Fair 43.0°F Fair [Forecast] :: Saturday, November 21st, 2009
Vacation Info Wedding Info Kids/Parents NEW! Pets

My day

“… the future is not what it used to be.”
Please visit these local CapeCodToday sponsors:
Acme Glass
We hope you don't need glass but if you do call us, the auto glass specialists, a local family owned company. Servicing autos, vintage cars, commercial vehicles and equipment in SE Mass. with 4 convenient locations and mobile service to keep you mobile.
Impressions Home Interiors
A full service interior decorating company offering a wide variety of services including redesign, home staging and workshops. Located in Sandwich, MA, we have been serving homeowners and realtors all over Cape Cod and the South Shore since 2006. (Sandwich)

How would Single Payer work for you?

What it is, and what it will do

Single payer refers to a health care program that would be regulated and funded by the federal government. Insurance companies would be out of the health care business with the exception of a few services like cosmetic surgery that would not be covered by the government-run plan.

                 President Obama on Health Care

If House Resolution 676 were passed, you, as a resident of the United States or one of its territories, would sign up for coverage by stopping off at your doctor’s office or a clinic, or HMO and filling out a short form.

You would then receive in the mail a United States National Health Insurance Card (USNHI) imprinted with a unique number. In the same way you use a credit card, you would present this card at the end of your visit to the doctor or any one else authorized to provide services. The doctor would submit a bill to a regional director via a written form or via computer.

What would you be entitled to?
Under this Act your card would entitle you to the following:

  1. Primary care 
  2. Preventive care
  3. Inpatient care such as a hospital stay
  4. Outpatient care that is administered at a clinic or doctor’s office
  5. Emergency care
  6. Prescription drugs
  7. Durable medical equipment
  8. Long-term care that you might need at home or in a nursing facility
  9. Palliative care
  10. Mental health services
  11. Dental services (not cosmetic dentistry)
  12. Substance abuse treatment services
  13. Chiropractic services
  14. Basic vision care and vision correction
  15. Hearing services, including hearing aids
  16. Podiatric care

You would be entitled to these services whether you are employed, unemployed or self-employed, homeless or housed, young or old, chronically ill or mentally ill, moving from job to job or from town to town or from state to state.

Payment for monthly premiums would be a thing of the past. There would be no deductibles, co-payments, co-insurance, or other cost-sharing with respect to these benefits.

You would CHOOSE YOUR OWN DOCTOR. This same choice applies to hospitals.

Who would provide these services?
Private physicians, private clinics and private health care providers could continue to operate as private entities but could not be investor-owned. No institution could participate unless it was a public or not-for-profit institution. If owners of for-profit providers wanted to achieve non-profit status, they would be compensated for any reasonable financial losses they incurred in the conversion process.
Physicians, dentists, etc., would be compensated in one of three ways: through a fee established for the particular service that they provided, through their salary as an employee in an institution such as a hospital, or through a salaried position within a group practice or HMO.

Using current fees as the basis, fees would be negotiated with physicians and other clinicians after consultation with a National Board of Universal Quality and Access and with regional and state directors. Other safeguards for medical standards would also be put in place. 

How would these benefits be paid for?
The tax money that is now expended for Medicare, Medicaid, and the Children’s Health Insurance Program would be folded into a USNHC Trust Fund. An increase in personal income taxes for those earning in the top 5% bracket would go into the fund along with a progressive but modest excise tax on payroll and self-employment income (currently at a flat rate of 2.9%) as well as a small tax on stock and bond transfers.

How would these funds be allocated?
Under this Act, an operating budget and a capital expenditures budget would be set up along with the fee schedules for providers and a health professional education budget including continued funding for resident physician training programs (medical schools). The USNHC Director would allocate these funds to regional offices.

Hospitals and some HMOs would receive global or lump sum allocations — money given ahead of time to take care of their expenses since they would not operate on a billing system.

Would savings be realized in changing from the present system?
Big savings would come from reducing paper work. More would come from the government’s bulk buying of medications from pharmaceuticals. Improved access to doctors rather than relying on emergency room treatment would be another saver. The biggest savings would go to consumers by taking profit-making by insurance companies out of health care. 

Cities and towns would no longer have the burden of health care costs. The same would go for businesses. More people would start their own businesses if health care were guaranteed for them and their families. This would be good for the economy because small businesses generate the most jobs.

Those workers laid off by insurance companies would be given priority in the hiring for the new jobs generated by this change-over.

Because of the huge campaign contributions that the president and many members of Congress have received, they refuse to consider this single payer bill. Call, email or visit them during August when they are in their districts and tell them that you want the same kind of health care they have!     

81 comments
Blog posts and comments are entirely the thoughts and ideas of the people who write them and in no way represent the views of CapeCodToday.com, eCape, Inc., or its employees or owners.

08/09/09 @ 5:31 pm
bartenderfromhell [Member] writes:
How would Single Payer work for me? It wouldn't. It's socialism being rammed down our throats by a fascist regime. Report me at flag@whitehouse.gov

