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The Sickly State of Health Insurance

By Nomi Prins, AlterNet. Posted September 12, 2006.


Health care in the US has gotten so bad that even the wealthy find themselves gasping at the soaring premiums.

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The following is an excerpt from Jacked: How "Conservatives" are Picking your Pocket (Whether you voted for them or not) by Nomi Prins, PoliPointPress, 2006.

What do a successful ABC television producer, an ex-Los Angeles Laker turned actor, and a former meth addict turned PR god all have in common? First, they all spend way too much time in LA traffic. Second, they all think America's current health-care system sucks.

Poncho Hodges is a 34-year-old former LA Laker. He's the tallest person I've ever stood next to. I walk with him (Poncho used to live in New York, so is down with the whole walking thing) to a nearby Starbucks, on Magnolia and Lankershim Boulevard. My all-black outfit (yes, it is a New York thing) looked a little grim next to his red and white Yankee cap and red and white sneakers. His face was framed by bling studs and a thick gold chain necklace.

Poncho attended the University of Colorado on a basket-ball scholarship. He did a stint as power forward for the Lakers. He's perfectly healthy now, but having witnessed tons of sports injuries in his career, he knows the importance of coverage. "Health insurance?" he says with a voice as deep as James Earl Jones. "Been winging it."

Like other members in the Screen Actors Guild and vari-ous professional groups or unions, he gets insurance through group policies that are imbedded with obstacles. "I got the SAG one, but you need to gross like $15,000 a year to keep it. You have to gross about $25,000 to get dental."

For seven years, he played basketball all over Europe, and learned from his time there: "America needs to take lessons from other countries where if you're a citizen, you get health care, no matter who you are." Ideas like this separate Poncho from the thinking of our gov-ernment, even though he considers himself a Republican. "I like the things they stand for -- like on religion -- and I'm down with keeping American traditions. On the economic thing, it's different -- they don't care about the poor, they're too privileged." He is further proof that the need for decent health care cuts across political beliefs, and he is one more example of how out of touch conservatives are even with their own constituents.

After Poncho takes off in his size 15 Nikes, I have another latte. For this one, I'm joined by Jed Wallace, a super-lively PR person. Jed has an expensive individual health insurance plan, which also covers his two young daughters. He got it on-line. "It's Blue Cross/Blue Shield -- over $800 a month, a $10 deductible on office visits, $30 on prescription drugs, $500 on ER work, and an annual deductible of $750." Part of the reason the plan is so expensive is Jed's former ultra-Hollywood lifestyle. He craved the dream: "I wasn't exactly sure how, but my ego said I wanted to be rich and famous -- then you get pummeled by reality."

Reality for Jed started with smoking pot, then doing hallucinogens. It soon became a full-blown meth addiction. During the mid-'90s, he co-hosted a web radio spot and "Popcorn," a movie review show on MTV. He made, as he put it, "shitloads of money, burned through it, and started doing coke." MTV was short-lived, so he got into the bar business in Santa Monica. "It was 'on' from there -- partying, drugs, everything."

By April 2000, he was cruising high. The manager of one of the beer companies he bought along the way happened to be his drug dealer. "I was working 20- to 22-hour days -- I had to get into meth, the delusion that with a little, you could do anything."

He rationalized that he provided his two-year-old and wife with a home, money, and cars. He paid employees in drugs. Finally, his wife left him. Eventually she returned and created an inter-vention that led him to Life's Journey Center in Palm Springs. It was, as he put it, "a humbling experience. There, we also discovered I was bipolar -- that's why my insurance is so high."

Now, he speaks to kids in recovery through Alcoholics Anonymous. "Lots of people in treatment wind up dead, back on drugs, or in jail. I'm lucky. People helped me. 'Cause it's not covered by insurance." He's been clean for two years, having been to hell and back, and has met tons of lost people along the way. Many of them, he believes, were souls that could have been helped by wider reaching health care. "This government is totally detached from the real American psyche and spirit," he says, driving me back to my car. "You parked all the way over here?! Why?"

The next day, I hit ABC Studios, where it was definitely turning Christmas. A young intern was passing out ginger-bread cookies while I waited for Harry Phillips, a producer of Primetime. After a few minutes he arrived, a friendly man with a neatly trimmed gray beard and mustache, and offered me herbal tea from their kitchen.

