What is the current Republican position on this?

(Cat): "That's such bull."
(Malcolm): "Nothing like a civil discussion, huh?"
Example? Keep "mock" in mind while you backtrack.Example? Keep "mock" in mind while you backtrack. It means "imitate", remember.

Discussion deleted. Well-trod ground. We're going in circles.

Uh, actually, look up mock in the dictionary. It doesn't just mean imitate. It can also mean:

attack or treat with ridicule, contempt, or derision.

Which is exactly what you did by saying that if he feels that government should handle this particular aspect of society, then it is because of "state worship." You don't have to worship the government in order to feel that one aspect of society would be better handled by them. It's a typical right wing talking point though. If anyone wants the government to handle anything, it's "state worship." It's an easy way to make fun of someone without actually making a point.

But you are right, I did mock you in return, which was wrong of me. And I do apologize. It's just that I actually have to spend every day seeing people suffer and die because of people like you who want to prevent a system which can help them, and it really upsets me. It also really bothers me that you just mock the patients I have seen lose everything who absolutely were responsible, educated people with money by saying they are in the situation they are in because of their own irresponsibility. It's an emotional issue for me, but you are right that I should not let that enter this debate. You have to understand that while it's easy for you to spout your ideology from behind your computer screen, I have to watch the people who die, or are ruined, as a result of it. There's a reason that every single major medical association, and most major/top hospitals in the United States, lobby in favor of universal healthcare.

I'm saying that a policy which leaves medical decisionmaking to patients and physicians and which leaves insurance decisions to customers and actuaries will outperform a policy which displaces voluntary arrangements in a competitive market for a State-monopoly system.

You know that's not how it works with private insurance, right? That private insurance actually denies medical care that doctors say their patients need more than government insurance does. And competition doesn't really work, because all private insurances do this, so if you drop one insurance because it denies you for something and go with another, that other insurance may just deny you for something else.

And I still am really trying to figure our your argument in which you said that people and their friends used to be able to cover costs, but can't anymore because they compete with the government. I don't understand how I am competing with the government if I can't afford a health care service, or if I go completely broke in order to pay for that health care service.

"I doubt that. Across industries, monopolies deliver wretched performance at high cost, and stifle innovation, and subsidized goods are over-consumed."

Actually, our health care costs are much higher as a nation than nations with subsidized healthcare. Also, countries like South Korea, France, Germany, Israel and others are well known for innovation and medical advances. In fact, America isn't even one of the top countries for people to go to to get medical care. Countries with socialized medicine are the top "health care tourism" countries - i.e. places where people go internationally to get care.

You're right that I should not have spoken to you with derision. That is wrong. But it is annoying that every single thing you've said on this thread - from the effect of tort reform to the effect on innovation, has been completely wrong. It is just frustrating debating someone who is trying to argue from a position in which everything they say is factually incorrect.

Don't try to wiggle out of it by pretending it doesn't happen. Or if you can show it wouldn't happen, then bring in your evidence.

Exactly. Although I firmly disagree with Neally's philosphy, at least they are being honest in that the position they are presenting will lead to more people dying and worse care for most people overall. They aren't pretending their system will help more people. They know it will not. They just still prefer it to the idea of government subsidizing of health care, disasters, etc.

subsidized goods are over-consumed.

First of all, why would subsized people be more likely to overconsume? Let's say I have a private insurance, and I have a five hundred dollar (or maybe less, maybe it's only $100) out of pocket maximum on physician visits. After I reach this amount, I will not have to pay anything out of pocket to see my physician. So essentially, all my MD visits would now be free after I've met my cap. Why would I be less likely than someone with Medicare - who still has a 20% co insurance on all their doctor visits - or someone with Medicaid who has say a $30 co pay - no matter how much they spend (as there is no out of pocket maximum with Medicare and many Medicaid programs), when my doctor visits with my non subsidized health insurance are completely free?

