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gmgaston

gmgaston
Location
Augusta, Georgia, USA
Birthday
January 21
Bio
A chef by trade, but a human by birth. __________I am also a political junkie. I watch all the “talking head” cable programs religiously. Agreeing & disagreeing with the comments by the various pundits. Not shy about emailing my comments to them, either. I am a huge fan of Joan Walsh. She is one of the few that will stand her ground and discuss the issues, not just the 30 second sound bites. I am formerly from Ridgefield, CT

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MARCH 5, 2009 8:40AM

Universal Healthcare: Yes or NO

Rate: 11 Flag

Today President Obama will hold a health care summit at the White House. This will be the first of many meetings to try and formulate a bi-partisan policy for Universal Healthcare. Two questions being discussed are:

How much will universal healthcare cost?

Does the government have an obligation to provide healthcare for all citizens?
 

A HEALTHY DEBATE: Healthcare Reform - it's long but worth the look.

 

The federal government does many things to reduce our risk and promote health. It regulates the safety of cars, enforce standards to make our workplaces safer and set limits on exposure to toxic chemicals. Fewer fatal car crashes and healthier work and home environments allow people to live longer and healthier lives. We need to think about the benefits of universal health care in the same way.

Not every dollar spent on extending health care to all would be new spending. The government already spends an average of about $100 billion annually on health care for people who are without health insurance for all or part of a year. About a third of this spending comes out of the pockets of people who lack, or recently lost, their health insurance. Another $5 billion is contributed by physicians through charity care. Most of the money comes from federal, state and local governments to support hospitals, community health centers and other healthcare providers who treat people who do not have health insurance.

Finding a politically bi-partisan path to universal coverage will not be easy. The political process of identifying a package of benefits and how it would be administered will be difficult. Determining how best to spread these costs among businesses, healthcare providers, taxpayers and health care consumers will be tougher still. Nevertheless, it will be worth it.

So, let’s start a debate on universal healthcare and see if President Obama and his administration can get it done this year or by the end of his first term in office. How would you vote?


 

Should America have Universal Healthcare?

No                 VS          Yes

it's not feasible                  it's a right 

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After many years of living it and observation it's a Yes from me George. I don't say it lightly either. This is going to be THE battle for quite sometime (outside of the economy and wars) and I know there will be concessions, I just hope this time they aren't all on the left side.
As I've posted before, my wife and I pay three times the premiums for much less coverage than a mere ten years ago. Three hundred percent increase for less is staggering. The current health woes I face right now leaves me having to research my insurance to try and "beat the system" which with such high deductibles can lead a family on the brink over the edge. I speak from experience.

I don't know if it's a "right", but it's a "necessity".
I hope this helps get things started. Yes, it's going to be expensive, but two wars have been super expensive and what has it accomplished? Has it saved American lives? No and anyone who thinks it has is naive in my opinion.
Thanks my friend. Rated
Thanks Blue - so many are in need of health coverage and are now going without. The cost of the present system, as you stated so well, is effecting all aspects of our economy.

I just hope it gets debated for the merits and not side-tracked by Harry & Louise this time.
Tough question. The price may be right but, the problem with a long wait list such as with my friends in Canada may not be good.
Everyone should have health insurance, that's for sure and it should be affordable. Will the medical community like this? Probably not.

