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  1. #51
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    robuzo's Avatar
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    Personally I'd be a lot happier if I had Swiss, Dutch, German, or even Japanese-style options living in the States, rather than the Canadian or British systems, but any of the above would be a hell of a lot better than the "system" the US has now. The problem in the States is that a significant number of people get satisfactory coverage through their government or private sector employer, and the poor get coverage from the government. Those two groups basically don't give a shit about working people who have to manage for themselves, and are either apathetic about change or actually fear it due to disinformation from the insurance company/medical industrial complex/right-wing propaganda machine.
    “You can lead a horticulture but you can’t make her think.” Dorothy Parker

  2. #52
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    US healthcare was just fine when I was growing up and it was based on fee-for-services. Many Americans were not covered by insurance companies at that time, but procedures and even medications cost a fraction of what they cost now. A visit to the hospital did not send you to the poor house. Physicians made much less and actually spent time with their patients. If you were lucky enough to have an insurance policy, the company would pay for everything and the bill would be only one page showing the total amount owed.
    As insurance companies became more greedy, they started asking hospitals for itemized bills rather than showing just the total cost. They started hiring health care professionals to audit these itemized bills and even come into the hospitals to make sure what the hospital charged, the patient actually received. This was the begining of the transformation of health care in the US. As insurance companies began to challenge more and more, they found they could pay less. When I started working in hospitals in the late 70's, my health insurance was free and it wasn't until the late 80's that I had to pay anything. At that same time the insurance companies figured out they could start charging their customers for being covered which also increased their profits. Also insurance companies quit the fee-for-services business and began reimbursing hospital by diagnosis or DRG. If a patient came in for pneumonia, the company would pay a flat rate that they thought it cost to get that patient well. If it cost the hopsital more than that amount, it was a loss to the hospital. If they could do it for less, it was a gain. As the years passed, insurance companies and the government started reimbusing less and less to the point of many hospitals closing down. Now you see why hospitals in America send patients home while they are still sick. If you are stable enough, the hospital wants you out since you are probably causing them to lose money.
    Around the 90's insusurance companies started playing the game of not paying for "preexisting conditions" and started telling cusotmers that they would not pay for brand medications when a generic was available. All the profits would go to the insurance companies. Having worked in the pharmaceutical industry, I know for a fact that pharmacies and hospitals were not reaping the benifit of these strategies. It was the insurance companies and the drug companies that got rich. Insurance companies by telling hospitals what they would pay for by DRG and drug companies by using the excuse of cost for developing new medications. These two entities are driving the cost of health care in the US today. Even though some others disagree, litigation or defensive medicine, also drives up the cost of health care. If the government would ever grow a set of balls and step in, they could reduce the cost of health care to what it was when I was growing up. Of course this would mean they would lose the campaign money (bribe money), so that will never happen. It is now a catch 22 and only the American public can force any changes by throwing out all the politicians.
    These are only some of the dynamics that currently exist in US health care today and why it is a broken system. I do not know how it will ever change and my answer was to move out and settle in another country where healthcare will not bankrupt you in the end.

  3. #53
    Member mikediver's Avatar
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    He is not kidding about the bankrupting. In the US over 70% of all personal bankruptcies are due to medical debt.