08/09/09 @ 6:16 pm
Mary [Member] writes:
Bartender, You need to keep up on the news. Neither the president nor Congress supports single payer at the moment. What they are thinking of passing is far worse for you than single payer?
08/09/09 @ 6:23 pm
bartenderfromhell [Member] writes:
I don't want the government involved in the health care business. I don't want the government involved in the auto buisness. I don't want the government involved in the banking business. I just want the government to stay out of private business. Report me at flag@whitehouse.gov
08/09/09 @ 7:16 pm
Danny S. [Member] writes:
Gee whiz it sounds like a real Utopia! Are there any downsides?
- Pollyanna Whittier, Vt.
08/09/09 @ 7:23 pm
Mary [Member] writes:
So you have no concern or sympathy whatsoever for the 1 million families who were forced into bankruptcy last year because they could not their hospital and doctor bills?
08/09/09 @ 7:31 pm
Mary [Member] writes:
Yep, it does — to us. But for people in Europe and other places in the world as well as Canada, it is the norm. They think we are crazy to keep paying insurance companies for health care when they do nothing but take our money and try to prevent us from getting them to pay for benefits that are in our policies. No system works perfectly, but people in other countries do not go into bankruptcy because they cannot pay their hospital or doctor bills — even in those cases where they were covered.
08/10/09 @ 12:28 am
Ned [Member] writes:
Throatramming!!! Is that like a feeding tube or more like Fear of Fellatio? Bizarre imagery...
08/10/09 @ 6:52 am
Jonathan [Member] writes:
I am without medical insurance, stuck in the cracks- Any viable option is worth considering, in my humble opinion.
There's nothing like having a family history of early, fatal events such as heart attack, aneurism and stroke, and yet still be unable to seek proper care. It scares the ____ out of me, to be honest.
08/10/09 @ 11:33 am
Mary [Member] writes:
“Viable” is the key word here. Our health care system is broken, but the plan that Congress is considering does not mend it. Only single-payer can do that.
Have you tried going to the following site — www.mahealthconnector.org/portal/site/connector/ — and seeing what the state’s new health plan can do for you?
Good luck.
08/10/09 @ 11:55 am
bipr [Member] writes:
"Choose your own doctor" is an interesting phrase. We all proclaim to it as a major tenet of our healthcare values. But who really gets to choose their own doctor these days? I've always had good health insurance, but when I've moved and had to find someone new, it's basically been whoever's taking new patients and doesn't have a scandal sheet. Word of mouth and the (erstwhile) Yellow Pages are how many choose their doc. What kind of quality measure is that? If I want to see the specialists who treat the Kennedys and other elites, fat chance getting an appointment! So whatever goes on in this debate, that "choose your own" phrase is a red herring.

BTW, now that I'm self-employed, the fact that I can't deduct insurance premiums from taxes the way employee benefit plans can really rots.
08/10/09 @ 12:17 pm
Mary [Member] writes:
bipr: Having been self-employed myself, I hear you about not being able to deduct insurance premiums. Also, s-e people have to pay the employer’s share of FICA (Medicare, etc) as well as their share.
You are right in pointing out that if a doctor already has a full house we wouldn’t be able to get our first choice. But we would be able to make a second choice. Plus, I put this in capital letters because opponents lie about not being able to choose i.e. being assigned a doctor.
08/10/09 @ 1:05 pm
sarahmckee [Member] writes:
Single-payer, AKA Medicare for All, would have an additional saving: the portion of workers' compensation premiums that now covers medical care for workers injured on the job, plus all the costs to the states and federal government of adjudicating whether a given injury really did arise out of or in the course of employment.

Injured at work? You'd simply go to the doctor, with your U.S. health card, the same as for anything else.
08/10/09 @ 2:13 pm
Danny S. [Member] writes:
All it takes for my eyes to glaze over amidst all the hoopla over health-care is the realization that one tablet that costs about .04 cents to manufacture goes for 30 bucks or more ---- and everyone seems cool with that. HUH? We have gone mad. Totally insane. Nothing anyone says on the matter has any credibility at all to me - for or against. The dems are full of shit - the republicans are full of shit and so is everyone in between at this stage.
08/10/09 @ 4:04 pm
Mary [Member] writes:
Danny, Not everyone is “cool with that.” Many folks, myself included, have been working for years to change our system so that profit is taken out of it. But it has been a struggle. Especially to reach people like you. Do you or do you not think that single payer is a good idea? If you think so, then support it. If not, give us a better one.
Many members of both parties are full of it.But it is not shit that they are full of. It is cash from the insurance and pharmaceutical companies.
08/10/09 @ 4:06 pm
kimo [Member] writes:
Thanks for this explanation Mary. I think health care ought to be a right for everyone and believe that insurance is basically sanctioned extortion. As a sole proprietor I've been without health care most of my adult life just because it was too expensive. During those times when I did have insurance the motive was that I'd better use it because I'm paying for it. Whereas with Single-payer that wasteful mindset would be a thing of the past.
08/10/09 @ 4:25 pm
Mary [Member] writes:
kimo, Yes! Health care should be a right. It is how people in a civilized society would look out for one another.
08/10/09 @ 7:19 pm
dingbat [Member] writes:
Hmmmmm -- let's see, I don't see anything in the phrase "Life, Lberty, and the Pursuit of Happiness" that translates to "Guarantee of an illness-free life, and a guarantee of a lifetime of happiness thanks to the government." That's a big stretch, and one of the early steps of trading one's liberties for Big Momma goernment, which of course will never be able to deliver on these promises anyway.

Health care is a great benefit, to be earned through one's labors or paid for in cash. It is not a right!
08/10/09 @ 7:32 pm
Mary [Member] writes:
Well, Dingbat, that is certainly the corporate point of view. And they have been very successful at spreading this notion around. But why is it that very few people in oother countries look at it the way you do. After all, they live an average of three years longer than you will. Way fewer mothers or their children die during birth in other countries than here. We are way down the pike in those ratings. So you seem to feel that you are willing to sacrifice the above in order for you to labor in the vineyards to get the cash to pay for your health care. What if you don’t come up with enough cash?
08/10/09 @ 7:48 pm
Jonathan [Member] writes:
Health Care- A privelege only due to those who've earned enough money to pay for it. Great, just friggin great!
I'll just walk around wondering about my BP/Cardiac Health while I hum "God Bless America"
The Cardiovascular Specialists in Hyannis REALLY want to see me but guess what, I cannot. Why? Because I am just above the threshold for Masshealth.I lost my coverage.By the same token, God only knows what it might cost me to get the Office Visit/EKG/Echo/Blood work. I cannot afford it.Bear in mind, I am 36 years old, with a perfect storm of high BP, mother dead at 30 from aneurism, father dead at 52 from stroke, aunt dead at 50 from undiagnosed cardiac issues.
What made me lose my insurance was that we relied on hard work, not a handout. If we just sat on our asses, we'd suddenly have subsidized care.
Something is definitely wrong with that.
A family of four on Cape Cod with 45K combined is simply able to pay the bills. What sorts of behavior do we encourage when an uninsured person will find instant relief if they decide to just loaf?
08/10/09 @ 10:34 pm
Ana Paulina [Member] writes:
I'm nearly comatose from all the absurdity. Clearly, a conflict between the dis/advantaged.
08/10/09 @ 11:14 pm
Mary [Member] writes:
Jonathan: Perhaps you could get some of the care you need through a hospital. They are supposed to treat people that can’t pay by means of the Hill bill. Have you talked with the cardiovascular specialists? They must know about some of these programs. I have to agree that when a “means test” is used for eligibility something like this happens at some point. This is going to be a problem with the Obama plan.
08/11/09 @ 7:07 am
Jonathan [Member] writes:
Mary, Good advice, except that CCH royally screwed up the last time I went there. I am not sure if I'll EVER go back.
I went in with severe toe pain and I had not stubbed it. They insisted on an X-Ray and I thought it was something more severe. I practically begged them to look into it further. They ignored me and sent me on my way.
Two days later I went to Falmouth Hospital, where they told me I would have lost my foot had I went on much longer. Diagnosis? Cellulitis/staph infection that was consuming my foot.
Though I launched an internal complaint at CCH, they officially snubbed me yet agin, admitting no responsibility.
In a pinch I'll go there but Falmouth Hospital saved my foot when CCH faltered royally.
08/11/09 @ 7:18 am
Jonathan [Member] writes:
I have heard good things about the Cardiac Center at CCH, though. MY BP has been dodgy, so I have to do something.
Maybe I'll have better luck than last time.
08/11/09 @ 7:32 am
possee [Member] writes:
The rush for government to control our healthcare is ludicrous!
Why not implement cost controls and offer all private insurance plans in every state, encouraging competition for affordable insurance?
Supposedly,once you enroll in the fed program proposal, your bank account is automatically attached to the fed acount for a.c.h. withdrawals..

