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Trump Vows "Insurance for Everybody"
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Contributors to this thread:
joshuaf 15-Jan-17
joshuaf 15-Jan-17
HA/KS 15-Jan-17
joshuaf 15-Jan-17
Mike B 15-Jan-17
HDE 16-Jan-17
Bentstick81 16-Jan-17
joshuaf 16-Jan-17
TSI 16-Jan-17
Woods Walker 16-Jan-17
Franzen 16-Jan-17
joshuaf 16-Jan-17
Mike in CT 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
WV Mountaineer 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
HDE 16-Jan-17
Woods Walker 16-Jan-17
Brotsky 16-Jan-17
Woods Walker 16-Jan-17
Pat C. 16-Jan-17
elkmtngear 16-Jan-17
elkmtngear 16-Jan-17
Woods Walker 16-Jan-17
Shuteye 16-Jan-17
joshuaf 16-Jan-17
joshuaf 16-Jan-17
ben h 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
Brotsky 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
joshuaf 16-Jan-17
Rocky 16-Jan-17
TSI 16-Jan-17
Mike in CT 16-Jan-17
TSI 16-Jan-17
BowSniper 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
Ace 16-Jan-17
TSI 16-Jan-17
Woods Walker 16-Jan-17
TSI 16-Jan-17
bad karma 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
elkmtngear 16-Jan-17
Woods Walker 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
bad karma 16-Jan-17
TSI 16-Jan-17
elkmtngear 16-Jan-17
TSI 16-Jan-17
WV Mountaineer 16-Jan-17
TSI 16-Jan-17
lawdy 16-Jan-17
WV Mountaineer 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
TSI 16-Jan-17
ben h 16-Jan-17
HA/KS 16-Jan-17
joshuaf 16-Jan-17
IdyllwildArcher 16-Jan-17
ben h 16-Jan-17
IdyllwildArcher 16-Jan-17
joshuaf 17-Jan-17
ben h 17-Jan-17
joshuaf 17-Jan-17
joshuaf 17-Jan-17
Mike in CT 17-Jan-17
ben h 17-Jan-17
Glunt@work 17-Jan-17
joshuaf 17-Jan-17
Mike in CT 17-Jan-17
TSI 17-Jan-17
sixby 17-Jan-17
TSI 17-Jan-17
Bentstick81 17-Jan-17
ben h 17-Jan-17
WV Mountaineer 17-Jan-17
TSI 17-Jan-17
WV Mountaineer 17-Jan-17
TSI 17-Jan-17
ben h 17-Jan-17
TSI 17-Jan-17
WV Mountaineer 17-Jan-17
TSI 17-Jan-17
TSI 17-Jan-17
joshuaf 17-Jan-17
TSI 17-Jan-17
TSI 17-Jan-17
TSI 17-Jan-17
WV Mountaineer 17-Jan-17
ben h 17-Jan-17
IdyllwildArcher 17-Jan-17
TSI 17-Jan-17
WV Mountaineer 17-Jan-17
WV Mountaineer 17-Jan-17
HA/KS 17-Jan-17
ben h 17-Jan-17
TSI 17-Jan-17
TSI 17-Jan-17
TSI 17-Jan-17
Bowbender 18-Jan-17
WV Mountaineer 18-Jan-17
Amoebus 18-Jan-17
Mike in CT 18-Jan-17
Amoebus 18-Jan-17
sixby 18-Jan-17
TSI 18-Jan-17
Mike in CT 18-Jan-17
TSI 18-Jan-17
TSI 19-Jan-17
joshuaf 19-Jan-17
Bentstick81 19-Jan-17
From: joshuaf
15-Jan-17
Socialized Healthcare. Obamacare with the name changed to Trumpcare. This isn't new, by the way, he told us multiple times, even during the primaries, that he was for Socialized Healthcare. Just some of you never listened. Some of you had your lips so firmly planted on Trump's butt you couldn't see anything else.

Has he sent out the talking points yet for you dedicated Trumpists to memorize to defend his version of Socialized Healthcare?

From: joshuaf
15-Jan-17

From: HA/KS
15-Jan-17
It's not news. The health insurance system in place was permanently dismantled. Until or unless somebody is willing to take the heat of getting the feds out of healthcare, we are still headed toward what trump promised - "The government will pay for it."

I doubt single payer happens now, but government healthcare for all will very likely not be killed by the republicans.

From: joshuaf
15-Jan-17
I frankly don't understand why the Democrats are so freaked out about Trump. They're going to end up being quite pleased with some of the Liberal things he does in office. Until they realize those Liberal policies don't work any better with Trump's stamp on them than they did with Obama's.

From: Mike B
15-Jan-17
Josh..clearly you have all the answers on how to improve our country.

When are you running for President?

From: HDE
16-Jan-17
Competitive free market is how you get insurance for everyone. Also, healthcare IS NOT insurance. Insurance is for when you have a heart attack or a broke bone. It keeps you from having to file bankruptcy.

Gov't should never dabble in business as very few to none of them have any experience in it. Our former cryer-in-cheif damn sure didn't...

From: Bentstick81
16-Jan-17
Mike B, good post. josh always posts peoples opinions, and claims to have all the answers. josh has went from Russian ties with Trump, to NOW health care. He is reaching for anything to try and get Trump, just like all Dems. I would vote for a dog turd in the yard, before i would vote for josh.

From: joshuaf
16-Jan-17
"Competitive free market is how you get insurance for everyone."

There will never be any such thing as insurance for everyone without Government intervention and/or subsidies.

From: TSI
16-Jan-17
I don't understand why it's bad that everyone could see a doctor and pay nothing or very little?

From: Woods Walker
16-Jan-17
Because SOMEONE is paying for it unless the doctors/nurses/secretaries/etc. work for free. And what's bad is when the government takes one person by the throat, forcibly takes money from that person to pay for someone else. That's called THEFT.

From: Franzen
16-Jan-17
Just one Canadian's understanding of "conservative" principles.... but will the rest of the cheerleaders defend him?

From: joshuaf
16-Jan-17

joshuaf's Link
For anyone who wants to understand why robbing Peter to pay Paul (in this instance, Socialized Healthcare) is wrong, I highly recommend reading the classic on free market economics by Frederic Bastiat, "The Law". Less than 100 pages.

https://www.amazon.com/Law-Frederic-Bastiat/dp/1614270570

From: Mike in CT
16-Jan-17
Actually, at least in this thread Josh has posted what he believes (and there's ample evidence to support this belief) won't work; not the same as claiming he knows what will work

Posting to that effect is classic false dichotomy.

From: TSI
16-Jan-17
Not trying to stir anything up but perhaps looking at the Canadian system objectively you might feel different.Its not perfect but it's fair.You can still buy insurance here and go to any doctor you wish or even travel for treatment.Big plus is when that fateful day comes and u need help you get it freely no bills.Always something to complain about but every child gets cared for and preventative care is far easier to get.How much do most pay to have a baby?Here it's zero.

From: TSI
16-Jan-17
Drug fees are a fraction of what Americans pay for same

16-Jan-17

WV Mountaineer's Link
My cousin is a PA at the local hospital. Since the ACA, the ER has been over run by runny noses, stomach aches, bruises, etc... In other words, it has been treated like a doctors office instead of s trauma center.

