Or, maybe the question is: is hcr worth doing if it's necessary to pay out to the insurance industry in the process? Because I'm cynical enough to admit that, politics being what it is, that is surely going to be a part of it.
(Why am I debating this? I should be kind of happy with all this!)
Eh, it's what I want to happen, not what I think will happen. Yeah, nothing of any substance will happen without massive lobbyist reform and massive campaign reform. I thought maybe, maybe this ONCE we could get congress to behave in the best interests of the people rather than corporations, but it's more likely not to happen.
Scratch a cynic, you'll find a disappointed idealist underneath.
"The good thing about science is that it's true whether or not you believe in it." - Neil deGrasse Tyson
"Can it, you nit!" - Violet Beauregard
"And Paradox is never correct. About anything."- Kid Omega
Decorum & Friends (A City of Heroes archive)
And for the those totally ignorant of even basic law, even if he was born in Kenya (though his birth certification has been reviewed and he was born in Hawaii) he would still hav been a US citizen from birth since his mother was a US citizen.
I'm not liberal, liberals have beliefs. I'm a democrat, the only belief I have is that republicans are wrong.
Let's free the market, so it can enslave us all
Passing any of the proposed health care bills will be killing the golden goose. As a country, we can't afford this.
Before spending money on this, that "fraud and abuse" that keeps being bandied about should be addressed. They should also address tort reform and competition across state lines for buying insurace. Throw out the deal with pharmacutical companies and import drugs from Canada and we are talking real money and real savings. This should be done before the taxpayers are asked to spend another dime.
Adding people to an already bankrupt system that is paid for with borrowed money and staffed by the same people that brought us the DMV and Post Office (state and federal) seems very foolish. To do this in a recession and 10%+ unemployment seems an exercise in insanity. But if the goal is to kill hiring, shrink the labor force, or move more jobs overseas, this is probably a good way to go about it.
The cake is a lie.
I absolutely agree on the importing of drugs, but unfortunately the Democrats aren't unanimous on that and with absolute opposition from the Republicans, it won't happen in the Senate bill. I'm hoping that it makes it into reconciliation. (It is in the House version, right?)
And we aren't adding anybody to the system (unless you're referring to the insurance companies, but they aren't bankrupt). The public option got killed as well as the idea of expanding Medicare.
But it's funny that you should mention the US Post Office. UPS and Fed Ex routinely use them to ship packages for them because it's cheaper than doing it themselves. The US Post Office has to deliver everywhere, not just places that are convenient. And the Post Office still makes a profit (or was up until about three years ago).
'The marquis. Well, you know, to be honest, he seems a little bit dodgy to me.'
'Mm,' she agreed. 'He's a little bit dodgy in the same way that rats are a little bit covered in fur."
We will have to disagree on how much fraud and abuse as well as tort reform are addressed. It is woefully inadequate. But more importantly, it should be done before any new money is spent. Not in the same bill that spends the money.
I would like to think that the expansion of medicare has been killed but there is still the Manager's Amendment that will be coming out that will have the compromises. Granted, I can't say its in but we can't say its out. All of this is happening behind closed doors.
The level of service you get with those government instutions is the problem. Long lines, poor customer service, bureacratic regulations, and poor management is not the way to go with 1/5th of our economy. And as far as profit goes...
Post Office Losses Reach 4.7B For Year (August 5, 2009)
Even if they were profitable three years ago, what have we seen to make us think this will change?
The cake is a lie.
We struggled against apartheid in South Africa, supported by people the world over, because black people were being blamed and made to suffer for something we could do nothing about; our very skins. It is the same with sexual orientation. It is a given.
- Desmond Tutu
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Although damage award caps could slightly limit the future growth of liability insurance premiums – about 6 to 13 percent over time, says Mello, “it tends to be oversold as a solution and it’s pretty unfair to patients.”
Annual jury awards and legal settlements involving doctors amounts to “a drop in the bucket” in a country that spends $2.3 trillion annually on health care, Amitabh Chandra, another Harvard University economist, recently told Bloomberg News. Chandra estimated the cost of jury awards at about $12 per person in the U.S., or about $3.6 billion. Insurer WellPoint Inc. has also said that liability awards are not what’s driving premiums.
And a 2004 report by the Congressional Budget Office said medical malpractice makes up only 2 percent of U.S. health spending. Even “significant reductions” would do little to curb health-care expenses, it concluded.
A study by Bloomberg also found that the proportion of medical malpractice verdicts among the top jury awards in the U.S. declined over the last 20 years. “Of the top 25 awards so far this year, only one was a malpractice case.” Moreover, at least 30 states now cap damages in medical lawsuits.
The experience of Texas in capping damage awards is a good example. Contrary to Perry’s claims, a recent analysis by Atul Gawande in the New Yorker found that while Texas tort reforms led to a cap on pain-and-suffering awards at two hundred and fifty thousand dollars, which led to a dramatic decline in lawsuits, McAllen, Texas is one of the most expensive health care markets in the country. In 2006, “Medicare spent fifteen thousand dollars per person enrolled in McAllen, he finds, which is almost twice the national average — although the average town resident earns only $12,000 a year. “Medicare spends three thousand dollars more per person here than the average person earns.”No, it needs to be address now because right now health-care cost keeps eating up GDP. In 10 years medicare and medicaid are going to be broke and that means a lot of people who rely on them are going to find themselves without any health insurance. It should have been address a long time ago but we do everything in this country at the last minute.Adding people to an already bankrupt system that is paid for with borrowed money and staffed by the same people that brought us the DMV and Post Office (state and federal) seems very foolish. To do this in a recession and 10%+ unemployment seems an exercise in insanity. But if the goal is to kill hiring, shrink the labor force, or move more jobs overseas, this is probably a good way to go about it.
And the people at my DMV and Post Office are pretty good, never had any problems.