore makes interesting movies. They are not documentries by
any stretch of the imagination. Some of what he says is true, some is
out of context, and some is just not true. Everyone is free to go to
Cuba to live (I think). Or anywhere else that you have mentioned. I am
not saying that our health system is great. I am not saying that I am
against Free health Care for everyone. I don't think the government
should run the program. Oversee it, sure, but not run it. Just one
true independents opinion.
Grandpa Chuck - 30 Jul 2007 21:48 GMT
>>Hello dear friends,
>>
[quoted text clipped - 24 lines]
>should run the program. Oversee it, sure, but not run it. Just one
>true independents opinion.

Then who should run it? Private insurance companies? Drug companies?
If this country cannot establish a free health care system better than
any other in the world by learning from mistakes other countries have
made then we have failed at our old inspirational (not religious) and
our ingenuity.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 29, 2007 is 3,651.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 30, 2007 it has been 1552 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

jtees4 - 31 Jul 2007 14:38 GMT
>>>Hello dear friends,
>>>
[quoted text clipped - 30 lines]
>made then we have failed at our old inspirational (not religious) and
>our ingenuity.

Don't know the answer. Don't claim to know the answer.
guys@consolidated.net - 30 Jul 2007 19:40 GMT
>Hello dear friends,
>
[quoted text clipped - 15 lines]
>else - even Cuba. Go see it yourself and take the time to think about
>what you just saw.

Chuck, if you are down on mr. Bush as a person, you could be wrong.

If you are down on Bushm the icon, yo may be on track.

When we elect a new icon, we need to look at where they have
obligations.

To stay  on topic.   If there is ot an outcry, diabetes will never be
cured.

As far as a strike,  The medical lcense is a legal document.

Abuse it and lose it.
Grandpa Chuck - 30 Jul 2007 21:50 GMT
>>Hello dear friends,
>>
[quoted text clipped - 17 lines]
>
>Chuck, if you are down on mr. Bush as a person, you could be wrong.

What does that have to do with our medical establishment?

>If you are down on Bushm the icon, yo may be on track.
>
[quoted text clipped - 3 lines]
>To stay  on topic.   If there is ot an outcry, diabetes will never be
>cured.

The drug companies don't want to cure diabetes. That would be killing
the golden calf.

>As far as a strike,  The medical lcense is a legal document.

Please explain that statement. It makes no sense to me.

>Abuse it and lose it.

Huh?
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 29, 2007 is 3,651.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 30, 2007 it has been 1552 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

bj - 31 Jul 2007 01:50 GMT
> United States....
> > is also the only country where the doctor has to get prior approval
> from an insurance company or anyone else before providing a service to
> a patient regardless of who that person is or their financial status.

Huh?
I've never had that problem. Sure, sometimes a doctor has commented that my
insurance might not cover something-or-other, but hasn't refused treatment
on that basis alone. I've had treatment that the insurance company refused
to cover, but as long as I agreed to pay for it the doctor & the hospital
were fine with doing it.

I also go to one doctor that doesn't even take insurance. I work out any
coverage/repayment with the insurance company but meanwhile the doctor has
been paid.
bj
ted rosenberg - 31 Jul 2007 03:57 GMT
>  
>> United States....
[quoted text clipped - 19 lines]
>
>  
well you can afford that. .  Many can't.  The classic case which helped
get the Children's coverage passed initially was a couple in DC with an
asthmatic daughter,  They both worked minimum wage with no benefits -
about 20,000 per year total, WAY too much for medical assistance.  Every
tie the child had an attack, they went to the ER - at a cost of over
$1,000,  soon they owed the hospital $20,000.  The hospital got a
judgment and garnished the very small amount of wages that they could,
but the debt kept mounting,  Now the child had very uncomplicated
asthma, and a few regular doctors visits and an inhaler.  The advise to
the parents by Social Services was to stop working and than they could
get Medical assistance,.
bj - 31 Jul 2007 06:43 GMT
>>> United States....
>>>
[quoted text clipped - 16 lines]
>>
> well you can afford that. .  Many can't.

I was disputing the idea that a doctor must get approval from <insurance co.
etc> no matter the financial status.
bj
guys@consolidated.net - 31 Jul 2007 13:18 GMT
>>>> United States....
>>>>
[quoted text clipped - 22 lines]
>
>The issue is that people in the US do suffer and do die
every day because they cannot afford medical care.

But we make a big deal over a dog fight operation which is very common
in the US.

Hurt a pet and it is a major case.   A simple person setting in a
waiting room for tens of hours  is not a big deal. They are just a
bunch of trash-good riddance.

People here live in the temporary golden age of insurance and DO not
realize it.

