« a stupid man | redneck's Blog | healthcare Part 2 »

healthcare


I've been reading for awhile here about single payer healthcare and I have had some others hear talk to me about it.

  I hope I dont get myself in trouble here but my opinion (and it is only my opinion) is that it would be a bad thing for most people and a good thing for a few.

  Everybody that works for a living and tries to get by will have a harder time becouse we will be paying for everybodies healthcare.

  The super rich dont pay taxes becouse there cheats that have so many loopholes to get away from paying. The poor that dont work dont pay taxes becouse they dont work. That leaves the rest of us to pay.

 I know we need some kind of reform but i would prefer something that requires you to be working if you are physically able to work.

  I know a lot of people that work very hard and still cant afford insurance. They are the ones I'd like to helpbut there are others that i know that would take advantage of the program and they dont want to work.  My own brother is a good example of that  he is 34 yrs old and hasnt worked more than a yr his whole life.would i like to see him have insurance  yes do I want to pay for it with higher taxes   no way..

 I know this will probably make a lot of you mad but its the way I feel. I know a lot of people and they are not all good people like you. They would run up healthcare cost just to try and get drugs from the Drs. And they are capable of working but figure it is easier to let the rest of us pay there way.

 

Well I hope everybody is having a nice day.


37 Comments

| Leave a comment
user-pic

What if they want to work, but there are no jobs? I know a lot of people who have been laid off.

I want to help them, too.

user-pic

ok you got me there bwak i just really dont want to help the ones that dont want to help thereselves maybe some requirement can be made so that its connected with unemployment or something also

user-pic

I think, it might be the price we pay to take care of the good peoples.

user-pic

There is no nobility in denying healthcare to anyone. If it became a right, or something every 'body' (and every soul) could cease worrying about because it was simply available when needed, with no moralizing, no regret It might be possible for employment to rise because the lack of troubling health problems would raise the population's ambition!

user-pic

Ya know what, Red?

I'd be just fine with a few "undeserving" having access, however they're defined, as long as the "deserving" (which in my definition is anyone currently capable of fogging a mirror) can have real problems attended to without fear of homelessness or destitution.

We're just going to have to agree to disagree on this, and I do hope you'll reconsider your position. Because the next person who needs health care might just be you, some time after losing a job. And I doubt you'd want to be on the receiving end of your own opinion in that instance.

We live in a society, not an economy. And a society needs people's needs seen to.

Yes, it's a moral argument. If morality means anything, it means we look out for each other.

user-pic

old grouch i must of wrote it kinda wrong if i had to choose i would vote for what they have now becouse everything should be done to help those who really need help i was just saying it could be better if that was who we really helped maybe the ones who think its alright to use the system would see it as a reason to work

user-pic

I have to agree w/ OG on this one, Red. We can disagree on the MEANS of getting there, but I think it is important that we form a consensus that everyone needs access to health care, whether they deserve it or not. Yep, some people are going to abuse it, but just as in our justice system things are set up to let many guilty go free to avoid having one innocent wrongly punished, better there be some abuse, than have one child die from lack of care.

I would certainly not want to be the one who had to decide who lives and who dies based on their contribution to society...I think that is why they have set up the transplant program the way they have, so it is needs based rather than on who you are.

user-pic

Excellent point made with the transplant program! One of my sons is currently on the national organ transplant waiting list. The government has been supporting him with disability and social security payments for years. He has been unable to work most of his life. Is he a productive member of society? Not really. Does he deserve to live? Quite definitely!
I have a friend who has been riding on welfare most of her adult life. She is capable of working, but always looking for an excuse for why she can't. Does she deserve government support? Nope, but her kid needs it to survive.
There are many aspects to this issue. It would be nearly impossible to cover them all with one plan. Most of us do the best we can with what we have and are compassionate enough to help the less fortunate AND the less deserving.

user-pic

Just so.

