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Obama's Dead Souls

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Re: Obama's Dead Souls
Post by BrightSoul   » Thu Nov 21, 2013 9:12 pm

BrightSoul
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Daryl wrote:Thanks BrightSoul, you said it so well. As an outsider I can't see the reason that health care is so expensive in the US. Is it greedy doctors, lawyers, or insurance companies? Possibly it is that your systems are so fragmented they are inefficient? Maybe all of the above?
We have had to legislate to limit what our media calls "The American Disease" of excess litigation. Ambulance chasing lawyers started driving up premiums because they encouraged dissatisfied patients to sue doctors over frivolous claims, and make ridiculous claims for minor accidents. We do have some greedy specialist doctors who make obscenely inappropriate incomes. I have a son who works in the field and a senior partner recently swapped his swimming pool and tennis courts to each others sites in his yard, because he felt it might look better that way.


I've often wondered if civil litigation should require that any judgement include the cost of the courts to the taxpayers. For example, you bring a frivolous case and lose your case you would be required to cover what it cost the taxpayers to try the case and that should come before any compensation for the lawyer who brought it. Let the ambulance chaser and frivolous complainers foot the bill and the cases dry up real quick. It would also force the insurance companies to pay out rather than try using the courts to get out of the debt owed.
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Re: Obama's Dead Souls
Post by thinkstoomuch   » Thu Nov 21, 2013 10:19 pm

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Your father covered all his stuff up to 1981. So did my father except he was born in 1912 died in 2001.

What has changed since your father's lifetime and mine. Well in the 60's and 70's we started our war on poverty. Which has been as successful as our war on drugs.

Now 1/6th of our pop is getting an additional $636 dollars a month for food for a family of four(doesn't matter where or local COL).

Since the Government has gotten involved the medical costs have skyrocketed. Lets look at another example. Education. Used to be a parents would work 2 jobs to ensure that the children could go college. The cost of education skyrocketed now 2 jobs won't pay for the cost of education. Social Security provides for people's retirement. People stopped saving.

Do you start to see a correlation.

Funny thing is what are the 2 examples we are definitely given of Planets that provide all those health care payments. Haven and Split. Wonderful caste systems.

Most of those nice socialized country's (not a very good term as most of aren't as socialism is generally understood) as PeterZ showed contribute not a whole lot,relatively, toward new processes, drugs or procedures. Because the US is all monied up.

Bad thing about all this is because of the now falling R&D staffs those new drugs and such aren't going to be generated any more or at least not as rapidly. Pretty soon we will have people, like happened to Anton, unable to man their sensors due to an impacted wisdom tooth because Dr's won't be able to make enough money to encourage the gifted to serve. A dentist friend of mine already recommends against it.

Though if you want to institute a dueling code I could compromise on the health care issue, some.

Might cut down on some of those frivolous lawsuits.

I would also recommend reading "Positive Feedback" in Rx for Choas by Christopher Anvil. Its a Baen book.

Have fun,
T2M

For that wonderful system in Canada here's what somebody wrote about it on the bar. I got his permission to repost it other places.

Rob Thompson wrote:OK - buttons appropriately pushed - incoming fire. One - Rationing - what in the bloody hell do you think a waiting list is? It's rationing - plain and goddamned simple. I don't care if anyone thinks my facts are wrong - I'm the one living under this system - so take your second and third hand information and shove it into the orifice you deem best to use it.

Two - Death Panels - you think this is wrong. Personal first hand experience - My father was being treated for two types of cancer simultaneously. His oncologist told him outright (I was there) - Mr. Thompson - I'm sorry - we have to suspend treatment as there's no viable chance of beating this. We will offer you palliative care until you pass away. 20 days later I buried my father. This happened in July of 2012. The man was a veteran with 35 years of service to his country and one of his last comments (2 days before he died) was that "They just threw me away". So - whether or not you choose to believe it - in Canada - the doctors WILL decide life and death. Basically, if you're a senior - you're screwed if the doctors determine the resources expended aren't worth it. For further evidence - check the mortality rates of British NHS towards end of the fiscal year.

Finally - private insurance. Yes - we have private "insurance" for drugs, dental, vision and other non governmental care. You cannot buy coverage, as an example, for governmentally supplied health coverages. Calling me a liar isn't the best way to make that point. I have been involved in the sales and marketing of health insurance in the US as well as Canada. I am a licensed insurance broker and professional insurance development officer - have been for the last 15 years. I know what the regulations are that I must live with - I cannot offer packages that the government covers.