Some of the crap that cluttes our life should disaappear before the
sun sets.

i
ted rosenberg - 31 Jul 2007 16:36 GMT
>  
>>    
[quoted text clipped - 31 lines]
>
>  
No,rxcept in an emergancy,  a doctor must get approval, often
pre-approval, or an agreement that YOU will pay, or they won't do anything.
Grandpa Chuck - 31 Jul 2007 16:51 GMT
>>>> United States....
>>>>
[quoted text clipped - 20 lines]
>etc> no matter the financial status.
>bj

Thank you for admitting you were wrong. If the person is covered by
health insurance the doctor has to get prior approval for most
procedures and tests. BTW if you volunteer to pay it yourself it still
does on your medical record and may end up costing you coverage later
on for subsequent services.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 30, 2007 is 3,653.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 31, 2007 it has been 1553 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Grandpa Chuck - 31 Jul 2007 05:09 GMT
>> United States....
>> > is also the only country where the doctor has to get prior approval
[quoted text clipped - 7 lines]
>to cover, but as long as I agreed to pay for it the doctor & the hospital
>were fine with doing it.

But if you lived in Canada, Great Britain or France it would not have
cost you anything.

>I also go to one doctor that doesn't even take insurance. I work out any
>coverage/repayment with the insurance company but meanwhile the doctor has
>been paid.
>bj

Not all of us have that much money.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 29, 2007 is 3,651.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 30, 2007 it has been 1552 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

bj - 31 Jul 2007 06:43 GMT
>>> United States....
>>> > is also the only country where the doctor has to get prior approval
[quoted text clipped - 11 lines]
> But if you lived in Canada, Great Britain or France it would not have
> cost you anything.

Would it have been done at all?
If it's not approved by my insurance company & I can't afford to have it
anyway so I skip it, how is that different from not having it (for free)
when the health authority doesn't approve it?

And it did turn out to be well worth the trouble, since they did "find
something" -- made for an easy fix then but could have been a lot ickier
later.
bj
Grandpa Chuck - 31 Jul 2007 16:54 GMT
>>>> United States....
>>>> > is also the only country where the doctor has to get prior approval
[quoted text clipped - 13 lines]
>
>Would it have been done at all?

That is a ridiculous question. Did you see the movie?

>If it's not approved by my insurance company & I can't afford to have it
>anyway so I skip it, how is that different from not having it (for free)
>when the health authority doesn't approve it?

You do not appear to have seen the movie or if you did to have paid
attention.

Signature

Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 30, 2007 is 3,653.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 31, 2007 it has been 1553 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Wes Groleau - 01 Aug 2007 00:54 GMT
> "Grandpa Chuck" <GrandpaChuck@B4me.org> wrote in message
>> United States....
>>> is also the only country where the doctor has to get prior approval
>> from an insurance company or anyone else before providing a service to
>> a patient regardless of who that person is or their financial status.

Chuck, I really doubt you know whether any other countries
allow that to happen.  In fact, I doubt whether you can name
two-thirds of the countries in the world without looking them
up.  I know I can't and I'm pretty good at geography.

In fact, to be accurate, no one can prevent you and your doctor
from getting any legal treatment.  They may refuse to pay, but
it depends on the plan and contract.  There are a lot of payers
that do not have such restrictions.

Signature

Wes Groleau

Even if you do learn to speak correct English,
whom are you going to speak it to?
                    -- Clarence Darrow

ted rosenberg - 01 Aug 2007 01:57 GMT
>> "Grandpa Chuck" <GrandpaChuck@B4me.org> wrote in message
>>> United States....
[quoted text clipped - 11 lines]
> it depends on the plan and contract.  There are a lot of payers
> that do not have such restrictions.

Wes - I guess you don't know
IF NO ONE WILL PAY, THE PROVIDERS WON'T WORK

No physician or hospital will give you anything but the barest
emergencey treatment unless they are sure that they will be paid

To give you an example:  My daughter was in an explosion and had a badly
shattered leg.  She went to Shock/Trauma, and had it rebuilt, and the
shrapnel removed from her - This was covered by Workman's Comp

She has to get follow up care

A few years ago University of Maryland Hospital's Orthopedic division
decided that Workman's Comp doesn't pay well enough, so, when she went
for a follow up visit, they fold her to get lost, and be sure not to
call ANY ortho in the UMMS system.  She HAD insurance, which covered the
visit,  But the hospital wouldn't accept the payment offered, and
wouldn't see her..Workman's comp only pays "reasonable and customary"
fees, and the patient can NOT be billed.

She is seen at Hainan University Hospital in China.  Her insurance
doesn't cover it, but the costs are low enough that she can pay them
herself.
Wes Groleau - 01 Aug 2007 03:54 GMT
> Wes - I guess you don't know
> IF NO ONE WILL PAY, THE PROVIDERS WON'T WORK

Ted - I guess you haven't been paying attention.

I work for a provider posting payments from payers.

I _do_ know about ABNs and up-front discounts and such.

I have had four other employers with various sorts
of health plans.  Some of them have had rather stupid
restrictions on treatment.  Some have not.