I personally have feared this one issue with him. Here's the deal, emergency services could not be denied before the ACA. Insurance companies were already categorizing procedures as to necessity or a life style choice. It's no different now except it is making the one group it was supposedly intended to help, suffer with the burden of paying for it.

That is socialized medicine. No way around the fact that middle class working Americans will pay for any form of it. And it sucks.

I'm hoping he has an epiphany and wakes up and tells America the cold hard fact that if they want insurance, to earn it. Get the government out of it after making key legislative decisions that will provide freedom to buyers. That will expand opportunity. And drive prices as low as possible.

God Bless men

From: TSI
16-Jan-17
There's 50% more people on food stamps in the US than there are people in Canada.Min wage here goes to $11 in April.No system is perfect but a hybrid of others could fit well.

From: TSI
16-Jan-17
The reason Obama care fails is because insurance companies run monopoly over the consumer and are forced to cover people they see as expensive to cover,Thus they raise premiums to ensure profit margins and target those they see will or most likely pay up.Eliminate the vacuum insurance companies have and cover everyone and allow people to upgrade on an open market.Competition lowers price.Monopolies fix prices

From: HDE
16-Jan-17
"There will never be any such thing as insurance for everyone without Government intervention and/or subsidies."

Clearly, you have NO idea how a free market economy and economics itself work. Do not respond as you will just be wasting everyone's time. You have identified the very problem to the whole thing, government and subsidies.

From: Woods Walker
16-Jan-17
I can't speak for Canada, but here in the US EVERYTHING our government tries to do turns to crap.

I have absolutely ZERO faith in them to do anything right.

For the most part, and especially at the higher levels, our government is essentially run by career politicians, most of whom have never had a real job that actually produces a good or service. Their entire concept of problem solving, efficiency and productivity is a polar opposite of what the real world is that the rest of us exist in. And then when they do finally leave elected office they still carry on in the political world as a parasitic leech in one way or the other because that's all they know.

I have come to the point where I believe that if the only qualification one has for an elected position is that they've spent their entire life in government then they are in fact UNQUALIFIED.

From: Brotsky
16-Jan-17
I say this all the time and I'll say it again. The problems with healthcare in this country begin and end with price. A broken arm should cost all of us the same, it shouldn't cost me X because I don't have insurance and you much less than X because you have Blue Cross and someone else Y because they have some other insurance. Then enact tort reforms to protect doctors and hospitals from a litigious patient class. Fix the pricing, and fix the risk of doing business, and create a free market system of insurance. The problem will solve it self.

From: Woods Walker
16-Jan-17
Yup...........

From: Pat C.
16-Jan-17
When did health insurance become a right?

From: elkmtngear
16-Jan-17
Another unbiased article from the Washington Post. Funny, when I saw the thread title, I automatically knew who the OP was...

From: elkmtngear
16-Jan-17
So, what happened to the uninsured before Obamacare? I'll tell you what happened, they got treated anyway. No one in this Country is turned away from NEEDED medical attention because of insurance, and never has been. Hospitals and providers just eat it.

No matter how you slice it, whether you provide insurance to these folks or not, it comes out of your pocket somehow.

From: Woods Walker
16-Jan-17
elk: I agree with that. But to turn it all over to the government is a disaster as I pointed out. Somewhere in all this a workable solution but it would involve the LEAST amount of government intervention possible. Competition and free markets have GOT to be the basis for it.

Just my own experience of the past decade has shown me that. I have saved 40-50% on various health care issues ranging from dental to tests simply by picking up a telephone and shopping. What really PO'ed me the last time I had my annual blood work. I shopped a half dozen labs/testing facilities and they ranged from $450 to $140 for the same exact tests!!! I went with the $140 lab, and when I got there and filled out the form they asked me what insurance I had. I don't. So the did the tests for me for $80.00!!!!

$450 to $80 for the same tests. Unbelievable! That's almost a 500% difference!!! That's insane! The people with insurance or a giverment "subsidy" (handout) don't give a s**t what it costs because they mistakenly believe that they "aren't paying for it"........bullsh*t. We ARE paying...out the wazoo!!!!

Keep the government out of it. WAAAAY out of it.

From: Shuteye
16-Jan-17
The democrats keep saying Trump doesn't have a plan. There are several plans and Trump's people are getting together to decide which one comes closest to what Trump wants. The Republicans have had plans for months but the democrats don't want to hear about them since it wouldn't be called Obama care anymore. They will come out with something that won't satisfy democrats, no matter how much better it is.

From: joshuaf
16-Jan-17
"Socialism is the new conservatism to his most sycophantic supporters."

Why I've said several times that the most depressing revelation to me during this election campaign is how many "so-called" Conservatives really....aren't. It apparently never was about Conservatism or the Constitution for them, they just want their own strongman in the White House.

From: joshuaf
16-Jan-17
"You have identified the very problem to the whole thing, government and subsidies."

I'm not arguing for universal coverage. I'm saying we won't ever have it without government subsidies, and even then, it won't work well. Look at Britain, their NHS is nearly bankrupt.

So, in other words, we will not have universal coverage. Not going to happen. If you have a plan to have every American's medical needs fully met, without government subsidies, please feel free to share it. And please feel free further to let us know why every country in the world isn't already using that plan.

Thanks.

From: ben h
16-Jan-17
I agree with TSI on this one. What's wrong with everyone can get some care if they need it? If they want to get special treatment, private insurance still exists and you can buy it if you want. If your personal situation allows, there are even Dr's that don't accept insurance at all, (my dad is one), it's payment when services are rendered, same as when you take your dog to the vet. This is how every industrialized nation that I'm aware of operate, and they have way lower costs than we do. Most of the money actually goes to insurance, not practitioners. Dr's sold themselves out when they allowed insurance to dictate what they charge.

I think "ObamaCare" was a gift to insurance companies, and single payer with a private sector would have been the way to go. Before anyone freaks out, I am a Republican and I did vote for Trump.

From: TSI
16-Jan-17
Common sense and cool heads should be the order of the day.Some seem to believe that government covered basic health care for all is a bad thing and it costs you more!That just isn't accurate at all.Most Governments in democratic nations are responsible for two very basic things(safety and security of its people without exception)and Ensure(the health a welfare of all citizens) neither can be achieved 100% without government oversight.The private sector can not be expected to guarantee health care to everyone nor would allowing private security firms being allowed to over see national defence! The title of King and calling others trumpjectsakes it hard to continue reading a post and considering ones views.Definately not my fight,just injecting an outside opinion and insight on health care in other Democracies.Cheap medications,Free basic healthcare,and open free markets without borders and monopolies just makes good sense.Why anyone insists on paying more is beyond comprehension.No one in Canada is forced to give up their freedom to choose a doctor,dentist etc.providing healthcare welfare of all a nations citizens is not optional it's an obligation that the Government must guarantee!Anything less is exclusion and neglect.

From: TSI
16-Jan-17
Is there anyone here that hypothetically lost their benifits(job) had 4 kids two with medical issues that lived pay check to pay check would not want universal coverage?The answers No because no one wants there sick kid to not have prompt treatment and immunizations and regular as wanted preventative care.

From: TSI
16-Jan-17
Is there anyone here that hypothetically lost their benifits(job) had 4 kids two with medical issues that lived pay check to pay check would not want universal coverage?The answers No because no one wants there sick kid to not have prompt treatment and immunizations and regular as wanted preventative care.

