Kyle's Blog

Kind of like Maxine, only not as old and not as funny
NOVEMBER 6, 2009 5:28PM

A Couple of Questions on Healthcare

Rate: 5 Flag

This is not a political rant.  This is not about bashing Obama.   This is just going to be a few comments and then some questions.  If someone really has the answers, please tell them to me.

First of all, the massive stimulus was passed with lightening speed because we had to keep unemployment from going over 8.whatever.  It is now 10.whatever, higher than in more than 25 years.  Now I will be the first one to say that there was no way the present administration could look into the future and know for sure what would happen, so I don't blame them for that.  I know that all politicians say whatever they think we want to hear so we go along with them. 

Many supporters of Obama were in favor of this stimulus and how quickly it had to be passed - without most of those who voted for it knowing everything they were voting for - and without the transparency we were promised by candidate Obama. 

Okay, it passed, and it didn't do, for the unemployment numbers, what they claimed it would do.  As I said, I don't hold that against them because it was just more politics as usual.  Maybe it will work out in the long run, but the bottom line is they weren't able to accurately predict the future.

Now there is healthcare.  We are given figures on how costs can be reduced and how much it will cost.  Again, we are not given the transparency that we were promised, unless we are attorneys and have a lot of reading time on our hands.

My questions are these:

1.  If there is so much money to be saved by making the system more honest, why hasn't it been done with the existing Medicare?

2.  How can I believe that this administration really knows how much healthcare will cost?

Now I believe everyone should have healthcare, and I'm willing to pay my share to help people, but do we have enough "rich" people in this country to pay for it?  Or are they going to have the same shelters and means to avoid taxes that the really rich always have, so then the burden is on those of us who are struggling to get by?  How do they know just how much this is going to cost us, and I don't just mean money?

Another question:  why do so many just blindly accept what they are told about how the government can run healthcare? 

Cash for Clunkers was a mess.  Getting flu vaccines to the people who need them is a mess.  Social Security is a mess.  Medicare is a mess.  What makes us believe healthcare would not be a mess? 

Programs like Social Security and Medicare were started with the best of intentions to help people, and they have helped.  But they certainly have not been well run and are SUBSTANCIALLY over what they were projected to cost. 

How are we supposed to believe that government healthcare would be any different?

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Klye, By all accounts that I've read the stimulus is working, just not as fast as we would want it. Obama said it would take a year or two. While the markets are up, and GNP is up, the last thing to follow is jobs. Thats just a fact. It's been over 50 years since anything was done about health care. To say this is a hot potato is an understatement. For Obama to take on this for his first major act tells you the character of the man. Conservatives do not want health care, period. Never have, never will. While a large portion will be paid for by the rich, a lot will be paid for by taking the fraud and mismanagement out of the Medicare and Medicade programs. The CDC has already said this will not cost a dime in the long run to the taxpayers. And in reality, it may raise some peoples taxes, but I don't think it will. But people are dying, with no help from anyone. Insurance companies are denying coverage for pre-exiting conditions, and some cancel a policy in mid treatment for all kinds of trivial reasons. If every developing country in this world can do it, then why can't the most prosperous nation in the world manage to. We have an obligation to our children to give them a chance to live a life without fear of dying from curable diseases. Millions and millions have came to this country for a better life, and found it. Many became wealthy on the backs of the poor. The wealthy can at least give back to the country that provided them with their riches and let the poor have an opportunity to at least live a life with hope dignity.
Scanner, I understand what you are saying, and I thank you for responding. What I don't understand is if it is possible to take the fraud and mismanagement out of Medicare and Medicaid, why hasn't that already been done? How can you plan on something to pay for something else when you don't really know if it can be done? And if it can be done, why hasn't it?

And I have to say that it isn't true that conservatives don't want healthcare, period. There are many of us that do. We just want it to be feasible and not make things worse.

