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RE: US Health Care Costs - 12/8/2014 2:12:29 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tj444
You claimed that the 2 parties couldn't agree on immigration yet the start-up visa law is bi-partisan support so why doesn't it (at least) get passed? That would be a major step (the best and only one that matters to most immigrant entrepreneurs) as far as immigration reform goes, imo..


It certainly could mean that the Democrats liked parts of the bill, and Republicans like parts of the bill, but that there wasn't enough bipartisan support for enough of the bill for it to pass.

If a bill contains X, Y and Z, but the GOP likes X & Y, and won't compromise on Z, and the Democrats like Y & Z, but won't compromise on X, the bill won't get passed, even though it has bipartisan support. And, in a case over bills with X, Y, & Z components, each election will feature one party bashing the other over the bill not getting passed, based on whatever portion was most popular with it's intended voters.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tj444)
Profile   Post #: 341
RE: US Health Care Costs - 12/8/2014 3:03:24 PM   
mnottertail


Posts: 60698
Joined: 11/3/2004
Status: offline
There was an immigration bill passed by 68 senators some near 2 years ago, never taken up by the house. Obama said if Beener would commit to taking it up (straight up or down vote, no matter) he would not write the executive order, and Beener wouldnt.

Thats bi-partisanship it did not end at 8:01p EDT that evening of the EO.

< Message edited by mnottertail -- 12/8/2014 3:05:30 PM >


_____________________________

Have they not divided the prey; to every man a damsel or two? Judges 5:30


(in reply to DesideriScuri)
Profile   Post #: 342
RE: US Health Care Costs - 12/8/2014 3:46:36 PM   
freedomdwarf1


Posts: 6845
Joined: 10/23/2012
Status: offline
quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
For bowel cancer outcomes, sure.

That was just one example from many.
Are you really being deliberately obtuse?? Or just nit-picking for the sake of it?


That's all you asked about.

No, it wasn't. It was just a random example, nothing else.
Yet you chose to pick it as a real statistic - which I didn't claim it was.

quote:

ORIGINAL: DesideriScuri
I wouldn't claim any one health care system is better overall than any other one based on one metric. I have no issue claiming one health care system is better in a category than any other based on the metric of that category.

For just one category - I would agree with you.
But pick a dozen or more categories where the US don't fare so well??
That's a different ball of wax and does make a good overall comparison.

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
I don't disagree with that. But, that's why I don't like using subjective criteria for stuff like that. From a cost perspective, the US yields worse results per dollar spent than, probably any country in the world, industrialized or not. And, that speaks to how much our care costs, not the talent or quality of the caregivers or care.

But when you compare other stats, like birth mortality rates and others, that would certainly determine the quality of the healthcare given, not the cost (that is a separate issue).
quote:

ORIGINAL: DesideriScuri
quote:

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.

We are already expending more public dollars than most countries spend total, with only Norway spending more public dollars than the US.

Not according to the graphs I cited.
The US is by far the most expensive for healthcare AND pharmaceuticals, per capita and per GDP.


Really?



Oh, wait. You might be right. The Netherlands might have higher public dollar spending than the US, too. The white band in their graph makes it difficult to tell, though.

It's a per-capita spend, so the $'s and the dollar spend rate doesn't come into it.
It's a fair comparison across the board.
If you can't see that, you need to go back to school.

quote:

ORIGINAL: DesideriScuri
I know we have the most expensive costs. That was the point of this whole thread! Way to catch up, Capt. Obvious!

quote:

quote:

ORIGINAL: DesideriScuri
Is obesity due to health care, or lifestyle choices?
Do heart attack deaths (per 100k population) really define how good a health system is?
The US has a high obesity rate. The US has a high rate of diabetes. The US has a high rate of heart disease. None of those are strictly due to the health care system at all. I'm fat. I have insurance. I don't see a physician about it. I don't take medications for it. None of my health care spending has anything to do with my obesity. I also do not have, as technically defined, high blood pressure. Again, that has nothing to do with any health care spending or system in the US. I don't have diabetes. Has my health care system prevented diabetes in my case? Of course not.

The graphs I showed were mortality rates for those conditions.
That would indicate both A) lifestyle choices, and B) the healthcare provided for those conditions in preventing mortality.
The criteria applied is the same for all. So if the US comes out worse, it's because it is worse, and for no other reason.
No, anything of anything doesn't stop any particular individual from suffering those things.
To make any sort of comparison is ridiculous.


Then, why did you do that? If there are more cases of something in one country, wouldn't it stand to reason that there would be more deaths from that something, too?

