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What are your objectives of a health care system

who's talking here?

wayward1 15
SoupIsGoodFood 11
jackass 4
AwesomeTattooedDragon 5
It is I WhyWhyWhy 1
Dorothy Parker 3
SagaciousSighFiGurl 1
BuiltinTX70 2
sdanielmcev 23
Four Pinocchios 2
Emperor of Kingwood 46
Judas 2
the Markster 32
Prolix Raconteur 2
AMDG 64
Zapper009 1
fuzz81 5
Karras 18
urabunchcats 18
JustWatching 28
Tryingto 22

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AMDG --- 140 days ago -

So I have a theory - that as a nation we spend way too much time fighting on the fringes - when we have a great deal of common ground - we don't talk about.

So here is a test of the theory - lets put down what we think the objectives of our health care system should be.

See where we agree, and where we differ - as Americans.

Here's mine.

Everyone who is ill should have access to competent health care - regardless of means.

Health insurance should be made available to all at reasonable market levels.

Health care costs should be set by real market forces.

Health insurance, and programs for those who can not afford health insurance should emphasize primary and preventive care.

Government involvement in the health care system should be restricted to only what is needed.

Interested to see what the folks on here want our health care system to do. 

urabunchcats --- 140 days ago -

Everything has a cost and someone has to pay for the costs.

Set a budget and deliver to meet the budget. We can't afford utopia.

Identify and eliminate "things" that impact high costs.

The no skin in the game/insurance will pay for it attitude of us consumers has lead us to exactly where we are.

Going to the doctor and asking what the cost was going to be was seldom asked - frequently the healthcare system providers were not able to tell us what the costs were going to be if we did ask. This "who cares what "it" cost because Insurance will cover it" attitude has had a ginormous impact on skyrocketing healthcare costs.

Another huge wasteful cost item is law suits and lawyers. This issue is arguably one of most negative aspects of our healthcare system as pertaining to skyrocketing healthcare costs. 

the Markster --- 140 days ago -

It wouldn't include the words "for-profit"

Our national model should be a Non-Profit org. 

JustWatching --- 140 days ago -

the Markster --- 3 min ago - quote - hide comments
It wouldn't include the words "for-profit"

Our national model should be a Non-Profit org


Then who will provide the insurance. Insurance companies who don't make a profit are called "out of business". 

Emperor of Kingwood --- 140 days ago -

It wouldn't include the words "for-profit"

Our national model should be a Non-Profit org.


So you think your neighbors should have to pay your health care costs. 

the Markster --- 140 days ago -

Shut up bob 

AMDG --- 140 days ago -

this isn't going as planned :) 

JustWatching --- 140 days ago -

So you think your neighbors should have to pay your health care costs.?

That's what the democrats want. They always want to take from the rich and give to the poor. Yet they never want to give up their own money. 

AMDG --- 140 days ago -

That's what the democrats want.

How about we say on this thread - that is what Mark, as 1 american, wants. How about you JW - what do you think the objectives of the system should be ?? 

wayward1 --- 140 days ago -

I just want a system where everyone has the ability to purchase health insurance from an insurance provider or group health plan.

If we can't even accomplish that we're in pretty bad shape. 

Emperor of Kingwood --- 140 days ago -

I just want a system where everyone has the ability to purchase health insurance from an insurance provider or group health plan.

That was in place before ACA. 

the Markster --- 140 days ago -

So you think your neighbors should have to pay your health care costs.?

Thats how it is when tax breaks are given to the wealthy at the cost of healthcare taken from the poor in the name of wasteful spending. Its ok with republicans when republicans do it. Democrats / Independents try to help those in need and republicans loose a grip on reality. Poor people can't afford medicines, or treatments.

What a bunch of KU hypocrites

It has been proven over and again preventative health care reduces the need for emergency room care. That reduces cost. These are facts. 

AMDG --- 140 days ago -

What are your objectives Emp ?? 

wayward1 --- 140 days ago -

That was in place before ACA.?

No, many were not able to purchase insurance because they were prevented by insurance companies for having pre-existing conditions.

The ACA blocked that restriction and set up State group plans to create an exchange for individuals without employer plans to purchase.

If we kill the ACA, we go back to allowing insurance companies to block and remove "sick" people from their plans. Hence, effectively leaving them without the ability to purchase health insurance.

Those people (and their families) get mad at being blocked and then they push the government for universal access. 

AMDG --- 140 days ago -

Hey Mark - they are just disagreeing with you - think that is still allowed. 

SoupIsGoodFood --- 140 days ago -

LOL.......... disagreement isn't allowed. 

SoupIsGoodFood --- 140 days ago -

Wayne watches too much CNN. He's regurgitating fake talking points. 

the Markster --- 140 days ago -

0 

AMDG --- 140 days ago -

How about you Soup - what do you think the objectives of the system should be ??? 

the Markster --- 140 days ago -

How about you Soup - what do you think

HA! good one 

urabunchcats --- 140 days ago -

"Poor people can't afford medicines, or treatments."

Wanting things to be different is not enough.

What are they doing about changing their circumstances so they can afford to take of themselves?

Too many are not making sacrifices to change their circumstances.

Too many are unwilling to pay the price to change their circumstances. 

urabunchcats --- 140 days ago -

What is stopping you liberals from starting you own non-profit business to take care of all the poor people liberals?

I forgot. You require OPM.

Other People's Money. 

jackass --- 140 days ago -

Nice try AMDG... 

