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SIMPLE QUESTION?


   Do you believe that Health Care Reform legislation should extend
full coverage to illegal immigrants* just the same as for U.S. Citizens?
All to be treated equally, subject to exact same criteria, benefits and options.
And lest we forget, illegal immigrants can be from any country. (*Any
who are here who are considered to be in violation of current
immigration laws.)
 
   (Never mind the present legislation that mandates no person, regardless
 of citizenship or legal status, can be denied access to emergency medical
 care.  This is a stand alone, separate issue.)
 
  If you believe yes, HCR should cover all equally or no, should not - please
 also note the rationale for your decision.

   This is intended as an interesting and provocative query that hopefully
 will provide the premise for a positive, productive and civil discussion.


124 Comments

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Simple answer: Yes.

First of all, I believe that everyone should have access to medical care. Period.

But from a purely economic point of view, it makes sense. It's unethical not to provide medical care to the sick. Doctors know it. So, they provide emergency care and the rest of us pay. Why shouldn't those who can afford it be able to buy insurance? It provides more money for the shared-risk pool.

I think undocumented immigrants should be able to buy auto insurance too. They're driving anyway and that drives my uninsured motorist rates up.

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I second this reply on both the ethic and economic.
I don't think Aunt Sam is going to get many No answers from this lot.

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thirded

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A friend of mine recently shared a story of complications she suffered following a mastectomy while traveling in France. She visited one emergency room, and another specialist. Her costs were about $45. Yes, I believe we should cover every person in the country. If people are here illegally,and that's a problem, then there are other solutions than denying them medical care, which we will ultimately guarantee, at a higher price when their condition grows critical, and they visit an emergency room.

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I take it your friend was not in France illegally but traveling on a visa.

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Read my last sentence if you want to understand where I'm coming from.

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Of course. What kind of society wouldn't?

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Yes.

It is a basic human right.

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Flower,

'It's a basic human right'...

Just for clarification, what is your basis for this statement?

Thanks.

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The right to care for our physical bodies is universal and humane. We need to. We have to. It's the only body we get. So, it doesn't matter where you are when the need arises.

It is inhumane to deny a person medical care based on their point of origin.

If I cannot extend compassionate care to another human being when their need is apparent, I am useless on this planet and a detriment to the universe.

That, more or less, is my basis, Auntie.

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Illness is universal
so we definitely
need healthcare for all.

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No to full coverage on par with American citizens.

Doctors, hospital beds and the money that pays for them are finite resources. I am solidly against causing injury or death to law-abiding Americans--of any ethnicity--due to waiting in line past the Golden Hour behind an illegal immigrant. The flood of illegal immigrants is unsustainable, and offering free health care here, south or north or east or west of their native borders, would exacerbate that flood tremendously. Health care is not "free" for any nation. Full coverage for illegal immigrants would subject this country to an inflationary spiral in associated costs such as premiums, co-pays and taxes.

I am, however, for extending guest coverage to foreign travelers and those here on work permits. As for the purely illegal immigrants, they can receive teatment in ERs at their own expense with a complimentary deportation.

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Oy.

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Well said.

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Anyone in my home is welcome to all that I enjoy.

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If you want to entertain thieves, that's your business. The U.S. is not exclusively "your" home, however.

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Nor is it yours.

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Then you certainly can't offer those in "our home" illegally "all that" you enjoy without giving away what is also partly mine.

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What is illegal and who are thieves? It's difficult to understand loaded rhetoric.

I'm free to give as I like and vote accordingly, otherwise, would be anarchy.

This "illegal" immigrants coming to steal our health care meme is a clever one. Easy to shout, yet without substance. Undocumented aliens are already guaranteed health care in this country.

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"Thieves" as in "uninvited guests taking jobs, using finite health care resources, etc." And no, these things that the American citizenry holds in common are not yours to share with people who violate the law by their insistence on creeping across the border to take what they know is not theirs.

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So we shouldn't vote?

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Amazingly specious question.

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You should know that your right to vote belongs to you alone. As mine does to me. I'm done with this part of the thread.

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Please see my comment at 4;20 mark below.

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“I swear by Apollo, the healer, Asclepius, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath and agreement:

To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art.

I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.

I will not give a lethal drug to anyone if I am asked, nor will I advise such a plan; and similarly I will not give a woman a pessary to cause an abortion.

But I will preserve the purity of my life and my arts.

I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art.

In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or with men, be they free or slaves.

All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.

If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all men and in all times; but if I swerve from it or violate it, may the reverse be my lot.”

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The original text of the Hippocratic Oath is usually interpreted as one of the first statements of a moral of conduct to be used by physicians, assuming the respect for all human life, even unborn. Most Christian tradition interprets the original Hippocratic Oath as a condemnation of abortion and infanticide.

According to Margaret Mead : "For the first time in our tradition there was a complete separation between killing and curing. Throughout the primitive world, the doctor and the sorcerer tended to be the same person. He with the power to kill had power to cure, including specially the undoing of his own killing activities. He who had the power to cure would necessarily also be able to kill... With the Greeks the distinction was made clear. One profession, the followers of Asclepius, were to be dedicated completely to life under all circumstances, regardless of rank, age or intellect – the life of a slave, the life of the Emperor, the life of a foreign man, the life of a defective child...

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All American citizens, will not ever have equal access to medical care. Forget Immigrants. I am talkin about those who have birth certificates as well as pictures in their year books.

