But it seems even legitimate questions get painted with the same brush, ie. you're either for or against it, and if you're against it, then your arguments are not legitimate.
8/13/2009 8:05:17 AM
8/13/2009 8:06:03 AM
All this time spent demonizing a small group of fringe protesters is purely an attempt to disingenuously paint all those who oppose the democrats’ plan in the same light. It is a crafty way of posing an argument without having to actually make it substantive.
8/13/2009 8:50:08 AM
it's hard not to respond when that small group includes national figures and high-profile members of the national media
8/13/2009 8:54:17 AM
8/13/2009 9:13:17 AM
8/13/2009 9:19:05 AM
8/13/2009 9:47:08 AM
8/13/2009 9:51:25 AM
http://www.cnbc.com/id/32398096
8/13/2009 9:52:52 AM
right right. We're totally a free market. Ignore the fed propping up the same companies that caused the problems. Ignore the governement providing tax incentives that created our shitty healthcare system.
8/13/2009 10:14:15 AM
Yeah, you're right. We should be more like Somalia. Now there is a real free market we can look to Surely those countries well funded social programs which allow people who lost their jobs to continue receiving health care, and go back to school (tuition is dirt cheap there) instead of working at Burger King, has absolutely nothing to do with their ability to recover from a recession.
8/13/2009 10:35:36 AM
education is an easy fixed cost. healthcare is not. I dont really understand why you people dont get this.The post office works because people pay to have their packages deliveredThe education system works because you can tax based on predictable costsThe healthcare system is busted because people pay LESS than the cost of the services they use. Govcare does absoultely nothing at all to fix this problem. I totally agree with you that better education would make people better able to afford their own healthcare and that we should look to fix that before looking at healthcare.
8/13/2009 10:39:28 AM
See, that's bullshit though. Most people (or their employers) pay MORE than the cost of the services they use. I go to a doctor maybe 1-2 times a year MAXIMUM. Whatever premiums my job has to pay to keep me insured (probably ~$5000/year) cost a shit ton more than the cost of 2 doctor's visit. This is the case for most healthy people. Of course, when the shit hits the fan and we actually need that service that we've been paying premiums out the ass for, the insurance companies come up with various reasons to deny our claims and send people into the poor house. Explain how else insurance company profits have quadrupled in the past decade. The exception to this is old people on Medicare, which we've already discussed. The bottom line is that health care constitutes ~%15 of our GDP right now. In about 20 years, it'll reach 1/3 of our GDP. People talk about Medicare or SS becoming unsustainable, but they pale in comparison to the explosive growth in health care costs that will actually cripple our economy in the near future if nothing is done.
8/13/2009 10:57:24 AM
thats you and me. We dont use our healthcare. old people do. And thats the fucking problem. And all these plans that are being proposed are designed to help them, not us. None of these plans are going to help you and me. And they'll all be bankrupt by the time we get to old age.A better plan is to get rid of the idea of an "insurance" that pays for all your care. Pay for it out of pocket. For you and me we'll end up putting the money we save into an HSA so its there when we get old. It also means we dont need to deal with an insurance company (private or government run) to get care. Create a cutoff for medicare and get rid of it when the old people on it finally die off. The only way. THE ONLY WAY to control healthcare costs is by getting consumers to start thinking about it themselves. If we have to do research to determine if we need certain procedures or we start shopping around for prices, then costs go down. And the only way that will happen is if people have to pay for their own care. This idea that the governement is somehow going to control costs by dictating prices is ludicrous.
8/13/2009 11:11:33 AM
it's not even possible to shop around these days. costs (especially for more serious procedures) are completely hidden to the consumer. in many instances you can't even find out what a procedure will cost before it is performed.
8/13/2009 11:15:55 AM
^ because 88% of all health-care expenditures are paid by third parties. If consumers are insulated from prices, why demand cost transparency?
