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View Diary: Healthcare Reform and the Economy (160 comments)

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  •  We aren't getting the best healthcare now (0+ / 0-)

    if you measure it by outcomes data, life expectancy, etc. That is very clear even if as you keep trying to push the idea that this is the "best country in the world." But whatever. And you still dodged the question of whether you would be willing to shoulder the true costs of that kind of care.

    But hey, the risks are spread evenly in your community, as you say it should be - but you are unwilling to say that you would give up one iota of what you think you deserve.

    Pardon me for sounding like I'm attacking you personally. It isn't personal, I've heard way, way, way too many people make exactly the argument you're making. I want what I want, and damned the expense, because we are the "best country in the world." But damned if I'll really pay for it.

    And that is why we can't achieve real reform in this country. And why so many people remain uninsured. Even in your home state of New Jersey. Even in mine which has similar restrictions.

    There is no such this as "efficiencies." People have been saying for years, for example, that they are going to cut the cost of government by getting rid of "waste" and "bureaucracy" and "abuse." How well has that worked, eh?

    What you are proposing for healthcare is the same thing. But you'd need to provide more specifics of what can be cut, what can be provided in terms of efficiencies, before it means anything more than a bunch of hot air.

    Frankly, look at yourself in the mirror and ask yourself if you really want reform. Be honest with yourself. Really.

    From everything you've said, and as you've pointed out, your view is pretty common, if it means that you'd lose even one iota of what you've got, you couldn't frankly give a damn if other people are uninsured. Unless it could be proven to you that it raises your costs (and that data is out there.)

    And so it is with the majority of the citizens of the "best country in the world...."

    Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

    by stitchmd on Sun Jul 26, 2009 at 12:54:53 PM PDT

    [ Parent ]

    •  As someone who unfortunately... (0+ / 0-)

      has had to consume way too much healthcare for me and my family I can tell you the incredible waste of the system that has nothing to do with choosing inferior care to save money or forcing people to wait months for "elective surgery"

      Examples are:  

      1. Keeping patients in the hospital for extra days until their drains stop draining rather than sending them home when they are ready and having a nurse practitioner visit you for 3 visits to make sure your drains are clearing.  When I had surgery they had to keep me in the hospital when I was feeling fine for 5 extra days until the drains stopped draining.  Even then they took one drain out too soon which caused me to have to be re-admitted into the hospital for another 5 days with complications.  Why did they rush trying to take that drain out...because I was over the allotted time in the hospital on a negotiated fee for that procedure.  So if they did what they did for my wife and just train me and or give me some nursing support at home, I could have saved money, been more comfortable and there would have been no pressure to take out the drains early.  Total cost of the procedure/hospitalization $250K total additional cost $50K.

      There are numerous examples that could have cut down my considerable medical expenses while improving quality and not having to choose an inferior procedure due to cost considerations...

      Obama - Change I still believe in

      by dvogel001 on Sun Jul 26, 2009 at 04:40:20 PM PDT

      [ Parent ]

      •  when I was in residency (0+ / 0-)

        and later, we had good access to home health care, and we'd send people home all the time with the kind of care that you are talking about. Then some people came in to cash in on it, and then started bragging about how much money they made on it, and all of a sudden the coverage was cut back dramatically or eliminated.

        The whole issue of readmission to the hospital has to do with an inadequate system for outpatient care and lack of communication between inpatient and outpatient doctors, which has only gotten worse with the rise of the hospitalist movement (I'm not opposed to this, btw, but it requires good communication) and turning over most post-operative care to mid-levels, the frontpage diary on PAs notwithstanding. Until we address that problem, we're going to have problems with hospital readmission rates.

        System is FUBAR.

        Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

        by stitchmd on Sun Jul 26, 2009 at 04:46:51 PM PDT

        [ Parent ]

        •  And we come full circle... (0+ / 0-)

          in my wife's case it is all coordinated and they are all part of the treatment plan from there is no waste, fraud and abuse...they planned 3 visits, we needed 3 visits, insurance approved 3 visits...and that is the way it should be...

          Obama - Change I still believe in

          by dvogel001 on Sun Jul 26, 2009 at 05:19:10 PM PDT

          [ Parent ]

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