The Cost of a Health Reform Fail
Published September 30, 2009 @ 06:48PM PT

Robert Wood Johnson Foundation and the Urban Institute today gave us a peek at what lies ahead for the U.S. if we don’t complete the job on health care reform. What does the future hold if we continue to face costs that rise at three times the rate of inflation, and the subsequently depressed wages and increased number of employers dropping coverage or shifting the costs to individuals and families? From 1999-2009, the number of uninsured rose 10 million -- even with an increase in public coverage through SCHIP, Medicaid and Medicare. What will that number be in 2019? What will that do to state budgets? To the federal budget? How will we manage to pay the cost of failure?
To see what trajectory we’re on, you only need to look at where we’ve been. Health care costs have risen an average of 9% for private insurance each year since 1970 (for Medicare, it’s 8%). More and more employers are dropping coverage altogether, or substantially decreasing their contributions. The number for the uninsured, for uncompensated care, for those on public programs will continue to go up -- as will medical debt-related bankruptcies. The trendlines are long-term and irrefutable. So Urban Institute plugged the numbers into their Health Insurance Policy Simulation Model and projected a number of scenarios for each state and the District of Columbia. They presented two scenarios: one where the recession is prolonged, health care costs continue accelerating, and income growth is about the same; and another where we rebound to almost full employment, income growth is brisk, and health care costs don’t accelerate the way they have the past several years.
But even the best-case scenario numbers ain’t that rosy.
It’s the fulfillment of all the anti-reform slogans you’ve ever heard. If you think reform will take away your choices, imagine an America where 57.0-65.7 million have no choices because they're uninsured. If you think reform means losing what you have in terms of coverage, imagine being one of the 20 million Americans who will lose their employer-sponsored insurance by 2019. The why is obvious -- employer costs for health care would more than double in 27 states in the worst-case scenario. That enrollment in government-funded Medicaid and CHIP programs for lower-income Americans will also increase. If hospitals are complaining about a hypothetical public option based on Medicare rates (the versions of the public option in the bills now would not use Medicare rates), then imagine how happy they’ll be with increases in uncompensated care rise from 72-128%.
You may be OK with an increase in the uninsured, and working families and businesses continuing to see more of their budget eaten up by health care costs. But, as the report concludes, “[Uncompensated care] together with the increased spending for Medicaid and CHIP, this would inevitably mean higher taxes even without reform.” Even if we miraculously avoid a tax increase at the federal level through clever accounting or spending cuts, the state tax piper for Medicaid and CHIP must be paid.
So you can continue telling me that we can’t afford health reform. But for me to take you seriously, you’re going to have to show me how we can afford a health reform epic fail.
(Photo credit: http://www.flickr.com/photos/southpaw2305/ / CC BY 2.0)
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Tim has been an online organizer and blogger on health care policy for the Obama for America campaign (during the primaries) and currently for the Committee of Interns and Residents/SEIU Healthcare, a labor union for intern and resident doctors. Views expressed here are Tim's, and don't represent the positions of CIR or SEIU.
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Great post, Tim. You really nailed it.
Thanks!
Posted by Ethan Rips on 09/30/2009 @ 07:56PM PT
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Perfect, Timothy. Posted fb and twitter. (LOrion) I am telling people not to ever complain about any health problems if they weren't out there on the front lines fighting for this.
Retired MD, Member PNHP
and a MAD AS HELL DOCTOR (I didn't even know we were a group!..go to the guys that demonstrated out front of the Whitehouse today.)
Posted by Lee Dorsey on 09/30/2009 @ 08:17PM PT
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Oops and will share with Keith O and Rachel M too.
Posted by Lee Dorsey on 09/30/2009 @ 08:19PM PT
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Exactly, and mark my words... In NO more than 50yrs, if health care/insurance does NOT get reformed: Private Health Insurance will Extinct itself! Why? At rising medical costs and Premiums 3X that of wages... and Employers dropping coverage and/or shifting the cost of Health Care Insurance, The vast majority of Americans will simply NOT be able to afford health insurance... Period! Hold me at my word, but I am pretty sure I am right about this...
Posted by Rachel Russell on 09/30/2009 @ 08:34PM PT
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I have though the same thing...like the worm eating it's tail, eventually runs out of food.
Posted by Charles Lawlor on 10/13/2009 @ 07:29AM PT
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We can't afford either. Go back to the drawing board.
Posted by James Dunham on 09/30/2009 @ 10:02PM PT
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What we can't afford is hundreds of people dying because of insufficient health care.
Posted by Mary Acosta on 10/01/2009 @ 10:10AM PT
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As I said---go back to the drawing board.
Posted by James Dunham on 10/01/2009 @ 09:33PM PT
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I agree, seems our representatives arent willing to actually read the 1700+ page legislation as it stands.
Posted by Jason Jaytheman on 10/06/2009 @ 11:09PM PT
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And these are only the financial costs. What price the ethical ones? The physical,emotional, mental costs? Will we be the 1st, and only industrialized country to make Poverty a Capital Crime?
Posted by Neahle Madden on 10/01/2009 @ 01:56AM PT
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I know! Talk about Soylent Green. This is all starting to resemble a Robin Cook healthcare gone wrong "coma" type novel, only it's real life!
Posted by CherokeeGirl for Change on 10/09/2009 @ 02:30PM PT
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Addresses the genesis of the movement. NJ.
Posted by M Arnest on 10/01/2009 @ 03:18AM PT
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Is there a politician from either side who will be frank and press forward with what we all know (average American).
That's the problem! We don't want the sugar coated lies that are unnecessary!
FACT- Medicare is going broke whether it should have been started or not
FACT- We need the young to pay for the program (call em taxes;whatever) because the elders aren't on payrolls anymore.
FACT- Times are tough and the government has to trim (frugal)
Just fix it congress and kill the drama! Pass a sensible bill that addresses what we need and stop spending more money.
I don't get it, nor probably does the average American, why does this go on and on?
"Get R Done!"--Stew
Posted by M Arnest on 10/01/2009 @ 03:35AM PT
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Hey Gary I will vote for you if you can do something about this !!!!!!!
Is this why the stock market is recovering with no Fundamentals ???????????
Ratigan: The cost of 'corporate communism' http://www.msnbc.msn.com/id/33224880/ns/msnbc_tv/ Questionable government behavior seems to be ruining the country
Ratigan: Why would we let them rig the game? Some lawmakers want a continued monopoly of the health care system OPINION http://www.msnbc.msn.com/id/33071809/ns/msnbc_tv/
Posted by Tony Newbill on 10/14/2009 @ 07:56AM PT
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I can't believe Rockefeller wants to make Insurance companies spend a whopping 10% of their 30% overhead on health. That's so they can get the 500 BILLION in subsidies FROM OUR TAX DOLLARS over the next ten years.
I'm no mathemetician, but that looks like it would pay for half of the bill for healthcare reform.
The other should be paid for by letting the Bush tax cuts expire. Why doesn't anyone want to talk about these two items?
It makes my blood boil to think they will continue to get subsidies. And don't let Baucus do the switcharoo on ya. Even if the subsidies are given to the insured to PAY FOR health insurance, guess who's pockets it still ends up in?
NO SUBSIDIES FOR INSURANCE COMPANIES, PERIOD!!!
WHat's WITH Rockefeller, anyways? He was my Hero.
Posted by CherokeeGirl for Change on 10/01/2009 @ 11:43AM PT
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I'm no math wiz, but isn't it amazing that Bush tax cuts were made while he was prosecuting 2 wars??
Posted by Mary Acosta on 10/01/2009 @ 11:59AM PT
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That's what the Baucus bill does. It gives money to insurance companies. He's in their pocket. Think, all young adults have to buy, who benefits? The insurance market. The senators and congressmen are crooks. Vote them all out! Come on 2010!
Posted by James Turner on 10/09/2009 @ 02:12PM PT
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the silver lining that I see, James, is that the line is clearly drawn on the public option. Blue dogs vote against it at the very real peril of losing their cushy senate seat next election. If they vote against the people's wishes, we will mobilize against them and run new dems in their place. We are looking for more Anthony Weiner's and those brave progressives in the House.
Posted by CherokeeGirl for Change on 10/09/2009 @ 02:26PM PT
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Is there 56 million people uninsured in America , and if some states are jacking premium rates then WHY DON'T WE ALLOW PEOPLE the COMMON decency of SHOPPING ACROSS STATE LINES for a Better price for health care insurance ?????????
And what about TORT REFORM , WHY DO WE LET this drag the system down and Lines the pockets of Lawyers with pillaged dollars from the people by its causes of raising the overall rates of insurance premiums ??? Shouldn't there be a way to limit this progression ???????
Posted by Tony Newbill on 10/04/2009 @ 07:51AM PT
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Because "shopping across state lines" is a euphemism for "eliminating consumer protections passed by some states"...and because tort reform is also another way of "eliminating consumer protections".
Posted by B. Spoon on 10/04/2009 @ 11:55AM PT
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Following up on B. Spoon's comments, there are 50 sets of laws governing insurance in the U.S., because a law passed in the 1970s forbids federal regulation of insurance (nice, huh?). In that context, insurance companies will just set up in whatever states have the least regulation & it'll just be a race to the bottom. The issue, in other words, is not whether one can shop for a better insurance plan in the current framework; rather, it's a matter of changing the framework so insurance companies have to lower their costs & can no longer engage in practices such as recission & denial of coverage due to pre-existing conditions.
In re tort reform, that's one of the GOP's main talking points of long standing. Two things:
1. Malpractice lawsuits account for a miniscule percentage of health care costs; eliminating all malpractice suits right now wouldn't put a dent in the rising costs of health care.
2. Tort reform is pursued by the GOP because lawyers are a major funding source for the Dems.
If you really want to contain health care costs, read Atul Gawande's article in The New Yorker. In it he asks why a small city in Texas has the highest health care costs in the country while El Paso, nearby & with virtually identical demographics, has far less expensive health care, and other places, such as those served by the Mayo Clinic & the Cleveland Clinic, have the lowest health care costs in the country & the best outcomes. The answer is fee-for-service. Contrary to economic libertarians & other free market absolutists, building health care on a market model is the worst possible approach--and the one we have. Until doctors are made employees, working across disciplinary lines in a consultative mode oriented around preventive medicine & evaluated on outcomes rather than profits, health care costs will continue to rise faster than wages & the consumer price index. Obama's approach is a start, but not a solution; the GOP, by contrast, has no plan whatsoever and, as in the case of their so-called economic plan, no numbers, no nothing. It would be great if we had an intelligent, thoughtful, constructive opposition party. Such a party could probably improve the health care reform plan significantly. Unfortunately, the GOP has mutated into an insane asylum with flags. The whole country is the loser for it.