I did it to show that your example of an individual case that bucks the overall trend is no more than a strawman.

Yes, but again, it's a per-unit comparison, not a total-numbers comparison.
So in that sense, it is a fair way to make equal comparisons across the board.
A sheer numbers comparison wouldn't make any sense at all - which is what you are insinuating.
If the number is 'per 100,000 of population', then the actual numbers of population don't matter - it is per unit (equal unit across the board) so that you can make that direct comparison.

C'mon Desi, you aren't that much of a dunce to throw that red herring into the mix!!

quote:

ORIGINAL: DesideriScuri
US has 7th Highest Cancer Rate in the World
    quote:

    Experts Say Lifestyle Changes Needed to Reduce Nation's Cancer Rates


Cancer Survival Rates Improving Across Europe, But Still Lagging Behind United States
    quote:

    One of the reports compares the statistics from Europe with those from the United States and shows that for most solid tumors, survival rates were significantly higher in US patients than in European patients.


So, we have the 7th highest rate of cancer (the UK, I believe, was somewhere in the 20's), but have survival rates significantly higher. Now, that might say something about the quality of cancer care in the US, compared the UK, no?

Absolutely!!
And I acknowledged that ONE fact in my post.
But the US fails on all other points.

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
My grandmother passed away from complications of diabetes. She was on insulin, so she was using the US health care system. She also didn't really take care of herself, and wasn't really all that interested in managing her diabetes (as told to me by an Aunt that's a nurse, and an Aunt that's a Physician's Assistant). Was her death to diabetes somehow not prevented by the medical system in the US, or by her own decision to not manage her disease properly?

But... if the healthcare in general (not your particular circumstances or your mom's) are not providing the same level of care as other countries in preventing mortality, that makes it worse than others.
It's no good picking out individual cases because we can all do that.
These stats are general and comparable to each other; that's the point.


Except they aren't due to the health care system, but to personal choices. Unless a system forces a person to comply with care advice, things like diabetes deaths aren't necessarily impacted by health care services. It's not like my grandmother didn't know better. She still chose the path she took. But, she died from diabetes complications (specifically, heart disease secondary to the diabetes, so she may have hit more than one category!), not lack of a quality medical care system.

But you can't spout one individual case that bucks the general overall trend - that's a nonsense.
Everyone can do that. That's why these stats are general.
Obviously not everyone fits into that box, but the general figures count for the majority - not everyone.

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
quote:

To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.
Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?
Jeeezz.... The figures speak for themselves.

You just jumped the shark. The private insurance health care system and the public insurance health care system accesses the same providers. The source of payment is different, but the caregivers are the same. So, in the US, private insurance health care and "social" health care are the same care.

And that is why the US system is all fucked up - as I have said many times in these debates.
Social healthcare needs to kick out the insurance companies completely. Otherwise, as you said, it is just shifting the paymaster, not the attacking the root of the problem - the profiteering all along the line by private insurance companies.
Again, no matter how you want to slice the cake, every other OECD country that is not majorly ruled by insurance companies and has social healthcare, beats the US hands down in just about every major healthcare indicator - regardless of costs. Add the ridiculous costs for inferior US healthcare and that is just a slap across the face with a stale fish - it really stinks.


Yep, and those indicators aren't necessarily indicative of the health care system involved.

Umm... yes, they are.

Another example (and don't try to use this as a real-case scenario!) -
If one country fails to treat X problem because their healthcare isn't up to scratch as another country, their stats will show a higher mortality rate than the latter.
That's the whole point of general stats.
It shows where some product (in this case, healthcare) isn't matching those of other countries given the same criteria and measuring standards.

So yes, mortality rates when measuring how a certain healthcare system deals with a problem is a valid comparison of the healthcare system in question.


Lets take a real-life example....
Ebola deaths

3,161 Liberia

1,660 Sierra Leone

1,366 Guinea

8 Nigeria

The WHO has declared the outbreaks in Nigeria and Senegal officially over, as there have been no new cases reported since 5 September.

Medical charity Medecins Sans Frontieres (MSF), which employs thousands of staff across West Africa battling the disease, confirmed this week that Liberia has seen a significant reduction in the number of new Ebola cases.

Liberia, the worst-hit country of the Ebola outbreak with more than 3,000 deaths, reported that two-thirds of the 696 beds in the country's treatment centres were empty.

MSF warned that the disease could "flare up" again, pointing to Guinea, where the number of cases is rising again despite two significant lulls.


Regardless of the numbers, it could be argued that Liberia was the lowest of these when it came to healthcare stats because it had more cases and more deaths.
But... one of those stats shows that two thirds of their Ebola beds are now empty whereas Guinea's problem is still rising because their healthcare system (even with all the outside help) cannot cope with the problem.