Behind his desk are several bags of Christmas presents, mostly for his youngest daughter, Abigail. "She's 12 going on 20," he says. On his walls are several Emmy awards, a map of the United States, and a Norman Rockwell print of a young black girl in Mississippi.

He's been at ABC for 16 years. His health plan is through Disney/ABC, and is CIGNA/PPO, for which he pays $250 a month with a $350 annual deductible. Born in Canada on Memorial Day in 1952, he has been in the United States for 15 years but maintains dual citizenship. The biggest reason why? Yep: "Health care--socialized medicine." As far as he's concerned, Canada just flat out gives its citizens better care than we do. And it's hard to argue with him. Canada has the equivalent of an interlocking system of Medicare and Medicaid. Everyone's in the same risk pool and there are fewer administrative costs.


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Nomi Prins is a senior fellow at the public policy center Demos and is the author of Jacked: How "Conservatives" are Picking your Pocket (Whether you voted for them or not) PoliPointPress, 2006.

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Imagine This...
Posted by: gotroppo on Sep 12, 2006 12:41 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
In Australia, where we still retain socialised medicine, we have "free healthcare for all" thanks to Medicare and the Pharmaceutical Benefits Scheme. Because of this:

* I can go to any GP, anytime, anywhere and (in most cases) pay nothing to see a doctor (at most I pay about $20/visit).

* I can collect any prescribed medication on our PBS schedule (which includes some drugs that would normally cost $10,000+/annum) for the princley sum of $28AUD - antibiotics, asthma medication, heart medication - the works.

* I can attend any public hospital with an emergency condition, be fixed up (no matter the problem) and walk out without having to pay a cent!

* My doctor can order any number of pathology tests and neither of us pay a cent for the results (x-rays, blood tests, etc).

* I'm not bombarded with advertising from Pharmaceutical Companies as we have a ban on direct advertising on drugs (because we believe that the person best informed about the right drugs for me is my GP, not some PR agent in Sydney).

Alas, thanks to our recent free trade agreement (and because of a compliant governement), all of these benefits are currently under attack - particularly our PBS (Pharmaceutical Benefits Scheme) as US pharmaceuticals are worried someone will wake up one day in the US and go "why didn't we think of that".

Our system is not perfect by any means, but I thank the day I was born in Australia.

America deserves a better system - you just need some political backbone to make it happen...

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: Imagine This... Posted by: Conservasaurus
» RE: Imagine This... Posted by: willymack
» RE: Imagine This... Posted by: Conservasaurus
Still, Health Care Reform Will NOT Happen....
Posted by: CatDad on Sep 12, 2006 12:52 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
There is a Stalinist-like dogma of free-market capitalism in the USA. Social Security, Medicare/Medicaid are successful, government-run systems which contradict the predatory-capitalism model advocated by of many of our elected officials. They are kicking and screaming to get rid of these programs (thankfully, unsuccessfully). There is no way in hell they will allow another system like Canadian single-payer health care to be implemented to our entire health care system. Government-run programs outside of the capitalist model cannot be allowed to succeed (political heresy)...regardless of the widespread benefit which they might bring.

Fixing the health coverage gap is probably job #1 in the domestic, progressive agenda...yet in my opinion the likelihood of succeeding is nil in this political climate. From a propaganda perspective, attacking a single-payer health system is fairly easy for the Right Wing. ALL political debate around the issue will focus on the handful of horror stories of people in Canada who have died while on a waiting list for a medical procedure. THAT will be how the debate will be framed, not the overall benefit to everyone.

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» It is a long term project. Posted by: Lincoln fan
» Amen Posted by: Lincoln fan
dumbest
Posted by: rsaxto on Sep 12, 2006 1:03 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The Bushies have created the dumbest people on earth, Americans. If we had any intelligence at all we would have the same free health as all decent societies do. Welcome to America the dumbest and most indecent monied society on earth.

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» RE: dumbest Posted by: Lincoln fan
» dumbest (Clinton?) Posted by: Conservasaurus
» RE: dumbest (Clinton?) Posted by: Lincoln fan
» I know it's rare... Posted by: Conservasaurus
» RE: dumbest (Clinton?) Posted by: yellow
» no "free" care Posted by: edith
» RE: no "free" care Posted by: Sushi
» RE: no "free" care Posted by: Conservasaurus
» WOW Posted by: Conservasaurus
It is the medical model that is the problem
Posted by: Bobsays on Sep 12, 2006 2:37 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
We see the same problems in public or private medicine: escalating costs driven by the collusion of doctors and medical/scientific companies. Anybody who knows the basics about good health knows that 90 per cent of what it takes has nothing to do with the intervention of medicine. It has to do with lifestyle. Good food, good exercise, healthy home and work environments, healthy cities etc.

