B-Large

http://www.aei.org/files/2013/08/02/-best-of-both-worlds-uniting-universal-coverage-and-personal-choice-in-health-care_105214167938.pdf I haven't been able to read it yet, but I will and I am sure it will produce good discussion. I don't know if this required a new thread, but I thought it might be buried in the other HCR reform thread.

Yep, couldn't care less if he plays at all preseaosn, get that kid FRESH so he can run all over Big Bill's defense in a few weeks....

why the best player on the team of course, Mr. Thriller Spiller

What the hell is a Government?

Why is brown bag offensive?

100 tackles, 2 sacks, 2 forced fumbles

says you. 17 compaines submiting plans set to be released in August, available for purchase October 1 in Colorado... yep, incompetence all right...

You're marketing single payor as a Fix All, not anybody else. Nobody believes that Single Payor is a Healthcare Utopia, just like nobody believes the ACA is perfect, just like no one ever believed the Republicans would ever do anything about the Healthcare problem.... so, you get what we got.

Of course there is a free market for care in any system, its called Cash Payment. Wealthly people with the Ability to Pay are not that worried about health reform, because they can pay cash for whatever they want. $250K in cancer treamtment and my insurance wil not pay for me to go to Johns Hopkins and see Dr. Awesome, ok, I will just pay the discount price... and provider jump at the business. Ever heard of wealthy people making pretty large donations to hospitals?? Yeah, its not just for goodwill, feel good reason... there is a person hired at each hospital to make sure that person ALWAYS walsk to the front of the line, even to see the Neurologist who specialized in headaches, who other scrocks have been waiting 6 months to see them- how do I know that? Because that person reports to me, and I am often making calls on big donors behalf. So it doesn't matter if it pre-ACA, post ACA, priot to WW2, or National Healthcare in England or Canada, there is a system for everyone and then another level for people who desire/ heave the ability to pay for more.

thats what I thought

I've know the difference forever, do you know how it works in Healthcare? If so, explain in detail. so you're saying you have nothing else valuable to add?

are you !@#$ing kidding, now that we have recklessly smashed the incentives for a aspring MD to make income in the top 2-3% of 300+ Americans, they have fought back by cooking peer reveiewd evidence to make the US health system looks bad... We only have ourselves to blame.

It must be a global conpiracy to make the US healthcare system look bad... and everybody is on it.... that explains it

So the other systems that produce better measures overall at less cost are all not Single Payor? http://www.nejm.org/doi/full/10.1056/NEJMp0910064 http://theincidentaleconomist.com/wordpress/health-outcomes-report-cards-by-country/ If that's not what you said, what were you saying?

so our system, paying more of worse outcomes, is evidence of care better utilized and cost better contained?

I am sure when HMO's were introduced the same fear was that there would be disincentives for MD because the third party was calling the shots, I am sure they got over is one they realized teh same amount of money would be made, and the world was not goign to end. I still don't see how having more reimbusement for care in 2014 versus 2013 will make a difference as it pertains to Private Insurance Plans... now if youo want to talk tapered reimbusement from Medicare, we can discuss that... but that is nothing new, payments have been cut before, provider just focus on attracting a better payor mix of private insurance carriers that reimburse a percentage over Medicare. Also, there will be a short-term glut of old people sucking up resources, that will ease after the boomers die off...

I'm confused, I never mentioned my father. Now if you're talkign about my Ultra Conservative Father-in-Law, who is not my wife's biological parent, ending up broke because he is retarded.... I have no qualms about letting him pull up his bootstraps and continue to entrench.... frankly, my Mother-in-Law is more retarded, and I am fine to watch her go on Medcaid and liquidate every last cent just so I can say "I told you so".... I am wouldn't want to insult their Strong Consertive values by intervening with a family bailout....my wife feels the same way....the irony will be they worked all their lives, foolishy wasted all their money and will be dependent on Social Progams they open and aggressively detest... my guess even as the taxpayers support their every need they will still openly spew about the evil Government...

with his fortune, he doesn't hand that over to redistributors... he has a team of accounts and lawyers to use the best loopholes.... I am going to inherit a bunch of money, I didn't build it, and I sure as heck don't want to hand it over

Good for you, you have said you have worked you ass off and earned a fortune, you will have resources to do what you wish, cheers to success.. and since you said so, I guess the rest of us will just have to make Dr. Sanjay our MD and hope for the best....