do you trust them?
Every single program run by the feds fails miserably..look at the VA..
the postal service is bankrupt.
medicare is nearly bankrupt.
They don't even know what is in this proposal yet want to pass it immediately.

Enough already..let's study this further and make appropriate changes with dialogue and actual fiscal responsibility.

the CBO states it(health care) can't be funded.

possee
08/11/09 @ 9:42 am
Mary [Member] writes:
Possee: You are getting single payer confused with the Obama/Congress plan. The CBO’s statement about the expense of a health care plan was in reference to the Obama proposal. The CBO has determined that single payer would be less expensive than the other methods as have most other orgs that have costed out the plans. Common sense tells us that big savings would come out of removing profit-making insurers from health care.
Read Jonathan ’s comments above yours and that will give you a good idea of what will happen to a certain percentage of people if Obama/Congress pass a plan that is not single payer.
08/11/09 @ 11:01 am
Mary [Member] writes:
To all who comment: I will be back on Friday and will address the issues you raise at that time. Best to everyone.
08/11/09 @ 1:03 pm
jakeskid [Member] writes:
I have studied this for many many hours and the biggest problem we face are as follows
1 most people do not understand the trade offs of both systems
2 most people think the problem is the cost of insurance (premiums)
3 most people are used to getting good health care in a timely way
4 most people think this is national problem with a national solution

consider this. Every kind of system available is being used in some country. Its not a guessing game. A single payer plan in most countries has not significantly lowered to cost of health care. That is not to say that saving would not be achieved but if I tell you that having the government take something over will lower the cost, do you want to bet your life on it? There are three states in this union that a single payer plan would prove difficult if not impossible. California (bigger than Canada and the UK) Texas and Florida. The huge population of emigrants both legal and illegal would crush the system in those states. Most Canadians will tell you the system works better in some provinces more than others.
08/11/09 @ 1:04 pm
jakeskid [Member] writes:
I have studied this for many many hours and the biggest problem we face are as follows
1 most people do not understand the trade offs of both systems
2 most people think the problem is the cost of insurance (premiums)
3 most people are used to getting good health care in a timely way
4 most people think this is national problem with a national solution

consider this. Every kind of system available is being used in some country. Its not a guessing game. A single payer plan in most countries has not significantly lowered to cost of health care. That is not to say that saving would not be achieved but if I tell you that having the government take something over will lower the cost, do you want to bet your life on it? There are three states in this union that a single payer plan would prove difficult if not impossible. California (bigger than Canada and the UK) Texas and Florida. The huge population of emigrants both legal and illegal would crush the system in those states. Most Canadians will tell you the system works better in some provinces more than others.
08/11/09 @ 1:09 pm
jakeskid [Member] writes:
The system we have now cannot be sustained so we probably need to go to a single payer plan. Half measures tend to avail us nothing. Just be prepared for a new set of problems more than solutions.
08/11/09 @ 2:52 pm
meadow [Member] writes:
worked 20 years for a major corporation - when we had to 'downsize', we couldn't just look at productivity of a person, we had to determine whether they would be badly impacted by losing (or having to pay cobra rates) for health insurance for a spouse receiving chemo treatments, for instance. our hands were tied, unless we just wanted to dump on employees who had spent their working lives with our company. - and now the insurance is becoming unaffordable for everyone, even the big companies. i have had several exchange students from single payer countries - they are aghast at our expensive and antiquated health system.
08/11/09 @ 8:01 pm
Buzz [Member] writes:
According to ABC News:

“We have the AARP on board because they know this is a good deal for our seniors,” the president said.

The problem?

The AARP hasn't endorsed any plan yet.

08/12/09 @ 7:50 am
lottabaloney [Member] writes:
1. You mean the President fibbed?

2. The AARP's got a vested interest - their own insurance company - watch them wheel and deal.
08/14/09 @ 6:19 pm
Jonathan [Member] writes:
WOOT! I finally will be insured.
It seems The State, in their infinite wisdom, denied me coverage under Commonwealth Care because they miscalcuated my income. I received a very official rejection, which I might normally consider Gospel. When called on it they were like, "oops, we messed up."
Thank goodness for that little voice in my head.
08/14/09 @ 11:40 pm
Mary [Member] writes:
jakeskid: Other countries spend a lot less per capita than we do. Why? It’s a no brainer. We have big-time middlemen squeezing every dollar they possibly can out of our health care system. They don’t administer to any sick people, not even by giving an aspirin to someone with a fever. They are parasites, pure and simple, and should be treated as such.
08/14/09 @ 11:43 pm
Mary [Member] writes:
Jonathan, Glad you can now get the care you need. Kudos to you for keeping at it!!
08/15/09 @ 8:40 am
Buzz [Member] writes:
17) Long wait times.

