John McCain's health care advisor gave us a glimpse at the complete absence of understanding of healthcare we have come to expect from Republicans and carried it to new extermes (actually Bush beat him to it but the MSM wasn't very interested.)
John Goodman's statement last week that all those living near an emergency room already have insurance is as ignorant, cruel and wrong as any idea I have heard from anyone, much less a so called expert. I am a physician who has been involved in medicine for the past fifty years. I have seen Medicare evolve and have seen the present insurance system ruin the application of modern medicine. Instead of doing good, it has turned medicine into a profit center for business types and lawyers and over the years has left physicians wondering what happened to their control of medicine.
These days it is proper to call those I have always called patients their new name: CLIENTS. Another way to insert more distance between patients and physicians and show that medicine is just another business. It is not another business to me and most physicians. I remember the days when hospital administrators and physicians were on the same side. Now administrators are called CEOs and you know what that means. Medical education takes too long and consumes too much for anyone to try it for money alone. Most physicians do pretty well but work 50-100 hours per week. The reward in medicine comes from the patients and the science. It is a calling and a way of life, not a job. I truly resent some novice running for president without understanding of the basics or the problem thinking he or his trained monkey is an expert.
1. The US is at the bottom of industrialized countries in health care. Several numbers have been published but lower than number 40 is not far wrong. It wasn't this way before greedy people saw dollar signs. It is measured by comparing longevity, neonatal mortality, access to care, chronic illness and other parameters. America does however, lead in one area: cost. Politicians and business types like to criticize for one reason or another countries that include Britain, Canada, France and Scandinavian countries. They all do much better than we at a much lower cost. This includes the UK with its socialized program who provides better care at near half the cost. This is serious stuff and the bottom line figures are important.
2. Emergency rooms are there for, guess what, EMERGENCIES, not routine care. Crowding them as a free clinic hinders their true function. Also care provided by an emergency room is among the costliest way to administer care. I'm sure these "experts have not even talked with emergency room professionals before making these idiotic statements.
3. Emergency rooms cannot do preventative health care such as blood pressure regulation that takes multiple visits and medication changes. End results of hypertension produce some of the most expensive parts of crisis care. There is high morbidity and death and these usually can be easily controlled. It is criminal to allow people to suffer these consequenses because even though they work hard they cannot afford medicine and care. Screening modalities such as mammograms and colonoscopies also are not available through emergency rooms. I am on the recovering end of treatment of cancer of the colon because I had access to colonoscopy and this is not available through emergency rooms. Only after a patient bleeds out or obstructs does this become an emergency and then it is too late and very expensive not to mention the suffering for the patient (non-client) and family.
4. John Goodman and Sen. McCain are clearly in the elite class where health care and drugs are not a problem,with or without insurance. We have a president who has made the same asanine statement about emergency rooms and has whined on and on about so called socialized medicine, but both he and the vice president have no problem accepting true socialized medicine at The US naval Medical Center or Walter Reed. It is only the middle class and poor that they want to protect from Universal medicine. In truth the main sources of socialized medicine in the US are the military and the VA systems. Medicare and State run health care programs for citizens are like the provincial system in Canada where the care is provided by private physicians and hospitals with cost limits for charges.
5. The US is the only industrial nation without health care for all. It is a damning sign of where our Nation is going that the can watch with a sneer while children and adults suffer a lack of simple care when we squander hard earned tax dollars on bridges to nowhere, ball fields and on wars started to generate a flow of our National treasure to elite political friends. I don't see how a person with conscience or a religious or moral background can pass laws and supposedly run our Country and be so callus, mean, hard hearted and elitist to not see the pain and suffering that is obvious if you don't live in an ivory tower and ride with a driver in a long car, the brand of which you don't know and can't remember which home you want to be driven to.
6. The private payers of health care have an overhead of between 20% and 30%. Medicare is run on a 3% overhead. The other 27% goes to shareholders and bigwigs that do nothing but skim off the top. It has been said by McCain and Bush as well as other Republicans that you don't want a bureaucrat making healthcare decisions. Where have these fools been for these last few decades? Private PPOs, HMOs and most of this alphabet soup have numerous restrictions of physician and hospitals. You must get clearance and approval and then some try to slow payment to get the float by making requirements for information, denial and other stumbling blocks. All these require physician time and large insurance departments to handle the insurance forms from thousands of providers all with different payments and requirements. It is a nightmare all to drain 30% of your healthcare dollar without providing even one ounce of care to you.