Right now you might have Medicare, but those better off certainly purchase supplemental insurance policies. All 67 year olds are not treated equally and never will.

Do I wish this will turn out otherwise? yes

It will always be Class A, Class B, Class C.....

So the issue really is, WHAT IS THE BASE POLICY GOING TO COVER?

There have to be, in my mind, yearly check ups FOR EVERYONE. Otherwise, how will we effectively prevent plagues and such?

WE already have, theoretically, access to ER's for EVERYONE.

THE END

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Yes because....

While there is a rationale for limiting services to those who pay into them in practice it will be less expensive to avoid the costs of enforcing those limits. Having them will lead to strains both moral and financial when undocumented aliens present at ERs. Also, since the haves benefit from public health epidemic prevention we want illegals to not avoid health providers.

And the best way to limit illegal immigration is not prohibition but having high enough wages that citizens take the vast majority of jobs. When there are very few jobs illegals won't risk crossing. The recent recession hugely slowed illegal crossing.

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Exactly, on every count.

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I think you mean high enough wages in their native lands, not in America. Higher relative wages here will only add to the allure of illegal immigration.

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The claim is that the illegals are willing to work for less than the citizens. So if you make all jobs pay enough that an American will take them, there will be no unemployed Americans and no job openings for illegals.

Don't know if I buy this.

I'd certainly want illegals treated for anything contagious and required to pay what they could for whatever care they receive. The complimentary deportation would keep things like swine flue circulating to I'm against that idea.

The best way to keep illegals home is to get their countries in a position to give them a better chance in life.

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Do you believe that Health Care Reform legislation should extend full coverage to illegal immigrants* just the same as for U.S. Citizens?

Do you mean "undocumented aliens"?

Do you mean "full coverage" or do you mean the partial coverage that U.S. citizens will be receiving?

Do you mean health care or health insurance?

In any case, as far as the legislation goes, of course undocumented aliens should be allowed to buy whatever health insurance plan they want! The more the merrier! (There are, what, 12 million undocumenteds in the country?)

As far as my views on health care, I think everyone should be treated equally.

Is this a trick question? Because you caught some people.

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I believe the statements in post address your queries:

Do you believe that Health Care Reform legislation should extend full coverage to illegal immigrants* just the same as for U.S. Citizens?

All to be treated equally, subject to exact same criteria, benefits and options.

And lest we forget, illegal immigrants can be from any country. (*Any who are here who are considered to be in violation of current
immigration laws.)

************

Thanks.

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Do you believe that Health Care Reform legislation should extend full coverage to illegal immigrants just the same as for U.S. Citizens?

What does this mean, exactly? Should illegal immigrants be offered the opportunity to purchase insurance policies, including the public policy, through the exchange? Should they be offered the same subsidies that will be provided to low-income Americans to purchase insurance? My answer to both questions is "no".

It's hard enough convincing Americans to pass a comprehensive package of health care reforms, a package that includes potentially expensive outlays for US citizens and legal residents, without including illegal immigrants in the scope of the benefits. We will kill this opportunity if we also ask our fellow-citizens to make additional outlays for people who are here in violation of the immigration laws that we established.

Offering social insurance benefits to illegal immigrants is also an enabler for businesses who intentionally employ undocumented workers in order to skirt hard-won US labor laws, thus putting more employment and wage pressure on American workers. We shouldn't be providing incentives for this kind of law-breaking by making it more attractive.

The United States should maintain liberal immigration laws that provide for law-governed and manageable processes for accepting a healthy number of legal immigrants each year. But immigration, and the rights and privileges that come with citizenship and legal residence, do need to be a law-governed. Progressive social policies depend on the idea of a social contract. People who want to build a "Great Society" need to be able to define and regulate who is or is not in that society, so that they can rationally plan the programs and budgets such a society requires, with predictability and sustainability. Commitments of social benefits are unsustainable where immigration flows are unpredictable, and it is unfair to ask our fellow-citizens to support this. In the end such commitments lead to permanent crises in the budgetary process, and constant pressure to roll back entitlement programs.

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Dan, I agree with you that we do need enforceable immigration laws and also that the current healthcare reform legislation has to exclude undocumented immigrants in order to pass.

However, in the long term, allowing non-citizens to buy health insurance plans makes economic sense, for them as individuals and for us as a whole, because unpaid for emergency care is expensive and the rest of us end up sharing that cost, in the form of increased premiums.

Also, I assume that Aunt Sam is speaking of the undocumented workers already in the country. While I agree that businesses have clearly exploited the cheap labor to the detriment of U.S. workers, that's not any fault of the immigrants who will, as anyone would, do anything they can to feed their families. It's unrealistic and unfair to think that those 12 million plus who are in this group can easily be deported or denied access to healthcare, education, or other government services. They're here, they contribute to society economically and otherwise. We need a sane solution to this problem.

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Can we also note that other western countries do not exclude visitors, even though they may not pay any taxes? In Europe people pay VAT, value-added sales taxes, but visitors get a refund when they leave. Still, if you break a leg or need an appendectomy you'll be OK.

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And also, people don't immigrate here for health care. They come here for jobs. If health care was their number one concern, they'd probably stay in their home countries. In Mexico, for example, public health care is guanteed by the constitution and fully or partially subsidized by the government.

http://en.wikipedia.org/wiki/Health_care_in_Mexico

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Yes, Tom, but I don't think we are talking about excluding legal visitors to the country. Hosts have different obligations toward their invited guests than they do to people who come uninvited.