Also, it's not like hospitals are going to give you unnecessary chemotherapy or surgeries (unless the health care provider themselves is fraudulent). The only thing people can really overconsume is routine office visits and some diagnostic testing. At the end of the day, that's a pretty unsubstantial amount of money. Most money in health care is spent when people are catastrophically ill. Preventative medicine is really comparatively cheap. It's end of life/chronic care that really adds up and makes up the bulk of health care costs. If anything, the person who overconsumes simple office visits is more likely to have an actual health care problem caught early. The earlier something is caught, the more likely the problem can be treated more quickly, and more cheaply. So someone who goes to the doctor more than they need to may end up saving the system a lot of money in the long run.


Also, it should be noted that if you look at this year's US News & World Report's listing of America's best hospitals, both in terms of overall care and for medical specialties, every single one on the list is non profit and government subsidized.
 
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And malpractice suits and the needed malpractice insurance, while I'm not arguing that these can't be very burdensome for private practitioners, actually have no significant effect on nationwide health care costs.
Not when you consider the cost of defensive medicine.
 
Not when you consider the cost of defensive medicine.

You know, that is a really good point. I honestly don't know what the cost of defensive medicine is, but it does need to be taken into account. I've heard (working in the health care industry) that they aren't anywhere near as high as politicians like to claim, but that doesn't mean that they don't have at least some bearing on overall healthcare costs.

I do hate the propensity of medical malpractice suits, but at the same time I have reservations about putting caps on settlements. There are people who truly do incur enormous burdens due to mistakes made by health care providers. I really don't know what the solution is for that problem.
 
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Cat disputes a strawman. Ultimately, nobody's "fine". Everybody dies.

it wasn't my intention to give a strawman argument, but I can see how you would take it that way. I shouldn't have used the word "okay" because that makes it seems like I mean "okay" in a general sense.

What I meant is that having savings and valuing education is not, as you claim, the only reason one may find themselves destitute in old age and dying for lack of health care.

You argue that well, if you would deplete your savings by saving your life, that's your fault for not just dying.

Would that be so easy to say if it was your loved one? If your child or spouse was dying, but you could save them, you could give them a treatment that has a high survival rate, but it would cost everything you have to do it? It's easy to say let someone die rather than spend all your money saving them, but could you really look at your suffering, dying spouse and say that you would let them die from a curable condition?

Also, what if it's not a deadly disease? What if you have a chronically ill or disabled child whose care requires enormous out of pocket costs, just to give them basic palliative care so that they do not deteriorate into being in a far worse state - suffering far more. Are parents who go bankrupt caring for that child financially irresponsible for not smothering it or just letting it suffer from medical neglect, but instead paying enormous sums to try and give that child some kind of quality of life?
 
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A lot of the drugs sold in Mexico are sold there because they can't be sold in America because they are past the expiration date. I used to live in Mexico, and that was very common. I'd see drugs, food, all sorts of things being sold that were years past their expiration date, and thus cheap. I don't think I ever saw a single candy bar that wasn't at least a few years past the expiration.
There are reputable doctors in places like these, especially in India. You just have to find them. Of course they don't necessarily have all the options as to what you can get in a first world country just in terms of technology, no matter how good the hospital is.
SC:
1. There are a **** load of reputable doctors in Mexico who got their degrees in the US, and who operate practices along the border to serve people like my friend's dad.

2. His choice is: possibly expired meds. No meds. On his budget.

Pretty simple, when you boil it down to basics.
 
I can't believe that mine is the only county in the nation to provide health care for free or reduced cost.

Locally, cancer treatments are covered by county services for indigent or uninsured individuals, free or at reduced cost.
If you don't mind, what county do you live in?
 
Evidence that this changes things?
Changes what things?

It's certainly a significant expense. In Massachusetts alone, with just 2.2% of the US population, the cost of defensive medicine is $1.4 billion per year. Extrapolated nationwide and you're adding ~$60 billion to the nation's health care tab.
 
It's certainly a significant expense.............................................. Extrapolated nationwide and you're adding ~$60 billion to the nation's health care tab.

wow...it would cost as much per year to give comprehensive healthcare as a year of war....maybe less.
seems like it would be stupid not to go for it.
imagine a government that might spend as much on curing as killing.
unheard of......commie **** for sure.
 
the destitute only have healthcare access in an emergency.
many diseases need to be caught before they become that far advanced.
how americans rationalize their piss poor medical system is astounding.

