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April 10, 2008 at 23:02:55

Government-run health care in Philadelphia: about as efficient as you'd expect

by Dana Pico     Page 1 of 2 page(s)

http://www.opednews.com

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As y’all know, I have said that I support going to a single-payer health care plan. But I have never said that we’d get better health care out of it, and actually expect our health care system to get worse under such a system.

From Thursday’s Philadelphia Inquirer:

    Long waits cited in city health care¹
    The controller reported an average of five months to see a doctor. One center may be skewing the figures.
    By Kia Gregory, Philadelphia Inquirer Staff Writer

    It takes patients at the city’s health centers an average of more than five months to get an appointment to see a doctor, according to a report released yesterday by the city controller.

    In comparison, it took 15 days to get an appointment in New York City and only seven days in Baltimore, according to the report.

    “Studies show that prevention is oftentimes the best medicine,” City Controller Alan Butkovitz said in releasing the report. “In the case of our health clinics, prevention is on the back burner.”

    Tom Storey, director of ambulatory services for the city’s Department of Public Health, attributes the long average wait time to delays at the Cottman Avenue center in the Northeast.

    “Health Center 10 is certainly our greatest challenge,” Storey said. “We believe it reflects the few choices that people have. There are not other community centers available. There are not a lot of hospitals in that area. In our opinion, it really does reflect a demand for service.”

    There are eight public health-care centers throughout the city, and, according to Health Department data, most of the 85,000 patients who visited them last year were African American and Hispanic adults mired in poverty.

    About half of their 320,000 visits were uninsured.

But, of course, that means that about half did have health insurance.

I can’t quote the whole article, due to copyright restrictions, but the next three paragraphs explain just how well Philadelphia’s public health department serves patients:

    Sitting outside the city health center at Broad and Morris Streets yesterday, Dawn Price, waiting for her ride, was fuming.

    For more than a week, she had been wincing from stomach pain, and she had gone to the center yesterday only to be told to come back Friday.

    The doctor wasn’t in.

The rest of the story contains the defenses of the city’s health department, with the director saying how good the system is, but it’s all bogus. Even the math is bogus: they want to blame the average delay of five months on one particular health care center, out of a total of eight. Unless that one particular center sees fully half of the patients, it’s average waiting time would have to be nine months for the other seven centers to average a wait of only one month. As you increase the percentage of patients seen by the other seven centers, the average wait of the one particularly bad one would have to increase significantly.

Translation: the Inquirer article doesn’t tell us the whole story — which isn’t a surprise.

What a surprise: in a government-run health care system, patients are treated to delay after delay in being seen and treated. Well, that’s what happens in Canada and the United Kingdom and the other socialized medicine countries, isn’t it? Why should we expect the City of Brotherly Love — where half of the public high school students drop out — to do any better?

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Rob Kall is executive editor and publisher of OpEdNews.com, President of Futurehealth, Inc, inventor . He is a frequent Speaker on Politics, Impeachment, The art, science and power of story, heroes and the hero's journey, Positive Psychology, Stress, Biofeedback and a wide range of subjects. He is a campaign consultant specializing in tapping the power of stories for issue positioning, stump speeches and debates. He recently retired as organizer of several conferences, including StoryCon, the Su...

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Rob KallRob Kall is executive editor and publisher of OpEdNews.com, President of Futurehealth, Inc, inventor . He is a frequent Speaker on Politics, Impeachment, The art, science and power of story, heroes and the hero's journey, Positive Psychology, Stress, Biofeedback and a wide range of subjects. He is a campaign consultant specializing in tapping the power of stories for issue positioning, stump speeches and debates. He recently retired as organizer of several conferences, including StoryCon, the Su...

to see more of bio, click on member name

sigh

As Dick Cheney said, "So?"

Why not compare meals at the most expensive restaurant with meals eaten by welfare recipients? A health care system for the poor will certainly not look like a system for everyone.

It sounds like Philly is using what funds it can to help people without any other safety net. It is immoral and shameful that the state of PA does not care for its own, adequately and that the nation does not.

