Domain: tiger-web1.srvr.media3.us Healthcare cannot be fixed | Page 9 | Political Talk
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re: Healthcare cannot be fixed

Posted on 7/6/25 at 1:10 pm to
Posted by BamaGradinTn
Murfreesboro
Member since Dec 2008
28955 posts
Posted on 7/6/25 at 1:10 pm to
quote:

It’s not fair to compare another countries homogenous population to America’s. How many people in Singapore are free loaders who don’t work? You have 57 million people on disability in America who do not work. Bet those numbers aren’t even close in Singapore.

ETA: did the dirty work for you. Singapores disability percentage is 3%….


You're right about the small disability percentage. But I think an equally large factor is that as a society they refuse to enable welfare queens. In this country, we send checks to poor women for having extra kids they can't afford. JC Watts once referred to Jesse Jackson as a "welfare hustling poverty pimp."

You could also add this as a factor.



Drastically reduce drug addiction and overdose related medical expenditures and see what happens.

Yes, comparison to Singapore is about the most apples to oranges comparison you can imagine. The practices implemented there years ago could never in a million years be enacted here. Try limiting food stamps to mothers with only two kids and see what happens. Or executing every drug trafficker in short order.
Posted by Grumpy Nemesis
Member since Feb 2025
2033 posts
Posted on 7/6/25 at 2:02 pm to
quote:


The party who runs on that is the party that will be ousted electorally or violently. Besides, it is in the state’s interest to have a healthy, fit populace.

frick them kids and grandparents isn’t a real platform. Your mind has been cuckolded by big pharma and health insurance

Your opinion is irrelevant. I'm not taking a moral position on it I'm simply stating the fact that this belief means the problem can't be solved. If that gets your panties in a wad that's your problem
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
11983 posts
Posted on 7/6/25 at 2:06 pm to
quote:

Okay. According to all of my googling and ChatGPTing it seems that Medicare pays significantly less(40-60% less) than what private insurance pays. Is that incorrect?

That is not incorrect. Where are you going with this?
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
11983 posts
Posted on 7/6/25 at 2:08 pm to
quote:

Aside from semantics, no, that's the way the system works

30K foot view? Sure.

At the individual physician level? No way Jose.
Posted by SingleMalt1973
Member since Feb 2022
23301 posts
Posted on 7/6/25 at 2:11 pm to
If the Gubment would remove many do,the silly regulations placed upon healthcare providers it would save a shitload of money and make healthcare more available
Posted by SmackoverHawg
Member since Oct 2011
31072 posts
Posted on 7/6/25 at 2:15 pm to
quote:

How did he screw up insurance for independent contractors? We are working people too and greatly benefit from the chance to get an obama plan.

I'm a small business owner. I'm paying at least quadruple for our insurance with higher deductibles and co-pays than pre-Obama. Tell me how we're better? You can't. It sucks all the way around and is collapsing our system. This is what I do for a living. I can assure you the ACA is a huge, flaming POS.
Posted by pbro62
Baton Rouge
Member since May 2016
15230 posts
Posted on 7/6/25 at 2:16 pm to
fricks given equal zero. Take care of thyself.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
11983 posts
Posted on 7/6/25 at 2:20 pm to
quote:

I did that for a few years with hospice benefits. It was eye opening. After meeting with my congresspersons from Missouri, and having seen the lobbying process I just said, “Eh. We’re fricked. Someone else can do this.”

Carbon copy of my experience. So frustrating, it’s just not worth my time.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
11983 posts
Posted on 7/6/25 at 2:21 pm to
quote:

But the system has figured in its cost of indigent care into their rate setting. If they didn’t, that would be reckless and irresponsible.

Absolutely and what I just replied to NC was of course this is true on a system level. My contention was with the poster who insinuated this could (or is also) being done on an individual basis.
Posted by SmackoverHawg
Member since Oct 2011
31072 posts
Posted on 7/6/25 at 2:21 pm to
quote:

What I’m saying is doctor X cannot overcharge patient Y because he had to take care of patient Z who has no insurance. Period.

Not directly, but it does increase our breakeven point. If we don't collect enough from paying patients, we go out of business. Medicaid don't pay enough to even f#$k with. Those that say it's better than getting zero aren't fully informed. You can spend significant resources to get insignificant pay from Medicaid. You could actually get more from many of these people by garnishing wages if they had jobs. If they have good enough jobs, they can get some real insurance and pay their bills.

The cost of insurance is a whole different issue.
Posted by SmackoverHawg
Member since Oct 2011
31072 posts
Posted on 7/6/25 at 2:27 pm to
quote:

Is it not true that poor people without insurance will often use the ER as a PCP for minor illnesses and injuries?

They still do even with insurance. Look at the surge of free standing ER's and urgent cares. People are not using their Obamacare or Medicaid for preventive care for the most part, they abuse the shite out of it. Even those that come in for treatment want symptomatic treatment only. Not all, but far more than private insured paying their own way.
Posted by SmackoverHawg
Member since Oct 2011
31072 posts
Posted on 7/6/25 at 2:28 pm to
quote:

Liar.

I was a contractor and got insurance from a broker for my family for less than $200/month. It was a high deductible plan, with rx, checkups, and prenatal coverage. That’s all people need. Choose your level of exposure.

The notion that people had no access is absolute bullshite.