18) Delayed treatment.

19) Fewer available doctors.

20) Inferior health care.

21) Higher Taxes



20)
08/15/09 @ 10:12 am
Mary [Member] writes:
Well, Buzz, unless you fall into the category of the top 5% earners, your taxes would not go up. That’s a myth marketed to the uninformed by the health care industry along with the long lines nonsense, delayed treatment bugaboo, and the ramping up of fear of inferior health care.
Why would health care be worse under single payer when the same doctors who are struggling to get past the insurance gatekeepers would be free to really practice the medical care they were trained to give their patients?
If you doubt my summary of how single payer would be paid for, read the bill — HR 676 — yourself.
When I was in London visiting my daughter, I saw firsthand how their government-run system works. When my daughter felt she had some kind of a bug, I walked the three blocks to her doctor’s office with her. He keeps morning office hours, first come, first served (just like the old days here). She was the second of perhaps five people who came in. He saw her, prescribed some medicine and while she went home I went to the chemist for the prescription. If asked, he would have made a home visit.
08/15/09 @ 3:25 pm
Buzz [Member] writes:
Well, Mary, you may find this article interesting:
By Karol Sikora:

Recent research by Sweden's Karolinska Institute shows that Britain uses far fewer innovative cancer drugs than its European neighbors.
Partly as a result of these restrictions on new medicines, British patients die earlier. In Britain, the reality is that life-and-death decisions are driven by electoral politics rather than clinical need. Diseases with less vocal lobby groups, such as strokes and mental health, get neglected at the expense of those that can shout louder. This is a principle that could soon be exported to America.

Karol Sikora, a practicing oncologist, is professor of cancer medicine at Imperial College School of Medicine, London, and former head of cancer control at the World Health Organization.
08/15/09 @ 4:34 pm
Mary [Member] writes:
Buzz, Sikora is not a professor of cancer medicine at the Imperial School of Medicine in London. The rector says that Sikora has been touting his association with the school because it has an excellent reputation.
Doctors are not particularly happy with the way Sikora is trashing Britain’s NHS in the American press.
Many patients here are unable to pay for the drugs they need to control their cancers. You seem to think our system is perfect as it is — everyone gets excellent care — and anything that is done to change it would be wrong.
I do believe that the plan that Obama is touting, and we don”t know yet what it is except that the insurance parasites will still be in business.
Finally, the administrations of Thatcher, Major and Blair all underfunded the NHS and changed rules to make the practice of medicine more difficult, hoping to get the public to assent to going back to private insurance. It hasn’t worked and Brownhas promised to restore the funding cuts to bring it up to snuff.
08/15/09 @ 8:54 pm
possee [Member] writes:
How about offering a reform for all of us legal Americans..let the rest pay as they go..fair enough?
Let the government implement the following without administrating..
Pool all existing health plans to be available nationwide and let us choose the best for ourselves..
Just as we have the Freedom to choose the best deal for life insurance, car, homeowners,etc..

possee
08/15/09 @ 10:13 pm
Mary [Member] writes:
I can’t agree with you about letting the rest pay as they go. Many could not afford to do it. Besides,it would make us look like tightwads since other countries give us Americans the same care that they get when we are visiting them whether it is Canada, Britain France, etc.
Health care is not like buying car insurance. You can live in this country without a car and the required insurance. But health is something that can change your life big time in a few minutes i.e. when you get the news you have diabetes. Do you like paying your health insurance premiums each month or do you get coverage through your employer? Any health care insurance is not complete coverage. You take your chances that you will come down with an ailment that is covered. What is there “free,” anyway, about paying these parasites a chunk of cash every month?
08/17/09 @ 9:07 am
Buzz [Member] writes:
Mary,

No, I don't think our health system is "perfect as is", far from it. However, I don't think it's necessary to throw the baby out with the bath water. It appears the American public feels the same as the Obama administration is taking a different tact.

I find it interesting that you took your daughter to the hospital in England and have a good handle on how their system works....however, a British doctor who's actually practicing medicine in the system is wrong with his concerns....interesting!
08/17/09 @ 11:09 am
Ned [Member] writes:
"It appears the American public feels the same as the Obama administration is taking a different tact."
That would be 'tack', a Nautical term. I'd think that a Yachtsman would know that. On the contrary 2/3 of Americans want Single payer... Red sails on the sunrise!!
08/17/09 @ 1:23 pm
Mary [Member] writes:
Buzz: I would be interested in hearing your perceptions regarding where the present system fails us. What is the baby and what is the bathwater??
I accompanied my daughter to her doctor’s office — I didn’t take her to a hospital.
Her husband is a psychiatrist and like nearly all doctors in Britain is a salaried employee of the NHS. He has the discretion, as most doctors there have, to make house calls. He can hospitalize his patients if he feels, for instance, that they need to be supervised while adjusting to a new medication. I have seen on the ground how it works and know from what he tells me how the conservatives, like your authority, try to sabotage the system. There are changes to be made, improvements, etc., but there is no demand in Britain to change to a private-insurance-based arrangement.
I say that if a plan is good for everybody, we should go for it. Whether it is socialism or capitalism.
08/17/09 @ 5:12 pm
crusader [Member] writes:
Buzz,

The health care system has needed a major overhaul for years. It's another poorly managed bureaucratic nightmare that cannot correct itself because there are too many self-interested parties--lucrative paid doctors who over charge for services, insurance companies that don't know how to manage costs, pharmaceutical companies that continue to disillusion us with drugs that don't work and are too costly...the list goes on. Socialized medicine has it's drawbacks, but if Congress doesn't push back on the insurance companies that pay their political contributions, what is the answer? I've worked in hospitals for 10 years and transferred my skills into academia because I couldn't stand to see the obvious mismanagement, lack of quality care and insurance fraud. The only thing that administration cares about is their bottom line and they don't care how they get there. I've been managing my mother's nursing home care for about 7 years and that is another nightmare. If not for the help of a family member who works as a consultant in the field, I would be lost. It's a sharks pool.$$$$
08/17/09 @ 5:16 pm
Buzz [Member] writes:
Ned,

Thanks for the correction, you were very tactful, have you taken a new tack?