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And how do we distinguish? My mother received emergency dental care in Germany without having to show passport or visa, or even ID.

The best reason to have a $5000-deductible plan like the one my daughter can afford is so you don't get sent elsewhere when you show up at an ER. Otherwise it's pretty worthless. Great country.

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Tom,

Did she have to pay at time of visit?

Thanks.

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Yes, a small fee, like in France.

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The visitors in your European example are legal visitors as opposed to illegal immigrants, who are as subject to deportation as any illegal in the U.S. No country in the world wants to de facto surrender its sovereignty.

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While I agree that businesses have clearly exploited the cheap labor to the detriment of U.S. workers, that's not any fault of the immigrants ... .

I can agree that economic pressure to emigrate from Mexico is severe, but you use a strange definition of "fault" (or "responsibility"). My understanding is that illegal immigrants knowingly pack their shit and evade Customs to come here and take American jobs. I'd say that's their fault.

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If the jobs weren't here to take, they wouldn't come. So, who's more at fault from an ethical standpoint? The parent who wants to keep his or her children alive or the business owner who could hire American workers if he or she paid more, but wants a bigger profit?

If there were no jobs to be taken, the government of Mexico would have to work a little harder to solve its poverty problem. As it is, it's as complacent as our government has historically been. As long as the workers keep sending money home to their families, as long as U.S. business owners keep making more money, as long as the U.S. government makes an example every know and then by terrorizing a handful of powerless families, then everybody's happy.

Do you know any undocumented workers? I don't mean have you ever seen or had a conversation with any, I mean have you ever tried to make an effort to understand just exactly what kind of lives they live here?

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It seems to me the logical consequence of refusing medical care to anyone, here legally or not, is the prospect of having people die on the doorstep of emergency rooms throughout the country.

The Glen Becks and the Limbaughs and the Dobbs' and the Armeys of the world might sell that as an acceptable practice to hate-filled throngs. And I have no doubt that this same "intelligentsia" that directs what passes as political thought for the GOP are prepared to accept the consequences as "justice" for "illegal aliens." But I gotta' believe that most within those throngs would not stand idly by as a child dies at their feet for mere reason that their mother and/or father are undocumented.

Whether they realize it or not, most sentient human beings recognize health care as a human right. And they would not be so willing to deny anyone the right to health care if confronted directly with the death choice that they are presently encouraged to embrace.

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Do I believe access to health care is a human right? Yes. Should illegal aliens (IAs) have access to health care if reformed? Yes. Can we get it through Congress?

First, let's do the numbers: (They are optional for those don't do them.) :-)


  • There are about 12 million IAs (4% of total population). The incoming flow has basically halted and stabilized. Growth in that population is due to having children.

  • 73% of the IAs have US born children, which means the children are US citizens.
  • 8.3 million IAs are in the labor force. Of those, 94% are men and 58% are women. The women not in the labor force are taking care of the children. In 2007, the median annual household income of IAs was $36,000 (not per worker, per household).
  • In 2007, 59% of IAs were uninsured. In the child population, 45% that are also IAs were uninsured, while only 25% that are US citizens were uninsured.


  • So while it's difficult to sometimes put exact numbers into the calculations we have around 70% of the IA population in the workforce. That means that they are paying all the same taxes as US workers, but have no way of recouping any benefits because they are using fake IDs. And over half of their children do have insurance.

    That leaves relatively few people who are not paying into the system and do not have insurance. In the meantime, even though they have paid into the system, they have to use emergency health care which is a big factor in running up health care costs and clogging the emergency rooms to boot. The politicians know this. Joe Wilson was for health insurance reform before he was against it. So were Georgia Republicans as a 2006 Senate Bill Demonstrates. It is almost exactly Obama's plan. Similar stories are popping up all over the country. ABC had a news story where a panel of shrinks said the outrage doesn't match the problems, and is likely to have underlying meanings.

    What has been pointed to is a report from the US Census Bureau that was released in August of 2008. The timing of the report seems slightly suspect, but I digress, as Flower says. The key paragraph is short:

    Minorities, now roughly one-third of the U.S. population, are expected to become the majority in 2042, with the nation projected to be 54 percent minority in 2050. By 2023, minorities will comprise more than half of all children.

    Did anyone look at all the pictures yesterday of the Dress Up Like George Washington parade in DC? I saw one person of color out of approx 60 pictures that I viewed. And he looked like he had taken wrong turn and wasn't sure how he gotten there.

    I also have the Switzerland story, where the Social Democrats pushed through health care by only the slimmest of margins and without Conservative support. The Conservatives are 100% behind it now. Let's not listen to Jason anymore. :-)

    But can we get healthcare passed effectively and make it work without wingnut support and leave the IAs in the game? The numbers may make it more feasible for any Dems and Indies that are stewing over IAs.

    Is it worth aiming for? I say yes, but I really don't know.


    All of the statistical stuff comes from Pew: A Portrait of Unauthorized Immigrants in the United States [4/14/09].

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    Seashell!

    Without taking into consideration the odds of HCR passing - do you believe that HCR legislation and the rights, privileges and guidelines covered in bill should extend equally to those who are in violation of US Immigration Laws? Without exception.

    Thanks for comments, very helpful and interesting. Always find factual data to be most beneficial.

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    Yes, number one because it is the moral road to take. Number two - all the statistics show that trying to verify citizenship, especially in the face of an emergency, would be a costly nightmare that would probably be ineffective anyway. Finally, how do we tell a US citizen that we're not going to treat her mother/father because of lack of citizenship?