Posted by Ethan Rips on 10/04/2009 @ 12:22PM PT
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shopping across state lines has been done for years. I was denied by Blue Cross or Blue Shield once, (can't remember which) because I wrote "Neck Pain" and "Motrin" on my application. Then, they sent me a letter about a month later saying they would be so kind as to insure me for $1000/mo. This was 10 years ago or so. I went to a "dealer" and he shopped ACROSS STATE LINES and found me a policy in Texas. He even helped me lie on my application so I would get approved.
As to TORT reform. Obama just said to the docs this morning that he has assigned Sebelius to that. Defensive medicine costs everybody.
Posted by CherokeeGirl for Change on 10/05/2009 @ 10:53AM PT
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Great point. Last Obama speech was 30 million.
Posted by M Arnest on 10/05/2009 @ 02:56PM PT
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State Mandates (government) drove up the cost of insurance. (probably lobbied for by the insurance companies to increase revenues)
I have to pay for a "Marriage Therapist" and a "Pain Management Specialist" as part of the Colorado Mandates.
Get rid of these goofy mandates, so insurance companies CAN lower prices.
Posted by Jason Jaytheman on 10/06/2009 @ 11:06PM PT
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Good theory, but totally wrong. It's a convenient excuse used by insurance companies, but the CBO estimates they drive up the cost 0.28 percent to 1.15 percent
And of course the state with the fewest mandates saw their rates shoot up more than the state with the most mandates this past decade.
http://healthcare.change.org/blog/view/why_health_insurance_dergulation_aint_enough
Posted by Timothy Foley on 10/07/2009 @ 09:06AM PT
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Hey Timothy, I really appreciate that you sent a link to a CBO article... page 5 reinforces my argument: ( i love reading this stuff~!)
PAGE 5:
"Another way in which state regulations may have boosted premiums for small firms is by mandating the inclusion of certain benefits in all health insurance plans."
AND PAGE 4: "State insurance regulations may also contribute to higher premiums for small firms. For example, premium compression regulations, although reducing premiums for some firms, have raised premiums for others."
AND PAGE 12+13: "Although the reforms may have stabilized premiums and made health insurance more available in the small-group market, they may also have led to reduced coverage: between 1987 and 1996, enrollment of small-firm employees in employer sponsored health insurance declined by about 3 to 4 percentage points."
"New insurance laws-including benefit mandates and premium compression requirements-that raised premiums for low-cost firms in the small-group market probably contributed to that loss of coverage."
Your .28-1.15% is a bit out of context when you read the following paragraph on page 21:
"Compared with the evidence noted above, the work of other researchers indicates that mandates imposed greater costs and exert much larger and statistically significant effects on coverage. Such studies suggest that firms' and workers' decisions about coverage are more sensitive to premiums than is typically assumed. For example, Marsteller and others found that a mandate to cover alcoholism or drug abuse treatments significantly reduced private insurance coverage by about 2.5 percentage points. And Jensen and Gabel's study of small firms indicated that about one-fifth to two-fifths of firms not offering coverage would do so if state mandates were eliminated. Sloan and Conover analyzed individual-level data gathered from multiple states over time and concluded that removing the average number of benefit mandates would increase coverage by 4 percentage points-a figure suggesting that the lack of coverage for between one-fifth and one-fourth of the uninsured is attributable to benefit mandates. The findings from Jensen and Gabel and Sloan and Conover are consistent with either or both of the following statements: firms' and workers' decisions about coverage are more sensitive to premiums than is generally assumed, and the marginal cost of mandates could be 10 percent or more."
PAGE 26:
"A decrease in coverage stemming from premium compression laws can occur if low-cost firms and their employees, in deciding to buy coverage, are more sensitive to changes in premiums than are high-cost firms. On the basis of the above studies, CBO assumed for its main estimates that low-cost and high-cost firms have different elasticities of demand for coverage and, as a result, that prevailing rate compression laws are responsible for 1.7 million fewer people having health insurance."
Can we not roll-back the failed policies of the last 10+ years? We are already rolling back failed policies from the last 8 years. Let's go just a bit further back and look at the entire picture.
Normal folks (like me) are more inclined to go along with that, vs. Euro-Canadian healthcare system.
Posted by Jason Jaytheman on 10/08/2009 @ 03:12PM PT
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but if other normal folks like a public option it doesn't make them socialists or any less normal.
Posted by CherokeeGirl for Change on 10/08/2009 @ 03:43PM PT
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CherokeeGirl... having other people pay with you for your health insurance does not make you socialist. HAVING IT FORCED UPON YOU BY THE GOVERNMENT DOES.
Posted by Jason Jaytheman on 10/08/2009 @ 05:14PM PT
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nobody's talking about "forcing" but the GOP.
that's why it's called a Public OPTION.
Posted by CherokeeGirl for Change on 10/08/2009 @ 05:20PM PT
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CherokeeGirl, I get my sources from more than just ABC, CNN, NBC, CBS, and MSNBC. Check Chicago news... among others:
http://www.chicagotribune.com/news/chi-tc-nw-healthcare-obama-1003-oct04,0,4247371,full.story
http://www.obamacaretruth.org/
I blame the GOP, support the President, but DO NOT support this direction for our society. Roll back the past failures, not re-write more destructive policy. Read (carefully) the suggested CBO document by the author of this original article and make your own decision.
http://www.cbo.gov/ftpdocs/18xx/doc1815/healthins.pdf
Posted by Jason Jaytheman on 10/08/2009 @ 07:49PM PT
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CherokeeGirl Hi , I understand your agnst but here is what I would call Forced health care , and you don't want GOV to have this Kind of power because they will want the routing # on your Checking account too ;
Up to $3,800 fine for failure get health insurance
http://news.yahoo.com/s/ap/20090908/ap_on_go_co/us_health_care_baucus_plan
WASHINGTON – A top senator is calling for fines of up to $3,800 on families who fail to get medical insurance after a health care overhaul goes into effect.
The plan from Democratic Sen. Max Baucus of Montana would make health insurance mandatory, just like auto coverage. It would provide tax credits to help cover the cost for people making up to three times the federal poverty level. That's about $66,000 for a family of four, and $32,000 for an individual.
But those who still don't sign up would face hefty fines, starting at $750 a year for individuals and $1,500 for families. The maximum penalty on individuals would be $950.
Baucus is hoping his plan can win bipartisan support. A copy of his proposal was obtained by The Associated Press.
Posted by Tony Newbill on 10/08/2009 @ 08:25PM PT
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That's the Baucus bill. It's been dead to progressives since they had their little back room deals. The junk in that bill will not fly with Obama. He just hasn't said so to save face for Baucus.
Nobody likes that bill, everyone knows it's a gift, or a paid for gift, to the Big Insurance special interest.
We are all hoping that when the bills are merged, the mandate will be fixed (you can't have a mandate without an affordable public option) and the other junk in that bill will be fixed. It's junk because it was written by Wellpoint.
The people won't stand for that. The reason why the polls are confusing, about backing or not backing "the plan" is because people don't like this plan. But overwhelmingly DO support a public option. So the president will sign a bill that does what he's said all along. Lower costs, provide competition, no more pre-existing conditions and all the other good reform for those who already have insurance.
It's gonna be good all around after we get throught this ridiculous senate gang of 6 debacle.
Posted by CherokeeGirl for Change on 10/09/2009 @ 09:34AM PT
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The Baucus bill is horrible. It scares me that it is so up front and center. What's the deal with that anyway? Yipes!
Posted by James Turner on 10/09/2009 @ 02:02PM PT
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This is the first time I've ever paid attention to the life cycle of a bill, but, wooowey, is the process ever wasteful and sluggish and full of selfish dithering while the clock ticks. I don't like the committee thing. I don't like how people get to chair some of these committees who couldn't think their way out of a paper bag. Baucus has shown us what true policial corruption and betrayal of the people is all about. He's wasted our precious time.
Posted by CherokeeGirl for Change on 10/09/2009 @ 02:14PM PT
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CherokeeGirl, we may just have something in common after all...
check out who Baucus owes his loyalty to:
http://www.opensecrets.org/politicians/summary.php?type=C&cid=N00004643&newMem=N&cycle=2010
Well, he may not owe loyalty. But, how does a big pharma company secure the biggest customer in the U.S? (by making sure that the biggest customer in the U.S. is the U.S.!)
Posted by Jason Jaytheman on 10/09/2009 @ 07:34PM PT
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Tort Reform is a partisan red herring. Until there is an EFFECTIVE way to ensure quality control of health care AND some sort of recourse for what are HONESTLY medical mistakes or other infractions or failures in the practice of medicine (I've endured multiple medical mistakes in my life and that's not counting blatant violations of ethics or even the laws governing the practice of medicine), there has to be SOMETHING in place that both punishes doctors AS WELL AS protecting and compensating patients. Just in my case alone, I'm not talking little things like a bandaid placed in the wrong direction. I'm talking years of misdiagnoses (once 20 years of gastroparesis called IBS and another time sacroilitis called physical pain from depression and stress for 2 years before anyone even CHECKED my back), hours with a ruptured spleen and internal bleeding under the care of a doc who insisted it was a bruised rib and wouldn't even call for a consult as symptoms worsened until he was threatened with lawyers, docs who wanted to prescribe combination antibiotics containing penicillin despite knowing I'm allergic to penicillin (and who finally had to have my pharmacist demand a new antibiotic), etc. Yet between the insurance company and state licensing to get a doc even investigated they have to pretty much felony assault someone (and generally sexually) or they have to be committing fraud or have committed malpractice resulting in death or at the very least REPEATED disfigurement or disability. Worse, until the doctor is sanctioned at certain levels, that they've even been investigated is kept hidden. So a patient has no way of knowing they may be seeing a doc who, as I put it, shouldn't see live patients.
The problem isn't where you buy your insurance. The problem is that we even HAVE insurance and how insurance operates in our health care system. Insurance companies have manipulated a growing number of doctors and other providers so that they won't (or even can't due to their insurance company contracts) see cash patients and even when they will, what they want from a cash patient is often payment in full, up front as based on prices NO ONE with insurance would pay and a worst case scenario of what the bill might be. It can be next to impossible to find a doctor who'll see you without insurance outside a sliding scale clinic or charity care system. Even when you have insurance, it doesn't mean you have access to any doctors, any hospitals, to the care you need when you need it or that if you have access you can afford to use it. Health insurance can be like paying $5 to the cinnamon roll stand in a mall and finding out all you really are getting is the chance to stand downwind and breathe deeply - but not even a little frosting to lick off your fingers.