Your article just proves the need for universal health care for all. Every other G7 Industrialized nation provides this core service that any civilized, humane society should provide. There is NO excuse for the US not doing it.  And the halfway measures that Clinton and Obama offer are not good enough.

by Rob Kall (722 articles, 3752 quicklinks, 305 diaries, 1491 comments) on Friday, April 11, 2008 at 5:34:07 AM
 


Darren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

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Darren WolfeDarren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

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"Sigh" is right

Rob,

Wouldn't it be smarter to reverse philly's ridiculous tax structure, bloated government, & business climate so the economy can recover & people could afford healthcare there? Instead you propose doing exactly what will make Philly poorer, more gov expence, which means more taxes, which means more poverty.

To make healthcare more affordable how about stopping the government's paying for 1/2 of all medical care in this country. Pumping that kind of money into the system inevitably rises prices. (Think higher education.)

Since healthcare is the coming together of three of the most regulated industries there are (medical, pharmceutical, & insurance) it's no wonder that it's in crisis. Let free markets work & you'll see it turn around.

Healing America: The Free Market Instead of Government Health Care

by Darren Wolfe (2 articles, 63 quicklinks, 39 diaries, 367 comments) on Friday, April 11, 2008 at 1:15:24 PM
 


Editor of Common Sense Political Thought, mostly Republican (but not always), mostly conservative (but again, not always), always interesting.
Dana PicoEditor of Common Sense Political Thought, mostly Republican (but not always), mostly conservative (but again, not always), always interesting.

n the developed nations that do have universal health care .

.  .  . coverage, you see the same types of things.  In our neighbors to the north, a referral to a specialist has an average wait of between 14 weeks in the best province, to over half a year in a couple of them.  Take a trip across the pond, and you'll find where some regions of the British National Health Service have been ordered by the government to delay appointments for eight weeks, all because of the money.

Let's be brutally honest here: there is no free ride, and universal health care coverage, whether an idiotic plan like Mrs Clintons or a single payer system, is going to cost huge amounts of money and provide far worse service than that to which we are accustomed.

You live near Philly; if you listen to the radio, you've certainly heard the commercials for centers suggesting you come in for a "baseline" MRI.  We've got scads of MRI machines, purchased to make a profit, while in Canada, if you need an MR through the government health care system, the average wait is six weeks.

Look at the city oovernment in Philadelphia, Mr Kall: they foul up virtually everything! The city fathers may be well intentioned, they may be "progressive," they may want onlty the best for the citizens of Philadelphia, but they couldn't manage a one-employee video store.

You complain that Philadelphia is doing all that it can with limited resources.  Well, the city taxes and taxes and taxes some more, trying everything it can to suck money out of commuters, and all that they do is drive people and businesses out of the city. 

 

 

by Dana Pico (5 articles, 0 quicklinks, 4 diaries, 135 comments) on Friday, April 11, 2008 at 8:05:52 PM
 


I have been an advertising executive most of my career with a long-time interest in progressive politics and journalism. My current primary goal is to help bring single-payer healthcare to Pennsylvania and the country.
Jerry PolicoffI have been an advertising executive most of my career with a long-time interest in progressive politics and journalism. My current primary goal is to help bring single-payer healthcare to Pennsylvania and the country.

What has this to do with single-payer?

Your comments indicate that you are clueless about what single-payer healthcare is. If we had it the horrendous conditions outlined in that article would be a thing of the past.

What single-payer does is to give all our citizens access to private healthcare by creating a government apparatus to administer the mechanism by which the deliverers of healthcare are compensated. It is a good thing that the City of Philadelphia has clinics to help the poor who often must do without healthcare, but obviously they are poorly funded. Under a single-payer system those clinics would get paid for the care they administer.

