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Tuesday, June 9. 2009RationingFrom Dick Morris: Here comes medical rationing:
Related: Obama's health care cost illusion. WSJ Related: If you can save 30%, why not start with Medicare? Related: Obamacare is like RomneyCare - sign up or get fined. Ace Related: Neoneo suspects that they don't believe a word they are saying about costs, and I agree with that. My opinion? I think much of medical "wasted spending" is to avoid lawsuits. "Please tell the jury, Doctor, why you didn't bother to get an MRI for Mrs. Jones' heachaches?" "Please tell the jury, Doctor, why you decided to do this when some recent studies show bla bla bla." In the end, "wasteful medical spending" is always the spending on somebody else - not on yourself.
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My opinion? I need to crank the 'get wealthy' thing up a notch or two so I can afford to have my own doctor and fly to Mexico for treatment.
"In the end, "wasteful medical spending" is always spending on somebody else - not on yourself."
Only if you're a wimp. Or a liberal. But I repeat myself. Any time you go to the doctor for an ailment that either a) he can't cure or b) your body would cure itself given time, you've wasted your money. Likewise for any problem whose cure or treatment you can figure out yourself. "Doctor, Doctor! It hurts when I do this!" "Well then, don't do that." "It hurts when I do this!"
"Well then, don't do that." I said that to my dad once. He told me to go to bed. Turns out I really did have a broken arm. The areas cited for cost containment above (reduce C-sections, MRIs/exotic imaging, use of antibiotics) actually could be good ideas. Somehow, they became good ideas when Obama's team wants to limit them, but they were terrible bureaucratic penny-pinching when insurance companies wanted to limit them.
The greatest amount of spending in healthcare is for catastrophic care and long-term care: heart transplants, repeated rounds of chemotherapy, four years in memory care. Healthy living will postpone some of these for some people; they will be needed for most people sooner or later. My mother elected palliation when she was diagnosed with cancer and she was glad to slip away about six months later; she was 79. I have teen children and I would put up quite a fight against cancer at this stage of my life. The expensive interventions yield good results for some people. The most expensive interventions often fail because the illness or injury is too great to overcome, but we keep fighting for life. Health care cost containment is probably a lost cause. Good ideas or not, medical care needs to be between doctor and patient, not bureaucrats. We all think we're smart, after all.
Health care cost containment is probably a lost cause.
What are you saying? People get old. People of all ages get sick. Of course, we keep fighting for life. Should you be taken out back and shot if the cost benefit analysis doesn't measure up? Should care be withheld once you are no longer productive in economic terms (i.e. retired)? The secular humanists are among the cruelest bunch on the planet. Without an understanding of God, human life is no different than the pet that needs to be unfortunately put down. There is no true comprehension of the intrinsic worth of a person. The framers of the Constitution understood this, which is why our rights are derived from our Creator and not from government. All of this universal care crap comes from the idea that everyone has a right to health care and that fairness demands that everyone be treated equally (even though that will never happen, but it sounds good to folks with *&%# for brains). BD is right - medical care is between the doctor and the patient. More people would get better care if the government got out of the way and consumer driven principles were employed. Health savings accounts would allow people to fund the inevitable costs that come later in life. Price and quality disclosure would let people know it's not "free" and be able to make choices on treatment for a cold versus "pick something worse". People would also ask if the procedure or visit was really needed. Portability is needed. All of this would contain costs because it appeals to a person's self-interest. There is more, but you get the idea. It's based on personal freedom and personal responsibility - radical concepts in today's world. Just today, I took my daughter for a MRI. I was asked to sign a form taking financial responsibility for what insurance would not pay. I asked how much did it cost for the MRI if I wanted to pay cash (and yes I have insurance). That would at least tell me my maximum exposure. The answer was, "It is illegal under HIPPA to tell you that information." There you have it in a nutshell sports fans. Utter and complete stupidity. Of course, it is to protect all of the behinds the scenes trading that goes on with providers, insurance companies, government and the costs of the people who do not, will not or have no intention of paying. (And that is not an argument for universal, state sponsored coverage.) Has everyone's brains turned to mush? Rant over. Feel free to comment. "The secular humanists are among the cruelest bunch on the planet."
"The secular humanists are among the cruelest bunch on the planet." "The secular humanists are among the cruelest bunch on the planet." "The secular humanists are among the cruelest bunch on the planet." "The secular humanists are among the cruelest bunch on the planet." By Barrett ` Barrett, Meta beat me to it. But if you have any hope of your brand of thinking surviving as a political force in this country you just can't say things like that. We're all different, with different interests. Generalizations do nothing but show rigid and intransigent views. Sure, there are other options at your disposal, are they worth a civil war?