Thanks rain

user-pic

Red - I am wondering if you have given this a great deal of thought and time. Here is a past conservative who thought our govenment should stay out of our lives...........now I am hoping we can get Gumbun and Ripper to the rally in DC. I have seen first hand what happens to people who are out of work and have no health care. Their health needs have to be put on the back burner and I know how lucky I am to have medicare and a supplemental so I can go to the doctors, without worry. I know you are a good soul and you do not want your friends or loved ones getting caught in the jobless, no insurance debacle.........

user-pic

yes maggie i have given the subject a lot of thought but unfortunatly i didnt give the blog a lot of thought. I worded some things the wrong way people like my brother would ruin this single payer becouse he would run up the cost so high and he wouldnt care becouse he dont pay taxes.

I know there are a lot of people out there who really need help and i would help in a second but think there should be some limits on this bill. Like maybe you have to work so many yrs of your life or be diabled or something

user-pic

I got what Red was saying the first time.

I've made some difficult choices throughout my career: moving out of state for work, moving overseas for work, piggybacking on my husband's health plan, taking less money in a job that had better benefits, etc.

At LEAST one person in a family unit needs to look out for their loved ones to protect them in case of illness or injury.

Nobody wants to pay insurance premiums but it's part of life. Hold out for a job that has good benefits or move to get a job with good benefits.

Hopefully the new plan will help people who have no benefits now, for whatever reason.

user-pic

And if the one person in the family unit is a parent who is out of work, or can find nothing above minimum wage? How does she/he provide food and shelter along with an insurance premium that is more than they make per month? Hold out or move?

Seriously?

I think it's fairly obvious that I'm questioning your reasoning, sweetmolly.

user-pic

You make sacrifices to keep your family safe. It might involve moving in with friends and family, it may involve moving out of state. I didn't say it was easy.

user-pic

True, you never said it was easy. But sometimes, it's impossible without help - as you do say.

And that's the point.

user-pic

You do realize, I guess since you seem to be informed, that most people who go into bankruptcy, do it because of medical bills; and the majority of them HAVE insurance.

You also must realize that if you have insurance through your job, and you become too ill to work, you lose your health insurance...

Making the decision to give up something for better benefits is something that happens every day. For those of us who have done that, we could lose it all by having the bad luck to develop the "wrong" illness.

COBRA is not the answer; it is very very expensive, and even if you can afford it, it is only offered for a limited time. So, you lose your job; your COBRA runs out, and you're in the market for insurance as a private person. Your illness has made you essentially uninsurable because the premiums and deductibles equal being uninsured.

Health care is no different than basic education; it benefits society as a whole; should only the children of "deserving" people get to go to school? Does anyone think our country would be better off if only those children who have parents who think ahead and plan their lives, have the privilege of el-hi education?

user-pic

Why are you arguing with someone who believes that health care needs to be reformed?

In the meanwhile, YES, people do need to plan ahead. We all do.

user-pic

I've never had a car accident, but I've paid insurance premiums for years. I don't like it, but that's what insurance is: shared risk. I pay, because there's a risk that I might have an accident and need coverage. Of course, the government mandates that I pay. If the government didn't, I might not.

Health insurance ultimately needs to be mandated, just like auto insurance. That's not in this current plan, but if we went to single payer, it would be mandated. Everybody would pay. Those who didn't need expensive care would still pay, because there is a risk that someday they would get sick and need coverage.

Single payer is what we should have. The current reform effort is a step in that direction.

user-pic

Very fine comment. Simple. Reality.

user-pic

Is there some way we can be sure no one cheats on the auto claims, then I would pay. But there are scammers out there so we should dismantle the program until on the perfect get coverage and have their claims paid....oh, wait a minute!

user-pic

This one has me smiling, Red. Feels like the conversations I had with my father. A good man, with little time for slackers. Apart from what others have said about helping those who can't help themselves, there are a few points about single-payer that are just pragmatic. It arguably comes out cheaper for almost everyone, even if those already covered end up paying for some of those who don't. That's because, if the costs get in line with other single-payer systems, they'll get reduced 50%. Secondly, if it's paid by a marginal tax on earnings above 350'000, then the rich won't have a loophole to get out of paying.

