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Link Posted: 6/14/2009 5:17:08 PM EDT
[#1]
Quoted:
Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance.  No malpractice either, meaning lawyers will be stuck out in the cold.



Actually, any element of tort reform is suspiciously lacking in  the .gov health care proposals the Dims are discussing.

Don't think for a minute the Dims will throw the Trial Lawyers under the bus.








Correct.  It will be working for less than half the pay, and you'll still have all the liability.

70K a year?  that would be about 30 percent LESS than what I made as a military doc... and I would still have to pay my 35K-per-year malpractice insrance out of that.

Sorry... they can get f*cked if that's their plan.

Posted Via AR15.Com Mobile

It is a simple solution .

Free / cheap  school for those that want it and then a contract to work as a family  Gen. MD  for a specified time within the system .

Don't want to do that  pay for med school yourself and pay off any loans you acquired .
Link Posted: 6/14/2009 5:20:52 PM EDT
[#2]




Quoted:



Quoted:



Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




Correct. It will be working for less than half the pay, and you'll still have all the liability.



70K a year? that would be about 30 percent LESS than what I made as a military doc... and I would still have to pay my 35K-per-year malpractice insrance out of that.



Sorry... they can get f*cked if that's their plan.



Posted Via AR15.Com Mobile


It is a simple solution .



Free / cheap school for those that want it and then a contract to work as a family Gen. MD for a specified time within the system .



Don't want to do that pay for med school yourself and pay off any loans you acquired .





Typical libtard solution. You want a flunky brain surgeon? Well, I don't because I have a bit more to value between my ears.



There is a reason we only let the best into medicine.



Why do all the good doctors come to the US?  Because fo the PROFIT.



Why did 9 of the children burned in the Mexico day care fire COME TO THE UNITED STATES for care?
Link Posted: 6/14/2009 5:23:22 PM EDT
[#3]
Quoted:
Quoted:
Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance.  No malpractice either, meaning lawyers will be stuck out in the cold.



Actually, any element of tort reform is suspiciously lacking in  the .gov health care proposals the Dims are discussing.

Don't think for a minute the Dims will throw the Trial Lawyers under the bus.







Correct.  It will be working for less than half the pay, and you'll still have all the liability.

70K a year?  that would be about 30 percent LESS than what I made as a military doc... and I would still have to pay my 35K-per-year malpractice insrance out of that.

Sorry... they can get f*cked if that's their plan.

Posted Via AR15.Com Mobile

It is a simple solution .

Free / cheap  school for those that want it and then a contract to work as a family  Gen. MD  for a specified time within the system .

Don't want to do that  pay for med school yourself and pay off any loans you acquired .


Look man, Socialism doesn't have an "opt-out" clause, it's all in or nothing.

Fuck Obama and his communist policies.
Link Posted: 6/14/2009 5:35:57 PM EDT
[#4]




Quoted:

It is time for this to come to the USA




Goddamn motherfucking cocksucking pinkos have invaded my beloved ARFCOM
Link Posted: 6/14/2009 5:39:02 PM EDT
[#5]




Quoted:



Quoted:



Quoted:

It is time for this to come to the USA




Maybe in your reality..



But its not wanted here..



Were already broke. Why do we have to be more broke?




I think this is America and anyone that don't want it can refuse to sign up for it




How can you refuse if you are forced to pay for it through taxes? Do you people ever fucking stop and think for one second or do you just FEEEEEEEEEL all the damn time. Fucking morons.
Link Posted: 6/14/2009 5:42:17 PM EDT
[#6]




Quoted:





Quoted:

It is time for this to come to the USA




Goddamn motherfucking cocksucking pinkos have invaded my beloved ARFCOM




They are being watched and given the necessary hickory shampoos when they get too scummy.
Link Posted: 6/14/2009 5:59:35 PM EDT
[#7]
Quoted:



What will you do? You either have your federal health care worker card which allows you to work as a medical professional or you work in another field.  

A government large enough to provide you with everything is large enough to take everything away.


If it's bad enough, I'll walk away.

There are a lot of other things I could do with my time and energy.
Link Posted: 6/14/2009 6:05:27 PM EDT
[#8]




Quoted:



Quoted:
What will you do? You either have your federal health care worker card which allows you to work as a medical professional or you work in another field.



A government large enough to provide you with everything is large enough to take everything away.




If it's bad enough, I'll walk away.



There are a lot of other things I could do with my time and energy.




Not like you were accepted into medical school straight from high school
.  



This is the reality of socialized medicine.  And the idiot who suggested packing medical schools to increase supply?  One only needs to look at the real estate market to see how those plans go...
Link Posted: 6/14/2009 6:09:52 PM EDT
[#9]
Quoted:

Quoted:
Quoted:
Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.



Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.

Don't think for a minute the Dims will throw the Trial Lawyers under the bus.








Correct. It will be working for less than half the pay, and you'll still have all the liability.

70K a year? that would be about 30 percent LESS than what I made as a military doc... and I would still have to pay my 35K-per-year malpractice insrance out of that.

Sorry... they can get f*cked if that's their plan.

Posted Via AR15.Com Mobile

It is a simple solution .

Free / cheap school for those that want it and then a contract to work as a family Gen. MD for a specified time within the system .