> No physician or hospital will give you anything but the barest
> emergencey treatment unless they are sure that they will be paid

We do our best to ensure payment, up front if possible,
but it doesn't always happen.  Over the past week, I closed
over thirty thousand accounts totaling over eleven million
dollars.  We NEVER refuse _medical_ treatment.  We certainly
can and do get paid in advance for _cosmetic_ or _convenience_
treatment.

However, none of that has any bearing on what I said.

I said:

1. What Chuck complained happens "only in America"
   probably happens in at least one other place in
   this big world.

2. And it does not happen in every case in America.

Signature

Wes Groleau
-----------

   "Thinking I'm dumb gives people something to
    feel smug about.  Why should I disillusion them?"
                            -- Charles Wallace
                            (in _A_Wrinkle_In_Time_)

ted rosenberg - 01 Aug 2007 16:49 GMT
>> Wes - I guess you don't know
>> IF NO ONE WILL PAY, THE PROVIDERS WON'T WORK
[quoted text clipped - 18 lines]
> can and do get paid in advance for _cosmetic_ or _convenience_
> treatment.

Many providers do not accept patients without some guarantee of the
payment they want - you are an exception..

In another post, I pointed out that my youngest daughter had been
injured in an explosion while working.  She was treated at Shock/Trauma
with no problem, but after the bone healed, she could not g back for
follow up visits to her doctor.  She WAS covered, but the Orthopedics
Department of the University of Maryland won't take non-emergency
Workman's Comp cases.They won't say why.  She had to find another Ortho,
not connected with UMMS.

> However, none of that has any bearing on what I said.
>
[quoted text clipped - 3 lines]
>    probably happens in at least one other place in
>    this big world.

Of course - no body's perfect, but the preapproval problem and the maze
of incomprehensible administrative procedures doesn't EXIST elsewhere.  
No "in Net" and "out of Net"
> 2. And it does not happen in every case in America.

agreed, but incredibly often.
I need a gall bladder operation (non-emergency) everyone agrees, my
insurance agrees, BUT
1) I first need a CAT scan of the abdomen
2) It must be done at a free standing facility, not the hospital ??? WHY
. if you pay the same, it would be easier to have it in house where the
operation is to be done
3) The Image center won't give me an appointment without a preapproval
4) The insurer won't give ME a preapproval - they want the surgeon to ask
5) The surgeon says they can't get a preapproval without an appointment
6) The insurer sent me to my PCP
7) My PCP sent me back to the insurance company.  HE didn't do the
original diagnosis, the ER had
8) The insurance company sent me to a NEW surgeon
9) THAT surgeon is on vacation, and I can't even get an appointment
assigned for two weeks.   The actual appointment will be in a few months.

Everyone agrees that the simplest thing is for me to grab my stomach and
go into the ER.  If it is emergency, they can do it all right away.

This so far has taken many many phone calls, and NO ONE, including the
claims adjuster, thinks that there is any question that I should have
the operation.
puppycat - 06 Aug 2007 01:17 GMT
If you want to know how this will work, ask someone in the military.  They
are already experiencing "free healthcare."

>> Wes - I guess you don't know
>> IF NO ONE WILL PAY, THE PROVIDERS WON'T WORK
[quoted text clipped - 28 lines]
>
> 2. And it does not happen in every case in America.
Wes Groleau - 06 Aug 2007 04:02 GMT
> If you want to know how this will work, ask someone in the military.  They
> are already experiencing "free healthcare."

I spent ten years in the U.S. Navy.  Met some
decent doctors, dentists, nurses.  But I also
met some that gave me the impression they joined
because they didn't think they could survive
private practice.

Since getting out (including while in the Reserves)
I have seen at least five V.A. doctors in two different
states.  And several other V.A. support people.

I'm sorry to say I can't recommend any award to the
best of them, and some of them should not be in
health care at all, anywhere.

Signature

Wes Groleau

   After the christening of his baby brother in church, Jason sobbed
   all the way home in the back seat of the car.  His father asked him
   three times what was wrong.  Finally, the boy replied, "That preacher
   said he wanted us brought up in a Christian home, and I wanted to
   stay with you guys."

ted rosenberg - 06 Aug 2007 04:23 GMT
>> If you want to know how this will work, ask someone in the military.  
>> They are already experiencing "free healthcare."
[quoted text clipped - 12 lines]
> best of them, and some of them should not be in
> health care at all, anywhere.

Until the recent problems with major increase in need, and little
increase in the VA, the VA had an enviable record of low costs and high
results.  Not because of state-of-the-art stuff, but because they did a
lot of preventative medicine which kept people (diabetics in particular)
functioning and not needing hospitalization.

But, the VA is only part of military care.  My mother has TriCare, which
is good just about anywhere  Active military are served by outsourced
companies like Sierra
Wes Groleau - 06 Aug 2007 05:06 GMT
> Until the recent problems with major increase in need, and little
> increase in the VA, the VA had an enviable record of low costs and high
> results.  Not because of state-of-the-art stuff, but because they did a
> lot of preventative medicine which kept people (diabetics in particular)
> functioning and not needing hospitalization.