    And why all this magnification of a problem that in the scheme of things is not a real big issue? I think we're being forced to accept and practice racism under the guise of health care, and I will not endorse any such blatant act. I may have to accept it, but I will call it what is, not what it was touted to be.

    What about you?

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    "8.3 million IAs are in the labor force. Of those, 94% are men and 58% are women."

    Are some IA's doing multiple jobs and changing gender in between?

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    I think that means 94% of the men work and 58% of the women work.

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    Thank you, O. I'm always uncomfortable around numbers and freeze up. You just save my ass. Gracias!

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    I had to think about this one for a while.

    While I have to agree that we shouldn't be turning anyone away from adequate health care, the truth is, people in this country are being turned away every minute of every hour of every day, and most of them are not illegals. The Emergency Rooms are full because they've now become the last refuge for the uninsured. Health care beyond the basic is already conveniently being denied even those who carry insurance.

    We could argue this debate about allowing illegals the same health care we receive, but at what point does adequate care become inadequate or marginal because of the numbers who aren't paying into the system? Where should the money come from?

    The clear answer is to radically change the system, but how? And when? It won't happen tomorrow, or even the day after that.

    Who suffers when the system is dangerously overloaded? Everybody. What can we do about it? Morally and ethically, the answer for me is yes--we SHOULD take care of everybody. I WANT to take care of everybody. But realistically, I have my doubts. When profit takes a back seat to moral obligation, then we have a chance. Until then, it's a question too big for me.

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    I've read many stories about sick American citizens that were treated well by the health care systems of other countries, so I don't see why we should do any less for foreign nationals here.

    Behind every illegal worker is an illegal employer, who preys on foreign workers because they work cheaper and are even more vulnerable than non-organized US workers. Prosecute the employers, right up to the board room.

    Let employers bring them here legally. If they're good enough to work here, they're good enough to live here legally.

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    Donal,

    So to be clear, you support that any and all HCR legislation needs to blanket both US Citizens and those here in breach of US Immigration Laws equally?

    Thanks.

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    Yes, but I don't want us to reward their employers for having them here any more than we must to achieve basic humanitarian measures. So we strike an uneasy balance between providing necessary care and forcing them underground. I hate the situation.

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    Thanks for reply.

    I agree, it is a quagmire. I subscribe to Ramona's comments.

    This truly is not a simple question! For many reasons.

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    I haven't read all the comments, but the answer is "yes".

    It is morally the right thing to do and will ultimately keep the cost of health care down in my opinion.

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    First, I think there is a difference between a right and a necessity. Food, clothing, shelter, (like health care) are all necessities, but do I have a right to them? A right is something that cannot be denied. How can I have a right to something that someone else must provide? How do I have the right to demand that others must work to produce goods and services for me in exchange for nothing? So, while these things are necessities, they are not rights, and our society provides them as charity, out of compassion, not because we must. That being said, I would allow IA's to purchase insurance (but would not subsidize it), and would provide basic life sustaining care at ER's. But I would aggressively secure the borders and would deport illegals and their children, regardless of where the children were born (because I believe it is an intentional misreading of the 14th amendment to assert the children of illegals are citizens). In short, I won't deny them medical care, but I will kick them out of the country.

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    In summation, is it fair to state that you are not in favor of HCR extending the same criteria, privileges and benefits to those in violation of current Immigration Laws as it does to others (US Citizens, lawful visitors)?

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    First, it would be fair to state that I am against the current HCR plan. I think changes need to be made to insurance regulations, but I oppose a huge new government monstrosity leading inevitably to a NHS like the UK has.

    Second, yes, in the sense that I would only provide emergency treatment for people here illegally, and would then deport them. I think since they are breaking the law, they should be deported (that is the law after all) whenever identified.

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    Thanks for clarification. Appreciate.

    One more query - Why are you opposed to NHS 'along the same lines' of UK (Canada, etc.)?

    Is it you are concerned about quality of care? Or.....?

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    My brother would likely have died waiting for angioplasty under the Canadian health system, where wait times are in the months, as opposed to the 1 day wait here. I spend a lot of time in Canada, and can tell you that many do not like their system at all. Plus I never want some bureaucrat to have the power to tell me I can't get some treatment, that I don't deserve it because I'm too old (like Obama himself said to the woman whose 100 year old mother got a pacemaker 5 years ago. - He said maybe she should just be given a pain pill instead). Also, it is fairly well documented that the quality of care is substandard (certainly below our standards), and it will mean the end of innovation. We will have cheap aspirin for all. No thanks, I'll keep the current system with a few improvements. Allow interstate insurance sales, prohibit pre-existing exclusions, a few other fixes.

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    How can quality of care be substandard, and yet they get much better outcomes?

    As for bureaucrats having "the power to tell you you can't get some treatment," this is a red herring argument for obvious reasons. What does it look like to eliminate pre-existing conditions yet keep the health insurance industry? Is it "Of course we'll insure you because we can't refuse your business due to your pre-existing condition, but your premium will be 3X your annual income."?

    We are awfully close to doing nothing more than providing the Health Insurance Industry access to millions of new customers without doing a thing to fix a corrupt and unsustainable health care delivery system. That doesn't sound a lot like "Change We Can Believe In."

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    How can quality of care be substandard, and yet they get much better outcomes?