And the most important health-giving advance in human history? Clean water. This did more than anything else to make life tolerable. You only have to visit a poor community in the developing world to see what a lack of access to clean water does to your life.

We need to challenge doctors and their cohorts in the universities and in the pharmaceuticals. We need to look past their ruse of professionalism and 'concern'.

If we stay the course, then we will never see an end to the escalating costs as hospitals pursue ever fancier services, and surgeons and scientists delve deeper into areas that are not key health priorities.

Let's look at the evidence since doctors and scientists live on evidence. We face a current obesity crisis, we have the least healthy children in modern times (post WWII), we now know that today's youth may start to turn reverse the life curve that had been going up since WWII. Today's children are on course to die at an earlier age than their grandparents.

There is something wrong with a medical profession that is moving its resources to cosmetic interventions, while these more pressing issues worsen. Is it not better to eat well, exercise and be happy to achieve a youthful appearance, than to be a ragged out, obese stress case and then get surgery.

Take a look at the faces of people in the west, and those of people in countries like Brazil. You will find that many people in the wealthy west have worn out, stressed out faces, while people in a poor country can have unlined and healthy complexions. The face test should be the first test applied to health services. If your patients look stressed out and miserable, then you should have your fees cut in half.

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Kill all the doctors! (It's a play on words for those of you who are literature illiterates).
Posted by: edith on Sep 12, 2006 4:14 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
the problem with "healthcare" is that it isn't like potato chips. At some point you will use it regardless of cost. tI will pay two bucks for a big bag, but forego my craving if the price is three or four bucks. I'll eat raisins instead. But that blood test that just might show leukemia? Will I walk away from it eeven though I'm uninsured?''

While we forego physicals, (a stupid move) and a lot of dental care, when that cholesterol is out of sight and the blood pressure is high and that lump in your throat is cancer and not the result of another AIDS movie, basically we will pay anything to avoid pain and live another couple of years. (Good for those of you over a certain age who just want the painkillers and don't want to burden society any more).

So there's no competition, doctors like Bill Frist run the hospitals and HMOs., and the government pays universities' hospitals exhorbitant costs without any real analysis of need or overlapping facilities while in rural areas health care wanes.

If you belong to a union(good luck if you can find one) you may be OK. Veterans have the VA but non-veterans don't. And the VA gives you a hassel over diseases the government doesn't want to admit it caused. If you work for a governement or are a cop or teacher you have semi-socialized medicine and you get by. If not you go bankrupt, die or face a series of diseases that could have been treated easily with preventive care that you avoid because its close to one hundred bucks just to see the friendly ol doc. There is medicaid but most people prefer not to "qualify", i.e., have a miserable standard of living, thank you very much. Should undocumented workers get health care support? What if they have communicable diseases that don't care if you have a green card?

I do think people soemtimes overuse care and especially emergency rooms. but the way to get them on a schedule of rational checkups and ration emergency rooms to emergencies is to "pay" everyone's medical premiums, to jail price gougers including doctors who are not saints, and to get the conflicts of interest out(doctors owning for profit businesses that provide across the board or specialized healthcare. Sorry doc. You go to med school you are a doctor or scientist or both. but not a monopolist, leech, or bloody witch doctor vampire!

As for the "expense", what was the latest total cost of our little restoration project in Iraq?

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How America stacks up . . . Grade: F -
Posted by: JCR on Sep 12, 2006 6:33 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
To give you an idea just how out of whack US healthcare is, just look at what I get here in Argentina (remember, this is 3rd world) for US$ 53/month.

Office visits: $3 co-pay. That includes any and all office visits whether it be a neurologist, oncologist, cardiologist, etc. All specialists - $3 co-pay. My last visit to a specialist in the US - $250 for literally 17 minutes. I think I was paying for the fancy tablet PC they were flaunting . . .

Labs, X-rays, MRI, CT, etc - 0$. Even without an insurance plan an MRI here costs about $175-250 depending on the scale of the MRI. With injection of radioactive dye it would run about $225 - compare that with almost $1000 in the US.