It's also not "the states" that are "jacking up premium rates". It's the INSURANCE COMPANIES. A price may be higher in (and I'm using random states here) California than North Dakota for many reasons. Could be things one state requires of all policies that the other doesn't. Could be something about how one state allows risk assessment but the other doesn't. Could be that one state buys mostly one type plan but the other doesn't. Could be that one state requires keeping all policy money in state but the other doesn't. Could be a difference in over head costs like offices and staffing. I certainly wouldn't even think about this as a "solution" without knowing more about the why's and without standardizing some of the plan requirements - because otherwise what we'll find is that most or all plans are going to be based out of whatever state has the fewest regulations. That won't solve anything. It might even be worse than what we have now.
But those who posted above are absolutely correct. It is way past time to admit this isn't just about dollars and cents. It's also about morals and ethics and human life. Not fixing the system - even finding a way to keep it from getting any worse than it is RIGHT NOW - carries costs like avoidable deaths and disabilities in people who don't have insurance or who have insurance they can't afford to use, both of which work out to lack of access to health care or very limited access. The cost goes beyond the individuals and their families too. It carries costs in things like increased poverty, increased social stresses and stressors, increased risk for certain conditions that come with poverty and high stress for those in the survivors' families, etc. Plus society absorbs the cost of things like more welfare, more disability, lost production, more going onto Medicare/Medicaid, etc. We're already paying for not fixing the system. We're already abusing human rights because we won't fix the system. It's time to quit playing politics with human lives and pandering to big business and FIX HEALTH CARE.
Posted by Danetta Amschler on 10/04/2009 @ 12:12PM PT
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Tort Reform is a partisan red herring. Until there is an EFFECTIVE way to ensure quality control of health care AND some sort of recourse for what are HONESTLY medical mistakes or other infractions or failures in the practice of medicine (I've endured multiple medical mistakes in my life and that's not counting blatant violations of ethics or even the laws governing the practice of medicine), there has to be SOMETHING in place that both punishes doctors AS WELL AS protecting and compensating patients. Just in my case alone, I'm not talking little things like a bandaid placed in the wrong direction. I'm talking years of misdiagnoses (once 20 years of gastroparesis called IBS and another time sacroilitis called physical pain from depression and stress for 2 years before anyone even CHECKED my back), hours with a ruptured spleen and internal bleeding under the care of a doc who insisted it was a bruised rib and wouldn't even call for a consult as symptoms worsened until he was threatened with lawyers, docs who wanted to prescribe combination antibiotics containing penicillin despite knowing I'm allergic to penicillin (and who finally had to have my pharmacist demand a new antibiotic), etc. Yet between the insurance company and state licensing to get a doc even investigated they have to pretty much felony assault someone (and generally sexually) or they have to be committing fraud or have committed malpractice resulting in death or at the very least REPEATED disfigurement or disability. Worse, until the doctor is sanctioned at certain levels, that they've even been investigated is kept hidden. So a patient has no way of knowing they may be seeing a doc who, as I put it, shouldn't see live patients.
The problem isn't where you buy your insurance. The problem is that we even HAVE insurance and how insurance operates in our health care system. Insurance companies have manipulated a growing number of doctors and other providers so that they won't (or even can't due to their insurance company contracts) see cash patients and even when they will, what they want from a cash patient is often payment in full, up front as based on prices NO ONE with insurance would pay and a worst case scenario of what the bill might be. It can be next to impossible to find a doctor who'll see you without insurance outside a sliding scale clinic or charity care system. Even when you have insurance, it doesn't mean you have access to any doctors, any hospitals, to the care you need when you need it or that if you have access you can afford to use it. Health insurance can be like paying $5 to the cinnamon roll stand in a mall and finding out all you really are getting is the chance to stand downwind and breathe deeply - but not even a little frosting to lick off your fingers.
It's also not "the states" that are "jacking up premium rates". It's the INSURANCE COMPANIES. A price may be higher in (and I'm using random states here) California than North Dakota for many reasons. Could be things one state requires of all policies that the other doesn't. Could be something about how one state allows risk assessment but the other doesn't. Could be that one state buys mostly one type plan but the other doesn't. Could be that one state requires keeping all policy money in state but the other doesn't. Could be a difference in over head costs like offices and staffing. I certainly wouldn't even think about this as a "solution" without knowing more about the why's and without standardizing some of the plan requirements - because otherwise what we'll find is that most or all plans are going to be based out of whatever state has the fewest regulations. That won't solve anything. It might even be worse than what we have now.
But those who posted above are absolutely correct. It is way past time to admit this isn't just about dollars and cents. It's also about morals and ethics and human life. Not fixing the system - even finding a way to keep it from getting any worse than it is RIGHT NOW - carries costs like avoidable deaths and disabilities in people who don't have insurance or who have insurance they can't afford to use, both of which work out to lack of access to health care or very limited access. The cost goes beyond the individuals and their families too. It carries costs in things like increased poverty, increased social stresses and stressors, increased risk for certain conditions that come with poverty and high stress for those in the survivors' families, etc. Plus society absorbs the cost of things like more welfare, more disability, lost production, more going onto Medicare/Medicaid, etc. We're already paying for not fixing the system. We're already abusing human rights because we won't fix the system. It's time to quit playing politics with human lives and pandering to big business and FIX HEALTH CARE.
Posted by Danetta Amschler on 10/04/2009 @ 12:12PM PT
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Sorry for the double post, I have no idea how that happened.
Posted by Danetta Amschler on 10/04/2009 @ 12:40PM PT
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Everyone is looking at the wrong end of health care like looking at the wrong end of a horse. The problem end of this is medical science being in bed with the pharmaceutical companies and the government. They do not want to cure diseases so has not been a cure for a disease in more then a half century. No cures and the cost eventually goes beyond the ability to pay. I know of one man on 19 drugs for 6 diseases and there are millions of people in the USA just like him. He can’t pay that out of his pocket so he gets assistance. Every disease he has is called incurable.
If medical science cured just diabetes that would cut one dollar out of every ten in medical costs for the country. But so far they haven't even cured a simple disease like herpes, Da.
It would be like going to your mechanic and he tells you "I cannot fix the problem but I can treat it". The cost for treatment is X dollars a month for the life of your car. Every time you see him for another problem you get the same answer and another monthly bill. Soon you will be looking for the government to help you keep your car running. But you say I will just go to another mechanic; sorry all the other mechanics (such as naturopathic medicine) have been put out of business by the government outlawing them.
Here is a beautiful example. Four years ago there were 65 autoimmune diseases and everyone in the health field said “wow that is a lot”. Today there are over 147 and climbing, it is an epidemic of 1 out of every 4 people will have an autoimmune disease. And once you get one it is a given that you will get another one. Here is the amazing thing about autoimmune diseases and health care. Medical science has not cured one autoimmune disease and they say that they have no idea what causes them.
There is an irony here and that is modern medicine keeps asking us to "donate money to them find the cure", do you get it?
Modern medicine is like a black hole in space except this one sucks money. Give it a little more time and health care costs will pass the military budget.
Paul
Posted by Paul Blake on 10/04/2009 @ 07:19PM PT
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Hate to break it to ya Paul, but lack of cures isn't for lack of trying. Heck in many of those cases it's taken health care a lot of the last 100 years to even find ways to MANAGE those diseases you mention, never mind ways to "cure" them. For example, it wasn't until the 1960's or so that they really started getting a firm grasp on diabetes control and only now are they really beginning to recognize the full extent of diabetes symptoms and complications. I know of people who in the past did things like spend time in mental institutions because their blood sugar messed with their cognitive and emotional abilities but no one even checked for diabetes. I know of people even now who aren't found diabetic until in the process of figuring out why they're losing limbs or kidney function.
And in some of those cases the exponential increase isn't really "new" diseases, it's where they realized that they had mistakenly lumped what were multiple conditions together as one or where something that really WAS an autoimmune condition had never been recognized as such before (psoriasis for example). So while in another 100 years or so (at least) maybe you'd have a point, we can't wait that long. We have people dying and becoming disabled NOW because they can't get even what treatment and disease management we have for what we currently recognize as illnesses. Personally, I'd rather have what IS available - imperfect as it is - than be left to die as fast (or as slowly and painfully) as my conditions are willing to kill me.
Posted by Danetta Amschler on 10/04/2009 @ 08:39PM PT
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Sorry for the mistakes up there but writing through this little hole makes it difficult to see your finished product and when you can see it you can't edit it. Paul
Posted by Paul Blake on 10/04/2009 @ 07:26PM PT
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There is a call for action based on civil disobedience. The time to take action is NOW. Sign up and support in any way you can. We have not yet begun to fight.
http://www.mobilizeforhealthcare.org/
Posted by Lauren Serven on 10/04/2009 @ 08:24PM PT
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Exactly. And if at any time civil disobedience is truly called for it's a time like now when human rights are being violated by the status quo. Lack of access to health care because you can't pay for it, because you don't have (and can't get) insurance, or because you have an illness, chronic condition or disability IS a HUMAN RIGHTS VIOLATION. It's been so declared in the United Nations Universal Declaration of Human Rights, Article 25. We're the only industrialized nation that hasn't formally ratified that treaty - 61 YEARS later. That puts us in a group with some rather backwards nations, many of which are notorious for human rights violations. Funny how our nation is so fast to declare itself "civilized" yet so willing to be so hypocritical about human rights here at home.
Posted by Danetta Amschler on 10/04/2009 @ 08:43PM PT
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I agree completely Lauren and Danetta there are some rights that are conveniently set aside when it suits some people who feel money is more important than our freedoms or our lives. Here is one we lost just recently, freedom of the press.
We suffered a news blackout conveniently in America due to a need to protect a large monetary investment in vaccines this year.
The the lives of everyone world wide was threatened and we still are by a Bio Laboratory mistake or terrorist act and America never got the news. Some how someone completely blacked out the story (see below).
Deerfield, Illinois-based Baxter Pharmaceuticals sent H3N2 seasonal flu vaccine to 18 countries mixed with deadly live Bio-Weapons grade H5N1 Avian flu viruses (the death rate from this virus is 9 out of 10 die) that could have caused a global pandemic and millions of deaths and our news media told us nothing.
This vaccine was shipped out in late December by Baxter. The disaster was narrowly averted by alert subcontractors in the Czech Republic in early February when they tested the vaccine on ferrets and they all died, indicating Avian Flu virus.
Who has the power to completely stop a story like that from being printed. And who are they to decide what we can read and what we can't. The Founding Fathers would be shaking their heads if they saw what we have been losing lately.
Paul
Posted by Paul Blake on 10/04/2009 @ 10:09PM PT
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thank you paul for that information. it will come in handy when people tell me i am crazy for not getting vcaccinated.