If you measured the mortality rate 'per 1,000' cases, Guinea would still come out worse than Liberia even though Liberia had more cases and more deaths from Ebola.
By using normalized figures, you are able to make direct comparisons and can say that Guinea's healthcare system is worse than that of Liberia.

< Message edited by freedomdwarf1 -- 12/8/2014 3:56:38 PM >


_____________________________

If liberty means anything at all, it means the right to tell people what they do not want to hear.
George Orwell, 1903-1950


(in reply to DesideriScuri)
Profile   Post #: 343
RE: US Health Care Costs - 12/9/2014 3:36:18 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline
freedomdwarf1 I think you and Desideriscuri are talking about two different things, you are talking about a "health care system", he's talking about a "health care industry".

(in reply to freedomdwarf1)
Profile   Post #: 344
RE: US Health Care Costs - 12/9/2014 6:31:51 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: freedomdwarf1
quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
For bowel cancer outcomes, sure.

That was just one example from many.
Are you really being deliberately obtuse?? Or just nit-picking for the sake of it?

That's all you asked about.

No, it wasn't. It was just a random example, nothing else.
Yet you chose to pick it as a real statistic - which I didn't claim it was.


No. You set it out as a hypothetical. You didn't link it to any system. My response treated it as a hypothetical, too. While you're looking up, you might want to check your duodenum.

quote:

quote:

ORIGINAL: DesideriScuri
I wouldn't claim any one health care system is better overall than any other one based on one metric. I have no issue claiming one health care system is better in a category than any other based on the metric of that category.

For just one category - I would agree with you.
But pick a dozen or more categories where the US don't fare so well??
That's a different ball of wax and does make a good overall comparison.


As long as the category accurately assess health care quality, sure.

quote:

quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
I don't disagree with that. But, that's why I don't like using subjective criteria for stuff like that. From a cost perspective, the US yields worse results per dollar spent than, probably any country in the world, industrialized or not. And, that speaks to how much our care costs, not the talent or quality of the caregivers or care.

But when you compare other stats, like birth mortality rates and others, that would certainly determine the quality of the healthcare given, not the cost (that is a separate issue).
quote:

ORIGINAL: DesideriScuri
quote:

All-in-all, the US doesn't do very well at all on most of the healthcare indicators.
To sum up: You dramatically get less healthcare coverage than anyone and at the most expensive rate.
You are less likely to survive at birth, despite the huge costs.
You are more likely to be an obese child and an obese adult.
You are likely to die sooner too.
You are also more likely to die from heart disease, a traffic accident or suicide than us.

We are already expending more public dollars than most countries spend total, with only Norway spending more public dollars than the US.

Not according to the graphs I cited.
The US is by far the most expensive for healthcare AND pharmaceuticals, per capita and per GDP.

Really?

Oh, wait. You might be right. The Netherlands might have higher public dollar spending than the US, too. The white band in their graph makes it difficult to tell, though.

It's a per-capita spend, so the $'s and the dollar spend rate doesn't come into it.
It's a fair comparison across the board.
If you can't see that, you need to go back to school.


The dollar spend rate does come into it. That was the point of using two different colors.

quote:

quote:

ORIGINAL: DesideriScuri
I know we have the most expensive costs. That was the point of this whole thread! Way to catch up, Capt. Obvious!
quote:

quote:

ORIGINAL: DesideriScuri
Is obesity due to health care, or lifestyle choices?
Do heart attack deaths (per 100k population) really define how good a health system is?
The US has a high obesity rate. The US has a high rate of diabetes. The US has a high rate of heart disease. None of those are strictly due to the health care system at all. I'm fat. I have insurance. I don't see a physician about it. I don't take medications for it. None of my health care spending has anything to do with my obesity. I also do not have, as technically defined, high blood pressure. Again, that has nothing to do with any health care spending or system in the US. I don't have diabetes. Has my health care system prevented diabetes in my case? Of course not.

The graphs I showed were mortality rates for those conditions.
That would indicate both A) lifestyle choices, and B) the healthcare provided for those conditions in preventing mortality.
The criteria applied is the same for all. So if the US comes out worse, it's because it is worse, and for no other reason.
No, anything of anything doesn't stop any particular individual from suffering those things.
To make any sort of comparison is ridiculous.

Then, why did you do that? If there are more cases of something in one country, wouldn't it stand to reason that there would be more deaths from that something, too?