Rx - I pay for 20% of my prescriptions but remember this: prescription drugs down here cost 90% less than they do in the US. Let's say I got a bacterial infection and needed Zithromax. I would pay at least $50 in the US. Here I would pay about 10 pesos or US $3. They have generics for EVERYTHING down here because they tell Big Rx to go fuck themselves and break patents. Some may argue with that but I love it!! Here they care more about people than big business!

Emergency Treatment - 0$!!!! Open heart surgery - free. Break a leg - free. Contract AIDS - free treatment and Rx.

Imagine this if you will:

You walk into the office and see your doctor when scheduled because they generally don't pack 8 million office visits into a day - people would not stand for waiting 45 minutes here. Next imagine that your doctor doesn't walk out of the scheduled appointment 3 or 4 times to treat other patients leaving you sitting half-naked on the table like an idiot. Imagine not getting rushed out the door because the doctor needs to make more $$$ by attending poorly to other suckers. My last appointment with a neurologist here lasted one hour and the only interruption was the secretary coming in to offer me an espresso while we discussed the results of my free MRI.

America is truly a disgrace!

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Universal insurance isn't the answer...
Posted by: BeeGee on Sep 12, 2006 7:53 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I see a lot of push in the U.S. for universal insurance -- the belief that if we all had health insurance, all our cares would be over. In fact, this is not true. We need to have cash for co-pays, deductibles, and uncovered portions of medical services and prescriptions. A person with a low income or high expenses can have the best insurance in the world and still not have the excess cash to use it. I'm eager to see what happens when Massachusetts' universal insurance plan gets rolling. Maybe it will demonstrate why true universal healthcare -- not insurance -- is our best bet.

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It's Past Time
Posted by: NoPCZone on Sep 12, 2006 7:55 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
We desperately need to get to a Universal Coverage System. Here's Why:

1- Our small town and inner city hospitals are getting killed. Hospitals have been closing all over the country for years. Unfortunately, the ones closing and going under are the ones that care for our poor and people in small towns and rural areas. Once they are gone, they will probably be gone forever.

2- Private business is at a competitive disadvantage because of the costs of healthcare. When a nation has universal coverage it is easy for a company to know, project and factor future healthcare costs. Without it it's just a crap shoot. Most of the nations our country's companies compete with have universal coverage and do not have to factor in volatile and escalating health coverage expenses.

3- The largest single source point of waste is in the billing/accounting/insurance filing end of healthcare. Over 30% of every healthcare dollar spent in this country is sucked up by the blizzard of paperwork, record-keeping, coding and pre-approval processes demanded by insurance. Further exacerbating that is the fact that each company has it's own set of procedures, rules, limits and paperwork.

4- Universal coverage will greatly reduce the tort problem without resorting to liability caps. If a Universal system is coving all, courts will not have to factor in lifetime heath-care costs in lawsuits. That will greatly reduce malpractice rates and medical lawsuits. It should also discourage the practice of defensive medicine.

5- No more cherry picking. Many have been left out in the cold because of pre-existing conditions, especially in states without a high-risk insurance pool.

6- The leading cause of consumer bankruptcy in our nation are Medical expenses. Universal coverage can eliminate that problem outright.

7- It's simply the right thing to do.

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» RE: Money for Nothing Posted by: NoPCZone
Healthcare Profits Continue To Rise as Number of Deaths Increase
Posted by: michaeltwatson on Sep 12, 2006 8:23 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Insurance executives, in an industry worth 7 trillion dollars per year, are keeping more and more of the income, but paying less and less to the people who lose life, limb or property. That's becuase insurance profits can be set by the insurance companies, without anti-trust regulation; and because state legislatures and Congress have taken away the civil justice system as the equalizer between large insurance companies and people who are hurt by their insureds. This phenomenon is apparent not only in the Katrina injustices, but in all areas of insurance remediation. My biggest beef is with the medical malpractice insurers, who are supposed to be there for those who are injured by the medical profession. More than 190,000 people are killed each year by hospital error and over 1.5 million people are injured by medication errors every year, yet insurance companies are still trying to take away the civil justice system from those injured and the families of those killed. They have succeeded in doing so in many states, and are still on their mission to accomplish it everywhere. Michael Townes Watson, author of America's Tunnel Vision--How Insurance Companies' Propaganda Is Corrupting Medicine and Law.. www.StopMedicalError.com