Preventive?

Like telling me to not test every day?

Like not firing a doctor who said an A1c of 8.2 is
"excellent" and I should test once a week?

Like programming their lab report system to print
on every report that an A1c of 7 is "EXCELLANT CONTROL" [sic] ?

Like changing thyroid medicine brands without retesting?
(And changing them according to numbers the AACE had
abandoned years earlier)

Like employing a doctor who can tell someone they've never
seen before that his chest pain is not cardiac without an
examination?

Like feeding a diabetic pancakes, orange juice, and two slices
of white toast.  Oh, it's OK (NOT!) because the jelly had
aspartame in it.  (And mashed potatoes and a spongy white flour
roll for dinner)

The V.A. health care system is not the worst the U.S.
government has to offer.  But it's close.

Signature

Wes Groleau

Always listen to experts.  They'll tell you
what can't be done and why.  Then do it.
                    -- Robert A. Heinlein

ted rosenberg - 06 Aug 2007 07:20 GMT
>> Until the recent problems with major increase in need, and little
>> increase in the VA, the VA had an enviable record of low costs and
[quoted text clipped - 27 lines]
> The V.A. health care system is not the worst the U.S.
> government has to offer.  But it's close.

As usual, people stupidly think that an anecdote is data
they also compare a system that they have experience with with one that
they are CLUELESS about.
guys@consolidated.net - 06 Aug 2007 11:14 GMT
>>> Until the recent problems with major increase in need, and little
>>> increase in the VA, the VA had an enviable record of low costs and
[quoted text clipped - 31 lines]
>they also compare a system that they have experience with with one that
>they are CLUELESS about.

As the need for a better Health care system  is
debated we will see all sorts of claims.

I think I see a lot of company executiveas
tell us the truth.  The health cost is ot of
hand and it is doing great damage to
our wholw aystwem.  The corporate people
want out of ealth care.

It boils down to the faxtg that   any entity or person
will abuse the society if they can operate with
no external controls.   They can be expected
to defend their "bird nest on the ground".

TGhat is the reason we have a goovermental system of
checks and balances.

I do expect gross tales and some legit concerns.

I expect threats of a strike.

The strike would be a very bad idea,

Unless there is some basic change it will be a nagging
problen after I am gone.   I can think of no saolution.

But government agencies vs the docs will a more level
playing field.

Maybe a case of the docs  shooting the goose that lays the golden egg.
Wes Groleau - 06 Aug 2007 22:41 GMT
> As usual, people stupidly think that an anecdote is data

As usual, Ted replies to messages he appears not to have read.

The message was not 'an anecdote,' it was many anecdotes
about many incidents, NONE of them praiseworthy, with the V.A.

> they also compare a system that they have experience with
> with one that they are CLUELESS about.

I didn't compare it with anything.  I just stated my
consistently bad experiences with the system and several
of its doctors and other staff.  OK, I compared it with
the AACE recommendations and other medical literature.
I don't think it's accurate to say I'm CLUELESS about
things I have read personally.

Here's another 'anecdote' for you: In Fort Wayne,
they give you free coffee in the lobby.  Then when
you get to the check-in site for your appointment,
if you're paying attention, you see a small note
taped to the counter: "Please do not drink coffee
before your appointment."

Signature

Wes Groleau

Always listen to experts.  They'll tell you
what can't be done and why.  Then do it.
                    -- Robert A. Heinlein

ted rosenberg - 07 Aug 2007 02:42 GMT
> > As usual, people stupidly think that an anecdote is data
>
[quoted text clipped - 19 lines]
> taped to the counter: "Please do not drink coffee
> before your appointment."

Wes still doesn't know the meaning of the word "anecdote" he thinks that
if he simply regurgitates another one, it will somehow make his
unsupported ideas mean something.
Wes
Most diabetics get little or no follow up care, which is why people like
glass are so proud of the results he gets, AND, if you are uninsured,
you get NO care at all.

The VA (until Bush) had a mediocre system of preventative care and
follow up - which made it head and shoulders aabove non-VA.  YES, SOME
doctors and/or HMO's give good care, but they are the exception, not the
rule
Wes Groleau - 07 Aug 2007 22:32 GMT
> Wes still doesn't know the meaning of the word "anecdote" he thinks that
> if he simply regurgitates another one, it will somehow make his
> unsupported ideas mean something.

Ted still thinks he can read minds when he has trouble reading print.

