Healthcare hikes... nothing to see here... move along

well this has little to do with either Republicans or Democrats or the PPACA and it has a hell of a lot to do with the AMA controlling its monopoly on our health care systems. For years they have kept enrollment in Medical School and other high skill medical professional programs artificially low and with astronomical tuition costs so as to keep the numbers of practitioners low which keeps wages and salaries high. Much of the rest of the developed world graduates nearly twice per capita the number of physicians as we do as a far lower cost. If we're going to increase the supply of primary portal phsycians and skilled health care workers and technologist we're going to have to address the near monopoly the AMA has on our health care system.


So, we need to pay doctors less?
 
The 2014 midterms are once again going to be a disaster for democrats.

I predicted that in 2010 .. and correctly predicted that the Tea Party would be Obama's best weapon for re-election .. and predicted that he would win because of them.

Good for Obama, bad for democrats and the country.

I doubt it. the media will help blame republicans for anything that goes bad in the next two years.

Healthcare insurance costs up? Republicans are to blame!
We went 4 trillion further into debt? Republicans did it!

I could go on.
 
well this has little to do with either Republicans or Democrats or the PPACA and it has a hell of a lot to do with the AMA controlling its monopoly on our health care systems. For years they have kept enrollment in Medical School and other high skill medical professional programs artificially low and with astronomical tuition costs so as to keep the numbers of practitioners low which keeps wages and salaries high. Much of the rest of the developed world graduates nearly twice per capita the number of physicians as we do as a far lower cost. If we're going to increase the supply of primary portal phsycians and skilled health care workers and technologist we're going to have to address the near monopoly the AMA has on our health care system.

That isn't true.

What good is a health reform bill without doctors? Respectfully, how does that make sense to you?

This has been a known problem for a decade, and was one of the biggest reasons for healthcare reform in the first place.

There were plans on the table to adequately address this problem .. and it wasn't the AMA who took it off the table .. it was Obama.

Obama got the health insurers bill that he wanted.

He is a corporatist ,, and democrats keep ignoring that to their own peril.
Only 19% of doctors belong to the AMA .. AND, when
 
I doubt it. the media will help blame republicans for anything that goes bad in the next two years.

Healthcare insurance costs up? Republicans are to blame!
We went 4 trillion further into debt? Republicans did it!

I could go on.

That didn't work in 2010, did it?

As the problems mount, the blame will fall where it should.
 
Yes...but it did something extremly important.....it established a legal precedent. The PPACA is just a begining, it would be a mistake to think otherwise. The PPACA only addresses near universal coverage and much of the standardized reporting of procedures that will be required to perform an accurate cost/benefit analysis of most medical procedures. It does little to address standardization in the payement system (single payer system?) nor does it do anything explicity to control cost. Those are things that are on the horizon though.

On what horizon .. and with what Congress?

This Congress isn't going to lift a finger to address these problems .,. and as the problems continue to mount, it will be 2010 all over again.

If the health insurance industry was so bad that refoirm was required, what makes you think they would write a good bill?
 
Medicare-for-All Would Create Jobs Throughout Economy, 2.6 Million New Jobs in Manufacturing, Retail, Health, and Other Sectors[/B]

FOR IMMEDIATE RELEASE
February 24, 2009
9:00 AM

WASHINGTON - February 24 - With President Obama preparing to present his budget proposal, which is expected to include both an update on his economic stimulus initiatives and a renewed call for healthcare reform, the nation's largest organization of registered nurses today released new data on how the most comprehensive healthcare fix would create new jobs in nearly all areas of the national economy.

Overall, expanding and upgrading Medicare to cover all Americans (single-payer) would create 2.6 million new jobs, infuse $317 billion in new business and public revenues, and inject another $100 billion in wages into the U.S. economy, according to the study by the Institute for Health and Socio-Economic Policy (IHSP), research arm of the California Nurses Association/National Nurses Organizing Committee. The study may be viewed at www.CalNurses.org.