    (((((crickets))))))

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    Who said they get much better outcomes? Princess Diana is dead, she would be alive if she were injured in a similar way in the US.

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    cite please?

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    Can you liberals not use google? Here is one excerpt:

    from :
    http://www.whistlestopper.com/forum/showthread.php?t=82568

    When rescue workers arrived, Diana was conscious, uttering, "My God" and "Leave me alone" to the swarming paparazzi. Although she had suffered internal injuries, she did not arrive at the Parisian hospital for 110 minutes -- too late for the surgery that some speculated could have saved her life.

    Diana's last hour -- in cardiac arrest and bleeding to death -- was spent in a mobile medical unit parked a few hundred yards from Pitié-Salpêtrière Hospital, where an emergency team followed French protocol and administered treatment at the scene of the accident and en route to the hospital.


    At the time, many people surmised that had a U.S. ambulance responded, Diana would have been rushed to the nearest emergency room, where a full set of professionals and diagnostic equipment might have revived her.

    Colloquially known as "scoop and run," the U.S. system is grounded in studies that show a trauma victim's best chance for survival is reaching the operating room within 10 minutes.

    Under the French system, "stay and play," a fully equipped medical ambulance with a doctor stabilizes the patient and then directs him or her to a specialized hospital, even if it is miles away...

    or read :

    http://www.ispub.com/journal/the_internet_journal_of_rescue_and_disaster_medicine/volume_1_number_2_58/article/death_of_a_princess_did_princess_diana_have_to_die_a_case_study_in_french_emergency_medicine.html

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    This is a more factual read,

    Although the French system faces many challenges, the World Health Organization rated it the best in the world in 2001 because of its universal coverage, responsive healthcare providers, patient and provider freedoms, and the health and longevity of the country's population. The United States ranked 37.

    The French system is also not inexpensive. At $3,500 per capita it is one of the most costly in Europe, yet that is still far less than the $6,100 per person in the United States.

    http://www.boston.com/news/globe/editorial_opinion/oped/articles/2007/08/11/frances_model_healthcare_system/

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    Absolutely the case that needs to be made. The facts simply do not support this notion that we have the best health care system in the world. Nor do they support the notion that we cannot afford universal health care.

    The facts DO stipulate that you cannot expect to gain good health care AND support for-profit insurance and provider parasites all at the same time. You can have one or the other. I'll opt for an efficient and effective universal health care system, thank you very much!

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    Rated #1 by the WHO means little, given their bias. Also, basing ratings on life expectancy of the general population is misleading. France is a different culture, with a different diet, and a different ethnic background. Diet alone plays a huge part. Plus the fact that the US has a large minority population, which suffers from diabetes and heart disease, plus violent crime, at a much higher rate. It is inaccurate to assume their health system accounts for all differences.

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    Your variance from ignorance to repugnance is remarkably balanced, add a big splash of deceit and you have a cleverbulldog.

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    Are you kidding me with this? And rated #1 by ourselves means we have the highest level of credibility? Puh-leeze.

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    LOL!

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    WE'RE #1!

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    From memory, there are studies out there that show that for the same demographics the British do better for less than we do -- i.e., even for the upper middle class their upper middle class is healthier and lives longer than our upper middle class.

    Would that be comparable enough for you?

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    jnh, I think France was rated number one last year, also.

    :-)

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    Why can't reform include price rules related to age and ignoring pre-existing conditions? Mandate coverage (like we do for auto insurance), allow interstate competition, and set up rules regarding pre-existing conditions, portability, and pricing set solely by age. I don't think we need to scrap the entire system to make a few changes.

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    Why don't we accept universal health care coverage and make health insurance an anomalous concept?

    We could then concentrate on fixing the health care industry and avoid altogether this fight to protect Health Insurance profits, which certainly has become our number one priority to date.

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    I have relatives in Canada and I can tell you that for every story they tell about delays, etc., they tell five stories about good care without miles of red tape or without insurance companies rolling the dice on their lives.

    I can also tell you that they shudder at the thought of having a health care system like ours. And when they're done shuddering, they're laughing their asses off. Damn smug Yanks. Look at 'em now!

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    Googled Obama and pain pill so I got the clip but that's not what he said -- Obama said we should eliminate waste that would not help any one's mom. He implies that in some cases doing surgery is not going to make any significant difference in the outcome and in THOSE cases a pain pill may be better and would be chosen by the individual if they think it through. If you are dying of cancer and also have a heart arrythmia, have grueling surgery to implant a pacemaker is not going to extend your life much although it might very well extend your dying process.

    Obama has a tin ear in how he responds -- he needed to say as I think he believes -- of course, if it will help, any one of any age should have that procedure and then go on to say but there are certain situations where it is clear that active intervention only extends the process of dying.

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    Sometimes "government monstrosities" are all that will save us after so many years of playing that mindless game called "Good Government means No Government".

    Only that bugaboo "government monstrosity" has the power to slam down the private health care cheaters and fraudsters. If you would rather give your life over to the same "providers" who have caused all of this, fine with me. Just don't expect sudden honesty and integrity from them--not until Big Mama sits them in the corner and gives them a long, l-o-o-o-n-g time-out.

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    CB,

    Will you please cite source for: 'like Obama himself said to the woman whose 100 year old mother got a pacemaker 5 years ago. - He said maybe she should just be given a pain pill instead).'

    Interesting. I am only a couple hours away from Yukon, Canada and most I know there haven't had these issues and are pleased with their healthcare program. But, I understand your premise.

