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President Donald J. Trump

Started by The General, February 10, 2011, 11:33:34 PM

Jackstar

Quotedrain the swamp


http://archive.is/z4CS4

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Seems legit.

Jackstar

« Reply #24990 on: Today at 19:17:47 »

DEM DUBS DON'T LIE

Quote from: Dr. MD MD on December 20, 2016, 05:18:44 PM
I think you're fundamentally misunderstanding this. This might help:

http://blog.nus.edu.sg/radioactivewastes/2015/04/04/consuming-radiation-radiation-pollution-and-the-food-chain/

My point is that due to the actual distance from Fukushima, any radioactivity from rain that falls in North America save for maybe Alaska will be heavily diluted due to the distance the storm must travel.  I'm not saying radiation will not reach America.  I, for one, would hesitate to eat anything that came from the northern hemisphere of the Pacific Ocean.

As to what happens to the radiation of the water molecule when it evaporates, I'm not sure.

Lt.Uhura

Quote from: PB the Deplorable on December 20, 2016, 06:26:04 PM
So let's put the people like those who run the VA in charge?  Does that sound like a good idea?  Why or why not? 

I didn't suggest that.  Though I'm not surprised that's all you know when the words government and healthcare are used in the same sentence. The average American has no idea how the private health insurance industry and big pharma have wielded power over our healthcare system to their own benefit, resulting in spiraling costs for less care--both before and after the ACA. This profit-driven business model is the gatekeeper of healthcare in America, and the prognosis doesn't look too good.

Health insurance companies basically spend the majority of their time trying to avoid paying for care.  That is their prime objective, and they have strict provisions on how and when they'll pay for certain conditions. For example, they can refuse to pay for hospital care when a patient ends up with a urinary tract infection while hospitalized.  Never mind that the patient may have arrived at the hospital with a weakened immune system and an infection was already in process. But if it happens once hospitalized, they'll assume it was due to poor care and refuse to pay. 

Often their refusals defy logic, although I suspect they know exactly what they're doing. First they refuse to pay and unless challenged, they get away with it. I could provide you with dozens of examples; such as denying home care visits by nurses, only to see the patient repeatly brought to the ER and admitted to the hospital for issues that could have been managed at home.

When one of my children was young, he had a reactive airway condition. When he caught an upper respiratory virus it would cause him to wheeze badly, similar to asthma. After a few episodes of visiting the ER, his doctor prescribed a small nebulizer with medication for home use, which I purchased for $75. I later received a letter from the insurance company saying they would not pay for the device as my son had not been diagnosed with asthma. Being a healthcare professional, I knew better and immediately called them. The conversation went something like this:

Me: So I see you've refused to pay for my son's nebulizer and medication.
Insurance Company:  That's right. He doesn't have a diagnosis warranting payment for those items.
Me:  Ok, fine. Next time he's sick and wheezing, I'll take him to the ER again and you can pay the $600+ bill for each ER visit.

A few weeks later I received a check reimbursing me for the $75 nebulizer and approval to cover the cost of the medication. It was a small victory, but likely emblematic of precisely how private health insurance companies work.  Think of the billions of dollars denied patients and care providers when their business practices are never challenged.

The power wielded by the insurance, big pharma lobbies in D.C has prevailed for decades, regardless of which administration holds office. I seriously doubt the Rebublican's plan to dismantle Obamacare includes any plan to limit or rein in the greed of these Goliaths. The Single-Payer system or even a hybrid seems like a viable alternative at this point.

Quote from: Lt.Uhura on December 20, 2016, 08:29:57 PM
I didn't suggest that...

But isn't that how it would end up? 

For every lousy insurance company story you have, I can show you one of government bungling, laziness, incompetence, non-responsiveness, unaccountability, and waste.  For the vast majority of treatment, it runs pretty smoothly, considering the maze you've described (and that I'm not arguing with). 

I agree it's bureaucratic, but we need less of that, not more.  Why not try some market based reform for those who have insurance and can pay for it, and assistance for those who can't, instead of Obama's ham-fisted monstrosity or some Euro-style thing I doubt would work here and that no one wants?