Again, thanks for stopping by, and my sincere sympathy for what you are going through now.
The definition of insanity is doing the same thing over and over and expecting a different result. Good questions, the answer is they don't care what it will cost you. It is not about health care it is as always about control over people, if they cared about health they would never have allowed the FDA to be run by big corps former officers. They would never have approved aspertame or gmo food etc etc. They would not allow high fructose corn syrup and the list goes on and on. Bottom line, they only care about thier own bottom line. I have not seen a doctor for 35 years and am as healthy as anyone. We don't need health insurance we only need free market solutions.
handymn - I agree with much of what you say, especially about control. I do feel that many, if not all, politicians want to "give us help" only so they have control of us. Thanks for stopping by.
You ask good questions, and in the end we can't be sure of the answers. The fact that 30% of the private health dollarrs to the profits of the insurance companies, who provide little in return for that, gives me hope that if they are forced to compete with a public option, we will all do better.
The claim isn't that a public option will make health care more honest, but that it will make it possible for everyone to have health care and not be denied in order for a shareholder to get rich. You assume that medicare is more dishonest than private health care, which isn't true. Corruption occurs as long as there is corrupt people. I had a dentist that would perform unnecessary procedures to milk the private insurance company that was used by the town's biggest employer. We didn't find out about it until we moved and got a new dentist. Private insurance companies are the ones who make the rules and they change them all the time so that they don't lose any money and unless you work for a big and powerful corporation who can threaten the insurance company back, you have to take what they don't give you. It's about as corrupt as you can get. please see story here

All administrations pay the best and the brightest to tell them the facts. They pay people to work on this every day until the job is done. On the topic of health care, they are looking at countries who have been using health care systems for years, so it's not all speculation. The reason I believe government health care would be better is because I've lived in Japan and England and seen it work and I've lived here and been failed.

I am more puzzled by the fact that people mistrust the government when it tries to do good, like providing proper health care, but trust them they do harm, like going to war in Afghanistan and Iraq.
Scanner,

It's not a "fact", as you say, that printing trillions out of thin air (btw, nobody knows the recipients of that money yet, ask Ben Bernanke) will eventually lead to more jobs. I'd call it "highly controversial" that such a strategy will lead to more jobs :)

But we agree everywhere else.
Roger, Marcelleqb, and David - thanks for your words.

Marcelleqb, the only thing I have to correct you on is when you said I assume that medicare is more dishonest than private healthcare. I don't assume any such thing. My only point was that if there was a way to eliminate the fraud in Medicare, why hasn't it already been done? I don't want them to tell me they can do it, I want them to prove it to me, especially before we assume we will have all this "extra" money. If I said to you that if you give me a thousand dollars I will lose 50 pounds, would you give me the money up front or would you make me prove I could lose 50 pounds first?
Two words...well three. Secret Space Fleet.
President Obama has been building one on the dark side of the moon. The whole thing was started by JFK.
The extra money from increased taxes to pay for 'health care' will be used to finish the fleet.
It's simple, really.
The honest truth is, none of this is relevant to the real issue. The real issue is that most people, a full 70% are happy with their health care, and a full 70% are satisfied with the level of care we are receiving.

The honest truth is, this whole "health care" debate is really nothing more than the government doing a lot of haggling and pheneggling to make it look like they are reducing the greed and corruption that the insurance industry has ALWAYS given us, the same way the banking industry has always given us greed and corruption from their end.

The honest truth is, nothing substantial will change, and what few small changes are made will be erased in a decade or two, because we never addressed the reality of the problem, that it is the greed and corruption of the American people who has ALLOWED the insurance industry, the auto industry, the banking industry, the real estate industry, the tech industry (any industry that has ever created a "bubble' that eventually burst) to victimize us and take our money and our lives.
Kyle, I don't know enough about the American problem with healthcare to be able to comment in a way that I won't make a fool of myself, so it may be prudent that I comment on what I am familiar with. I live in a country with universal health care. The government has a good grip on the system and overall, it works well for us. I like knowing that I can take my children to the doctor when they're sick without having to worry about how much it will cost me. I also like knowing that my fellow countrymen can too. I think the American people - all people - deserve access to doctors, and while any new system will initially have a few hiccups to deal with, it's important to work towards health care for all now.
Kyle,

They can turn Medicare into universal healthcare in 24 hours. The only solution is a government-run universal healthcare system. The best part is when you tell an American that America is the only country in the civilized and uncivilized world that does not have national healthcare, he/she will proudly say, "They're socialists man, we're the best man; we're Amurca."

The idle middle-man (insurance companies, for example), the backbone of American Capitalism, will continue to TAKE money from you forever...legally. The voters and the politicians vote for the insurance companies. When the MAFIA takes money from you, at least, they provide a service.

Free Healthcare and free higher education, the bare minimum any nation should offer, will never, ever...ever happen in America.