This not true the destitute would qualify for Medicare
 
I said it in jest mostly and should have said bigoted . But explain to me why it is not a bigoted statement.

Knowing it was a joke actually makes it pretty funny. If you don't mind I'm not going to explain why it wasn't bigoted since you called them hillbillys in the first place, and it's not the topic of the thread.

But good one! Sorry I didn't get it.
 
Changes what things?

It's certainly a significant expense. In Massachusetts alone, with just 2.2% of the US population, the cost of defensive medicine is $1.4 billion per year. Extrapolated nationwide and you're adding ~$60 billion to the nation's health care tab.

Right, so it is not that much.

http://en.wikipedia.org/wiki/Health_care_in_the_United_States#Health_care_spending

60 billion sounds like a lot. It doesn't add up to much when total costs are over 2 TRILLION. 3% of costs isn't that much.
 
Get any of that last big South swell?

Any response at all to my points?

Or at least, do you have any evidence to back up any of the claims you have made on this thread?

I have a serious question - if you were willing to take the time and look into your claims, and did realize, as has been poitned out to you, that everything you have said here has been a lie (I'm not saying you're lying, I'm saying Republican politicians and pundits lie to people like you), does that change your opinion at all? Also, does it bother you even a little bit that all the Republican points you've been told are flat out lies?

It's one thing when Ron Paul just admits that unless charity can cover the tab, his system will be one in which people simply die for want of care. It's all the other Republicans who lie about health care (spouting the sorts of things repeated here by Malcolm, i.e. stiffling of innovation, it being more expensive, people overconsuming, etc) that really get me. It also gets me that the mainstream media doesn't call them on it. When I lived in the Netherlands, and a reporter would interview a politician, and the politician would say something completely false, the reporter would be like, "No, that's not true." or "That's a lie, that's not true at all." But here reporters just let politicians say whatever they want and don't call them on it.
 
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This not true the destitute would qualify for Medicare


You're thinking of Medicaid. Being destitute isn't enough to qualify for Medicare, there are other guidelines you need to meet. Medicaid is the insurance which is set up for the destitute.

The problem is that some states are very, very strict on how poor you have to be to qualify. For instance, maybe you've spent all your money but you still have a house, they'll consider your home an asset and not give you Medicaid. Or sometimes you have to be unemployed to qualify, it doesn't matter how little you make.

Sometimes even being poor isn't enough. You need to be extremely poor and/or out of work. And of course the near poor, or the middle class who still can't afford their care are just out of luck. One of the biggest complaints we get from patients who don't qualify for aid is that they have done, as the say, "everything right" i.e. been responsible and worked and saved their whole lives, and as a result they aren't eligible for the program some guy who has never worked (but can) and who has just lived off of welfare their whole lives, even though both these people need the aid to live.

For anyone on this thread who is suffering from ailments and who cannot get insurance coverage, you should check out the Ray Tye foundation, which provides assistance to uninsured patients. http://www.raytyemedicalaidfoundation.org/ Also, what you would want to do is call large hospitals in major cities which have treatment centers in your state and ask to speak with the financial counseling department. Explain that you are uninsured and ask if they have a freecare or charitable care program, and if not, ask if they are aware of a hospital that does. Also ask if they help patients apply for medical assistance either through charitable foundations or Medicaid. This doesn't always work if, for instance, because not everyone (even the destitute) qualifies for charitable care, and if you have a kind of illness that requires a specific specialty clinic, then if the hospital that has that clinic doesn't have free care, you'd be out of luck. But it is worth calling around and looking into. If you are in need of a specific drug, either a prescription or an injection/infustion drug, as the hospital if they help with applications for drug assistance.

Johnny, do you live in New England by any chance? If so I could advise you of hospitals with charitable programs in the area. If not, I would advise calling the American Cancer Society and asking them about charitable programs in your area or for your specific diagnosis.

SC:
1. There are a **** load of reputable doctors in Mexico who got their degrees in the US, and who operate practices along the border to serve people like my friend's dad.

2. His choice is: possibly expired meds. No meds. On his budget.

Pretty simple, when you boil it down to basics.

Indeed. Meds usually are fine for quite some time after their expiration date, and I agree, I would definitely take expired meds over no meds at all!
 
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