I did it to show that your example of an individual case that bucks the overall trend is no more than a strawman.
Yes, but again, it's a per-unit comparison, not a total-numbers comparison.
So in that sense, it is a fair way to make equal comparisons across the board.
A sheer numbers comparison wouldn't make any sense at all - which is what you are insinuating.
If the number is 'per 100,000 of population', then the actual numbers of population don't matter - it is per unit (equal unit across the board) so that you can make that direct comparison.
C'mon Desi, you aren't that much of a dunce to throw that red herring into the mix!!


The numbers of population do matter. You seem to have missed that in the next parts, too.

quote:

quote:

ORIGINAL: DesideriScuri
US has 7th Highest Cancer Rate in the World
    quote:

    Experts Say Lifestyle Changes Needed to Reduce Nation's Cancer Rates

Cancer Survival Rates Improving Across Europe, But Still Lagging Behind United States
    quote:

    One of the reports compares the statistics from Europe with those from the United States and shows that for most solid tumors, survival rates were significantly higher in US patients than in European patients.

So, we have the 7th highest rate of cancer (the UK, I believe, was somewhere in the 20's), but have survival rates significantly higher. Now, that might say something about the quality of cancer care in the US, compared the UK, no?

Absolutely!!
And I acknowledged that ONE fact in my post.
But the US fails on all other points.
quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
My grandmother passed away from complications of diabetes. She was on insulin, so she was using the US health care system. She also didn't really take care of herself, and wasn't really all that interested in managing her diabetes (as told to me by an Aunt that's a nurse, and an Aunt that's a Physician's Assistant). Was her death to diabetes somehow not prevented by the medical system in the US, or by her own decision to not manage her disease properly?

But... if the healthcare in general (not your particular circumstances or your mom's) are not providing the same level of care as other countries in preventing mortality, that makes it worse than others.
It's no good picking out individual cases because we can all do that.
These stats are general and comparable to each other; that's the point.

Except they aren't due to the health care system, but to personal choices. Unless a system forces a person to comply with care advice, things like diabetes deaths aren't necessarily impacted by health care services. It's not like my grandmother didn't know better. She still chose the path she took. But, she died from diabetes complications (specifically, heart disease secondary to the diabetes, so she may have hit more than one category!), not lack of a quality medical care system.

But you can't spout one individual case that bucks the general overall trend - that's a nonsense.
Everyone can do that. That's why these stats are general.
Obviously not everyone fits into that box, but the general figures count for the majority - not everyone.
quote:

ORIGINAL: DesideriScuri
quote:

quote:

ORIGINAL: DesideriScuri
quote:

To go back to a part of your post -
quote:

ORIGINAL: DesideriScuri
If you compare the capabilities of the US medical care sector, I'd be willing to bet the US comes out at the top of that list. That's having the "best" health care.

Costs aside, these figures don't show that at all.
Compared to the UK, it is worse for all except one category.
Do you think that private insurance healthcare in the US is the best?
And you seriously think that social healthcare is not one of the best available?
Jeeezz.... The figures speak for themselves.

You just jumped the shark. The private insurance health care system and the public insurance health care system accesses the same providers. The source of payment is different, but the caregivers are the same. So, in the US, private insurance health care and "social" health care are the same care.

And that is why the US system is all fucked up - as I have said many times in these debates.
Social healthcare needs to kick out the insurance companies completely. Otherwise, as you said, it is just shifting the paymaster, not the attacking the root of the problem - the profiteering all along the line by private insurance companies.
Again, no matter how you want to slice the cake, every other OECD country that is not majorly ruled by insurance companies and has social healthcare, beats the US hands down in just about every major healthcare indicator - regardless of costs. Add the ridiculous costs for inferior US healthcare and that is just a slap across the face with a stale fish - it really stinks.

Yep, and those indicators aren't necessarily indicative of the health care system involved.

Umm... yes, they are.
Another example (and don't try to use this as a real-case scenario!) -
If one country fails to treat X problem because their healthcare isn't up to scratch as another country, their stats will show a higher mortality rate than the latter.
That's the whole point of general stats.
It shows where some product (in this case, healthcare) isn't matching those of other countries given the same criteria and measuring standards.
So yes, mortality rates when measuring how a certain healthcare system deals with a problem is a valid comparison of the healthcare system in question.


