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re: Why can every other first world country have healthcare for all?

Posted on 2/20/20 at 12:16 am to
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 12:16 am to
quote:

Also, as someone who does this, elimination of the copay will tremendously increase demand. A minimum of 90% of what I and most of my colleagues consider to be overuse of our current healthcare system comes from patients who pay nothing for their care.


And the suits. You and I both know what the growth of bureaucracy has meant for this system we work in.

People advocating for more are insane.
Posted by Taxing Authority
Houston
Member since Feb 2010
57393 posts
Posted on 2/20/20 at 12:16 am to
quote:

Maybe your friend should look into moving to one of those other countries.
Just wait until he finds out... they don't have a porous border or wide-open immigration policies like we do. $5 says he never make the connection to "cheaper healthare costs"
Posted by SiloamHog
Siloam Springs, AR
Member since Sep 2016
884 posts
Posted on 2/20/20 at 12:16 am to
If I quit my job tomorrow, say because I want to find something more suited for my degree, but I get, heaven forbid, cancer in the mean time. And my type 1 diabetic wife, runs out of insulin...I guess we both just die because this country doesn't believe in helping their own? It's not like we could get on Medicare or Medicaid that fast
Posted by Sidicous
Middle of Nowhere
Member since Aug 2015
17280 posts
Posted on 2/20/20 at 12:19 am to
quote:

Yet, oddly trusts the government...
The same govt. still currently attempting to overthrow a duly elected POTUS and still actively incarcerating millions of non violent citizens impacting their lifetime of potential (literally) everything since access is denied to multiple facets of life to convicted felons.

But hey, if only we had govt. healthcare!
Posted by HonoraryCoonass
Member since Jan 2005
18107 posts
Posted on 2/20/20 at 12:20 am to
quote:

If I quit my job tomorrow,


Not sound decision-making, comrade.
Posted by BoarEd
The Hills
Member since Oct 2015
38862 posts
Posted on 2/20/20 at 12:20 am to
Because our government is corrupt? Just a guess.

When you deal with the kind of money the government deals with the answer isn't ever to actually cut spending. They want to increase spending whenever possible because it allows them to dip their fingers into the cookie jar. I would think this is obvious to everyone by now.

Further, there is the issue of "overpopulation" that complicates matters even father.

What would happen if they cured cancer tomorrow? Well, suddenly one of the leading causes of death is neutralized. How many people die of cancer each year? Those extra mouths to feed would start to add up quick.

Look, I get it, people are never going to believe the government suppresses technology. It's whatever. And to Apollyon's questions asking what these hypothetical technologies are, we could go through an entire list of them and it wouldn't make one bit of difference. This person works in the medical field. They're not going to acknowledge things that haven't been signed off on by the FDA. Simple as that.


So, this conversation is basically a gigantic waste of time. Besides which, I've stated numerous times anyways that despite me hoping we can see a better system, I freely acknowledge we can't have one with the way things are now.

I don't see any point in me participating here any longer. Y'all have a good night.
Posted by Taxing Authority
Houston
Member since Feb 2010
57393 posts
Posted on 2/20/20 at 12:20 am to
quote:

.I guess we both just die because this country doesn't believe in helping their own?
Dude. Stop it. It's silly. One of the biggest PRICE (not cost) drivers of healthcare in this country is uncompensated care that is given to people that never pay a dime.

Virtually no one is denied care in this country.
Posted by WorkinDawg
Atlanta
Member since Sep 2012
9341 posts
Posted on 2/20/20 at 12:21 am to
quote:

If I quit my job tomorrow, say because I want to find something more suited for my degree, but I get, heaven forbid, cancer in the mean time. And my type 1 diabetic wife, runs out of insulin...I guess we both just die because this country doesn't believe in helping their own? It's not like we could get on Medicare or Medicaid that fast


Or you could not quit until you've "found something more suited to your degree", you know, like adults have done for 100 years in this country?? I mean you already have 18 months of COBRA plus guaranteed healthcare through the ACA exchange. How much more do you need?
Posted by Taxing Authority
Houston
Member since Feb 2010
57393 posts
Posted on 2/20/20 at 12:22 am to
quote:

The same govt. still currently attempting to overthrow a duly elected POTUS

"We have a crazed Nazi running the government"

Same people..

"Only government can save us"
Posted by Taxing Authority
Houston
Member since Feb 2010
57393 posts
Posted on 2/20/20 at 12:24 am to
quote:

Not sound decision-making, comrade.
C'mon man. No one should have the burden of paying $150 to save someone's life if they have to work in a field that doesn't match their degree. That's just cruel.

Their neighbors should should have to work to pay that! Yeah. They deserve that burden.
Posted by SiloamHog
Siloam Springs, AR
Member since Sep 2016
884 posts
Posted on 2/20/20 at 12:24 am to
Enjoy paying your insurance premiums to support those others with the same Insurance company as you when they go to the hospital. Wave that American flag high, as you vote against your fellow Americans because "they dont work as hard as me".
Posted by BoarEd
The Hills
Member since Oct 2015
38862 posts
Posted on 2/20/20 at 12:24 am to
quote:

Than no one should waste anymore time with you.