Don't want to do that pay for med school yourself and pay off any loans you acquired .


Typical libtard solution. You want a flunky brain surgeon? Well, I don't because I have a bit more to value between my ears.

There is a reason we only let the best into medicine.

Why do all the good doctors come to the US?  Because fo the PROFIT.

Why did 9 of the children burned in the Mexico day care fire COME TO THE UNITED STATES for care?


As opposed to no surgery at all because you have no funds for it ?

Sorry  that dog don't hunt

Link Posted: 6/14/2009 6:11:13 PM EDT
[#10]



Quoted:


It is time for this to come to the USA


What a COMMIE...









 
Link Posted: 6/14/2009 6:18:30 PM EDT
[#11]




Quoted:



Quoted:





Quoted:



Quoted:



Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




Correct. It will be working for less than half the pay, and you'll still have all the liability.



70K a year? that would be about 30 percent LESS than what I made as a military doc... and I would still have to pay my 35K-per-year malpractice insrance out of that.



Sorry... they can get f*cked if that's their plan.



Posted Via AR15.Com Mobile


It is a simple solution .



Free / cheap school for those that want it and then a contract to work as a family Gen. MD for a specified time within the system .



Don't want to do that pay for med school yourself and pay off any loans you acquired .





Typical libtard solution. You want a flunky brain surgeon? Well, I don't because I have a bit more to value between my ears.



There is a reason we only let the best into medicine.



Why do all the good doctors come to the US? Because fo the PROFIT.



Why did 9 of the children burned in the Mexico day care fire COME TO THE UNITED STATES for care?




As opposed to no surgery at all because you have no funds for it ?



Sorry that dog don't hunt







Where? Here? Not even close. When Canadians quit coming here to have surgery done ASAP, then you may have a point. And that will NEVER happen as long as there is a PROFIT MOTIVE to do the surgery.



Your dog don't hunt. Mine have been hunting here for 235 years. Yours lived only 70 years in Russia.



It is socialized medicine that is killing our system now, every lard butt who cannot walk begs and pleads with MediCare/MedicAid and gets a $15,000 electric wheelchair from The Scooter Store, they even claim they will get your scooter at low or no cost to you or it is free.  



Then we have illegal aliens using the ER as a general clinic, why?  Because THEY CANNOT BE TURNED AWAY.  



Then we have people using emergency medical care to escape boredom.
Link Posted: 6/14/2009 6:39:57 PM EDT
[#12]
No there isn't going to be any "free healthcare". You will be forced to buy your own. The best part is that a family of 4 at $110000 a year it will be taxable prior to buying it. It will be just like mass, read up on how they can be fined for not having insurance.


http://www.cqpolitics.com/wmspage.cfm?docID=news-000003143306
Link Posted: 6/14/2009 6:48:06 PM EDT
[#13]




Quoted:

No there isn't going to be any "free healthcare". You will be forced to buy your own. The best part is that a family of 4 at $110000 a year it will be taxable prior to buying it. It will be just like mass, read up on how they can be fined for not having insurance.





http://www.cqpolitics.com/wmspage.cfm?docID=news-000003143306




Won't ever fly under the 10th Amendment.
Link Posted: 6/14/2009 7:02:57 PM EDT
[#14]
Quoted:
It is time for this to come to the USA


Too bad it's illegal. Go read the 10th amendment.
Link Posted: 6/14/2009 7:06:18 PM EDT
[#15]
Quoted:
It is time for this to come to the USA


Maybe instead, it is time for people that want it to leave.  

In America, people decide what they want, work hard, and buy it for themselves.
Link Posted: 6/15/2009 4:09:03 PM EDT
[#16]




Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




What did obungo say today?
Link Posted: 6/15/2009 5:09:37 PM EDT
[#17]
Quoted:

Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.



Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.

Don't think for a minute the Dims will throw the Trial Lawyers under the bus.








What did obungo say today?


Glorious Leader opposes caps on malpractice suits.  Turns out the Leader of the Dims wants to keep the culture of malpractice suits alive and well.
Link Posted: 6/15/2009 5:14:03 PM EDT
[#18]




Quoted:



Quoted:





Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




What did obungo say today?




Glorious Leader opposes caps on malpractice suits. Turns out the Leader of the Dims wants to keep the culture of malpractice suits alive and well.


The one thing he got right. If some doctor paralyzes or kills someone due to negligence, then their should be no limit to the possible damages.

Link Posted: 6/15/2009 5:14:05 PM EDT
[#19]




Quoted:



Quoted:





Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




What did obungo say today?




Glorious Leader opposes caps on malpractice suits. Turns out the Leader of the Dims wants to keep the culture of malpractice suits alive and well.


The one thing he got right. If some doctor paralyzes or kills someone due to negligence, then their should be no limit to the possible damages.

Link Posted: 6/15/2009 5:16:25 PM EDT
[#20]
Quoted:
Quoted:
Quoted:
It is time for this to come to the USA


Maybe in your reality..

But its not wanted here..

Were already broke. Why do we have to be more broke?


I think this is America and anyone that don't want it can refuse to sign up for it


Cool.

Where do I sign up to not pay for it?
Link Posted: 6/15/2009 5:19:51 PM EDT
[#21]
Quoted:
Medical Industry brought it on themselves.