You were showing the mortality rates as a ratio to population. That's your red herring right there. Survival rates are more indicative of the quality of a health care system.

quote:

Lets take a real-life example....
Ebola deaths
3,161 Liberia
1,660 Sierra Leone
1,366 Guinea
8 Nigeria
The WHO has declared the outbreaks in Nigeria and Senegal officially over, as there have been no new cases reported since 5 September.
Medical charity Medecins Sans Frontieres (MSF), which employs thousands of staff across West Africa battling the disease, confirmed this week that Liberia has seen a significant reduction in the number of new Ebola cases.
Liberia, the worst-hit country of the Ebola outbreak with more than 3,000 deaths, reported that two-thirds of the 696 beds in the country's treatment centres were empty.
MSF warned that the disease could "flare up" again, pointing to Guinea, where the number of cases is rising again despite two significant lulls.

Regardless of the numbers, it could be argued that Liberia was the lowest of these when it came to healthcare stats because it had more cases and more deaths.
But... one of those stats shows that two thirds of their Ebola beds are now empty whereas Guinea's problem is still rising because their healthcare system (even with all the outside help) cannot cope with the problem.
If you measured the mortality rate 'per 1,000' cases, Guinea would still come out worse than Liberia even though Liberia had more cases and more deaths from Ebola.
By using normalized figures, you are able to make direct comparisons and can say that Guinea's healthcare system is worse than that of Liberia.


You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to freedomdwarf1)
Profile   Post #: 345
RE: US Health Care Costs - 12/9/2014 8:10:50 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline

quote:

ORIGINAL: DesideriScuri

You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?



Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.

(in reply to DesideriScuri)
Profile   Post #: 346
RE: US Health Care Costs - 12/9/2014 11:24:23 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?

Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.


Are you forced to see a GP, or is that still a choice? Outside of being put on medication, how does seeing a Dr. reduce the risk of heart attacks?

If the cost of seeing a Dr. was lower (before insurance), wouldn't that make it more likely someone would go see a Dr.? Not only would the cost of seeing a Dr. be less, if you didn't have insurance, but insurance would cost less, too, making it that much more affordable to see a Dr. on a regular basis. Cheaper medicines means it's more affordable, without insurance, and insurance is more affordable, too.

What you can't see, is that affordable care, that is, care that is less expensive, helps everyone, not just "the rich" or whatever segment of the population you think I'm trying to spare.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to eulero83)
Profile   Post #: 347
RE: US Health Care Costs - 12/9/2014 12:04:53 PM   
starkmatters


Posts: 5
Joined: 12/9/2014
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?

Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.


Are you forced to see a GP, or is that still a choice? Outside of being put on medication, how does seeing a Dr. reduce the risk of heart attacks?

If the cost of seeing a Dr. was lower (before insurance), wouldn't that make it more likely someone would go see a Dr.? Not only would the cost of seeing a Dr. be less, if you didn't have insurance, but insurance would cost less, too, making it that much more affordable to see a Dr. on a regular basis. Cheaper medicines means it's more affordable, without insurance, and insurance is more affordable, too.

What you can't see, is that affordable care, that is, care that is less expensive, helps everyone, not just "the rich" or whatever segment of the population you think I'm trying to spare.


You are assuming that "more affordable care" would be of the same quality and effectiveness. There is actually very little data on cost vs results derived using consistent definitions that allow valid comparisons. Eg comparing life expectancies across countries or infant mortality data is impossible, the former because it is too high level, encompasses many factors unrelated to healthcare and ignores sociological/medical data, and the latter because there is no consistent reporting of infant deaths from country to country. There is also no measurement of the cost of delays in diagnosis and/or treatment, nor the financial benefits of faster recovery due to less invasive but highcost technology dependent procedures.

(in reply to DesideriScuri)
Profile   Post #: 348
RE: US Health Care Costs - 12/10/2014 7:55:01 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: starkmatters
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?

Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.

Are you forced to see a GP, or is that still a choice? Outside of being put on medication, how does seeing a Dr. reduce the risk of heart attacks?
If the cost of seeing a Dr. was lower (before insurance), wouldn't that make it more likely someone would go see a Dr.? Not only would the cost of seeing a Dr. be less, if you didn't have insurance, but insurance would cost less, too, making it that much more affordable to see a Dr. on a regular basis. Cheaper medicines means it's more affordable, without insurance, and insurance is more affordable, too.
What you can't see, is that affordable care, that is, care that is less expensive, helps everyone, not just "the rich" or whatever segment of the population you think I'm trying to spare.

You are assuming that "more affordable care" would be of the same quality and effectiveness. There is actually very little data on cost vs results derived using consistent definitions that allow valid comparisons. Eg comparing life expectancies across countries or infant mortality data is impossible, the former because it is too high level, encompasses many factors unrelated to healthcare and ignores sociological/medical data, and the latter because there is no consistent reporting of infant deaths from country to country. There is also no measurement of the cost of delays in diagnosis and/or treatment, nor the financial benefits of faster recovery due to less invasive but highcost technology dependent procedures.


