The Thread Where We Debate About Healthcare in America

[lawgator1]

The reply of yours I was referring to was a TDS slam on Trump so who is being stupid here?

And your “but our creepy old elitist white guy isn’t as bad as your creepy old elitist white” reply is definitely stupid. And more whataboutism

It's reality.

 

[NorthDallas40]

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.

No. The “oversight” amounts to the equivalent of SEC filings by a public corporation to the Securities and Exchange Commission by the TVA OIG in its annual report.

Governance

 

[NorthDallas40]

It's reality.

It’s your reality that’s for sure

 

[Rickyvol77]

F

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.

um I’m not advocating controlling people’s freedoms. I’m stating the reasons our healthcare is only ranked in the top 10 by those “statistics”. Our healthcare is still the best in the world

 

[Hunerwadel]

No. The “oversight” amounts to the equivalent of SEC filings by a public corporation to the Securities and Exchange Commission by the TVA OIG in its annual report.

Governance

We will just disagree. You cannot convince me, regardless of their internal structure that congress does not have oversight of the TVA. They absolutely do.

 

[0nelilreb]

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.

Do you even realize that you are trying to argue against the ONE successful program that the government created and basically got out of its way , so it could be ran like I business . knowing full well that it will not set up a national health care system on the same model as the TVA?

 

[Orangeburst]

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.

Why do we even have snail mail. Screw reorganization they need to go the way of the dodo bird

 

[DC_Vol]

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.

View attachment 273520

So the big entities have higher overhead costs and also more pricing power. Interesting. That is a flaw in any system where the end user is disconnected to the fee structure.

 

[GordonC]

So the big entities have higher overhead costs and also more pricing power. Interesting. That is a flaw in any system where the end user is disconnected to the fee structure.

That is true.
But when someone goes to the ER, that person can be left without a choice to "shop it around," if that makes sense.
Hopefully, some of the larger entities do not perform unnecessary procedures.

 

[Hunerwadel]

Do you even realize that you are trying to argue against the ONE successful program that the government created and basically got out of its way , so it could be ran like I business . knowing full well that it will not set up a national health care system on the same model as the TVA?

I didn't realize that. Because I'm not.

 

[82_VOL_83]

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

We have one like that now. It's a for profit entity based on gains and losses. It's either gubment run or it isn't. TVA isn't both ways like you want to think.

 

[0nelilreb]

I didn't realize that. Because I'm not.

Do you believe then that the government will set up a national health care system like they set up the successful model of the TVA?

 

[Purple Tiger]

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.

If you are unhappy, go have a nice cry...and leave.

 

[W.TN.Orange Blood]

Why do we even have snail mail. Screw reorganization they need to go the way of the dodo bird

I live a mile from the post office & it takes until 5 pm some days to deliver the mail to the house.

 

[0nelilreb]

If you are unhappy, go have a nice cry...and leave.

I’m happy . If Trump does nothing else the whole time he’s president , he has help rid the country of our PC culture that was starting to consume it . To me , that alone was worth a Trump presidency .

 

[82_VOL_83]

If you are unhappy, go have a nice cry...and leave.

I'm not the one trying to change things to be like someone else. I don't know why that's so hard for you xe's to understand. Also, from reading the PF, the only ones crying are the ones that don't like the guy at the top right now. That's gone from crying to wailing and gnashing of teeth level ish.

 

[Purple Tiger]

I'm not the one trying to change things to be like someone else. I don't know why that's so hard for you xe's to understand. Also, from reading the PF, the only ones crying are the ones that don't like the guy at the top right now. That's gone from crying to wailing and gnashing of teeth level ish.

What's an xes?

 

[Pepe_Silvia]

No chit, he could go prove that his way of doing things will improve life as we know it. He has nowhere to go but up in the RNK.

Bernie might say that there's nowhere to go but down.

 

[82_VOL_83]

What's an xes?

Well I can't say guys in the collective because xu get pissed, I can't say gal's in the collective because xu get pissed, I can't say y'all in the collective because I'm not addressing a specific gender and xu get pissed, I can't say its because that's genderless and xu get pissed so that was my feeble attempt at addressing the collective group of multi-gendered xe's in this thread. And I don't know if it's an xe or a xe, please let me know so that I don't hurt your delicate sensibilities.

 

[Hunerwadel]

Do you believe then that the government will set up a national health care system like they set up the successful model of the TVA?

If they did look into it and It makes sense the insurance lobby would kill it. So I doubt it.

 

[Purple Tiger]

Well I can't say guys in the collective because xu get pissed, I can't say gal's in the collective because xu get pissed, I can't say y'all in the collective because I'm not addressing a specific gender and xu get pissed, I can't say its because that's genderless and xu get pissed so that was my feeble attempt at addressing the collective group of multi-gendered xe's in this thread. And I don't know if it's an xe or a xe, please let me know so that I don't hurt your delicate sensibilities.

Why are you so triggered? You make aspersions about one's gender because they disagree with you. You are sad.

 

[0nelilreb]

If they did look into it and It makes sense the insurance lobby would kill it. So I doubt it.

That doesn’t make sense , the TVA is a thriving federal program . All government ran programs should be ran on its model . We know they won’t because it cuts the grifting and under the table pay out almost completely out . The reason why government ran programs are always in the negative column and lacking quality , is just the lack of consequences along with a guarantee of more federal funding .

 

[Hunerwadel]

We have one like that now. It's a for profit entity based on gains and losses. It's either gubment run or it isn't. TVA isn't both ways like you want to think.

Regardless of how it operates it is an agency of the US government. It belongs solely to the US government. This is getting off topic anyway. The original question was basically to name a gov't program that operates efficiently.

 

[82_VOL_83]

Why are you so triggered? You make aspersions about one's gender because they disagree with you. You are sad.

I'm not making any aspersion about anyone's gender, I'm trying to be all sensitive and inclusive and not piss anyone off. But in typical liberal fashion, you can't even take that without calling someone triggered and angry. Why can't libs ever just be happy with how things are?

 

[82_VOL_83]

Regardless of how it operates it is an agency of the US government. It belongs solely to the US government. This is getting off topic anyway. The original question was basically to name a gov't program that efficiently.

I think you misunderstood my response. You wanted an health care system like the TVA, I was simply pointing out that we already have that.