Posted by Lauren Serven on 10/05/2009 @ 06:34AM PT
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Paul; I am open to believing this type thing is possible. However, in order to lend any credibility to this, how about some facts to back it up. Thanks
Posted by Charles Lawlor on 10/13/2009 @ 10:41AM PT
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I hate to brake it to you right back Danetta but the cure for cancer was discovered in 1931 by Dr Otto Warburg and he received a Nobel Prize for his discovery. But that was pushed aside and he and his discovery were slandered by those who have a monetary investment in disease not cures. And diabetes has always been about diet.
You cure just one of the many diseases we have and a very large part the the multi billion dollar market goes down the drain. But the treatment of just one persons disease for the rest of their life that is the best customer you can ever have.
Believe me Danetta there is a big picture here that no one wants to take a hard look at that is feeding this health care problem.
Paul
Posted by Paul Blake on 10/04/2009 @ 10:30PM PT
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Danetta, Paul is correct about the cancer cure...as yet we still need more clinical trials but since the cure does not promise to be a money maker, we will probably never see it. In the meantime, we will pat ourselves on the backs for all the progress we have made in the fight against cancer while we ravage the physical and financial health of those people who succumb to the disease.
Modern medicine is about as far away from modern science as we on earth are from the the moon ( even farther but I was never great at astronomy). The american public is being used as a captive group of lab rats. The rest of us are cash cows. Our government condones the use of it's citizens by the corporations. I have often stated that health care reform will be the first reordering of this nation's priorities away from corporate interests towards the interests of the citizen. We are fighting for our humanity here.
I A MAD AS HELL AND I AM NOT GOING TO TAKE IT ANYMORE. I hope you are mad too.
Posted by Lauren Serven on 10/05/2009 @ 06:43AM PT
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Actually, no he's not. The Nobel Prize to Dr. Warburg was for respiratory enzymes and a potential CAUSE of cancer. Now in theory, a good set of scientists might be able to work backwards and find a CURE from that, but it's worth mention that this was specific to a particular type of tumor so if Dr. Warburg WAS right about that being the cause, it might still be only for that type of tumors.
There's also the issue of obesity. Even WITHOUT factory farming, food subsidies and whatever all is being done to our food, there have always been groups (I know, I come from one of them) that have had trouble with the American diet of lots of white grains and sugar. We just haven't always known what the trouble was besides that the people got fat and sickly. The particular Native American Nation that my Grandmother came from carries a statistical rate of approximately 2 out of every 3 will get diabetes on the American diet - even if they continue healthy habits and even on the healthy version of the diet. There's a lot more to the equation here.
And I could ask my doctor, but I'm pretty sure that new forms of a particular disease are subtypes not a completely new disease most of the time. I also know that only certain autoimmune conditions tend to co-exist. If you have Reynaud's and/or Sjogren's, you're likely to have one or more of this long list of other conditions, but I already know from both a neurologist and rheumatologist that lupus AND rheumatoid would be rather unusual.
Now while I'll admit that medicine is now - and just as importantly ALWAYS HAS BEEN (whether practiced allopathically or via any of the many more traditional methods) as much art as science - it's still important to get our facts as straight an accurate as possible. No selling cures that don't exist; cures can't be suppressed when they don't yet exist; causes can't be fully blamed on anything when they're not entirely known, etc. On the other hand, I wish the FDA would do its job of keeping the unsafe stuff off of the market - the truly unsafe - be in allopathic or natural. And I wish they'd do it neutrally. Because there are plenty of natural things that work quite well, we just don't necessarily know WHY and may never know that. But who cares why, as long as we know that it does and does so safely.
Posted by Danetta Amschler on 10/05/2009 @ 07:53AM PT
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I am all for civil disobedience. Unfortunately, it is far too late, Americans have become far too complacent, selfish,lazy and greedy and as for me, I have suffered too long in this messed up health care system to participate in anything that extreme. My health is simply failing beyond any hope of repair. I have fought with the last of my strength all year to continue my activism, including, very strongly, my fight for health care reform. I have determined that no one, including Obama, is truly serious about it. I wish I would have given up on America years ago and become a citizen of Canada when I still had enough health to do some good in the world. America has turned her back on her citizens in favor of greed and corruption. I am very sad to think any of this, let alone write it because I have always believed that in this country anyone can make a change if they work hard at it. I have been an activist and political reformer since I was 14 because I felt so strongly about this. I will still fight for change in the world, but the USA is a lost cause, I fear.
Posted by Angela Webster on 10/04/2009 @ 10:42PM PT
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Angela
We will stand up and fight for people like you. Please send us your thoughts and prayers.
Posted by Lauren Serven on 10/05/2009 @ 06:46AM PT
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You have all of my support and prayers. I hope you succeed, truly. I wish this for the world. I simply haven't the strength the continue fighting as hard as I have been for years. I have to conserve the strensth I have now for my own health fight. Good luck and Blessings from my heart!
Posted by Angela Webster on 10/10/2009 @ 01:30PM PT
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Oh I left out my counter point about autoimmune diseases. Of those 147 autoimmune diseases there has emerged variations of each one. Rheumatoid arthritis for instance has over 100 variations and these kinds of variations are emerging almost daily along with new autoimmune diseases. It is as I said before an epidemic 1 in 4 Americans and once you have one chances are very high you will get another one and so on. If you look at just one of them like Rheumatoid arthritis you can get Lupus to go with it. This is not an easy disease there are variations that can kill you.
Medical care pretty much world wide is allopathic medicine only, which is one dimensional thinking about disease and medical treatment. It is a huge business and businesses do not want competing ideas about their business or competition in their marketplace they make laws to stop that. This was foreseen by Benjamin Rush when the Constitution of the United States was written. And it was his fear that one group of medical practitioners would take over and outlaw the rest and that is just what happened. What we are seeing now is just the beginning of some real problems with health care in America.
Of course I agree that as imperfect as it is it is what the majority of Americans will accept so that is what you get. But their are some blatant problems like the obesity epidemic being laid at the door of where it belongs the food industry, agriculture department and farm subsidies that need to be addressed now. The obese people through no fault of their own are being made the victims of many other diseases and have a low immune system which makes them a target for any virus that comes down the pipe.
Watch terrific Peter Jennings video report about the cause of the obesity subject it was a link you may have to go to utube to see it
How the Food Industry is Deceiving You by Peter Jennings
Paul
Posted by Paul Blake on 10/05/2009 @ 12:23AM PT
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Yesterday in the greater Hartford area there was a walkathon for......OBESITY. Yes Paul, the food industry is literally killing us, with grain products that are bought and sold as commodities and make billions of dollars for shareholders and not farmers. They are killing us with tainted animal products containing antibiotics, hormones and pesticide residues. They are killing us with genetically modified crops that may be responsible for the growing number of food allergies such as celiac and lactose intolerance.
This health reform movement is threatening a whole lot more folks than the insurance and drug industries. Big AGRA knows it is next. Wall Street is shuddering at the ripple effect through the entire market if the health insurance industry, invested within the market like a financial metastases, is ever to be "restrained".
Posted by Lauren Serven on 10/05/2009 @ 06:54AM PT
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It is true Angela that things look pretty bleak but maybe just an extra little push from one of us will be enough to change it a little toward a realistic direction.
Last week I was making comments like I do about this subject and ended up on a medical science blog and it seemed like I had fallen into a pool of sharks. They came at me personal and for blood did not like what I had to say about their little sacred medical cash cow one bit ha ha ha.
The people of America better wake-up because their are some real cold hearts out there who could not give a dam about the innocent suffering as long as they can line the pockets with green.
Thanks to Angela, Lauren and Danetta
Paul
Posted by Paul Blake on 10/05/2009 @ 08:24AM PT
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Hi Danetta,
Actually, yes I am. You speak like a true believer in allopathic medicine Danetta.
About Dr Warburgs Work
Working backward is exactly what Western medicine does best so it should be easy for them. Warburgs finding do apply to every cancer if you see beyond allopathic medicine's limited vision that each cancer is separate and different. Naturopaths see them as all the same thing just cancer. What part of the body the cancer shows up in depends upon the genetic weaknesses of the individual. The causes are also the same and one of the prime cases is lack of oxygen. Cancer is a cell that was once a normal aerobic and has now become anaerobic. Below are the words of Dr Otto Warburg on the subject of curing cancer via oxygen.
Dr Otto Warburg
Most experts agree that nearly 80% of cancers could be prevented, if all contact with the known exogenous carcinogens could be avoided. But how can the remaining 20%, the endogenous or so-called spontaneous cancers, be prevented?
Because no cancer cell exists, the respiration of which is intact1, it cannot be disputed that cancer could be prevented if the respiration of the body cells would be kept intact.
Today we know two methods to influence cell respiration1. The first is to decrease the oxygen pressure in growing cells. If it is so much decreased that the oxygen transferring enzymes are no longer saturated with oxygen, respiration can decrease irreversibly and normal cells can be transformed into facultative anaerobes.
The second method to influence cell respiration in vivo is to add the active groups of the respiratory enzymes to the food of man. Lack of these groups impairs cell respiration and abundance of these groups repairs impaired cell respiration - a statement that is proved by the fact that these groups are necessary vitamins for man2.
To prevent cancer it is therefore proposed first to keep the speed of the blood stream so high that the venous blood still contains sufficient oxygen; second, to keep high the concentration of hemoglobin in the blood; third to add always to the food, even of healthy people, the active groups of the respiratory enzymes; and to increase the doses of these groups, if a precancerous state3 has already developed. If at the same time exogenous carcinogens are excluded rigorously, then most cancers may be prevented today.
These proposals are in no way utopian. On the contrary, they may be realized by everybody, everywhere, at any hour. Unlike the prevention of many other diseases the prevention of cancer requires no government help, and no extra money.
Wiesenhof, August 1966 OTTO WARBURG
Lupus and Rheumatoid Arthritis
In lupus, joint pain (arthralgia) is common. Joint swelling (arthritis) may be present in some cases, but the majority of those with lupus experience joint pain without swelling or only intermittent swelling. In rheumatoid arthritis (RA), joint swelling is always present and pain is common but less prominent. Because rheumatoid arthritis is more likely than lupus to cause joint deformities and bone destruction, joint replacement or reconstructive surgery is more often required in RA than in SLE. If a person with lupus develops severe arthritis with joint deformities, he/she should be considered to have rheumatoid-like arthritis. In some instances, the physician might have reason to believe that both diseases -- SLE and RA -- have occurred in the same person.
A healthy diet in my naturopathic world is one that promotes a balanced ph. For the average human that is 3/4 of the diet is raw produce. The rest of the diet should be in its whole state as in whole grains, whole rice etc.
