Change is here!!!

[oh8sti]

or they will go to the doctor as often as they can to treat everything under the sun without ever changing the habits that got them there to begin with....and the rest of us who actually do care for ourselves and pay our own way will end up paying the price for Johnny hillbilly and is overweight wife to continue to smoke and drink and eat McD's every day as they play video games and collect unemployment and disability. Fuck this bullshit....let Darwin take over.

 

this

[kirks5oh]

or they will go to the doctor as often as they can to treat everything under the sun without ever changing the habits that got them there to begin with....and the rest of us who actually do care for ourselves and pay our own way will end up paying the price for Johnny hillbilly and is overweight wife to continue to smoke and drink and eat McD's every day as they play video games and collect unemployment and disability. Fuck this bullshit....let Darwin take over.

 

this will also be true. its like being at a buffet---if its all you can eat, you pretty much don't give a shit about wasting things.

 

most people without insurance are very willing to go under the knife, get an mri, do extensive tests, etc etc. whereas people who pay for their insurance want to know how much things cost.

[Mr. Jones]

this will also be true. its like being at a buffet---if its all you can eat, you pretty much don't give a shit about wasting things.

 

most people without insurance are very willing to go under the knife, get an mri, do extensive tests, etc etc. whereas people who pay for their insurance want to know how much things cost.

 

+1,000,000

 

"Catscan my shitz to make sure I aint leakin, i gotz to go cash my welfare chizzek"

[87GT]

Lets make a new rule. If you have government insurance you can only go to the hospital if a limb fell off, or you have a gunshot wound. If you have private insurance you can do whatever you want whenever.

[FormulaMatt]

Aren't you going to be able to keep your own insurance?[/QUote]

 

I don't care if it doesn't change my insurance at all. The thing I don't like about it is they have to come up with the money for "plans" like this from somewhere. Unfortunately, it will come from my (and all the other hard working Americans) pockets. I should not have to pay for others to have insurance. It's not my fault all these people did not better themselves and get themselves into a situation where they did not need handouts. Don't get me wrong, there are people that need legitimate help, and I have no problem with that. It's the people taking advantage and not having the ambition to help themselves because they know someone will eventually come along and give them a pity hand out.

 

As has been said many times from the knowledgeable here - we need insurance reform, not health care reform and hand outs.

 

or they will go to the doctor as often as they can to treat everything under the sun without ever changing the habits that got them there to begin with....and the rest of us who actually do care for ourselves and pay our own way will end up paying the price for Johnny hillbilly and is overweight wife to continue to smoke and drink and eat McD's every day as they play video games and collect unemployment and disability. Fuck this bullshit....let Darwin take over.

 

I agree 100%

Edited March 27, 2010 by FormulaMatt

[HAOLE]

this will also be true. its like being at a buffet---if its all you can eat, you pretty much don't give a shit about wasting things.

 

most people without insurance are very willing to go under the knife, get an mri, do extensive tests, etc etc. whereas people who pay for their insurance want to know how much things cost.

 

I agree with that, I have never had a medicaid patient ask how much the lumbar MRI is before I order it. Cash paying people ALWAYS ask about the cost before going forward with anything, from exam fees to x-rays.

[HAOLE]

or they will go to the doctor as often as they can to treat everything under the sun without ever changing the habits that got them there to begin with....and the rest of us who actually do care for ourselves and pay our own way will end up paying the price for Johnny hillbilly and is overweight wife to continue to smoke and drink and eat McD's every day as they play video games and collect unemployment and disability. Fuck this bullshit....let Darwin take over.

 

Nail on head

[greg1647545532]

I don't care if it doesn't change my insurance at all. The thing I don't like about it is they have to come up with the money for "plans" like this from somewhere. Unfortunately, it will come from my (and all the other hard working Americans) pockets. I should not have to pay for others to have insurance. It's not my fault all these people did not better themselves and get themselves into a situation where they did not need handouts. Don't get me wrong, there are people that need legitimate help, and I have no problem with that. It's the people taking advantage and not having the ambition to help themselves because they know someone will eventually come along and give them a pity hand out.

 

That's cool, and I agree with you 100%. There are plenty of valid complaints about this bill. I just can't stand when people feel the need to spread bullshit. Politics has become a game of "throw as many talking points at a wall and see how many stick." And the shit that sticks is garbage like death panels and "Obama is gonna decide if you get your surgery." I just want an honest debate.

[HAOLE]

That's cool, and I agree with you 100%. There are plenty of valid complaints about this bill. I just can't stand when people feel the need to spread bullshit. Politics has become a game of "throw as many talking points at a wall and see how many stick." And the shit that sticks is garbage like death panels and "Obama is gonna decide if you get your surgery." I just want an honest debate.