AMDG --- 140 days ago -

Urabunch - here is your original post - i think most would agree with all of it.


Everything has a cost and someone has to pay for the costs.

Agree

Set a budget and deliver to meet the budget. We can't afford utopia.

Not 100% sure what you mean here - assume you mean government spending on healthcare ???

Identify and eliminate "things" that impact high costs.

agree

The no skin in the game/insurance will pay for it attitude of us consumers has lead us to exactly where we are.

agree

Going to the doctor and asking what the cost was going to be was seldom asked - frequently the healthcare system providers were not able to tell us what the costs were going to be if we did ask. This "who cares what "it" cost because Insurance will cover it" attitude has had a ginormous impact on skyrocketing healthcare costs.

agree

Another huge wasteful cost item is law suits and lawyers. This issue is arguably one of most negative aspects of our healthcare system as pertaining to skyrocketing healthcare costs.

good one - I didn't think of the cost of malpractice in the system

much of what you originally posted - was very similar to my:

Health care costs should be set by real market forces. 

Karras --- 140 days ago -

If you want to live in a country where no one is motivated by profit I suggest go to Venezuela.

The whole way of purchasing health care needs to be scrapped. Health care should be broken into different segments. Within some those segments the buying decision should be made by the patient. If there is health insurance it should only cover catastrophic events and end of life. 

AMDG --- 140 days ago -

Nice try AMDG...

worth a shot 

Emperor of Kingwood --- 140 days ago -

I would be interested in a limited insurance program whereby it starts paying when I've spent a certain amount of my own money. The cost of that policy is variable depending on the out of pocket amount.

The only federal/state program should be for those who truly are not to care for themselves. 

SoupIsGoodFood --- 140 days ago -

As long as insurance is involved. It's going to be screwed up.

IMO........ insurance is the root of all evil. 

AMDG --- 140 days ago -

I would be interested in a limited insurance program whereby it starts paying when I've spent a certain amount of my own money. The cost of that policy is variable depending on the out of pocket amount.

The only federal/state program should be for those who truly are not to care for themselves.


agree with both of those - i think if market forces were better - young healthy people would have policies available that protected them from very large bills - but left them out of pocket for most.

This would go along way to the problem of healthy people deciding to take their chances - and not helping to fund the entire system.

glad to see that you acknowledge that some people will never be able to pay for their own coverage of services - and sadly I think that is a function of Government to cover. 

AMDG --- 140 days ago -

IMO........ insurance is the root of all evil.

Without insurance, how in the world does any normal person - pay for any number of large, long term, incredibly expensive treatments.

Insurance - per say - spreading the risk among many, so all have assurance of protection is not inherently evil. 

the Markster --- 140 days ago -

Too many are unwilling to pay the price to change their circumstances.

Like the wealthy, that can afford health care. They don't mind the tax breaks. But loose sight of why they got it (trickle down) when it comes to living wages or healthcare.

All hosp. should be not for profit. Give them the tax breaks. Same goes for pharmaceutical corporations. Subsidize or declare they are no longer for profit for all I care. Drugs in the US should not cost less in other countries. 

AMDG --- 140 days ago -

Drugs in the US should not cost less in other countries.

completely agree 

SoupIsGoodFood --- 140 days ago -

Without insurance, how in the world does any normal person - pay for any number of large, long term, incredibly expensive treatments.

Maybe you should figure out WHY it's so incredibly expensive.

IMO.......... insurance is a scam. They expect you to pay a premium each month for absolutely nothing in return. When you do call on them, expect to be penalized (raised premium rates).

I just have always had an axe to grind with insurance of any type. 

SoupIsGoodFood --- 140 days ago -

They don't mind the tax breaks.

They obviously don't mind paying the bulk of the taxes in this country, either. 

Karras --- 140 days ago -

Like the wealthy

Here's the problem with the left. They are more concerned their perceived idea of "fairness" than with actually solving the problems. Do you think a poor person who is ill gives a rats arse if a "fat cat" gets some sort of tax break? Where is the left's outrage when it comes to congress's super awesome health care? 

SoupIsGoodFood --- 140 days ago -

All hosp. should be not for profit.

Here's a test for you:

Find 2 guys willing to do your lawn.

Guy 1: Tell him you want him to completely do your lawn. (mow, rake, edge, and clean up afterwards) Tell him you'll pay him $100.

Guy 2: Tell him you want him to completely do your lawn. (mow, rake, edge, and clean up afterwards) Tell him you'll pay him nothing. (assuming he'll do it at all)

At the end of each guys task. Tell me.... Which one do you think will do a job for you that you'll be satisfied with? 

AMDG --- 140 days ago -

I just have always had an axe to grind with insurance of any type.

Here you - but you do see the need for spreading risk - right ??

As an example - how many could afford to drive self insured ? How many could adsorb the cost of injuring someone seriously in an accident ? 

Karras --- 140 days ago -

Drugs in the US should not cost less in other countries.

Trying to remember when companies from other countries invested millions in r&d, and brought a drug to market. All I know is that companies in countries like India replicate those drugs and sell them for less. Maybe all of the us drug companies should shut down and let the other countries step up. 

SoupIsGoodFood --- 140 days ago -

Here you - but you do see the need for spreading risk - right ??

In the current model, yes.

But I also think insurance companies are partially to blame for the price of what we pay for care. 

AMDG --- 140 days ago -

But I also think insurance companies are partially to blame for the price of what we pay for care.

absolutely agree

Think most here see it as a major issue the lack of market forces on health care costs. 

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