By the way, what poll are you getting your information from? Or is it pole:)
08/17/09 @ 5:23 pm
crusader [Member] writes:
cont...

The people at the top are making big money while the rest of us struggle along. It's the same damn scenario in every area of services in this country.

Power has been handed over to those who don't know what they are doing and I don't think it's going to change all that much because they've had the evil throne for far too long.

If Obama wants to do what he plans, he's going up against an army of self-serving maniacs who have no interest in helping the people acquire quality health care at affordable rates. We know that our politicians have the best coverage that we the taxpayers are paying for, those who are wealthy enough can pay their way without having insurance. They know who the best doctors are and they stay clear of the worst. Unfortunately, in many cases, the best get the self-pays and the worst go work for the indigent who cannot afford health insurance. You would really be shocked at some of the things you would see as an observing employee within the walls of a hospital. It's just another big business, same old story,a broken system. Something has got to change.
08/17/09 @ 5:31 pm
crusader [Member] writes:
Glad to see that Neddy is still keeping you in line, Buzzy Boy...Thanks Ned!

Happy Birthday to me! I sure wish I was soaking in the bay today. It is so hooot here in Beantown...

Thanks for the chuckle guys...I see things haven't changed..LOL

"It appears the American public feels the same as the Obama administration is taking a different tact."
That would be 'tack', a Nautical term. I'd think that a Yachtsman would know that. On the contrary 2/3 of Americans want Single payer... Red sails on the sunrise!!
08/17/09 @ 6:03 pm
crusader [Member] writes:
Hey Buzz and Ned,

When you get a chance watch:

American Drug War, documentary 2007. It's on showtime if you have it.

Maybe what they should do is take all the money they confiscate from the drug lords and use it to finance a new healthcare system. Where does the money go?
08/17/09 @ 6:25 pm
Buzz [Member] writes:
Cru,

Agreed, something has to change. But if you think government is the answer... I disagree. Take a look at health care in Europe and Canada. Do a google search. See how costs are out of controlled and the overloaded systems. What type of doctors will we attract when there told you'll be working a lot harder for a lot less?
08/17/09 @ 6:29 pm
Buzz [Member] writes:
Mary,

This is an article from 2 days ago in the Canadian newspapers.

SASKATOON — The incoming president of the Canadian Medical Association says this country's health-care system is sick and doctors need to develop a plan to cure it.
Dr. Anne Doig says patients are getting less than optimal care.
"We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize," "We know that there must be change," she said. "We're all running flat out, we're all just trying to stay ahead of the immediate day-to-day demands."
08/17/09 @ 6:41 pm
Buzz [Member] writes:
Mary/Cru:

For your reading pleasure:

http://www.spectator.co.uk/archive/features/13221/die-in-britain-survive-in-the-us.thtml
08/17/09 @ 7:45 pm
crusader [Member] writes:
Buzz,

I read the link. I'm not surprised at any of the statistical data or related information stated on England vs. US medical treatment. Again, the main culprits are the insurance companies, the politicians who have allowed them to scam patients out of having quality coverage, the lobbyists who push their agenda, the BILLION $ pharmaceutical industry that has everyone hooked on oxycodone(heroin),prozac,ritalin. They have created the diseases, addictions, but not the cures. The numerous carcinogens dumped into our environment and our bodies have devastating consequences. Indians have known of cures for centuries, but we have been brainwashed into thinking that synthetic drugs save lives. My family always believed in herbal remedies I still prefer over doc's orders. Maybe if many learned to eat healthier, exercise more often, they could avoid illnesses. Most people who are well educated about nutrition and taking care of their bodies know some of the secrets. Green tea, sea salt in moderation, more protein,less carbs, fish high in Omega-3, low sugar, eliminate fast food, etc.
08/17/09 @ 7:52 pm
crusader [Member] writes:
Buzz,

When you think about the billions of dollars spent in the healthcare industry, you need to evaluate how much could be spent on preventable maintence by educating our children in schools on how to eat better and teach good exercise habits. Someone at work told me that for every cancer patient, there is a bundle being made from their treatments, their care, the equipment and drugs being used. If I ever came down with a fatal illness, I would take my chances with a witch doctor in South America or Mexico. I know you think that is crazy and most people reading this will laugh, but there have been success stories. Cancer treatments kill off healthy cells in our bodies while destroying cancer. Do you think in this day and age they could be doing better than that? What cures you can kill you--sounds like a bad plan. Remember the story of the guy who paid $50k to a politicians doctor for his "research" so he would get special treatment for his prostate cancer? True story, Buzz. Heard it right there on good ole' CC. The politician got cured, I'm bettin' so did the Truro homeowner.
08/17/09 @ 8:04 pm
Buzz [Member] writes:
Cru,

In 1971 the National Cancer Act was signed into law. In the early 70's the survival rate for all childhood cancers was abou 50%. Today its about 80%. Survival rate amongst all forms of cancer has increased.

I don't know where you get your information, but if I or my children were to come down with cancer, I'll put my trust in my doctor and the current health care system. Enjoy your burrito in South America. Ya me despido.
08/17/09 @ 8:04 pm
crusader [Member] writes:
Buzz,

There is an ugly side of health care business that most people do not know about, but I saw it up close and personal by being a patient undergoing surgeries and also as an OR/ER clerk, and administrative assistant working for a chairman of a surgical group.

If I was Obama, I'd find the most ethical, competent doctor I could find in the US to run the new health care administrative team and start there. And have him assist in selecting only the best, brightest and with the most integrity. NO PHARMACEUTICAL INFLUENCES ALLOWED.

There are plenty of good doctors out there. Problems begin when they mix with the bad who are only interested in their golf time, sailing yachts, going on paid vacations and perks handed out by the drug companies who subsidize their income in lieu of free gifts, and being the most arrogant, incompetent, boobs you would NEVER want to be forced to rely on as a patient, nurse or administrative assistant. I wouldn't let some of those idiots care for my house plants.