+1

I want to go into medicine and will go into it even if it gets socialized.

We all want free market reforms but it will never happen. The AMA and AOA limits the number of doctors by controlling the number of med schools, matriculants, and residency slots all to keep wages high. They are a damn union.

And there is no clear pricing structure either.

The medical industry is reaping what they have sown.  

Link Posted: 6/15/2009 5:20:06 PM EDT
[#22]




Quoted:



Quoted:





Quoted:



Quoted:

And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance. No malpractice either, meaning lawyers will be stuck out in the cold.







Actually, any element of tort reform is suspiciously lacking in the .gov health care proposals the Dims are discussing.



Don't think for a minute the Dims will throw the Trial Lawyers under the bus.




What did obungo say today?




Glorious Leader opposes caps on malpractice suits. Turns out the Leader of the Dims wants to keep the culture of malpractice suits alive and well.


Ain't what he said to the AMA...



Link Posted: 6/15/2009 5:22:40 PM EDT
[#23]




Quoted:



Quoted:

Medical Industry brought it on themselves.




+1



I want to go into medicine and will go into it even if it gets socialized.



We all want free market reforms but it will never happen. The AMA and AOA limits the number of doctors by controlling the number of med schools, matriculants, and residency slots all to keep wages high. They are a damn union.



And there is no clear pricing structure either.



The medical industry is reaping what they have sown.







Typical med students 30 years ago remembered their biochem.  



Just saying...not the fault of the AMA that people are getting dumber.
Link Posted: 6/15/2009 5:25:42 PM EDT
[#24]
Quoted:

Quoted:
Quoted:
Medical Industry brought it on themselves.


+1

I want to go into medicine and will go into it even if it gets socialized.

We all want free market reforms but it will never happen. The AMA and AOA limits the number of doctors by controlling the number of med schools, matriculants, and residency slots all to keep wages high. They are a damn union.

And there is no clear pricing structure either.

The medical industry is reaping what they have sown.



Typical med students 30 years ago remembered their biochem.  

Just saying...not the fault of the AMA that people are getting dumber.


The AMA/AOA is s trade union and should reap as much vitrol from conservatives as the damn IBEW, UAW or any other union.

The level of qualification for med school students is higher than ever and it is more competitive than ever to get in. You can't have a free market and suck at the AMA/AOA union teet.
Link Posted: 6/15/2009 5:34:34 PM EDT
[#25]
Quoted:

Quoted:
Quoted:
Quoted:
It is time for this to come to the USA


Maybe in your reality..

But its not wanted here..

Were already broke. Why do we have to be more broke?


I think this is America and anyone that don't want it can refuse to sign up for it


How can you refuse if you are forced to pay for it through taxes? Do you people ever fucking stop and think for one second or do you just FEEEEEEEEEL all the damn time. Fucking morons.


Well said my friend.
Link Posted: 6/15/2009 5:38:40 PM EDT
[#26]
This is partially why we will never see real free market reforms in health care, the insurance lobby.


Insurance industry hammering cash doc.
Link Posted: 6/15/2009 6:23:37 PM EDT
[#27]
Quoted:
Medical Industry brought it on themselves.


I don't think it was the industry, but people working in the system trying to make a profit.  There was SO much abuse with Medicare money in acute care hospitals & skilled nursing facilities (SNF).  Now, there are so many restrictions of what is/isn't covered & there are more audits by OIG, increased training by companies so they don't have paybacks.  

What I see happening now is the working class are not only paying for the elderly in SNFs & supposedly paying into the 'Medicare/social security fund for when we need it (like the elderly did)'.  We are also paying for all the people who have learned to leech off the system, we are paying for drug addicts to go to rehab, we are paying for criminals in prison, we are paying for the teenager who got pregnant & says they can't work, we are paying for the salaries of all the people work at the rehabs, prisons & welfare offices.  

I may be on a rant now, but I work in a SNF & can't afford the health insurance for me or my family.  Forget about a 401k also.  I have to work about 55 hours/week to make ends meet because all the TAXES withheld from my checks to pay for the rehab, prisons, lazy asses.  How can a person refuse to pay?  It is taken out before I get to see it.  Free medical coverage?  That is where the government can control you.  There is no such thing as free, there is always a catch...

I don't mind paying for the elderly because they are the ones who went to war, fought & died for our Country.  It is the other leeches on society that is draining the economy plus the billion dollar bailouts, then filing for bankruptcy...The system is collapsing quickly.  Don't believe the false rumors of "its getting better"....

Getting off my box now, going to play Nazi Zombies!!

Link Posted: 6/15/2009 6:26:46 PM EDT
[#28]
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance.  No malpractice either, meaning lawyers will be stuck out in the cold.



We had a podiatrist come into our Skilled Nursing Facility, he got paid $6.00 a resident.  Our MD's who see the resident's get paid $30.00 or $60.00 (can't remember which) per patient per month.  Maybe the specialists would make more, I don't know.
Link Posted: 6/15/2009 7:40:33 PM EDT
[#29]
Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance.  No malpractice either, meaning lawyers will be stuck out in the cold.



We had a podiatrist come into our Skilled Nursing Facility, he got paid $6.00 a resident.  Our MD's who see the resident's get paid $30.00 or $60.00 (can't remember which) per patient per month.  Maybe the specialists would make more, I don't know.