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Let economics take its course.
Posted by: kungfoofighterx on Sep 12, 2006 8:28 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Think about it. The insurance companies make 30% profit. The hospitals make 30% profit. The doctor’s offices make 30% profit. The labs make 30% profit. The pharma companies make 50% profit. The technology companies make 50% profit. (These numbers are just guesses; I would like to know the real numbers) One successful visit to the doctor can take you through all of this. People are losing health care left and right and the ones who have it are paying much more for it. It will not take long for the system to decompose as it becomes too expensive for anyone including the government. When the cycle of life starts again for the industry I hope it won’t be run by Wal-mart.
I can rant for about 15 pages about how pathetic innovation has become since health move from the public to private sector. There are a number of very data driven discussions about the economic and innovation problems with USA health care in the literature (not pop culture literature, the academic stuff). When everyone puts their hand in the pot to take the green stuff out a society ends up with a disgusting wreck of a health care system. Take a look at your mutual funds and see how many insurance and health care related corporations are present in the fund. It’s a hugely profitable at the expense of the middle class child rearing family. It’s going to require a serious revolt by citizens to change this because politicians running against the health care status quo are going to need to be very attractive. These politicians will need to be more attractive then any other one sided argument at election time. The young healthy people won’t get it either until they really get sick or need health care. That is going to take at least 10 or 12 years for these uninsured folks to feel the insurance pain (probably a baby). Then I think things really will change otherwise its going to be a terrible system of older people with super expensive health care and young people with targeted cheap plans and no inbetween.

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Too bad the phony "pro-lifers" as they like to call themselves
Posted by: maxpayne on Sep 12, 2006 8:48 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
see no problem with sleazy insurance companies robbing people of their lives.

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Big Pharma.........just one BIG problem and .....
Posted by: picket on Sep 12, 2006 9:56 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
is helping America along the road to destruction. Where do health insurance companies make most of their profit?
The Federal Drug Administration has been corrupted, on a huge scale. The Neo Cons [also the corrupted "so-called" opposition party] live for today with no regard for the future generations. Follow the money!!!
There is no money in Preventative Medicine.
In 2004 Big Pharma made 11.2 billion on antidepressants and 8.6 billion on anti-psychotic drugs. I know an elderly woman who is NOT psychotic prescribed a NEW psychotic drug for sleep. These new drugs are hundreds of dollars a month for a Rx and adverse effects are horrendous. Who am I to question her doctor?
Donald Rumsfeld has a huge interest in the Avian Flu vaccine. Hang on Americans for the ride of your life!!! Google Evelyn Pringle-Big Pharma for an education.

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These are Christian Values?
Posted by: meadowlake59 on Sep 12, 2006 10:05 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The price of medicine rises to keep step with greed of the capitalist. You don't have to be a Marxist to see that but if you say it you will be declared one--and why is that so bad when compared to the alternative?

“When I gave food to the poor, they called me a saint. When I asked why the poor were hungry, they called me a communist.”
Dom Helder Camera

The politicizing of religion has led to more division and polarization in this country than any political party could have achieved on their own. The right's claim to "Christian Values" shrivels in the face of their obvious disregard of adherence to the teachings of the New Testament (that's the part WITH Christ--that's how the word 'Christian' came about).

I'm not a religious person I think Voltaire said it best: "Those that can make you believe absurdities, can make you commit atrocities". But if you stake your claim to the teachings of a religious doctrine then dammit--live the life!

"Woe unto you that are rich! for ye have received your consolation." Luke 6:24

As a sociologist I could ramble on about the Protestant Work Ethic and the Spirit of Capitalism (thanks Max) but that don't mean shit! The truth is that we are ruled by an evil cabal of men (someone check Connie) who see this country--no--see this planet as their personal bank account to be squeezed to the last drop of profitable resource; whether that is person, place or thing.

"That which has always been accepted by everyone, everywhere, is almost certain to be false."
Paul Valery

Ask questions. Doubt the "truth". Seek alternative thought. Dissent. Refuse to acquiesce. Do you really belive that others have your best interests at heart?

"What is a rebel? A man who says no."
Albert Camus

Tell a friend--then tell a stranger.

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The real negatives to socialized medicine
Posted by: rhinojos on Sep 12, 2006 10:12 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
There is virtually no incentive for medical companies to set foot and conduct research in Canada these days. What would happen if the US and perhaps a few other industrialized nations change to socialized medicine? Some of the ramifications will be that Japan will be poised to be the leader in research to crank out new medical related machines and equipment and guess what? We will be buying these machines at higher prices because US medical companies will be out of business.