From: Brotsky
16-Jan-17
TSI...all of the things you listed are readily available to all Americans. No one in the U.S. is denied service or access to care, EVER. Now ask me if all Americans pay for their care....

From: TSI
16-Jan-17
Brotsky there is no possible way that anyone can be exempt from contributing to the health of a nation without exclusionary laws.Lower insurance costs and reasonable drug prices and you would see a generally lower cost to all.The biggest drain on US healthcare and past on expense is healthcare to non taxpayers Illegal and overstayed immigrants.Healthcare for 30 million people that don't buy insurance or in a lot of cases pay tax would pay for any shortfalls.Simple business,more goes out thans coming in!

From: TSI
16-Jan-17
Trax the strength of a nation is judged by its treatment of its people!denying basic healthcare!Hmm what your saying is third world medicine.

From: joshuaf
16-Jan-17
"What's wrong with everyone can get some care if they need it?"

Nothing at all wrong with that. Just as long as you don't force me to pay for the care of "everyone". If you can figure out a workable plan for "everyone can get some care if they need it", without government subsidies, then please, share it, I'd love to hear it.

Lot of rainbows and unicorns floatin' around in this thread.

Currently, Obamacare is subsidizing both patients and Insurance companies, because they're losing so much money covering "everyone", including those with pre-existing conditions.

Another barrier to returning to medical care that is affordable for a large part of the American population is juries in medical malpractice lawsuits that award people a bazillion dollars for "pain and suffering". And class-action lawsuits that award groups of people a bazillion dollars for some drug they took with side effects, some medical device they used with side effects, etc. Who is paying those bazillion dollar settlements? Insurance companies. Do you think they're sucking up the cost of those settlements themselves? Nooooo. They're passing it on to doctors in the form of outrageously priced malpractice insurance. And not just the docs that got sued. Doctors are caught between a rock and a hard place. They can pass on some of the cost to consumers, but not all, so they have to suck up a lot of the cost themselves. If you're a small town general practice doctor making less than $200,000 per year, and you have to spend $100,000 per year on malpractice insurance.....Many doctors have been getting out of the business because for some it's just not financially feasible anymore for the amount of work involved.

From: Rocky
16-Jan-17
Americans have this hallucination with reality that "something" provided by the government and their birthright entitles them to services for free.

Nothing is free and no one is entitled to anything and that includes respect.

The Rock

From: TSI
16-Jan-17
From what some express is Nations that provide healthcare are nations of freeloaders and fools.You guys don't compromise some it will never get fixed.Denying preventative care to the less advantages is what dictators do in the most deprived nations,it's a recipe for civil unrest and mass infection by contagion.Disease doesn't care about class and wealth.Treating 30 million people who don't contribute income tax is your problem,65 billion a yr being sent out of the US untaxed by immigrants is your problem,endemic drug abuse is your problem,70 billion in untaxed illegal drug money going to Mexico is your problem,lack of preventative medicine is your problem.Sick people cost money,healthy people cost less.ounce of prevention equals a pound of cure.

From: Mike in CT
16-Jan-17
Woods,

One reason you can see different charges for the same lab tests is due to "cost-shifting"; depending on the payer mix a hospital or lab takes in (payer mix can range from great 3rd party insurance plans, basic plans, state health plans, medicare/medicaid, etc) and the % of uninsured patients they see they will charge those who have adequate to great coverage higher fees to recoup the losses from the lower to non-paying groups of patients.

Some of you may also have noticed from time to time a charge on a bill you received from an ER visit that may have read something like "uncompensated care charge" or "uninsured patient charge"; again, your paying the freight for others.

On the subject of doctors allowing insurance companies to set pricing; managed care certainly shifted the fees charged but a lot of doctors went along for the ride as it provided more certainty on fee for service. HMO's have held down the cost of their plans for their consumers by hammering doctors, hospitals and healthcare providers on what they reimburse based on cpt (current procedural terminology) code or ICD-9 codes. Again, look at an EOB (explanation of benefits) you get from your healthcare provider and you'll see the fee charged, the agreed upon reimbursement (coverage) and what, if anything the patient is responsible for.

If anyone honestly though the PPACA was going to be the golden ticket they really hadn't paid any attention to government run healthcare since 1965-Medicare and Medicaid.

Some great points also about removing a good deal of the cost burden on our healthcare system by addressing the illegal immigration issue; obviously this demographic puts a huge drain on the system via uncompensated care-and of course the honest, hard-working tax payer gets hammered for it.

I'll be interested in seeing what type of reform is put forth and then give it a fair hearing before getting worked up into a lather over a lot of supposition.

From: TSI
16-Jan-17
Trax do you believe Canada is a communist country?Thats is citizens are not free and democratic?Do you believe we are forced to pay for another's care?The cost to provide care is a minute fraction of what the US is paying already with a far more difficult logistical landscape with people scattered across a vast rural nation.

From: BowSniper
16-Jan-17
In all of this, who ever said that Trump is proposing giving away healthare for free? Maybe you get what you pay for. Minimum costs, minimum coverage. Cadillac costs, Cadillac coverage. Let's see what the plan really is before crying orange-wolf. And no matter what the plan, it will be Congress's to pass.

From: TSI
16-Jan-17
Set limits on malpractice suits,stop illegal freeloaders,Tax all money being exported,build a wall to stop that 70 billion being smuggled out,document all who are their and make them pay tax,mandate the price of life saving drugs and vaccines and there money left over to boot.

From: TSI
16-Jan-17
Trax not everyone can afford insurance!Not everyone can afford to pay for preventative doctor visits!Often people don't get early diagnosis of serious illness because they can't afford to see a doctor or specialist.Preventable disease and illnesses become expensive life altering or ending disease if not treated early then they become the preexisting conditions insurance companies and hospitals are already making you pay for.good luck with it hope it all works out.

From: Ace
16-Jan-17
I think what they are saying TSI is: If you like your Healthcare system, you can keep your Healthcare system.

I don't know one person who would willingly trade the Canadian system for what we had, or will have again, here in the USA. What you see as free, we realize is paid out of your exorbitant taxes. No thanks.

People I know who live in Canada travel to the US for much of their healthcare. My cousin told me it was going to be a 6 month wait for her father to see a Cardiologist. And she felt that she got special treatment since the Doc was a family friend. She drove him across the border got him in in a couple of days. I'll take my chances with a market based solution free of the heavy hand of a Federal government.

From: TSI
16-Jan-17
Trax I'm not sure your view of Canada based on a few conversations has provided you with a realistic opinion but you welcome to have one.Gotta admit it's funny though Canada is a booger on the nose of a gorilla compared to the US,lol

From: Woods Walker
16-Jan-17
"cost-shifting", eh??.....

Well....I tell you what. If I was in that lab office and asked for a test and was told that it would be $140 with my insurance, and then the guy sitting next to me asked for the same test and it was $80, someone in that office would be getting a VERY large earful.

I would find that to be extremely insulting in that someone would think I was that stupid to sit there and be screwed over. What would REALLY send me over the top is that not only am I paying more, but the premium for the insurance I did have I could barely afford because it's done nothing but go up!!!

From: TSI
16-Jan-17
can't be all bad,Average lifespan in Canada 17th in world at 82yrs US is 45th at 79yrs.Must be that heavy handed communist dictator makeing people seethe doctor.