On the whole, I would say yes but, there are a lot of questions.
thanks Pam - those questions that need to be answered are the purpose of a good honest debate. But, America cannot continue at its current system or the economy will never recover.
What we have now is obviously not working. Many know more about the subject than I. Yes seems to be the only logical answer. Slashing the Military budget would help carry a great part of the burden.
What does it say about us as a nation, at one time believed to be a "good" nation, if we allow $$ to cloud the underlying issue of compassion for humanity. I accept that this will be expensive but I would prefer to raise my son in a country that takes care of its own than a wealthy country.
I also question those with a conservative leaning that are staunch believers in the pro-life agenda but find universal health care prohibitive.
I think the most important questions is, "How do we make this feasible?"
Mr. Gmgaston: Health care payment structure is complicated and costly to begin with. It will be difficult to fight against them. The long term goal should not be seeking a black or white answer but to move toward a universal healthcare for primary and preventive care in order to encourage people to take good care of themselves - the most cost-effective way.
What we need is reform. We already have a modified government system of healthcare. If you are retired you have government healthcare, if you work for the government (the largest employer) you have government healthcare. If you work for a company with healthcare benefits you have tax free healthcare, and the corporation receives reduced rates, tax breaks, for offering a employee benefit to enhance their ability to attract and retain good employees. If you are unemployed you have subsidized COBRA healthcare now. If you are poor and on government assistance you have healthcare. Add to this the government will spend billions of research grants, hospital subsidies, medical education and other public health concerns. All funded by the tax payer.

The only people who have to pay the full price are the self employed, those who have no insurance (hospitals charge the full rate not the discount rate they charge insurance companies) for people who pay for their own medical treatments. If you work for a company that does not offer benefits you have to pay for your healthcare.

The problem is a single policy cost more than most can afford. Since the insurance companies cherry pick the individual policies you will be rejected if you have had any medical procedures done in the last 5 years. If you have or have had HBP in the last 5 years you will be rejected. If you are over 50 good luck finding a company that will insure you since the insurance companies know that 80% of the claims are for people over 50 so if you have insurance now, expect your premiums to rise once you turn 50 to the point you cannot afford it anymore.

This is where the reform needs to happen.
Thanks Michael - I agree that the funds dumped into the Iraq war would be better served in obtaining healthcare for all. So hopefully as we move forward, that is were those cost will go. But, now that the Republicans have found 'religion' about spending - they will do everything possible to stop this legislation. What hypocrites they have become!
I vote yes. I have run into situations, as have others I know, where you can't get the care you need if you don't have insurance, or if you don't have the right insurance. Something definitely needs to change.
YES. YES. YES.

I've had long waits here to get care just as in Canada, but then I have to pay ridiculous amounts of money. I had a child in the hospital, with good health care, and am still paying off the $8000 bill. I have to fight with the insurance company over almost every charge. I pay $300 a month in premiums, have a $2500 deductible, and still they will find ways not to cover things. They can retroactively decide not to cover something that they've already paid. Then, I get a bill. A big bill.

It is time for something else, damn it. It makes me laugh, in a very sarcastic, cynical way when someone talks about raising taxes to pay for it and gets upset about that. Unless they had me paying an extra 20,000 dollars a YEAR, it wouldn't get anywhere near what I've had to pay in health services in the last year. Seriously. And it's not gonna be that.

If you pay $3000 in premiums a year, plus $2500 in a deductible ($5000 for the Kid and me), and have to pay for things they just suddenly won't cover, plus a $7500 maximum that is really much more than that, etc. etc. you'd happily pay those taxes. Not to mention the evil that occurs when you get anything that they consider a 'chronic' illness. I had a friend who couldn't get coverage because she had, wait for it, ALLERGIES. Seriously.

No more of this. No more.
Thanks Phaedrus1 - I agree completely. Cost is the underlying element for sure.

Thanks Puchi PooPoo - I think that universal healthcare for primary and preventive care is a major part of President Obama's plan. It sure would help with long term cost.
Yes, but...

Or rather, and... we need to be clear that what is being discussed is including everyone in a risk pool for coverage of medical treatments, which is part of, but not the same thing as health care.

Medical treatment consists primarily of doctors ordering diagnostic tests, prescribing prescription drugs or referring patients to specialists for invasive surgical procedures. All of these things are expensive and profit-driven.

Health care encompasses, among other things, improved nutrition, reduction of environmental toxins (including most prescription drugs) and stress management techniques, none of which are covered by "health insurance". Improving the nation's health may well be more dependent on policies enacted via the Farm Bill and agencies like the EPA than those of the CDC and FDA.