A comparison of costs of medical services/procedures between countries will show we pay much higher costs for the same procedures and services. Is a basic MRI in the US really 2-4x better than in European countries? Are medications in the US somehow different from the medications sold by the same pharmaceutical companies (same brand name) in Europe?

When you compare the same procedures and services, apples to apples, we are still spending a lot more in the US. I'm not proposing putting some sort of price control to effect the affordability. I oppose that.

Welcome to the boards.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to starkmatters)
Profile   Post #: 349
RE: US Health Care Costs - 12/10/2014 9:01:04 AM   
tj444


Posts: 7574
Joined: 3/7/2010
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: tj444
You claimed that the 2 parties couldn't agree on immigration yet the start-up visa law is bi-partisan support so why doesn't it (at least) get passed? That would be a major step (the best and only one that matters to most immigrant entrepreneurs) as far as immigration reform goes, imo..


It certainly could mean that the Democrats liked parts of the bill, and Republicans like parts of the bill, but that there wasn't enough bipartisan support for enough of the bill for it to pass.

If a bill contains X, Y and Z, but the GOP likes X & Y, and won't compromise on Z, and the Democrats like Y & Z, but won't compromise on X, the bill won't get passed, even though it has bipartisan support. And, in a case over bills with X, Y, & Z components, each election will feature one party bashing the other over the bill not getting passed, based on whatever portion was most popular with it's intended voters.


don't you think that is pretty sad? its been brought forward with various changes 3 times, I believe.. Americans are the ones electing these morons.. so the blame also rests with you ("you", as in American voters), doesn't it? that is why your country is going down the tube and failing taxpayers and tomorrow's taxpayers.. Future generations are screwed here.. I feel sorry for them.. the smart ones will leave the US for jobs and starting businesses offshore..

_____________________________

As Anderson Cooper said “If he (Trump) took a dump on his desk, you would defend it”

(in reply to DesideriScuri)
Profile   Post #: 350
RE: US Health Care Costs - 12/10/2014 9:14:16 AM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: starkmatters
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?

Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.

Are you forced to see a GP, or is that still a choice? Outside of being put on medication, how does seeing a Dr. reduce the risk of heart attacks?
If the cost of seeing a Dr. was lower (before insurance), wouldn't that make it more likely someone would go see a Dr.? Not only would the cost of seeing a Dr. be less, if you didn't have insurance, but insurance would cost less, too, making it that much more affordable to see a Dr. on a regular basis. Cheaper medicines means it's more affordable, without insurance, and insurance is more affordable, too.
What you can't see, is that affordable care, that is, care that is less expensive, helps everyone, not just "the rich" or whatever segment of the population you think I'm trying to spare.

You are assuming that "more affordable care" would be of the same quality and effectiveness. There is actually very little data on cost vs results derived using consistent definitions that allow valid comparisons. Eg comparing life expectancies across countries or infant mortality data is impossible, the former because it is too high level, encompasses many factors unrelated to healthcare and ignores sociological/medical data, and the latter because there is no consistent reporting of infant deaths from country to country. There is also no measurement of the cost of delays in diagnosis and/or treatment, nor the financial benefits of faster recovery due to less invasive but highcost technology dependent procedures.


A comparison of costs of medical services/procedures between countries will show we pay much higher costs for the same procedures and services. Is a basic MRI in the US really 2-4x better than in European countries? Are medications in the US somehow different from the medications sold by the same pharmaceutical companies (same brand name) in Europe?

When you compare the same procedures and services, apples to apples, we are still spending a lot more in the US. I'm not proposing putting some sort of price control to effect the affordability. I oppose that.

Welcome to the boards.


I'd like to know what you propose.

you kind of dodged the point I was making, seeing a doctor is of couerse facoltative unless you have to engage in certain activities like sports for example but when the visit costs you nothing and your doctor practice is in proximity of your house there is a higher chance that you'll see him/her more often than in other circumstances, but again that was not the point I was doing, I was just pointing out the different attitude.

(in reply to DesideriScuri)
Profile   Post #: 351
RE: US Health Care Costs - 12/10/2014 10:27:17 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tj444
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: tj444
You claimed that the 2 parties couldn't agree on immigration yet the start-up visa law is bi-partisan support so why doesn't it (at least) get passed? That would be a major step (the best and only one that matters to most immigrant entrepreneurs) as far as immigration reform goes, imo..