About cures that haven't been found yet, this is really good. How could you possibly know if they have been found yet if no one can speak about it. I cannot speak about a cure even if I know one exists because it is against the law to speak of any cures for any disease in the USA. I can speak of curing my own cancer but I cannot tell you I know how the cure your cancer. Or that eating the way I describe above will cure cancer because that is against the law. Even doctors are on thin ice when it comes to talking about cures for any disease. And this is not the only area of speech where what you say can brake the law in the United States. So much for Freedom of Speech, Press, maybe even freedom to think differently. To me freedom is just like being pregnant you are or you are not and that is a problem in America. Thinking you are free does not mean it is so I am sorry to say.
Paul
Posted by Paul Blake on 10/05/2009 @ 11:22AM PT
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You do not know what I think, believe or feel nor have I said what others should think, believe or feel. I am neither a "believer in allopathic medicine" nor someone who disbelieves in other types of medicine. I've seen - and experienced - mistakes in both. MAJOR mistakes of the sort that cause or carry some pretty serious and potentially disabling or even life ending risks. I've also seen where both have saved lives. Quit pretending to be inside my heart, mind or soul. You do not know me, what I believe, nor what I think beyond the little I have posted here. Personal attacks aren't appreciated. Nor is your name calling.
You still haven't proven your statements either. HYPOTHESIS is just that. It's not fact. Same with theories. Further more arthralgia is NOT arthritis. Even a decent naturopath should know that much. One is joint pain (a symptom) and the other is a CONDITION involving joint swelling often due to joint damage. Arthritis often involves arthralgia, but arthralgia isn't necessarily indicative of arthritis. Arthralgia can be indicative of many things, including stuff like medication side effects.
Posted by Danetta Amschler on 10/05/2009 @ 11:51AM PT
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Subject: Health Care Solutions for the American People
This is a logical solution and keeps the control over choice in the hands of the people . This needs to be done in the private sector and keep the Money from flowing solely to Washington because they suffer from Greed and will short the system just like all power consolidators do .
help make health care affordable by:
Eliminating waste, fraud, and abuse in our nation’s entitlement programs. Fixing medical liability rules that line the pockets of trial lawyers at the expense of patients and doctors. Giving incentives for states to redesign insurance laws to make health care coverage more affordable for their residents. Providing small businesses options to provide health care coverage for employees and families. Cutting regulations so insurance companies compete for your business and you can shop around for the best coverage and price. Focusing on prevention and wellness programs to help prevent costly procedures after you get sick. Fixing flawed government payment policies such as the Medicare physician payment formula, which shifts costs from government programs to private insurance. Increasing transparency to improve patients’ access to the best health care information available.
help small businesses cover their employees by:
Providing relief to small business through new pooling opportunities that encourage more small businesses to offer quality health coverage. Providing tax credits to help small businesses cover the administrative costs of establishing and maintaining health coverage.
help individuals receive health care coverage if their employer doesn’t offer it by:
Providing a refundable, advanceable tax credit for those with modest incomes. Allowing for tax deductions to offset the cost of purchasing individual insurance.
help people with pre-existing conditions by:
Creating a new Universal Access Program that allows the federal government to partner with states to improve programs that guarantee access to affordable coverage for those with pre-existing conditions
help make long term care affordable by:
Encouraging more Americans to buy private long term care insurance at an earlier age by permitting individuals to use flexible spending accounts (FSAs) and cafeteria plan funds to purchase long term care insurance and allowing some premiums to be tax deductible. Expanding home and community-based care options, rather than just institutional care.
Posted by Tony Newbill on 10/05/2009 @ 03:08PM PT
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If we're going to do your first suggested step, we need to keep in mind that a HUGE portion of "waste, fraud, and abuse in our nation's entitlement programs" isn't committed by the recipients who use those programs for access to care but by the PROVIDERS who access the programs to provide care or medical supplies/equipment. For far too long, the rules to receive help via the "entitlement program" have been becoming increasingly penalizing and restrictive to such a point where it's almost impossible to get help before it's too late and they've been written or re-written in ways that allow institutionalized discrimination against entire classes of people such as the disabled. Meanwhile, no one ever pauses to take a serious look at how much fraud/waste/abuse REALLY is committed by aid recipients, they'd rather stick to myths like Reagan's "Welfare Queen" that painted all aid recipients as someone who's able bodied but chooses to sit on their sofa watching TV and eating bon-bons - and ignore all the millions in fraud committed by the supposedly all honest doctors, pharmacists and medical supply houses.
There's also as I stated above a major issue with TORT reform. One reason people sue is there's no way to know you're seeing a bad doctor and there's no effective way to get anything done about bad doctors OTHER than court. Fix THIS and a lot of cases wouldn't go to court, especially not if it were paired with an effort by doctors and hospitals to take responsibility for their mistakes and make some sort of compensation for their errors.
Finally, insurance isn't the solution. It's the problem. I can't possibly be the only person who posts to Change.org who's had as much trouble getting decent access to care WITH private insurance as I did when totally uninsured. The ONLY problem I have now with Medicare is that I'm so poor that making the copays often means relying on charity care or payment arrangements. That's a systemic flaw though, not Medicare's fault. I shouldn't have been forced into poverty to get help with health care just because I'm a disabled and childless adult. No one should. It's an example of the institutionalized discrimination I mentioned.
Posted by Danetta Amschler on 10/05/2009 @ 03:30PM PT
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Defensive medicine is a serious cost concern. The tort reform will help. Also, we could save money by addressing the issue of fraud, Why are we addressing this just to save money, we should have been doing this the whole time.
Obama already has the distinction for spending the most money in a year (deficit 2 trillion, now, before health reform, what will it be after?). Where is the rest of the money gonna come from? Where is the fiscal responsability?
Last but not least let folks buy policies across state lines. it's cheaper and costs go down.
President Obama, don't tax our young people with mandatory insurance requirements. Do you ever keep your promises? Oh yah, we won't let illegal aliens use our health care.
Posted by James Turner on 10/05/2009 @ 05:07PM PT
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Don't you understand James, the country needs radical surgery that costs lots of money to make the president look good. Too much cost cutting with good ideas won't work. We have no time , remember? We can't try something that would be cheaper and most would agree was worth a test run. That's not the Obama way. If it's cheap, it's no good and halfway intelligent, forget it. He's about aas smart as Bush.
Posted by M Arnest on 10/06/2009 @ 03:34AM PT
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Hi James, you have changed since Monday when you wrote this. Nobody wants illegal immigrants to access taxpayer services. I can tell you that here in California, the eligibility criteria is very lengthy and strict. I work on the software that manages the Welfare in most counties, and I can tell you it is locked down tight. So, I hope you have changed your mind now about Obama, and realize he never ever wanted to cover illegals and in fact the legislation read as such. It never hurts to clarify and strengthen the language, but the right uses that as an excuse to say the language was never there. :)
Posted by CherokeeGirl for Change on 10/09/2009 @ 02:22PM PT
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It's the whole politician thing. None of them speak the truth. Sorry about the negativity there but that is all we see. The mandate is a tax and it will hurt the young. I don't trust any of them but I do expect them to do a good job. Haven't seen that yet. I don't like either party and can't stand the bickering.
Posted by James Turner on 10/09/2009 @ 02:58PM PT
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I heard that Politics is one place where the human mind works backwards. We start with a conclusion and only acknowledge facts that validate our conclusion. Politicians don't necessarily lie but operate on half-truths. They only acknowledge the half of the truth that validates their conclusion. I think that is what is so frustrating in dealing with politicians.
Posted by Mark Knudsen on 10/09/2009 @ 04:29PM PT
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If we were all united into one group under one set of non-discriminatory rules, working together to make sure all medical bills are paid without including the unnecessarily expensive, inefficient and immoral middleman health unsurance industry, like the Amish do (Improved Medicare for All) then there would no longer be any need to sue each other constantly over who has to pay the bills.
Viola...tort reform of the very best kind.
Sheesh. How dumb can we possibly be? We keep paying a huge industry to fight (and looks like win) against our own best interests.
Posted by B. Spoon on 10/05/2009 @ 05:25PM PT
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P.S. The person paying for and narrating those insane ads falsely demonizing Canada's health coverage system is none other than Rick Scott, head of the largest profit-driven hospital corporation in the world that also paid the largest fine in history for fraudulent billing practices. He stands to lose billions of our health care dollars if honest health coverage legislation is enacted.
Posted by B. Spoon on 10/05/2009 @ 05:31PM PT
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Gee, strange? I can't believe a corporate exec would pay money out of his own pocket. Wouldn't he have an office or something take care of that? As for Canada's health care, I just saw an add where people came down here for coverage. It saved their lives. Where will we all go if our system becomes as theirs?
Posted by M Arnest on 10/06/2009 @ 03:26AM PT
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Rick Scott has formed a coalition and is using a fraction of the dollars he will make if honest reform fails to help fund it.
What is the source for your story about Canadians coming here for care? Rick Scott?
Americans are traveling everywhere but here to find affordable medical care in uncounted droves. And for every single "socialized" health care horror story you can find, we have a million "profit-before-people" health coverage horror stories to tell.
What we have here now is ANTI-social. It kills, disables, bankrupts and terrorizes innocent Americans in numbers Al Qaeda can only pray to achieve...and is bankrupting our country.
Posted by B. Spoon on 10/06/2009 @ 06:32AM PT
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To repeat a post from earlier, the number of Canadians crossing the border for care in the U.S. is about equivalent to the number of people who voted for Bob Barr, and now far less than the number of people who have purchased Snuggies.
http://healthcare.change.org/blog/view/traveling_for_care_--_outside_the_us
Posted by Timothy Foley on 10/06/2009 @ 07:09AM PT
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Hey, we have the best and brightest medical professionals right here in the USA! It is interesting why so many come here for procedures. I like how the Italian Prime Minister Berlusconi, flew to America to get his heart surgery. Gee, they have government run health care in Italy. Why come here? Is there an ingredient no one wants to talk about?
Posted by M Arnest on 10/07/2009 @ 03:49AM PT
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"That's not the Obama way. If it's cheap, it's no good and halfway intelligent, forget it. He's about aas smart as Bush."
That's no way to speak about the Pres. Obama!
"I'd like how the Italian Prime Minister Berlusconi, flew to American to get his heart surgery."
The Italian Prime Minister probably has enough money to fly anywhere to get his surgery, so that answers that, the reason why Canadians come here is not because they have so much money as the Prime Minister, they came here for other reasons, then they go back because they want to keep their health care.
Posted by Mary Acosta on 10/07/2009 @ 08:44AM PT
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Question : does Canadian health care cover vists to the USA ????
Posted by Tony Newbill on 10/07/2009 @ 09:11AM PT
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Nope, the Canadian healthcare system only covers care within Canada. If Canadians travel to the US and want to protect themselves against our emergency care prices, they can buy travel medical insurance. But if they come here specifically for care, they pay cash prices.