From: bad karma
16-Jan-17
I do not know if it is still true, but when I was in charge of hospitals for a utility in the early nineties, we had more MRI machines in Denver than in all of Canada. I could get an MRI in 2 days, in Canada, it was 6 months.

That's one of the big problems with socialized medicine.

From: TSI
16-Jan-17
Just so the facts are clear the ten yr average for personal income tax in Canada is 29% the same period the average personal income tax paid in the US was 36.5%

From: TSI
16-Jan-17
Corporate tax rate in US is 39% in Canada 26%

From: TSI
16-Jan-17
Canadas healthcare system costs 10.4% GDP. The US almost 17% GDP

From: TSI
16-Jan-17
Cost per person for healthcare in Canada $4300 per person and $8600 in US.

From: elkmtngear
16-Jan-17
Bad Karma, you are correct.

I am a Medical Imaging Professional, and have heard Canadian Physicists bitching at meetings about not being approved for Imaging Techniques that have been mainstream here for decades (example, Positron Emission Tomography).

I'm sure that's just the tip of the iceberg for what isn't covered medically in their System. To have the type of top shelf care we have in this Country costs big bucks...and unfortunately, it falls directly on the back of the working class. Which is a good indicator why income taxes may be lower in Canada...payments on a Prius (the Canadian System) are much less, than payments on a Ferrari...

From: Woods Walker
16-Jan-17
When you look to the government to provide for you then you must submit to the government's will because they now call the shots and they essentially own you. NOTHING is free. Somewhere, somehow down the line you will pay a price for it.

From: TSI
16-Jan-17
Comrade?

From: TSI
16-Jan-17
Well guess I'm screwed roally and happy about it!

From: bad karma
16-Jan-17
It's neither a fail or a success. We don't have the specifics on the proposal, so you can't grade it.

From: TSI
16-Jan-17
Don't be victims of bad information!You can quote a bad medical situation but it's not the norm.No 61yr old with torn ligements in pain would be refused treatment,People are getting hip replacement etc into their 90s here.Pick and produce stories don't give an accurate picture.How many people were rushed to American hospitals in ambulances and refused care last yr.How many were physically removed to the curb some put in taxis and sent to another hospitol!Yes the exception I know but I could be ignorant and believe it's like that all the time.Best part from what I can see is your happy paying.

From: elkmtngear
16-Jan-17
" I know but I could be ignorant and believe it's like that all the time"

Could be?

My Wife is a critical care nurse...and trust me...the ICU is riddled with "repeat offenders" without insurance. 75 percent are positive for meth or heroin.

I don't know where you're getting your news, but people are not being thrown out in the street to die. They're trying to do it on their own, but we won't let them.

From: TSI
16-Jan-17
Elkmt, it's random isolated events but does happen,yes even cases where people die.But my point was some are very critical of Canada's system calling us communists and saying we let people die,Which isn't true.my extended family must have well over 100 people and all ranges of health and I don't know of any malpractice issue,refusals of care,regardless of age.And we pay far less tax than Americans and live longer.Just want to keep facts as facts.No ones system is perfect.But we don't riot and banter the issues nearly as much and have consistently polled as one of the highest satisfaction rates of happy citizens in the world.So just to be true to fact it's not a repressed over taxed communist regime.A little research might surprise a lot of people.Truely hope you guys get the worlds gold standard maybe we could adopt it here.

16-Jan-17
TSI, the "free market" health care America used to have was the best in the world. Our poor had federal law to ensure they receive treatment when needed. It's fallacy to keep suggesting differently. I stated that earlier, as did Brotsky.

THE ACA was enacted to insure the Middle class self employed, and the middle class employed with no benefits. It wasn't for the poor. Because the poor had medicare and Medicaid already. The problem with the ACA is it was built on the foundation that the middle class 20 somethings would join the exchanges. Which was paramount to keep costs low. The one thing it didn't take into account was that sector is the healthiest class in the country. And, they felt no need to buy into it. They'd rather save their money instead of join for high premiums, higher deductibles, and less than desirable care.

Enter the tax penalty as incentive. Yet, it still failed as the tuition numbers remained low and, the burden climbed as you enter the cost to treat the poor. It was simply cheaper to pay the fines versus pay the rising premiums, higher deductibles, to receive even less coverage. It is faulty by design and, is as UNAMERICAN as anything our government has ever devised.

Healthcare coverage under the old system was not a God given, Constitutional right. However, needed healthcare was a federal law given. This is the only system that supports of Democracy and limits or eliminates government intervention. Healthcare insurance for everyone under the ACA ensured government involvement in deciding healthcare.

Bluntly, we don't want to compromise Constitutional rights to be like Canada. If Canada was so great, Canadian's wouldn't have long wait times and people lining up to come here for healthcare. American principle said we working Americans would pay for those Americans that weren't physically able to do so. We understood that in order to have Healthcare, we must posses a job that provided it or, buy our own. It wasn't unfair. Socialized Health care is unfair and, our healthcare will suffer for it.

On original topic, I sure hope that what I'm hearing on Fox is how this is going to go. Supposedly the REP's are saying his insistence that everyone will get coverage is his way of saying that better coverage will be available for anyone to purchase cheaper than the current alternative.

God Bless men

From: TSI
16-Jan-17
Got it!Im still proud to be a communist freeloader and wait in line for my government sanctioned slice of life,till I'm 61 and they send us to sea on an ice flow!Gotta admit I had no idea how Poorly you guys view your neighbour.

From: lawdy
16-Jan-17
Actually, in Newfie there is a 14% healthcare sales tax called the HST. Plus there is a 12% provincial sales tax. Nothing's free. In NH, no hospital has ever been able to refuse you, regardless of insurance or not. That came about when the private hospitals wanted the county hospitals gone in order to get all the business. The State agreed as long as no one would be denied coverage. One thing I can say about the Canadian system is that everyone pays through sales tax. However, there are procedures you can wait months for, and a friend of ours was allowed two rounds of chemo. Her cancer came back a third time and she was put into hospice. Her husband could not afford to take her to the US for treatment.

16-Jan-17
I didn't try to offend you. But, you were told numerous times why Canadian healthcare wasn't the model that Conservative America wants. And, given numerous examples too. No need to take it personally. It isn't. Nor is this Canada. God Bless men

From: TSI
16-Jan-17
Leafy I don't think that your right Hst is harmonized sales tax.There no such thing as health tax.Hst is the only tax.

From: TSI
16-Jan-17
Listen guys you clearly don't have a clue about our system there's no such thing as health tax period and my father has cancer and is getting great treatment and doesn't wait in any lines.Lets not get too foolish.

From: TSI
16-Jan-17
Healthcare is paid through income tax revenues and sales tax revenues.taxes on alcohol and tobacco are big contributors oil,gas and mineral royalties,timber royalties etc.Im not offended I'm happy here,just surprised at how much misinformation there is that's all.

From: TSI
16-Jan-17
Happy here meaning I'm happy in where I live.

From: TSI
16-Jan-17
I guarantee no matter what system is put in it won't be perfect,it won't please all from either side of the isle,Some from both sides have to compromise.