Great argument, Kyle.
Rated.
Kyle,

I don't know how to stop Medicare fraud specifically. Fraud occurs in all medical systems. If we had a government health care system, like the VA, it wouldn't occur at all.
There is fraud in ever thing the government, or cooperations do. Thousands of people and billions of dollars were lost in the Enron scandal. Kenneth Lay, helped Cheney and other crooks and thief's write the energy policy for this country. Anything organized is corrupted at one time of another, including the churches. My point being, mismanagement and fraud is rampant in our health care system and will have to be overhauled. This is a problem of monumental proportions, and whether we pass a health care bill or not, this has to be fixed.
Thank you to all of you for writing. You've given me a lot to think about.

I don't claim to know everything that is going on, but I do agree that something has to happen. As Thoth says, we should be able to have healthcare and higher education for everyone. I just am afraid that anything the governmen does will be some half-assed thing that really helps few people.

Sadly, I don't think the politicians on either side really care about us. The Republicans don't want people to die anymore than the Democrats do, but I don't think either party really cares all that much about the quality of our lives.

Like many I am afraid. I'm afraid of my husband losing his job. I'm afraid of losing everything we have ever worked for. I'm afraid of how much it is going to cost to send my son to college (we've been lucky he's gone to community college the first two years). I'm afraid that after we spend thousands and thousands of dollars on his education he will not be able to find a job.

I know there are people out there who are afraid, too, of the same things and even more important things.

I just don't know if the government can, will, or even really wants to make things better.

I almost wish Andy's stories were real. I'd much rather be a ninja kicking the ass of some bad guy (or even a good guy) than worrying about things I have no control over.

Thanks to all for writing.
'Ohh I need more coffee. Brb!Pretty much what scanner said and RogerF and handymn had great points too. The only thing I would add is that we live in a super litigous society which keeps all that malpractice insurance up AND half of the doctors graduated at the bottom of their class which means they scraped by on clif notes and they take it out on you and me which means they NEED that malpractice insurance! I don't talk about it much but this seems the place to do so. So here goes. I fractured my neck. I have a titanium neck now from c-3 to c-5. I live in chronic pain and since we have gov't insurance but live in a civilian world the drs see dollar signs rather than a patient. Now add cancer to that. Oddly enough one Army hospital saw the signs and ignored them. Three more hospitals blew it off after that. Yeah...the best care in the U.S? It's an HMO whose job it is to make money, plain and simple. It's making YOUR money. Now THAT is insanity! and that is how the prices keep going up. Wasteful spending and half the drs in the country having graduated in the bottom of their class. I guess someone had to be the bottom half but think about it the next time you visit your dr.
Rose, thanks for your comments. I'm so sorry for all you've had to go through. You make some excellent points, and obviously from the position of someone who knows. So glad you stopped by.
KyleD: I really hope you didn't think I was complaining about my pain. That's not me. Hell, I was born lucky! It's just that the whole medical system is messed up. Dollar signs = greed no matter where you go in the system and it piles up fast. The more money, the more mess and the more mess the more red tape to try and clean it all up but then the prices have to get jacked up to pay for the ppl who have to make the red tape rules! and then there's those lawyers... and medicines... and caregivers.... It's all so big that no one CAN boil it all down nice and neat and put a bow on it like we'd all love to have it. Reform is going to be slow if at all , sadly. Until then, we got each other and we got attitude! impish, devil may care, Imma take the world by storm attitude! Cus that and laughter is the best medicine ever!
Rose - oh hon, I never thought you were complaining, just telling what your experience was/is. I'm just sorry you had to go through everything you've gone through. From reading Andy's stuff I have no doubt that you have a lot of laughter in your life. I know from experience that laughter is the best thing we can have in life. I can't wait until we can all be ninjas together! ;-)
Your questions:
1- A good one. I think we need to add universal insurance AND improve Medicare. I was disappointed in Bush for not letting Medicare negotiate drug prices and in Obama for conceding that to Big Pharma so quickly.
2- Predicting the cost of programs like this is at best an inexact science. Should we not do anything simply because we can't be guaranteed of what it might cost down to the penny?

For me, the more pertinent question is can we live with the knowledge that 45,000 Americans die every year simply because they have no health coverage? Personally, I welcome anything that reduces that number. Maybe we can't get to zero, but we can't let perfection stand in the way of the possible. Is this a perfect bill? No. But I find it preferable to the status quo.

