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US Health Care Plan

General off-topic debates and discussions forum.

Re: US Health Care Plan

Postby Texpat » January 1, 2010, 6:23 pm

Your gall bladder is no concern of mine. Nor should mine be anyone else's concern.

I don't require my government to spoon-feed me pre-chewed food either. :D

It's funny how staunch critics of the US government think it will somehow , miraculously, get health care "right."
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Re: US Health Care Plan

Postby jackspratt » January 1, 2010, 8:38 pm

Given the various entrenched vested interests, and the current (comparative) state of the US health "system", I am sure outside observers probably don't hold great hopes for a miraculous recovery.

But what us staunch critics seem to agree on is that the criticism of "our" systems as being socialist, and non-free enterprise etc etc (and therefore automatically condemned) just don't hold water when you look at the actual situation.

But in their blind defense of "capitalism" and "free enterprise" and "freedom of choice", the conservative (read - reactionary) critics are quite happy to overlook both the failures in their own system, and the successes in other systems (ie those who are a lot closer to getting it "right").

I guess the other thing we (the staunch critics) agree on is that we are very happy we don't have to live under the US system.
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Re: US Health Care Plan

Postby LoongLee » January 1, 2010, 10:30 pm

Jackspratt,,"I guess the other thing we (the staunch critics) agree on is that we are very happy we don't have to live under the US system." I want to sincerely thank you for that "Jack". [-o<

Unfortunately, there aren't enough of "you" that feel like that, and the millions keep coming in, mostly illegal, to participate in our terrible system and they've bankrupted the governments of several states. If it wasn't for all those who do want "our" system at any cost, even death, maybe we would be able to get a handle on the problem. What are we to do? Those “Give me your tired, your poor, your huddled masses yearning to breath free”--- from south of the border to the western european "socialist utopias" and eastern european "workers paradises", even the beneficiaries of oil-rich states and Sharia Law vote with their feet daily to get to the land of "the Great Satan".

Somewhere, in the back of my mind, back there where just simple logic wants to prevail, I have to think that if the US were so bad, like most "staunch critics" would have us believe, there would be a massive ongoing exodus of people leaving for those other shining examples of the human condition that you and others so eloquently espouse. But wait, I guess they can't, those other countries won't let them in to participate except in very very limited numbers.

Sorry, but for this simple ole hillbilly, that simple logic says it all. Regards,,LL
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Re: US Health Care Plan

Postby BobHelm » January 1, 2010, 11:15 pm

As I have said before, there is much to be admired about the USA. It's Health System (before, or after these 'reforms') just is not one of them.
Nearly all of the better off nations have problems with Immigration - legal & illegal. Read any English (or Australian newspaper) & that fact will quickly leap off the page. It is certainly not a problem unique to USA.
However this is about the system of health in America. The system costs more per head (even before this bill) & delivers a worse end result. Why does America persist with such a system when every other country abandoned it years & years ago?? If it is (as some appear to portray here) because the country does not wish to venture down a dreaded Socialist path, then OK, up to you. But don't complain about the cost if you are unwilling to explore the alternatives.
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Re: US Health Care Plan

Postby LoongLee » January 1, 2010, 11:25 pm

Some good points Bob,,, but I think most of the Americans posting here, as the majority of those polled in the US, do want reforms to the system, so they are willing to "explore the alternatives". They're not close-minded about the need for reform, just the methods being employed to ram it down their throat and the extent of the federal governments involvement in their daily lives. I don't think that's an extreme position, as some would portray it. LL
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Re: US Health Care Plan

Postby BobHelm » January 1, 2010, 11:44 pm

No & I can understand that LL.
If I was American I certainly would NOT be voting for these reforms, or suggesting that anyone else did.
I would be demanding that my representatives explained to me.
1. Why is Health Care so expensive in America when compared to anyone else in the world.
2. Why is life expectancy in 49 other countries longer than in America.
3. How can every other OECD nations offer universal health care for, in some cases, less than 50% of the American cost which leaves millions uncovered.
4. How were Health costs going to be reduced by up to 50% over the next few years.