It certainly could mean that the Democrats liked parts of the bill, and Republicans like parts of the bill, but that there wasn't enough bipartisan support for enough of the bill for it to pass.
If a bill contains X, Y and Z, but the GOP likes X & Y, and won't compromise on Z, and the Democrats like Y & Z, but won't compromise on X, the bill won't get passed, even though it has bipartisan support. And, in a case over bills with X, Y, & Z components, each election will feature one party bashing the other over the bill not getting passed, based on whatever portion was most popular with it's intended voters.

don't you think that is pretty sad? its been brought forward with various changes 3 times, I believe.. Americans are the ones electing these morons.. so the blame also rests with you ("you", as in American voters), doesn't it? that is why your country is going down the tube and failing taxpayers and tomorrow's taxpayers.. Future generations are screwed here.. I feel sorry for them.. the smart ones will leave the US for jobs and starting businesses offshore..


If our elected representatives are faithfully representing their constituents, then this is going exactly how it's supposed to go. If Senator A's constituents won't compromise on Z, then Senator A's support of a bill including Z isn't representing those that elected him/her.

One of the things that really bugs me is electoral participation (of which I'm guilty at times, too). Americans, in general, don't take the time and make the effort to be informed voters. There are more "low information" voters then informed voters, sadly. So, if something needs passed, there needs to be some sort of campaign to get voters who agree on it to elect representatives and make it known that it needs passed. In theory, the population of the US is supposed to control the things that government does through election of representatives. Without informed voters, however, that tends to not happen so much.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tj444)
Profile   Post #: 352
RE: US Health Care Costs - 12/10/2014 10:46:18 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: starkmatters
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: eulero83
quote:

ORIGINAL: DesideriScuri
You seem to get it, but the stats you were trotting out (except infant mortality rates) weren't comparing the number of deaths to the number of cases, but the number of deaths to the population. If the US had quadruple the number of heart attacks per 100,000 population, but only double the number of deaths from heart attack per 100,000 population, what would that indicate?

Some could say that being visited more often by a general practitioner, and having access to cheeper medications, would prevent many hearth attacks to happen in first place. It's part of the problem I pointed out earlier, you consider health care as a personal issue while freedomdwarf1 considers it as a social issue, so for us health care works as an infrastructure that provides well being to the people for you it seems more like a shop where you buy a cure when needed.

Are you forced to see a GP, or is that still a choice? Outside of being put on medication, how does seeing a Dr. reduce the risk of heart attacks?
If the cost of seeing a Dr. was lower (before insurance), wouldn't that make it more likely someone would go see a Dr.? Not only would the cost of seeing a Dr. be less, if you didn't have insurance, but insurance would cost less, too, making it that much more affordable to see a Dr. on a regular basis. Cheaper medicines means it's more affordable, without insurance, and insurance is more affordable, too.
What you can't see, is that affordable care, that is, care that is less expensive, helps everyone, not just "the rich" or whatever segment of the population you think I'm trying to spare.

You are assuming that "more affordable care" would be of the same quality and effectiveness. There is actually very little data on cost vs results derived using consistent definitions that allow valid comparisons. Eg comparing life expectancies across countries or infant mortality data is impossible, the former because it is too high level, encompasses many factors unrelated to healthcare and ignores sociological/medical data, and the latter because there is no consistent reporting of infant deaths from country to country. There is also no measurement of the cost of delays in diagnosis and/or treatment, nor the financial benefits of faster recovery due to less invasive but highcost technology dependent procedures.

A comparison of costs of medical services/procedures between countries will show we pay much higher costs for the same procedures and services. Is a basic MRI in the US really 2-4x better than in European countries? Are medications in the US somehow different from the medications sold by the same pharmaceutical companies (same brand name) in Europe?
When you compare the same procedures and services, apples to apples, we are still spending a lot more in the US. I'm not proposing putting some sort of price control to effect the affordability. I oppose that.

Welcome to the boards.

I'd like to know what you propose.
you kind of dodged the point I was making, seeing a doctor is of couerse facoltative unless you have to engage in certain activities like sports for example but when the visit costs you nothing and your doctor practice is in proximity of your house there is a higher chance that you'll see him/her more often than in other circumstances, but again that was not the point I was doing, I was just pointing out the different attitude.


I didn't dodge the point you were making. We agree that seeing a doctor more is going to trend towards better outcomes. That wasn't in dispute. But, simply having insurance isn't necessarily going to improve that. And, having insurance isn't necessarily going to improve patients following Dr. advice. Living a healthy lifestyle doesn't require insurance, but we don't do that now. Preventive medicine isn't the norm here, though it does seem to be changing slowly. That's going to help get better outcomes, too, but there is still too much reliance on medical care for "health" than needs be.

