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Re: Public Option Defeated?

Posted: Tue Aug 25, 2009 9:53 pm
by Lazar

Re: Public Option Defeated?

Posted: Tue Aug 25, 2009 9:56 pm
by Aaron
Tsukiyumi wrote::lol:

As an example, the surgery to repair my ACLs has a success rate of only 30%, but there is always a chance I'd die during surgery... Risk/benefit analysis says no dice.

For now, at least. With stem cells, they could theoretically clone me some new ligaments; no rejection, and a much better chance of success. Then I might take that risk.
Shhh! Lets not not poke holes in the sense of entitlement folks have. The medical profession must bend to my every whim! :lol:

Re: Public Option Defeated?

Posted: Tue Aug 25, 2009 10:08 pm
by Tsukiyumi
I've also had enough of people talking about unhealthy food; it's about time we started putting more money into nanotech so we can go unclog our arteries every ten years. I'd rather live to 60 eating and drinking whatever the hell I want than live to 100 eating bran paste and drinking nothing but water. Technology could keep pace.

Here's an example. :lol:

Re: Public Option Defeated?

Posted: Tue Aug 25, 2009 10:18 pm
by Aaron
OMG, that looks like someone took a shit and stuffed some cheese in there. :lol:

After years of eating absolute crap I'm enjoying veggie wraps and such, though I have the odd burger now and them. Mind you all the fast and junky foods make me sick now.

Re: Public Option Defeated?

Posted: Tue Aug 25, 2009 10:24 pm
by Tsukiyumi
Cpl Kendall wrote:OMG, that looks like someone took a s**t and stuffed some cheese in there. :lol:
:laughroll: :laughroll:

I like to make my own food. :)

Re: Public Option Defeated?

Posted: Wed Aug 26, 2009 6:01 am
by Monroe

Re: Public Option Defeated?

Posted: Wed Aug 26, 2009 11:16 am
by Tsukiyumi
Monroe wrote:I liked this report: http://www.youtube.com/watch?v=T_EG4yKth3A
"Ask your neighbors?" What the f*ck? I don't even know most of my neighbors; why would I? And, like Cenk pointed out, who says they'll want to help you? Who says they have money to help you? The idea of relying exclusively on charity to help people in need is idiotic at best. What the hell are we all paying taxes for if we can't count on the government to help us when we need it?

Re: Public Option Defeated?

Posted: Wed Aug 26, 2009 5:34 pm
by sunnyside
@IanKennedy

You had a well phrased and informative answer, but I think you misunderstood the question. What you're talking about is the public health care system. What we were asking about was the seperate private one that I believe both countries have. I don't know much about it. I've just seen some commercials for a Canadian company where they show graphs of the the massive wait times you could have if you used the public system, but that if you go to them they could do it right away. My impression was that you had to pay straight up case for their services.

If the treatment is important, the kid gets shoved to the front of the line. Very few people die while waiting.
See, if anyone else had mad such a statement and you disagreed with it you'd have demanded evidence. I think most of us (certainly those of us in the US), have heard an array of ancedotal tales of death while waiting, tales of famous people refusing to buck the system and dying in the months before treatment, desperate people going across the boarder for needed treatment they feared they wouldn't get in time, and grief stricken family members when a loved one passed away while waiting.

Of course ancedotal stories can easily conceal the facts of the matter. However what they do prove is that some people do in fact die while waiting. The question is how many and how often.

The only study I'd found that seems relevant was waiting times for emergency angioplasites from the one paper. That's a life and death situation and while many factors would weigh in on the outcomes certainly waiting increases the odds of a bad outcome.

sunnyside wrote: So, yet again, what treatments can you get in the US that you can't get anywhere else?
Before I spend time in medical journals let me state the situation for you. The US hospitals and companies are not putting up some kind of red, white, and blue curtain behind which they sit on their new technologies. New procedures and techniques are published for all to access and new drugs and equipment are offered for sale wherever they can be.

Therefore a treatment you could only get in the US would be something on the cutting edge or a brand new machine that simply hasn't been purchased anywhere else yet. But other countries will aquire the stuff before long.

The difference is that for things like proton therapy the UK or Canada will have one machine in the whole health system, while the US will have a bunch of machines with a resulting wider range of abilities.

So access and waiting times are the issues. I say access because in most cases there is an older procedure or piece of equipment that can be used as a treatment. So often hospitals will simply use what they have and call it good enough, which isn't unreasonable, but it isn't the same either.

Burden of proof.

This is actually where I think the Democrats are really making a mistake.

What you're doing is saying that you're by default always correct, and never need to actually try and find evidence or convince someone of something, such as by looking into whether the well known waiting times do indeed not result in poor outcomes. But everyone else needs to find a wide array of facts, which you will likely than dismiss out of hand and feel you have won.

