Health care: Shriner hospitals in trouble

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Patrick Degan
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Re: Health care: Shriner hospitals in trouble

Post by Patrick Degan »

Darth Wong wrote:I honestly don't understand how people in the world's wealthiest nation can put up with this. Not everyone is lucky enough to get free care from these Shriner folks, as welcome as their help is.
"Better Dead than Red" —that's the way it is for literally millions of Americans as far as their thinking goes. Better Dead than Red.

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Re: Health care: Shriner hospitals in trouble

Post by Patrick Degan »

Stark wrote:
Sea Skimmer wrote:No sometimes they would just die. If you can’t pay anything and you don’t have insurance you just won’t be able to get certain expensive treatments at all. Hospitals must provide emergency stabilizing care and that kind of thing, but they don’t have to give you 100,000 dollars in chemotherapy (no idea if that’s what it costs but just go with it) even if they do diagnose you with cancer. Organ transplants are another thing you wont be able to get, but then the supply of organs is always much smaller then the demand already.
Whoa, really? You mean, the doctor comes in and says 'pay or we stop treatment'? That's pretty stunning.
Oh yes. Believe it.

I've got friends in a midwestern state. Dedicated Republicans, voted Bush the Stupider and McCain in three elections, loyal FoxNoise viewers, and do they ever eat up Sir Porkalot's shit on the radio like it was foie-gras. They've got their own business and their own little plot of farmland (very little, just enough for a nice sized back-garden; they never moved there to be farmers —oh, and they're still paying a mortgage on it). The nasty little trick waiting in ambush is that one of them has MS and needs a very expensive prescription for Avonex so she can keep functioning reasonably. I'm just wondering how they're going to deal with the day the insurance company says their coverage is up and drops her like old chewing gum into the gutter. And that day will be coming eventually.

I really wonder how willing either of them is to die for the ideal of the Free Market™.
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Re: Health care: Shriner hospitals in trouble

Post by Darth Wong »

It seems to me that Free Market Fundamentalists would rather be completely screwed by a private corporation than mildly inconvenienced by a government.

How anyone can howl in righteous contempt of "waiting lists" when their own system casually drops millions of people by the roadside is simply incredible to me. And the "horror stories" they cite from Canada are rarely shown honestly. In many cases, they take someone who got on a waiting list who claims that his situation is urgent and life-threatening and should be bumped to the head of the queue, but whose doctors disagreed. Of course, it's a simple matter to find a free-market doctor who will tell them what they want to hear, especially since it means more money for him ... and then FOXNews pounces on it, claiming that "this doctor agreed that he should not have been made to wait".

It's bizarre how they will look for any conceivable example of a "horror story" from Canada no matter how much they must exaggerate or distort it, and then they turn around and simply ignore the far more horrible and voluminous stories from the US. Why don't they consider it a tragedy when some under-insured person is completely screwed in the US?
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Re: Health care: Shriner hospitals in trouble

Post by PainRack »

Stark wrote: Whoa, really? You mean, the doctor comes in and says 'pay or we stop treatment'? That's pretty stunning.
From what I understand, the US hospital or clinic simply doesn't grant you admission without an adequate payment scheme....

To be honest, I have no problems with small co-payments, hell, you're paying for the quality of the docs, but there is no plausible way any person can afford the critical diseases stages even with insurance.

Ooh, did I point out that private insurance like Prudential,East Asia and the like, their payment for said critical illnesses comes......... AFTER a year of diagnosis and treatment? And IIRC, its not the full payment benefit you get when you signed up for the preniums. The sum is spread out over several years.
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Re: Health care: Shriner hospitals in trouble

Post by Darth Wong »

No wonder the Americans thought it was so important to "get the credit flowing again". For a lot of people, easy credit is a matter of life and death.
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Re: Health care: Shriner hospitals in trouble

Post by PainRack »

MarshalPurnell wrote: People selling universal health care in the US have been enormously incompetent at countering this message. They tend to stress their limited, moderate aims of insuring everyone has some form of coverage, or at most claim that universal health care will be better than the present system in some vague sense. People who are not presently struggling with major health issues are apt to be complacent and to take the present system for granted, without recognizing any of its flaws, and are therefore vulnerable to the scaremongering of forces opposed to any government role in health care. Simply put most Americans do not realize how broken the system really is and won't until they're facing the enormous bills and looming bankruptcy of a disaster. They don't think that their health care is already going to be rationed, not in the public interest, but by private sector bureaucrats out to insure healthy profits for their bottom line. The structural-economic benefits of relieving employers of the need to provide expensive private health insurance by granting universal health care under the government is never even brought up in the debate. That we already spend enormous sums of money on the inefficiently structure Medicare and Medicaid, and that requiring hospitals to eat the costs of emergency room visitors that can't pay, is not used to show how absurd the compromises of our present system are. In short there are a great many arguments that can be used to undermine the "raa, raa free market good, government evil" approach taken by opponents of universal health care that simply are not made.
Head over the spacebattles...... The current healthcare debate there will once again argue that Medicare and Medicaid is WHAT is distorting the US health system and causing the problems.
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Re: Health care: Shriner hospitals in trouble

