The Thread Where We Debate About Healthcare in America

[NorthDallas40]

Nothing to say. Got it.

Oh FFS. I’ve said plenty about your ADD I don’t care about your dumbass healthcare is expensive in this discussion go form your own damn thread.

 

[0nelilreb]

You tell me. You basically asked for and I gave you and an example of a government agency that works.

Because the TVA is a really unique federal program , set up to operate like a corporation and the power of the federal government .

 

[Septic]

Nothing to say. Got it.

maybe we should just get rid of all doctors and hcp's and install disinfectant, hydroxychloroquine and syringe dispensers next to big gulp machines and in the drive through of McDonald's.

 

[NorthDallas40]

Sure you can control those things, you just don't want them controlled. Beef and sugar subsidies are costing tax payers and insurance purchasers BILLIONS annually in adverse associated healthcare costs.

I don’t disagree here. The bull **** nutrition pyramid hasn’t served us well, big ag subsidies affect our food supply, the whole cholesterol control crap that the AHA pushed on us and my PCP admitted was crap.

But at the end of the day individuals own their nutrition. Ronald McDonald didn’t force a two Big Mac with a supper size side of frys down my throat.

 

[NorthDallas40]

maybe we should just get rid of all doctors and hcp's and install disinfectant, hydroxychloroquine and syringe dispensers next to big gulp machines and in the drive through of McDonald's.

Please don’t enable his ADD

 

[Hunerwadel]

Because the TVA is a really unique federal program , set up to operate like a corporation and the power of the federal government .

Right. It's a government agency that works. That's why I mentioned them. I wonder if a medical agency could work as well?

 

[NorthDallas40]

Because the TVA is a really unique federal program , set up to operate like a corporation and the power of the federal government .

It’s basically a private management model and has actual profit/loss responsibility

 

[GordonC]

I help negotiate with the TPA responsible for our self-funded health plan and try to keep our folks as informed as possible.

Here is a comparison of costs for diagnostic procedures in our area. We distribute this for informational purposes to help folks out with their out-of-pocket costs whenever possible, but as we know that's not always possible. I blacked out the names the best I could.

Column 1 is a huge corporation that has a monopoly on local hospitals, and column 2 is one of those hospitals that most people use. Columns 1 and 2 come complete with comfy chairs and food courts but are considered non-profit entities for tax purposes.
Column 3 is a local group of physicians.
Column 4 is a walk-in radiology place, and column 5 is a doctor who can do some procedures in his office.

This may be "old news" to some of you, but to see the distinctions was eye-opening to me. And it's good to know these things.

Wherever anyone comes down on this debate, politically or whatever else, he or she should read The Price We Pay by Marty Makary, IMO. The part on Pharmacy Benefit Management saves me on some medication costs.

 

[0nelilreb]

It’s basically a private management model and has actual profit/loss responsibility

Yes sir and that’s the very reason he said it didn’t matter it’s still a federal program , instead of being honest and telling us why it’s successful.

 

[GordonC]

Right. It's a government agency that works. That's why I mentioned them. I wonder if a medical agency could work as well?

You both make fair points. I think this is a very valid question. Since not starting it from scratch, I don't know.

 

[FLVOL_79]

Oh, we've seen the video. LOL - It must be tough to constantly have to explain what he "really meant" time and time again after watching him on tape implying dumb sht.

If your IQ didn't drop watching him trying to explain science, it was because you watched his briefing the night before and were already scraping the bottom of the barrel.

I'm not trying to say "what he meant". I'm saying what he said. Knowing your recently confessed proclivity for men in leather maybe the blood flow to your ears and brain has been reduced thus causing your confusion? Otherwise, you haven't seen the video.

 

[82_VOL_83]

Does everything about the US make you happy? If not, you should leave, too.

The only thing that makes me unhappy is dumbass uber-liberals. The modern day progressive socialist. They represent a change to make the US like OTHER countries. Ergo, you should just leave. Everything else here is pretty much good. I'm happy with how it is or at least was as recently as 10 or 15 years ago. The rise of the useless millennial and the modern day slave owner (socialist dem party) is what I am unhappy about. But as you don't seem to understand, that represents a CHANGE to be more like other places. If you want so badly to be like somewhere else, just go.