8/13/2009 11:19:02 AM
I assume this is old, what is the explanation from the anti socialists crowd
8/13/2009 11:37:30 AM
^^^^That's all well and good, and it may actually be a valid solution to the problem of health care expenditures for the elderly. But it does nothing to solve this:
8/13/2009 11:41:40 AM
^^Look at the price differentials between the US and France for cosmetics, where consumers pay almost entirely out of pocket. In all but one category, the US is significantly less expensive.[Edited on August 13, 2009 at 11:44 AM. Reason : .]
8/13/2009 11:44:14 AM
Ok, and?
8/13/2009 11:50:37 AM
It is consistent with what many of us have been saying all along: the reason health-care costs are rising exponentially (which is one of the causes of higher medical tourism) is because consumers are insulated from prices and thus do not weigh costs and benefits, which causes the entire value chain to care less about finding ways to provide higher quality care at lower costs. Cost consciousness on the part of the consumer has led LASIK providers to dramatically improve the quality of LASIK while at the same time reducing prices. Again, just as in every other sector of our economy where consumers care about prices.
8/13/2009 11:59:44 AM
There's no reason why one visit to my cardiologist at Duke (it's usually just an echocardiogram and an x-ray, and then I talk to my doctor) ends up being > $3,000.The cost of health care is ridiculous. I have no problem paying for my own health care (I already have quite the bill that I'm paying a few hundred dollars on a month) because I obviously use the service but this "out-of-pocket" idea is such bullshit because you're not paying a fair price for what you're getting in return.
8/13/2009 12:00:48 PM
8/13/2009 12:05:30 PM
8/13/2009 12:06:59 PM
8/13/2009 12:09:38 PM
I'm admittedly no expert in economics or health care so I can't even try to answer that.It's just for somebody that's had a certain condition since birth that requires a specialist you can't "shop around for" - an out-of-pocket system would be bullshit. Of course I'm biased because that person is me, but how could anybody be okay with somebody, through no fault of their own, paying over $5,000 a year for visits that are only check-ups on their condition? Because they were lucky enough to not have the problem?
8/13/2009 12:13:36 PM
^ I agree, there is a strong case for a government role in providing subsidies to those with preexisting conditions. However, this can be resolved through narrowly-defined, targeted subsidies for those few who need them. It does not require distorting the entire system.
8/13/2009 12:18:08 PM
8/13/2009 12:18:09 PM
^^^The problem is your costs are distorted by the insurance system. Those specialists know they can find someone whos insurance will pay more for the same thing .So if you dont bite on their prices, they can just bump you and fill that timeslot with someone who will. You are also not the common case. From an economic standpoint you are going to cost any system significantly more than the average person. In an out of pocket system you'd be covered under the same limited governement programs that cover the poor plus charities whos donations would be completely tax deductable.[Edited on August 13, 2009 at 12:24 PM. Reason : a]
8/13/2009 12:20:55 PM
Remind me again why we bear firefighters, schools, and police, as a distributed cost to all of society...but not health care?
8/13/2009 12:25:00 PM
^^^
8/13/2009 12:32:58 PM
Fail Boat,Because when a cop catches a criminal breaking into your house, it not only makes you safer, but me safer as well. The fact that there is unexcludable benefits to everyone from policing is part of what makes it a "public good". Similar stories can be told for firefighters (putting out the fire at your house keeps it from spreading to everyone else's ala San Fran 1906) and maybe even schools (the fact that you are a smarter and more productive workers helps me to be smarter more productive worker, try being a doctor in a hospital where the rest of the staff can barely read...of course I'm less convinced by this story).Remind me again how health insurance sounds like any of these things? If you don't have health insurance and go bankrupt from medical bills, how does that help or hurt me?