Quite certain you're wrong about that... that would hardly cover the cost of his gas to drive there.


Link Posted: 6/15/2009 7:41:26 PM EDT
[#30]
Quoted:

Quoted:
No there isn't going to be any "free health care". You will be forced to buy your own. The best part is that a family of 4 at $110000 a year it will be taxable prior to buying it. It will be just like mass, read up on how they can be fined for not having insurance.


http://www.cqpolitics.com/wmspage.cfm?docID=news-000003143306


Won't ever fly under the 10th Amendment.



It is the law in Mass. Our 'social' health care will not be free or optional. Think Obama and his cronies care about a document most Americans have not read?

Don't think they care about the 10th, they can just delegate themselves the power. Remember article 1, section 6?


Link Posted: 6/15/2009 7:46:35 PM EDT
[#31]
Quoted:
Quoted:
Quoted:
Quoted:
It is time for this to come to the USA


Maybe in your reality..

But its not wanted here..

Were already broke. Why do we have to be more broke?


I think this is America and anyone that don't want it can refuse to sign up for it


Right, and still fucking pay for it?



AND pay extra on taxes for your private plans.
Link Posted: 6/15/2009 7:57:45 PM EDT
[#32]
Quoted:
Quoted:
Medical Industry brought it on themselves.


+1

I want to go into medicine and will go into it even if it gets socialized.

We all want free market reforms but it will never happen. The AMA and AOA limits the number of doctors by controlling the number of med schools, matriculants, and residency slots all to keep wages high. They are a damn union.

And there is no clear pricing structure either.

The medical industry is reaping what they have sown.  



You talk a lot of sh*t for a guy who hasn't even taken care of his first patient.  The AMA controls very little... 70% of physicians aren't even members.

Med school is a demanding route... not everybody qualifies, and not everybody can hack it.  You must be one of those guys who thinks we can double the number of Navy SEALS by just pushing more people through BUD/S.  You have to do it carefully, because setting up, staffing, and credentialing a medical school is an expensive, time-consuming, and non-trivial exercise... and for your information, medical schools are increasing... in fact, the very AMA you deride recommended a 30% increase in medical school enrollment back in 2006.  Yeah... those evil doctors sure are trying to restrict physician supply.

Residency slots are controlled by bureaucrats in Washington, and are federally-funded through Medicare.  The AMA doesn't control that.

You want the best and brightest in medicine?  Better keep that bar high, and offer incentives to keep people on that road through the grind of med school and residency.  If you don't, you'll get less-qualified people, less-motivated people, and people who are simply punching a clock and don't give a damn.

You might want to read a little more.
Link Posted: 6/15/2009 8:04:24 PM EDT
[#33]
No kidding.

But, at the same time I was surprised to see this in our local, and left-leaning newspaper.

Here's a picture of government run health care;


Remote tribes left with substandard health care

By MARY CLARE JALONICK Associated Press - 06/15/2009
AP photo People sit in the waiting room of the Indian Health Service clinic in Crow Agency, Oct. 16, 2008. The Indian Health Service system serves almost 2 million American Indians in 35 states.
CROW AGENCY — Ta’Shon Rain Little Light, a happy little girl who loved to dance and dress up in traditional American Indian clothes, had stopped eating and walking. She complained constantly to her mother that her stomach hurt.

When Stephanie Little Light took her daughter to the Indian Health Service clinic in this wind-swept and remote corner of Montana, they told her the 5-year-old was depressed.

Ta’Shon’s pain rapidly worsened and she visited the clinic about 10 more times over several months, before her lung collapsed and she was airlifted to a children’s hospital in Denver. There she was diagnosed with terminal cancer, confirming the suspicions of family members.

A few weeks later, a charity sent the whole family to Disney World so Ta’Shon could see Cinderella’s Castle. She never got to see the castle, though. She died in her hotel bed soon after the family arrived in Florida.

“Maybe it would have been treatable,” says her great-aunt, Ada White, as she stoically recounts the last few months of Ta’Shon’s short life. Stephanie Little Light cries as she recalls how she once forced her daughter to walk when she was in pain because the doctors told her it was all in the little girl’s head.

Ta’Shon’s story is not unique in the Indian Health Service system, which serves almost 2 million American Indians in 35 states.

*
On some reservations, the oft-quoted refrain is, “don’t get sick after June,” when the federal dollars run out. It’s a sick joke, and a sad one because it is sometimes true. Officials say they have about half of what they need to operate, and patients know they must be dying or about to lose a limb to get serious care.

Wealthier tribes can supplement the federal health service budget with their own dollars. But poorer tribes, often those on the most remote reservations, far away from city hospitals, are stuck with grossly substandard care. The agency itself describes a “rationed health care system.”

The sad fact is an old fact. The U.S. has an obligation, based on a 1787 agreement between tribes and the government, to provide American Indians with free health care on reservations. But that promise has not been kept. About one-third more is spent per capita on health care for felons in federal prison, according to 2005 data from the health service.

In Washington, a few lawmakers have tried to bring attention to the broken system as Congress attempts to improve health care for millions of other Americans. But tightening budgets and the relatively small size of the American Indian population have worked against them.

