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Started By
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re: WAPO article for you to read today: explains why we can’t cut health costs to Euro levels
Posted on 6/24/19 at 4:56 am to Ralph_Wiggum
Posted on 6/24/19 at 4:56 am to Ralph_Wiggum
quote:No it doesn't. Medicare's administrative burden is through the roof. It is simply transferred thru hovering criminality, fines, etc. to providers and facilities. There it goes unmeasured. The costs are huge. But to the extent possible, it is then shifted to other carriers/consumers.
Medicare has lower administrative costs.
This post was edited on 6/24/19 at 4:57 am
1
Posted on 6/24/19 at 6:03 am to HailHailtoMichigan!
The author is directionally correct though missing some nuance. Fundamentally, you’ll never slow the rate of growth without curving demand, and I don’t think Americans will go for that in their private or public services.
Posted on 6/24/19 at 8:15 am to HailHailtoMichigan!
Posted on 6/24/19 at 8:19 am to NC_Tigah
Medicare’s touted efficiency is also measured on a per dollar basis. With the high cost group they have, they will always appear more efficient on a per dollar basis.
Posted on 6/24/19 at 8:22 am to HailHailtoMichigan!
quote:
our hospitals are now constructed around private- or semi-private rooms with intensive electronic monitoring of patient status, and we can’t convert them to space-saving, labor-economizing open wards without spending more than the project would save us.
Sounds real sanitary
Posted on 6/24/19 at 8:23 am to AbuTheMonkey
quote:
Fundamentally, you’ll never slow the rate of growth without curving demand, and I don’t think Americans will go for that in their private or public services.
Back in my Pharma days, I remember sitting next to an AstraZeneca rep who told me, “I sell Nexium so the fat guy can have another piece of pizza. I sell Crestor so the fat guy can have another piece of pizza. Basically, my job revolves around the fat guy having another piece of pizza.”
Posted on 6/24/19 at 8:24 am to Oilfieldbiology
quote:
Sounds real sanitary
Private suites aren’t built because of sanitation. They’re built that way so that you’ll choose that hospital instead of the one 3 miles away with private suites.
Posted on 6/24/19 at 8:24 am to HailHailtoMichigan!
Another example of path dependency is how Social Security is structured.
It would have been better, back in the day, to have separate accounts for each person, and have the withholdings and matches paid into them (minus some portion to cover cases of disability). But we didn't, and that's why any talk of "privatization" is pretty much DOA.
It would have been better, back in the day, to have separate accounts for each person, and have the withholdings and matches paid into them (minus some portion to cover cases of disability). But we didn't, and that's why any talk of "privatization" is pretty much DOA.
Posted on 6/24/19 at 8:25 am to Smart Post
quote:
Let's just cut to the chase: If the answer is to force food stamp recipients to eat only healthy foods, then they will throw it in the trash and go hungry, much like the Obama school lunch initiative.
So let them starve. I didn’t rail against the Michelle Obama lunches in principle. I did in practice. They tried to get fancy and gourmet instead of just healthy. That’s why I was against it. It’s not hard to make red beans and rice, baked chicken breasts, turkey chili, with steamed veggies or roasted veggies.
But for some reason these schools couldn’t even get that right
This post was edited on 6/24/19 at 8:26 am
Posted on 6/24/19 at 8:32 am to shinerfan
quote:
We would like for k8ds to stay in school. Most of us would like for SNAP recipients to get jobs and support themselves
Can you please flesh this out a bit for me as your statement is over my head apparently as the majority of SNAP beneficiaries are school kids.
What they get needs trimming to healthier and more economically sustainable options but lets not fool ourselves these are two different groups we are discussing.
Posted on 6/24/19 at 8:45 am to cave canem
quote:
majority of SNAP beneficiaries are school kids.
Not quite. Over 50% are over 18 for the last data set I saw.
Posted on 6/24/19 at 9:46 am to Smart Post
Very simple answer...
School lunches are paid for by the students(unless they are on free lunch plan). Students paying with their own money should have choices.
Food stamps are paid for by the taxpayer. Taxpayers should be able to dictate how their tax dollars are allocated.
School lunches are paid for by the students(unless they are on free lunch plan). Students paying with their own money should have choices.
Food stamps are paid for by the taxpayer. Taxpayers should be able to dictate how their tax dollars are allocated.
