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View Diary: Human Lives Lose To Bean Counters: High Risk Pools Closed to New Applicants (117 comments)

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  •  We need better cost controls on health care (10+ / 0-)

    and insurance premiums.  These companies are going to keep gouging patients and the federal government until ACA is abandoned.

    They know that, eventually, ACA is going to change the way they do business and force them to keep costs under control.  They wrongly assume they can't operate in that kind of environment, but they can - they have to.

    It reminds me of the fuss the medical community kicked up decades ago when Medicaid and Medicare forced docs and hospitals to switch to a system of coding medical procedures and health care services so a cost could be assigned to each.  They insisted there was no way that could be done, that health care practices were so esoteric you could never assign services and procedures specific categories.  It was as if one doctor's 10 minute consultation with a patient was different from every other doctor's and needed to be priced accordingly.  

    They were wrong then, they're wrong now.

    Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

    by Betty Pinson on Sat Feb 16, 2013 at 09:53:25 AM PST

    •  Yes, you are right about (0+ / 0-)

      there being no cost controls. But are the ways they will  control costs going to be things we like. For example, denying transplants for elderly, or certain tests or procedures...all to stay within the costs government will allocate. And how does that keep good doctors, when a lying SOB on Wall Street will make more than they do? I don't want the bottom 10% of their class from med school doing heart surgery. Are these sacrifices we are willing to take to control costs? Maybe...maybe not. That is why I would like to see the insurance remain alive and viable, because I want options when non others are given. I just don't want to be forced to buy their coverage as a means to any care.

      •  They'll follow evidence-based medicine (2+ / 0-)
        Recommended by:
        kareylou, Brooke In Seattle

        The new guidelines will reward docs for following practices that support the proper care based on scientific evidence.  That means there will be much less unnecessary testing and treatments that aren't effective.

        You would be surprised at how much money is wasted on redundant and/or unnecessary testing, for example.  From what I've seen, the oversight of these practices is good.

        Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

        by Betty Pinson on Sat Feb 16, 2013 at 12:59:58 PM PST

        [ Parent ]

      •  You know, transplants are often denied now. (0+ / 0-)

        To the elderly. To those with cancer, or who have had cancer within five years. To those with bad teeth. To those with high-deductible or otherwise inadequate insurance. To the poor, including those on Medicaid, in some states. To those who use a certain prescription drug, legally prescribed by a physician and used as prescribed (medical marijuana). To those whose lifestyle choices the translant program doesn't agree with, including those who have more than one sex partner. To those who are very ill. To those who are too fat or too thin. And the list goes on.

        All this without the cost controls you reference. It ought not to be that much worse with the cost controls in place than it is now, at least as far as transplants are concerned.

        Organ donors save lives! A donor's kidney gave me my life back on 02/18/11; he lives on in me. Please talk with your family about your wish to donate.

        Why are war casualty counts "American troops" and "others" but never "human beings"?

        by Kitsap River on Sun Feb 17, 2013 at 12:53:39 AM PST

        [ Parent ]

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