OrionTheWolf
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Joined: 10/11/2006
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ORIGINAL: Musicmystery
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ORIGINAL: OrionTheWolf
I propose what I always have, and that is holding our politicians accountable. A complete review of Medicare, and the waste that goes on there would be in order. Hell the money we save there would pay for some kind of healthcare.
Not defending the waste...but these are easy words.
No they are not easy words. I have been involved in effeciency audits of companies before, and really all it takes is for the politics to stop, and someone with some stones to say "enough!".
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Understandably, someone's going to say "rent instead of own, hospital visits instead of opening the door to home visits, will ultimately save money, even if there are a few glitches." And on the face of it, they'd probably be right.
I suggest maybe some research on your end, such as what Louve mentioned. Hospital beds for the home is another one where the rent of the bed is several times the actual cost of buying it. These are just a few examples.
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So the system needs a means to allow reasonable exceptions. MOST systems in work cultures have this problem.
Only when medocrity and corruption are allowed to flourish.
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Yes, it can be overcome, but it's very difficult, and resistance to changing it is strong for number of reasons. Key among those reasons, though, is administration would have to empower people in the system to make those decisions. They don't want to do so, because they are the ones who will be held accountable. Businesses all the time spend thousands avoiding paying hundreds. You must see this yourself in your consulting work.
Independent investigations are done all the time for the government, all they need to do here is have an independent effeciency audit done. Yeah someone would have to take some responsibility, and yeah I see it in my consulting work, and those companies are still operating pretty strongly.
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Politicians are in an even worse position. Voters don't carefully examine issues as a rule--they shoot from the hip.
I agree that we the people are responsible for the monsters we have created, either through our active doing or accepting things as a necessary evil.
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Someone who came along and told them the truth about what was needed and what it would take would be shoved out the door immediately as someone wasting taxpayer dollars, even though their proposal will save thousands, millions or billions.
This is why the people have to support this kind of change. The change that was used as rhetoric during the campaign, and people talk about happens with the people first. Also, your statement above is what you surmize the situation would be, as no one has even proposed it.
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"You want to fund a complete review of Medicaid? In this economy? More government money wasted on top of what Medicaid wastes!"
Effeciency audits are more likely to be done by companies during lean times than boom times. Are you saying the American people would not support an audit of the government to find waste? I believe Obama even made a campaign promise about auditing the government to find waste.
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All people want to hear is tax cuts. Consequently, many government agencies have neither the staff nor the funds to actually do their jobs--OSHA is a good example; FDA oversight is another. And the continued postponement of addressing health over cost has and continues to cost us billions, and at ever-rising rates of increase. We should throw out politician who DON'T want to spend that money--but you know that will never happen.
Why not start with one agency and then move forward. Use the money saved in one to fund the audits for the others. Right now people are talking about healthcare, so I cannot see a better time than to address the one healthcare the Feds have been handling. Shape it up and then say "See what a great job can be done!" I also see most of your comments as a form of surrender, once mediocrity is acceptable because of any reason, then failure exists. Sorry but I do not accept that.
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I agree with you...but we'll need more than just "hold them accountable."
Oh I agree, and this is why I have not voted for an incumbant in over 12 years. If the people of this country were to say "I have had enough!" and vote out their current congressperson, it would send a strong message. the reason they do not is because of many of the excuses you list, as well as a host of others. The American people do not have the collective balls to do it, because of either petty differences, or selfish interest.
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Have you written to your representatives about the situation?
That was the first place I write, as well as a copy to the local paper.
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How have they responded? I have found that often they can jump in and untangle red tape to solve such snafus.
Looked like a canned response of basically "we will look into it." Also, it is not a snafus, it is the Medicare requirements. They are following the letter of the rules. No one is technically doing anything wrong.
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When speaking of slaves people always tend to ignore this definition "One who is abjectly subservient to a specified person or influence."
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RE: Medicare as a shining example - 
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