What weird world we live in.
Thanks M Todd - excellent points

Nancy N - thanks. You make a great point about the right kind of insurance - it is usually to little with a huge deductible.

odetteroulette - you are so right about the high cost and little coverage - it is bankrupting too many families!
Odette, I feel your pain hun. Great points. It's astronomical what a hole we find ourselves in from becoming ill. So you're ill and may stay that way then you have the added stress of collectors coming for you with no clear way to pay off 8, 10, 50,000 dollar charges. It just makes you sicker.
RIF - great question. I think the policy that President Obama will address those items, but if not, it definitely needs to be discussed.
YES!!!!!

It's a crime we don't have it and we're spending trillions on banks, corporations, etc.

My doctor recently said most doctors in fact want it. They are fed up with all the garbage, paper work, insurance rules, etc. Every year it eats into their time.

I wish every doctor/hospital show would do this: when they show a patient, their should be a scroll across the bottom of the TV that tells viewers how much that procedure cost. No one ever talks about money on these shows. It would go a long way to outrage people into action.
Resistanceisfruitful: Thanks for illuminating the semantic hole. You're right, we must focus more on prevention, education & both private and corporate responsibility. If we don't understand the prevention and environmental piece of this puzzle, we'll just be throwing tax money @ Big Pharma.
Great point Midwest. The medical community needs to have price guide lines. Kaiser Permanente has doctors on staff to help control cost, those working there seem to like it.
George, it's a yes coming from me. I might add that back around 1993 I had the pleasure of seeing Hillary Clinton speak at The Waldorf about healthcare at a program presented by a client organization of mine. Just think of how many years ago that was, how on the mark she was about so much of the healthcare problem in the nation and how far ahead as a country we would be if her ideas hadn't been attacked, but actually taken seriously and acted upon by all of the politicians in Congress.
Absolutely yes - $8200 in premiums (not including what my husband's employer pays for his), $3500 deductible, and just this month we've spent $520 in co-pays. In addition, the insurance company will only pay 80% of any procedures or hospitalizations. We live in fear of a serious illness.
Thanks John - it is hard to believe that it has been 16 years since Hillary presented a debate on this subject. And as we know, it was not supported by many groups. But her ideas and concerns for the uninsured still are need in this new debate. Lets hope that the public gets behind this debate and makes sure that some policy is accepted and signed into law.
Thanks Bella99
Your story is similar to so many throughout this country and more are joining the ranks daily.

Lets press our Congressmen & Senators to get behind this necessary issue and get comprehensive legislation written and signed into law!
Yes, I think health care is a right. Everyone should have health care. It should be universal. I don't know why we are even still having this discussion. It should already be here.
hollycomesalive - the ten's of million uninsured agree with you completely. Lets hope this time it passes! Thanks for your comments
I don't think health care is a right, but I do think that providing it for every citizen is something that the U.S. should do. We, as a society, can afford it.

I've had some experience with medical care in the U.S., personally and in dealing with catastrophic illness in my family. I've also had some experience with medical care in Germany, again personally and again in dealing with issues (non-catastrophic, but involving surgery) in my family. In the end, I trust the German system more.

In the U.S. we have these strange public health care debates that seem to be driven mainly by anecdote and ideology. The quantitative comparisons I've seen make me believe that health care in the U.S. could be improved if we moved to a European model. But I suspect that these aren't acceptable to some loud public voices because it would be "socialism" or "intrusive government" or "limiting freedom". I'm a pragmatist in this area: I don't care; it works elsewhere, and I think it can work here. I could be convinced otherwise, but I simply haven't been.
Rob thank you for your insightful points on this important issue.
No. Socialized healthcare is not a right. Everyone can get healthcare in America, they just have to pay for it. All the rich and powerful big heads of the world come to America when they get sick because their own socialized medicine sucks. The minute we go down that route we'll be like the rest of the world. When you're born in America you have the right to life, liberty and the pursuit of happiness. Not a colonoscopy. Why are we fighting so hard to bring our quality of life down to the level of Brazil?
First, I would vote for immigration reform and a war on drugs that focuses on the cartels and dealers, instead of the drug users.