I made no claim that my personal experience is universally true
of the V.A.  I do claim that

1. My personal experience with the V.A. is universally bad.

2. I highly doubt that Ted's personal experience is adequate
   support for a claim that the V.A.'s health care is good.

Signature

Wes Groleau
  "Two things are infinite, the universe and human stupidity.
   But I'm not so sure about the universe."
                               -- Albert Einstein

ted rosenberg - 09 Aug 2007 03:15 GMT
>> Wes still doesn't know the meaning of the word "anecdote" he thinks
>> that if he simply regurgitates another one, it will somehow make his
[quoted text clipped - 6 lines]
>
> 1. My personal experience with the V.A. is universally bad.
possibly - no argument

> 2. I highly doubt that Ted's personal experience is adequate
>    support for a claim that the V.A.'s health care is good.

I have no personal experience with the VA - I read STUDIES with DATA in
them, not anecdotes.
Alan S - 09 Aug 2007 03:48 GMT
>>> Wes still doesn't know the meaning of the word "anecdote" he thinks
>>> that if he simply regurgitates another one, it will somehow make his
[quoted text clipped - 13 lines]
>I have no personal experience with the VA - I read STUDIES with DATA in
>them, not anecdotes.

We also read here many studies full of DATA that are total
crap.

Ted, anecdotes are not data (well, actually they are if you
are studying anecdotes:-) but data is only as good as the
quality of the information collected. Data is also a very
questionable source if the wrong questions are asked, the
wrong hypotheses posed or the wrong interpretations made.
Just look at the recent "study" posted in the BMJ concerning
the validity of SMBG as one example of far too many.

Further, statistics give general results, not specifics.
You, more than most, should be able to accept that there are
numbers outside the 95% confidence levels, even some outside
99.99% - your only argument should be whether Wes'
experience is in that region.

Personal experiences form part of a valid commentary and
assessment on all things affecting the human experience.
That includes a commentary on health care. The fact that it
is not "data" by your definition does not invalidate it.
What happened to Wes is what happened; he "just stated my
consistently bad experiences with the system and several of
its doctors and other staff". You have no cause to question
his veracity. Nor does it justify the vitriolic response
you've given Wes, who is one of the good guys here despite
your difference of opinion on this subject.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
Wes Groleau - 09 Aug 2007 04:20 GMT
> Personal experiences form part of a valid commentary and
> assessment on all things affecting the human experience.
[quoted text clipped - 6 lines]
> you've given Wes, who is one of the good guys here despite
> your difference of opinion on this subject.

And, for what it's worth, I did not report _merely_ my
"anecdotal experience"

I pointed out the V.A.'s  POLICY  that diabetics on insulin
should test BG once every other day.

I pointed out the V.A.'s POLICY that lab reports should
define A1c as

   8.0 - GOOD CONTROL
   7.0 - EXCELLANT CONTROL [sic]

Signature

Wes Groleau

   A UNIX signature isn't a return address, it's the ASCII equivalent
   of a black velvet clown painting.  It's a rectangle of carets
   surrounding a quote from a literary giant of weeniedom like
   Heinlein or Dr. Who.
                                -- Chris Maeda

   Ha, ha, Dr. ..... Who's Chris Maeda?
                                -- Wes Groleau

Grandpa Chuck - 09 Aug 2007 05:34 GMT
>> Personal experiences form part of a valid commentary and
>> assessment on all things affecting the human experience.
[quoted text clipped - 18 lines]
>    8.0 - GOOD CONTROL
>    7.0 - EXCELLANT CONTROL [sic]

Hell, those standards are at least ten years behind the times. That's
about where they were when I was first diagnosed in '96. Even then my
doc said they were outdated.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of August 06, 2007 is 3,679.
United Kingdom = 165 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of Augest 07, 2007 it has been 1560 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

ted rosenberg - 09 Aug 2007 20:35 GMT
>  
>>    
[quoted text clipped - 26 lines]
> doc said they were outdated.
>  

Didi you read what Glass was bragging about?

Of course the VA is well behind the time, but at least they check more
often than not.
ted rosenberg - 09 Aug 2007 20:33 GMT
>  
>>    
[quoted text clipped - 58 lines]
> latest: Self-Testing and Type 2 Management
>  

Alan, it is not that 6the VA is that great, it is that the REST of the
medical system is incredibly bad
Wes Groleau - 09 Aug 2007 21:30 GMT
> Alan, it is not that 6the VA is that great, it is that the REST of the
> medical system is incredibly bad

I can only halfway agree with that.

There are some incredibly bad things going on in the medical system.
There are also some good things.  Neither supports your earlier claim that

> the VA had an enviable record of low costs and high results.
> Not because of state-of-the-art stuff, but because they did
> a lot of preventative medicine which kept people (diabetics
> in particular) functioning and not needing hospitalization.

Once I had learned just a little about diabetes, I began composing
a letter to my Congressman complaining of

1. The treatment/advice that seemed aimed at getting me
   (a veteran) into the hospital sooner

2. The amount of money that I (a taxpayer) would spend on treatment
   of complications in veterans who wouldn't or couldn't educate
   themselves on better ways.

I shamefacedly confess I never finished the letter.