Aren't the main reasons costs are up is because it's so expensive to develop new drugs, the price of an education to produce a doctor is also sky-high, malpractice insurance premiums are sky-high, and our hospitals and doctor's offices are considerably better equipped than those elsewhere with up to date medical equipment?  The cost of all these things is increasing too.  I'm pretty sure insurance companies aren't earning excessive profits compared to other service industries - maybe we should look at that and see, don't they file fairly detailed financial information with the SEC?

Dr. MD MD

Quote from: 21st Century Man on December 20, 2016, 08:00:48 PM
My point is that due to the actual distance from Fukushima, any radioactivity from rain that falls in North America save for maybe Alaska will be heavily diluted due to the distance the storm must travel.  I'm not saying radiation will not reach America.  I, for one, would hesitate to eat anything that came from the northern hemisphere of the Pacific Ocean.

As to what happens to the radiation of the water molecule when it evaporates, I'm not sure.

It either becomes moist air or rain...the kind that falls on people and that they breathe in. Dilution does not mean going away. The isotopes will radiate for as long as they do.

Lt.Uhura

Quote from: PB the Deplorable on December 20, 2016, 08:51:29 PM
So, like the VA, but different?

You are thick  ??? 

Obviously if we've never operated a Single-Payer system, it would have to be developed from the ground up. But I don't think you can assume it would follow the structure of the VA just because they were both governmental agencies. Keep in mind the VA deals with a unique patient population. If they've spent any time in a war zone, they likely suffer from both physical and psychological challenges, which might include substance abuse. In other words, a host of chronic conditions, each requiring care from multiple disciplines.

I think basic health care and wellness education should be provided to all citizens. We end up paying for it anyway, as the uninsured are not turned away from hospitals when sick. And I think single-payer would likely be the easiest and most cost-effective way to deliver it. I don't think it should be free, but a monthly premium based on one's income, similar to a sliding scale. With incentives, perhaps in the form of discounts for healthy behavior--such as not smoking, enrolling in weight loss, exercise programs, etc.


Quote from: Lt.Uhura on December 20, 2016, 09:17:08 PM
You are thick  ??? 

Obviously if we've never operated a Single-Payer system, it would have to be developed from the ground up. But I don't think you can assume it would follow the structure of the VA just because they were both governmental agencies....

Oh ok.  Can you show me the competent, streamlined, well run bureaucracies, the ones that have served the public well, hold costs down, etc?  Preferably start with the ones that have been doing so the longest.

To be honest, I could go with single payer that covers costs over, say, $100,000/year.  Catastrophic accident and illness.  What screws things up are the freeloaders gaming the system (and of course the poor performance of government due to it's nature, vs for profit capitalism, which has it's own problems). 

Let everyone but the poorest fend for themselves, either buying insurance or paying out of pocket for the non-catastrophic visits, prescriptions, tests, procedures, etc.

Lt.Uhura

Quote from: PB the Deplorable on December 20, 2016, 09:20:48 PM
Oh ok.  Can you show me the competent, streamlined, well run bureaucracies, the ones that have served the public well, hold costs down, etc?  Preferably start with the ones that have been doing so the longest.

Better yet is you do the research and find a corporate health insurance company who has kept premiums down and customer satisfaction high.

Some of the HMOs such as Kaiser do a decent job as long as you're a patient who can advocate for yourself and learn to navigate through the system. I've never had an issue with seeing doctors within a particular network. Like any other service, try a few until you find one you like. If you live close to a large urban area, you can try university teaching hospitals for particular specialists. You might have to pay out of pocket, but usually costs are offset by state subsidies.

Ultimately the best health care starts at home. As individuals, we are our first health care provider. Eating healthy, exercise, stress reduction, no drugs/alcohol, etc. goes a long way to keep us out of the quagmire of the health care system. When patients come to the ER, I'll ask them at triage, "What have you done at home to help?" Many look at me like I'm crazy..."Well I came here!" In other words, fix me.

SciFiAuthor

Quote from: Lt.Uhura on December 20, 2016, 09:56:24 PM
Eating healthy, exercise, stress reduction, no drugs/alcohol, etc. goes a long way to keep us out of the quagmire of the health care system. When patients come to the ER, I'll ask them at triage, "What have you done at home to help?" Many look at me like I'm crazy..."Well I came here!" In other words, fix me.