  4. #54
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    Quote Originally Posted by foreigner
    your age or financial situation is denied treatment in the USA that is a f'n lie the ER is not designed to treat chronic conditions .. the door says emergency .. not health care. ulcers, infections, or any chronic conditions are not ER treatable. & suggesting that private hospitals treat the indigent at the er .. not expecting payment .. is an amoral republican position. more & more hospitals are eliminating the ER because of payment issues. if your statement were: " if you are in the back of an ambulance, rich or poor, you will get life saving care" I'd agree. although that essential service is provided by private companies who will often not get paid. kidney, cardiac, endocrine medical care is not emergency care .. actually it will be if if left untreated. the State or hospital will pick up the tab .. another f'n lie: the republicans are cutting medicaid (health care for the poor) by incredible amounts. while guaranteeing pharmaceutical companys huge profits .. along with cutting meals for poor children attending school medicare has extremely low income as a requirement .. requirements vary state by state. part time at walmart make to much .. that is where the untreated masses are .. the $10 - $15 per hour bunch. extreme poor get excellent & unlimited health carer. the truth: A man in Fairfax County (RICH), Virginia, can expect to live 15 years longer than one in Holmes County, Mississippi,(POOR) according to a study released today that illuminates health disparities across the U.S. http://www.bloomberg.com/news/2011-0...-in-study.html qualified and intelligent American doctor treat it is not the doc getting rich is is the pharmaceutical companies, lab / imaging companies, health care companies. the cost of the doc is minor. therapy $175 per hour (PTs & OTs make $50k - $75k = less than $40 per hour& often it is a $15 'therapy assistant' putting on the heat pack or doing ultra sound.), diagnostics 5x - 10x (same mri machine in us or bumrungrad, w/ us interpretation often done in asia by a non-us non-white doc), meds 2x - 3x for the same meds from my post yesterday: That's what happened to Rita Moore when she took her prescription for a medication to treat kidney cancer to her local drugstore. She was stunned when the pharmacist told her a month's supply of the pills would cost $2,400, more than she makes. About 1 in 6 beneficiaries are not filling their prescriptions, according to recent research that suggests a worrisome trend. Moore, 65, was operated on in February for an advanced form of kidney cancer. The Associated Press: Seniors face Medicare cost barrier for cancer meds + a bush era law denies them the right to legally purchase meds from canada, at 1/3 to 1/2, via mail.. 1/6 of americans on medicare do not have the $s to get their meds! Last edited by foreigner : 15-06-2011 at 04:12 PM.
    Your whole post is total BS, you obviously haven't a clue what you are talking about or never experienced medical treatment in the USA V UK or any other country for that matter...I'm only going to respond to two of your remarks: 1st anybody on Medicare without the means to pay the deductible or prescription can apply for Medicaid to cover everything 100% and that also goes for younger people without insurance or the means to pay. 2nd have you ever been to the emergency room? there are lines of "poor" people waiting for treatment for everything from colds to hangnails and getting the treatment at no costs, yes and that is why private hospitals are closing their ERs

  5. #55
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    Quote Originally Posted by Carnwadrick View Post
    Quote Originally Posted by foreigner
    your age or financial situation is denied treatment in the USA that is a f'n lie the ER is not designed to treat chronic conditions .. the door says emergency .. not health care. ulcers, infections, or any chronic conditions are not ER treatable. & suggesting that private hospitals treat the indigent at the er .. not expecting payment .. is an amoral republican position. more & more hospitals are eliminating the ER because of payment issues. if your statement were: " if you are in the back of an ambulance, rich or poor, you will get life saving care" I'd agree. although that essential service is provided by private companies who will often not get paid. kidney, cardiac, endocrine medical care is not emergency care .. actually it will be if if left untreated. the State or hospital will pick up the tab .. another f'n lie: the republicans are cutting medicaid (health care for the poor) by incredible amounts. while guaranteeing pharmaceutical companys huge profits .. along with cutting meals for poor children attending school medicare has extremely low income as a requirement .. requirements vary state by state. part time at walmart make to much .. that is where the untreated masses are .. the $10 - $15 per hour bunch. extreme poor get excellent & unlimited health carer. the truth: A man in Fairfax County (RICH), Virginia, can expect to live 15 years longer than one in Holmes County, Mississippi,(POOR) according to a study released today that illuminates health disparities across the U.S. http://www.bloomberg.com/news/2011-0...-in-study.html qualified and intelligent American doctor treat it is not the doc getting rich is is the pharmaceutical companies, lab / imaging companies, health care companies. the cost of the doc is minor. therapy $175 per hour (PTs & OTs make $50k - $75k = less than $40 per hour& often it is a $15 'therapy assistant' putting on the heat pack or doing ultra sound.), diagnostics 5x - 10x (same mri machine in us or bumrungrad, w/ us interpretation often done in asia by a non-us non-white doc), meds 2x - 3x for the same meds from my post yesterday: That's what happened to Rita Moore when she took her prescription for a medication to treat kidney cancer to her local drugstore. She was stunned when the pharmacist told her a month's supply of the pills would cost $2,400, more than she makes. About 1 in 6 beneficiaries are not filling their prescriptions, according to recent research that suggests a worrisome trend. Moore, 65, was operated on in February for an advanced form of kidney cancer. The Associated Press: Seniors face Medicare cost barrier for cancer meds + a bush era law denies them the right to legally purchase meds from canada, at 1/3 to 1/2, via mail.. 1/6 of americans on medicare do not have the $s to get their meds! Last edited by foreigner : 15-06-2011 at 04:12 PM.
    Your whole post is total BS, you obviously haven't a clue what you are talking about or never experienced medical treatment in the USA V UK or any other country for that matter...I'm only going to respond to two of your remarks: 1st anybody on Medicare without the means to pay the deductible or prescription can apply for Medicaid to cover everything 100% and that also goes for younger people without insurance or the means to pay. 2nd have you ever been to the emergency room? there are lines of "poor" people waiting for treatment for everything from colds to hangnails and getting the treatment at no costs, yes and that is why private hospitals are closing their ERs
    I was a vietnam era medic have a RN license.