The first thing I'd propose is separating health insurance companies from health care providers.

Then, I'd propose reducing taxable income by the amount spent on non-elective health care (that is, if I spend $1k on health care, that $1k income is tax free).

Basically, offer positive incentives for people to take care of themselves; tax breaks or tax credits, not penalties.



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to eulero83)
Profile   Post #: 353
RE: US Health Care Costs - 12/10/2014 1:19:40 PM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline
and if someone needs a surgery that at market price is more expensive than how much he pays in taxes in a year?

(in reply to DesideriScuri)
Profile   Post #: 354
RE: US Health Care Costs - 12/10/2014 2:09:34 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: eulero83
and if someone needs a surgery that at market price is more expensive than how much he pays in taxes in a year?


There is still insurance, and the premiums are paid out of tax free dollars, too.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to eulero83)
Profile   Post #: 355
RE: US Health Care Costs - 12/10/2014 2:27:35 PM   
eulero83


Posts: 1470
Joined: 11/4/2005
Status: offline
if it's paid by taxes how is this different from a public system if not just by being more expensive as you pay the market price?

(in reply to DesideriScuri)
Profile   Post #: 356
RE: US Health Care Costs - 12/10/2014 10:30:44 PM   
tweakabelle


Posts: 7522
Joined: 10/16/2007
From: Sydney Australia
Status: offline
One very straightforward and simple way of reducing healthcare costs is to increase the number of training places available for medical students thereby increasing the supply of doctors and specialists. Currently artificial constraints on the number of entrants into the profession(s) create artificial monopolies designed to maintain bloated fee structures. It's interesting that proponents of free market medicine rarely (if ever) focus on this particular monopoly, which really ought to be offensive to their free market sensibilities

A sensible approach would target candidates from marginalised communities where general health standards are lower and demands are higher. This would tend to make healthcare more affordable to those who need it most, and more effective in both preventing and treating health issues as it targets the areas of greatest need.

_____________________________



(in reply to DesideriScuri)
Profile   Post #: 357
RE: US Health Care Costs - 12/11/2014 7:28:13 AM   
Musicmystery


Posts: 30259
Joined: 3/14/2005
Status: offline
Artificial?

Isn't there a reality about how openings are available in *any* career training? There's even a limit on college students generally.

Reality. It's how things work.

(in reply to tweakabelle)
Profile   Post #: 358
RE: US Health Care Costs - 12/11/2014 9:31:29 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: eulero83
if it's paid by taxes how is this different from a public system if not just by being more expensive as you pay the market price?


It's not paid out of taxes. It's not taxable income. If I were to make $50k/year and spend $5k for health insurance and/or qualified health care (to prevent elective surgeries and procedures), my taxable income drops to $45k. It's an incentive to get health insurance, and actively manage your health (especially since the payer is closer to the receiver, it behooves the person to be more practive).

What happens if Government negotiates reimbursements that are below the provider's actual cost of delivery?

In the UK, the doctors are paid a set amount for each patient under his/her care, regardless of he care given (if I understood FD correctly). While I do see that as a strong way to control costs, there may not be enough doctors that go along with that plan. It would definitely depend on where that reimbursement is set. That is an interesting option.



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to eulero83)
Profile   Post #: 359
RE: US Health Care Costs - 12/11/2014 9:46:49 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: tweakabelle
One very straightforward and simple way of reducing healthcare costs is to increase the number of training places available for medical students thereby increasing the supply of doctors and specialists. Currently artificial constraints on the number of entrants into the profession(s) create artificial monopolies designed to maintain bloated fee structures. It's interesting that proponents of free market medicine rarely (if ever) focus on this particular monopoly, which really ought to be offensive to their free market sensibilities
A sensible approach would target candidates from marginalised communities where general health standards are lower and demands are higher. This would tend to make healthcare more affordable to those who need it most, and more effective in both preventing and treating health issues as it targets the areas of greatest need.


I have raised that issue before, as recently as 23 Nov 2014.

If you search for "AMA" and "monopoly" (without the "and" in the search terms) for "desideri%," you'll see that I have mentioned this 17 times prior to now (the first was 1 March 2012). Change the search terms to "AMA" and "monopolies," and there are two more hits from me.

Another thing that I've mentioned is for government to run a "free (for the patient) clinic" and staffing it with medical school grads for their residencies. Those could be placed in those communities, and the physicians could have some or all their medical school costs wiped away for completing their residencies in those facilities. Not only does that get them adequate on-the-job training, but it also helps reduce their schooling debt, and helps staff those clinics, reducing costs.



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to tweakabelle)
Profile   Post #: 360
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