I've been trying to say this exact thing this entire time. My beliefs on this issue are irrelevant and aren't going to change a goddamn thing.

I have no idea why I have to say this over and over.
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 12:27 am to
(no message)
This post was edited on 6/9/20 at 12:40 pm
Posted by WorkinDawg
Atlanta
Member since Sep 2012
9341 posts
Posted on 2/20/20 at 12:27 am to
quote:

I have no idea why I have to say this over and over.



Well, you could stop? Like you said you were gonna do 5 posts ago
Posted by Philippines4LSU
Member since May 2018
8789 posts
Posted on 2/20/20 at 12:28 am to
Every single person should have to read Ayn Rand and Adam Smith to become eligible for government assistance, and provide proof they’ve actually done so before receiving any benefits.

That alone would solve a lot of problems directly and indirectly.

Those unable to read can use audiobooks.

*And I’d be perfectly okay with my taxes going toward the purchase of the literature and audio.
This post was edited on 2/20/20 at 12:30 am
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 12:28 am to
quote:

I've been trying to say this exact thing this entire time. My beliefs on this issue are irrelevant and aren't going to change a goddamn thing.


You vote, my friend.

Please understand why it is important to know what a "right" is, for this is the very definition of Americanism.
Posted by SiloamHog
Siloam Springs, AR
Member since Sep 2016
884 posts
Posted on 2/20/20 at 12:30 am to
Keep waiving that flag as if you love America. You don't. If you honestly waived that flag, you'd love all Americans. You don't. You're okay with Americans dying because they can't afford your doctors. The founding fathers are rolling in their graves.
Posted by LSUbest
Coastal Plain
Member since Aug 2007
11292 posts
Posted on 2/20/20 at 12:30 am to
I would have no problem with it if it was ran efficiently and without corruption.

But I've had to wait 4 hours at the DMV to turn in a license plate, I've sat on $500 toilet seats in the Army, and I've visited the government run charity hospitals.

Do you really want to pay 10 times as much to get 10% of what you have?
Posted by Apollyon
Member since Dec 2019
2124 posts
Posted on 2/20/20 at 12:32 am to
quote:

You're okay with Americans dying because they can't afford your doctors. The founding fathers are rolling in their graves.


Lets talk about the philosophy of our Founding Fathers
Posted by Hopeful Doc
Member since Sep 2010
15014 posts
Posted on 2/20/20 at 12:32 am to
quote:

I almost made a really snarky comment about this (not aimed toward you), but instead wanted to recognize the tech you've brought to this thread.




I'll take this post to comment further that the Wal Mart $4- list can treat almost anything.
What it can't, we have the Target list (it's either 4,6, or 8 dollars but I'm too lazy to look it up right now) and GoodRx for.
GoodRx will actually let me, in the room with the patient, search a drug, select the dosage, branded/unbranded, number of pills, and the zip code and give me a coupon that I can print or text/email (from an anonymous number/address, not my personal ones) to the patient before they leave.

The current medical system has thousands of ways to be improved. But I seriously have never come across someone that couldn't get the care they needed based on cost. Functional drugs can be had cheap. In the cases that only the big ones work, companies can often be petitioned to get it covered through an assistance program. If that doesn't work, there's already a federally-subsidized program run by most/all states (going back to the insulin, you could get it for $8 or $11 for 3 months if you qualified).




The two things that actually do annoy me that I can't currently find a working drug for for patients for less than $100/m:
1) insulin (specifically basal insulin but I have made a few posts about the alternative solution which, while I don't necessarily avoid, would usually ask the patient whether they want $25/m for "good" or $100/m for "better")
2) there are no fricking inhaled corticosteroid inhalers for under $100 per month and it pisses me off. There are basically inhalers for asthma and inhalers for COPD with some overlap. When someone smokes $200 of cigarettes a month and won't pay $150 per month for an inhaler, I don't feel bad for them. At all. Maybe I'm a bad person or doctor for that, but I don't. But when a parent won't/can't spend $150/m on an inhaler that their kid needs because they have crappy insurance, it's the one set of drugs I actually have a hard time finding a cheap alternative for and have never really found a good patient assistance program. And it makes me sad. I include this rant in case someone out there knows what I'm missing. I doubt it. But, hey, I'm a hopeful guy.


Essentially other than that, I don't have a significant problem finding drugs that can work well and really help people in the $4-30/month range, which I tend to seem 'reasonable'
That part of the 'cost' is often a drug getting written, it being really expensive, and the patient not taking it or complaining about the cost without asking the doctor about an alternative that may be cheaper. Or better yet, checking their insurance formulary (which they have access to and the physician, for whatever reason, does not).
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