So, take my advice, lay off the drugs for a while and you will be okay...(only kidding)
08/17/09 @ 8:12 pm
Mary [Member] writes:
Buzz:You still haven’t answered my question.
In regard to the Canadian who is going to head up their medical association: Please note that she said “optimal care.”

Batholomew got quite a few things wrong about healthcare here. 1) Hillary Clinton was not for single payer or anything resembling it. Her plan called for letting the six biggees — Aetna, Traveler”s Cigna, etc. — run the show. That is why the HIAA ran the Harry and Louise ads - their members weren’t being cut in 2) if all the poor people here get treated and treated for free, why have there been thousands of them showing up at the free clinics that have been held around the country in the past months. Visiting one of them was the deciding factor for Wilbur Potter, the whistle-blower from the industry, to come forth and tell us all about what goes on in the heads of the parasites. 3) For figures to work, one would have to know exactly how many women in both countries actually have breast cancer. He seems like pretty much a blowhard to me.

Back to the question. Put your money where your mouth is.
08/17/09 @ 8:16 pm
crusader [Member] writes:
Buzz,

Well like I said, you wouldn't believe me. That's okay. I'm not saying that no one survives cancer treatments in this country. What I'm saying is THEY SHOULD BE DOING BETTER. Just think about it for a second--what would happen if some great scientist invented a magic pill that could cure cancer overnight, without--(this is the important factor) leaving any debilitating results or side effects? What would happen to the health industry? It's the same principle as electric car vs. gas hog. We have been battling cancer in this country for how long? Over 100 years? Where does it come from Buzz? Did we have this many afflicted in 1886? Healthcare is big business, Buzz. Just as the oil industry, the illegal and legal drug industries.

They can send a man to the freakin' moon, but they can't find a cure for cancer.

The very polluters who contribute to the carcinogens that are exposed to us send billions of dollars in campaign contributions to our politicians. What is that like the best insurance plan ever? I'll just throw you a few bundles of cold hard cash and you forget it. okay
08/17/09 @ 8:19 pm
Buzz [Member] writes:
cru,

Well I do agree that we need to take better care of ourselves.

So let me ask you. If you have high blood pressure, you won't take medication to control it? If you have high cholesterol, you won't take medication to control it? If you have high chance of stroke or coronary failure, you won't take medication to control it? If you are prone to seizures, you won't take medication to control it? You get my point.

You live in Somerville. You're familiar with all the bio-medical companies in Cambridge. They spend millions on developing medications to save and extend lives. It takes years to develop these medications, millions of dollars of private/public funding with no guarantee that the drug will be a success, make it to market or approved by the FDA. They do it because they believe they can find better treatments and cures to help people live better lives. Do they make money on their success? Yes, do they loose money? Yes. Remember, they only have a short time to make money before a generic version of their product can be marketed.
08/17/09 @ 8:33 pm
possee [Member] writes:
Mary, Buzz,Crusader,

Well well well, it appears that the single payer health plan has met its demise..for now.

Obama has spoken and it is dead for now...
Was it nazis and brown shirts and angry mobs that stopped it?

No one will ever know but public outcry has it dead in its tracks..The WH is not stupid when it comes to tracking success or failure..

Meanwhile, continued discussion must ensue so those of us legal Americans who actually Pay for health care receive the best!
Without govt mandates..

possee
08/17/09 @ 8:41 pm
crusader [Member] writes:
Buzz,

I feel very fortunate to not have to rely on any drugs for medical issues. Most mild conditions of elevated cholesterol or blood pressure can be controlled by diet. Experts say it can be hereditary or more previlent to certain ethnic cultures. If it was chronic, I guess I would have resort to real dope under doctor's orders. But I would research to see if an herbal remedy could be a better option. I'm telling you that other countries use herbal cures more than we do with a greater success rate. I'm not a holistic expert, but my mother and father never needed to rely on synthetic drugs other than an occasional anitbiotic. Mom ate garden dandelions by the bushel, we ate lobster 3 times a week because dad was a chef at the (Omni)Parker House for years, sardines were a favorite,even for me, and they picked mushrooms in the Concord woods. He made homemade risotto and the house stunk of dried mushrooms for weeks on end. I believe it was the natural food we ate that provided us with a great immune system. Dad made his own wine, cure was brioschi & whiskey.
08/17/09 @ 8:46 pm
possee [Member] writes:
Crusader

You should be a health care advocate..

Meanwhile we should meet here on Cape

Email me

you too Buzz..

possee
08/17/09 @ 8:58 pm
crusader [Member] writes:
Buzz,

Regarding the bio-medical companies in the area. A very wealthy billionaire just donated 100 million to a Cancer Facility that is being built as we speak. It's been in the news. Maybe this is finally the breakthrough we have needed. Only time will tell. I'm sorry to be such a pessimist but the only thing I see are big paying jobs for scientists and administrators to brag about all they can and will do with no real results. I've known more than a few people, some family members who have gone through months of agonizing treatments without any success. As an admitting clerk, I had to interview a woman on her death bed, consumed by metastatic cancer which began as ovarian cancer and spread so rapidly, there was no time to stop it. Presently, I have a family member who has been diagnosed with lung cancer (one of the worst) and so far there is no indication of prognosis. His wife had another form of it and so far she's okay. Someone else I know insisted on both chemo and radiation to increase her chances of survival.

They get their grants, donations, but it's all a crap shoot.
08/17/09 @ 9:05 pm
crusader [Member] writes:
Buzz,

They must perform their many experiments and even at that, there are no guarantees. Some drugs kill and well as alter our bodies in such ways that we can acquire other ailments. My own mother requires medication for depression and since those drugs were introduced, she has developed high blood pressure and diabetes she never had before. It has even come out that one of the drugs does in fact cause high blood pressure and stroke in some of the patients prescribed. I try to follow her care very closely. Now the doctors keep trying new drugs on her and I wonder if our elder have become the newest way to find out the success rate of their latest potions.