Posted by Gillian Hubble on 10/07/2009 @ 08:00PM PT
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They come here because we have quality and cutting edge tech like nowhere else in the world.
I'm waiting for the smoke and mirrors of misused data skewed to argue against this') LOL. The data would not include our huge obesity problem and diet in US, which is a real problem.
Maybe we could discuss data on how many come from other countries to get their medical training here!
Posted by M Arnest on 10/08/2009 @ 03:39AM PT
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The Canadian woman who was rushed here to the next-closest hospital for emergency delivery of twins (and who was made a huge right-wing misleading propagand too-doo about) because the closest hospital in Canada happened to be filled up at the moment... was totally paid for by the Canadian government, including air fare and sleeping accomodations for her husband. Plus they get a year off at half salary to stay home with their twins, if they wish. See, in Canada they actually provide public services that benefit people instead of corporations (something we here in America find amazing).
How many times can you ignore the fact that many Candians do NOT come here for care? And the fact that we go there in droves to find affordable medicine, and to places like Costa Rica, Cuba and India to find affordable care?
This is from a Health Affairs study titled "Phantoms In the Snow": U.S. ambulatory facilities survey. Almost 40 percent of the facilities we surveyed reported treating no Canadians, while an additional 40 percent had seen fewer than ten patients (Exhibit 1). Fifteen percent of respondent sites reported treating 10–25 Canadian patients, and only about 5 percent reported seeing more than 25 during the previous year (generally 25–75 patients; none reported more than 100). These findings were fairly consistent across the service categories. The overall response rate was 67 percent, and it varied across type of clinical facility from 56 percent for ambulatory surgery centers to 80 percent for cancer centers.
Posted by B. Spoon on 10/08/2009 @ 07:16AM PT
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How many times can you ignore the fact that many Candians do NOT come here for care? And the fact that we go there in droves to find affordable medicine, and to places like Costa Rica, Cuba and India to find affordable care?
I wonder if over time we keep out sourcing our health care needs to places like you say , it would drive down our costs and raise theirs from demand ?
Posted by Tony Newbill on 10/08/2009 @ 07:37AM PT
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B.Spoon... where do you get your data?
Your statements contradict personal stories that I have heard from Canadians.
I did "google" your article. Several rebuttals state:
"1 in 12 prostate and breast cancer patients from Ontario treated with radiation therapy went south to the U.S. for that treatment!
How can 1 in 12 be described as "Phantoms"?
So not only does the data in this article have some severe limitations, the authors include data that undermines their case.
Perhaps the article should have been titled, "Phantoms In The Snow: Are Their Researchers That Don't Let Their Biases Color Their Research?"
Posted by Jason Jaytheman on 10/09/2009 @ 07:45PM PT
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I think the question is where do you get your data? I already told you twice (Health Affairs published the study, even gave you the title and names of the authors, etc.), and Tim offered other documentation that has been ignored.
YOUR statements contradict personal stories I have heard from Canadians.
Of course you can believe what you want, but in this case I would say you don't seem to want to let facts get in the way of your beliefs.
Posted by B. Spoon on 10/10/2009 @ 05:06AM PT
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I thought it was the righties who were using scare tactics? Seems like we've got tit for tat here. Still I have to defer to Mr. Dunham here and agree it's back to the drawing board. We can't afford an open ended public funded plan nor the status quo of the poor using the emergency room for primary care.
With both sides spitting out talking points and worrying more about political points than true reform we stand little chance of getting the health care system the American people deserve. There is nothing out there yet that fits the bill, yet as long as the discussion continues we have a chance. This "it has to be now" rhetoric is just another tactic. Now or in June of 2010? As long as it is the right bill it is worth the wait.
Posted by James Thompson on 10/05/2009 @ 07:33PM PT
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Sorry Danetta I stepped directly on your toes there I did not mean to just very late here.
The paragraph about Lupus and RA was written by the Lupus Foundation of America not me being tired I left out their reference.
I picked on Lupus and RA because I have been on many Lupus and RA sites and I kept seeing people speaking of having both diseases. The rising Autoimmune disease situation has become such a huge problem for so many people it is a sad tragedy and they just do not know what to do.
So many people with Autoimmune diseases have put their faith in modern medicine to take care of them. Many of their symptoms are being addressed but in doing so without addressing the root problem and by using immune suppressants they are open to catch any of the dangerous viruses that are out today. I really worry about what could happen this winter.
For an immediate health issue using immune suppressants makes sense but it does not make sense to leave out the question why is the immune system attacking in the first place.
You are so right about the FDA not been very helpful. The pharmaceutical money and influence is so powerful there. The FDA could be a big part of the answer to the health crisis and instead they are part of the problem. Their revolving door policy is a good example as in the case of Michael Taylor moving from Monsanto to FDA to Monsanto to FDA in time to make changes in policy that affect Monsanto’s business it just makes me sick.
As you said there are other things that work quite well naturally. The problem has been that people are afraid to really apply them and they are afraid to trust themselves. They want to rely on the doctor and take the doctor’s word for everything instead of question everything. I could not count the number of times I have asked some one about their disease or the side effects of the medication they take and they know nothing. I am a Thompsonian Naturopath and self reliance is a huge part of our philosophy.
When I was a little boy my father delivered grain to ranchers in Arizona. One time we were at a ranch and my father cut his finger real badly a cut that needed stitching and we were hours from a hospital or doctor. The rancher put cayenne pepper directly on the wound which stopped the bleeding immediately and wrapped the finger. Hours later when my father cleaned the finger off, the wound had sealed he did not need stitches. When I studied naturopathic medicine I learned the power of cayenne pepper to heal many medical problems. I also learned to trust herbs and the healing techniques of naturopathic medicine and it could be helpful if it was allowed to flourish.
Posted by Paul Blake on 10/05/2009 @ 09:26PM PT
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Autoimmune disorders are indeed a drain on our national health care "system" and more importantly, on the lives of those afflicted with these "diseases". I put diseases in quotes because i don't think they are necessarily diseases, but symptoms of an underlying infection caused by mycoplasmic infections. There is a strong link between strep and rheumatoid arthritis. Read about the work of Garth and Nancy Nicolson at the Institute for Orthomolecular Medicine. It is fascinating.
A few years ago, my family had an experience with this and the antibiotic therapy worked wonders. Unfortunately, most physicians today would rather ignore science and rely instead on pharmaceutical sales representatives as their source for continuing education. Also, the theories of the Nicolson's promote maintaining a strong immune system in order for the body to battle the presence of these infectious agents. As long as we ignore the obvious link between health and nutrition we will fail to help people with their individual health challenges.
Paul, you are right on about people being afraid to trust health modalities other than that which they have been brainwashed into trusting. Sadly, we are missing out on many substances that have been used in other cultures that offer wide relief from a variety of health issues. In addition, this "magic fix" notion that places all the power in the hands of the physician has crippled people's ability to tap into their own powers of healing themselves. I am referring here to the work of Dr. Bruce Lipton.
As long as we have a health insurance industry operating in conjunction with the interests of big pharma, both blessed by our federal government to do with the public what they wish, we will continue to experience the medical bondage known as the American health care system. People must be free to choose the HEALTH CARE MODEL they believe is best while being afforded the opportunity to pursue those modalities. As long as private insurance companies decide what course of therapy is, we will never achieve true health freedom in this country. As long as people are viewed as opportunities to sell a medical product or service for profit, we will not achieve medical freedom.
Practitioners and providers need to be compensated for their time and expertise. Creating a system of corporate profit around these professionals is immoral.
Posted by Lauren Serven on 10/05/2009 @ 10:05PM PT
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Hi Lauren,
I just finished watching a video by Lipton and I am very tripped out by what he said about the new physics. Here is why, twenty years ago I had prostate cancer and after a long decision process decided to give natural healing a complete try before turning myself over to allopathic medicine. I worked with a number of Thompsonian Naturopathic doctors spent a lot of time at lectures before I made this decision but I felt in my heart after listening to them that I would be cured.
I learned the philosophy and interestingly enough part of the philosophy is that as you listen and in your mind and heart decide that you are going to be cured that is the first part of the healing. They tell you that that thought goes inside you takes root and works its way outward healing you as you cleanse, detox and change your lifestyle.
Another part of the philosophy is that inside you genetically there is a picture of you in perfect health and your body is always trying to go there 24/7. That the only thing between you and achieving this perfect you; is you and what you think do and don’t do to yourself. And this is not new this is old philosophy of Naturopathic medicine that dovetails exactly with what Lipton said.
Thompsonian Naturopathic medicine is a combination of American Indian and European herbalism and philosophy. Samuel Thompson was the first to codify the system and it leans strongly in the direction of personal responsibility and self reliance. Thank you so much for bringing Dr Lipton to my attention Lauren I am going to do some intensive research in this direction. Paul
Posted by Paul Blake on 10/06/2009 @ 09:57AM PT
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Yes Paul and eastern religions say the same thing also. We have allowed others to take power away from us. Christ was trying to tell people this and was crucified for it. His message was the message in Buddhism that the power is within, "the kingdom of God is within you".
Check out Mark's comments below. Fascinating . The future of medicine is changing and it is going to blow us all away.
Posted by Lauren Serven on 10/09/2009 @ 09:52PM PT
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I have a LONG list if autoimmune disorders and an immodifficiency. My immune sytem is depleted and does not repond to infection, but it will attack my body in a variety of ways. The response I get from doctors? First, disbelief, even when seeing medical records and taking a complete medical history, Then after doing their own set of tests, I have had several doctors tell me they are overwhelmed and simply can't do anything more for me and I should go home and stop complaining.
Meanwhile, one system after another is failing. I continue to develop masses, which though they are found, are no longer even attempted to biopsy, due to the fact that (in my opinion, anyway) everytime anything is looked into, something new is found. They don't want to deal with what is already going on, why would they look any further? And with insurance that doesn't pay enough in their opinion, what is their motive?
Posted by Angela Webster on 10/10/2009 @ 01:46PM PT
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Angela check out the link here , it may have a benefit of restoring your Immunity .
http://www.optimumchoices.com/Chernobyl.htm
Posted by Tony Newbill on 10/11/2009 @ 06:54AM PT
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When I read this stuff it makes me wonder that maybe all they want is to control the Treatment of health care , not Cure Illnesses , when you learn about the issues with population controls that are being discussed and the fact that This problem will only get worse ...
While population growth is slowing down, we are still adding 77 million hungry mouths to the planet every year.
In 1950, the world had 2.5 billion inhabitants. In 1999, it passed 6 billion, and we're quickly working on 7 billion. Most of this population growth is in developing countries.
At the same time, the world's arable land — land that is used for farming — is shrinking. Right now, only 10 percent of the world's surface is arable land. Good land is lost to urbanization and other uses every day. As a result, the world is losing one hectare (about 2.5 acres) of arable land every 7.67 seconds , so you can see the reason Bilderberg is calling for world population controls .