I have said this for many years on this bar. The Canadian system isn't nearly as effective nor is it nearly as efficient as the US system. I have lived in both countries and have experienced both systems - as a manager of health insurance sales as well as the recipient of health insurance.

As an addendum - there's something that hasn't been addressed about the Canadian system versus the US system - Gatekeepers. Under the US system - the HMO and/or the insurer may act as a gatekeeper. Generally (note this term) their gatekeeping is more about using their network of physicians and access to same. In Canada - you may only receive advanced treatment by a specialist ONLY by referral by a family doctor. Oh - and we have a family doctor shortage (most have gone to the States) which makes getting specialized treatment even more difficult. When we were in the States - my wife needed treatment for PCOS (ask Doc Krin about that lovely condition). Our family physician in Columbia, SC recommended one of his med school profs. Recommended - we were able to call him ourselves and saw him within 3 days. In Canada, after our return, even with med records/charts in hand, she couldn't get a referral to a specialist because the MD we had to use (public clinic) didn't accept the diagnosis of PCOS.

We are childless because of this and while we have accepted this fact, plus the fact that I am now 50 and wife is closing in on same - the bitterness has not receded.

Oh - and one final point of rationing. For professional reasons we are moving to another town 2.5 hours away from our current home. We are keeping our family doctor here in Ottawa because the town we're moving to - we have a minimum 2 year wait before another family doctor can take us. I'm diabetic and she has fibromyalgia - we have to travel 3 hours to continue medically necessary care. Want to take another shot at telling me that healthcare isn't rationed in Canada? Really - hope you love your Obamacare - just pray you never need a doctor.


BrightSoul wrote:The real issue is the solution that was forced down everyone's throats. There are viable solutions out there both private and single payer (government) systems but none of them were permitted to be fully explored by the assorted special interests in this country. When I talk special interests I mean on both sides of our ludicrous ideological divide.

I fully beliee that the deal worked out was a deliberate effort to sabotage any functional coverage system that would insure 100% of our population at a minimum level.

Think on this, My granfather was born in 1918, he was taking care of his own healthcare need by the age of 16 which would be 1934. From 1934 to 1981 when he died he payed cash for all of his family's needs. This included the last 3 years of my Grandmother;s life as she spent them in the hospital and his own care after having his first stroke at 48 years old. Who in the upper middle class could afford this today? Anyone? I thought not.

There are solutions, unfortunately our government and those very same special interests want it there way or no way so they'll cripple any effort to make something that works.
-----------------------
Q: “How can something be worth more than it costs? Isn’t everything ‘worth’ what it costs?”
A: “No. That’s just the price. ...
Christopher Anvil from Top Line in "War Games"
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Re: Obama's Dead Souls
Post by namelessfly   » Fri Nov 22, 2013 4:34 pm

namelessfly

You need to recconnect with reality. The "deal" that was worked out did not include significant input from Republicans. The process of drafting Obamacare was utterly dominated by the Zobams administration and the Democrats who controlled the House and the Senate. IIRC, Obamacare got ZERO Republican votes. While I suspect that the current FUBAR might be the result of a conspiracy tonforce the US into a single payer system, Liberal Democrats own this train wreck.


BrightSoul wrote:The real issue is the solution that was forced down everyone's throats. There are viable solutions out there both private and single payer (government) systems but none of them were permitted to be fully explored by the assorted special interests in this country. When I talk special interests I mean on both sides of our ludicrous ideological divide.

I fully beliee that the deal worked out was a deliberate effort to sabotage any functional coverage system that would insure 100% of our population at a minimum level.

Think on this, My granfather was born in 1918, he was taking care of his own healthcare need by the age of 16 which would be 1934. From 1934 to 1981 when he died he payed cash for all of his family's needs. This included the last 3 years of my Grandmother;s life as she spent them in the hospital and his own care after having his first stroke at 48 years old. Who in the upper middle class could afford this today? Anyone? I thought not.

There are solutions, unfortunately our government and those very same special interests want it there way or no way so they'll cripple any effort to make something that works.
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Re: Obama's Dead Souls
Post by namelessfly   » Fri Nov 22, 2013 4:49 pm

namelessfly

Thank you for posting this.