 

The honest truth is health care decisions are best left to doctors and patients, not the government. That is all I care about.

[greg1647545532]

The honest truth is health care decisions are best left to doctors and patients, not the government. That is all I care about.

 

And the insurance companies, right? Or did you not want the doctors to get paid?

Edited March 27, 2010 by greg

[V8 Beast]

2 years from now...

 

Hello Doctor, my name is Pete. I recently gained healthcare through the government and would like to place an order. I would like 2 flu shots, 3 MRI's, some blood work to see if I have any tropical diseases. 3 rabies shots, a mental evaluation, and an endoscopy. I saw last week in the paper that Dr. Bobs Waffles and Prostate Exams recommends a good colon cleansing as well. After eating all that government cheese I think it would be a good idea to get one.... You can see me in 3 weeks, perfect. Now, do I need to poop or anything before I come in or will you guys take care of that?

[greg1647545532]

2 years from now...

 

Hello Doctor, my name is Pete. I recently gained healthcare through the government and would like to place an order. I would like 2 flu shots, 3 MRI's, some blood work to see if I have any tropical diseases. 3 rabies shots, a mental evaluation, and an endoscopy. I saw last week in the paper that Dr. Bobs Waffles and Prostate Exams recommends a good colon cleansing as well. After eating all that government cheese I think it would be a good idea to get one.... You can see me in 3 weeks, perfect. Now, do I need to poop or anything before I come in or will you guys take care of that?

 

How does that not happen now? People have insurance that pays for almost all medical costs. Why, you could just go nuts! Insurance will pay! I'll take 8 new hearts please, send the bill to Kaiser!

[NTHER91]

Marc it's not really fair to tell him to go read the bill when no one else has either ......

 

This is all about money always will be!

[mrblunt]

i don't think there will ever be a single payer system. but keep in mind, i do surgery on patients with many different types of insurance, and some without insurance. every one of these companies pays different rates for the same work---medicare pays the least amount, and presumably the gov't plan would pay close to medicare. that means my office gets flooded with gov't plan patients, and i end up operating on less patients with favorable insurance. right now i operate on everyone who needs it without considering insurance, but it might not always be like that, which is a sad truth.

 

as far as quotas, who knows what will happen. my surgeries do not directly extend someone's lifespan, or save someone's life. so, financially speaking, the government could save tons on healthcare by puting a limit to how many of these surgeries i do. that's fine, people will be suffering so much, they will pay cash for the surgery---i won't suffer. but those unable to pay will suffer. the bottom line is that patient care will be compromised in the name of (trying) to save money---surely, the gov't will piss away any potential savings on making the system extremely inefficient

 

So if I understand you correctly, you have a patient pool of 100, it expands to 500, and now your less available for those 100? So the additional 400 who wouldn't have had coverage before and more than likely unable to pay your 5k charge are less better off than before? So really the patient care will only be compromised for those receiving the rationed care under the existing system?

 

Lets pretend this doomsday scenario pans out and you now have this pool of 500. Your telling me that your not going to give favorable appointment and surgery schedules to those premium payers and not fill the rest of your time with the others?? I mean really. I think we all know there's not enough regulation on the planet that will be able to enforce this on you or anyone else.

 

Am I also reading that with additional supply (30 million additional patients) there will be no more demand (new physicians)? So with all of us that are already insured premium payers and an additional 30 million and growing new payers there's just no incentive for anyone to go to medical school any more? Sounds like I should open a business selling some snake oil since there will just be no more medical professionals after this generation of doctors dies off. Put some water in the bottle, shake it up, MORE TUSSIN!

[V8 Beast]

How does that not happen now?

 

Because Pete doesnt have insurance now. Doing that now would require him to pay for a plan through a job or get his own insurance... Or he could opt to pay a $50,000 bill if he can find a Doc to do this in a non emergency situation knowing he has no coverage. Pete is a 24 year old college student that lives in his Moms basement. In his free time he plays Call of Duty, posts on forums, gets fired from jobs repeatedly, and jerks off in the same sock every night. Up until this he never worried about healthcare because he was either on his moms or figured he didnt need it. Now he will still get fired regularly, drop out of college after 6 years, still play his 360, and be able to put all the different procedures that would cost him on a government tab. Pete is the new poster boy for America. Everyone say hi to Pete.

[kirks5oh]

So if I understand you correctly, you have a patient pool of 100, it expands to 500, and now your less available for those 100? So the additional 400 who wouldn't have had coverage before and more than likely unable to pay your 5k charge are less better off than before? So really the patient care will only be compromised for those receiving the rationed care under the existing system?

