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Discuss what's fucking going on, and which programs are best and worst. One-time "program" announcements from "established" webmasters are allowed. |
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#1 |
Fake Nick 1.0
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Rand Paul unveils his healthcare bill
Summary of bill here
https://www.paul.senate.gov/imo/medi...ctSections.pdf Key points: No mandate 2 year open enrollment Pre-existing condition protections Interstate insurance Employees can deduct premiums from earnings Unlimited HSA with up to $5k tax deduction Interstate trade association insurance plans
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#2 |
StraightBro
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After 2 years no pre-existing condition enrollment and only current insurance holders with pre existing conditions can transfer to HIPPAA for limited coverage
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#3 |
It's 42
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At first read it seems OK for me because I have a good income and a preexisting condition.
However, it allows for uncontrolled premium increases. Premium increases need to be inflation capped at the very least. Or, maybe an 100% tax credit if your premiums are more than 8% of your net income (pre tax) -- the difference deduced from your owed tax. It also does not address insurance for the working 'poor' that cannot afford insurance -- which is so Republican wrong -- as usual. Trump promised no one will be left out on healthcare -- so let's hear from him. |
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#4 | |
Account Shutdown
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#5 | |
Fake Nick 1.0
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The one thing I don't like about it is self-insured doesn't receive the same tax benefits as employer insured.
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#6 |
Jägermeister Test Pilot
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Don't we already have competition? I can pick from multiple healthcare companies here in California.
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#7 |
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#8 |
Content Producer
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Yes, it does. Which is why hospitals and other healthcare providers are almost completely opaque about their pricing, which makes comparison shopping not only time-consuming, but next to impossible, and makes the idea that there's a competitive healthcare marketplace in place just laughable.
As other developed nations have demonstrated, the best way to keep down healthcare costs is not by creating an illusion of competition, but by having a single payer (i.e., the government) deal with providers, pharmaceutical companies, etc. |
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#9 |
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Nope, there are 2 maybe 3 companies to choose from where I'm at on Obamacare. 3 of the major companies pulled out. You likely have more choices there because you have a larger population. With them being able to compete across state lines there will be a bunch of different companies to choose from for everyone..
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#10 | |
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I agree single payer would be great but I don't see that happening, right now anyway.
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#11 | |
StraightBro
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Single payer with Medicaid expansion cuts out the middleman and allows negotiating drug prices like every if he Western country does, but us ![]() |
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#12 | |
Account Shutdown
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People may resist but as prices continue to sky rocket there will be no choice. Good bye lawyers! (: Goodby accountants, goodbye!!!!! |
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#13 | |
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#14 | |
Fake Nick 1.0
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#15 | |
StraightBro
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That could be an awesome future ![]() |
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#16 |
Confirmed User
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And here is why it would FAIL
People in this country have come to see healthcare as a RIGHT. Someone has to pay for it when someone get sick. hit by a truck etc and does not have insurance or the money to pay for the healthcare inevitably people will opt out and then need their life saved. so healthcare costs go UP for people who pay for it to cover the people who dont. bottom line is we have to make it universal or say sorry you die if you cant pay It really is that simple...if it is a right then everyone has to pay for it via a VAT or whatever no amount of opt in free market bullshit is going to change that simple fact.
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#17 | |
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There is a version of the second option where everyone gets a base level of care and you can pay extra for extra stuff. |
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#18 |
It's 42
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MFA
Medicare for All We all pay some tax like a VAT -- food and medicine is VAT exempt. Primary residence, retirement investments, school tuition, books are exempted. Financial trades are subject to a lower tax -- maybe 1% on every trade. This day will come eventually ... |
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#19 |
in a van by the river
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Anything short of a single payer system is no better than Obamacare.. Throwing a Republican name on it, doesn't make it better, it's likely worse given Republican's track record..