From: ben h
16-Jan-17
Josh, I think you missed my point on this one. Under our current system, people who can't afford treatment, delay it to the extent practical and then they goto the emergency room for a $20k bill instead of a $200 Dr visit. the $20k bill gets passed along to us anyway and the insurance company doesn't care either because that just bolsters their claim that the costs are so high, so you really are paying for this, whether it's taxes or inflated premiums. Virtually all developed nations have come to this conclusion except for the US, which is baffling to me. I do agree with you, that you're paying for it one way or another, but don't kid yourself, our costs are 4x the rest of the world and the only justifiable reason is how we chose to pay for it. The quality of care is not better.

From: HA/KS
16-Jan-17
Here is the sad truth. Science has developed more health care that we (as individuals AND as a society)have the ability to pay for.

The questions that have to be answered is who gets the care, what care do they get, and who pays for it?

There is NO path that leads to unlimited healthcare for everyone.

From: joshuaf
16-Jan-17
"The quality of care is not better."

If we're talking about the combination of technical medical knowledge, and the latest high-tech medical equipment, can you tell me how many other countries in the world have a better quality of medical care than the U.S.?

16-Jan-17
The American medical system will never be solvent or "fixable" till we deal with tort reform. Obama missed the boat with this and had the opportunity and let it slip by. American doctors practice much more expensive medicine because of defensive practices to protect themselves against frivolous lawsuits that are all-too-common. I know this from first-hand experience.

Whenever anyone dies or has a bad outcome in this country (and unfortunately in 2017, people die and have bad outcomes), the patient and family immediately look at it as a potential paycheck. That causes us to practice differently (more expensively). It's a sad truth. Medical malpractice needs to be taken out of the courts and placed in a 3-judge arbitration of professionals that know the difference between negligence and an unfortunate outcome. Lawyers who bring repeated frivolous lawsuits to court need to be sanctioned.

People want to be able to eat like crap, do drugs, drink excessively, abuse their bodies, get fat, not exercise, not take care of themselves, and then expect us to save them when the SHTF.

Unfortunately, even when things aren't that bad, people just up and die or have complications that we can neither foresee nor prevent. And sometimes, unexpected shit just happens because we're not perfect and bad things happen due to no negligence on our part. Just because someone died, doesn't mean the family should automatically get a million bucks. And no, you as the non-medical professional, even as a family member, no matter what you heard from a nurse, a relative, or on Dr Phil, are not qualified to say that "the Dr fxxxx'd up." And neither are 12 random jurors. For every time that one of my colleagues who has been sued for something that was legit, there are dozens of lawsuits that are absolutely ridiculous. Legitimate negligence is actually very rare. And we are not Jesus Christ. We do our best and sometimes bad things happen despite our best competent efforts.

Another huge problem in our country that is driving up costs is the issue of what we must do when someone comes through our doors: We must save them. And we must do everything we can do to save them. When someone comes through our doors that "can't afford it," whether or not anyone in this country wants us to let them just croak, we cant do it. Even if we wanted to; and we don't because that's not what we do. If you're a carpenter, a plumber, a lawyer, etc, and a person comes and asks you to do a job for them and they can't afford it, you can say no. We can't do that and we never will - and people need to realize this: We didn't get into this line of work to sit on our hands and watch people die. The jewish guy laying on the side of the road may be an illegal from Israel, but every Samaritan Dr/Nurse is going to pick them up and do what they can for them because that's what we do. Medicine is different than the rest of the occupations. Our job is to save people's lives and we do it even if we don't like the shitty situation we've been put into. We take care of illegals and drug addicts and people who tried to kill themselves. We do our best to save them all because that's what we do: it's the moral and ethical thing to do - it is righteous.

That creates a huge problem. That means either everyone gets covered or we have to work for free. That means everyone else's costs go up. That means that many hospitals close if the government doesn't help them out. That means that Drs don't make enough money to justify 11-15 years of education if we don't charge the insurance companies more to make up for the uninsured. Or, we cover everyone.

A 3rd problem with the costs of American healthcare, is that it has been shown time and time again, that if you don't cover people, they don't seek preventative and routine care. Then, when the SHTF with their medical problems, Diabetes being a prime example, it costs 10x to treat them when they come into the ER than if we'd just bit the bullet and payed for them to have coverage. This is a big part of the reason that America has the BEST medical system in the world and the MOST EXPENSIVE medical system in the world, yet overall, have some of the POOREST OUTCOMES in the developed world when measured as a whole. Yes - Canadians live longer than us and have a higher satisfaction rating than us. You quote Britain? Japan, Sweden, etc, have very socialistic medical programs, have better outcomes, and have better satisfaction rates than American Medicine. And... they're far cheaper. Do they have some problems? Yes. But they consistently rate higher in user polls and when you measure the actual things that can be measured in outcomes, overall, America falls WAY BEHIND many other countries with socialized medicine - despite having the best medical staff and best medical equipment in the world.

None of us end up getting away from paying for this treatment because ultimately, the hospitals, the doctors, the nurses, etc, all need to get payed or they won't be open/work so the difference is made up on the people who do have insurance and Medicare/Medicaid.

It's all well and good to say, "get a job and buy insurance," but the fact of the matter is that some people never will and so that creates a Catch-22 in so far as we've still got to take care of these people and someone has to pay for it. And "let them die" is not an option.

Obamacare actually had a chance to be a good program that benefited the country. Unfortunately, they ignored the 3 things mentioned above and until we have a system that deals with the 3 things listed above, what we had before Obamacare, what we have with it, and what we'll have in the future will continue to cost more and not live up to its potential.

From: ben h
16-Jan-17
Josh, that was a poorly worded sentence on my part. If you're talking about latest technology, expertise, complex billing systems and highest cost, the US is by far on top and nobody even comes close. If you look at other metrics, like life span, infant mortality, etc, the US's stats really are not all that great. We are pretty close to Bosnia though, so we're not doing Africa bad, but basically every single European country beats us (and they pay way less too).

I still think the better model is socialized health care for everybody and if you want to flip the bill for better service, you can as long as your bank account allows. It's been stated before that we don't deny emergency care at the hospital (we shouldn't). The unpaid cost are already passed on to everyone else anyway whether it's increased premiums or taxes. I don't really care, it's still money out of my pocket and every developed nation in the world has found that it's cheaper to provide some access to everyone. The US's "free market" system has not proven itself to be the best delivery method in my eyes and we don't have the numbers to show for it.

16-Jan-17
"If we're talking about the combination of technical medical knowledge, and the latest high-tech medical equipment, can you tell me how many other countries in the world have a better quality of medical care than the U.S.?"

This is not the issue. Everyone agrees that we've got the best people, the best equipment, and the best institutions. The problem is that that system is bankrupting the country and the rate at which the costs are going up are not sustainable.

From: joshuaf
17-Jan-17
"If you look at other metrics, like life span, infant mortality, etc, the US's stats really are not all that great."

That may be true, but there is a lot more at work there than just the medical industry.

Immoral Culture, bad diet, and sedentary lifestyles have a lot to do with both of those things. I'd wager that a lot of 1st world countries are more healthy than America, but you can't put all of that on the medical system we have. There are probably a lot of countries where the populace has a much lower rate of obesity, diabetes, AIDS, drug addiction and a host of diseases, but it's not because they have better medical care, it's because overall they have a much healthier lifestyle than many Americans do.

"The problem is that that system is bankrupting the country and the rate at which the costs are going up are not sustainable."