“It is heartbreaking to imagine that our leaders in Washington do not care, so I must believe that they do not know,” Joe Garcia, president of the National Congress of American Indians, said in his annual state of Indian nations address in February.

When it comes to health and disease in Indian country, the statistics are staggering.

American Indians have an infant death rate that is 40 percent higher than the rate for whites. They are twice as likely to die from diabetes, 60 percent more likely to have a stroke, 30 percent more likely to have high blood pressure and 20 percent more likely to have heart disease.

American Indian health clinics are often ill-equipped to deal with such high rates of disease, and poor clinics do not have enough money to focus on preventive care. American Indian programs are not a priority for Congress, which provided the agency with $3.6 billion this budget year.

Officials at the Indian Health Service say they can’t legally comment on specific cases such as Ta’Shon’s. But they say they are doing the best they can with the money they have — about 54 cents on the dollar they need.

One of the main problems is that many clinics must “buy” health care from larger medical facilities outside the health service because they are not equipped to handle more serious medical conditions. The money that Congress provides for those contract health care services are rarely sufficient, forcing many clinics to make “life or limb” decisions that leave lower-priority patients out in the cold.

“The picture is much bigger than what the Indian Health Service can do,” says Doni Wilder, an official at the agency’s headquarters in Rockville, Md., and the former director of the Northwestern region. “Doctors every day in our organization are making decisions about people not getting cataracts removed, gall bladders fixed.”

On the Standing Rock Reservation in North Dakota, residents were eager to share stories about substandard care.

Rhonda Sandland says she couldn’t get help for her advanced frostbite until she threatened to kill herself because of the pain — several months after her first appointment. The same clinic failed to diagnose Victor Brave Thunder with congestive heart failure, giving him Tylenol and cough syrup when he told a doctor he was uncomfortable and had not slept for several days. Brave Thunder, 54, died in April while waiting for a heart transplant.

“You can talk to anyone on the reservation and they all have a story,” says Tracey Castaway, whose sister, Marcella Buckley, said she was in $40,000 of debt because of treatment for stomach cancer.

It was too late for Harriet Archambault, according to the chairman of the Senate Indian Affairs Committee, Democratic Sen. Byron Dorgan of North Dakota, who has told her story more than once in the Senate.

Dorgan says Archambault died in 2007 after her medicine for hypertension ran out and she couldn’t get an appointment to refill it at the nearest clinic, 18 miles away. She drove to the clinic five times and failed to get an appointment before she died.

Dorgan’s swath of the country is the hardest hit in terms of American Indian health care. Many reservations there are poor, isolated, devoid of economic development opportunities and subject to long, harsh winters — making it harder for the health service to recruit doctors to practice there.

Dorgan persuaded Senate Majority Leader Harry Reid, D-Nev., to consider an Indian health improvement bill last year, and the bill passed in the Senate. It would have directed Congress to provide about $35 billion for American Indian health programs over the next 10 years. A similar bill died in the House, though, after it became entangled in an abortion dispute.

The growing political clout of some remote reservations may bring some attention to health care woes. Last year’s Democratic primary played out in part in the Dakotas and Montana, where both Barack Obama and Hillary Rodham Clinton became the first presidential candidates to aggressively campaign on Indian reservations there. Both promised better health care.

Obama’s budget for 2010 includes an increase of $454 million, or about 13 percent, over this year. The stimulus bill he signed this year provided for construction and improvements to clinics.

Back in Montana, the clinic on the Crow reservation where Ta’Shon lived seems mostly empty, aside from the crowded waiting room. The hospital is down several doctors, a shortage that management attributes recruitment difficulties and the remote location.

Diane Wetsit, a clinical coordinator, said she finds it difficult to think about the congressional bailout for Wall Street.

“I have a hard time with that when I walk down the hallway and see what happens here,” she says.


Link Posted: 6/15/2009 8:34:28 PM EDT
[#34]
Quoted: Yeah... those evil doctors sure are trying to restrict physician supply.

Class Warfare relies upon envy fueled by misinformation.  You keep destroying that misinformation, and then where will we all end up?


Here's a story from a failed socialized medicine program from last year, right here in the USA: The New York Post
HAWAII just had a vivid les son in health-care eco nomics, learning that if you offer people insurance for free - surprise, surprise - they'll quickly drop other coverage to enroll.

As a result, Hawaii is ending the only state universal child health-care program in the country after just seven months.
Link Posted: 6/16/2009 5:55:36 AM EDT
[#35]
Quoted:
Quoted:
Quoted:
And there are MDs wanting it too. So they can make $70k a year and not have to worry about insurance.  No malpractice either, meaning lawyers will be stuck out in the cold.



We had a podiatrist come into our Skilled Nursing Facility, he got paid $6.00 a resident.  Our MD's who see the resident's get paid $30.00 or $60.00 (can't remember which) per patient per month.  Maybe the specialists would make more, I don't know.

Quite certain you're wrong about that... that would hardly cover the cost of his gas to drive there.

He saw 25 of our residents (patients).  About 3 weeks later, he came in after billing medicare & showed use the bills per resident & said he wouldn't be coming into the facility any more.  My administrator asked if we could pay privately along with billing Medicare, but I had to tell him that was illegal.  (He doesn't know the rules).  He can get bill Medicare for an office visit + treatment in the office.  Which is sad because now the facility is SOL, there is a state regulation that a podiatrist must come into the building.  So now, we have to set up dial a ride–– get charged 4 bucks, have a staff member out of the building for 1.5 hours (or longer depending on how backed up dial a ride is).  When the resident returns, if we can't read MD's writing, we have to spend more time putting calls into the MD.  

