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  •  cm, this is really an issue for me in all (4+ / 0-)

    the RW crap on what will happen to health care if we let the government do the funding. There is absolutely no plan to turn the government in to the sole provider - true socialism.

    Meanwhile the 12+ million health care workers, especially at professional levels, are completely marginalized.

    Doctors and nurses cooperating with death panel decisons? Give me a F***ING break. We already spend way more time fighting with the insurance bureaucracy than Medicare for authorizations and against denials - taking away the time for caring for our patients. We appear disinterested and lacking in empathy when it is often due to working under time constraints and not being able to get approval for tests or treatments we know the patient needs.

    A large majority of us did not go into these professions to earn big bucks, nurses especially. The small group, mostly high paying specialty surgeries, that doesn't want to settle for less than mega salaries can go to other jobs. There were plenty of pre-med students that didn't get into med school because of altruistic values and less money. Which would not have interfered with them becoming excellent physicians.

    "People, even more than things, have to be restored, renewed, revived, reclaimed and redeemed; never throw out anyone. " Audrey Hepburn "A Beautiful Woman"

    by Ginny in CO on Mon Jul 16, 2012 at 02:40:35 PM PDT

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    •  Of course extending Medicare to all would make (5+ / 0-)

      the government the sole payer, not provider, but no, there is no plan as yet but eventually I believe we will get there.

      Speak out any chance you get. When they talk about "rationing", you're one of the people who can say "hell yes we already have rationing, and it's being done by insurance companies!". Insurance companies, not the ACA or government, is what gets between patients and their health care team. It gets between them at every turn they can.

      My last fortune cookie was a The Nephew sockpuppet. equalitymaine.org

      by commonmass on Mon Jul 16, 2012 at 02:56:37 PM PDT

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      •  You think we will get to fully socialized ? (3+ / 0-)
        Recommended by:
        BusyinCA, Justus, commonmass

        I can't see that any time soon. It's as big as trying to turn the USPS and public schools private. Now, depending on how much the financial, climate and other disasters collapse our world as we know it, anything is possible.

        I've been in this fight since the mid 80's.  I have some choice stories about tests the insurance flaks would not approve. One went all the way to our specialist talking to their doctor who immediately acknowledged the test was appropriate. The clinic specialist then suggested their doc should 'educate your people.'

        My rationing response starts with the ins companies vs medicare. Insurance companies ration. Medicare works with all kinds of professional groups, providers, researchers, etc. to establish standards of care based on outcome based evidence. Appropriate care is not rationing, it helps control unnecessary testing and treatment which is often fraud. They are more flexible about appropriate changes because cost is not driving their decision.

        Medicare's fault area is DME. I think that can be changed easily, especially when the overall costs goes down.

        "People, even more than things, have to be restored, renewed, revived, reclaimed and redeemed; never throw out anyone. " Audrey Hepburn "A Beautiful Woman"

        by Ginny in CO on Mon Jul 16, 2012 at 06:21:21 PM PDT

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