The deep Democratic pockets will come out and raise big bucks on the potential horizon of 16 years in the highest office, and Democrats have the lock on the ground game until the GOP gets their **** together. They will raise big money, I have no question about that. Loveable and warm? no. But she is a women, and women will love the chance to have one of their own in the office essentially breaking that ceiling in 2008. I am very interested to see that field in a few years. While I don't care for all his policies, Ted Cruz is an impressive conservative that is a no BS guy, the question is, is he electable Nationally? I'd like to see Chris Christie run, I've always liked him as well, another no BS kind of candidate. Ryan? meh, I think think the other two above a more energizing choices. I guess Bush, Rubio and few other round out the field.

Most voters couldn't tell you what Libertarian is and what theie stances are on the issues... lol... but, I have been running into more people who like their platform though

I assume that includes Manteo... I love Manteo.

The coverage problem is a huge, core issue. We write of 150M each year for care that goes unreimbursed because we take everybody who walks in... that doesn't go poof into the air of imaginary finance land, that goes to your insurance company next year to pay for it.. that is a big problem, just mutilple that amount by other 700+ bed facilities around the country by that amount and it get to the mutliple billions extremely fast. We compete now more than every with Private Health Systems, in fact, we have acquired two medical systems in the last 3 years as the consolidation begins... what you wil begin to see if more and more providers leaving a private practice to work at a University Hospital, Large Private Hospital System, or a Self Contained System like Kaiser... but the salaries of MD's are nto all of the sudden going to plummet, especially with more money in the system to pay for services... that doesn't make sense. Yes, you will have concierge practice pop up more, but that had been going on for 10 years if not longer as well... and if MD's think making another 100K in a conceirge practice, wait till you have to be on call 24/7, answer calls on weekend and meet the expectations of wealthy people paying you 10K a year of their money for your ass.... a whole different headache. This is all hype and conjecture right now. The restricted amount of MD's turned out keeps their demand and compensation high, I don't see that changing. Primary Care will be a sore spot, but again, that is nothing new, ask any Internist. Again, in what profession at 30 are you almost guaranteed to make 15-20K a month, and by mid 30's for some who specialize make 30K/ month plus??? Even my lawyer friends aren't pulling that kind of money, nor my buddies who crunch numbers... even my friends on Financial Services near 40 are just starting to pull down decent bucks...

and if the people decide they don't like the changes, they will re-elect Democrats...

They said they have no other options, not me. I have spoken to big time Lawyers in Denver here as well, who remark the same... they have been doing this so long, what else would they do... that is their set of golden handcuffs, set upon themselves, not by me. I make good money in Adminstration, but I started of making crap.... but I am leaving it soon to make peanuts again because I don't need the money or prestige for happiness... we're all different. The point being Healthcare Reform does not change the attractiveness of a career on Medicine for some kids who love science, research, medicine but don't want to make crumby money just being a lab assitant for Biology major. I am also of the belief that Healthcare doesn't behave the same as other market industries, so spare me the "economic priciples repeal" routine... if Healthcare we're a free market, truly, insurance would only cover solid actuarial risks, other people would be turned away if they could not pay, and people would die at a much higher rate... instead, because we don't have the conscience for that, we have this complex game of cost shifting, skewed pharaceutical, device and supply markets, inability to define true costs for consumers because they never have to see them, and overall without influence or money you are victim to this convoluted mess.