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    http://www.youtube.com/watch?v=U-dQfb8WQvo

    Hear it / see it from the man himself. Notice he immediately starts in on 'end of life care' when nothing was said about her being dying, just old.

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    Thanks. Unfortunately, my ability to achieve 'sound' is nil - Will review it after fixed.

    Appreciate your supplying this link.

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    Auntie watch his clip and then the unedited version.

    http://www.youtube.com/watch?v=xJYvaLS-xOw&NR=1

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    YOU LIE!!!!!


    here is unedited clip


    http://www.youtube.com/watch?v=xJYvaLS-xOw&NR=1

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    Jonnie,

    Will you post here specific transcript of Obama's quote? Please. (Sorry, my sound isn't working.)

    Thanks.

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    JANE STURM: Caregiver for 105-year-old mother: Yes.

    SAWYER: Hazel Homer (ph), 100 years old and she wanted...

    STURM: She's 105 now. Over 105. But at 100 the doctor had said to her, I can't do anything more unless you have a pacemaker. I said, go for it. She said, go for it. But the arrhythmia specialist said, no, it's too old.

    Her doctor said, I'm going to make an appointment, because a picture

    is worth a thousand words. And when the other arrhythmia specialist saw

    her, saw her joy of life and so on, he said, I'm going for it.

    So that was over five years ago. My question to you is, outside the

    medical criteria for prolonging life for somebody elderly, is there any

    consideration that can be given for a certain spirit, a certain joy of

    living, quality of life? Or is it just a medical cutoff at a certain age?

    OBAMA: Well, first of all, I want to meet your mom.

    (LAUGHTER)

    OBAMA: And I want to find out what's she's eating.

    (LAUGHTER)

    OBAMA: But, look, the first thing for all of us to understand is

    that we actually have some -- some choices to make about how we want to

    deal with our own end-of-life care.

    And that's one of the things I think that we can all promote, and

    this is not a big government program. This is something that each of us

    individually can do, is to draft and sign a living will so that we're

    very clear with our doctors about how we want to approach the end of life.

    I don't think that we can make judgments based on peoples' spirit.

    That would be a pretty subjective decision to be making. I think we

    have to have rules that say that we are going to provide good, quality

    care for all people.

    GIBSON: But the money may not have been there for her pacemaker or

    for your grandmother's hip replacement.

    OBAMA: Well, and -- and that's absolutely true. And end-of-life

    care is one of the most difficult sets of decisions that we're going to

    have to make.

    I don't want bureaucracies making those decisions, but understand

    that those decisions are already being made in one way or another. If

    they're not being made under Medicare and Medicaid, they're being made

    by private insurers.

    We don't always make those decisions explicitly. We often make

    those decisions by just letting people run out of money or making the

    deductibles so high or the out-of-pocket expenses so onerous that they

    just can't afford the care.

    And all we're suggesting -- and we're not going to solve every

    difficult problem in terms of end-of-life care. A lot of that is going

    to have to be, we as a culture and as a society starting to make better

    decisions within our own families and for ourselves.

    But what we can do is make sure that at least some of the waste that

    exists in the system that's not making anybody's mom better, that is

    loading up on additional tests or additional drugs that the evidence

    shows is not necessarily going to improve care, that at least we can let

    doctors know and your mom know that, you know what? Maybe this isn't

    going to help. Maybe you're better off not having the surgery, but

    taking the painkiller.

    And those kinds of decisions between doctors and patients, and

    making sure that our incentives are not preventing those good decision,

    and that -- that doctors and hospitals all are aligned for patient care,

    that's something we can achieve.

    We're not going to solve every single one of these very difficult

    decisions at end of life, and ultimately that's going to be between

    physicians and patients. But we can make real progress on this front if

    we work a little bit harder.

    SAWYER: Is that a conversation you could have had with your mom?

    STURM: What I wanted to say was, that the arrhythmia

    specialist who put the pacemaker in said that it cost Medicare $30,000

    at the time. She had been in the hospital two or three times a month

    before that, so let's say 20, 30 times being in the hospital, maybe

    going to rehab, the cost was so much more. And that's what would have

    happened had she not had the pacemaker.

    OBAMA: Well, and that's a good example of where -- if we've got

    experts who are looking at this, and they are advising doctors across

    the board that the pacemaker may ultimately save money, then we

    potentially could have done that faster.

    I mean, this can cut both ways. The point is, we want to use

    science, we want doctors and -- and medical experts to be making

    decisions that all too often right now are driven by skewed policies, by

    out-dated means of reimbursement, or by insurance companies.

    And everybody's families, I think, have had to experience this in

    one way or another. That's -- that's the reason we need reform right now.

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    Yes, I think this was on the HCR town meeting ABC?

    I saw this.

    So appreciate your doing this. Many thanks!

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    You're entirely welcome. This garbage must be repudiated.

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    First idiot, it's not my clip, I just googled for '100 year old woman pain pill'. Second, there is no difference in content, so in no way did I lie. Obama said what he said. Deal with it loser.

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    No difference in content? What color is the sky on your planet? YOU LIE!!!!!

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    CB,

    After reviewing the actual quote in context and complete sentence, it does appear you misrepresented his stance. Hopefully, you will reread this and come to same conclusion.

    Thanks.

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    So, in the last sentence, after being confronted with data that pointed to a cost savings, he then says that maybe it is ok. What if it didn't point to a cost savings? What if it just improved her quality of life? I don't see where that was a concern of his at all. This is where the death panel idea comes from. You're tool old, it's not worth it, take a pain pill and die quietly.