Wait until they're 90. That's when the ER stops mattering and they are in a nursing home and have contracted Alzheimer's, went blind, can't walk or have some undiagnosable nerve condition that keeps them in constant pain, etc. That's when they say "kill me". There are downsides to healthy living. It can keep you going too long. The human body is ultimately designed to die.

Up All Night

I like the Japan aspect of controlling costs, by dictating what the maximum fee is that can be charged, say, for stitches for a cut. And so, whether you're the Head Surgeon at the big hospital, or just a DR. working out of a small clinic, you get paid the same.

Quote from: Lt.Uhura on December 20, 2016, 09:56:24 PM
Better yet is you do the research and find a corporate health insurance company who has kept premiums down and customer satisfaction high...

I can do better than that.  I can show you a Gallup Poll about customer satisfaction industry wide, taken when Obama and the fascists were busy cramming ObamaCare down our throats.  Most of the country was dead set against it, with a strong majority happy with the healthcare insurance they had.  According to Gallup, late 2009:

http://hotair.com/archives/2009/09/23/gallup-80-satisfied-with-health-care-61-with-insurance/

In fact, in reaction to his healthcare grab, the good people of Massachusetts - Massachusetts! - elected (R) Scott Brown to replace the dead (D) Ted Kennedy, removing the Ds 60-vote filibuster-proof Senate majority.  Showing that was no fluke, the rest of the country handed the House back to the Rs as soon as they could - in the election of 2010.  These elections were clear referendums on government interference in our healthcare.  Obviously the proles weren't ready to toss out the insurance companies for the bureaucrats.

The election of 2014, when the country gave the Senate back to the Rs, and the 2016 victory this year weren't exactly revolts against the insurance companies in favor of 'single payer' either. 

So I'm not sure we're quite to the point in our country where socialism is the default and the proponents of capitalism need to be the ones proving it to keep it.  Anyway, about those competent, streamlined, well run bureaucracies I asked about... ?

Lt.Uhura

Quote from: PB the Deplorable on December 20, 2016, 11:30:47 PM
I can do better than that.  I can show you a Gallup Poll about customer satisfaction industry wide, taken when Obama and the fascists were busy cramming ObamaCare down our throats.  Most of the country was dead set against it, with a strong majority happy with the healthcare insurance they had.  According to Gallup late 2009:

http://hotair.com/archives/2009/09/23/gallup-80-satisfied-with-health-care-61-with-insurance/

The election of 2014, when the country gave the Senate back to the Rs, and the 2016 victory this year aren't exactly revolts against the insurance companies in favor of 'single payer'. 

I'm not sure we're quite to the point in our country where socialism is the default and the proponents of capitalism need to be the ones proving it to keep it.  Anyway, about those competent, streamlined, well run bureaucracies I asked about... ?
Not so fast Paper Boy*  It seems your opinions aren't exactly on the pulse of the public when it comes to healthcare options in 2016.

I headed over to your Gallup Poll and found results from this year showing a majority support for a federally funded (single-payer) healthcare system. As Bernie called it, Medicare for all. And I might also point out Medicare is not free, premiums are based on income as I suggested for a single-payer system earlier.

http://www.gallup.com/poll/191504/majority-support-idea-fed-funded-healthcare-system.aspx

And speaking of Medicare...your words, not mine, of a "competent, streamlined, well-run bureaucracy." Medicare comes close. Seniors are contacted up to a year before their eligibility at age 65 and assisted through the application process. It does what it was designed to do. It is not broken, and it needs no fix.

BTW, when someone like Ryan (who enjoys a taxpayer-funded premium health care plan) threatens to cut seniors off their Medicare, he's writing his own resignation.

Lt.Uhura



Lt.Uhura

Quote from: Up All Night on December 20, 2016, 11:15:23 PM
I like the Japan aspect of controlling costs, by dictating what the maximum fee is that can be charged, say, for stitches for a cut. And so, whether you're the Head Surgeon at the big hospital, or just a DR. working out of a small clinic, you get paid the same.