She's now 80 years old and doing okay, but you know, if I had to live on drugs just to exist, I'd rather not. Most of our elderly who are stuck in these place have greatly diminished quality of life. It's one thing if you can still live at home and have your mind, can do simple things to get by. But I've moved her 3 times in two years because the doc's messed up her meds and the effects were very bad to her mental well being.
08/17/09 @ 9:12 pm
crusader [Member] writes:
Buzz,

It's a terrible conflict when you see your parent just whither away. Honestly, I don't know what the answer is for our elderly, but I think that assisted living with less drugs would be a better alternative. But you know what it takes? About 6-8k a month. My brother lived at the one in Cohasset for about 6 years. He had the savings so it was okay, but he wasn't happy there, he wanted to be in his home in Dennisport where I spent every summer. Another family member thought it was a great place. For the most part it was, but still it's never home. In many other countries, the elders stay at home with the wife and other family members all pitch in to care for them.

Not here. We're all too busy working 60-70 hour work weeks just to get by.

08/17/09 @ 9:19 pm
crusader [Member] writes:
Buzz,

I tried looking up.."benefits of holistic remedies instead of synthetic drugs"...you know what I got?

An article on holistic alternatives to Viagra.

So that's where the patriarchal mind set is at--where else, need I say more?
08/17/09 @ 9:37 pm
crusader [Member] writes:
LOL..possee, thanks for your moral support. It's just what I know. I'm a real nature girl at heart, but got hooked on city living somehow. It's just in my blood I guess. Sometimes we must unleash our buried intuitions to find the right roads and not listen to the static that can otherwise consume us. The talking heads, the propaganda of clever marketing campaigns by those seeking only to profit, not to provide quality services to those in need--that's what is really going on in many venues.

Generations before us have been taught to put their doctors on pedestals, to never question or debate treatments or surgical procedures. I'm telling you they are like everyone else and in some cases worse. A bad doctor is like a corrupt politician--they look good on the outside, that's about it. The advantage to being a nurse is you really get to know who the good ones are and who are the ones to stay away from. There are many problems within the current healthcare system, but I'd have to say that the common denominator among all the branches is GREED. Another part of our system that has failed.
08/18/09 @ 8:56 am
Ned [Member] writes:
Cru I would caution you not to Feed the Trolls. You're not getting paid for your time and you simply give them more to 'respond' to. This is war, make no mistake. Despite these overtures of friendship from them over the years... there's still never been a face-to-face, has there?
08/18/09 @ 11:14 am
crusader [Member] writes:
Hey Neddy,

Just putting in my perspective since there seem to be so many uninformed. Statistical rates on cancer survivors are compiled by what agency? The very one who gains from the inefficient treatments and kickbacks? I've seen and heard more than I want to realize-- those running this country are just hell bent on only one thing--the bottom line. Healthcare is right up on the top of the list, wallstreet trading on corporations making money off the slave labor in prisons filled with many arrested for non-violent offenders, the oil hogging car industry, energy that has yet to go green, but will also be too high priced to benefit you or I, war on drugs--is another illusion. The only war is the one you don't see. It's hidden behind the fascists who run the country.

Neddy, I can't stand ignorance and the sheep who continually flock to the slaughter house.

I really wish there were a team of politicians in DC who would grow some and put this country back were it needs to be. The rich keep getting richer and the poor and middle class keep losing, Neddy. Where the hell is justice.
08/18/09 @ 11:51 am
Ned [Member] writes:
Hi Cru It's been a good thing marrying into a Unitarian family as I did... hearing how it's all about 'being on the right side of history'. Single Payer is in a direct line of Social Justice from the American Revolution, to the Abolition of Slavery, to Female Suffrage. And Massachusetts usually leads the way. It's going to be a long struggle, but those who oppose it won't be remembered kindly.

08/18/09 @ 12:02 pm
crusader [Member] writes:
Hey Ned,

I hear ya. Well, in just a few weeks, I'll be flying high in the sky and be off to my next journey. My very own, "Under the Tuscan Sun"...LOL.
08/19/09 @ 6:29 pm
Buzz [Member] writes:
From todays Toronto Sun:

Vancouver patients needing neurosurgery, treatment for vascular diseases and other medically necessary procedures can expect to wait longer for care, NDP health critic Adrian Dix said Monday.

Dix said a Vancouver Coastal Health Authority document shows it is considering chopping more than 6,000 surgeries in an effort to make up for a dramatic budgetary shortfall that could reach $200 million.
08/19/09 @ 7:48 pm
crusader [Member] writes:
Buzz,