Throwing money at any problem is a poor method of resolving it - especially if you do not even understand the root causes of it!!
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Re: US Health Care Plan

Postby LoongLee » January 1, 2010, 11:56 pm

=D> =D>
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Re: US Health Care Plan

Postby rjj04 » January 2, 2010, 1:12 am

Here here BobHelm

Unfortunately the US is already a socialist state, it is just that it is corporate socialism and not socialism for the people. I have seen no answers to Bob's questions from the free market, no big government, dogmatic types here. There must be an answer as to why the US "supposedly" free market health care system has failed, so dramatically, as compared to the systems in more "socialist" countries. Just amending the current system, like the bozos in Congress are trying to do now, will just make things worse.
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Re: US Health Care Plan

Postby LoongLee » January 2, 2010, 1:29 am

rjj04,,,,, just a small point,,,,, the current free market health care system does not operate as other parts of the free market in the US do. For example, there is no competition or transparency. There is no "WALMART" of the healthcare system helping to drive costs down. The consumer has no method to comparison shop. If you want to buy a tire (or tyre for our european cousins), you can comparison shop for a Goodyear 60,000 mile radial in the size you want and buy for the best price, because there is no difference in the product purchased. Competition works to the consumers advantage. You can not do that with medical care, it's hidden behind thousands of different costs. It's only become possible in the recent past to comparision shop for medicine, and it's helped. Several large companies are aggressively competing now with $4.00 generic drugs and that's been a real Godsend for many. It's almost completely impossible to "shop" for a tonsilectomy or other procedures. Elective plastic surgery is competitive and transparent, for the most part. I don't really know if it's helped to keep costs down though.
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Re: US Health Care Plan

Postby rjj04 » January 2, 2010, 2:21 am

Yes, good points as usual LL. It just seems to me that the Federal government is oft used to hinder the free market system.

I have a couple of questions for people from those other countries, is there a problem with malpractice suits there? I mean, supposedly that is driving up costs in the USA. Is it even possible to sue an NHS Doctor for example?

Also, are there any systems in place that have some personal liability involved. That is, universal health care is a good concept, but the lack of personal responsibility is an issue. For instance, a system where a person that is 200 pounds overweight, smokes, drinks, takes drugs, never exercises, yet pays the same rate as somebody who looks after his health, is an unfair system. He can be guaranteed health care, but the rate he pays ought to have something to do with his lifestyle choices. Is there any nationalized health care system out there that has such conditions? I think such a system would be more acceptable for typical Americans, or at least for me. Of course it would also be an incentive for people to clean up their acts. 8-[
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Re: US Health Care Plan

Postby Farang1 » January 2, 2010, 8:28 am

Amendment 28


Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators and/or Representatives, and Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States .


Here is one way to make sure they get it right, make Congress subject to their own plans. Health care, Social Security, ect.....



When the people fear their government there is tyranny; when the government fears the people, there is liberty. --Thomas Jefferson
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Re: US Health Care Plan

Postby jackspratt » January 2, 2010, 12:03 pm

A late clarification (having been unable to get into UM for some time).

My reference to the "US system" was clearly within the context of the health system - please read the entire post.
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Re: US Health Care Plan

Postby BobHelm » January 2, 2010, 12:27 pm

Is it even possible to sue an NHS Doctor for example?

Yes it is possible and has been done successfully. It is normal to sue the doctor, the Hospital and the Health Authority (or Private Company) that controls it. The claimant has to prove actual malpractice though, so if the doctor could show that he did exactly what any other doctor would do in similar circumstances to an acceptable level of skill then it is highly unlikely that the case would succeed. Also the amounts awarded in a successful UK case is liable to be considerably smaller in the UK. The judge will automatically take into account if the claimant in any way contributed to the problem & reduce any damages accordingly.
Also, are there any systems in place that have some personal liability involved.

This is a far harder question to answer. Even the European schemes vary wildly in the Government approach to health. However improved health means reduced costs and because the person who pays for the costs is the same person who provides the treatment there is not the 'profit' motive that exists in a 'free market' system....To put it another way...What incentive does a doctor who is being paid for the treatment he is giving to :
A. Only provide treatment that is absolutely necessary, rather than financially beneficial ?
B. Get his patient to such a state of health that treatment is no longer necessary ?
In the UK the Government run a huge amount of health awareness programs. They try/are trying to restrict smoking (for example) by limiting where it can be done & also by providing free advice/support groups/medication for any one that wants to stop.
There has been much discussion over the years as to whether Doctors should treat people who are contributing to their own ill health. These discussions are usually fueled by the popular press when a former, fallen, sportsman is involved. I think the general consensus is that every method should be utilised to try & alter the behaviour of the individual, he is still entitled to treatment.
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Re: US Health Care Plan

Postby jackspratt » January 2, 2010, 12:38 pm

I have a friend in Oz who is a heart surgeon, operating within both the public and private systems.

Smokers who come for surgery within both systems are told that resources are severely limited, and that if they wish to continue smoking after the initial surgery, they must bear the risk, and will not be operated on a second time.
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Re: US Health Care Plan

Postby UdonExpat » January 2, 2010, 3:32 pm

OMG, that would never fly in American. There the patient would sue the doctor for recommending the smoking cessation program that the patient failed to complete and they'd sue the program, too. Then the jury would award this poor smoking patient with 2 months left to live with 20 million dollars, and call it justice.
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