That may be true also, but if you think the solution is "Socialism", then that is no solution at all. "Socialism" is never the answer. Socialized healthcare may bring up the standard of care received by many on the lower end of the income scale, but it always brings down the standard of care received by the rest of the populace. Is that fair? And if the Government can compel the populace to pay for the healthcare of "everyone", then where does the Socialism end? If it can be justified as acceptable there, then it can be justified as acceptable in many other areas of society as well. Show me the country with the best, most financially "solvent" Socialized healthcare system, and I'll bet you anything that a lot of people there do not receive the quality and availability of health care that they would currently receive in the U.S. Particularly senior citizens and those closer to the end of their lives. Sarah Palin has turned out to be half a nutcase, but she wasn't wrong when she warned about the "Death Panels" in Obamacare that she got so ridiculed about. There is no way to have a Socialized medical care system that can be both financially solvent and provide all healthcare needed to everyone. If there was, most countries would be using it. Therefore, value judgements have to be made about who doesn't get the care they need, to cut costs. And the people making those judgements won't be the patient or their families. Sorry, but I don't want to live in a country where someone tells me I don't have the right to decide whether to get necessary medical care to improve the quality of my life.

From: ben h
17-Jan-17

ben h's Link
There is a lot at play for some of those metrics and you're right that it's not fair to put all of that on medical treatment, but it is related. The World Health Organization doesn't think we have the best care either. The US is ranked #37, right above Slovenia and Cuba.

I think you could easily make the argument ours is already socialized. If we don't deny emergency care to those that can't afford it and then pass those costs to everyone else. I think that pretty much is the definition of socialism. True we don't do it in the form of a tax and then have the government pay the bill. Ours is way more inefficient, we have the government make us pay a middle man to mark it up before it pays for care. The insurance industry doesn't really care how much it costs either because they get a percentage so it's actually in their favor if it costs more. I don't know what you mean by "Solvent" system, because all of them cost money. 100% of them have a lower cost per person for treatment though; by a landslide. The standard of care for the public hospitals is definitely brought down, which is why they have private hospitals for those that can afford to pay for better service exactly like we have in the US. All industrialized countries except the US utilize this model.

From: joshuaf
17-Jan-17
Ben, any world ranking of healthcare that puts the U.S. right above Cuba is absurd.

Parts of the U.S. medical system are already Socialized medicine, you're right, but that doesn't mean we should pile more and more on top of that.

"All industrialized countries except the US utilize this model."

Not any that aren't Socialist (or worse) systems. Vastly moreso than the U.S.

Again: Socialism is not the answer.

From: joshuaf
17-Jan-17

joshuaf's Link
Great article from last week on this issue:

"The false narrative of “Repeal and Replace” is preserving Obamacare"

From: Mike in CT
17-Jan-17

Mike in CT's Link
Ben,

I'm sorry to say that your credibility just took a big dent on this subject; this link is but one of many that shows the bias of the WHO against the free-market healthcare system and especially against the US.

I'd suggest before you embrace the kind of statistics source that has liberals getting "tingles up their legs" you do a bit more research on the subject.

The WHO's statistics are best suited for gardening; they're more fertilizer than fact.

From: ben h
17-Jan-17
The exact ranking doesn't really matter, and I don't know all that went into the World Health Organisation's study, but the US is not even close to the top, despite having by far the highest cost. I think it's fair to say our system could use improvement in both regards. All industrialized nations have some degree of socialism built in, some take it further than others, but we have it here in the US. If it costs less money to have a public hospital to treat those and private hospitals for those that choose, I'm all for it.

ObamaCare wasn't a shift towards socialism, it was the insurance companies "golden ticket".

From: Glunt@work
17-Jan-17
We have 10X the population of Canada. How often do you here about Americans going there for treatment vs Canadians coming here for treatment?

When Americans go elsewhere for treatment, its usually not due to quality. Its to get medication or treatment that that our government either doesn't allow or has made expensive through regulation.

From: joshuaf
17-Jan-17
"If it costs less money to have a public hospital"

For starters, working on the assumption that you can have better quality care for everyone for less money is a falsehood. If it was attainable, every industrialized country in the world would be using such a system.

Secondly, it's not so much a question of "less" or "more" money. It's a question of "whose" money. It's a question of whether one wants to live in a Free Market or in a Socialist nanny state. I prefer the former.

From: Mike in CT
17-Jan-17
"The exact ranking doesn't really matter, and I don't know all that went into the World Health Organisation's study, but the US is not even close to the top, despite having by far the highest cost."

Wow....just an unbelievable, mind-blowing wow.....

You come on here and indict the US Healthcare system while citing a source that by your own words (see underlined text) you know nothing about how they compiled their rankings.

You know nothing about the metrics, was it an apples-to-apples comparison, what bias(es) may have been built into the rankings; in short you haven't a clue of how they actually calculated the rankings yet you post them as Gospel?

Do some real research into the subject and come back in about 6 months or however long it takes you to get over the embarrassment of realizing the exact scope of your ignorance.

From: TSI
17-Jan-17
If it's efficient,cheaper and allows people to choose as well covers every American isn't that the goal?

From: sixby
17-Jan-17
True liberality is to make sure everyone has health care. Promising to do that by lying about it like Obama and the Dems dis is politics as usual. We need to have people have availability to health care. Butttttttttttt We need to completely eliminate corruption and waste to accomplish that and we need to have competitive insurance between states. Get the special interests out of the way, eliminate waste in government and fire about 3/4 of the government employees and no problem.

God bless, Steve

From: TSI
17-Jan-17
Very interesting if you look around the world it is true the US is far behind all other industrialized and even many communist a dictator government health systems.Not trying to slight anyone but take a look it's true and some have even larger populations and or higher density populations.Satisfaction by citizens polls miles above US satisfaction rates.

From: Bentstick81
17-Jan-17
"Yet you post them as Gospel." Ya, i know somebody, on here, that does this daily. Guess who?

From: ben h
17-Jan-17

ben h's Link
Mike in CT, I'm a civil engineer and don't have a medical background, but I do have insurance, and it's a lot more than many other countries pay and I can't find any stat from any source that shows our system is measurably better by any metric. I assume there is for sure biases in any study which is why I don't think the exact ranking order really matters, it's not like we're talking about if the US is #1, or #2, we're pretty far down the list and pay the most was my only point.

I included the link to the executive board members of the WHO and they seem like a pretty credible group and I only cited their study as a reference, and freely admit I don't know what all went into it and I probably wouldn't understand most of it either. If their study has flaws and is wrong, I'm already over any embarrassment, it wasn't my study. The US has a representative on the committee too, so it's not like the US didn't have any input on it. If you know of another source, I'd be happy to read it, but I'm not going to make a career looking into this.

TSI, I'm also baffled by the resistance to this concept (unless of course you're the insurance industry, which is how we ended up with ObamaCare). I find it's sort of analogous to Public transportation, if the bus is fine for you, great use it, but if you don't like the bus, buy whatever kind of car you want, sure the ride on the bus has it's issues, but if all you're concerned about is getting from point A-B, it will get you there. For some reason this concept doesn't cause the same socialism outrage, yet if you replace bus with "public hospital" and car with "Private Care" in that sentence, it's pretty much the exact same thing. Many people in the US like to pretend that we have very little socialism, yet we actually have quite a bit, like all industrialized countries do.