While 30 percent of the new jobs would be in health and social services, the ripple effect of job creation goes throughout the economy, according to updated data released today. Biggest additional gains would be in retail trade, accommodation and food services, manufacturing, and administrative services.

All these benefits could be achieved at less cost than the federal bailouts for Wall Street giants such as AIG, CitiGroup, Fannie Mae and Freddie Mac, and other banks.

"The new data reminds us that the most effective solution to our healthcare crisis would also provide a dramatic, immediate help towards economic recovery," said CNA/NNOC Co-President Geri Jenkins, RN. "The jobs creation that would come from a single-payer system is just one reason RNs know that single-payer is the right thing to do for our patients, for ourselves, and for our country."

HR 676, a bill recently reintroduced in Congress, would implement a single-payer system.

First of its kind study The IHSP projections build from an econometric model of the current face of healthcare - applying economic analysis to a wide array of publicly available data from Medicare, the Bureau of Labor Statistics, Bureau of Economic Analysis, and other sources.

It is the first known study to provide an econometric analysis of the economic benefits of healthcare to the overall economy, showing how changes in direct healthcare delivery affect all other significant sectors touched by healthcare, and how sweeping healthcare reform can help drive the nation's economic recovery.

Healthcare presently accounts for $2.105 trillion in direct expenditures. But healthcare ripples far beyond doctors' offices and hospitals. Adding in healthcare business purchases of services or supplies and spending by workers, the total impact of healthcare in the economy mushrooms to nearly $6 trillion.

A single-payer system would produce the biggest increase in jobs and wages. The reason, says IHSP director and lead study author Don DeMoro said, is that "the broadest economic benefits directly accrue from the actual delivery and provision of healthcare, not the purchase of insurance."

A Medicare-for-all system has numerous healthcare benefits as well, said CNA/NNOC, including:
•A streamlined system that ends the irrational structure of our current system by replacing the chaos of different plans that have different rules for coverage, eligibility, exclusions, and charges.
•Slashing unproductive waste in the private insurance sector by $56 billion.
•Guaranteeing that everyone is covered, even if you lose or want to change your job; guaranteed choice of doctor and hospital; a standard set of benefits and care for everyone (no multi-tiered care system); no insurance denials based on pre-existing conditions or denials of treatment recommended by doctors because the insurer doesn't want to pay for it.
•Guaranteed health security for all Americans. No more rapidly rising premiums, co-pays, deductibles rising three or four times faster than wages, pushing more families into bankruptcy from medical bills, or self-rationing care because you can't pay for it.
•Economic protection for employers who see ever-rising costs, or who can't compete with employers based in countries with national healthcare systems.

The IHSP has conducted research for members of Congress and state legislatures as well as NNOC/CNA, and received international renown for research studies on cost and charges in the hospital industry, the pharmaceutical industry, hospital staffing, and other healthcare policy.

Robert Fountain, a frequent economics consultant for the California Public Employees Retirement System (Cal-PERS), served as a consultant on the study.

###

CNA/NNOC represents 85,000 RNs in all 50 states, and is a founding member of the newly formed United American Nurses-NNOC.
https://www.commondreams.org/newswire/2009/02/24-0
 
2004 - Obama boasts of killing single-payer in Illinois


Sebelius says Obama is working to permanantly block single payer

Today, on NPR, Secretary Sebelius said that single payer is not only 'off the table' but that the President is considering measures to make sure it does not happen now or ever.

More than ever it is crucial that Congress pass no plan that prevents states from enacting their own single payer systems.

NOTE Here's the NPR summary:

Asked if the administration's program will be drafted specifically to prevent it from evolving into a single-payer plan, Sebelius says: "I think that's very much the case, and again, if you want anybody to convince people of that, talk to the single-payer proponents who are furious that the single-payer idea is not part of the discussion."
http://correntewire.com/sebelius_says_obama_working_permenantly_block_single_payer
 
OBAMA TO SINGLE PAYER ADVOCATES: DROP DEAD

President Obama’s White House made crystal clear this week: a Canadian-style, Medicare-for-all, single payer health insurance system is off the table.