Read these articles and then ask yourselves do they REALLY want to cure Illnesses or just get control over treatments and slow down treatments ? http://www.aim.org/aim-report/obama-czar-favors-planetary-regime/
http://zombietime.com/john_holdren_and_harrison_brown/
http://zombietime.com/john_holdren/
This shows you who is running the policies and planning events ; http://en.wikipedia.org/wiki/List_of_Bilderberg_participants
Read this article to understand the plan they have , it really makes no sense that cures for illness is the goal with health care reform ; http://www.timesonline.co.uk/tol/news/world/us_and_americas/article6350303.ece
What really is the plan for health care ?
Posted by Tony Newbill on 10/06/2009 @ 07:14AM PT
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the Baucus bill doesn't meet the president's requirements for a bill, which he has repeated many many times.
I don't know if Baucus is corrupt, obstinant or both, but his bill is not what the doctor ordered.
The plan must bring down costs by providing competition. The public option does this. The trigger, coops, state run plans are all just hemming and hawing over what really needs to be done.
They stretch farther NOT doing reform when it should just be a slam dunk.
I'm not paying attention till they merge the bills.
Posted by CherokeeGirl for Change on 10/08/2009 @ 10:13AM PT
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This is a fragment of what I have been researching for the last year.
The lack of healing cellular diseases is because of profits and big business not technology. The technology started in the 1890s with Nikola Tesla. http://www.frank.germano.com/nikolatesla.htm is a good site to start researching Tesla and the pattern of profits over the good of mankind.
From the time of J. P. Morgan on scalar electromagnetic technology has been suppressed. For instance, we have all been taught (space energy, aether energy, and zero point energy are all names for what we see as static electricity or lightening) cannot be harnessed or used as an energy source. This is precisely what Tesla, Dr. T Henry Moray and many others have done and are doing today. Look for the previously mentioned terms on youtube and you can see some of these devices in motion.
Because the scientific community does not recognize scalar electromagnetic energy, any devices claiming to use scalar electromagnetic energy is classified as a perpetual motion device by the US patent Office and cannot be patented.
The following device uses Congical Scalar Electromagnetic waves and cannot be patented.
The following is an excerpt from the web site,
http://www.cheniere.org/priore/index.html
In the 1960's and 1970's, in France, Antoine Prioré built and tested electromagnetic healing machines of startling effectiveness.
In hundreds and hundreds of strictly controlled tests with laboratory animals, Prioré's machine cured a wide variety of the most difficult kinds of terminal, fatal diseases known today.
Funded by millions of dollars, Prioré's machines concretely demonstrated a nearly 100% cure of all kinds of terminal cancers and leukemias, in thousands of rigorous laboratory tests with animals. These results were shown to medical scientists as early as 1960.
The following is an excerpt from the following website of Tom Beardon
http://www.cheniere.org/priore/index.html
11. Cells use the process of moving back in a local time frame to heal themselves.
12. Antoine Prioré found a method to generate these internal healing effects using high magnetic fields and mixed frequencies of electromagnetic radiation. This method was scientifically verified in France during the 1960's and 1970's.
13. We can generate these internal healing fields much more efficiently based on a newly discovered theoretical framework, which no one in Prioré's day understood. Part of the framework was not yet born.
Using this information, we can develop compact computer-controlled machines which can reverse the effects of disease, including that induced by bio-terror attacks.We need to get going with the development of these systems to cope with the anticipated more devastating attacks yet to come.
Please visit the website to see the full presentation including slides.
Please give credit to Ph.D., nuclear engineer, retired Lieutenant Colonel (U.S. Army), and visit his web site at http://www.cheniere.org/toc.html .
Posted by Mark Knudsen on 10/06/2009 @ 08:58AM PT
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thank you for this information.
Posted by Lauren Serven on 10/09/2009 @ 09:44PM PT
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http://www.john-goodman-blog.com/chronic-care-2/
Chronic Care Entrepreneurship in Dallas. An example of a market-based approach to chronic care is American Physician Housecalls (APH), an entrepreneurial, for-profit enterprise in Dallas. APH has found a way to make money by meeting the needs of chronic Medicare patients with multiple health problems. It does so by treating patients in their own homes and assisted-living communities. Because different specialists who call on the patient need to know what other specialists are doing, an electronic medical record is essential to the APH business plan. Electronic prescribing is a natural concomitant.
Since patients don't have to accept APH services, the enterprise makes money only by satisfying them and meeting their needs. Since APH only provides outpatient care, they profit only so long as they keep their patients out of the hospital. If they make a mistake and a patient has to be admitted for treatment, APH loses a customer and loses Medicare revenue.
APH is a living, breathing example of for-profit medicine solving the problems of chronic care. But its existence has nothing to do with the Centers for Medicare and Medicaid Services (CMS). To the contrary. CMS (with help from Congress) tries to fully suppress any and all attempts to creatively and innovatively solve the problems of chronic care through the marketplace. APH managed to find a space to do good (for themselves and for Medicare patients) that CMS (probably by accident) left available to them.
Health Savings Accounts and Chronic Care. For a long time, I have believed the greatest potential for Health Savings Accounts (HSAs) is in the treatment of chronic illness. I even wrote some fictional vignettes in a "vision" chapter in the National Center for Policy Analysis' Handbook On State Health Care Reform, describing how HSAs might work for diabetics and other patients. This was an application of a more general piece on "Designing Ideal Health Insurance" that many of you might be familiar with.
Turns out, truth is stranger than fiction. UnitedHealthcare is now using HSAs and Health Reimbursement Arrangements (HRAs) to do something that almost never happens: aligning health incentives with economic incentives.
For diabetics, the program works like this. Deductibles and copayments are reduced to zero for four classes of medications, certain supplies and some office visits. Patients are further prodded by an online tracking and reminder system. And this is just the beginning. Patients who comply with their treatment regimes are rewarded with an additional contribution to their health account of up to $1,000 a year.
Here is my take:
Patients get an economic reward for doing things that have an economic payoff for the insurance pool as a whole. Let's say the insurer/employer expects to save $500 in medical costs if a diabetic patient is fully compliant. Then it makes sense to pay up to $500 to induce such compliance. The mirror image of a reward is a penalty. Since failure to be compliant means the patient forgoes the $500 reward, $500 is the opportunity cost of noncompliance. One way to think about this arrangement is to see that there is a social cost of noncompliance over and above the personal costs. The social cost is the cost that is imposed on others. In making choices, therefore, patients are encouraged to consider the total cost of their actions, not just the personal costs. There are other decisions patients make that do not have large spillover effects for the insurance pool as a whole. For these decisions, it makes sense to have the patient manage his/her own health care dollars. In doing so, patients will tend to weigh personal cost against personal benefits. That is appropriate. No employee is forced to participate in the program. However, there are two kinds of rewards for doing so (and implied penalties for not doing so): (a) a flat fee of as much as $500 for answering a health questionnaire and for undergoing screening tests, and (b) the prospect of zero out-of-pocket expense for some drugs, supplies and office visits. Presumably, these rewards reflect the value to the insurance pool as a whole to induce screening and enrollment.
Two general comments on the program:
The incentives here are not as finely aligned as I imagine they could be. Among other things, every diabetic gets the same financial deal, even though expected costs must surely vary a lot from patient to patient. Still, you have to give UnitedHealth credit for a major advance in getting the economics of health care right. Because of the rigidities of the HSA law, employees can have a zero deductible for some drugs but not others. Statins and beta blockers are okay (because they are considered "preventive" drugs), but insulin and antiglycemics are not okay (because they are considered "maintenance" drugs). This is one more reason to change the law and give the private sector a completely flexible account.
A news story description of how this program works for Affinia and other companies is here.
Posted by Tony Newbill on 10/07/2009 @ 10:25AM PT
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Spending quite a bit of time up between Seatac and the Washington, Canadian border I can only say that Bob Barr must have received a lot of votes! And they must have sold millionsof snuggies.
Posted by James Thompson on 10/07/2009 @ 10:36AM PT
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Look How Your Taxes are Being Spent!
We need to FIX wages earned between Public and Private Sector jobs too to go with Heath Care !!!!! http://www.thefreeenterprisenation.org/ohmy.aspx
-The average federal employee compensation and benefits is $119,982 a year while the private sector worker averages $59,909. The difference, taken from the private sector and paid to federal workers, is $100 Billion a year! And on 1-1-09, they got $4 Billion in raises!
-The average federal worker can retire 10 years earlier than you can, at 30% of pay (which is already 60% higher than yours), PLUS Social Security, paid earlier.
-In Illinois, there are many teachers earning more than $100,000 a year; the highest paid driver's training teacher is paid $170,000!
-In Florida, there are 27,063 public employees who pay ZERO for their health care benefits which costs more than $1,000 a month for family coverage; and nearly 2,000 of them make more than $100,000 per year.
-In New York, an MTA train car repairman, with a base salary of $62,976, managed to earn an extra $220,397 from overtime. Another city worker added 2,455 extra hours in one year, nearly tripling her base salary from $38,500 to $110,841.
-In the U.S., thousands of government and public education workers have retired at over $100,000 a year. Many at much more. The highest paid retiree we could find was from the California state pension plan, receiving $500,000 a year!
-In Vallejo, California, More than 40% of city employees had salaries greater than $100,000 in 2008. when Vallejo filed for bankruptcy.
-A Texas city allows their workers to save unused sick time and vacation time and cash it in when they leave. Five key employees who left in 2007 and 2008 were paid and average of $173,000 each.
-Want to see more? And get angry? Really, really angry? Go to our website and look at the "Oh, MY!" category. It's everywhere!
Click here to see more "Oh, My's!" and to take action to stop government from taking even MORE taxes from us!
Posted by Tony Newbill on 10/07/2009 @ 02:26PM PT
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The way to bring costs down is to eliminate greedy, unnecessary, immoral middlemen and utilize efficiencies of scale.
The study below was rigorously done. You can research the methodology.
From: Phantoms In The Snow: Canadians’ Use Of Health Care Services In The United States
Steven J. Katz, Karen Cardiff, Marina Pascali, Morris L. Barer and Robert G. Evans
PROLOGUE: Over the past three decades, particularly during periods when the U.S. Congress has flirted with the enactment of national health insurance legislation, the provincial health insurance plans of Canada have been a subject of fascination to many Americans. What caught their attention was the system’s universal coverage; its lower costs; and its public, nonprofit administration. The pluralistic U.S. system, considerably more costly and innovative, stands in many ways in sharp contrast to its Canadian counterpart. What has remained a constant in the dialogue between the countries is that their respective systems have remained subjects of condemnation or praise, depending on one’s perspective.
