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Reply #21: And you're never getting single payer here... [View All]

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TreasonousBastard Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Nov-02-09 06:39 AM
Response to Reply #20
21. And you're never getting single payer here...
whatever you mean by "single payer."

A socialized system like Britain is completely out of the question-- just ain't never gonna happen in the US. Imagine getting Congress to plan it and then 800,000 doctors with their hospitals and gastro clinics and whatever businesses they've built to agree to completely redo the medical business models they're working under.

Ain't gonna happen, and really hasn't happened anywhere but Merrie Olde England. And the Brits essentially expanded a wartime emergency medical system, so they didn't really upset much when they came up with the National Health. More to the point of what we could do is study the French and German models. Maybe even the Japanese. They balance fee-for-service with a tightly regulated insurance market and get better results than we do.

(Actually, the Czechs and Bulgarians are pushing us as far as results go.)

But, nothing good is going to happen until we find some way to make a few small changes in those business models to get fewer newly minted MDs chasing after dermitology residencies and setting up shop in Houston or NY to pay their half-million dollar student loans.

Primary care, the good ol' family doctor, is in short supply in most of the country, and not making much of a living anywhere.

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  -How strong will this 85% medical loss ratio cap on insurance companies be? andym  Nov-01-09 07:57 PM   #0 
  - The fact that they're allowed to use "medical loss"  Doctor_J   Nov-01-09 08:00 PM   #1 
  - Isn't that just standard terminology in health care? nt.  andym   Nov-01-09 08:02 PM   #2 
  - As matter of fact no. Not in CIVILIZED countries, anyway n/t  eridani   Nov-02-09 01:29 AM   #12 
  - Another bad omen is people who know nothing about insurance...  TreasonousBastard   Nov-01-09 09:25 PM   #8 
     - Fuck insurance. I want to pay for healt care, and that only  eridani   Nov-02-09 01:30 AM   #13 
     - I want to win the lottery and take off with Sandra Bullock, but it...  TreasonousBastard   Nov-02-09 01:53 AM   #15 
        - Then letting more people in would be a major impetus to needed changes  eridani   Nov-02-09 01:55 AM   #16 
        - Think this through for a minute...  TreasonousBastard   Nov-02-09 02:15 AM   #17 
           - Yes, but we don't have to pay useless shitstain interrmediaries to withhold care  eridani   Nov-02-09 04:00 AM   #18 
           - Beware that 3% number...  TreasonousBastard   Nov-02-09 05:02 AM   #19 
              - There are 19,000+ different private insurance plans in Chicago alone  eridani   Nov-02-09 05:33 AM   #20 
                 - And you're never getting single payer here...  TreasonousBastard   Nov-02-09 06:39 AM   #21 
                    - A single payer system was implemented in Taiwan within a few years in the 90s  eridani   Nov-02-09 08:14 PM   #25 
                       - Are you just randomly throwing things out there and seeing what sticks?  vaberella   Nov-03-09 09:02 PM   #30 
                          - Throwing more people into Medicare would be a big motivation to solve Medicare problems  eridani   Nov-04-09 01:19 AM   #31 
           - Okay, I'm thinking this through.  DLnyc   Nov-02-09 11:03 AM   #24 
        - You are aware that Medicare's beneficiary satisfaction rate is  Bluenorthwest   Nov-02-09 07:41 AM   #22 
     - Medical loss = any money the insurance company must pay for medical care  Doctor_J   Nov-02-09 07:59 AM   #23 
  - That's cool. I hadn't seen that provision. K&R  lumberjack_jeff   Nov-01-09 08:02 PM   #3 
  - That'll depend on the HHS Secretary  SpartanDem   Nov-01-09 08:06 PM   #4 
  - Is there any money appropriated for inspectors to audit the millions and millions of  John Q. Citizen   Nov-01-09 08:11 PM   #5 
  - I don't think so-- although it's unclear  andym   Nov-01-09 08:56 PM   #6 
  - No, only the regulator is established  SpartanDem   Nov-01-09 09:07 PM   #7 
  - Nothing in there about how the companies would deal with reserves, or...  TreasonousBastard   Nov-01-09 09:34 PM   #9 
  - unclear, hhs has to review along with ins compaines  ind_thinker2   Nov-01-09 09:42 PM   #10 
  - They can't even monitor and control Wall Street! Not that they are trying very hard.  Better Believe It   Nov-01-09 09:45 PM   #11 
  - Irrelevant if they retain the power to turn down claims n/t  eridani   Nov-02-09 01:31 AM   #14 
  - Health Care Reform Bills - Does Actuarial Value Trump Medical Loss Ratio?  slipslidingaway   Nov-03-09 02:27 PM   #26 
  - Sounds like an obvious idea for an amendment to the bill  andym   Nov-03-09 05:15 PM   #27 
  - Many people have seen more costs shifted to them, especially over the last...  slipslidingaway   Nov-03-09 08:29 PM   #28 
  - I don't think that helps.  bornskeptic   Nov-04-09 12:19 PM   #32 
     - Or we could dump the for profit insurance companies for a basic standard...  slipslidingaway   Nov-04-09 01:04 PM   #33 
  - This thread may be the single best thread to explain why we need single payer  grantcart   Nov-03-09 08:44 PM   #29 
  - Agreed! n/t  slipslidingaway   Nov-04-09 02:19 PM   #35 
  - It will be almost as strong as the public option. Oh boy!  Better Believe It   Nov-04-09 01:23 PM   #34 
  - Wendell Potter said the average medical loss ratio was 95% in the early 90's....  slipslidingaway   Nov-04-09 02:29 PM   #36 

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