Post by The Yosemite Bear »

Hell I'm union, I'm biased, currently I have one of the better US healthcare plans, and we have to fight to keep it every three years during contract time. I would hate to be a normal health consumer. Mind you a year ago, I was wearing my Union tee, while driving an injured friend around for a supply run, that took us into a Walmart, the management thought I was trying to organize and asked me to leave. :angelic:
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Re: Health care: Shriner hospitals in trouble

Post by Darth Wong »

What exactly do the spacebattles right-wing retards think would happen if you killed Medicare/Medicaid? Would the free-market somehow produce a magical new kind of corporation which can somehow generate profit by giving expensive medical services to people who can't afford to pay for them? Maybe they can create some more new "financial products" to do this. Let's call each new medical procedure a "credit", and then we can bundle them and sell them as collateralized debt obligation packages!

I can tell you what would happen if we killed Medicare/Medicaid. People would start dying. En masse. This would eliminate the problem by eliminating the people. So they're right, in a sense: the free market does have solutions. They just aren't tolerable ones.
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Re: Health care: Shriner hospitals in trouble

Post by The Yosemite Bear »

Not to mention they have been known to Dump patients on skid row, who come in via ER/paramedic cases. At least in LA they have.
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Re: Health care: Shriner hospitals in trouble

Post by K. A. Pital »

Darth Wong wrote:They just aren't tolerable ones.
Maybe for you they aren't, but for the "rugged individualists"? It seems they are perfectly aware people will start dying, they just don't care.

What people often don't realize is that arguing from a moral standpoint, and adressing someone who doesn't share your system of morals is simply useless. That's like telling a fundie that abortion is a legitimate medical operation and trying to argue it from moral grounds.
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Re: Health care: Shriner hospitals in trouble

Post by Glocksman »

The one real economic advantage my unionized workplace (TJ Maxx distribution center) has over a non union DC is benefits.
Namely health insurance and payments to a union pension fund.

As of June 1st, I now make $13.20/hr.
My health and dental insurance costs me approx. $30/week.

Two years ago, my insurance was 100% coverage for hospitalization, $20 office visit copays, and $10/$25 prescription coverage.
Under our new contract, it's a 90-10 plan with a max of $500 'out of pocket' per contract year.

As a certified PIT (powered industrial truck) operator, I can even today get a job in a non union shop making the same wages.
The problem is that the non union shops have insurance that frankly sucks ass in comparison to what I currently have.

Frankly my support of UHC is largely based on selfish reasons.
Those reasons being that thanks to my artificial heart valve and lifetime need for coumadin and INR level monitoring, I'd fucking die without some form of insurance coverage.

As for the 'LOL, Canuck healthcare sux' bullshit being put out, let me point out that my 90 year old grandmother in Edmonton recently collapsed in her apartment.

Thanks to the excellent care she received, she not only survived where she was initially expected to die, but she went home within a week of admission to the hospital.

The fact that the purveyors of the 'Canada rations health care' trope miss is that the US does the exact same fucking thing.
The difference is that instead of being factual based rationing WRT treatment efficy and patient age, it's rationing based on insurance coverage or private wealth.
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Re: Health care: Shriner hospitals in trouble

Post by Questor »

The Yosemite Bear wrote:Not to mention they have been known to Dump patients on skid row, who come in via ER/paramedic cases. At least in LA they have.
King-Harbor was a shithole. It was a disgrace that people weren't jailed for that.
The Yosemite Bear wrote:Hell I'm union, I'm biased, currently I have one of the better US healthcare plans, and we have to fight to keep it every three years during contract time. I would hate to be a normal health consumer.
This is one of the truest statements I've seen in a while.