Single Payer or bust, IMO OP. |
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#20 |
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if you ask serbia or cuba nicely they could organize your healthcare they are ranked right up there with you guys...you are americans you can not solve this
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#21 | |
So Fucking Banned
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#22 | |
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#23 | |
<&(©¿©)&>
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the core of the problem is that cause of rising costs is not even discussed and so nothing is getting done at all about it... costs are not rising because people do or do not have insurance... proof is that more people have insurance now than before, and yet health care costs are rising faster than ever... so discussing how we can give more people free/discounted health insurance is absurd, we need to be discussing why costs are rising and what could be done to slow it down... ![]()
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#24 | |
See signature :)
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You are having hard time understanding that competition between multiple companies in one state and competition between all companies in all states are not the same thing? Jesus Christ.... |
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#25 | |
dumb libs love censorship
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#26 | |
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actually they are: ALL CANCERS DEATH RATE BY COUNTRY serbia is near the top of the list because we die from lung cancer like mother fuckers due to high smoking...has little to do with healthcare and more to do with smoking ![]() ![]() ![]() kenya is right above the USA on the list tho ![]() ![]() ![]() |
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#27 | |
<&(©¿©)&>
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#28 |
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#29 |
StraightBro
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#30 |
<&(©¿©)&>
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I don't know about you guys, but I wouldn't want to get prostate cancer in the UK, 50% chance of beating it vs nearly certainty you will beat it the US..
so are socialist health care systems really "best" like some tried to argue earlier? you guys can take the 50% odds of surviving, I'll stick with the 90%+...
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#31 |
Monger Cash
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the bottom line is this... as long as healthcare in this country remains "for profit" then no gubberment plan is going to change a thing... doesn't matter if it's obummercare, ryancare, trumpcare or wtfevercare, as long as healthcare remains a for profit business, we are all fucked.
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#32 | |
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#33 | |
<&(©¿©)&>
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everyone in the UK is covered? so everyone has access to screening and early detection? so it would actually mean that more people in the UK should get their prostate cancer detected earlier? unless UK doctors are fools not aware of dangers of prostate cancer? which probably is unlikely? this example illustrates potential pitfall of "free" healthcare for everyone, as one can see here, "free" healthcare for everyone doesn't necessarily mean better healthcare in any sense... not better for an average person, and certainly not better for someone who can afford decent health insurance...
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#34 |
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it's also worth pointing out that all these stats for the US above include perhaps 20% uninsured, who more likely than not only seek healthcare as late as possible greatly reducing their odds of survival...
if we were to exclude these non-typical health care users from the statistics, the gap between the US and the rest of the health care systems would be even more remarkable...
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#35 | |
It's 42
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I am still waiting to see Trump's plan that will affordable to all ...
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So cut the shit already ... |
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#36 |
Trump!
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#37 | ||
Too lazy to set a custom title
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#38 | |
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The "healthcare" is just the tool. How you use that tool is what matters. A potential comparison might be the NFL. They have a salary cap so all the teams have a limit on how much they can spend on paying players. No one team can just buy up all the best players. With all the teams having the same amount of money to spend some manage to put together a good, competitive team year after year while others can't seem to get their shit together and ever get a winning team. |
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#39 |
Trump!