Apart from that, I get where you're coming from. But covering some that don't deserve it does seem a small price to pay for opportunity to help those that both deserve and need it.

user-pic

Well said, pugaleeto. Red is a good man, too.

user-pic

Red - The arguments based on fairness and a sense of community have already been made, so I won't repeat them.

There's another aspect to the problem, though, that is equally important. The nations with a single payer system or other type of public option all provide health care to their citizens that is both more effective and very much cheaper. That's because these systems eliminate exorbitant profits by insurers, drug companies, and other entities that inflate health care costs.

You're concerned about paying for the health care given to indigent patients who can't pay for it themselves. You're already paying for it. Whether they pay or not, they get sick, and they get health care. If the hospitals and insurers can't get them to pay, they add the cost to your bills instead. The proposed legislation wouldn't change the fact that those payments are made, but it would reduce their dollar amount because the public option will keep a lid on costs.

user-pic

No. They do not get healthcare

They get stabilized and sent on their way...

...until the next time they're deathly ill, which without healthcare they are bound to do sooner rather than later. Talk about wasted resources.

Review the legislation. This is yet one more right wing talking point that is repeated without people researching it properly.

user-pic

Bwak, that's what hospital emergency rooms do, and I think that's what Fred is talking about. They stabilize you until you're ready (often when you're not) to be sent on your way with a referral to your own physician. If you don't have one, it doesn't matter. It's the system and it sucks.

But it's also very expensive, and the insured/uninsured taxpayer does pay for the uninsured patient. Obama has been trying to make that very point when faced with Republican talking points.

user-pic

Right.

It is not healthcare. It is wrong to refer to it as such.

That is my point. I tire of those that try to soften the realities of our "system." It's an obscene system, and there is no honest way to describe it as anything but.

No good can come of making it sound better than it is, or protecting those that wish to keep the status quo. The reality has hurt too many of our fellow citizens to remain silent any longer.

Sometimes one has to stand up for what is right. This is one of those times.

user-pic

The indigent uninsured do get health care, often top notch health care, not only in emergency rooms, but in hospital beds, and in the clinic setting, so it's inaccurate to claim that they don't get health care when they seek it. There are two serious problems, however, with this arrangement. Those without insurance or money often delay seeking care, in which case they may arrive at a medical setting in much worse shape than if they had sought care earlier. If they wait too long, they may end up dead. The second problem is that many low income families do in fact pay some of the costs, with devastating consequences to their standard of living. My point was that a reform package that ends up with our paying some money for the uninsured is not necessarily adding costs to those we already bear, but rather allocating them in a fairer and more humane manner. In fact, the competitive leverage available from a public option or single payer system actually lowers the cost on average for everyone, not merely the indigent.

user-pic
The second problem is that many low income families do in fact pay some of the costs, with devastating consequences to their standard of living.

Yeh, everything they have is given over to the hospital. The new indigent, IOW. Are you saying those without any form of ability to pay are given top notch healthcare?

http://articles.latimes.com/2008/may/07/local/me-dumping7

Not exactly. You keep making these assertions that are only partly correct without any corroborating evidence.

Why?

user-pic

Are you saying those without any form of ability to pay are given top notch healthcare?