My wife worked as an RN for many years. She treated a lot of refuggees from Canada's Nationalized Medicine. They do a great job of providing basic care in Canada but when you get seriously sick with something that is not simple to treat, you are screwed. The Canadaians effectively ration care by the simple expediant of controlling how much infrastructure in the form of facilities, specialized medical equipment and specialists are available to provide advanced care. As this guy points out, they even ration family physicians. As a result, you have to wait. Most industrialized nations have higher longevity for demographic and behavioral reasons, but when people get seriously ill your mortality rates are sky high compared to the US.

I actually experienced two cardiac emergencies before the need for my pacemaker was identified. In both instances, I was given a CAT scan, headvand thorax, while I was in the ER. Within a day or two after stresss tests I was getting Angiograms. (run a catheter up your femoral artery to inject contrast die to throughly image cardia arteries and valves. While I was getting an Angiogram after the second incident, might heart rate dropped to zero which identified the need fora pacemaker. Two days later I was getting my pacemaker installed. To give an example of infrastructure availability, my moderately large city has two hospitals with advanced cardiac surgery facilities. They have a small warehouse full of cardiac devices and supplies plus the suppliers reps who deliver whenever something else is needed.


thinkstoomuch wrote:Your father covered all his stuff up to 1981. So did my father except he was born in 1912 died in 2001.

What has changed since your father's lifetime and mine. Well in the 60's and 70's we started our war on poverty. Which has been as successful as our war on drugs.

Now 1/6th of our pop is getting an additional $636 dollars a month for food for a family of four(doesn't matter where or local COL).

Since the Government has gotten involved the medical costs have skyrocketed. Lets look at another example. Education. Used to be a parents would work 2 jobs to ensure that the children could go college. The cost of education skyrocketed now 2 jobs won't pay for the cost of education. Social Security provides for people's retirement. People stopped saving.

Do you start to see a correlation.

Funny thing is what are the 2 examples we are definitely given of Planets that provide all those health care payments. Haven and Split. Wonderful caste systems.

Most of those nice socialized country's (not a very good term as most of aren't as socialism is generally understood) as PeterZ showed contribute not a whole lot,relatively, toward new processes, drugs or procedures. Because the US is all monied up.

Bad thing about all this is because of the now falling R&D staffs those new drugs and such aren't going to be generated any more or at least not as rapidly. Pretty soon we will have people, like happened to Anton, unable to man their sensors due to an impacted wisdom tooth because Dr's won't be able to make enough money to encourage the gifted to serve. A dentist friend of mine already recommends against it.

Though if you want to institute a dueling code I could compromise on the health care issue, some.

Might cut down on some of those frivolous lawsuits.

I would also recommend reading "Positive Feedback" in Rx for Choas by Christopher Anvil. Its a Baen book.

Have fun,
T2M

For that wonderful system in Canada here's what somebody wrote about it on the bar. I got his permission to repost it other places.

Rob Thompson wrote:OK - buttons appropriately pushed - incoming fire. One - Rationing - what in the bloody hell do you think a waiting list is? It's rationing - plain and goddamned simple. I don't care if anyone thinks my facts are wrong - I'm the one living under this system - so take your second and third hand information and shove it into the orifice you deem best to use it.

Two - Death Panels - you think this is wrong. Personal first hand experience - My father was being treated for two types of cancer simultaneously. His oncologist told him outright (I was there) - Mr. Thompson - I'm sorry - we have to suspend treatment as there's no viable chance of beating this. We will offer you palliative care until you pass away. 20 days later I buried my father. This happened in July of 2012. The man was a veteran with 35 years of service to his country and one of his last comments (2 days before he died) was that "They just threw me away". So - whether or not you choose to believe it - in Canada - the doctors WILL decide life and death. Basically, if you're a senior - you're screwed if the doctors determine the resources expended aren't worth it. For further evidence - check the mortality rates of British NHS towards end of the fiscal year.

Finally - private insurance. Yes - we have private "insurance" for drugs, dental, vision and other non governmental care. You cannot buy coverage, as an example, for governmentally supplied health coverages. Calling me a liar isn't the best way to make that point. I have been involved in the sales and marketing of health insurance in the US as well as Canada. I am a licensed insurance broker and professional insurance development officer - have been for the last 15 years. I know what the regulations are that I must live with - I cannot offer packages that the government covers.

I have said this for many years on this bar. The Canadian system isn't nearly as effective nor is it nearly as efficient as the US system. I have lived in both countries and have experienced both systems - as a manager of health insurance sales as well as the recipient of health insurance.