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    CB, I admit he did it badly, but what Obama was getting at, I think, was unnecessary surgeries to build up the bottom line. You can't really believe he's advocating death to the old folks? I've seen nothing--not even this video--that would suggest anything like that.

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    Well, that is sort of exactly what is happening in the UK right now. People are being denied treatment as part of a 'pathway' that leads to their demise. It's a cost savings effort.

    Here:

    http://www.telegraph.co.uk/health/healthnews/6127514/Sentenced-to-death-on-the-NHS.html

    (and the Telegraph is a liberal pub)


    As to unnecessary surgeries (or unnecessary treatment) that is more a defensive medicine practice related to lawsuits. Tort reform would help.

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    The Telegraph is not a lib pub,

    http://en.wikipedia.org/wiki/The_Daily_Telegraph#Political_stance

    The Daily Telegraph has been politically conservative in modern times.[23] The personal links between the paper's editors and the leadership of the Conservative Party, also known by the term Tories, along with the paper's influence over Conservative activists, has resulted in the paper commonly being referred to, especially in Private Eye, as the Torygraph.[23] However, in its early years it was associated with Gladstone and the Liberal party, coining the nickname "the people's William".[citation needed]

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    How about the same story from the Daily Mail, the 2nd largest paper:

    http://www.dailymail.co.uk/health/article-1210848/Terminally-ill-care-scheme-death-pathway-warn-experts.html

    good enough for you?

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    The daily mail is a rag and conservative.


    http://en.wikipedia.org/wiki/Daily_Mail#Libel_lawsuits


    On 27 April 2007, film star Hugh Grant accepted damages over claims made about his relationships with his former girlfriends in three separate tabloid articles published in the Daily Mail and The Mail on Sunday on 18, 21 and 24 February. His lawyer stated that all of the articles' "allegations and factual assertions are false."[30] Grant said, in a written statement, that he took the action because: "I was tired of the Daily Mail and Mail on Sunday papers publishing almost entirely fictional articles about my private life for their own financial gain. I'm also hoping that this statement in court might remind people that the so-called 'close friends' or 'close sources' on which these stories claim to be based almost never exist."[31]

    World football governing body, FIFA, also filed a lawsuit against the Daily Mail due to comments made by sportswriter Andrew Jennings against the organisation and its president Sepp Blatter.[32]

    The Daily Mail falsely reported that former child star Mark Lester assaulted his ex-wife and had allowed his son to share a bedroom with Michael Jackson. In 2008 substantial damages along with legal costs were awarded to Mark Lester after he launched a libel case against the paper.[33]

    Other libel awards against the Daily Mail include:

    * 2009 - January - ÂŁ30,000 award to Dr Austen Ivereigh, who had worked for Cardinal Cormac Murphy-O'Connor, accused of hypocrisy over abortion.[34]
    * 2006 - May - ÂŁ100,000 damages for Elton John, falsely accused of rude and dictatorial behaviour[35]
    * 2006 - March - A formal apology and substantial damages awarded to businessman Sheldon Adelson, in a case estimated to have cost ÂŁ4m [36][37]

    The Mail takes an anti-EU, anti-abortion view, based upon "traditional values", and is pro-capitalism and pro-monarchy, as well as, in some cases, advocating stricter punishments for crime. It also often calls for lower levels of taxation. The paper is generally critical of the BBC, which it argues is biased to the left.[39]

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    they do have great cryptic crosswords though

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    don't forget the large breasted women in every issue on page 3

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    forgot the link.

    http://www.dailymail.co.uk/femail/article-426945/The-Green-Goddess-Page-3.html


    they are topless in the paper, this link is clothed

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    Government oversight would help even more.

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    Ah, CB, you are so much smarter than this!

    You're projecting. But, I much appreciate your hangin' in here and contributing.

    Truth is, until we get actual proposed HCR legislation, we are really just hypothesizing about the actual data.

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    Turns out Addison Graves Wilson has presented quite an expensive straw man. This info might change a few naysayers minds on health care for undocumented aliens,

    http://www.nytimes.com/2009/09/11/opinion/11fri2.html?_r=1

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    Excellent. Talk about 'blunt' force trauma for those who spew the blather!

    Greatly appreciate!

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    I'm paying $932 per month for an assumed risk policy (I admitted to smoking and I've had more than one breast biopsy although all have been negative so far. I've never had heart disease, diabetes, cancer, etc.). In addition, my policy requires that I pay a $5000 deductible annually....before I get penny one of benefit from my policy. That's $16,184 per year before I get ANY benefit.
    If it is true, and I believe it, that there are countless other countries whose individual expenditure, per person, is half to one third of what ours is -- and ours is @$7,000 -- then: a) why am I paying more than double or triple that cost, per person, when I have had, to date, no serious disease; and, b) why would I object to an illegal alien, or some other demographic of the uninsured, benefitting from some of the profit being taken from me, year after year, when UNIVERSAL healthcare, as compared to insurance, is a humane right?
    The bottom line is this: I'll gladly pay more, on a fair scale, to cover others. But why should I pay what I pay, when it not only does not cover others, but doesn't cover me, either?

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    Exactly.

    I'm so sorry, ma'am, but it is stories like yours that I hope drive understanding into the, er, not-terribly-emphatic

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    Wendy,

    So glad to 'see' ya here.

    This response is specific, factual and quite on point! I, for one, am in complete agreement with your stance.