The system is fricked up, that’s true. But Obama sent it the frickup into hyper drive, including the death of hundreds of hospitals that can’t exist with cost of ACA compliance, low reimbursements, and massive increase of deadbeats. There are huge areas of the country now with zero emergency access for HOURS thanks to Hussein and company passing the bil

100% truth.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
11983 posts
Posted on 7/6/25 at 2:31 pm to
quote:

Not directly, but it does increase our breakeven point.

I get that, but you know you can’t bill a patient a level 5 for a visit that’s really a 4 just because you had some other patients not pay. That was my only point by that comment, but clearly it has gotten more traction than I thought
quote:

Medicaid don't pay enough to even f#$k with. Those that say it's better than getting zero aren't fully informed. You can spend significant resources to get insignificant pay from Medicaid. You could actually get more from many of these people by garnishing wages if they had jobs. If they have good enough jobs, they can get some real insurance and pay their bills.

Oh this I am with you lock step. We don’t take Medicaid and we never will bc it will mean we all make less overall even though now we have a larger patient pool. It’s crazy. And it’s very annoying when I’m on call and someone needs surgery that has Medicaid or no insurance. Bc that just means they are getting free surgery and free 90 day care. Now I get money for call, but definitely nowhere close to offset free surgery, yet alone multiple cases in one call shift.

And with that being said…I’d rather do free surgery on the occasional Medicaid patient than have our clinic move to accepting Medicaid. Sure, now I get paid for those cases, but now I have to see Medicaid patients and can’t discriminate. Just a bad financial move to do so. Medicare is low reimbursement enough. As soon as my practice is mature enough, first thing I’m going to do is stop taking Medicare.
Posted by SmackoverHawg
Member since Oct 2011
31072 posts
Posted on 7/6/25 at 2:34 pm to
quote:

I get that, but you know you can’t bill a patient a level 5 for a visit that’s really a 4 just because you had some other patients not pay. That was my only point by that comment, but clearly it has gotten more traction than I thought
quote:

Oh, I agree. I was talking about what we need to collect legally from others, but we certainly can't just tack it onto someone else like so many seem to believe for some unknown reason.
Posted by AUFANATL
Member since Dec 2007
5187 posts
Posted on 7/6/25 at 2:50 pm to

You have four water glasses. One of them is completely filled with liquid and the other three are empty. The three empty glasses are labeled (1) affordability (2) accessibility and (3) quality.

Take the full glass and pour it into the three others, keeping in mind that the more liquid you pour into one means the less liquid you have to pour into the other two.

That's healthcare in a nutshell.
Posted by Diego Ricardo
Alabama
Member since Dec 2020
12515 posts
Posted on 7/6/25 at 3:07 pm to
quote:

Your opinion is irrelevant. I'm not taking a moral position on it I'm simply stating the fact that this belief means the problem can't be solved. If that gets your panties in a wad that's your problem


I disagree that it is unsolvable problem. Also, I’m not getting “my panties in a wad” pointing out that your immature quasi-facts-n-logic attitude is going to go off like a wet fart with the public.

“Facts don’t care about your feelings” phrase is not true in politics. People’s feelings matter a lot more than any facts if enough people share them. I think plenty of people care a great deal about having good health without being made indignant in the process. The above-it-all neoliberal telling them that it is too expensive so they might just need to die is probably going to go off like a wet fart as I suggested earlier.
This post was edited on 7/6/25 at 3:09 pm
Posted by TigerDoc
Texas
Member since Apr 2004
11628 posts
Posted on 7/6/25 at 3:29 pm to
We pay more to get no better or worse outcomes than dozens of countries around the world and the population is less satisfied with our system and yet we insist on cynicism and that nothing can be learned and are just stuck.
Posted by Diego Ricardo
Alabama
Member since Dec 2020
12515 posts
Posted on 7/6/25 at 3:47 pm to
I don’t think the government can provide what we expect as our level of service based on the existing more open-market model to everyone. That is where people get hung up.

I think a very basic/essential healthcare program that covers preventative care, critical care, essential prescriptions to avoid complications that create larger health issues, and basic ambulatory/orthopedic rehabilitation/therapy (get people on their feet with use of their hands so they can work again) is the extent of what the government could reasonably offer to all children and working adults.

You’ll still need private healthcare for elective surgeries, quality of life care, quality of life prescriptions, most mental health, and some forms of expensive or longterm rehabilitation/therapy.

It’s not as “simple as that” but I do think this is a workable framework but it is going to involve being frank about what the state is going to supply. I think this would also allow the state to carve out the rote parts of modern medicine that helps sustain minimal physical readiness and reign in costs on care and generic prescriptions. Perhaps in the process make Medicare more affordable by improving longterm outcomes.
Posted by Grumpy Nemesis
Member since Feb 2025
2033 posts
Posted on 7/6/25 at 4:12 pm to
quote:


I disagree that it is unsolvable problem.

When are you that rather than Supply some emotional response. I mean you're wrong which is probably why you didn't make an actual argument so there's that. There is literally no such thing as a finite product of any sort ever in the history of humankind that everybody can have access to whenever they want it or need it. It's not only unsolvable it's completely fricking impossible
Posted by Grumpy Nemesis
Member since Feb 2025
2033 posts
Posted on 7/6/25 at 4:13 pm to
quote:

The above-it-all neoliberal telling them that it is too expensive so they might just need to die is probably going to go off like a wet fart as I suggested earlier

They can be pissed. Being pissed it doesn't change reality. I would suggest their energy would be better spent elsewhere but it doesn't really matter. Being pissed that not everybody can have something that isn't infinite doesn't change the fact that not everybody can have something that isn't infinite
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