Limey77
Glad to see that the US has taken the first steps to joining the first world with regards to healthcare.
It's far from perfect but at least it is the first step in the right direction.
Just because something is popular it doesn't make it the right thing.
I'm constantly amazed at all the vitriol in American politics, but had the Republicans actually conceded anything in negotiations the US might actually have achieved UHC.
Um, maybe because we do not want a UHC? And then there is the question as to whether it would be allowed, as it is not a power granted to the federal government in the Constitution.
Here's a shocker of a concept for you: Just because something sounds like a good idea doesn't mean government should do it.
It's just unbelievable how much healthcare costs in American and with such poor outcomes compared to other western countries.
Just look at average hospital costs, life expectancy, cancer survival rates, coronary heart disease rates and it's clear that something needed to be done.
I wonder if any of those rates may have to do with other statistics dealing with lifestyle, such as obesity rates, number of calories consumed, exercise rates, and so forth. Or maybe there is an educational issue. I know locally we have an issue with children getting dental care in rural areas. Free mobile clinics for mothers and children were setup. Less than half who qualified for the free care showed up. The governor had to put the clinics in schools to be sure that the kids were at least getting treatment, but even then parental consent was required so only 80% received the care.
And in case you don't know, dental health has been shown to be directly tied to other forms of health. People don't realize the importance of it and ignore, so they get sick.
Of course, your heart disease statistics also include people like me, who have had it since birth, and my Father's family who have a family history of heart disease. Can we blame our health care system on that? My uncle went from healthy to emergency quadruple bypass surgery in one year.
Limey77
Most of the costs I'm talking about are to do with treatment. Why on earth does a simple set of x-rays cost several thousand dollars in the US and less than $200 in the rest of the world.
Define simple. I have never seen thousands charged for my regular chest x-rays, but when I had my transplant screening some of those were that costly, but also involved more than me standing against a wall. Some even had different machines used. Without seeing how the statistics you state are derived I can't tell you if it is a direct comparison or explain why one would cost more.
I'm not sure what you're suggesting about the rest of the world taking American research for granted. Please elaborate.
Some countries implement price controls. The cost of research is then forced on those who don't have price controls. You didn't think that you could have federally mandated cheaper care without it having an effect did you?
But I will pay that extra. I may be getting an experimental device implanted in the next year that could improve my quality of life and postpone my need for a transplant. A device developed by a private, American company. And I trust them because they also created my pacemaker/ICD.
As far as I know if you make a breakthrough in medicine you get a 10 year patent to sell the drugs at exorbitant costs to the rest of the world before generic versions can be made.
As of this law, it is 12 years. And I don't see why that is a bad thing. Why do work if someone else can make all the money from it?
Of course, any issue with this ignores the pharmaceutical assistance programs the PHARMA companies offer to the poor.
The crux of the matter is that the larger the combined pool of people paying into insurance funds, the less everyone has to pay.
I didn't realize 270 million was too few. That is the number of insured in the US before the ACA takes affect.
Limey77
But when you get sick or injured, which you will, the costs will be covered. Thereby saving you possibly millions of dollars.
Feel free not to answer, but why on earth in the US would you choose not to have insurance? Seems like a very risky game of Russian Roulette.
Why would you eat a donut? Why eat deep fried fish and chips? Why drive fast? Why drink alcohol? Why volunteer for military service? Those are all risky activities.
If he pays the bills himself, why do you care? It is not your responsibility or anyone else's.
Better yet, as a person with serious medical issues, why don't I support the ACA? Because its none of the government's gorram business and I respect my fellow citizens enough to not force them to pay for my health issues. They didn't cause it. They shouldn't pay for it.
As I understand though, you can still choose not to have insurance, there's just a fee to pay for the privilege. $200 I believe. Just like you can choose to file your tax return late, there's just a fee to pay.
You can choose not to pay. You will just have to pay.
Don't forget, there is also a fee for having really good insurance too. Explain that. Why will I pay my own fee for taking your insurance advice to its maximum?
Limey77
Let me guess, you consider yourself a Libertarian (although that should be with a lower case l in the US)
There is a Libertarian party in the US, so some of us can say it with a big L.
So if you get TB, rabies or any other communicable disease you won't go to the doctor? Instead potentially infecting thousands of other people.
Whereas if you had insurance you could get treatment and protect your community. Seems a very easy choice to me.
Read past his first sentence this time and show where he said he wouldn't ever get medical care. It may be a foreign concept, but some people believe in personal responsibility.
Being married to an American, having been to university in the US and having lived there I would never consider not having insurance, but it is your choice.
You finally get it! Well, it was his choice. Now it's not.
If course, you already admitted to not understanding the US insurance system, so your opinion will have very little effect on those making different decisions for their own reasons.
If everyone has insurance or state provided healthcare then there is no incentive not to get treatment. This means that as soon as people realise there's something wrong it can be much more easily treated before it gets to a crisis level and takes up valuable and expensive hospital time.
So then no one cares what the actual cost of care is. And only the best doctors are used until they can't accept patients. At that point you have to ration care or assign doctors. But the you can't choose to seek the best health care.
Unless people who are unwilling to get health insurance are willing to deposit a very large amount of money with their state to cover any potential costs of treating them or other people they infect, then I consider it an incredibly selfish position.
Actually, we have private accounts designed just for that. But this law cuts the maximum amount allowed to be kept in those accounts, so people being responsible have just been forced to only have one option.
Now I accept this law is far from perfect but I do believe it will lower cost drastically over the next 5-10 years and at the same time increase results.
How so? It only grants the lowest quality insurance. Those who can't afford it will still have to pay a lot out if pocket. It isn't giving them the insurance I have. In fact, it is punishing me for having the insurance I have.
Don't want to start a huge fight, just voicing my opinion and that of many Americans I know.
And we are just voicing the opinion of the 52% that oppose this law.
http://www.reuters.com/article/idUSBRE85S14820120701
The really big problem seems to be the Fox News crowd and their sound bites.
Anyone paying attention realizes we live in a world of sound bites and pointing fingers in only one direction is willful or blind ignorance. Or maybe you missed Fox and CNN both reporting the outcome wring last week or how every single pundit on every news show had a different take on what it meant.