Health reform is in the details

(10) Comments

  1. Big Jake
    Big Jake said on: November 18, 2009, 1:19 am
    In this oppostition to government involvment in healthcare, one must think that we now have an efficient system with a small bureaucracy---what the hell are you all smoking? Aren't any of you frustrated every time you come in contact with this screwed up system? Can you ever find anyone accountable? Social Security and Medicare are sure as hell better run than this current sorry excuse for a business model. Just raise the price and it will get paid. Find this model in any MBA program. I can't imagine what this private sector nightmare could possibly do to make it more inefficient. I think we continue to mix apples and oranges. This about how we deliver healthcare to the 50 million uninsured, first, and how do we make healthcare truly affordable. The latter we are still ducking.
  2. Popzealot
    Popzealot said on: November 16, 2009, 11:43 am
    "TO LESSEN OUR DEPENDENCE ON FOREIGN OIL."

    Hurray for revisionist history!!!

    What nut-job blogger are you reading now??

    "AND Just exactly what has that Department produced?"

    They provide a services. Perhaps you forgot that when we pay for things, it's not always a product we're interested in, but sometimes it's a service.

    But they have in fact produced much. They've produced some the most inovative scientific/technological breakthroughs of the modern era; nuclear waste processing technologies, particle accelerators/coliders, self-healing polymers, coal-gasification, carbon sequestration, nano-technologies, etc....

    If it weren't for the DOE, we'd be getting a fraction of the kilowats from our economically splendiforous coal industry, we wouldn't be able to eat the fish from the missouri, and we'd have to hope that the 20 year old air force kids knew how to handle and keep track of all those nuclear missiles peppering our state.

    They supply grants for research into alternative energy, account for our nuclear weapons and wastes, make sure infra-structure is compliant so we're safe, develop standards which facilitate commerce, develop policies to conserve energy, and of course are leading the charge to find more oil/gas and ways of extracting it.

    The DOE was not formed to "lesson our dependence on foriegn oil". The DOE was formed because there were too many disperate and redundant agencies (Federal Energy Administration, the Energy Research and Development Administration, the Federal Power Commission, etc....). And in the wake of oil shortages of the 1970's we realized we needed a more unified energy policy. In 1977, they all become one agency, and the government waste was cut in half.

    It's perhaps been the most fruitful, useful, and best government investment we've ever made. Thank you Carter!!!

    I can't think of a more pathetically ignorant effort to try to convince us how awful government is.

  3. NoDak John
    NoDak John said on: November 16, 2009, 7:02 am
    Big Jake, well said. Monopolies die of their own accord without the protection of the DC government. Monopolies can not survive in a competitive field. When the government became involved in the “Health Care” business, the costs for providing that service started it’s astronomical rise.

    The people would do well to look into the size of the bureaucracy created whenever DC gets involved. Another item worth looking into is the level of graft involved in all the Federal programs. None of the current legislation takes into account the cost of administration of a government controlled “Health Care” system.
    To get an idea of what a new Department of Health with unlimited powers would cost and what it would produce, we have (as one out hundreds of departments) The Energy Department and it’s costs and it’s production to look at. Check any department you desire and you will see results similar to those we see in the Department of Energy.

    TO LESSEN OUR DEPENDENCE ON FOREIGN OIL.
    Congees gave us the Department of Energy 8-04-1977.
    32 Years Later
    The Budget for this "Necessary" Department Is at $24.2 Billion a Year.
    They Have 16,000 Federal Employees
    And Approximately 100,000 Contract Employees.
    That budget gives us a cost of $208,620.68 per employee.

    AND Just exactly what has that Department produced?

  4. free lunch
    free lunch said on: November 15, 2009, 3:32 pm
    2012 must be coming early! I agree with Thug.

    Can our distiguished reps in DC come up with a plan for the people and not for either Insurers or Providers?

  5. Union THUG
    Union THUG said on: November 15, 2009, 10:27 am
    At the end of the day, there is no legislation that will ever pass congress that doesn't benefit big business. The bank bailouts, the stimulus package, and the auto bailouts all PASSED congress because it benefitted big business. Single payer healthcare was never even on the table because it would hurt big business. Likewise, any sort of meaningful public option will also fail for the exact same reason.
  6. Big Jake
    Big Jake said on: November 14, 2009, 4:22 pm
    The picture is becoming clearer---the anecdotal stuff has made me do some thinking(hooplehead style) Clearly, we are not paying enough for the services needed. The lifestyle of the upperranks can't be supported without more compensation. I need to have a t-shirt made with the following imprinted on it: "tort reform now" and wear it whenever I seek medical services---then they will no that I am on the side of free enterprise. As a matter of fact, I think we should support the complete deregulation of the insurance industry---let just let the market sort this crap out---turn loose the engine of the competitive market place--no standards, no rules, just let the best folks win. Medicare--no way--if there is a market out there, some innovative folks will figure it out and we will be saved by those who have our best interests at heart. If a casino system is OK for Wall ST. and the banks, why not in healthcare? If a bad doctor is out there, let the market seek him out and he will just fail---remember, if you have the right to succeed, you must have the right to fail. The Dream of the Austrian School of Economics shall rule.
  7. free lunch
    free lunch said on: November 14, 2009, 2:36 pm
    Popz for once I agree at least to some extent. Heath reform isn't what is being tackled in the legislature, it is health insurance reform and until the former is addressed cost savings won't be realized.