Obama doesn’t even want to discuss it.

Take the case of Congressman John Conyers (D-Michigan).

Conyers is the leading advocate for single payer health insurance in Congress.

Last week, Conyers attended a Congressional Black Caucus meeting with President Obama at the White House.

During the meeting, Congressman Conyers, sponsor of the single payer bill in the House (HR 676), asked President Obama for an invite to the President’s March 5 health care summit at the White House.

Conyers said he would bring along with him two doctors – Dr. Marcia Angell and Dr. Quentin Young – to represent the majority of physicians in the United States who favor single payer.

Obama would have none of it.

This week, by e-mail, Conyers heard back from the White House – no invite.

Why not?

Well, believe it or not, the Obama White House is under the thumb of the health insurance industry.

Obama has become the industry’s chief enforcer of its key demand: single payer health insurance is off the table.

Earlier this week, Obama named his health reform leadership team – Kansas Governor Kathleen Sebelius and Nancy-Ann DeParle.

Single payer advocates were not happy.

Since leaving Medicare, DeParle cashed in as a director at major for profit health care corporations, including Medco Health Solutions, Cerner, Boston Scientific, DaVita, and Triad Hospitals.

Now, what does the health insurance industry make of the Sebelius/DeParle team?

Here is Karen Ignagni, president of the lead health insurance lobbying group, America’s Health Insurance Plans:

“Today the President is putting in place a team that is ready on day one to provide the leadership necessary to achieve health care reform. Governor Sebelius is the right person to move the President’s health care agenda forward. She is a proven leader with extensive knowledge of health care issues and a long history of working effectively across the political aisle. As a former CMS administrator, Nancy-Ann DeParle brings considerable experience and a strong track record working on all of the health care issues facing the nation.”

Karen sounds really upset, right?

Dr. David Himmelstein is a founder and spokesperson for Physicians for a National Health Program.

Himmelstein’s take – Obama is caving to the insurance industry.

“The President once acknowledged that single payer reform was the best option, but now he’s caving in to corporate healthcare interests and completely shutting out advocates of single payer reform,” Himmelstein said. “The majority of Americans favor single payer, and it’s the most popular reform option among doctors and health economists, but no single payer supporter has been invited to participate in the administration’s health care summit. Meanwhile, he’s appointed as his health reform czar Nancy-Ann DeParle, a woman who has made her living advising health care investors and sits on the board of many for-profit firms that have made billions from Medicare. Her appointment – and the invitation list to the healthcare summit – is a clear signal that the administration plans to propose a corporate-friendly health reform that has no chance of actually solving our health care crisis.”
http://www.singlepayeraction.org/blog/?p=1
 
2004 - Obama boasts of killing single-payer in Illinois


Sebelius says Obama is working to permanantly block single payer

Today, on NPR, Secretary Sebelius said that single payer is not only 'off the table' but that the President is considering measures to make sure it does not happen now or ever.

More than ever it is crucial that Congress pass no plan that prevents states from enacting their own single payer systems.

NOTE Here's the NPR summary:

Asked if the administration's program will be drafted specifically to prevent it from evolving into a single-payer plan, Sebelius says: "I think that's very much the case, and again, if you want anybody to convince people of that, talk to the single-payer proponents who are furious that the single-payer idea is not part of the discussion."
http://correntewire.com/sebelius_says_obama_working_permenantly_block_single_payer

Wow! I can't believe it. Not trying to be snarky either. I figured Obama for a true liberal at heart, but it seems he really is a corporatist to the core. Even I understand the need for single payer system. For-profit healthcare needs to be curtailed if not eliminated. I tend to agree that healthcare is something I wouldn't mind government ensuring every citizen has, but it must be efficient and there must be incentives to be efficient or it will implode. I just hate the fact that they mandated we pay the middlemen their cut. It was terrible and I'm glad despite some of our different perspectives, we all agree that it served the corporate world and not the people. It's a step towards togetherness when we identify our enemies within the system.
 