Was this guy being greedy?  I don't think so, he figures it is not worth it.

P.S.  Our town is 3 miles square, so gas isn't an issue right now.  We pretty much walk every where & try to avoid getting hit by the LA Zombies that drive though the crosswalks!!!

I shouldn't get on here before work.  



Link Posted: 6/16/2009 7:31:27 AM EDT
[#36]
Quoted:

It is socialized medicine that is killing our system now, every lard butt who cannot walk begs and pleads with MediCare/MedicAid and gets a $15,000 electric wheelchair from The Scooter Store, they even claim they will get your scooter at low or no cost to you or it is free.  



Is it just me, or are the scooters from the no cost, we bill Medicare, infomercials identical to the pie wagon scooters that Walmart probably buys for at most $1K?

Link Posted: 6/16/2009 7:40:37 AM EDT
[#37]
look, when you think about it we alread have free heath care...if you have no money and are broke, and have no heath care, and you break your arm or get shot, etc...no hospital will deny you service...you might not get as good as service as someone with good heath care, but you still get service...its free enterprise, and its what drives new and better medicin...take it away, and everyone is going to get the same shitty crappy care all around, AND its going to cost us an arm and a leg...just another way the one will continue to destroy our country and all the zombies and sheep will blindy follow him...its makes me fucking sick
Link Posted: 6/16/2009 7:44:15 AM EDT
[#38]
As I posted in another thread:

Why don't these idiots understand that there's no such thing as "free" –– somebody, somewhere pays, or else you don't get what you're after.  Hence, confiscatory taxation (until, per Maggie Thatcher, "you run out of other people's money"), rationing because of constricted supply, or both.

Yeah, sounds like a great idea to me.  Just ask the Canadians who come to the U.S. to get the expensive treatment they need here, so they don't die on a waiting list there for "free" care.

But hey, as long as we're running the U.S. Mint's presses overtime, let's just print more worthless scrip to cover that, too.  Just don't be surprised when the promised "chicken in every pot" turns out to be an emaciated sparrow –– and doesn't arrive until after you've already starved to death while waiting.
Link Posted: 6/16/2009 8:02:04 AM EDT
[#39]
Quoted:
look, when you think about it we alread have free heath care...if you have no money and are broke, and have no heath care, and you break your arm or get shot, etc...no hospital will deny you service...you might not get as good as service as someone with good heath care, but you still get service...its free enterprise, and its what drives new and better medicin...take it away, and everyone is going to get the same shitty crappy care all around, AND its going to cost us an arm and a leg...just another way the one will continue to destroy our country and all the zombies and sheep will blindy follow him...its makes me fucking sick


Wrong.  100% wrong.  A dirtbag gang-banger who gets shot gets exactly the same care as a cop who gets shot.  There's no way anybody is going to violate the standard of care by NOT putting a chest tube in the dirtbag... or NOT doing a laparotomy on his belly wound.  People don't seem to realize that for emergency care, there is ONLY one standard of care, and everybody gets it... because it's required by federal law.  I don't even look at a patient's insurance status... because it doesn't matter.  Doesn't even enter into my decision calculus.

You can take my word for it... I do this for a living.

Now outpatient treatment for a non-emergent problem?  That's the scenario where having good insurance will really make a big difference.  If you've got a bum knee and go to see an orthopedic surgeon, and whip out your medicaid "Gold Card" at the front desk, they'll tell you to get stuffed.  Medicaid doesn't even cover the orthopod's overhead cost to see you.  If you whip out your BCBS or high-end commercial insurance card (or Cash/MC/VISA), it'll be "fill out these forms and the doctor will be with you shortly."

Money talks and BS walks... but only in the outpatient and elective arena.  In the ER, and for life-threatening emergencies, it's all the same.

It's a nifty litmus test for people who start talking about health care.  If they spiel some bullsh*t about people dying in the streets because they "can't get health care," you can almost automatically assume they're a demagogue, a liar, or a fool (or the patient in question didn't even attempt to seek care).  Nobody with a medical emergency goes without care in the United States if they actually make it to a medical facility... not even the near-death people who fly from east Africa into the United States, and call an ambulance from the airport to be taken to the hospital (I've seen that a couple of times... Those were some of my worst TB cases, Malaria, etc).  Some people come to the US specifically so they can access our medical system.
Link Posted: 6/16/2009 8:18:17 AM EDT
[#40]
Quoted:
Quoted:
Quoted:
Medical Industry brought it on themselves.


+1

I want to go into medicine and will go into it even if it gets socialized.

We all want free market reforms but it will never happen. The AMA and AOA limits the number of doctors by controlling the number of med schools, matriculants, and residency slots all to keep wages high. They are a damn union.

And there is no clear pricing structure either.

The medical industry is reaping what they have sown.  



You talk a lot of sh*t for a guy who hasn't even taken care of his first patient.  The AMA controls very little... 70% of physicians aren't even members.