I work in the medical sector and beleiev me, the expenses incurred by people for the services they are getting are criminal to say the least. Where do we draw the line to keep both sectors, the consumer and manufacturer, happy?

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It's not just the Bush administration, though
Posted by: Michelle on Sep 12, 2006 2:31 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I remember feeling pretty upset when Bill Clinton dropped the ball on health care. It was under his leadership that an opportunity for universal health care of one sort or another became "managed care" if my memory serves.

It was a good learning experience for me about electoral politics as means for change, though -- not to mention good information about the Democratic Party not being an alternative.

Blaming Bush may be the habit these days, and why wouldn't it be -- but it's too facile in this case to leave others out.

(is my memory serving me correctly here? Let me know if not I really do remember feeling hopeful about health care when Clinton won the first time and then watching what a mess he and his wife made of it). And of course this problem didn't start with Clinton either.

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An example
Posted by: mdc on Sep 12, 2006 2:52 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
My dad just got a notice from his insurance carrier that a certain MD we visited recently charged his insurance companies 797$ US for performing surgery....a surgery that was never performed. Believe me, we're going to look into this and bust the guy if it wasn't an honest mistake. So, just how big a problem might this be in the high cost of health care?

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There is an affordable health plan in the US
Posted by: bcgirl125 on Sep 12, 2006 3:01 PM   
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Try Kaiser Permanente. They have health plans starting under $200 a month. I have been a subscriber for 5 years, in my experience the service is really good, too. Problem is, they are not all across America, only in about half a dozen states, you have to check their website for details. I don't know how they can do this for under $200 a month when other companies charge three times that much. Still a lot of money compared to Canada, though. I miss my Canada Health plan ever time I pay the bill here.

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Problem: America's Priorites
Posted by: sofla100 on Sep 12, 2006 3:17 PM   
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Americans already spend more on health care per citizen then any other nation on Earth. Of course, it's all going to health care corporations and insurance companies. But, beyond that, is America's priorities. Military and National Security Spending equals more then the sum total of all the nations on the Earth for the USA, now close to US $1 trillion. The Iraq war sucks away billions for nothing. We are living in a garrison, militarized state. The priorities of America: everything for war, everything for the rich and corporations, nothing for the people.

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Retirement
Posted by: Maryanne on Sep 12, 2006 3:40 PM   
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When my husband retired, he continued eligible for medical coverage through his company. Had we had opted for an HMO, there would have been no cost,to us, but since this would only cover us in the States, and we do go abroad, we opted for a policy that would cover us anywhere, and give us flexibility to choose our own doctors (having had problems with some of them). Although we lived on only his pension (since he had retired early) the portion of the medical insurance we paid was only $94, per month. No problem.

However since then, it has gone up each year,so that currently we pay $800 per month and expect this to go up another $100 or so next year. We finally qualified for Social Security but have less to live on now than when he first retired, due to the increase in medical insurance.

When my husband suddenly on a weekend was unable to walk, we headed for the hospital emergency room. Saw a physician assistant who found nothing wrong and suggested hot packs. By Monday, the pain had intensified, so we went to the doctor- he had a broken knee cap!

We subsequently were informed that the emergency service would not accept the insurance coverage and presented up with a bill of approximately $800. (We fought this and won.)

Two points- medical care in this country is not always good- and the costs are outrageous, even with coverage.

Our Canadian relatives get the care they need. Medical care but also sensitive concern for their other needs surrounding the illness. No hastles.

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Personal Experience - Hernia Repair in UK - Positive
Posted by: b253@yahoo.com on Sep 12, 2006 6:40 PM   
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I lived in the UK (England) off and on for about 5 years. I was not a citizen and did not have residency. I lifted something heavy and ended up with an inguinal hernia as a result. It was not an emergency so I looked into flying back to the USA to have it repaired or having it repaired in a PRIVATE hospital in the UK. Inguinal hernia repairs are the most common operation in the world.

Cost in the USA $7800
Cost in a private UK hospital 1500 pounds which at the exchange rate then was $2300

I cleared everything with my insurance company. I explained to them that the bill would not itemize every drug etc. that I was given. That it would have 4 items. Surgeon, hospital, anesthiology and follow up visit. They said fine.