LMAO... I wish you fools on the left would realize that your pipe dreams are not the smartest ideas. Someone has to pay for the health care desh. You do understand that don't you?

Just saying 'the government will pay for everyone' doesn't magically erase that it has to be paid for. You (and many on the left) seem to always forget the part that someone has to pay for it. You seem to think one giant cookie cutter plan is the best thing for this country. We all have different needs, varying risks... why should we all have to pay for universal coverage? That guarantees that our costs will be at the high extreme.

We should simply make everyone who qualifies for Medicaid is aware of it and on it. Everyone else can pay for their own plans. That is how you get the costs down. Make people realize how expensive (health care wise) their lifestyles are.

Regarding "We all have different needs, varying risks" the problem is we don't know our medical needs and risks beforehand. Does anyone know if they'll contract cancer or diabetes? Have an accident? How can anyone possibly make an informed choice? An analogy would be car insurance. One does not insure their car for damages resulting due to an accident at an intersection only. Or on a highway only. Or in a parking lot only. Any and all damages are covered (liability) because one has no way of knowing where an accident will occur just as one has no idea what illness they'll contract.
 
Wow! I can't believe it. Not trying to be snarky either. I figured Obama for a true liberal at heart, but it seems he really is a corporatist to the core. Even I understand the need for single payer system. For-profit healthcare needs to be curtailed if not eliminated. I tend to agree that healthcare is something I wouldn't mind government ensuring every citizen has, but it must be efficient and there must be incentives to be efficient or it will implode. I just hate the fact that they mandated we pay the middlemen their cut. It was terrible and I'm glad despite some of our different perspectives, we all agree that it served the corporate world and not the people. It's a step towards togetherness when we identify our enemies within the system.

First and foremost my friend, your are absolutely correct .. we must identify who the enemy is. It isn't democrats and it isn't republicans. The enemy is the plutocracy that traps us all. The Framers warned us of it. We are marching backwards in our political evolution.

Obama has never been a liberal. He doesn't even like them, doesn't understand them. He keeps very few around him.

He is a corporatist, but then again, so is Romney.

That's called 'control.'

So .. Cuba figured out universal healthcare for all its citizens, produced more doctors per capita than any nation on earth, and has health tourism as one of its main attractions to foreigners .. including Americans .. but we can't figure it out?

The healthcare system that was put in place for LIBYANS under GADDAFI would give American seniors an orgasm just thinking about it.

But we can't figure it out.
 
Cuba Offers Poor Medical Students a Free Ride

HAVANA, Cuba | In an old naval academy on Havana's western shore, thousands of low-income students from around the world -- including 100 from the United States -- are getting a free medical education thanks the Cuban government.

The Latin American Medical School, "ELAM" in Spanish, was conceived by former President Fidel Castro following Hurricanes George and Mitch, which devastated parts of Central America and the Caribbean in 1998. After sending 1,000 doctors to hard-hit communities, Cuba decided to offer long-term help by providing medical training to students in those countries. Soon, thousands were accepted from around the world.

Students must pass an entry test, and have at least a high-school diploma and a solid academic record. Preference is given to low-income applicants. In return for receiving a free medical education, students make a non-binding pledge to practice medicine in underserved communities.

The Cuban government foots the bill for each student -- around $10,000 to $15,000 a year -- according to the school's Vice Rector Maritza Gonzalez Bravo.

Gonzalez says hundreds of thousands of doctors are urgently needed around the world, and the goal is to increase those ranks as quickly as possible.

"In any country, regardless of its wealth, if we know that its people are in need of health services, and there are young who feel the need to change the reality in their hometowns, we open our arms to them, to train them so they can change the situations in their communities," said Gonzalez.

Some 50 U.S. students have graduated from ELAM. Those graduates must pass the same licensing exams as U.S. medical students and apply for residency programs at American hospitals. But unlike in the United States, students at ELAM spend up to a year learning Spanish, Cuban history and culture, and then dive into a curriculum that is focused on preventative health. And because many medical supplies, like advanced diagnostic equipment, are in short supply, students learn medicine the old-fashioned way: listening closely to a stethoscope, relying on their hands to feel for abnormalities.