17-Jan-17
Look at the VA in America of you are too confused to understand why a government healthcare program is a good thing. God Bless

From: TSI
17-Jan-17
Just curious,If you can definitively say what won't work!and what will and what everyone wants,What's the plan?

17-Jan-17
I don't now what the plan is. Which is why I'm nervous.

I'm not sure why you seem to take issue with AMERICANS saying they don't want Canadian style healthcare. You have claimed something so grand yet everything I've read about socialized healthcare claims different. Long waits, inferior care, etc....

Heath care in America is expensive. It was hard to afford before. Even harder now unless you don't work. What part of that keeps eluding you is beyond me. The more the government gets involved, the more expensive it gets. Free market is the cheapest way. Competition ensures that. If there were lots of choices for providers of health insurance, they will do the dirty work of debating health care costs for the insured, driving costs down. However, under federal law that demands those in need gets care regardless of their ability to pay, it will never be as cheap as socialized care. Nor will a free market system ever be as dismal.

As stated above, our costs are so high based on medical research and, the free riders. Entitlement programs of any sort has proven human nature will drag it down for everyone. Personally, if ever needed again, I don't want my healthcare second rate because a Canadian says it should be that way.

God Bless men

From: TSI
17-Jan-17
I don't care what system anyone uses just a very interesting conversation.Most Canadians are more than satisfied with healthcare but it has issues here too always being addressed.Inferior care?Not sure that's true,Lifespan and overall health is better so I think that's the key measure of a country's healthcare.less sick people means very few are in those seemingly famous lines.lol healthcare begins long before illness or injury in prevention measures most would skip if they are paying out of pocket for it.Imunizations are dropping to epidemic levels and diseases once thought defeated are comeing back.

From: ben h
17-Jan-17
WV, All these countries that provide some socialized medicine, also have a private sector and regular insurance just like we have, so if you don't want the longer wait or want better services, you can still go that route and many do.

The US forced to pay "free market" is the most expensive model not the cheapest and there are a lot of reasons for that, some of which you mentioned. My guess is the biggest reason is the insurance industry lobbyists smashed out the single payer idea pretty quick and created their no loose ObamaCare plan.

TSI, From a technical standpoint I be the US is near the top if not #1.

As stated I have no medical background, but I think we should emulate other countries systems who have as good or better patient outcomes at a lower cost, if that turns out to have some socialism components, I don't really care. I do not think this will happen due to the insurance industry who doesn't care what the costs are and they are very effective lobbyists.

From: TSI
17-Jan-17
Hacbow how am I illegal?two what freedoms am I denied as a Canadian?please clarify.Also are you saying Canadians are weak spined?Im curious what or who anointed you supreme judge of all?Maybe you should just put in words your version of an all inclusive healthcare bill that's cheaper and effective that satisfies all and then there's no debate at all.Seems simple!

17-Jan-17

WV Mountaineer's Link
ben, how many foreign people come here for serious surgery?

How expensive are the private policies in these other countries?

By cheapest I'm meaning for the working middle class. So, yes free market would be the cheapest system.

TSI, what is the population of Canada? 10 times more people in the USA is what I found. The average age of death is only three years difference with our 298 million more people. You are comparing apples to oranges. As satisfied goes, all I can say is what I've read.

Read the link. It sheds light on the whole subject. God Bless

From: TSI
17-Jan-17
No im not European countries collectively have more people and live longest in world.Add up the countries with longer lifespans and they all have socialized healthcare and collectively outnumber the US population many times over.just as a point.

From: TSI
17-Jan-17

From: joshuaf
17-Jan-17
"All these countries that provide some socialized medicine, also have a private sector and regular insurance just like we have, so if you don't want the longer wait or want better services, you can still go that route and many do."

That doesn't change the fact that someone has to pay for the medical care of the people who don't have insurance. That "someone" is you and me. That is Socialism. If you're okay with that, just say so.

From: TSI
17-Jan-17
If the cost of you contributing to a collective healthcare system is less than half of paying for your own where's the problem?

From: TSI
17-Jan-17
I'm makin ya look good eh Josh!lol

From: TSI
17-Jan-17
Mexico is going to pay for it!Dont bury yourself alive just to prove you can use a shovel!

17-Jan-17
TSI, I see you didn't read the link.

All the healthcare in the world will not change genetics, poor eating habits, poor diet, etc....

From: ben h
17-Jan-17
Josh, We already pay for it with our premiums and have for decades because hospitals can't deny care. Unpaid hospital bills are then passed on to everybody else who can pay (pretty much the definition of socialism). The difference is in the US, when a homeless person for example sprains their ankle, they can't go to a private clinic and receive a $200 bill (they can deny care), they can go to the ER for a $5k bill though (or whatever it costs). Take your pick, which one you want to pay, but your're already paying for the ER visits. I don't like the concept of denying care and I don't like the concept of paying for it either, but I'd take the smaller bill if we're going to pay for it anyway.

WV, I'm sure tons of foreigners come to the US for treatment, because technologically I'm sure we're cutting edge. If you got the cash, bring it! I have a friend in Germany who primarily uses the public system, but I know he has a private policy as well if something big happens. I'll ask what he pays and I'll bet it's way less than mine. Interesting article, I'll take a look at that. I think you're right Canada's population is about 1/10th of ours, but that shouldn't matter in terms of $/year/person in my mind, because they'd also have a smaller demand.

Hackbow, I think we were typing at the same time earlier. If we switched our system to emulate other countries with similar results and it costs less money, I'd gladly give up the freedom to pay more. I don't think the forced to pay "free market" is any way a legitimate free market. If we did go free market route and that proved to be the best/cheapest model, I'd definitely support that. Our model is not the best however it is the most expensive, so I'm okay with changing that up.

17-Jan-17
Before Obamacare, we were already paying for the medical care of the uninsured. It's called ERs, ICUs, CCUs, hospitals, etc, raising prices to insurance companies to pay for people they had to take care of for free and the government bailing out many hospitals that couldn't make ends meet due to a large portion of their patients not having insurance.

It was already happening. You were already paying for it. The problem is, that it's much more expensive to pay for someone's trip to the ER or stay in the ICU than it is to treat them out-patient in a clinic and prevent the SHTF visit to the ER/ICU.

It's a Catch-22 and we're already going to pay for it so why not do the smart thing and cover them and do it for 1/10th the price? I'll tell you why: Because you're fundamentally opposed to agreeing to a medical system that resembles socialist states. So you cut off the nose to spite the face. I don't like doing it either, but I have an ounce of pragmatism and am able to swallow my pride enough to realize when a hard-line stance is wrong.

Again, no matter what you do, if you don't cover everyone, then the uncovered people will continue to come to the hospital and rack up hundreds of millions of dollars of medical bills and they're going to continue to get taken care of.

From: TSI
17-Jan-17
Some could argue that by insisting on more expensive system vs a socialized system denies them of their right to choose!

17-Jan-17
(I had to edit.)

ben, why would cheaper, less than desirable healthcare plans be worth a hill of beans? Also, with the number of clinics and such in this country, healthcare is not hard to come by for the situations you seem to imply would be better suited for government plans. Also, With average premium costs under the ACA expected to go up this year another 65+% country wide, how can it be argued that this socialized idea is even doable. Much less more preferred. this is all the proof I need that cheaper, Socialized heath care is NOT superior to free market healthcare plans in anyway. It might be cheaper but, this is definitely a case of you get what you pay for. Your friend wouldn't have a private plan if that were not the case. Why that is being debated is beyond my comprehension.

