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Sat May 11, 2013, 10:31 PM

An article from the American College of Emergency Physicians ...

http://www.pnhp.org/news/2012/august/its-time-for-single-payer

Still relevant IMHO ...

"Regardless of whether you are elated or disappointed with Juneís historic Supreme Court decision upholding the constitutionality of the Affordable Care Act, it is certainly no panacea for the problems facing U.S. health care.

So itís clear we need to do the right thing: the creation of a national, universal, publicly funded health care system, free of the corrupting power of profit-oriented health insurance, and at the same time capable of passing constitutional muster. In short, the right thing is an expanded and improved Medicare-for-All program, otherwise known as single-payer."

Donít be so shocked. For the last 30 years, we have tried all the alternatives, and none of them have worked. We have experimented with HMOs, PPOs, high-deductible health plans, health savings accounts, pay-for-performance, capitation, and disease management. These ideas have been promoted in various iterations, often with great fanfare, by public and private payers alike, yet none of them have shown long-term success at bending the cost curve. And the promise of the latest reforms du jour, such as Accountable Care Organizations and Patient-Centered Medical Homes, is speculative at best.

American health care is unique among the worldís democracies in that it was never planned in terms of enabling legislation or explicit constitutional authority. As others have stated, our employer-based insurance system, which now covers about 160 million Americans, was an accident of history. Its lineage can be traced to FDRís wage and price control policies during World War II, where employers were permitted to offer workers health insurance in lieu of higher wages as a job inducement..."



35 replies, 3058 views

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Arrow 35 replies Author Time Post
Reply An article from the American College of Emergency Physicians ... (Original post)
slipslidingaway May 2013 OP
slipslidingaway May 2013 #1
NYC_SKP May 2013 #2
slipslidingaway May 2013 #6
OnyxCollie May 2013 #3
slipslidingaway May 2013 #7
alittlelark May 2013 #4
slipslidingaway May 2013 #8
bbgrunt May 2013 #5
slipslidingaway May 2013 #11
Liberal_in_LA May 2013 #9
slipslidingaway May 2013 #12
Viva_La_Revolution May 2013 #10
slipslidingaway May 2013 #13
Viva_La_Revolution May 2013 #35
Lugnut May 2013 #14
slipslidingaway May 2013 #15
Scuba May 2013 #16
Doctor_J May 2013 #17
slipslidingaway May 2013 #23
annabanana May 2013 #18
slipslidingaway May 2013 #24
Comrade Grumpy May 2013 #19
slipslidingaway May 2013 #25
Bernardo de La Paz May 2013 #20
slipslidingaway May 2013 #26
Bernardo de La Paz May 2013 #29
slipslidingaway May 2013 #31
WheelWalker May 2013 #21
Curmudgeoness May 2013 #22
slipslidingaway May 2013 #27
Curmudgeoness May 2013 #34
ismnotwasm May 2013 #28
Eleanors38 May 2013 #30
slipslidingaway May 2013 #32
Egalitarian Thug May 2013 #33

Response to slipslidingaway (Original post)

Sat May 11, 2013, 11:11 PM

1. Thanks for the recs :))) nt

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Response to slipslidingaway (Reply #1)

Sat May 11, 2013, 11:43 PM

2. Needs more kicks!

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Response to NYC_SKP (Reply #2)

Sun May 12, 2013, 12:00 AM

6. Thank you and a little history...

What a roller coast ride this has been ...
http://www.democraticunderground.com/1146240

even before this happened I've been passionate that the idea of a national HC system at least be advanced by the Dems, even though not fully endorsed, during the HC debate.





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Response to slipslidingaway (Original post)

Sat May 11, 2013, 11:45 PM

3. K&R. nt

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Response to OnyxCollie (Reply #3)

Sun May 12, 2013, 12:09 AM

7. Thanks ...

disappointed that so many people feel that having insurance is the end of the quest ... all the while blocking any discussion of a not for profit HC system.





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Response to slipslidingaway (Original post)

Sat May 11, 2013, 11:48 PM

4. KnR.... good stuff.

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Response to alittlelark (Reply #4)

Sun May 12, 2013, 12:23 AM

8. We really need a full discussion of HC systems...

unfortunately when the nation was overwhelmingly focused on the issue of HC, and two-thirds polled in favor of a national HC system financed by tax revenue, their attention was diverted to the idea of a "public option" promoted by the three top Dem candidates.

None of the Dem candidates came up with this idea on their own of course, they all had their variation of the Jacob Hacker idea. But the result was the same, to silence the idea of a not for profit HC system.

Uniquely American ... or so we heard.





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Response to slipslidingaway (Original post)

Sat May 11, 2013, 11:51 PM

5. k and r

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Response to bbgrunt (Reply #5)

Sun May 12, 2013, 12:35 AM

11. Thank you ...

I may not have the time I did in the past to post here, but I'm still passionate that people deserve care based on need and severity and not money.

The for profit system needs to be challenged, the Dems have shied away from doing this under Clinton and again under Obama, and that needs to be recognized before we move forward.

Sometimes we need to look behind us to see the path forward.

Just blaming this on the Repubs is not the solution IMHO.