Yes. I have participated in that type of caregiving and so I'm familiar with it in the ER, in-hospital, and clinic settings. You linked to a case of abuse requiring investigation. The fact that it triggered an investigation indicates that it is not an acceptable practice. It is primarily a problem for small, for-profit hospitals, but they are not the norm. In big city municipal hospitals, care, for the indigent and others, is often superior to care given to paying patients in some of these private hospitals. There are certainly inequities in the system, but overall, the problem for low income individuals is not poor care when they come to attention, but rather the fact that their economic circumstances discourage them from seeking care as soon as they need it.

user-pic

I should add that in terms of medical deprivation, a group that is more often disadvantaged than the poor (who have Medicaid) are those with above-poverty incomes who need expensive procedures or expensive long term treatments for chronic illnesses. These are often individuals who do have insurance, but whose insurance doesn't cover, or refuses to cover, these conditions. How well a proposed reform package offering only basic plans universally will rectify this deficiency remains to be seen, because it can involve substantial expenses that the public would be expected to cover.

user-pic

Really? You provided it? In which century? In THIS one, I have gone and tried to otherwise help plenty of people that maybe weren't indigent when they got there, but sure did leave that way, and "top notch" isn't how I'd describe their care.

So much for anecdotal information.

The fact remains you have no corroborating evidence to this assertion, and I doubt very much it's the norm. Is post-claim underwriting illegal? Apparently not, neither is dumping patients, unless you cross county lines, according to the District Attorney's office in the article I cited above.

Perhaps you need to reacquaint yourself with the harsh reality that affects so many.


user-pic

That's not correct, Bwakfat. My corroborating evidence is years of personal experience with the provision of care. I believe you misconstrue the dumping problem. It typically involves the "dumping" of patients from small, for-profit hospitals into large publicly supported municipal or community hospitals, but very rarely into the street. In the publicly supported hospitals, the patients receive excellent care, without regard to ability to pay, but the hospitals are put under severe economic strain from the extra costs.

I believe this is a distraction from the many serious issues that do afflict us. These include impoverishment of families, discouragement of ill individuals from seeking care because of their fear of the costs, and expenses to insured patients that are not covered by insurance. These need to be rectified, but poor care for patients who are actually being cared for is much less of an issue.

user-pic

You probably don't have to worry Red. The opponents of healthcare reform will convince most of the uneducated in America, that the cost of reform will be born by them, while not acknowledging that the escalating costs of the current 'system' will eventually bankrupt all of us anyway.

user-pic

Sadly, you may be right. And since their goal is to "break" the President, they may achieve that as well. I think Obama made a mistake having the revenue-neutral goal. If we can spend over a billion dollars a month on war, which benefits absolutely no one; why must we hope to have a free health-care program?

user-pic

I don't think Obama relishes the revenue-neutral constraint, but he probably has little choice. He inherited an economic disaster that required him to push for a $787 billion stimulus package as a step toward restoration. That inflates the federal deficit, and so Congress is very reluctant to inflate it further. Even so, it's important for healthcare reform advocates to point out that the federal cost of reform, while substantial, will be outweighed by savings to individual consumers, and so the net effect of reform on the economy as a whole will be a cost reduction rather than a cost increase in comparison with a society that continues on its current path.

It's also important to communicate to the public that the cost reduction depends on a strong public option. The public option does not cost the government anything, because it is self-financing through the premiums it would collect.

user-pic

Your post doesn't make me mad at all. You misunderstand. First of all, working people are paying for everyone now. When poor people go to the ER instead of to a doctor you and I pay for that in higher premiums, etc... because they cannot.

If we have a single payer system we don't have to pay for our medical care plus profits for the insurance companies, drug companies, etc... Instead, we cut out those costs, everyone gets covered, no one is left out and our country is healthier. On top of that, given how much we overpay for the care we currently get, we will not have to pay more.

The only reason they are talking about having to "find" money to pay for healthcare is because they aren't really reforming the system at all. They are setting up a new, parrallel system instead of scrapping the shitty system we have now and replacing it with a more efficient, easy to administer and logical single payer plan.

user-pic

What Oleeb said. Oh, and Fred, above as well!

Hey guys, it's all been said! The only way we can win this is for blue dogs and some repubs (because Lieberman will never do the right thing) to fear losing the next election if they don't back this. So far, WE are losing because the scare tactics seem to be working. Red is a good example. He thinks he will be paying more for less.

Leave a comment

Share
Close Social Web Email

"To" Email Address

Your Name

Your Email Address