Not a bad idea. There are indeed wide discrepancies of costs for procedures in healthcare.  I remember reading about a journalist who needed a hip replacement and actually "shopped around" for the best deal. The hospitals and doctors he contacted were shocked at his inquiries, as if no one had ever questioned the fees of elective procedures up front. In some cases, the providers refused to even quote a price and were intentionally vague.

paladin1991

Quote from: Yorkshire pud on December 20, 2016, 02:41:03 PM
Yes, I know several in Scotland, built into 2000 foot mountains with a reservior top and bottom.  Where the fuck are Japan going to build a hydro electrc dam? You know, being an earthquake hotspot.
'

Maybe the Japanese could immigrate to England.  Where they could all collect checks and and not have those worries.  You know, like all the Haji's.

Yorkshire pud

Quote from: Penis mv on December 21, 2016, 01:10:31 AM
'

Maybe the Japanese could immigrate to England.  Where they could all collect checks and and not have those worries.  You know, like all the Haji's.

Gunner....? Now. Stop it. But I still love you.

Yorkshire pud

I'm no fan of Alex Salmond, far from it; but Trump here makes Salmond appear reasonable. Incredible but true. I love Trump's grasp of politics; he implies Salmond runs Sweden..his grasp of wind farms, is even funnier. Suggesting they harm air defence! Oh, he'll be such fun in the WH, he'll say something totally idiotic and the staff might think he's joking.  ;D

https://www.google.com/amp/s/amp.theguardian.com/us-news/2016/dec/21/mad-alex-donald-trump-letters-abuse-ex-scottish-first-minister?client=ms-android-verizon

Jackstar

Quote from: Yorkshire pud on December 21, 2016, 09:26:13 AM
his grasp of wind farms, is even funnier.

If you think it is bad, it must be good.


Jackstar

Quote from: 21st Century Man on December 20, 2016, 08:00:48 PM
As to what happens to the radiation of the water molecule when it evaporates, I'm not sure.

Your ignorance is completely inexcusable.


Jackstar

Quote from: PB the Deplorable on December 20, 2016, 08:51:29 PM
For the vast majority of treatment, it runs pretty smoothly, considering the maze you've described (and that I'm not arguing with). 

The objective isn't to have a bureaucratic system that runs smoothly, the objective is to treat human health.

DUMBASS

Jackstar

Quote from: Lt.Uhura on December 21, 2016, 12:45:25 AM
[attachment id=1 msg=974461]

In regards to the last panel: this year is the year I have decided that Christmas is the only holiday I celebrate, support, or even acknowledge now. I go out in the world, and everyone is all, "Happy Holidays!"

Then, I correct them. I'll be doing that come spring. I can hardly wait. #MAGA



albrecht

Quote from: Lt.Uhura on December 20, 2016, 09:17:08 PM
You are thick  ??? 

Obviously if we've never operated a Single-Payer system, it would have to be developed from the ground up. But I don't think you can assume it would follow the structure of the VA just because they were both governmental agencies. Keep in mind the VA deals with a unique patient population. If they've spent any time in a war zone, they likely suffer from both physical and psychological challenges, which might include substance abuse. In other words, a host of chronic conditions, each requiring care from multiple disciplines.

I think basic health care and wellness education should be provided to all citizens. We end up paying for it anyway, as the uninsured are not turned away from hospitals when sick. And I think single-payer would likely be the easiest and most cost-effective way to deliver it. I don't think it should be free, but a monthly premium based on one's income, similar to a sliding scale. With incentives, perhaps in the form of discounts for healthy behavior--such as not smoking, enrolling in weight loss, exercise programs, etc.
Not to mention it would help business and corporations because it would no longer tie a person's job to their healtcare. And also limit their HR costs. I think we should use the benefits of our Republic and let each State figure out a system to their legislature's liking. States could try different scenarios and experiment in types of coverage, tort reform, etc. We could all look as see after some years which system is running well, what is going bankrupt, what failed, what succedded and adjust the system around those 'experiments.' I think even with some kind of 'single payer' there could still be private doctors etc for rich people, or for elective surguries, or as a way, for a company who wishes to, as an incentive to work there.


Quote from: Jackstar on December 21, 2016, 11:42:33 AM
The objective isn't to have a bureaucratic system that runs smoothly, the objective is to treat human health.

DUMBASS

We have the best healthcare in the world. 

The conversation is about how to best deliver it and pay for it.  Try to keep up.

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