Posted on 6/24/19 at 9:49 am to deathvalleytiger10
All school lunch is subsidized.
Posted on 6/29/19 at 4:32 pm to RebelExpress38
quote:it's ironic that this simple, common sense notion is actually socialist in nature, which we argue against.
If you’re going to depend if Gov for food, you don’t get to eat unhealthy snacks and sugary drinks
if you're on govt assistance or incarcerated, you should not have the full range of privileges that other citizens do. why? this is what escapes the moronic dems who argued in the debate for free everything for everybody. they said it was "proven" that incarceration for substance abuse, et al, was not the way to treat the problem. um, bullcrap. that liberal garbage has a name - enablement. when you don't put a milestone on a person, they will just keep taking from the system so you are an enabler. don't believe me? just look at our culture today. we have for the last 3 decades raised and enabled young people who are now 100% entitlement mentality and victimhood complex.
so if you're getting govt assistance, you have a deadline. libs will cry foul that it's too harsh and insensitive to cultural needs/dynamics but IT'S TEMPORARY. the idea is to get you self sustainable again. the govt can give you hand if life has dealt you a tough situation but, you're expected to get back up on your feet and become productive again. you have to be completely naive (or just liberal) to think that it's nothing more than a coincidence that reducing welfare recipients preceded a substantial drop in unemployment.
Posted on 6/29/19 at 4:37 pm to Smart Post
quote:good for them. that's their choice. but let's also not act like right now, they are maximizing everything they get from the govt. they aren't. iow, they're trashing things now and they have the choice to get unhealthy things so that is a wash. at least with the idea of limits, the govt is making a real effort to help people be a little more healthy and would be spending less.
If the answer is to force food stamp recipients to eat only healthy foods, then they will throw it in the trash and go hungry
again, the govt assistance is supposed to be temporary. you can say they're going to trash healthy food but they are perfectly free to get a job and stop relying on the govt. no one is stopping them from doing that.
Posted on 6/29/19 at 4:40 pm to Ralph_Wiggum
quote:the doctors i have talked to say it's litigation. physician insurance is astronomical to provide malpractice insurance. that cost is being passed on to the consumer. well, that and pharma. but that's a whole other ball of wax.
The single biggest thing we can do is cut administrative costs
Posted on 6/29/19 at 4:44 pm to FightnBobLafollette
quote:or instead of committing the genetic fallacy, you could just say what you think was wrong in the article and why.
Just acknowledge her position and intent.
quote:it's only been done about a million times on this board over the last several years. but don't mention that
if I present an opinion piece by Bernie staiting the opposite you will read and judge fairly
Posted on 6/29/19 at 4:50 pm to the808bass
quote:that illustrates the dual nature of the pharma problem. the md's i speak with bring up the fact that pharma makes money on those recurring conditions that require meds. they aren't interested in actually curing people of many things. they need customers so they do just enough to keep you going so you need more meds. the r&d to cure things is cost prohibitive
I remember sitting next to an AstraZeneca rep who told me, “I sell Nexium so the fat guy can have another piece of pizza. I sell Crestor so the fat guy can have another piece of pizza. Basically, my job revolves around the fat guy having another piece of pizza.”
Posted on 6/29/19 at 5:03 pm to RebelExpress38
quote:
Many of our healthcare issues would go away if we actually treated the root cause. Eliminate shite foods from Snap and food stamps
I'm convinced that our metabolic problems (which obesity is one) are not caused merely by food. I have a suspicion it's more complex than that. There's something called endocrine disruptors, which are believed to reside in most plastics (BPA is not the only one).
quote:
Any system in the body controlled by hormones can be derailed by hormone disruptors. Specifically, endocrine disruptors may be associated with the development of learning disabilities, severe attention deficit disorder, cognitive and brain development problems; deformations of the body (including limbs); breast cancer, prostate cancer, thyroid and other cancers; sexual development problems such as feminizing of males or masculinizing effects on females, etc.[2]
Posted on 6/29/19 at 5:41 pm to HailHailtoMichigan!
quote:I’ve actually made this point here before. And just try putting PTs in a ward and see the howling that occurs. Ain’t. Gonna. Happen.
our hospitals are now constructed around private- or semi-private rooms with intensive electronic monitoring of patient status, and we can’t convert them to space-saving, labor-economizing open wards without spending more than the project would save us.
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