The Democrats are in effect doing much the same thing. People opposed to health care reform are putting out all sorts of facts and statements (there is a bit of a media blitz going on that many of you outside the US or that get all their news from the Young Turks are likely insulated from). Some claims are correct, many are overblown, and some are outlandish or patently false.

But except for the "death panels for grandma" bit Democrats aren't even attempting to refute anything with factual evidence any more than Rochey will. Certainly nothing that would involve numbers. This gives the impression that both Democrats and Republicans feel that the UK and Canadian systems are far worse, just that the Democrats feel it's still worth it to insure the uninsured.

As a result large numbers of Americans with health insurance believe all sorts of dire things are about to befall them and their loved ones.

So you get stuff like:
http://news.aol.com/article/tampa-town- ... nce/607580

because increasing numbers of people seem to be reaching panic mode.


If public health care really would be better, and it gets trashed because too many liberals believe in insulting instead of convincing, I'll be miffed.

Re: Public Option Defeated?

Posted: Wed Aug 26, 2009 6:27 pm
by Tsukiyumi
Okay, if we're to boil it down to extremes...

You say, people don't want to sacrifice their family's quality of care for the sake of some stranger. Okay, disregarding the fact the that is entirely un-christian, you'd still be able to get private care.

Basically, people would rather throw the stranger under the bus to save their family. Understandable. If I had to, I'd throw every rich person (and their families) in the country into a meat grinder to save Uzume's life. At least I don't claim to have some sort of Christian moral standpoint, while publicly espousing ideals entirely contrary to said belief.

Re: Public Option Defeated?

Posted: Wed Aug 26, 2009 10:33 pm
by Aaron
sunnyside wrote:@IanKennedy

You had a well phrased and informative answer, but I think you misunderstood the question. What you're talking about is the public health care system. What we were asking about was the seperate private one that I believe both countries have. I don't know much about it. I've just seen some commercials for a Canadian company where they show graphs of the the massive wait times you could have if you used the public system, but that if you go to them they could do it right away. My impression was that you had to pay straight up case for their services.
Could you at least point us to that ad?

sunnyside wrote: Before I spend time in medical journals let me state the situation for you. The US hospitals and companies are not putting up some kind of red, white, and blue curtain behind which they sit on their new technologies. New procedures and techniques are published for all to access and new drugs and equipment are offered for sale wherever they can be.

Therefore a treatment you could only get in the US would be something on the cutting edge or a brand new machine that simply hasn't been purchased anywhere else yet. But other countries will aquire the stuff before long.

The difference is that for things like proton therapy the UK or Canada will have one machine in the whole health system, while the US will have a bunch of machines with a resulting wider range of abilities.

So access and waiting times are the issues. I say access because in most cases there is an older procedure or piece of equipment that can be used as a treatment. So often hospitals will simply use what they have and call it good enough, which isn't unreasonable, but it isn't the same either.
Uh yeah, a county with 300 million people has more money to spend on kit then a country with 30 million. How is that news?
This is actually where I think the Democrats are really making a mistake.

What you're doing is saying that you're by default always correct, and never need to actually try and find evidence or convince someone of something, such as by looking into whether the well known waiting times do indeed not result in poor outcomes. But everyone else needs to find a wide array of facts, which you will likely than dismiss out of hand and feel you have won.

The Democrats are in effect doing much the same thing. People opposed to health care reform are putting out all sorts of facts and statements (there is a bit of a media blitz going on that many of you outside the US or that get all their news from the Young Turks are likely insulated from). Some claims are correct, many are overblown, and some are outlandish or patently false.

But except for the "death panels for grandma" bit Democrats aren't even attempting to refute anything with factual evidence any more than Rochey will. Certainly nothing that would involve numbers. This gives the impression that both Democrats and Republicans feel that the UK and Canadian systems are far worse, just that the Democrats feel it's still worth it to insure the uninsured.

As a result large numbers of Americans with health insurance believe all sorts of dire things are about to befall them and their loved ones.

So you get stuff like:
http://news.aol.com/article/tampa-town- ... nce/607580

because increasing numbers of people seem to be reaching panic mode.


If public health care really would be better, and it gets trashed because too many liberals believe in insulting instead of convincing, I'll be miffed.
Wait, the liberals are the ones insulting? Who came up with the death panels again?
Okay, if we're to boil it down to extremes...

You say, people don't want to sacrifice their family's quality of care for the sake of some stranger. Okay, disregarding the fact the that is entirely un-christian, you'd still be able to get private care.