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Response to slipslidingaway (Original post)

Sun May 12, 2013, 12:27 AM

9. +1

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Response to Liberal_in_LA (Reply #9)

Sun May 12, 2013, 12:58 AM

12. Thanks ...

just looked at the NYC rent thread, we stayed for free at the ACS's Hope Lodge in NYC for 100 + days after my husband's bone marrow transplant for MDS/AML and had a larger room.

That being said I'll trade the smaller room and rent for the disease and now knowing the acronyms mds and aml.



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Response to slipslidingaway (Original post)

Sun May 12, 2013, 12:32 AM

10. kick!

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Response to Viva_La_Revolution (Reply #10)

Sun May 12, 2013, 01:05 AM

13. I remember when ...

you used to post the cspan book reviews and always appreciated them, a belated thank you.



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Response to slipslidingaway (Reply #13)

Mon May 13, 2013, 11:58 PM

35. that was forever ago!

I wish I still had the time to do those again, it was fun.

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 01:06 AM

14. Yes! And Hell yes!

It's way past time to get rid of the parasites and implement Medicare-for-All!

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Response to Lugnut (Reply #14)

Sun May 12, 2013, 01:28 AM

15. However the politicians try and sugar coat "their version"

of the latest HC scheme, it not working.

Yes, it is way past time to have a full discussion.

Sorry to say we got a deal with Billy Tauzin instead.





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Response to slipslidingaway (Original post)

Sun May 12, 2013, 07:14 AM

16. Kick

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 09:01 AM

17. Highest cost, worst HC

American Exceptionalism

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Response to Doctor_J (Reply #17)

Sun May 12, 2013, 10:42 PM

23. Yes, Uniquely American was the latest phrase :( nt

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 04:00 PM

18. kickadoo!. . .n/t

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Response to annabanana (Reply #18)

Sun May 12, 2013, 10:47 PM

24. Thanks :) nt

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 04:04 PM

19. Yes. Hell, yes. Should have been done 30 years ago.

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Response to Comrade Grumpy (Reply #19)

Sun May 12, 2013, 10:50 PM

25. Yes, damn Repubs block everything ...

said with a bit of sarcasm.




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Response to slipslidingaway (Original post)

Sun May 12, 2013, 04:04 PM

20. Except gold-plated Senator health-care, the US has the most expensive and least effective

Except for gold-plated health care such as the US taxpayer gives Senators, the US has the most expensive and least effective health care system in the world among industrialized nations, or at best something like 14th on the list.

Note: Senators have single-payer health care: the US taxpayer is collectively the single payer.

If it is good enough for a Senator, should be good enough for you and me.

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Response to Bernardo de La Paz (Reply #20)

Sun May 12, 2013, 10:56 PM

26. Strange is it not, most expensive and least effective HC system ...

yet that still did not warrant a full, open discussion during the HC debate.



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Response to slipslidingaway (Reply #26)

Sun May 12, 2013, 11:24 PM

29. Public has bought in Republican meme "best healthcare in the world", not said its for the 1% only

Blame the media for not discussing the truth. Not because they don't care, but because they are almost as dumb as the uninformed voters they aim at.

American Exceptionalism -- the biggest fraud perpetrated perpetually on a willing body politic.

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Response to Bernardo de La Paz (Reply #29)

Mon May 13, 2013, 12:08 AM

31. Yes and the Dems did what? Uniquely American Solution - What is it ? Why is it being pushed?

Once again the Dems blocked discussion of a national HC system



http://election.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x6289091http://election.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x6289091

Is the goal of the "uniquely American solution" to keep the private health care companies in business and protect their profits? It is not just the Democrats that are using the phrase, Karen Ignagni of AHIP wrote an article in April.


Some talking points from the Herndon Alliance and published on the Third Way site..


.

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 05:01 PM

21. K&R

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 07:04 PM

22. "Don't be so shocked".......

well, I am, pleasantly so. The more informed voices we have for universal health insurance, the better. I wonder where the tipping point will be.

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Response to Curmudgeoness (Reply #22)

Sun May 12, 2013, 11:02 PM

27. Unfortunately there were many people that said they ...

were for a universal HC system, but they were swayed into supporting something less.




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Response to slipslidingaway (Reply #27)

Mon May 13, 2013, 06:31 PM

34. Then those people did not feel as strongly as I do about it.

What we ended up with is a travesty.

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 11:09 PM

28. Nice

Thank you for posting.

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Response to slipslidingaway (Original post)

Sun May 12, 2013, 11:59 PM

30. Kick.

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Response to slipslidingaway (Original post)

Mon May 13, 2013, 12:56 AM

32. Thanks, this has been a strange journey for our family...

I've supported a universal HC system for a number of years. What transpired in the following years was that our daughter would enter medical school and that my husband would be diagnosed with MDS which transformed to acute myleloid leukemia and then a a bone marrow transplant, really a stem transplant.

Our daughter leaned towards the conservative side of the political spectrum, no doubt the conservative side of our county played a role in high school.

But as she is witnessing the effects of the HC system as a second year resident she is seeing the effects of a for profit system. She prefers the VA rotation where they can spend the time with patients to the inner city craziness and the private hospital where they are always under pressure to move onto the next patient.

Needless to say all these experiences have opened our eyes a little more.

Hopefully we'll all push for health care over health insurance.








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Response to slipslidingaway (Original post)

Mon May 13, 2013, 02:08 AM

33. K&R For-profit health care is, was, and will always remain a terrible idea. n/t

 

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