As an addendum - there's something that hasn't been addressed about the Canadian system versus the US system - Gatekeepers. Under the US system - the HMO and/or the insurer may act as a gatekeeper. Generally (note this term) their gatekeeping is more about using their network of physicians and access to same. In Canada - you may only receive advanced treatment by a specialist ONLY by referral by a family doctor. Oh - and we have a family doctor shortage (most have gone to the States) which makes getting specialized treatment even more difficult. When we were in the States - my wife needed treatment for PCOS (ask Doc Krin about that lovely condition). Our family physician in Columbia, SC recommended one of his med school profs. Recommended - we were able to call him ourselves and saw him within 3 days. In Canada, after our return, even with med records/charts in hand, she couldn't get a referral to a specialist because the MD we had to use (public clinic) didn't accept the diagnosis of PCOS.

We are childless because of this and while we have accepted this fact, plus the fact that I am now 50 and wife is closing in on same - the bitterness has not receded.

Oh - and one final point of rationing. For professional reasons we are moving to another town 2.5 hours away from our current home. We are keeping our family doctor here in Ottawa because the town we're moving to - we have a minimum 2 year wait before another family doctor can take us. I'm diabetic and she has fibromyalgia - we have to travel 3 hours to continue medically necessary care. Want to take another shot at telling me that healthcare isn't rationed in Canada? Really - hope you love your Obamacare - just pray you never need a doctor.


BrightSoul wrote:The real issue is the solution that was forced down everyone's throats. There are viable solutions out there both private and single payer (government) systems but none of them were permitted to be fully explored by the assorted special interests in this country. When I talk special interests I mean on both sides of our ludicrous ideological divide.

I fully beliee that the deal worked out was a deliberate effort to sabotage any functional coverage system that would insure 100% of our population at a minimum level.

Think on this, My granfather was born in 1918, he was taking care of his own healthcare need by the age of 16 which would be 1934. From 1934 to 1981 when he died he payed cash for all of his family's needs. This included the last 3 years of my Grandmother;s life as she spent them in the hospital and his own care after having his first stroke at 48 years old. Who in the upper middle class could afford this today? Anyone? I thought not.

There are solutions, unfortunately our government and those very same special interests want it there way or no way so they'll cripple any effort to make something that works.
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Re: Obama's Dead Souls
Post by namelessfly   » Fri Nov 22, 2013 5:08 pm

namelessfly

I can enjoy the series even though I do not necessarily support everything Manticore stands for. The epic fecal storm that I provoked some years back by pointing out that the Honor Harrington series is a metaphor for the conflict between capitalism and socialism certainly demonstrates that there are a lot of liberals who like Weber's fiction even if they do not support the SKM. How many of you are supportive of a monarchy that exerts actual political power than just provides scandalous entertainment?

This point being made, while the passage in SFtS eloquently details how the SKM provides prolong to all citizens, there is ZERO evidence that other forms of healthcare are provided by government outside of military personel. We have enough references to private payment to physicians and full freedom to choose physicians to suspect that healthcare is not nationalized.

IMHO, one can make an excellent argument for government funded prolong. A medical treatment that effectively doubles or triples lifespan is going to provoke extreme social and political strife if only the elite are allowed access.

Also, as TTM pointed out, prolong is a capital intensive treatment that must be administered at a young age that the government can think of as an investment. We currently have a large fraction of the population that are either supported by their parents and probably government (do not forget public schools) until they are 18 then often into their 20s or 30s. Only after they get out of school do they may be get a serious job (Obama is an example of someone who has never, ever, not been sucking on the government tit) and start paying serious taxes for maybe 40 to 50 years. Then they become government dependents for the next few decades. Given prolong people have that 25 year dependancy in their youth followed by CENTURIES of being
productive citizens who pay taxes before they retire and MAY BE become government depend ants again. I can not think of a better investment forbgovernment to make.

BrightSoul wrote:The real issue with any healthcare plan that our government will manage to implement is our government's crippling desire to pander to the insurance industry and their own inability to build a system that can care for our people. somehow most first world nations consider universal heath care a bare minimum to be considered among their company. We don't, what we'd prefer is that we spend 12% of GDP to provide healthcare for less than 50% of our population while those "socialist" systems our GOP/Tea Party/Libertarians revile spend 6% of GDP and deliver a minimum standard of health care to 100% of their population.