Basically, people would rather throw the stranger under the bus to save their family. Understandable. If I had to, I'd throw every rich person (and their families) in the country into a meat grinder to save Uzume's life. At least I don't claim to have some sort of Christian moral standpoint, while publicly espousing ideals entirely contrary to said belief.
Actually I bet it's even simpler then that. The average American can't stomach the fact that anyone deserves faster care then them, regardless of how sick they are. You know that whole "American Dream" thing, with anyone can get rich, your all a beautiful and unique snowflake? Well this is the result.

Re: Public Option Defeated?

Posted: Thu Aug 27, 2009 4:48 am
by sunnyside
@Tsu Yeah, you may have something there. Though I'm not against the idea of insurance for all, just how they're doing it. That might be the case with others.
Cpl Kendall wrote: Could you at least point us to that ad?
Sorry. I don't remember where I saw it. All a quick Google search turned up was:
http://www.foxnews.com/politics/2009/06 ... -business/
(well, and tons of similar articles, but no ads, sorry)
Uh yeah, a county with 300 million people has more money to spend on kit then a country with 30 million. How is that news?
*sigh* the point is we have disproportionatally more kit, hence the lack of waiting times.
Wait, the liberals are the ones insulting? Who came up with the death panels again?
If you mean who made them, nobody, because they didn't exist. But what the republicans did was a blend of exaggeration and deception. But their point was to convince people on the fence. However aside from that cheap shot more factual stuff comes out a fair pace usually deriding other socialized health system, or, lately, how medicare and the VA hospitals are run compared to private ones.

Re: Public Option Defeated?

Posted: Thu Aug 27, 2009 8:14 pm
by IanKennedy
stitch626 wrote:
What can you get in the US that you can't in Canada?
Insulin pumps...

At least their easier to get... if you willing to pay of course.
They're available here in the UK on the national health service. In fact if you have diabetes you get free prescriptions for all your diabetes drugs.

Re: Public Option Defeated?

Posted: Thu Aug 27, 2009 8:17 pm
by Mikey
I get all my diabetic supplies free (only because my wife has an excellent plan) but I can't get a pump. My endocrinologist told me that if I wanted one, I'd have to find another doctor.

Re: Public Option Defeated?

Posted: Thu Aug 27, 2009 8:46 pm
by IanKennedy
sunnyside wrote:@IanKennedy

You had a well phrased and informative answer, but I think you misunderstood the question. What you're talking about is the public health care system. What we were asking about was the seperate private one that I believe both countries have. I don't know much about it. I've just seen some commercials for a Canadian company where they show graphs of the the massive wait times you could have if you used the public system, but that if you go to them they could do it right away. My impression was that you had to pay straight up case for their services.
Both systems operate here side by side. Some private companies even use NHS hospitals and doctors to do work for them. Obviously they pay for this service, at a high rate. The money taken goes partly to the hospital and partly to the doctor doing the treatment. There are also private hospitals which are only available to private patients. These are far fewer than the NHS ones. For example there are no less than four NHS hospitals in Oxford alone (where I live) and there's only two private ones.

That said there is an element of delay in some, non-emergency, treatments for NHS patients. Sometimes it can be of the order of a year to be seen. However, typically this is for things that annoy rather than kill you. This wait is nothing to do with it being public service but due to the large number of people being treated. If all of these people where to go private there would be just as large a wait (if no longer in the short term, due to there being less private hospitals) as the 'overload' would move from one system to another.

So yes, you can go private at any time for anything. Yes you pay for that treatment in the same way that you would pay in the US. It is generally a faster service to be seen because very few use it. You can get private health insurance here to help with the costs. Going private does not in anyway interfere with you using the NHS for other things. Obviously, they want to know if you are being treated for one thing on the NHS and privately as it could be a complete disaster if two doctors are treating you for the same condition.

As an example my farther recently had hearing tests for a hearing aid. He had to wait 3 weeks for an appointment. Once he had the test he had to wait another 3 weeks for the hearing aid to be manufactured and for him to go in and get it tuned to his hearing abilities. The net cost of this entire process was a little patience and the cost of the fuel to get to the hospital. He could very easily have gone private for this and he would have cost him £3000 per hear for the exact same device. The difference would have been that he would have got it in about half the time. e.g. less than a week for the first appointment and the same three weeks to manufacture and fit/configure.

Re: Public Option Defeated?

Posted: Thu Aug 27, 2009 8:52 pm
by IanKennedy
Mikey wrote:I get all my diabetic supplies free (only because my wife has an excellent plan) but I can't get a pump. My endocrinologist told me that if I wanted one, I'd have to find another doctor.
Well that's his medical decision. You don't get to pick your treatment on the NHS here either. You don't have to have what they give you, it's between you and the doctor to come up with something that you agree on. Now in the case of 95% of the population they just go with the doctors recommendation. However, it's quite common for people to refuse to start insulin despite it being the best option for them at the time.