Med school is a demanding route... not everybody qualifies, and not everybody can hack it.  You must be one of those guys who thinks we can double the number of Navy SEALS by just pushing more people through BUD/S.  You have to do it carefully, because setting up, staffing, and credentialing a medical school is an expensive, time-consuming, and non-trivial exercise... and for your information, medical schools are increasing... in fact, the very AMA you deride recommended a 30% increase in medical school enrollment back in 2006.  Yeah... those evil doctors sure are trying to restrict physician supply.

Residency slots are controlled by bureaucrats in Washington, and are federally-funded through Medicare.  The AMA doesn't control that.
You want the best and brightest in medicine?  Better keep that bar high, and offer incentives to keep people on that road through the grind of med school and residency.  If you don't, you'll get less-qualified people, less-motivated people, and people who are simply punching a clock and don't give a damn.

You might want to read a little more.


I know that graduate medical education is funded by medicare, but that isn't the real bottle neck. The real issue is the Residency Review Committees which limit the number of residencies in various specialties, keeping the wages artifically high. I will say that they should increase funding for residencies but that doesn't negate the fact that there are shennaigans going on to keep wages artifically high.  Here is a paper from the National Bureau of Economic Research about it, NBER Paper


Now this part is purely anecdotal but I have been to several open houses for medical programs and spoke with folks on admissons commities, they all openly admit that the admissions process frequently skips over well very well qualified people. And this because there are just too many applicants and not enough slots. This is because the AMA does control the number of medical school matriculants as they are part of the regulatory process for medical programs.

edited to add.

Maybe the AMA is now increasing the number of medical school slots, but that just shows that they have control of the number of slots.





Link Posted: 6/16/2009 8:26:05 AM EDT
[#41]
Link Posted: 6/16/2009 8:48:19 AM EDT
[#42]
Quoted:
Quoted:
look, when you think about it we alread have free heath care...if you have no money and are broke, and have no heath care, and you break your arm or get shot, etc...no hospital will deny you service...you might not get as good as service as someone with good heath care, but you still get service...its free enterprise, and its what drives new and better medicin...take it away, and everyone is going to get the same shitty crappy care all around, AND its going to cost us an arm and a leg...just another way the one will continue to destroy our country and all the zombies and sheep will blindy follow him...its makes me fucking sick


Wrong.  100% wrong.  A dirtbag gang-banger who gets shot gets exactly the same care as a cop who gets shot.  There's no way anybody is going to violate the standard of care by NOT putting a chest tube in the dirtbag... or NOT doing a laparotomy on his belly wound.  People don't seem to realize that for emergency care, there is ONLY one standard of care, and everybody gets it... because it's required by federal law.  I don't even look at a patient's insurance status... because it doesn't matter.  Doesn't even enter into my decision calculus.

You can take my word for it... I do this for a living.

Now outpatient treatment for a non-emergent problem?  That's the scenario where having good insurance will really make a big difference.  If you've got a bum knee and go to see an orthopedic surgeon, and whip out your medicaid "Gold Card" at the front desk, they'll tell you to get stuffed.  Medicaid doesn't even cover the orthopod's overhead cost to see you.  If you whip out your BCBS or high-end commercial insurance card (or Cash/MC/VISA), it'll be "fill out these forms and the doctor will be with you shortly."

Money talks and BS walks... but only in the outpatient and elective arena.  In the ER, and for life-threatening emergencies, it's all the same.

It's a nifty litmus test for people who start talking about health care.  If they spiel some bullsh*t about people dying in the streets because they "can't get health care," you can almost automatically assume they're a demagogue, a liar, or a fool (or the patient in question didn't even attempt to seek care).  Nobody with a medical emergency goes without care in the United States if they actually make it to a medical facility... not even the near-death people who fly from east Africa into the United States, and call an ambulance from the airport to be taken to the hospital (I've seen that a couple of times... Those were some of my worst TB cases, Malaria, etc).  Some people come to the US specifically so they can access our medical system.





no i totaly agree, i wrote it wrong, but thats what i ment, for emergency care everyone is gonan get the same care, but like if you have cancer or something, you might not get as good of care with no medical, but its not like they are just gonna kick you out and say forget you!  but my overall point is, in this country we already have free heath care, no one is denied care.
Link Posted: 6/16/2009 8:51:40 AM EDT
[#43]
Quoted:
Quoted:
It is time for this to come to the USA


Maybe in your reality..

But its not wanted here..

Were already broke. Why do we have to be more broke?


I hazard to disagree.

Americans absolutely want government sponsored health care. They want it very, very badly. Remember the guy they elected in November? Yeah, Americans voted for him in huge numbers because among other things he promised to give them free health care.

YOU don't want it, most people on this board don't want it, and I don't want it, but we're a shrinking minority.
Link Posted: 6/16/2009 8:53:44 AM EDT
[#44]
Quoted:
Quoted:
Quoted:
look, when you think about it we alread have free heath care...if you have no money and are broke, and have no heath care, and you break your arm or get shot, etc...no hospital will deny you service...you might not get as good as service as someone with good heath care, but you still get service...its free enterprise, and its what drives new and better medicin...take it away, and everyone is going to get the same shitty crappy care all around, AND its going to cost us an arm and a leg...just another way the one will continue to destroy our country and all the zombies and sheep will blindy follow him...its makes me fucking sick


Wrong.  100% wrong.  A dirtbag gang-banger who gets shot gets exactly the same care as a cop who gets shot.  There's no way anybody is going to violate the standard of care by NOT putting a chest tube in the dirtbag... or NOT doing a laparotomy on his belly wound.  People don't seem to realize that for emergency care, there is ONLY one standard of care, and everybody gets it... because it's required by federal law.  I don't even look at a patient's insurance status... because it doesn't matter.  Doesn't even enter into my decision calculus.