Signature

Wes Groleau

   In any formula, constants (especially those obtained
   from handbooks) are to be treated as variables.

Grandpa Chuck - 06 Aug 2007 04:41 GMT
>If you want to know how this will work, ask someone in the military.  They
>are already experiencing "free healthcare."

Yep, and the scandals have been brought to the public's attention
recently. Why has it deteriorated so much? Easy to answer: the Bush
administration has cut funding to our vets by millions of dollars.

BTW, people incarcerated in this country generally get better medical
care than do the poor and near poor in this country.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of August 05, 2007 is 3,669.
United Kingdom = 164 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of Augest 05, 2007 it has been 1558 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Frank t2 - 01 Aug 2007 04:26 GMT
Troly god post, Ted !

There are several countries in the world that appear as beacons of humanity
in
healthcare, usually in specialising areas.

India, Roumania and to a lesser extent, France come to mind (lots of Brits
from
the UK come to France for healthcare.
They pay  less, have less waiting times and are very satisfed with the
treatment.
Same is true of the other countries cited.

India is so attractive that people make a holiday out of it at the same
time.
Romania is a leading country in dental care ... very cheap, very good and
very
popular (especially with Germans).

"ted rosenberg" <tedrosenberg@iname.com> a écrit ...
>>> "Grandpa Chuck" <GrandpaChuck@B4me.org> wrote in message
>>>> United States....
[quoted text clipped - 34 lines]
> She is seen at Hainan University Hospital in China.  Her insurance doesn't
> cover it, but the costs are low enough that she can pay them herself.
Grandpa Chuck - 01 Aug 2007 03:44 GMT
>> "Grandpa Chuck" <GrandpaChuck@B4me.org> wrote in message
>>> United States....
[quoted text clipped - 11 lines]
>it depends on the plan and contract.  There are a lot of payers
>that do not have such restrictions.

Wes, I was talking about western developed nations.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 30, 2007 is 3,653.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 31, 2007 it has been 1553 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Frank t2 - 01 Aug 2007 04:20 GMT
How can you claim to be "prettty good" at geography if you can't name
countries ?

"Wes Groleau" <groleau+news@freeshell.org> a écrit ...
>> "Grandpa Chuck" <GrandpaChuck@B4me.org> wrote in message
>>> United States....
[quoted text clipped - 11 lines]
> it depends on the plan and contract.  There are a lot of payers
> that do not have such restrictions.
Wes Groleau - 02 Aug 2007 03:59 GMT
> How can you claim to be "prettty good" at geography if you can't name
> countries ?
[quoted text clipped - 14 lines]
>> it depends on the plan and contract.  There are a lot of payers
>> that do not have such restrictions.

Signature

Wes Groleau
http://freepages.rootsweb.com/~wgroleau/Wes

Wes Groleau - 02 Aug 2007 04:03 GMT
> How can you claim to be "prettty good" at geography if you can't name
> countries ?

Last time I tried, I was able to name 250 without
checking any book or map.  But that took a while,
and I'm certain I didn't get them all.

Some of those 250 no longer exist, and there are
some now that did not exist then.

The point is that it takes a heck of a lot of knowledge
to say one of our common health care patterns occurs
NOWHERE in the other 95% of the world.

Signature

Wes Groleau

You always have time for what you do first.

Frank t2 - 02 Aug 2007 05:47 GMT
Nope.  Sorry.

You got me there - I don"t understand your argument as to
WHY you think you are good at geography though you think
you can name 250 countries (when there are only about 200
in the world).
If you had said you could LOCATE xxx countries, I'd have
understood.

OK, I'll drop it ...

"Wes Groleau" <groleau+news@freeshell.org> a écrit ...
>> How can you claim to be "prettty good" at geography if you can't name
>> countries ?
[quoted text clipped - 9 lines]
> to say one of our common health care patterns occurs
> NOWHERE in the other 95% of the world.
Wes Groleau - 03 Aug 2007 03:10 GMT
> You got me there - I don"t understand your argument as to
> WHY you think you are good at geography though you think
> you can name 250 countries (when there are only about 200
> in the world).

Maybe it was 150.  It was a long time ago.

> If you had said you could LOCATE xxx countries, I'd have
> understood.

I can locate any I can think of the names of.

> OK, I'll drop it ...

Hey, if you need an ego boost, fire away.

Signature

Wes Groleau
-----------

   "Thinking I'm dumb gives people something to
    feel smug about.  Why should I disillusion them?"
                            -- Charles Wallace
                            (in _A_Wrinkle_In_Time_)

ron.bonner@gmail.com - 01 Aug 2007 00:48 GMT
> Hello dear friends,
>
[quoted text clipped - 5 lines]
>    -ô¿ô-
>      ~

Couple of questions and a thought or two Chuck;  I've read through the
complete thread and you say that healthcare should be free.  No matter
what source healthcare comes from it won't be free.  Someone will be
paying, either directly or through taxes.  How much of your income are
you willing to ante up for "Free Healthcare?"

