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Old 07-16-2008, 07:59 PM   #11 (permalink)
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Re: Medicare is a Good Model?

I read this today while allowing the Devil's Surrogate, Wal-mart, take advantage of our local poor by getting them to change my oil.

It's a long article so I'll provide this link and put this excerpt:

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Why, then, is our health care so astronomically expensive? Let’s look at some of the conventional beliefs.

• We don’t ration care Unlike citizens in the U.K. and Canada, we don’t have to wait weeks for elective surgery or an MRI. But when researchers from the Johns Hopkins Bloomberg School of Public Health looked at the 15 procedures and tests that account for the majority of waiting lists in other countries, they found that they amounted to just 3 percent of costs in the United States, not nearly enough to explain the huge difference in spending.

• Malpractice is the culprit Doctors say their worries about lawsuits drive them to order costly tests and procedures that their patients do not actually need. Malpractice reform will help save money, but not as much as some people believe. The Congressional Budget Office estimates that while tort reforms could lower malpractice-insurance premiums for physicians by as much as 25 to 30 percent, the overall savings to our health care system would be a minuscule one-half percent.

• Inefficient insurance companies are to blame We devote nearly a third of our health care dollars to administrative costs—paper pushing, in effect. (Canada’s single-payer system, by contrast, is a model of efficiency, spending only about 16 percent of its health care dollars on administrative overhead.) If we could be as efficient as Canada, we could save $360 billion each year. That’s a lot of money, but it’s only about one seventh of our total health care spending.

• Consumers aren’t shopping wisely The moral-hazard argument says that because people don’t pay out of pocket, they use more-expensive health care than necessary. Moral hazard says we go to the doctor when we don’t really need to; we insist on getting a CT scan for a twisted ankle when ice and an Ace bandage will do. Experts will tell you that as many as one in four doctor’s-office visits are “social calls,” and nearly half of emergency room visits are for care that could have been handled in a nonemergency setting. But even this argument doesn’t explain why health care costs so much. That’s because 20 percent of patients account for 80 percent of spending, and that 20 percent is made up mostly of the chronically ill. These patients are often sick with multiple conditions—such as diabetes, heart disease, and high blood pressure—and more than half of the money we devote to caring for them is spent when they are in the hospital. People who are sick enough to be hospitalized are generally too ill to be insisting on certain tests or procedures.

Indeed, perhaps the most significant reason Americans are drowning in health care debt may shock you: Americans are getting far too much unnecessary care. Of our total $2.3 trillion health care bill last year, a whopping $500 billion to $700 billion was spent on treatments, tests, and hospitalizations that did nothing to improve our health. Even worse, new evidence suggests that too much health care may actually be killing us. According to estimates by Elliott Fisher, M.D., a noted Dartmouth researcher, unnecessary care leads to the deaths of as many as 30,000 Medicare recipients annually.
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Old 07-16-2008, 08:12 PM   #12 (permalink)
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Re: Medicare is a Good Model?

Legalize marijuana!!!

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Old 07-16-2008, 08:58 PM   #13 (permalink)
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Re: Medicare is a Good Model?

Quote:
Originally Posted by K.Snyder View Post
Legalize marijuana!!!
MARRY-guana????????????
It is sorta legal here (USA) in some states. At least if you are HIV +, have Glaucoma or a few other disorders.
I went to a state funded "DRUG store"with my brother who is HIV + and watched him fill his prescription of MARINOL..........
Then went and tended his 4 legal plants... Oh did I mention he is a high dollar landscaper with unreal growing abilities???????

Can I get a AHMEN up in here??????
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