myiW Current Conditions and Forecasts Community Forums Windsurfing Videos Buy and Sell Services
 
Hi guest · myAccount · Log in
 SearchSearch   ProfileProfile   Log in to check your private messagesLog in to check your private messages   RegisterRegister 
Dhimmitude and Healthcare
Goto page Previous  1, 2, 3 ... 11, 12, 13, 14, 15  Next
 
Post new topic   Reply to topic    iWindsurf Community Forum Index -> Politics, Off-Topic, Opinions
View previous topic :: View next topic  
Author Message
stevenbard



Joined: 11 Nov 1993
Posts: 4229

PostPosted: Sun Oct 24, 2010 6:11 pm    Post subject: Reply with quote

The reason $1.7 trillion in profits haven't been repatriated, and small business hasn't been hiring is fear. Fear of taxes, fear of regulation, fear of populism.

A business friendly admin, lower corp and cap gains rates, reduced regulations, friendly faces would do alot of good.

I'd be happy to remove most of the Bush rates, if we'd only get rid of the Marxists from our government, stop the redistribution diatribe, and cut spending to 2007 levels.
Back to top
View user's profile Send private message
coboardhead



Joined: 26 Oct 2009
Posts: 1960

PostPosted: Sun Oct 24, 2010 6:20 pm    Post subject: Reply with quote

Keycocker said

Quote:
What exact things could be brought into health care that would address these issues you have kindly identified for us? esp.over the short term so they get better acceptance?


This is not, obviously, an easy thing to answer.

The most important aspect of the HC plan is that it is universal. Everyone is involved in the system.

Now, IMO, an number of things need to change to reign in on our healthcare woes and costs and make this plan successful.

Provider Care costs need to be reduced:

1. Provide clinic based care (public and/or private) to provide basic health maintenance and screening. Target clinics near needy populations.
2. Reduce insurance claim costs by establishing more rigorous cost control of the entire treatment rather than concentrate on individual provider services. Rewards more efficient systems for delivery.
3. Group care to treat single diagnosis (diabetes, heart disease, schizophrenia etc) patients in a group environment. Counceling, education and medications can be efficiently administered. Patients can be referred on as needed.
4. Reduce "procedure" based payments to providers that allow minimal patient time.
5. In hospital clinics to reduce ER costs.
6. Establishment of treatment protocols to reduce frivolous lawsuits and defensive medicine. Limit malpractice awards.
7. Capitation of Medicaid often leads to a higher level of administration vs care. Capitation requires monitoring of results.
8. Electronic medical record system should be developed and maintained through private companies directly contracted to the US Govt. to provide consistent and reliable records.

Our population is too unhealthy:

1. Nutritional education begins early.
2. Health care premiums based on healthy lifestyle choices ie credits given when weight is lost, blood sugars lowered.
3. Preventative care.
4. Sin taxes.
5. Funding that targets unhealthy populations for recreational facilities, health clubs, school programs. Reduce insurance premiums for participation.
6. Mental health treatment can reduce other medical costs.

Too much expectation of health care technology.

1. Surgery choices discouraged when physical therapy outcomes yield similar results. (some back surgeries, tendon surgeries,total knees).
2. End of life medical care often yields little to no benefit.
3. Overuse of imaging (xray, MRI) because of availability even when not indicated by treatment but expected by consumer.

Too much consumer driven madness

1. Low and no copayments encourage overuse of the system. Provide low cost preventative care, but treatment care requires co-payment to encourage patient participation in the treatment.
2. Health Care Savings plans encourage consumer direction of care. Mandatory insurance should include these plans.
3. See your OWN doctor whenever you want is a luxury. If this desired, pay more for a plan that allows it.

None of these are my ideas. They are being implemented throughout. Large HMO's are leading this now.
Back to top
View user's profile Send private message
stevenbard



Joined: 11 Nov 1993
Posts: 4229

PostPosted: Sun Oct 24, 2010 6:40 pm    Post subject: Reply with quote

coboardhead wrote:
Keycocker said

Quote:
What exact things could be brought into health care that would address these issues you have kindly identified for us? esp.over the short term so they get better acceptance?


This is not, obviously, an easy thing to answer.

The most important aspect of the HC plan is that it is universal. Everyone is involved in the system. BIG BROTHER
Now, IMO, an number of things need to change to reign in on our healthcare woes and costs and make this plan successful.

Provider Care costs need to be reduced:

RATIONING #2,4
1. Provide clinic based care (public and/or private) to provide basic health maintenance and screening. Target clinics near needy populations.
2. Reduce insurance claim costs by establishing more rigorous cost control of the entire treatment rather than concentrate on individual provider services. Rewards more efficient systems for delivery.
3. Group care to treat single diagnosis (diabetes, heart disease, schizophrenia etc) patients in a group environment. Counceling, education and medications can be efficiently administered. Patients can be referred on as needed.
4. Reduce "procedure" based payments to providers that allow minimal patient time.
5. In hospital clinics to reduce ER costs.
6. Establishment of treatment protocols to reduce frivolous lawsuits and defensive medicine. Limit malpractice awards.
7. Capitation of Medicaid often leads to a higher level of administration vs care. Capitation requires monitoring of results.
8. Electronic medical record system should be developed and maintained through private companies directly contracted to the US Govt. to provide consistent and reliable records.

Our population is too unhealthy:

MORE BIG BROTHER
1. Nutritional education begins early.
2. Health care premiums based on healthy lifestyle choices ie credits given when weight is lost, blood sugars lowered.
3. Preventative care.
4. Sin taxes.
5. Funding that targets unhealthy populations for recreational facilities, health clubs, school programs. Reduce insurance premiums for participation.
6. Mental health treatment can reduce other medical costs.