Who should run this magical Healthcare organization?  I take it you
think the government should be in charge.  Name one federal agency
that does an excellent job.  I can't think of any I would trust to
manage a program like that.  But heck, let FEMA have it!  I wonder how
many GS14's will be needed for this outfit!

I agree that changes need to be made, dollars collected by insurance
are eaten away by the insurance companies mass so little is left for
direct care.

I agree that the ill of body or mind who are not capable of work
should be provided care.  However, if a person is capable of work and
refuses to do so and lives off the public dole then I have little
sympathy.  Individuals must be responsible for their actions or lack
of action.

I also admit that I don't have the answers, but I really don't think
that "Free Healthcare" is the answer.

RB

The complete thread was not on my newserver so I posted through Google
ted rosenberg - 01 Aug 2007 01:47 GMT
>  
>> Hello dear friends,
[quoted text clipped - 15 lines]
> you willing to ante up for "Free Healthcare?"
>  
probably little or none - currently US healthcare is SO bad and SO
inefficient that the per capita cost the federal government pays for
health care is greater than the per capita cost for any country which
provides universal heath care.  as much as 80% of the health care dollar
goees to sales and administratiom.  The medicare admin costs are about
4%, VA less.

> Who should run this magical Healthcare organization?  I take it you
> think the government should be in charge.  Name one federal agency
> that does an excellent job.  I can't think of any I would trust to
> manage a program like that.
CMS is currently doing an excellent job

>   But heck, let FEMA have it!  I wonder how
> many GS14's will be needed for this outfit!
>
>  
GE$E I asume that you8r ignorant brain thought that was funny
> I agree that changes need to be made, dollars collected by insurance
> are eaten away by the insurance companies mass so little is left for
[quoted text clipped - 7 lines]
>
>  
THAT isn't the problem - the problem is people who ARE working
> I also admit that I don't have the answers, but I really don't think
> that "Free Healthcare" is the answer.
>
> RB
>
> The complete thread was not on my newserver so I posted through Google
RB - 01 Aug 2007 03:15 GMT
>>> Hello dear friends,
>>>
[quoted text clipped - 18 lines]
> goees to sales and administratiom.  The medicare admin costs are about 4%,
> VA less.

Ted, if you think there will not be a tax impact then I think your overly
optimistic.  Someone will have to manage the program.  Those of us paying
taxes will fund it.  From what has been in the news about healhtcare (or
lack of) in the VA system recently I think I'll take a pass.

>> Who should run this magical Healthcare organization?  I take it you
>> think the government should be in charge.  Name one federal agency
>> that does an excellent job.  I can't think of any I would trust to
>> manage a program like that.
> CMS is currently doing an excellent job

Ok, I'll bite, who is CMS?  What job are they doing so well now?

>>   But heck, let FEMA have it!  I wonder how
>> many GS14's will be needed for this outfit!
[quoted text clipped - 3 lines]
>> are eaten away by the insurance companies mass so little is left for
>> direct care.

No realistic, employees of the government are paid pretty well.  GS-14 is a
paygrade and any agency that manages healthcare administration will be
loaded with them,  Lower grades mostly but it will not be a cheap operation.

>> I agree that the ill of body or mind who are not capable of work
>> should be provided care.  However, if a person is capable of work and
[quoted text clipped - 3 lines]
>>
> THAT isn't the problem - the problem is people who ARE working

No both working and non working people are the problem.   Someone will pay
for the non-working as is done now.  Those who work will have access but
taxes will fund it.

Ted, why so angry?  I posted civily, without name calling.  Try to show some
maturity!

RB

>> I also admit that I don't have the answers, but I really don't think
>> that "Free Healthcare" is the answer.
>>
>> RB
>>
>> The complete thread was not on my newserver so I posted through Google
Grandpa Chuck - 01 Aug 2007 03:50 GMT
>>>> Hello dear friends,
>>>>
[quoted text clipped - 23 lines]
>taxes will fund it.  From what has been in the news about healhtcare (or
>lack of) in the VA system recently I think I'll take a pass.

What percent of our national defense budget will it take to operate
such a system? We don't need to have a defense department that spends
more than all other nations in the world combined.

>>> Who should run this magical Healthcare organization?  I take it you
>>> think the government should be in charge.  Name one federal agency
[quoted text clipped - 39 lines]
>>>
>>> The complete thread was not on my newserver so I posted through Google
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 30, 2007 is 3,653.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 31, 2007 it has been 1553 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Wes Groleau - 01 Aug 2007 03:57 GMT
> Ok, I'll bite, who is CMS?  What job are they doing so well now?

Medicare.  I can imagine better, but I've definitely
seen much worse.