Meta and Luther,
Point very well taken. Thank you for the direct and accurate feedback. My apologies to anyone who may have been offended. There are people from all walks of life and beliefs that have trampled over human life over the course of history. You could have also pointed out that the specific comment ultimately wasn't even germane to the argument, but you were too kind. My fear is that we are on a slippery slope where rationing becomes a tool used against those who cannot protect themselves (e.g. the elderly, the sick, etc.). When human life is devalued for whatever the reason a portion of our humanity dies. History is littered with horrific events whenever this has occurred. I wasn't particularly offended, Barrett, I'm used to it. Just thinking that your message might lose you more than you imagine. Your ultimate point well taken... we're on many a slippery slope. Not just health care, unfortunately.
#4.2.2.1.1
Luther McLeod
on
2009-06-09 22:23
(Reply)
Luther,
I appreciate your thick skin. Not everyone is as "tough" as you are. I agree with you. I don't want to lose the message via careless choices of words. I believe the saying was "loose lips sink ships." Thanks again (and to you, Meta, as well).
#4.2.2.1.1.1
Barrett
on
2009-06-09 22:49
(Reply)
"loose lips sink ships."
No, Barrett. I have to challenge. Completely different concept. We need openness of opinion, now more than ever. But we have too many choices upon which to rail. We should concentrate on the essentials. National defense my first choice. There are more, of course. But let the rest sort itself out in the marketplace of ideas. Have a few succinct ideals... and focus on those, and don't get distracted nor deterred by side shows.
#4.2.2.1.1.1.1
Luther McLeod
on
2009-06-09 23:37
(Reply)
Luther,
There are two things here. One is making the argument effectively without making counter-productive generalizations. I believe your last point is how to prioritize what arguments should be made given the many choices. I concur that national defense is one of those areas. However, the Cold War "ended" because of Russia's economic collapse. The state-sponsored, central planning model created an economy unable to provide guns and butter as well as the absence of personal freedom. The economic policy of the Obama administration, if implemented, will ultimately destroy America from the inside. Yes, it will take some time for government to confiscate the wealth of the citizenry. The Dallas Fed presently believes the national debt and unfunded mandates total $99 trillion today - without the current expansion of government Obama plans. Universal health care will lower both the standard of living and the quality of life in America as well as add to the ticking financial time bomb. Consequently, I am fighting a two front war - national defense and fiscal responsibility.
#4.2.2.1.1.1.1.1
Barrett
on
2009-06-10 12:39
(Reply)
Barrett, it's very difficult to NOT make generalizations. That's a genetic thing. It is a struggle to not do so. We all, always, look for a fellow tribe member. It is human nature I think.
I suppose I'm more the idealist. I'd rather the discussion be centered on the values that we, today, might agree on. Not particular policy decisions... but the broader concept of what brought us here. I'm not articulate enough to enumerate those concepts, but surely there is someone who can do so. Really... I think the concept of honesty, fairness and communication would endear more than fifty percent of the vote. Is that possible? I'm still optimistic.
#4.2.2.1.1.1.1.1.1
Luther McLeod
on
2009-06-10 21:53
(Reply)
Barrett, Luther and Meta ... I'm in complete agreement with you on the Democrats' Universal Health Care Rationing plan. The "cost containments" the Democrats are mentioning are just the first camel's nose pushing into the tent. The rest of the ugly animals will follow, once the American public is lulled into a false sense of security and agrees to the plan. The most pernicious part of it is the effort to block us, those of us who are independent and would like to buy our own health care, from being allowed to, even if we pay for the whole medical treatment. How are they going to prevent us from doing so? A firing squad? Obama's brownshirt "civilian militia" turning up at our doors to take us to jail? This is all very disturbing.
Marianne Marianne,
I believe it is illegal in Canada to go to a private physician for care. You are railroaded into the system via the heavy hand of government. I expect the same here. I also expect that people will travel to other parts of the world for care if this unfolds as Obama and the Democrats plan. Of course, they will exempt themselves, likely through some backdoor channel or sleight of hand, from the rules because they are more important than we are. Here's hoping that this doesn't pass. If you take your daughter to the emergency room to see if she has a broken arm, take your own Tylenol with you. I got charged $273 for one Tylenol, which she didn't even take, according to her mother. I finally settled out by offering to pay the Medicaid rate for the billings. She didn't have a broken arm. We all know why the ER billings are so high, making up from the payers for the non-payers.
Basically, keep medicine between a doctor, patient and the immediate family, and perhaps the family lawyer. No beaurecrats allowed. |
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Tracked: Jun 09, 12:47