I found his position weak.
Well at least he was smart enough to know how to take the dran drug! Bill Clinton smoked pot but wasnt smart enough to know he was supposed to inhale!. I bet you believed him when he said that to LOL.
Jim
Well that a was waste of 3 minutes and 49 seconds of my life I'll never get back again.
Let me ask this, if our current medical system is as great as many here would like to lead us believe, then why aren't any of the modern industrial countries that have a socialized medical system rushing to scrap their system and adopt our ‘for profit’ medical system?
And to the members of the board from Canada and Great Britain adding opinions; I’m curious to know how many people you know that can’t get medical coverage? Do you have to tell your doctor you can’t get some recommended procedures done, additional treatments done, or have to decline some prescription drugs because you just can’t afford the cost? How many people do you know who can't get health insurance and have had to declare bankruptcy due to medical bills? How many people do you know with medical insurance that have had to declare bankruptcy because their insurance didn’t cover the procedures needed? How many people do you know that have died waiting for their insurance company to approve a procedure? How many people do you know that have died because they either couldn't afford medical care or couldn't afford prescribed prescription drugs?
How long are the lines for people waiting for medical treatment at clinics? At hospitals? When you go in for treatment, are you first asked “who’s your insurance company?”
I have to ask because I’m getting conflicting information. Are you for the most part happy with the medical treatment being offered in your respective countries? Some members posting here seem to think the socialized medical systems in Canadian and Great Britain are inferior in many ways to what’s offered in the U.S. What are your honest opinions?
Just curious,
By the way, for the shallow minded that will reply "anyone can walk into the emergency ward of a hospital for treatment and not get turned down", you know they do give you a bill for treatment done and they go after you if you don't or can't pay your bill.
IMSA
Your life is probably a series of wasted 3 minutes and 49 seconds! And they don't bill illegal aliens. Tucson Heart Hospital ate $12,500,000 in free services last year. Socialized medicine countries have a higher death rate for all forms of cancer than the US.
I believe the UK NHS system is one of the best in the world. Why? Because the overriding maxim is medical need. At no point does anyone ask if you can pay or how much you earn. But it does have it problems.
If I feel sick I can call my GP and get an appointment for later today or tomorrow. If I feel really sick I can walk into accident and emergency (ER) and get seen by a nurse within about 20 mins.
Here is where the problems can start. You will be assessed as either an emergency case or a non emergency case.
A friend of mine was diagnosed with skin cancer last year. She walked into her GPs surgery about another problem and while she was there she asked the doctor to look at a mole that had changed shape. Within 24 hours she had an appointment with a cancer specialist, within 48 hours she was undergoing surgery to remove the mole. At no point did anyone ask her to pay for anything.
The other side to this is that my father had to wait 2 months for a hip replacement, he was deemed to be a non emergency case.
So there are good points and bad points to the NHS, but in my opinion the good far out way the bad.
While I dont want to get involved in what is an issue for US citizens. I would just like to make a couple of points.
A UK style NHS is probably not the right system for the US, I get the feeling that even most Democrats are a bit too right wing for such a system.
My second points is, as one of the most wealthy and advanced countries in the world not having free health care for ALL your citizens is a pretty poor show. Capitalism and social responsibility are not mutually exclusive. Denying access to basic health care based on a persons ability to pay is not what one would expect from the wealthiest nation on earth, especially one that holds its self out to be a beacon to the free world.
Guys,
Just a few more thoughts on the differences between Europe and the USA:
- Your forefathers went to the new world for opportunity, freedom from religious oppression, and government intervention
- With opportunity, they thrived and built a very rich nation with a middle class that was the envy of the world
- socialism was seen by the most left wing Americans (like my forefathers from Italy) as good for those in need only (read no welfare except for those who could not work)
- we all believed that if you want to eat, you have to work
Can I restate the issue: The problem is not a lack of health care, but a lack of jobs which pay for the health care. The U.S. has outsourced too many jobs to Mexico and China and imports far too many goods and now services that it produces insufficient jobs to fund its social programs (which are not small). In fact one of my conservative friends said that Geitner (Sec of the Treasury) cannot sell U.S. Government T bills to the Chinese any longer. In any way shape or form, people have to pay for health care in the form of insurance, up front charges, or after delivery.
I somewhat agree. Yes there's excellent health care in the US, if you can afford it, but due to increased costs, a continued stagnation in wages, health care has become too expensive for an increasing percentage of the population. In my opinion, the whole mess started when health care became a for profit industry.