    As for St. A's and Mid Dakota. Even us good Catholics (now remove tongue from check) have had issues with the care and no longer seek their services. Misdiognosis, improper treatment, rude and genuinely unkind treatment to name a few of just my immediate families experiences.

  8. GFGirl
    GFGirl said on: November 14, 2009, 1:19 pm
    Wow... where do I start? First of all, the St. A's hospital was founded by the Benedictines. Historically, the Benedictines were a vegetarian group who wanted to help the poor, feed the hungry, help the needy. I don't think those values are portrayed now at St. A's hospital now nor Mid-Dakota clinic.

    In 2007, I needed an MMR shot so I could attend U of Mary (school rules). Since I have no health insurance, Mid-Dakota clinic wanted me to pay $150 up-front, and they will bill me for any additional costs for the MMR shot. I went to Burleigh county health dept (wouldn't that be like socialized medicine?) and got the required shot for $8.

    In 2001,when I had health insurance, a doctor at Mid-Dakota clinic put me on 2 different hormonal medications and said I had to take them for the "rest of my life". They were $135 without insurance and around $70 with insurance. Here is it 2009-I quit taking those meds 3 years ago.No, I didn't consult any doctor. But after doing my research, I found a better way to solve my problems. With losing 65 lbs, eating healthier, going vegetarian and working out, 80% of my hormonal problems cured themselves- without any overpriced meds that have side effects. Why didn't that doctor tell me, back in 2001, that changing my lifestyle and diet would have been healthier and cheaper than just popping a pill?

    And in 2003, another doctor from Mid-Dakota clinic told me that my Pap test came back "high grade precancerous" and I needed a cone biopsy. This would have been an overnight stay in the hospital, thousands of dollars of medical expenses. And I had no health insurance to cover it. I wanted a 2nd Pap test and a second opinion, and his nurse actually said, "Does the doctor know you are going BEHIND HIS BACK to get a 2nd opinion?". After getting 3 more Pap tests from 3 different doctors- they came back : normal, normal and low grade pre-cancerous. I had a 15 minute office procedure to remove the pre-cancerous spots. Again, had I trusted that doctor at Mid-Dakota clinic, I would have had a chunk cut out of my cervix and never be able to have kids again.

    Let all be received as Christ? Really now....do you think Christ would turn away someone because they don't have health insurance as Mid-Dakota clinic does? And doesn't it make sense to pick the less invasive, the less expensive cure first? Why do these doctors push pills, push surgury and push the high cost answer to our medical problems when maybe, just maybe, there is a cheaper way?

  9. Big Jake
    Big Jake said on: November 14, 2009, 11:17 am
    A good statement of the facts. I agree that the devil is in the details. However, this a an extemely myopic piece. It reflects what Mr. Kelly has to deal with every day. It is not the description of what the real problem is. If we follow his logic, we just keep increasing the payout while we attempt to do some necessary reforms. It does not reflect the 50 million who are without access to healthcare nor the other 50 million who are underinsured. Nor does it address the cause of the spiraling costs. So far, I have heard or read nothing in the proposed reforms that deal with the cost issue---nothing. In a previous column, Sowell suggests the the price of the service is just a reflection of the cost. Kelly is apparently subscribing to that position. Medicare has really done nothing in this area and perhaps they have no mission, legally, nor any interest in doing so. They merely attempt to slow down the rate of increase----no observation of cause and effect. Popz has a point--but I would suggest that we look at the institutional arrangements that overcompensate all of those at the top in the entire healthcare system---a thorny problem. The allegation about defensive medicine and lawsuits is little more than a red herring. The biggest culprits being doctors themselves that has moved us away from a system of preventative medicine to what we have today---just not enough money in wellness vs. treatment. An oversimplification--perhaps but certainly a factor. Cancer is a prime example---virtually no reasearch into cause but a focus on better treatment. Again, no money in prevention but a treasure chest in treatment. Kelly's problems are increase as our population ages. The Medicare reimbursement issue is not one that should be tossed into this discussion---it is unproductive and divisive.
  10. Popzealot
    Popzealot said on: November 14, 2009, 10:10 am
    Here's a way to reduce costs in your rural hospitals... make your doctors salaried employees.

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