    I have been assistant medical director at two long term care facilities owned by 2 different large corporations.
    I refused salary = no overtime & this limited my advancement opportunities. In both long term facilities I took home much more than the salaried director.
    In texas as part of my job I completed medicaid / medicare reimbursement forms. (I am certified texas to complete the medicaid form 1352)
    i my youth i worked in the er ,, not my cup of tea .. nor is ICU or floor

    Currently I contract with insurance companies as a 3rd party consultant on difficult / high $ files.


    as a 3rd party self employed consultant I can maintain my integrity ..personal integrity that corporations denied me.
    I have refused to work files handled by amoral adjusters more than once = turned down $50 per hour + expenses so I can hold my head high.


    the er provides emergency treatment
    present with a tooth ache & pain meds are provided but no treatment offered.
    present with gall stone pain.. opiate meds provided with a recommendation to see your treating physician for treatment.
    no treatment is offered. only emergency pain relief provided.

    hang nails & colds being treated by private company, with little chance of re-reimbursement, demonstrates the lack of health care options.

    I agree with you that I never seen a cold treated in the ER .. i guess you would expect antibiotics.. ?
    a cold / hang nail in the er is totally inappropriate.
    ERs are required by law to treat all those that present.
    a woman in labor that presents to the er is admitted .. the fact that she usually has had no pre natal care is a major complication.
    she would not be admitted / treated through the business office without insurance or the demonstrated ability to pay.

    conditions that require medical treatment other than life saving & require return appointments are not ER treatments.
    If you are suggesting that the doc in the er schedules return appointments in the er you are 100% wrong .. in your case 110% wrong.
    a $100 office visit is billed at 10x the cost of an office visit & that cost is absorbed by a private for profit corporation & it's stock holders.

    1st anybody on Medicare without the means to pay the deductible or prescription can apply for Medicaid.
    key caveat: can apply for Medicaid.
    medicaid has extremely low income requirements.
    family of 4 making over $400 gross per week will not qualify in most states.
    as i stated in my post: the extreme poor get excellent care, probably better than private insurance.
    and that also goes for younger people without insurance or the means to pay .. age is not a medicaid criteria

    as a self employed sorta guy I have received medical care almost exclusively in Thailand since '98.
    (fairly obvious I have a hard time working for / complying with most people!)
    the savings on 1 mri pays for a 2 week hedonistic adventure.
    1 crown pays for a 2 week hedonistic adventure.
    2 crowns & a bridge savings offers the Peninsula Hotel option

    I have never seen better health care than what is offered at Bumrungrad!

    pay cash & eliminate the adjuster!
    adjusters do not get promoted because they are compassionate. they get promoted by denying care.
    Last edited by foreigner; 18-06-2011 at 02:53 AM.
    as long as there are tests, there will be prayers in public schools.

    US political pondering: what % of CO2 deniers are also birthers who believe kangaroos walked to the ark

  6. #56
    Newbie theguyrocks's Avatar
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    I'm North American. From the U.S.A.. I have been living here in Thailand since 1996. I have a Thai spouse (10 years now). I cannot afford any health care in my own damned country. Unless you have money or on welfare (the dole) / a "wetback"/illegal alien you are just plain screwed. The average working citizen is really getting the "shaft". Health care is better in Thailand than my "wonderful" homeland. I look at that whole "stupid situation" and just pity the poor fools. I really am very glad to be here in Thailand (Asia). I plan to stay.