When I left the hospital it was like checking out of a hotel. It was fast efficient and surprise the bill was understandable.

I sumitted the bill to my insurance company Blue Cross. They denied the claim and said "It is not itemized". I called them back and explained that I had spoken with them and they had authorized it. It was only after a second call where I not only pointed this out but that I had saved them some 5000.00 that they finally paid up.

By the way the standard of care was excellent. Dr. Giles Toogood did an excellent job and kudos to Bupa Roundhay in Leeds for excellent food and thoughtful nursing care.

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We are like a family that doesn't manage its money.
Posted by: b253@yahoo.com on Sep 12, 2006 6:46 PM   
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The US is like a family that when laying out its budget. Says
"We don't need anything in the medicine cabinet."
"We don't need mass transit"
"We don't need more time off to spend with our families"
"What we need is to buy more guns to protect us from the neighbors"

Our priorities are way out of line.

It is interesting to live in a place that has health care and mass transit. The stress levels are generally greatly reduced. If you lose your job, you have lost "only" your job. You don't have to worry about getting sick on top of that. Or getting to work because you don't have a car. Cars are fine, I am not anti car, but the freedom to not own one or at least not to have to have one for each family member is nice too!

We need to spend more time taking care of ourselves and less on dominating the rest of the world. Strangely enough this would probably make them somewhat less inclined to attack us. No I don't believe in Utopia but I do think we can be much more kind to ourselves.

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U.S. Healthcare: You can't afford to retire early!
Posted by: bettyn on Sep 14, 2006 6:49 PM   
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My husband, who worked overseas for years, retired at age 59. Last year our COBRA ran out and we found NEITHER of us can get health insurance AT ALL! He has high blood pressure (reason he has been denied over and over again) and I have several relatively minor health problems (allergies, GERD, and a neck injury from a car accident in 1998). If you have ONE prescription, they will turn you down cold!

We have been getting our prescriptions from Canada, except now my husband's blood pressure meds have been confiscated by U.S. Customs. (Don't you just love the way the Bushies look out for their pals, the drug company CEO's?) I have a serious ear problem that requires an MRI. The cost: $5,000 up front!

My husband will continue to get his blood pressure pills, at a greatly inflated price, and I will continue to go deaf in my right ear.

The U.S.A. What a country!

GET ME OUT OF BUSH/CHENEY'S AMERIKA!

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healthcare dude
Posted by: eddieltwang on Nov 5, 2006 5:27 PM   
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Many people complain how much a dr visit costs. Defending the medical profession, I have to state few of the obvious facts.
An MD needs to graduate from college, 4yrs in med school, 3-12 years of residency training (depending on specialty.) Then works from 8-8 everyday and average 1 call night where he/she doesn't sleep at all every 5 or 6 days. Counting the hours he/she works divided by income minus malpractice insurance, the result is roughly $85 to $195 per hour depending, of course, on specialty. On the other hand, you have an auto mechanic who charges $65/hour of labor, excluding parts and taxes. You have a plumber that charges $45/hour, which starts counting when he hangs up the phone to go to your house; that wage becomes $70 if it's after hours. A lawyer, charging in 15 minute increments that average out to about $375 to $650 an hour.... the list goes on and on.
My point is, an MD goes through much more hassle to become an MD and yet, everyone is complaining about how greedy they are. MD's do not charge after hour calls; they don't charge in 15 min increments; if you don't pay, they still take care of you. For that, I'd like everyone to think when the last time your auto mechanic worked on your disabled car when you told him you can't pay him. When did a lawyer take a case if it won't be profitable for him/her...at least when it's profitable, they'll take 40% and also make you pay his/her fees in addition.
The deal about increasing healthcare costs has many factors. Hospital charges are outrageous, and that is because insurance companies pays only 60cents on a dollar, and also include the indigent patients that never paid at all. Hospital charges are marked up because of those factors. Also another note, hospitals cover their employees with malpractice insurance...on average, a hospital receives 150+ case complaints from lawyers for suits per 6 months period...conservatively speaking.
Nationalized healthcare will not solve the problem. It's just cost shifting from the healthy to the sick, called cost sharing. We need to reprogram our minds; pay the doctors just like you would when you pay your auto mechanic. MDs are not like lawyers, they will see you even if you don't have money. But, honestly, make payment plans.
"There ain't no such thing as free lunch..." Why, then, should doctors work for discounted fees or even for free??

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