For some reason we have accepted the lie that it would be bad for business, this is patently false. In almost every one of those "socialist" systems the insurance industry sells expansion of that basic health care and are a vibrant part of the nation's economy. I've lived in one of those nations as well as growing up in this country. Most jobs that I had while working in Canada had health insurance that went beyond the basics provided by Government. Yet, we can't accomplish it? What happened to America the bold? the innovator? the leader?

We sacrificed ourselves on the altar of ideology. McCarthy lives today.

Nameless, how can you like something like the SKM/SEM when they require universal health care including prolong for all of its citizens? Isn't that exactly what you are railing against?
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Re: Obama's Dead Souls
Post by PeterZ   » Fri Nov 22, 2013 5:35 pm

PeterZ
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Posts: 6432
Joined: Fri Apr 01, 2011 1:11 pm
Location: Colorado

Thank you for replying to that post. The fallacy that things got bad because government was NOT involved really ticks me off. Any replay I was contemplating was going to be more direct and likely rude than would be good for a healthy discussion. You saved me from my baser nature.

Thanks again, T2M.

thinkstoomuch wrote:Your father covered all his stuff up to 1981. So did my father except he was born in 1912 died in 2001.

What has changed since your father's lifetime and mine. Well in the 60's and 70's we started our war on poverty. Which has been as successful as our war on drugs.

Now 1/6th of our pop is getting an additional $636 dollars a month for food for a family of four(doesn't matter where or local COL).

Since the Government has gotten involved the medical costs have skyrocketed. Lets look at another example. Education. Used to be a parents would work 2 jobs to ensure that the children could go college. The cost of education skyrocketed now 2 jobs won't pay for the cost of education. Social Security provides for people's retirement. People stopped saving.

Do you start to see a correlation.

Funny thing is what are the 2 examples we are definitely given of Planets that provide all those health care payments. Haven and Split. Wonderful caste systems.

Most of those nice socialized country's (not a very good term as most of aren't as socialism is generally understood) as PeterZ showed contribute not a whole lot,relatively, toward new processes, drugs or procedures. Because the US is all monied up.

Bad thing about all this is because of the now falling R&D staffs those new drugs and such aren't going to be generated any more or at least not as rapidly. Pretty soon we will have people, like happened to Anton, unable to man their sensors due to an impacted wisdom tooth because Dr's won't be able to make enough money to encourage the gifted to serve. A dentist friend of mine already recommends against it.

Though if you want to institute a dueling code I could compromise on the health care issue, some.

Might cut down on some of those frivolous lawsuits.

I would also recommend reading "Positive Feedback" in Rx for Choas by Christopher Anvil. Its a Baen book.

Have fun,
T2M

For that wonderful system in Canada here's what somebody wrote about it on the bar. I got his permission to repost it other places.
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Re: Obama's Dead Souls
Post by BrightSoul   » Fri Nov 22, 2013 5:53 pm

BrightSoul
Rear Admiral

Posts: 1368
Joined: Sat Aug 22, 2009 10:51 am

<rant>
There are so many fallacies in that story from the Canadian I'll address the most basic one. Why the hell didn't that person switch primary care physicians? This BS about Death Panels is another... worst of all is the assumption that I am demanding single payer. If you re-read my original post you will see that I don't care which system you use, just put together a system that delivers 100% coverage for all citizens and reduce the percentage of GDP spent on healthcare.

Face it, there are always outliers in any system, cherry picking a couple horro stories does change the facts. 12% of GDP for < 50% coverage vs 6% for 100% basic coverage. I could care less what choice we make, go with the Swiss version that is private enterprise rather than single payer. Just deliver care.

Your Canadian friend has the right to demand copies of his/her medical records and can seek out a different doctor if their current one is not taking care of them. Mom did it when her Doc was misdiagnosing her. My Sister did as well. At the same time I've known quite a few people who were diagnosed with Cancer, some survived others didn't catch it until it was too late, but all got care and could afford it. Those people ran the gamut from near poverty to wealthy and all got care. You can't show me the same here.

All this thread has done is to return to the ridiculous ideological debates and ne'er the twain shall meet. This country is so screwed until we can figure out how to balance Capitalism and oversight. One ideology demands no over site or regulation claiming that our supposedly "free market" will do what's right and the other side demands hand outs, massive oversight and those of us somewhere in the middle are told to pick a side.