The only insurance I've ever had is through a union shop. For a long time I assumed that all health plans were like the one I have. I had a real awakening when I was talking to another student at college and realized that those student plans aren't anything like what I have.
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Re: Health care: Shriner hospitals in trouble

Post by Lost Soal »

Minischoles wrote:
What's it actually like with a proper national healthcare system? Do you pay anything to visit the doctor? What about prescriptions, or surgeries?
You only pay for everything indirectly (anytime you get a paycheck, a percentage of it goes towards your National Insurance), which you don't pay as a student, as a pensioner or if you're unemployed obviously. You are never actually paying beyond being taxed throughout your working lifetime, but for that you get essentially unlimited care (the more expensive drugs and treatments can be denied in some cases), you can visit a Doctor with a complaint at anytime, your surgery and hospital stay will never cost you anything extra.
Prescriptions do cost a very small sum (£7.20 as of this April, so about $11), but even then theres a ton of exemptions to that; people over sixty, children under sixteen (or under nineteen if the child is still in full time education), patients with certain medical conditions and those with low incomes are all exempt from paying even that nominal charge. And thats regardless of the medicine you're being given, it can be a simple migraine tablet or a cancer medication, its still the same.
In addition to that, if your receiving constant prescriptions with lots of items (The £7.20 is per item) you can buy a pre-payment certificate for 4 or 12 months which then covers all prescriptions. The costs for prescriptions and certificates in Scotland are about a third that of England, however the Scottish pre-payment can't be used in England.

Just to add, I've been to hospital after a small accident at work and received an x-ray, no charge and been referred to and had regular visits to a dermatologist for no charge.
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Re: Health care: Shriner hospitals in trouble

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Glocksman wrote:The one real economic advantage my unionized workplace (TJ Maxx distribution center) has over a non union DC is benefits.
And the major downside is you get treated like crap; like the official line is "okay fuck, we have a union worker and all these damn benefits, lets milk the fuckers for all they're worth"

UPS (Teamsters): Okay son, unload this 40 foot tractor trailer in 30 minutes, then go on to do another, and another, and another. Oh, did I mention you're by yourself with no assist? Don't worry, the tractor trailer is on an incline! And there's a roller system in the bottom! Easy money!

Electrician (IBEW): "Oh, I'm sorry, but if I want to teach you how to be an electrician, you have to stay after completing an eight hour shift...."

Letter Carrier (RLCA): TIMED TIMED TIMED. Every fucking thing is timed.

And from what I've read on Postal Worker message boards, the only thing a Union does is set it up so that "Management" workers are eternally at war with "Craft" workers. Incredible amounts of bad blood on all sides; and a sense of entitlement by the Union -- excuse me, we're FUCKING GOVERNMENT WORKERS, we have to swear an oath to uphold the Constitution against all enemies, foreign or domestic:

I do solemnly swear (or affirm) that I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office on which I am about to enter. So help me God
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Re: Health care: Shriner hospitals in trouble

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Darth Wong wrote:I can tell you what would happen if we killed Medicare/Medicaid. People would start dying. En masse. This would eliminate the problem by eliminating the people. So they're right, in a sense: the free market does have solutions. They just aren't tolerable ones.
That, or crime rates would skyrocket as desperate people looking to save themselves or their loved ones start robbing businesses and create extortion rackets. Hell, I could easily see a poor patient draw a pistol, press it to the temple of the doctor or his accountant, and saying, "I have your payment plan right here!"

'Treat us or we kill you' could very well become a new kind of health system, where people who don't want to die live by threatening others.
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Re: Health care: Shriner hospitals in trouble

Post by K. A. Pital »

Robbing people or taking hostages or kidnapping to get the necessary money for healthcare is actually quite there in the Third World. Not to mention the black market of robbed organs. If that's the future people want for the US - they should go right ahead.
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Re: Health care: Shriner hospitals in trouble

Post by Eulogy »

Stas Bush wrote:Robbing people or taking hostages or kidnapping to get the necessary money for healthcare is actually quite there in the Third World. Not to mention the black market of robbed organs. If that's the future people want for the US - they should go right ahead.
With the way the US is going, it'll effectively become the world's biggest Third World country.
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Re: Health care: Shriner hospitals in trouble

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I find it very amusing that Shep starts off talking about unions and stuff and eventually descends into the destruction of America's enemies. I love you, Sheppy-poo! :D
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Re: Health care: Shriner hospitals in trouble

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Stas Bush wrote:If that's the future people want for the US - they should go right ahead.
Actually, it's US Law somewhere that you can't be turned away from a hospital because of your lack of ability to pay. It's how we have such a high survival rate in the inner city. :P

What happens is that the cost gets passed on to someone else, I think the SOP right now for Hospitals who deal with ER cases of the obviously uninsured -- gang members coming in with gunshot wounds etc -- is that they charge it off to medicare/medicaid, or to the State government. I'm not exactly sure on this, someone else can do a better job of digging through the mass that is our medical system than me.
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Re: Health care: Shriner hospitals in trouble

Post by Sea Skimmer »

MKSheppard wrote: Actually, it's US Law somewhere that you can't be turned away from a hospital because of your lack of ability to pay. It's how we have such a high survival rate in the inner city. :P
Yeah its law, you can't be turned away for emergency care.