Close down saturated oil factories (fastfood) clogging up the arteries of 5 year old's. It starts there. Everyone needs to get off their butts and walk 2-3 miles a day. You want good health, you have to work for it. How many American's working in offices don't get enough exercise? Sitting in a chair all day can be hazardous to your health unless you exercise sometime during the day. I don't get enough exercise and will be getting back into a regular schedule of walking and riding my bike. Older we get, the more we need. But I eat right and I do work around the house; painting, heavy lifting and gardening. Every bit helps and it's good for the mind to get out and move that body. This society is lazy and that is why we have too many people on prescription drugs. Preventive medicine is the best route. Cigarettes and alcohol are major contributors to our healthcare issues. What would doctors do if people weren't sick? Same applies to lawyers. If we took drugs off the streets we would need less officers, lawyers. So, keep on that treadmill, Buzz! Maybe the blood pressure will drop.
08/24/09 @ 10:10 pm
CC Rockhopper [Member] writes:
buzz; Food for thought, First when thinking about health care coverage, everyone want to blame the Insurance companies. however Most ins. comp. I know will pay for a trip to the moon if 2 things are applicable 1) If the service is Medically necessary, I dont think anyone will argue with that, and 2) if the company has bought the policy what's it covered. And 2 will always override 1. So with most policies which are group policies, its not the insurance company that is making the rules, this is fact. So saying something isn't covered because of pre-existing is most time NOT the insurance companies issues it the groups that carve these benefits out. Second if they don't to pay for a service they carve it out of the benefits. NOT the insurance company just not covering it for the heck of it. All services cost, if you want the whole kettle of fish, it ain't gonna cost the same as 1 fish. I supporting you Buzz,, Next I have a father in law who is a retired physician, a son looking to go into medicine, an uncle and his nephew in medicine, NOT a one supports this program. Continued ,,,
08/24/09 @ 10:19 pm
CC Rockhopper [Member] writes:
They have a combined years of over 250 years of, from General Practice to Cardiology, Podiatry, and a few others, (how come I come from the poor side, the preacher side ouch). Each one will tell you just look at the red tape they have to go through with Medicare. They as well as many of their friends will either take early retirement or not go into practice at all because of the mounting red tape worst then Medicare and at less money at the cost of Meat market practicing. One of the biggest things that could happen is pass Mal-Practice Caps, We in this sue happy society feel we all need to get rich at someone elses honest mistakes. Doctors are humans not gods. Second cap advertising budgets on drugs, where do you thing most of the RX costs come from now days,, research yes is one but advertising budgets are a sin. Last it would be cheaper to just pay for those who honestly can afford ins and let the 83% of the rest of us alone and leave my over taxed pocket alone,, Thank you
08/24/09 @ 10:23 pm
Ana Paulina [Member] writes:
The red tape is rolling, new medical forms to fill out at your next visit.
08/24/09 @ 10:31 pm
CC Rockhopper [Member] writes:
last comment,, those who Honestly can NOT afford insurance and let the 83% of the rest of us who have and are moderately to very happy with what we have,, alone.. Sorry for the spellings and type O's the faster I type and madder I get about this, my brain thinks faster then my fingers can type..
08/24/09 @ 11:14 pm
Ana Paulina [Member] writes:
We live in a shallow time.
08/25/09 @ 3:48 pm
Mary [Member] writes:
CC Rockhopper: The ony service that the insurers provide is collecting our premiums each month. They serve NO useful purpose. Why not have a system that lets the patient and the doctor deal directly with each other? After the doctor gives the care that as a human being trained to be a medical professional he believes best meets the patient’s needs, he can then via computer send the bill to the government. If the doctor is not paid within 30 days, interest will be added to his fee. It is simple and straightforward and would save a heckuva lot of money.
08/26/09 @ 2:27 pm
CC Rockhopper [Member] writes:
Mary, you really don't understand insurance do you? that which you speak of the 30 day is already in place with most "major" insurers. second Most doctors and facilities are against what you are proposing. Remember I have not read 1 person who thinks what we have is perfect. But single payer is socializem, and most Americans DONT want that. when the goverment runs things it cost me more, again per Obamha's mouth competition is good it reduces cost, yet he wants to eliminate that. Look at the Canadian system, as someone already noted, there is one hosptial reducing surgeries by 6000 to only those that are life issues, due to the system in such bad shape. Also you make the comment of doctors and patient's dealing with directly with one another. Not sure about your doctors but I talk to mine and they talk each other, call, send letters of updates and Im on and PPO plan. Even when I was on an HMO they did this. The goverment will NOT eliminate problems on this front it will only make it worse, at a higher cost to ALL legal Americans.
08/26/09 @ 9:27 pm
Mary [Member] writes:
CC Rockhopper: So — you say that most Americans would not want single payer because it is socialism. Never mind that it is a more humane and less costly system of delivering health care to everyone in our country. We already have ways of helping people that can be categorized as socialism. One is our Social Security system. It works very well and most recipients would never give it up just because it is socialism!! That would be really stupid.

You say most doctors are against single payer. I asked my doctor if she supported it and she said that she had practiced as a physician in Germany, France and Italy and that she absolutely supported single payer. Many doctors look forward to getting out from under the expense of dealing with all the paperwork. One third of every health care dollar is consumed by the private insurance bureaucracy and paperwork. Your contention that the government will only make things worse and cost more is empty rhetoric.
Please visit these local CapeCodToday sponsors:
Weddings on Cape Cod
Directory of more than 200 wedding professionals with contacts and cost information. (Dennis)
ERA Cape Real Estate
ERA Cape Real Estate LLC. is a locally owned and operated real estate company with 4 offices, East Falmouth, South Yarmouth, West Dennis and Harwichport, and more then 60 Agents across Cape Cod providing premier services for buyers and sellers in our uni (Dennis)
IMPORTANT NOTICE FOR COMMENTORS & BLOGGERS: CapeCodToday now requires a one-time validation of your account email. When logging in or registering for the first time, you will be emailed a link to click that will validate your email and complete your login. The link in the email must be clicked in the same session when you are logged into the site for security purposes (i.e. retrieve the email right away and do not close your web browser).

This is a one-time-only process (or if you change the email on your account), and will help CCToday keep out the spammers. If you cannot validate your email because it is invalid, and you are a legitimate user, feel free to contact us and we will update your account to your current email.

Please Login or Register to leave a comment. There are 3,365 registered commenters!

CapeCodToday requires readers register an account with us in order to post comments. Become a trusted commenter and receive the benefits of posting instantly throughout the site. It's quick and easy!

Please note: If you are a CapeCodToday registered blogger, you can use your blogger login. Your login for the blogs is separate from your CapeCodToday main site login (if you have one).

Previous/Next posts in this blog

About This Blog

Mary Wentworth - Ma(i)niac in Massachussetts
Having been a Democratic candidate for Congress, a paid organizer in the women’s movement, a “no nuker” (it looks like that is going to be a do-over), a fighter for fair taxes, a vehement opponent of war, once a wife and ever a mother, now a columnist and author of a political memoir — you get the picture — I have my opinions.

Are they the same as yours? If not, where do we disagree?  I’m looking forward to hearing from you.

- site sponsors -


CCT Blog Tools

Login to comment or manage your blog:

Username: 

Password:     

Become a CapeCodToday Blogger!

Are you passionate about your community? Do you blog or at least harbor thoughts of doing so?

If so, CapeCodToday.com would like to host your blog on our CapeCodToday weblog publishing platform.

Blog Newsfeed

CapeCodToday uses standard web "newsfeeds" (RSS) to automatically update the latest blog entries in your browser or newsreader.

Use any of the links below in your newsreader or web browser to get "My day" postings delivered to you, or use the RSS icon in your browser's address bar.

RSS 2.0 Atom 0.3