NEITHER ONE IS RIGHT AND BOTH ARE DRIVING THIS COUNTRY INTO THE GRAVE.
</rant>
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Re: Obama's Dead Souls
Post by BrightSoul   » Fri Nov 22, 2013 6:08 pm

BrightSoul
Rear Admiral

Posts: 1368
Joined: Sat Aug 22, 2009 10:51 am

I'll also add one final note that has never been addressed in any of the Palinisms brought up when reviling the effort to insure America, worker productivity. If you call in sick without health insurance the employee may very well be screwed because they can't afford to go to the doctor for proof of injury or illness. On the other hand, the entire time I worked up north I could see a doctor, or as a manager, I could demand my employees go to the doctor. We can do that here but the employee may never be able to do that if the don't have coverage. At least the Canadian employee doesn't have an excuse.
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Re: Obama's Dead Souls
Post by PeterZ   » Fri Nov 22, 2013 6:49 pm

PeterZ
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Joined: Fri Apr 01, 2011 1:11 pm
Location: Colorado

One reason this country can't find that balance is that the federal government doesn't have the authority to create such a system. Where in the constitution does it say the feds must create that system?

Let the states make whatever social balance is appropriate to their residents. Massachusetts likes socialized medicine, fine keep it. Texas wants a free-er market based system, fine. This BS that the entire system is broke and the feds MUST create ONE system for us all is the real problem.

The other problem is the assertion that everyone must have coverage. Some people are just fine paying their own health maintenance bills supplemented with catastrophic coverage. Forcing more on those folks because someone else thinks that level of coverage is too little is just rubbish. As it stands the poor already qualify for Medicaid. If the amount of people who truly can't afford medical insurance is still too high, adjust the requirements for Medicaid.

If the problem is that insurance is too high all the way around, then get rid of the BS regulations. Selling across state lines is the first thing that comes to mind. The billing codes/system Medicare and Medicaid uses is another. The cost of complying with that incredibly cumbersome system is prohibitive. Restricting doctors from creating their own groups of patients paying them directly for a menu of services might be another regulation that might be dropped.

This last is especially problematic because it force the doctors to use the insurance system or charge per service rendered. A group in Texas was prohibited from setting up a membership group of patients charging monthly premiums for a set of preventative services and pre-set prices for a menu of other services including many operations. The feds decided that this group was acting like an insurance company and required them to comply with all insurance regulations. Many of which didn't apply to them. So that group of doctors were prohibited from charging their patients less than insurance companies did for comparable if not better services.

It is this type of one size fits all balderdash that increases costs. Much better to let the states decide what requirements are for their residents. The feds should use their interstate commerce authority to enable selling insurance across state lines. Yes, individual states can set standards that their residents require. The states cannot prohibit out of state companies from selling policies that meet those requirements.
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Re: Obama's Dead Souls
Post by BrightSoul   » Fri Nov 22, 2013 7:49 pm

BrightSoul
Rear Admiral

Posts: 1368
Joined: Sat Aug 22, 2009 10:51 am

Why is it so hard to determine what a minimum package would require and then leave it to industry and states to figure out a way to ensure it happens. There has been next to no effort to even establish this basic an understanding. Every time someone wants to explore what we need, not how to implement it, the pundits of the various options spend a fortune to so obscure the issue that the bulk of us have no idea what they are talking about.

They muddy the water so badly with falsehoods and half truths (Death Panels is a prime example) to make it near impossible for the average American to make an educated choice. It seems like they have either decided to squash any concept that could achieve it or they are racing to implement it without identifying that basic standards we would need to even look at setting a goal, a target for what we want to deliver as the end result. As long as we can be kept in the dark they cn rely on the average voter to follow their ideally off the cliff, on either side.

Document, in terms everyone can understand what the goal is, and then work to achieve it. without that you can bandy words about forever and get nothing done. Since neither side has bothered I've had to look at the most basic numbers to see what we are doing and that is why I keep harping on percentage of GPD to population covered. When I look at that I see abject failure, across the board, in government and industry.

Are we problem solvers or dupes? Where are our innovative thinkers? Why is it that American Business can't see that they as Corporate Citizens are going to have to step up and come up with a solution or some nutter is going to end up forcing a broken solution? At what point do our Corporate citizens volunteer a solution that would allow them to remain profitable but reduces the cost of the system as a whole?

Greed wins and we're not going to find a way out so long as our belief system enshrines selfish behavior. Egads this country needs a Teddy Roosevelt so fricking bad right now its crazy. We need a Trust Buster back in office.
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