Let me tell you of my recent cancer experience using Medicare and AARP for my recent colon cancer treatment. I have no idea of the total cost but I have not had to deal with any bureaucrat; payments have been made on time and I get a statement of what has been paid. I have had no problems. I know my physicians get less that charged but they have the right to drop out. The smoothness of the system, the prompt payments, the lack of hassles and knowing the system make it worth while. It is pretty obvious why the Republicans like the present system that puts insurance companies first at the expense of all of us and gives the lawmakers a very nice return. Remember that 30% would go a long way to paying for those left out of the system now.
I am a sixty seven year old retired physician and Navy veteran of the Vietnam era. I have strong feelings about our Constitution and the Bill of Rights and also believe in the words of Patrick Henry: "Give me Liberty or Give me Death."
I am very concerned about my Country as I see it being turned into a fascist dictatorship before my eyes with almost no opposition from citizens.
All I can do is try to educate with articles and mailings.
To be on my e-mailing list just email me your e-address.
And let me add that if it is bad from the traditional physical medicine side, it is even worse from the mental health side.
I was a private practice psychologist in a rural and underserved area for over 15 years when the state turned our Medicaid system over to three managed care companies. The time involved to do the extra paperwork, the time away from patients, and the constantly lowering returns drove me out of business. The day I closed we got two pieces of mail- One was a check for a partial payment on work done 6 months prior, and the other a copy of a contract I signed a year earlier saying that "Now you can see our clients!"
I now work for the Army, doing socialised medicine and have a much simpler life.
by
Frank Gordon (1 articles, 0 quicklinks, 0 diaries, 4 comments)
on Tuesday, September 9, 2008 at 7:15:57 AM
A vote for McCain/Palin is a vote for health 'crisis'...
Comment from Ratings:
A vote for McCain/Palin is a vote for 'health crisis,' not health care. How many more millions pouring into our underfunded, understaffed, over-extended emergency medicine system will it take to break it completely? "I am only as healthy as my neighbor" should be an American mantra.
If we keep screwing around and let a major portion of our population walk around sick and ailing, we will end up with a health care nightmare in the form of emergent or re-emergent diseases such as tuberculosis. Perhaps a major outbreak or plague within an industrialized nation such as the US, is what will be required to emphasize the relevance of "borderless" health policy perspectives. Other countries with universal health care systems are way ahead of the 8-ball when it comes to early detection and treatment of diseases that threaten the entire populus - especially children and the elderly. If the US continues to abuse highly trained emergency medicine doctors and professionals, they will kill the 'specialty.' These individuals did not train all those extra years to be in 'family practice'
Sheer greed of the insurance lobbyists and the 'free-market' devotees will ultimately end up killing millions of taxpayers. It's only a matter of time. Our government is broke. You would think it would be in the US best interests to ensure every citizen is as healthy, competitive, and productive as can be.
Apparently John McCain and his Republicans respect all capital, except "human" capital. But of course, a millionaire many times over, McCain enjoys the best health care insurance in America compliments of the taxpayers. McCain feeds at the federal tit as a Senator, but doesn't want anybody else tugging on his feed sack.
by
Amanda Lang (23 articles, 13880 quicklinks, 431 diaries, 593 comments)
on Tuesday, September 9, 2008 at 8:24:03 AM
Some of my friends have just gone through Nursing school programs and I remember discussing the change in the curriculum with them where they no longer call them "Patients" but rather "Clients". I remember remarking about how odd that seemed.
Your article turned the "light bulb" on. Of course they call them "Clients" instead of "Patients" because hospitals in this country are now "for-profit" businesses.
It is in the best interests of the hospital to have doctors and nurses dehumanize the person and to see the "Client" for nothing more than a money making opportunity.
by
E. Nelson (27 articles, 2 quicklinks, 24 diaries, 289 comments)
on Tuesday, September 9, 2008 at 10:06:56 AM
Everyone in the U.S. should pay attention to Mark Green's proposal for Universal Health Care. It is the most rational idea advanced and Mark includes a strategy for initiating it. Posted here a few days ago.
by
Bryan Emmel (0 articles, 0 quicklinks, 0 diaries, 226 comments)
on Wednesday, September 10, 2008 at 12:56:38 AM
6 comments
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