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Why do people take medications and drugs? So stupid
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#40 | |
<&(©¿©)&>
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one of the reasons why early detection may be more common in the US is simple, US doctors have in a way skin in the game, there is $$ to be made... let me illustrate with an example: imagine 50 year old man going to a doctor with a flu... UK: the doctor is overworked, gets flat salary from NHS or whatever they call it... so he talks with the guy for 5 minutes prescribes him some antibiotics, sends him on his way... thought of mentioning prostate exam crosses his mind, but figures "fuck that, I'll have to fill out a form, and it's 6pm already with 20 people still waiting to see me, so I'll mention it next time since chances of him having cancer are pretty slim anyway..."... US: the doctor has pretty free schedule, he is self employed, so he collects $100 or whatever for each visit... he talks with the guy for 5 minutes prescribes him some antibiotics, and on the way out... "by the way, I see you are 50 years old, at this age it's good idea to perform a prostate exam.. talk to my secretary and make an appointment and we'll do it next week"... patient gets "upsold", doctor makes more $$, but as a result he gets better healthcare = everyone is happy so paradox of free healthcare that many seek, is that as more and more people have free healthcare, the situation turns more from one labeled as "US" to one labeled as "UK"... and no one really wins as a result, on average everyone ends up with worse healthcare (as illustrated by cancer survival rates earlier)
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#41 |
StraightBro
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#42 | |
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I can see where if offering a screening or mentioning it to a patient meant more paper work it could create doctors who are less interested in offering them because of the headache of the process. If done correctly, however, we could have a system where people are offered screenings and early detection in prioroitized and still not have doctors who are swamped with patients. Of course, that would require a high-quality system and "government run" and "high-quality" typically don't go together. |
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#43 | |
Too old to care
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The only way to reduce costs is to go to the head of the problem. The Private Healthcare industry. |
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#44 | ||
StraightBro
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We've legalized assisted suicide in many states now and it's an honorable way to go with ceremony and people planning everything in advance. |
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#45 | |
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On the contrary, my mom is 77 and lives in a retirement community. All the people there are at least 65 and most of them are taking tons of medication, seeing doctors all the time, and doing everything they can to hang on to life for as long as they can. |
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#46 |
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the thing is US healthcare is nowhere near the top on any serious list...I am sure you will find 99% survival rates on some charts like you will find obama is a reptilian...
https://www.bloomberg.com/news/artic...east-efficient among developed countries you are LAST: ![]() Look Serbia is ranked higher ![]() ![]() ![]() ![]() ![]() ![]() I can get some serbs to come over and run shit for you? ![]() ![]() ![]() |
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#47 |
It's 42
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Nobody in their right mind can defend the cost and delivery of healthcare services in the USA.
Those charts are just cherry picking bullshit. Take the uninsured people and the people without money to pay for healthcare services out of the sample group and the success rates and survival rate for people who can pay in the USA are the best. Go to a hospital without insurance you get the minimum treatment required by laws. The hospital I use will send you away bleeding in the ambulance, or in a life threating situation do the minimum necessary to stabilize you then ship you out to the county shoot and stab hospital, if you have no insurance to pay them. I had to change my insurer this year at a additional cost of $1,200/yr so this private hospital and its doctors were in the HMO network. I can afford to pay sorry if you can't ... That is the way it works in the USA. |
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#48 | |
<&(©¿©)&>
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![]() ![]() for example: https://www.ncbi.nlm.nih.gov/pubmed/...?dopt=Abstract BACKGROUND: Only recently have extensive population-based cancer survival data become available in Europe, providing an opportunity to compare survival in Europe and the United States. METHODS: The authors considered 12 cancers: lung, breast, stomach, colon, rectum, melanoma, cervix uteri, corpus uteri, ovary, prostate, Hodgkin disease, and non-Hodgkin lymphoma. The authors analyzed 738,076 European and 282,398 U.S. patients, whose disease was diagnosed in 1985-1989, obtained from 41 EUROCARE cancer registries in 17 countries and 9 U.S. SEER registries. Relative survival was estimated to correct for competing causes of mortality. RESULTS: Europeans had significantly lower survival rates than U.S. patients for most cancers. Differences in 5-year relative survival rates were higher for prostate (56% vs. 81%), skin melanoma (76% vs. 86%), colon (47% vs. 60%), rectum (43% vs. 57%), breast (73% vs. 82%), and corpus uteri (73% vs. 83%). Survival declined with increasing age at diagnosis for most cancers in both the U.S. and Europe but was more marked in Europe. CONCLUSIONS: Survival for most major cancers was worse in Europe than the U.S. especially for older patients. Differences in data collection, analysis, and quality apparently had only marginal influences on survival rate differences. Further research is required to clarify the reasons for the survival rate differences.
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#49 |
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#50 | |
Too lazy to set a custom title
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![]() ![]() ![]() are you sure you do not want me to call some serbs to take over your healthcare? ![]() ![]() ![]() |
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