I fail to understand conservatives displeasure with Social Security. It has given dignity and independence for two generations of seniors and relieved their children from the financial burden of caring for them. What is so broken about it? We have to tweak it occasionally and raise the tax every 20 years or so, but I think it has been a success story.
Although I'm personally in favor of a single payer system, the most highly rated health care system in the world is in Switzerland and it is insurance based. This is the model that Obama favors, and there is obvious logic in basing our system on one that has been proven effective.

Currently our health care system is going from bad to worse. The status quo is not an option. The bill that the House just passed seeks to address some of the most immediate pressing problems. With all the obstruction that congress has faced, I'm pleased to see them taking action.

I appreciate that you have posed these honest questions and have received comments courteously. I hope that others can find it in themselves to follow your example. Thanks.
Bob, yes, Social Security has taken care of many, including my parents. Although my mom does not get enough to live on without help from her kids. I think what bothers some about Social Security is that the tax gets raised almost every year (not 20 years), the age to receive it gets raised, and the reason that needs to be adjusted so often is because the liability to date for the system is 14 trillion dollars. At this rate of increased liability the benefit is going to have to be extended to 70+ years of age, with an average life expectancy of below 80 years of age, just to help stop the growth of liability. Right now the age is 67. What will it be when we are in our 60's? It seems to be a big Ponzi scheme - great for many, but what will it be for our children, or even for us?

Thanks for stopping by and answering my questions and posing some of your own.


Tom, thanks so much for stopping by and giving your thoughts. Thanks especially for realizing that this post was not some trap I set to get people to come here so I could blast them for what they believe.
LOL! Kyle, I'd love to be a ninja but won't my red hat give me away when I'm sneaking?
Rose, no, I think your red hat would look great with my purple one. I'm sure Andy will try to make us wear black, if so, you'll have to take him down! ;-)
Roger Fallihee,

If you will look up the standard profit percentages for various industries, you will see the health insurance does not make a 30% profit. They make 2.2% profit margin.


Robert Kelley,

You said 45,000 people die each year because they don't have health insurance. If you are correct, then all we have to do is wait until next year then everybody will have insurance because that is the number of uninsured according to Obama. Problem solved, or do we have our facts wrong someplace?

Also if Social Security is so great how come if you were to work dor the city of Galviston, TX you would get the same benefits and a retirement check that is several times higher than you get from SSA? Why did the federal government take away the ability of communities to opt out of the SSA?

Scanner,

If you will check you will see that by percentage of claims files, Medicare and Medicaid are the two biggest at denying claims. It's not the private insurance companies who are afraid of being sued for turning you down.
I believe you're missing a few zeros there. We aren't making a fuss about 45,000 uninsured.

It used to be that public workers (and Congress itself) could opt out of SS. That loophole was closed long ago to get more people paying in, obviously. Not sure what Galveston was doing that worked so well, but that isn't an option any more.
@ Natalie Not Pedantic,

Among American men, heart-attack deaths in 2004 stood at 53.8 per 100,000. In Canada, 58.3 men per 100,000 died of cardiac arrest, while coronaries buried 69.5 of every 100,000 British males.


The fatality rate for breast cancer, according to the National Center for Policy Analysis and Lancet Oncology, is 25 percent in the U.S., 28 percent in Canada, and 46 percent in Great Britain.

Among those diagnosed with prostate cancer, 19 percent die of the disease in America. In Canada, 25 percent of such patients succumb to this disease. And in Great Britain - an Anglophone NATO member and America’s closest ally - prostate cancer kills 57 percent of those who contract it. That is triple the American fatality rate.
K,

I applaud you for the format and posing the question ...

1st. again with the stimulus ... if you want to understand this you have to again go throug keynes, through chicago, through vienna and through tokyo ... if you want to understand it. i know it sounds odd, some of it, but, first Bush and Cheney thoroughly and completely mismanged the first stimulus/giveaway, BUT it stopped the market from crashing, then the far from perfect Obama stimulus went out, managed though rushed- because thats what stimulus plans are, emergency rush jobs- it is a damn emergency and you have to rush or the market crashes, then you lose ten fold jobs ... so, we try and influence the flow of money to keep the markets up so you dont lose more jobs ... then, the part you dont like for some reason, the government gives people jobs to fix things and everything slowly rights itself, no pun intended ... thats how it works and these are not political hacks they are the best economists in the world who model the 29 crash and recovery ... proving, without any question, laizze-faire is absurd and a mixed economy wins in the long term every time ... finally, so much of the info you post comes, indirectly from corporations, especially right now health insurers ... why would you believe them K?

Bravo!