8/13/2009 12:38:52 PM
^^^Again, those all carry fixed and predictable costs and for the most part everyone takes out the same value they put into the system.[Edited on August 13, 2009 at 12:42 PM. Reason : a]
8/13/2009 12:40:18 PM
Great link hunt. Ive seen lasik prices fall since ive been out of school. You can get LASIK for about 1k an eye by some docs(which i would NOT do btw). The technology with the wavefront, improvements in the lasers themselves, as far as burn times and heat generated, and now using the laser to make the flap instead of the microkeratome is leading to a much better procedure now than even 4-5 yrs ago.Now if youll excuse me, Ive got my jergens ready for the dave ramsey show, and my money buried in the back yard. Fail Boat. [Edited on August 13, 2009 at 12:48 PM. Reason : .]
8/13/2009 12:47:09 PM
8/13/2009 1:03:32 PM
8/13/2009 1:07:40 PM
8/13/2009 1:26:53 PM
8/13/2009 1:28:54 PM
Is eyedrb an ophthalmologist or an optometrist?And how does he post on TWW during the middle of the day? I wasn't aware that either of those occupations was a desk job.And I was under the impression that eye doctors (optometrists at least) have a pretty sweet deal going here in North Carolina. My friend had to go to the eye doc twice a year (one appointment for an exam and one for a "fitting") just to get the exact same prescription lenses each year. They always gave her the run-around, trying to get her to buy contacts through them. She moved to Florida, and they refilled her prescription with no exam or fitting. I think she has to go back every two years down there.And eye doctors are notorious for giving unneeded exams. Just because there's an exam limit per patient doesn't mean they can't slip in some bullshit tests. And remember when they lobbied to mandate that every school-age child undergo eye exams? Yeah, let's give eye exams ($$$) to every kid (developing eye sights and all) and have even more children needlessly wearing glasses ($$$).I dunno. I don't like the idea of kids not getting the help they need. But I also don't want to pour money into the pockets of some entirely empowered eye doctors who whine about how tough it is all the time.
8/13/2009 1:31:50 PM
yeah "eye dr"
8/13/2009 1:54:11 PM
the poorer of the two bridget.Yeah most docs will charge a seperate contact lens fitting fee. It does not mean they have to come back every 6 months though, its usually at the time of the exam. Its usually only charged when we make a change or its a first time/new fit that we need to see back again. Hence they wont be charged every time they come back for follow ups on the contact fitting or for each change in contacts.I disagree with docs pushing to buy glasses or contacts in thier office, offering is fine, but pushing violates trust imo.Im not sure what you mean by unneeded exams though. Or an exam limit. We are limited by the procedures we can be reimbursed for in the same day and by diagnosis. Also, certain insurances will limit how often you can get an exam, although those tend to be vision insurances and medicaid that limit those.The Jim Black deal was a shady way of going about things. THere are several states that have laws requiring kids to get eye exams before schools starts. Its a great idea knowing how important vision is to learning but also the detection of eye disease or amblyopia that can be corrected if caught early. However, how they went about it was wrong and illegal. Besides, I personally think its a good idea to have each kid screened before school, however, I think parents should have the option and it should not be taxpayer funded/mandatory. imoAs for today, im off. Did you get today off too bridget?
8/13/2009 3:15:32 PM
8/13/2009 3:35:55 PM
yep, all the evidence you need right there. Time to disband the party, everyone has lost thier minds.
8/13/2009 3:43:35 PM
Nobody ever said "everybody," though Grassley, Palin, etc saying that the death panels thing is true pretty much shows that the leadership are losing their minds, too.
8/13/2009 3:45:40 PM
Michael Steele, too.
8/13/2009 3:50:42 PM
8/13/2009 3:50:58 PM
^^^ well if Palin is considered "leadership" these days then that's half their problem right there
8/13/2009 4:29:29 PM
So, essentially no good argument for why France and India have drastically lower non cosmetic surgery costs?
8/13/2009 5:17:29 PM
Probably because they have less regulations, less technologically advanced facilities, doctors that aren't as well trained, probably lower legal fees, on top of an exchange rate that's very beneficial to Americans.I would imagine, compared to their ordinary citizen, their surgical procedures aren't all that cheap.
8/13/2009 5:22:55 PM
I dont see that being the case with france.
8/13/2009 5:24:23 PM