Signature

Wes Groleau
-----------
Daily Hoax: http://www.snopes2.com/cgi-bin/random/random.asp

Grandpa Chuck - 01 Aug 2007 03:48 GMT
>> Hello dear friends,
>>
[quoted text clipped - 11 lines]
>paying, either directly or through taxes.  How much of your income are
>you willing to ante up for "Free Healthcare?"

Whatever it takes so long as we don't have to pay any insurance
premiums and everyone pays the same amount.

>Who should run this magical Healthcare organization?  I take it you
>think the government should be in charge.  Name one federal agency
>that does an excellent job.  I can't think of any I would trust to
>manage a program like that.  But heck, let FEMA have it!  I wonder how
>many GS14's will be needed for this outfit!

If we can't look at other countries that have national health care
systems and do it even better then this country has become a third
world nation.

>I agree that changes need to be made, dollars collected by insurance
>are eaten away by the insurance companies mass so little is left for
[quoted text clipped - 5 lines]
>sympathy.  Individuals must be responsible for their actions or lack
>of action.

And who decides exactly who they are?

>I also admit that I don't have the answers, but I really don't think
>that "Free Healthcare" is the answer.

Did you see the movie?

>RB
>
>The complete thread was not on my newserver so I posted through Google
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of July 30, 2007 is 3,653.
United Kingdom = 163 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of July 31, 2007 it has been 1553 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Philip0433 - 06 Aug 2007 15:16 GMT
> Hello dear friends,
>
[quoted text clipped - 38 lines]
> "When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
> Lewis

It is too bad that Michael Moore doesn't produce documentaries.  It
would make the issues, and his position, more useful to the cause.
guys@consolidated.net - 06 Aug 2007 19:25 GMT
Mr. Moore did not inform my opinion on the medical situation.   I do
like the fact that Moore has made it a major issue.

Other factors like the head of GM, saying they cannot afford to
finance the plans any more,  is more important.

The medical profession represents it's self well. And the cost of
medical care is almost out of hand.

Too many are finding they cannot get medical insurance  If they can
get it they cannot pay the premiums.  Others deliberately do not get
insurance knowing they can get care of some form.

This AM I heard a report that a majority of personal bankruptcies
are related to  illness.

I would like to make a million each year and I could write a
rationalization justifying that.  The point is that is a fair way of
allocating the GNP.

IN the 30's the docs had to accept chickens at times.

No matter what anyone says, the situation will be corrected.
Mother nature is known to be a hard way to go.

I know a young lady that  did not make Medical school last year.
She is going oversea now.

A major problem with any change is shown by the Medicare D
legislation.

>> Hello dear friends,
>>
[quoted text clipped - 41 lines]
>It is too bad that Michael Moore doesn't produce documentaries.  It
>would make the issues, and his position, more useful to the cause.
Grandpa Chuck - 06 Aug 2007 19:51 GMT
>It is too bad that Michael Moore doesn't produce documentaries.  It
>would make the issues, and his position, more useful to the cause.

I know you trolled me with that sentence, but I will answer you
anyway. Why do you claim his movie is not a documentary?
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of August 05, 2007 is 3,670.
United Kingdom = 164 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of Augest 06, 2007 it has been 1559 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Cheri - 06 Aug 2007 21:59 GMT
Grandpa Chuck wrote in message ...

>I know you trolled me with that sentence, but I will answer you
>anyway. Why do you claim his movie is not a documentary?
>--
>
>Grandpa Chuck
>   -ô¿ô-

I haven't seen the movie, so I won't comment on it, but he has been
making sense in some of his interviews.

Cheri
Grandpa Chuck - 07 Aug 2007 01:50 GMT
>Grandpa Chuck wrote in message ...
>
[quoted text clipped - 9 lines]
>
>Cheri

I urge you to take the time to see it. You will not be sorry.
Signature


Grandpa Chuck
  -ô¿ô-
    ~

Americans killed in the occupation of Iraq as of August 05, 2007 is 3,670.
United Kingdom = 164 Other = 129.

How many more Americans must die to satisfy Bush's ego?
Let us all pray for Bush - God knows he needs it!

As of Augest 06, 2007 it has been 1559 days since Bush
while standing in front of the banner which was sent
to the ship by the White House saying MISSION ACCOMPLISHED
declared,"In the Battle of Iraq, the United States and our
allies have prevailed." IOW MISSION ACCOMPLISHED.

Isn't Bush's "surge" of troops working well?
Pay attention to the frequency of American deaths since it began.

"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair
Lewis

Cheri - 07 Aug 2007 02:18 GMT
Grandpa Chuck wrote in message
<5dgfb3t4pesbbn0qechlh6nl30p9idk83u@4ax.com>...

>>Grandpa Chuck wrote in message ...
>>
[quoted text clipped - 9 lines]
>>
>>Cheri

When it comes out on video, I will. I have seen all of his movies. I
particularly liked Roger and me. I don't really go to movies anymore,
they put me to sleep, so I rent what I want to see, and then when I
fall asleep, I can restart them. :-)

Cheri
 
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