Single-payer healthcare is not government-run healthcare. It is privately delivered healthcare that is publicly funded. There is a huge difference. Perhaps you should learn a little more about the subject before you write about it further. Your good intentions do not make up for the fact that you are spreading disinformation.

by Jerry Policoff (1 articles, 0 quicklinks, 0 diaries, 4 comments) on Friday, April 11, 2008 at 12:29:29 PM
 


Darren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

to see more of bio, click on member name

Darren WolfeDarren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

to see more of bio, click on member name

Government health care

Jerry,

It's true that the first paragraph is a non sequitor, or maybe I should say the article is the non sequitor. That doesn't change the facts presented. Gov health care, whether outright socialism or single payer, don't work. They result in long waits & are terribly expensive.

Here are the resons why: 

Why is Medical Care so Expensive?

 

"Bad Medicine" or Bad Economics?

by Darren Wolfe (2 articles, 63 quicklinks, 39 diaries, 367 comments) on Friday, April 11, 2008 at 1:02:47 PM
 


I have been an advertising executive most of my career with a long-time interest in progressive politics and journalism. My current primary goal is to help bring single-payer healthcare to Pennsylvania and the country.
Jerry PolicoffI have been an advertising executive most of my career with a long-time interest in progressive politics and journalism. My current primary goal is to help bring single-payer healthcare to Pennsylvania and the country.

Bullshit

It works for the rest of the civilized world, and they have healthcare that is better, cheaper, and very often delivered with shorter wait times than we do.  I don't think you have any diea what you are talking about.  Don't waste my time with links.  Explain yourself if you are capable of doing that.

by Jerry Policoff (1 articles, 0 quicklinks, 0 diaries, 4 comments) on Friday, April 11, 2008 at 3:14:55 PM
 


Darren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

to see more of bio, click on member name

Darren WolfeDarren Wolfe is the former Eastern Vice Chair of the Libertarian Party of Pennsylvania. He grew up in Puerto Rico and lived in Venezuela for seven years, including the first year of Chavez' rule.


"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law,' because law is often but the tyrant's will, and always so when it violates the rights of the individual."
...

to see more of bio, click on member name

My aren't we testy, I must be doing something right.

The ones who don't know what they're talking about are those who say that governments are providing good healthcare. I saw in Venezuela how poor the public hospitals were compared to the private ones. Matter of fact, many docs over there volunteer their time at the public hospitals. Something they couldn't do if they weren't making enough in their private practices. This is an example of the private sector saving the socialist sector from itself.

The stories of people waiting for or being denied treatment in Canada are legion. Often money is "saved", but at what cost? Watch this video.

by Darren Wolfe (2 articles, 63 quicklinks, 39 diaries, 367 comments) on Friday, April 11, 2008 at 6:38:24 PM
 


I am a 46 years old,married and have a 16 year old daughter.My hobbies are bicyling, weight training and off road motorcycling.I have lived in a midwestern red state my entire 46 years.Now that I have reached middle age I have become interested in politics and its related fields of study.I dont often think of things being either liberal or conservative,I like to veiw political events in an objective manner and find the agenda or reason that a bill or policy is brought to bear.Simply put seeking ...

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Gary DensonI am a 46 years old,married and have a 16 year old daughter.My hobbies are bicyling, weight training and off road motorcycling.I have lived in a midwestern red state my entire 46 years.Now that I have reached middle age I have become interested in politics and its related fields of study.I dont often think of things being either liberal or conservative,I like to veiw political events in an objective manner and find the agenda or reason that a bill or policy is brought to bear.Simply put seeking ...

to see more of bio, click on member name

Health care

i don't know much about government run health care or single payer health coverage as I have experienced neither. Let me tell you what I have experienced as an insured American using private pay health care. When I go to the doctor very little time is spent with me as a patient, drugs are suggested for any ailments I may have,very seldom do they mention diet or exercise as solutions. I feel the pharmaceutical companies have trained the doctors to basically push their product regardless of actual need. Increasing profits seems to be the main goal of health care providers not the well being of the patient. My family members have gotten good results when procedures requiring hospital stay or surgery most of the time but when they did make a mistake they charged for correcting it and my sister paid the bill and did not sue them. surgeries and procedures are very expensive, this is a problem that gets very little print.

 

by Gary Denson (2 articles, 0 quicklinks, 1 diaries, 193 comments) on Friday, April 11, 2008 at 7:19:16 PM
 

 

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