Throughout the 1990s, opponents of the Canadian system gained considerable political traction in the United States by pointing to Canada’s methods of rationing, its facility shortages, and its waiting lists for certain services. These same opponents also argued that "refugees" of Canada’s single-payer system routinely came across the border seeking necessary medical care not available at home because of either lack of resources or prohibitively long queues.
This paper by Steven Katz and colleagues depicts this popular perception as more myth than reality, as the number of Canadians routinely coming across the border seeking health care appears to be relatively small, indeed infinitesimal when compared with the amount of care provided by their own system.
Posted by B. Spoon on 10/08/2009 @ 08:56AM PT
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http://www.thefreeenterprisenation.org/ohmy.aspx
Do you think these Public works income levels are Greedy ????
Posted by Tony Newbill on 10/08/2009 @ 09:19AM PT
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No I think the numbers you cite are mistaken.
I know that the same year William McGuire left United Health Group, he was given $1.6 Billion dollars in stock options (not counting hundreds of millions he's already been given in salary, or hundreds of millions in stock options he'd already cashed out, or the rest of his retirement package), while the head of Medicare and Medcaid was paid $140,000 (no stock options, and he's pretty high up on the federal pay scale ladder) to manage the medical care for 44 million of our oldest and sickest among us.
And I know the entire country would be better off had 10,000 Americans earned $160,000 rather than one man given (can't say "earned"; it sticks in my craw) $1.6 Billion (plus change).
How do you define "greedy"?
I may have to quit posting because the link keeps breaking on me. I have to try ten times to get through once, and it's just too time consuming.
Just in case I don't get another chance, I will reply here to the post below as well.
The California Nurses' Association just completed a study that says private health insurers in California deny an average of 21% of claims. The AMA has a long history of fighting Medicare tooth and nail.
I've heard an awful lot of seniors claim they do not want the government messing with their Medicare. (Do you see the irony there?) The $500 Billion savings Obama wants to reap in the Medicare program over the next ten years is from the cost over-runs created by Bush's addition of private Disadvantage plans to the Medicare mix (that I admit deny an awful lot of care). Seniors didn't used to have to waste time pouring over false "choices". If they got sick they were covered. That's the only choice anyone wants or needs as far as coverage is concerned. Why should we all have to waste billions of collective man hours "choosing" what we will not be covered for, and which providers we will not be allowed to see? If we're all united under the same plan, under one set of non-discriminatory rules (basically if you're sick you're covered) we could all go to any licensed provider of our own choosing.
Posted by B. Spoon on 10/08/2009 @ 10:00AM PT
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Can you imagine what shape American seniors would be in without "socialized" Medicare? It's the most cost-effective and humane system we have. Should we work with that...or keep the most expensive and immoral non-system in place?
Sheesh.
Your mistake is thinking you are not vulnerable. Become an actuarial lemon and see whether your employer or health plan drops you first. BUt for the grace of God goes any American with few exceptions. Even Superman Christopher Reeves was dropped by the company his grandfather co-founded.
Did I already say "sheesh"?
Posted by B. Spoon on 10/08/2009 @ 09:07AM PT
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What about these Seniors ???
According to AMA’s National Health Insurance Report Card, Medicare denies 6.85 percent of its claims, higher than any private insurer (Aetna was second, denying 6.80 percent of its claims), and more than double any private insurer’s average.
Posted by Tony Newbill on 10/08/2009 @ 09:32AM PT
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Hi Tony, page 5 of the report does say percentage of claims denied, but the percentage is reached after "claim edit". Do you know what that means? I don't, but I would guess it means subtracting other claims denied by other means.
I heard Aetna denies 37% of their claims, or was it Cigna. Anyways, I think those percentages are low.
Posted by CherokeeGirl for Change on 10/08/2009 @ 10:19AM PT
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Claim edit refers to insurer-specific claim format or processing rules. If you look at p 11, you'll see the primary reasons Medicare claims are denied. The #1 reason is missing information. For instance, I've seen billing offices submit claims for patient care that didn't include either the patient's date of birth or social security number. They could easily be fraudulent claims, so the insurer denies them and the provider has to resubmit.
The #2 reason is lack of medical necessity. In other words, the medical record lacked documentation as to why the services in the claim were necessary. You can compare these reasons to the other insurers on p 7-10, the differences are interesting.
Posted by Gillian Hubble on 10/08/2009 @ 11:27AM PT
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B Spoon--Yes I can imagine, I lived in that time. Believe it or not, health care was cheaper because Uncle Sam wasn't footing the bill. We also had churches and other organizations that helped. Medicare was not that long ago and people weren't using insurance to go to the Scooter Store. I worry about this generation. Handouts and no work ethic. Oh well, not much that can be done about it now. You know, we used to be able to make deals with the doctor and not everyone had insurance.
Posted by M Arnest on 10/08/2009 @ 02:06PM PT
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Medicare was passed forty-four years ago. If you remember before that, then you must have been relatively young and (I'm willing to bet good money) also healthy. Only sick people truly test any health care system. I find it ironic when health insurers claim that, "85% of our customers are satisfied with their coverage" because 85% of their customers have never had to use it. Medicare has a higher customer satisfaction rate tham private health insurance (with the exception of the newly privatized plans), plus most of its customers are actually sick and have had to use it. Personally I don't know anyone who would rather get an MRI, CAT scan, mammogram or colonoscopy rather than do just about anything else on any given day. There will always be hypochondriacs in any civilized society. Gladly they are in the minority and doctors know how to deal with them. Every other civilized nation has "socialized' their health care system, and hypochondriacs do not rule them. We are the only one (civilized nation, that is) without any system, and whose health care costs are astronomical compared with everyone else's.
Doctors don't make the deals anymore. Health insurers (and sometimes Uncle Sam) do, and they have the odds rigged better than Vegas against us.
Posted by B. Spoon on 10/10/2009 @ 05:48AM PT
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Mike, you can't just blame the people. Corporations buy legislators to allow Medicare to "foot the bill" for their products.
I am also quite sick and tired of hearing about handouts and no work ethic blah blah blah. The self-employed work and many cannot afford premiums. I should know, I am and I can't. Also, when one is sick, one cannot work, especially in the case of a serious illness. So if you want to call it a hand out, remember, sometimes people need that "handout".
People should not have to "make deals" with doctors to access the health care system. We can establish a collective provision of health care funding. We can stop all of this bullshit right now and give people the peace of mind they need when they are fighting an illness.
Until we take the profit motive out of tending to the sick we will continue to have health insurers feeding off the flesh of sick Americans. We also will not see the revolutionary techniques in medicine and mind/body healing that is going to happen...just not here in America. We will fall behind the rest of the world as it pertains to the healing arts because we will favor capitalism over curing. As an American THAT should scare the pants off you.
Posted by Lauren Serven on 10/09/2009 @ 09:35PM PT
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Lauren,
All your points are good. I don't even like worrying about my house:)
Things can be made more affordable by just passing some laws, Spending huge amounts of money when others are talking about shedding US currency is perhaps not a good idea.
Why not pass paperwork legislation and see if it works?
Tort reform, free exchange of health care policies across state lines, and regulations so peolple can't be cheated are all good ideas. We could as a country also take better care of those under the 30,000 mark.But:
Should we make kids buy insurance to add more money to the insurance pool?
Should the government take over health care?
There lies the problem for me.
Posted by M Arnest on 10/10/2009 @ 04:03AM PT
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The Service we will be getting from Government health care reform comes at a price of transferring the Power of decision making over these issues from Congress to the executive office of the President , and thats the problem I have , is that My congressman or woman losses the control of power over this decision making process that would be determined through a majority Will of the people of the USA , this is a direct Conflict of Power of ,by and for the People as the Constitution is wrote .
The power of making decisions should always be in the hands of members of congress , this way the will of the majority is always represented .
Posted by Tony Newbill on 10/10/2009 @ 07:47AM PT
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Using the 5th Amendment of the Commerce Clause of the US Constitution to Legally bring International Socialist Health Care costs into the Health care industry's price discovery process of health insurance cost structures ........
The 5th Amendment of the Commerce Clause of the US Constitution , would allow International Insurance Companies to compete in the health insurance industry of the US health care markets , LEGALLY !!!!!!!!, Why don't we look to this as a way to bring in Free and Fair competition , if all these other countries are cheaper health care cost effective even under a Socialized Structure there are still costs that could be injected into the price discovery process , then the US Insurers would be forced to Compete with this cost structure , freely and fairly without the burden of Government getting directly involved in the decision making of the type of care administered .
Under the 5th Amendment commerce clause of the Constitution, which gives Congress the power “to regulate commerce with foreign nations ", if we want free and fair Health care Insurance cost competition in America , why don't we allow what is covered under the US Constitution in the 5th Amendment to be used , and that is Foreign Insurance Companies to offer Insurance Plans that cover Americas in the same ways that people who travel to other countries buy health insurance for their person while they are traveling too and from another country ? ?????? This would average cost coverage and force a better price discovery process to emerge as the Domestic Insurance companies are forced Legally to compete through the 5th Amendment of the Commerce Clause ?????????
Posted by Tony Newbill on 10/10/2009 @ 08:51AM PT
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As I have already pointed out earlier this year. The people defying reform already know what this article points out to be so. These are the same type of people that believe that barack somehow fixed the elections and didn't win by a massive landslide. Tim, you can't argue a point with someone who already knows they are on the losing team. As their point fades into oblivion by the pressure of masses of pissed of civilians, they will not change their stance on this issue. Ever.
At this point in the debate. The facts have already been layed out a million times. Don't waste your time trying to convince them.
Posted by Bruce Allen on 10/10/2009 @ 01:22PM PT
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The right way to reform our healthcare is HR-676. Will be a long hard fight; may take some civil disobedience. I fear the cost of failure to fix our healthcare crisis will be in jobs and our economy.
A-For-Da-Ble Health' will save our economy, It is in the best interest of everybody, if every job moves out of the country, than (tell me) whose gonna pay the medical fee?
The USA stands alone as the only first world democracy that doesn't have a Universal Healthcare plan. We have the most expensive system in the world, yet we price out 47 million. In order for an employer to offer the health insurance benefit he has to charge more for his products; so customers find it more cost effective to buy oversea; American manufacturers and vendors either downsize or close their doors.
Posted by John W. Knapp on 10/10/2009 @ 04:04PM PT
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Maybe all these people just like their own ideas better than ones being forced on them. This is happening while another freedom is swept away. Barack is so so, but Clinton was awesome.
Posted by James Turner on 10/10/2009 @ 04:08PM PT
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Thanks to everyone for all your comments. This discussion is now closed.
Posted by Gillian Hubble on 10/14/2009 @ 09:21AM PT
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