The school, like most things in Cuba, is not without controversy. Some critics say the school is simply a propaganda tool for the Castro government. But during the NewsHour's visit, we spoke with a number of students who seemed genuinely grateful to the Cuban government and eager to help out their communities after graduation.

more
http://www.pbs.org/newshour/rundown/2010/12/cuba-offers-poor-med-students-a-free-ride.html

CUBA can educate American students to be doctors even though they suffer from our 50+ year-old embargo. They educate doctors from around the world.

They send doctors to crisis areas where others dare not go.

Money and profit are never their goal.

Money and profit are why Americans don't have a better healthcare system.
 
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Regarding "We all have different needs, varying risks" the problem is we don't know our medical needs and risks beforehand. Does anyone know if they'll contract cancer or diabetes? Have an accident? How can anyone possibly make an informed choice? An analogy would be car insurance. One does not insure their car for damages resulting due to an accident at an intersection only. Or on a highway only. Or in a parking lot only. Any and all damages are covered (liability) because one has no way of knowing where an accident will occur just as one has no idea what illness they'll contract.

The comparison of auto insurance to medical insurance is a phony one. You can't insure health. Insurance is financial protection against an improbable event.

That is not what healthcare has become. You have no idea what is coming, but you will.

Here is a preview

Hospitals will close
Physicians will either go,out of business, get bought by large practices owned by hospitals or opt out of the system and start private cash only practices
Costs will skyrocket
Care will be rationed
 
So, we need to pay doctors less?
No, we allow more Doctors to compete. You allow more medical technologist and highly trained careproviders to compete. We need more of these people. Hell we have a ton of people capable of doing these jobs. Why not get rid of these artificial barriers that prevent us from having these people trained to meet demand? I mean shit, we probably have several thousand superbly trained military emergency medical technicians who can't get a job as a civlian EMT cause they don't have civilian credentials.
 
"An adequate number of healthcare workers plays an important role in ensuring that Arizonans have ready access to care. However, Arizona has far fewer physicians and residents per capita than the national average. Beginning in 2014, demand for these physicians is likely to increase due to the expansion of health coverage contained in the federal health reform law known as the Patient Protection and Affordable Care Act. Additionally, the demand for healthcare services is expected to increase due to the aging of the national population and the continued growth of the obesity epidemic. In particular, there will be greater demand for primary care doctors as the healthcare system puts increased emphasis on delivering care in the most cost-effective setting before conditions become acute.'

That is an absolute fact for every state .. even in Massachusetts where they have more doctors than most states and Romneycare is already in place.

Physician shortage in Massachusetts continues to squeeze primary care

Massachusetts is facing severe or critical shortages of doctors in eight specialties, including a deficiency of primary care physicians for the sixth year, a survey shows.

more
http://www.ama-assn.org/amednews/2011/10/10/prsc1012.htm

If I want to see my primary Dx, I usually have to set the appointment 3 weeks in advance; or I can see one of his assistants within a week.
 
That's just the WSJ trying to scare people. If the WSJ proposed market approach worked we #1. wouldn't be in our current jam of escalating prices and #2 We wouldn't be trying to reform our health care system.

That is complete nonsense given that we haven't had a market approach. Instead we get non stop government interference, 50 different sets of rules and regulations for insurance companies... and oh yeah, the biggest problem... the overly obese nature of the bulk of our population. Add in the shortage of doctors and that simply escalates the problems we face in the future.

I do take note of your pathetic attempt to label the WSJ as some sort of boogeyman. Typically that is Dungs gig. He might be pissed that you are invading his fantasy world like that.
 
I don't understand why someone who uses partisan sources gets upset when people point out that they're using partisan sources. If you don't want that to happen, don't use partisan sources. Not too tough.

I guess we could all respond to these right-wing columns by saying that the authors are good parrots and earned their crackers or some such, since that's apparently the only appropriate response to partisans.
 
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