 

yes, yes, and no. certainly some of the pool of 100 will not be able to get into my office with the other 400 'clogging' it up, so they will have longer waits for visits and surgery. one option would be to dedicate a certain amount of time per office day for gov't insured patients. right now, i will see patients with medicaid in my office between 1-2pm. that way, my office doesn't get clogged up with these patients, who are notorious for making appointments and not showing up, not following directions, and just basically being fairly difficult to deal with.

that way, i could still offer surgery to those patients with gov't insurance, but their access to my office would be limited to a certain amount of time per day.

 

Lets pretend this doomsday scenario pans out and you now have this pool of 500. Your telling me that your not going to give favorable appointment and surgery schedules to those premium payers and not fill the rest of your time with the others?? I mean really. I think we all know there's not enough regulation on the planet that will be able to enforce this on you or anyone else.

 

that will likely happen to an extent. i do get enjoyment out of helping people and would not be dick enough to turn all these people away.

 

 

Am I also reading that with additional supply (30 million additional patients) there will be no more demand (new physicians)? So with all of us that are already insured premium payers and an additional 30 million and growing new payers there's just no incentive for anyone to go to medical school any more? Sounds like I should open a business selling some snake oil since there will just be no more medical professionals after this generation of doctors dies off. Put some water in the bottle, shake it up, MORE TUSSIN!

 

i don't think there are any plans of increasing physician numbers. aside from that, the job is certainly less desireable at this point. you will get people with less potential becoming physicians. obama has said he wants to decrease the number of specialists. right now, i'm on pace to do about 300 total joint replacements this year (give or take). the number of total joints needed per year is expected to go up 7-8 fold in 20 years. there's no way to meet that demand without increasing the number of surgeons. this is just one example

[greg1647545532]

Because Pete doesnt have insurance now. Doing that now would require him to pay for a plan through a job or get his own insurance... Or he could opt to pay a $50,000 bill if he can find a Doc to do this in a non emergency situation knowing he has no coverage. Pete is a 24 year old college student that lives in his Moms basement. In his free time he plays Call of Duty, posts on forums, gets fired from jobs repeatedly, and jerks off in the same sock every night. Up until this he never worried about healthcare because he was either on his moms or figured he didnt need it. Now he will still get fired regularly, drop out of college after 6 years, still play his 360, and be able to put all the different procedures that would cost him on a government tab. Pete is the new poster boy for America. Everyone say hi to Pete.

 

So you're saying the only thing keeping people from getting 10 MRIs a day is that the sort of people who would do that sort of thing don't have insurance? What would happen if Pete happened to get a job with benefits? Would he then instantly become responsible enough not to get all kinds of unnecessary work done?

[V8 Beast]

So you're saying the only thing keeping people from getting 10 MRIs a day is that the sort of people who would do that sort of thing don't have insurance? What would happen if Pete happened to get a job with benefits? Would he then instantly become responsible enough not to get all kinds of unnecessary work done?

 

Are you short? I ask because I see all of this is going right over your head.

 

Signed,

Its a joke you retarded ninja turtle.

[kirks5oh]

So you're saying the only thing keeping people from getting 10 MRIs a day is that the sort of people who would do that sort of thing don't have insurance? What would happen if Pete happened to get a job with benefits? Would he then instantly become responsible enough not to get all kinds of unnecessary work done?

 

when people pay for their insurance, have deductibles to pay, and are concerned about being off of work for surgery, they are VERY involved in the medical decision making---they want to know what all the options are, what things cost, and are less likely to opt for surgery unless they have an immediate need for surgical intervention.

 

take a person with no job, or someone who goes from job to job---who is not paying for their healthcare, and watch the way they utilize the health care system. they will ask for an MRI, and readily undergo almost any procedure without even questioning what's involved with the recovery, etc etc.

[HAOLE]

And the insurance companies, right? Or did you not want the doctors to get paid?

 

No they dont. You are confusing an insurance company saying yes we will pay for that, with giving permission to have the procedure.

[HAOLE]

So you're saying the only thing keeping people from getting 10 MRIs a day is that the sort of people who would do that sort of thing don't have insurance? What would happen if Pete happened to get a job with benefits? Would he then instantly become responsible enough not to get all kinds of unnecessary work done?

 

You can have 10 mri's in on day if you like. As long as you pay for them, I am sure Proscan imaging would be happy to do it for you. They even have a cash price for people that don't have insurance, $450 per scan. If you have $4500 to spend let me know, I will get you scheduled

[Scotty2Hotty]

Guess I'll just ride out in the military and keep my Tricare.

[greg1647545532]

Guess I'll just ride out in the military and keep my Tricare.

 

I palace fronted into the reserves just to keep my Tricare. For all of its problems, there's no better deal out there.

[HAOLE]

I thank all you young people that voted for change. Looks like your going to need to carry the burden of all the older people getting sick.

http://www.msnbc.msn.com/id/36087653/ns/health-health_care/