You can take my word for it... I do this for a living.

Now outpatient treatment for a non-emergent problem?  That's the scenario where having good insurance will really make a big difference.  If you've got a bum knee and go to see an orthopedic surgeon, and whip out your medicaid "Gold Card" at the front desk, they'll tell you to get stuffed.  Medicaid doesn't even cover the orthopod's overhead cost to see you.  If you whip out your BCBS or high-end commercial insurance card (or Cash/MC/VISA), it'll be "fill out these forms and the doctor will be with you shortly."

Money talks and BS walks... but only in the outpatient and elective arena.  In the ER, and for life-threatening emergencies, it's all the same.

It's a nifty litmus test for people who start talking about health care.  If they spiel some bullsh*t about people dying in the streets because they "can't get health care," you can almost automatically assume they're a demagogue, a liar, or a fool (or the patient in question didn't even attempt to seek care).  Nobody with a medical emergency goes without care in the United States if they actually make it to a medical facility... not even the near-death people who fly from east Africa into the United States, and call an ambulance from the airport to be taken to the hospital (I've seen that a couple of times... Those were some of my worst TB cases, Malaria, etc).  Some people come to the US specifically so they can access our medical system.





no i totaly agree, i wrote it wrong, but thats what i ment, for emergency care everyone is gonan get the same care, but like if you have cancer or something, you might not get as good of care with no medical, but its not like they are just gonna kick you out and say forget you!  but my overall point is, in this country we already have free heath care, no one is denied care.


For emergency care, you're exactly right.

Which, of course, is why the ER (and other things in medicine) are so stinking expensive.  The cost of that free care doesn't just get "written off," or disappear into thin air... it gets shifted onto other people.
Link Posted: 6/16/2009 9:01:18 AM EDT
[#45]
ffsparky26:

The article you linked was painful... way too much green eye-shade.

I don't think you understand medical education.

Medical schools are of a couple of different types... there are private, and there are public (state).  There is at least one federal school (USUHS), but we'll leave that out for the sake of argument.  All medical schools have one thing in common: they are incredibly expensive undertakings to set up from scratch.  They require a significant support structure within their community (a large teaching hospital or collection of private hospitals willing to help host a school), physicians willing to teach (for the substantial pay cut that academics requires compared to private practice), facilities (buildings, anatomy labs, physiology labs, an institutional structure familiar with grants and federal requirements for dog labs, etc), administrators and support staff, and so forth.  Medical schools may eventually turn a profit, but often that takes a decade or more of losing money (in addition to setup costs).

Tuition paid as a student doesn't even begin to cover the costs of maintaining a medical school (this assumes you've already put forward the millions of dollars required to set one up).  Schools exist on student tuition (as high as 50k per year for private schools), state and federal funding (various research programs, NIH grants, and studies), endowments from private donors, and income from the various hospitals and medical work performed by the faculty and teaching staff (they only get a portion of what they "bill," and the rest goes to the school).  

The AAMC is the non-profit organization that helps accredit and monitor medical schools and graduate education programs.  They are NOT controlled by the AMA.  The AMA can recommend anything they want, but nobody has to pay attention to them... particularly budget-strapped states that don't feel like fronting a cool $100,000,000 to set up a brand new medical school.  As an alternative, the AMA has recommended expanding enrollment at existing medical schools, but you can only pack so many students into the same space, and with the same instructors and clinical sites.  

The ACGME is the organization that accredits residency programs.  This is the umbrella organization that contains the various RRCs (Residency Review Committees) specific to the various specialties.  The RRCs are a big deal... they do visits at residency programs on an ongoing basis (site visits are done every few years, and a review of the program's hospitals, faculty, policies, and so forth are done at that time).  You can think of the RRC as the JCAHO of residency programs.  They have the power to shut you down if you're not taking care of business, abusing the residents, teaching with too few full-time faculty, don't have enough clinical sites, etc.  I've seen RRCs shut down programs that weren't being adequately supported by the university (the university had "other ideas" of what to do with that money)  You can read about the ACGME here.  You'll note that the AMA is only one player among a multitude of other folks, and they appoint a few members, but they don't "control" jack.

The ACGME can accredit anyone they want, but again... without the cash, nothing is going to happen.  Without that federal funding, you're not going to be able to set up a residency program in any specialty.  What's more, the RRC isn't going to accredit a program that is inadequately funded such that it can't meet standards (too few faculty, or too few training sites because they're strapped for cash).

It all comes down to money... and right now, healthcare is a poor investment, considering that Obama is about to pull the rug out from under the whole thing.  Hospitals are putting off capital improvements and medical school applications are dropping... because students and administrators are starting to see which way the wind is blowing.

You can pretty much ignore the AMA... most physicians do.
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