Before being diagnosed with Cancer and, before the ACA really took hold, I was able to buy a family insurance plan that had a 80/20 coverage scheme, that offered a prescription plan, with all emergency room costs covered 100%, for $212/month. I am now denied affordable coverage since quitting that job. That's the way the cookie crumbles and I'm fine with it. But, you can take this to the bank from a guy who's been there and done it. If you need cutting edge health care, those premiums we had before the ACA, were WELL worth it in regards to a Socialized medical field that might be cheaper. And, is only suited for boo-boo's and setting casts. Under the ACA, these costs are even higher to individual buyers with plans that aren't even usuable due to high dedcutibles. God Bless

17-Jan-17
Ike, that's my whole point. If you are going to pay for it anyway, you might as well get better insurance plans. God Bless men

From: HA/KS
17-Jan-17

HA/KS's embedded Photo
HA/KS's embedded Photo

From: ben h
17-Jan-17
TSI, that was funny right there and after spending a sick day on the community forum I don't think many will get it.

WV, the ACA act is not socialized, it was a complete gift to the private insurance companies who can raise your rates as needed so it doesn't even matter what the costs are, in fact higher medical costs are better for them.

From: TSI
17-Jan-17
Free market healthcare is oxymoronic,The closest example of a country with free market healthcare are countries with no healthcare system.The US system is socialized but is the most expensive system because 10% of the population does not contribute to the tax base,endemic unhealthy lifestyles,Limitless malpractice suits,High drug costs,regionally fixed insurance monopolies,Excessive procedures,high rates of elective procedures,large numbers of returning veterans with war injuries,Expensive sports injury treatments do to a high number of professional sports teams relative to the rest of the world,Excessive salaries for medical personnel,Excessive cost for education and medical training,High cost of medical devices.Bottom line is a few are getting very wealthy and your paying for it!

From: TSI
17-Jan-17
There's no examples of countries with a system of free market healthcare except countries that exclude segments of the population.In those countries primarily third wold,no money,no treatment!So to argue that only a free market system can work,Is based on no examples known.

From: TSI
17-Jan-17
Also the US has 2.2 million persons in prison getting healthcare,double the prison population of China and three times Russia.per 100,000 people the US imprisons 740 People vs China imprisons 118.

From: Bowbender
18-Jan-17
"WV, the ACA act is not socialized,..."

Bzzzzzzzzzzzzzzzt. Wrong!! Those that cannot afford HC premiums on the exchanges are subsidized, the subsidy provided by the tax payer. Socialized.

18-Jan-17
You guys are arguing different things. No one said America had a free market system before. But, it was a heck of a lot closer than now.

Ben, when the government sets regulations determine who can and can't afford insurance, then yes, it is socialized. What part of being involved in the drafting is that not computing with you.

If you guys think it's so great than good for you. Ben, go to Germany. TSI, stay in Canada. Middle class America, as a whole doesn't share your sentiments. And in this case, that's all that matters. God Bless men

From: Amoebus
18-Jan-17
In the pure private healthcare system, who pays for the disabled?

From: Mike in CT
18-Jan-17

Mike in CT's Link
Better link for Ben to hopefully understand the issues I have with any citation of the WHO with regard to US Healthcare.

I used to have a great source from the Yale Journal of Medicine and Law but the article cited may have been archived as the link doesn't work. Regardless, this link exposes a lot of the problems in the citing of WHO rankings to measure the US Healthcare system by.

For clarity Ben, I don't expect you to be an expert; I'm a bit better versed as I've spent my adult life in the Healthcare sector, from the clinical, research and industry side and obviously have a greater stake in this issue than the average layman.

What I do expect though is that if anyone is going to disparage any institution they should at least have some familiarity with the source(s) they cite prior to referencing them as "proof" of a point. If the source is invalid the point is by extension invalid.

From: Amoebus
18-Jan-17
Trax - "The truly disabled are always cared for, and there would be provisions embedded within insurance premiums to do just that. We are talking about a miniscule amount and not a difference maker."

I know that they have been cared for in my lifetime (and probably everyone's lifetime on bowsite), but it wasn't always the case. With truly market-driven private health care, why would provisions for anyone else EVER be inserted, unless directed by government? I like that you have faith that this will be taken care of, but in a pure profit industry, I don't see it.

Numbers are probably higher than you are indicated. I see 50+ million self-declare as disabled. Half of those indicate they are seriously disabled. I would bet that 1/2 of those are truly too disabled to work (mentally, physically or both) - that still leaves 12 million people. In that population, I bet the medical bills are much higher than the general public.

Mike in CT - Who do you trust to give a valid indication of a countries medical efficiency?

Idyll - I like your take on this. I strongly believe in the regular exams/tests that the ACA has put in. I know 4 people (2 of which were uninsured before) in the last 2 years with pre-cancerous growths/polyps removed after a routine colonoscopy. That is not cheap, but colon cancer is a heck of a lot more. Sometimes you have to spend a little now to save a lot later. A pure profit driven industry doesn't handle this model well, IMO.

From: sixby
18-Jan-17
If healthcare is a right then home ownership and land ownerships are rights. Oh!! they are all rights, if I can afford them I can purchase them. What happened to this constitutional concept?

God bless, Steve

From: TSI
18-Jan-17
Trax most of what you described are rights in Canada!College tuition for families making less than $60,000 is free in Canada.If you need food it's free,if you need shelter it's free,if you need any basics there's programs that provide.Even kids that want to play sports there's programs that make sure no one is not able to play.

From: Mike in CT
18-Jan-17
Phil,

US News & World Report does a very good job at ranking US Hospitals; HealthInsight is a good source, and there are a number of other very good sources to gauge performance (JCAHO, CMS among a few).

What I don't trust is a world-wide organization with built-in biases guaranteed to skew the performance of US Healthcare. I'm not fond of hatchet jobs regardless of who's playing Paul Bunyan.

From: TSI
18-Jan-17
Governments are consistently judged as good or bad by the US on how it looks after its people!Now it appears that all the countries that provide for its population are also bad!Keep in mind there is no known nation that has a free market healthcare system that provides for all equally!Ethiopa has a free market healthcare system!!No money =no treatment.The US is a socialized system and always has been it's only in need of some adjustment.No one denies that the US is the envy of all in regards to quality of doctors and technology but if people can't buy it it may as well not exist for some!Given the quality is already in place making it affordable and efficient for all would put the US In a unique position in the world.

From: TSI
19-Jan-17
Why not I was a scratch back in the day!

From: joshuaf
19-Jan-17

joshuaf's Link
Apparently, some Republicans in Congress and even some people in Trump's administration have no idea what he was talking about when he said: "It’s very much formulated down to the final strokes".

At the link:

"After Trump’s Washington Post interview this past Sunday, the conservative health-care universe, including some people on Trump’s own team, quickly concluded that the separate administration plan he described was entirely a figment of Trump’s imagination"

Either he's been working on a super double secret probation legislation proposal he's told almost no one about, or this is another example of what he calls "truthful hyperbole" (AKA lying).

From: Bentstick81
19-Jan-17
Hot Air? That's exactly what you are josh, HOT AIR. 8^)))

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