    Appreciate.

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    My policy costs $245 per month, and includes prescription drug coverage. It has a $1000 deductible that does not kick in on diagnostic tests or many other things. I broke my knee a few years ago. Treatment plus rehab was covered, I also had skin cancer surgery plus skin grafts again all covered, total out of pocket $1000.

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    You are fortunate to have such good coverage and this safeguard.

    For younger people, either starting out and employed but without coverage or laid off later in life for example, this type would be impossible for them to obtain now.

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    Shorter Bulldog: I got mine so f you.


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    Here, lemme help you out with the letters you left out, amiga.

    uck

    :o)

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    Thanks.

    =D

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    Just so we know what we're talking about, here are some interesting statistics:

    http://www.amren.com/mtnews/archives/2009/09/survey_undocume.php

    Some tidbits:

    *"a 2005 RAND study...found that nationally the medical cost for the undocumented was $5.2 billion annually" (That's less than 2% of the total cost for those keeping score at home).

    It is estimated that if the healthcare reform provision barring undocumented immigrants from coverage is not enforced, the total cost per year could be more than $30 billion a year. It's also estimated that it wouldn't come anywhere near that number since most immigrants are young and healthy. And, if you let those who want to purchase insurance pay for it, well, then it would cost the government much less. Possibly even next to nothing.

    Another statistic cited in the study that is far too often overlooked when we start having hissy fits over immigration: Immigrants are consumers, whether or not they have papers. In 2006, in Riverside County, CA, undocumented immigrants pumped about $1.5 billion into the local economy. The cost? $220 million.

    The healthcare system is broken and it doesn't have anything to do with immigrants.

    Immigrants contribute far more to the economy than they get back (including paying taxes). But they are the most powerless among our population, so they make easy scapegoats when we face tough problems.

    Frankly, it makes me sick.

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    Well said. This is an issue because opponents of HCR know that it is a hot-button issue and as such, as with the issue in general, a lot of people just aren't going to try and apply those little things known as facts to the problem. They're just gonna say "hell no."

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    It would be nice if we could cover the new immigrants, legal or otherwise. They've come here "yearning to be free." Their contributions go unappreciated by many, as Mr. Wilson's outburst attest. Let's find a way to do it. We're all in the same boat, yearning to be healthy.

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    The reason illegal immigration is a problem is that they provide services and products available that are cheaper than would otherwise be available. The simple example is one I heard on NPR back when it the issue of the day from some guy who said it was a problem but if he could get his roof fixed for $300 instead of $700, he'd used the illegal immigrants.

    The short of it, he saves $400 and helps keep illegal immigrants in the country. Part of that $400 should then go to help subsidize medical care costs for those workers and their families.

    What would be our food costs if it were not for such workers. The money saved I think probably would definitely pay for the extra cost to the system.

    Don't want the illegal immigrants around. Enforce the laws and punish those employee them. Don't use them and encourage the same from your neighbors and friends. But while they are here, putting money into our wallets, we will provide them medical care.

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    General immigration should probably be it's own post. It's a complicated issue. Prices for everyone would go up if businesses stopped hiring undocumented workers, just as they would go up if we started producing goods here again instead of importing them from China.

    So, it's not just the businessowners' faults for seeing excess profits. It's also our fault as consumers for not wanting to pay higher prices but refusing to acknowledge our part in that. Instead, we blame the brown people who don't speak our language. It's a lazy way out.

    We created the problem and now the conservative idea to solve it is to deport 12 million people, including children born on U.S. soil who are U.S. citizens. The mind reels.

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    Try reading the 14th amendment and the supporting information on it. You will see it is quite clear that the children of illegals are NOT citizens.

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    Well, since you are so enthusiastic about enforcing the law for illegals who are here, you'll have to accept the law that says their children ARE U.S. citizens if born here. You don't get to cherry pick.

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    By the way, as far as problems go, the illegals are a relatively small one. Why so much angst over them? How about the hundred thousands of Americans that die each from lack of health care access? Are you willing to deny them treatment just to keep a few people from getting an emergency band-aid, that they have in fact probably paid for with taxes?

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    Article 14, Section 1. All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.

    Bulldog, perhaps you should take the advice given to immigrants arriving on our shores for the whole of our history and learn to speak English. Or at least bone up on your reading comprehension.

    Unless you think a child isn't a person unless they're not born yet, I'd say the text is crystal clear.

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    Of course, the "correct" answer is yes, and, of course, the answer we are given is absurd since the uninsured will get treated which will cause the rates we pay to rise and so on and so forth.

    But we have to play this game because the ers of me, myself and I which the Great Reagan ushered in is still alive in this respect.

    No for long, I hope.

    The "illegal" part of this always suggests some criminal, not that some quota issue or other nonsense has prevented the "immigrant" to get a legal status. The thousands of would be immigrants turned from our shores in the late 1930s and early 1940s, who were returned to Europe to be murdered ought to inform our sense of right and wrong, but, alas, it does not.

    And then, again, I need to quote my avatar Regina Spektor, a legal immigrant and now citizen, who, singing about her arrival on these shores, sings:

    "There are immigrants, I know
    Who came, like me, as little kids
    They think that today it's so different
    And they believe that immigrants
    Shouldn't be allowed to come here anymore
    They do bad for the economy

    I just know they got something coming
    If they got anything coming at all
    I just know they got something coming
    If they got anything coming at all"

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    Aunt Sam

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