We are, in no way going to have success with universal health care when we have about 30 million illegal immigrants from all over the planet who are NOT always the hard working people who do jobs that...yadda yadda...the media keeps lying to us about.

And the costs of drug abuse are horrendous. What kind of "universal" care are we going to provide there? Round after round of Rehab? Maintenance? If drug users paid for their care instead of drugs, you would see such moneeeee.....

Come to sunny Californa, Arizona, New Mexico, Texas...and check out what complete neglect of our borders, and a flourishing illegal drug industry have contributed to our medical meltdown.

And our medical philosophies do NOT support using only acute and emergency care as the sole medical care. We need to have a serious preventive component in place, or we will not have successful "universal" health care. People will just get to the point of acute sickness that could have been prevented. And that level of illness is far more costly.

So, the first thing that we need to define: What's "Universal"?

Second: I have issues with the costs of providing medicine. Doctors need some relief from the overwhelming costs of malpractice insurance. Those who got through school on financial aid start out in overwhelming debt. And they have to get continuing education.

So: A cap on malpractice awards and costs? More tax and debt relief if the doctor works in public service? Is that out of the question?

Finally: Why is the Minority Right so rabid about universal health care? I can't get a coherent answer.
Hi,



YES!!!!!

This isn't just about those of us who don't have medical insurance.

It's also about those who have to pay enormous premiums for insurance which doesn't quite get the urge to pay for medical necessities.

It is about companies which are folding due to the fact that they cannot afford to cover their employees.

It's about medical costs being the #1 reason for personal bankruptcy in this country.

It's about those of us who have had their credit wrecked due to medical - which means higher interest rates, higher mortgage payments (often with predatory lenders), often higher rent payments (from those places which don't check credit and charge higher rent as they know they are getting people who couldn't live any of the places which require a credit check).

It's about those people who lose their jobs due to illness when they cannot afford medical treatments, then lose their homes, cars and families because they are no longer working.

We spend more money on medical costs than any other country in the world yet we rank lower than any other country in the industrialized world - and lower than a few 3rd world countries as well. People who think we can't "afford" national health care need a few courses in logic. We can't "afford" NOT to have national health care.
Deborah,

I'm driving on socialized roads. We're fighting wars with a socialized military. When I've called 911 I didn't have to give my credit card in order for an officer to arrive. When fires broke out in the mountains by where I was living in Colorado, we didn't have to hold a bake sale to get firefighters to come put out those fires. My parents have social security, which is about all they have after my father's pension got canceled and the company he worked for went under. (My father's 95 now. I guess he could try to go back to work...... )

Why do we then go retarded when we talk about the government funding healthcare the same way it does all of these other things?
RenaissanceLady: Thank you, thank you! I couldn't have said it better myself. As a teacher in TX, each year I'm given a choice between an awful insurance plan and an insulting insurance plan. To know that 1/3 of my check each month insures my family of three with an HMO.

As to life, liberty, and the pursuit of happiness, these are nothing more than quaint palliatives when one can't afford their child's doctor bills or Chase has kicked the interest rate up to 31% on the credit card because the choice between mortgage payment or credit card payment is a tough one.
Thanks Deborrah for your comments. I don't believe in socialize healthcare either. And I don't think that is the way the plan will finally be passed. I think people are looking for it to be affordable, not free!
thanks zuma - all good points
Ren...Lady - "It's about medical costs being the #1 reason for personal bankruptcy in this country." That is an excellent example of why we need a more affordable healthcare system. And thanks for your comment to Deb, they were good points.
Phaedrus1 - you point out the number one worry for most working Americans - the high cost for limited coverage. The HMO system put the cause of universal healthcare back 25 odd years, because of their mismanaged ways.