FYI, and someone from Illinois can clarify this for me. Cook County has:
- the highest sales tax in the country (10.25%) and much goes to fund the County run hospital which provides free health care
- very high real estate taxes
- a state income tax
- and on and on
I'll bet the citizens of Illinois pay close to 50% in total taxes. A friend from Silicone Valley said the same about California taxation.
Well, here are a few responses:
- yes, the NHS may not prescribe the latest, most effective (read expensive) drug for a condition. Yes the NHS may not give you what you want as the most effective medication
- yes, an Osteopath friend of mine said that the UK is looking to reform the NHS with an Australian type system
- a GP friend said that the NHS is good with emergencies, but cronic illnesses are a problem, and one has to wait along time for say a hip replacement
- you folks proposing a U.S. NHS always talk about people going bankrupt even with insurance. Do you know anyone who has been in this position, and what kind of insurance do they have? Is it some inexpensive cover?
- How many people have died in the US because insurance companies have not approved procedures? I can't imagine many, can you quote an accurate figure?
- How many people have died because because they couldn't afford cover or drugs? Any real numbers here?
Actually, I have experience with the UK, Italy (both NHS type systems), Germany, Belgium, employer and private sponsored U.S. health cover.
The best system is the German system, where:
- it is against the law to not be insured once you turn 18
- you carry your insurance carrier until retirment when a Medicare style system is in place
- you split your coverage 50/50 with your employer
- you take your coverage with you when you change jobs
- the hospitals and doctors are private, and invoice the insurance companies
- the hospitals are well run, clean and modestly priced compared to the USA
- insurance is not cheap and gets more expensive when the insured get older
- doctors can do far more procedures in office than they can in the UK
With nationalized systems, yes, you can see the doctor. My local GP surgery is virtually empty, and when asked why, he said: "everyone just goes to the emergency room, and we just monitor the patients."
I don't know who you are Mr. IMSA, and would apprciate knowing your name, and what you do for a living.
Right now in the USA, you pay about 7.5% employee and employer contribution. That gives a decent Social Security payment when you retire and a $400 / week unemployment payment for 12 months.
Here in the UK, I pay 8,5% and my employer pays 12,5% of my gross for National Insurance which covers a £12/day unemployment payment for 6 months, and a max of £150/week max payment (after 40 years of service). That's why 15 years ago, private pension plans were started. Guess what, the Prime Minister, when he was Chancellor of the Excheker, decided to tax these funds to pay for his programs. Guess what, these private funds have not performed well, and the UK is in deep financial doo doo.
The NHS cost is 8% of GDP, which equates to £100 billion (numbers I remember from the past 12 months). The UK has 60 million people. If you multiply that by 5, that means roughly $1 trillion (subject to exchange rates) and 300 million people (just to compare the UK with the U.S.). Doctors make something like £100K per annum, and their malpractice insurance is something less than £5000 per annum. A far cry from the $250K U.S. doctors pay.
I almost lost my lower leg in the Italian NHS due to negligence, and vertually everyone I know finds something wrong with national health.
I am not opposed to health care reform, and the U.S. can come up with a block buster program that will set the global standards.
But the only proposal in Congress doesn't address the high costs. I expect that with the 50 million uninsured (at $2,5 trillion total costs for 85% insured), the cost will be something like $500 billion per annum (maybe less if people are younger).
But if you:
- legislate all people must be insured from 18 on their own policy and forbid people from taking their luck with their health because they want extra money in their pockets
- sell insurance across state lines
- reform the tort laws
- set up buying groups to source drugs
- force the 35% of supersized people to to reduce their weight and demands on the health care system
the issues you describe can be substantially reduced.
The UK health care system is a bottomless pit (to quote my doctor friend), and he prefers a private system. The UK has not managed health care well, and we have alot of useless politicans in the system. The UK has over 500 MPs. With the 5x multiple for the U.S., then that would make some 3000+. All trying to make their mark.
All of my doctor friends all understand that reason for high health care costs in the USA, its about:
- redundent procedures
- high mal practice insurance
- hideously high education costs and lost income in the early years
I would support health care reform is other options were on the table. But sadly nothing else is.
Also, do you know if Mr. Obama will release his birth certificate by 15 Sept. 2009?
I agree with Dom, the major problem with the expense of US. healthcare is the fact we have no jobs to pay for it. By exporting jobs to foreign nations, and allowing a large population of undocumented workers and their families to take adavantage of our social services, we keep slicing the pie of available dollars to thin.
If we took a more conservative look at our social systems, and our immigration and citizenship programs, we would be able to stop alot of wasteful spending. Then maybe free healthcare wouldn't be a big deal.
Take care fellows, and I am currently un-insured.
Socialized medicine countries have a higher death rate for all forms of cancer than the US.