 

[82_VOL_83]

No leg to stand on huh? I get it, it’s by far the biggest losing issue for Republicans today. Defending our system with millions who don’t have access to care while being twice as expensive as any other country on planet earth is hard to defend... but you chucklehead sure try to make it sound good...

So you would drop the standard of care of 90% of the country to less than 50% of what they have to give 10% 50% of what the other 90% has now? THEN, make 40% of the working population pay for nearly all of it? Who's the chucklehead?

 

[NorthDallas40]

Yes sir and that’s the very reason he said it didn’t matter it’s still a federal program , instead of being honest and telling us why it’s successful.

A better example of what can go wrong with a private model and government interference is the USPS. It’s a total wreck that should be wiped clean from an administrative and legislative standpoint and start anew.

 

[82_VOL_83]

Really? Leave?

No one has said the healthcare system "sucks", so stop inventing points to arguments that aren't being had. I've simply pointed out the data that shows where the US falls on access, efficacy, equity and outcomes - which is near the bottom on average from our peers - and we pay double the cost per person. This isn't opinion and it's not anecdotal - facts don't vanish because it decimates this warped sense of American exceptionalism that we believe is exuded by every nook and cranny of our country.

Oh, I'm sorry, forgive my translation of ceaseless bitching and complaining and the cries to reduce our system to some semblance of medicare for all paid for by less than half of the country as implying is sucks. Give me 4 more years and you bitches can go to medicare for all. You will be paying for my chit then.

 

[82_VOL_83]

Perfect, seize on an outlier to shore up a defeated argument.

You suggested the care and outcomes would be "nonexistent", the data says otherwise. In fact it shows how COMPLETELY wrong you are. Perhaps you could trot out another anecdotal fringe issue that will demonstrate on how the data is wrong?



“Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last or near last on dimensions of access, efficiency, and equity.”

You can read the full report here: Commonwealth Fund Report (Update. According to 2017, the USA still ranks 11th)

Health Care System Performance Rankings

Source: Commonwealth Fund analysis

Ergo, if you don't want the healthcare you get today, go buy into another system in another country. Septic, it really isn't that hard, even for you.

 

[NorthDallas40]

Oh, I'm sorry, forgive my translation of ceaseless bitching and complaining and the cries to reduce our system to some semblance of medicare for all paid for by less than half of the country as implying is sucks. Give me 4 more years and you bitches can go to medicare for all. You will be paying for my chit then.

Yeah in about 4 years I’m gonna vote straight blue ticket and be out there with my hand out wanting all my free ****.

 

[82_VOL_83]

My MRI statement is all you need to know. If I have a torn knee I don't want to wait a year to get it fixed.

IF you have a screwed up shoulder or ankle and wait a year, you won't get it fixed.

 

[Hunerwadel]

It’s basically a private management model and has actual profit/loss responsibility

And it is owned and overseen by the US gov't.

 

[82_VOL_83]

You tell me. You basically asked for and I gave you and an example of a government agency that works.

It's not technically a government agency. It's been operating independently for decades. We should spin the Postal Service off to do the same.

 

[NorthDallas40]

And it is owned and overseen by the US gov't.

No that’s it. It isn’t “overseen” by the gov it’s largely left alone. It has its own board and executives. Again go look at the USPS for an example of active government participation

 

[82_VOL_83]

Right. It's a government agency that works. That's why I mentioned them. I wonder if a medical agency could work as well?

Nope. The VA says hello. They only serve a fraction of the population.

 

[82_VOL_83]

No that’s it. It isn’t “overseen” by the gov it’s largely left alone. It has its own board and executives. Again go look at the USPS for an example of active government participation

The ignorant want to be ignorant.

 

[Hunerwadel]

Nope. The VA says hello. They only serve a fraction of the population.

I'm talking about a healthcare system that is operated like the TVA. The VA does not operate like that.

 

[Hunerwadel]

No that’s it. It isn’t “overseen” by the gov it’s largely left alone. It has its own board and executives. Again go look at the USPS for an example of active government participation

Congress has oversight of the TVA and has regularly scheduled oversight hearings. I believe congress appoints a board of directors who report directly to them.