  7. #57
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    I'm a U.S. citizen that is self employed and has not had any health insurance since graduating from College in 1975. Fortunately, I've only had to see a doctor twice in that time; once for partially tearing a disk in my back (which healed itself without surgery) and for a long period of constipation after one of my visits to Mexico. Neither cost much money. I either have 2.5 years until Obamacare or 7 years to medicare and have no intention of getting insurance before 2014. All I see on Television or radio are ads by hospitals, telling about the latest equipment they have bought or the state of the art facilities at the hospital. I've never seen an ad comparing the cost of a proceedure versus other hospitals, except for non insured proceedures, like lasik or plastic surgery. When I start seeing ads about prices, I'll believe that health care policy in the U.S. has changed for the better.
    the other Marmite

  8. #58
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    Quote Originally Posted by rickschoppers
    I do not know how it will ever change
    Best case scenario: Co-ops and Preventative Care Plans

    Worst case scenario: Death and dissolution of the middle class.

  9. #59
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    Yep the poms know very well the tories are trying to creep privitise the NHS.

    The NHS did well under the labour gov, not perfect, but at least it got back to treating people after thatchers attempt to close it.

    This latest bunch of right wing loonies are havin another go at privitasing, they'll pay a price.

  10. #60
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    Man Holds Up Bank For $1 In Attempt To Get Medical Treatment In Prison

    Man Holds Up Bank For $1 In Attempt To Get Medical Treatment In Prison

    Richard James Verone, 59, unemployed, who apparently has a chest growth, two ruptured disks and a problem with his left foot, tried to rob a bank of $1 so he could be treated free as a prisoner. Verone, of North Carolina, USA, walked into an RBC Bank branch and handed over a note to a female worker demanding one dollar.

    In the note he had written that he was armed.

    Verone said he is hoping for a three-year sentence, the time he estimates his medical needs will take.

    After handing over the note he is said to have sat down on a chair.

    The bank teller dialed 911 and said on the phone "He's sitting on the sofa as you walk in the front door."


    The police were called and arrested him; he had no weapon.

    In a telephone interview from prison in Gaston County, North Carolina, Verone said that he is a logical person, and holding up a bank for one dollar was the only logic he could come up with.

    Verone added:
    "If it is called manipulation, then out of necessity because I need medical care, then I guess I am manipulating the courts to get medical care."
    As he was unarmed he will not be jailed for armed robbery. Larceny, which means theft, would probably only result in a one-year jail term.





    http://bcove.me/4yv0kzja
    Last edited by foreigner; 21-06-2011 at 08:03 PM.

  11. #61
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    Quote Originally Posted by robuzo View Post

    The problem in the States is that a significant number of people get satisfactory coverage through their government or private sector employer, and the poor get coverage from the government. Those two groups basically don't give a shit about working people who have to manage for themselves, and are either apathetic about change or actually fear it due to disinformation from the insurance company/medical industrial complex/right-wing propaganda machine.
    That's precisely why you can't have private schemes running alongside a public health care system. The Canadian system is the best IMO (no private system allowed) - though it will need updating as the population ages and the ratio of working-versus-older people changes. Pesonally, if it were me running their health care system, I'd impose a $40 per visit flat-rate charge to see a GP/MD.

    That would stop the British-style run-to-the-doctor-when-I-have-a-cold bullshit.

    The good thing about the Canadian system (vs the UK one) is that RX are NOT covered - though they are cheaper than the in the U.S.

    I think the Canadian system can weather the changes - though they now have a conservative majority government that will be courted at every opportunity by the medical associations, drug companies and insurance industry to break it all down and open the door to private hospitals and private practices.
    My mind is not for rent to any God or Government, There's no hope for your discontent - the changes are permanent!

  12. #62
    Thailand Expat harrybarracuda's Avatar
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    He'll have to shiv someone while he's in there then. Great system.

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