Too much expectation of health care technology.

LOWER EXPECTATIONS AND RATIONING WITH DEATH PANEL #2
1. Surgery choices discouraged when physical therapy outcomes yield similar results. (some back surgeries, tendon surgeries,total knees).
2. End of life medical care often yields little to no benefit.
3. Overuse of imaging (xray, MRI) because of availability even when not indicated by treatment but expected by consumer.

Too much consumer driven madness

1. Low and no copayments encourage overuse of the system. Provide low cost preventative care, but treatment care requires co-payment to encourage patient participation in the treatment.
2. Health Care Savings plans encourage consumer direction of care. Mandatory insurance should include these plans.
3. See your OWN doctor whenever you want is a luxury. If this desired, pay more for a plan that allows it.

None of these are my ideas. They are being implemented throughout. Large HMO's are leading this now.
BUT NOT PPO'S
Back to top
View user's profile Send private message
coboardhead



Joined: 26 Oct 2009
Posts: 1960

PostPosted: Sun Oct 24, 2010 7:18 pm    Post subject: Reply with quote

Stevenbard responded

Quote:
RATIONING #2,4
2. Reduce insurance claim costs by establishing more rigorous cost control of the entire treatment rather than concentrate on individual provider services. Rewards more efficient systems for delivery.
4. Reduce "procedure" based payments to providers that allow minimal patient time.

LOWER EXPECTATIONS AND RATIONING WITH DEATH PANEL #2
2. End of life medical care often yields little to no benefit.

BUT NOT PPO'S


2. Providers are compensated by billing units (cost codes). Medicare, often, will only look at the individual charges to approve payment without regard to why the overall costs to treat a disease or illness are high. This is bad management!
4. A radiologist can make a million a year. An internest maybe 200k. Negotiation of contracts with insurance on units of care often favor non-time-dependent contact with patients. Thus the big pay diff.

2. End of life. If you have not witnessed this process, it is hard to understand. I have 3 times in the last couple years. Our system is illprepared to deal with it in any other way than spend money to NO benefit in my experience. Please read Dick Lamm's book.

PPO's can work with larger practices. Contracts are difficult with solo practice. Too much paperwork.
Back to top
View user's profile Send private message
swchandler



Joined: 08 Nov 1993
Posts: 5891

PostPosted: Sun Oct 24, 2010 7:30 pm    Post subject: Reply with quote

Bard, you must think that we're stupid.

There's much that's true about what coboardhead said, but restructuring what he said with your nonsense is untoward and inappropriate. But honestly, I don't think that you recognize that. You're not interested in reform and accountability.

Just what are you interested in, other than your own profit and a truly questionable agenda?
Back to top
View user's profile Send private message
keycocker



Joined: 10 Jul 2005
Posts: 3457

PostPosted: Sun Oct 24, 2010 7:53 pm    Post subject: Reply with quote

Co,
Thanks for a thoughtful answer to a question with no easy answer.
Back to top
View user's profile Send private message
isobars



Joined: 12 Dec 1999
Posts: 14321

PostPosted: Sun Oct 24, 2010 8:00 pm    Post subject: Reply with quote

coboardhead wrote:
The most important aspect of the HC plan is that it is universal. Everyone is involved in the system.


That will require a favorable Supreme Court decision and/or a Constitutional Amendment.
Back to top
View user's profile Send private message
MULLDE102f



Joined: 15 Jun 1997
Posts: 91

PostPosted: Sun Oct 24, 2010 8:29 pm    Post subject: Reply with quote

isobars wrote:
"my VA disability pension "

Come on, Mike,

We're waiting for an explanation.....

Sure looks like you're scamming the system, along with all the people you despise in your posts.
Back to top
View user's profile Send private message
keycocker



Joined: 10 Jul 2005
Posts: 3457

PostPosted: Sun Oct 24, 2010 8:57 pm    Post subject: Reply with quote

Limbaugh always ranted that drug users should get the death penalty, because he had a bad oxycontin habit that was growing until his connection turned him in.He was an true expert on drug abuse at his trial.
Now-Radio silence on the subject.
Iso is an expert on welfare scammers but he hasn't said where he gets all that info.
Back to top
View user's profile Send private message
coboardhead



Joined: 26 Oct 2009
Posts: 1960

PostPosted: Sun Oct 24, 2010 9:23 pm    Post subject: Reply with quote

Stevenbard said

Quote:
I'd be happy to remove most of the Bush rates... and cut spending to 2007 levels.


Amen - I think you WILL be happy in a couple years.

Of course, we will have to add the $200 Billion (Estimated) a year on the interest left over from the Bush term; and more to pay off the stimulus package necessary to keep us afloat after the financial crisis.

And, we need to adjust government spending compared to the GDP.
Back to top
View user's profile Send private message
Display posts from previous:   
Post new topic   Reply to topic    iWindsurf Community Forum Index -> Politics, Off-Topic, Opinions All times are GMT - 5 Hours
Goto page Previous  1, 2, 3 ... 11, 12, 13, 14, 15  Next
Page 12 of 15

 
Jump to:  
You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot vote in polls in this forum
You cannot attach files in this forum
You cannot download files in this forum

myiW | Weather | Community | Membership | Support | Log in
like us on facebook
© Copyright 1999-2007 WeatherFlow, Inc Contact Us Ad Marketplace

Powered by phpBB © 2001, 2005 phpBB Group