What happens is that the cost gets passed on to someone else, I think the SOP right now for Hospitals who deal with ER cases of the obviously uninsured -- gang members coming in with gunshot wounds etc -- is that they charge it off to medicare/medicaid, or to the State government. I'm not exactly sure on this, someone else can do a better job of digging through the mass that is our medical system than me.
The Feds and State government do provide certain levels of funding to reimburse private companies for the costs of uninsured emergency care, particularly in the cities, but its not nearly equal to the actual costs involved.
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Re: Health care: Shriner hospitals in trouble

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Shroom Man 777 wrote:I find it very amusing that Shep starts off talking about unions and stuff and eventually descends into the destruction of America's enemies. I love you, Sheppy-poo! :D
It's the truth! You have to swear that oath in order to become a Postal Worker.
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Re: Health care: Shriner hospitals in trouble

Post by Anguirus »

Darth Wong wrote:I am never, never, ever moving to the United States.
Conversely, reading this thread makes me want to emigrate to Canada. Of course, I'm about to spend 5-7 years on a student health plan...hope I'm as healthy for those years as I have been for the last eight.
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Re: Health care: Shriner hospitals in trouble

Post by K. A. Pital »

MKSheppard wrote:What happens is that the cost gets passed on to someone else
Exactly, which means if you end up with government not absorbing these costs ("scrap Medicare/Medicaid") for at least some form of universal treatment, either the laws will have to adjust to have someone else pay for it, or deny people care. Denying care will result in deaths, and a deeply criminalized health care market. That was the point I guess.
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Re: Health care: Shriner hospitals in trouble

Post by Oskuro »

Patrick Degan wrote:"Better Dead than Red" —that's the way it is for literally millions of Americans as far as their thinking goes. Better Dead than Red.
I'd say it's more an issue of "it's not my problem". By the time it is their problem, they'll be too busy going bankrupt and dying to whine, and the rest of society will hadwave them away with a new "it's not my problem".

Who knew Americans were short-sighted? Actually, I could chalk short-sightedness up to cultural background (much of American education hinges on "us! us! US!"), but I find their profound lack of empathy disturbing. Not that it is exclusive of the American people, though.
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Re: Health care: Shriner hospitals in trouble

Post by PeZook »

Rahvin wrote: What's it actually like with a proper national healthcare system? Do you pay anything to visit the doctor? What about prescriptions, or surgeries?
Another perspective from me: the Polish system is notoriously underfunded and riddled with problems. Still:

I don't have to pay anything for a doctor's visit. I simply book an appointment, and like Mike - I get it in a couple of days, or just go and ask to be examined if the problem is severe. For example, if I get a cold, they'll tell me to come in a day or two to get my prescription and be on my way, but when I got a nasty infection from a wasp sting, I was seen immediately.

When I go in, I show my health care booklet (we don't have electronic cards in my area yet...as I said, underfunded) and that's it. I never paid anything for getting a prescription, but I do have to pay for the drugs on them: still, it ain't that bad. There's a subsidized drug list and you can easily get generics if you ask the doc. Antibiotics are the most expensive, typically, with a three-day dose costing up to 80 zlotys (average pay in Poland is something like 2300 zlotys/month).

As for surgery, if it's not urgent, you may have to wait some time. Sometimes even up to six months - which pisses off a lot of people. Then again, when my grandmother got a heart attack, she was immediately given a coronography, spent the night at an intensive care ward and got an open-heart surgery the next day, no questions asked, no payment...when I asked on the board what the surgery would cost in America, I got a jaw-dropping figure. Something like half a million dollars.
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JULY 20TH 1969 - The day the entire world was looking up

It suddenly struck me that that tiny pea, pretty and blue, was the Earth. I put up my thumb and shut one eye, and my thumb blotted out the planet Earth. I didn't feel like a giant. I felt very, very small.
- NEIL ARMSTRONG, MISSION COMMANDER, APOLLO 11

Signature dedicated to the greatest achievement of mankind.

MILDLY DERANGED PHYSICIST does not mind BREAKING the SOUND BARRIER, because it is INSURED. - Simon_Jester considering the problems of hypersonic flight for Team L.A.M.E.
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