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| Re: The Villages are ALL Missing Their Idiots |
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Group: nashville.general · Group Profile
Author: David MoffittDavid Moffitt Date: Oct 9, 2007 11:54
"Olin" comcast.net> wrote in message
news:Xu6dnXtc3JdDYpfanZ2dnUVZ_gydnZ2d@comcast.com...
|
| "David Moffitt" stompingweasels.org> wrote in message
| news:13glr95d82n2l92@corp.supernews.com...
| >
| > "Olin" comcast.net> wrote in message
| > news:5eudnQRkSLrR7JfanZ2dnUVZ_tqtnZ2d@comcast.com...
| > |
| > | "David Moffitt" stompingweasels.org> wrote in message
| > | news:13gko111urcsa68@corp.supernews.com...
| > | >
| > | > "Olin" comcast.net> wrote in message
| > | > news:uK2dnTyb06PnCpTanZ2dnUVZ_rGrnZ2d@comcast.com...
| > | > |
| > | > | "David Moffitt" stompingweasels.org> wrote in message
| > | > | news:13gcm4kkg4nmj11@corp.supernews.com...
| > | > | >
| > | > | > "Olin" comcast.net> wrote in message
| > | > | > news:YOGdnX41K_UrqpvanZ2dnUVZ_h-vnZ2d@comcast.com...
| > | > | > |
| > | > | > | "David Moffitt" stompingweasels.org> wrote in
message
| > | > | > | news:13gbh74qlbt3359@corp.supernews.com...
| > | > | > | >
| > | > | > | > "Olin" comcast.net> wrote in message
| > | > | > | > news:RtednZ6SwuULMZjanZ2dnUVZ_sKqnZ2d@comcast.com...
| > | > | > | > |
| > | > | > | > | "David Moffitt" stompingweasels.org> wrote in
| > message
| > | > | > | > | >
| > | > | > | > | > Walk into any emergency room tonight and see who is
| > sitting
| > | > there
| > | > | > | > waiting
| > | > | > | > | > to
| > | > | > | > | > be seen. Who do you think is picking up the tab for the
| > | > healthcare
| > | > | > of
| > | > | > | > all
| > | > | > | > | > of
| > | > | > | > | > the illegals you sitting there? You are. They are well
| > aware
| > | > that
| > | > | > they
| > | > | > | > | > will
| > | > | > | > | > get their healthcare free. (to them)
| > | > | > | > | >
| > | > | > | > |
| > | > | > | > | And you know what?
| > | > | > | >
| > | > | > | > I worked in healthcare. And you know what about it beyong
| > | > kneejerking?
| > | > | > | >
| > | > | > |
| > | > | > | Too many years covering health issues as a reporter and way
too
| > many
| > | > | > years
| > | > | > | working in and around the health insurance industry.
| > | > | >
| > | > | > I sold insurance before going to college and getting an honest
| > | > vocation.
| > | > | >
| > | > |
| > | > | Yet, these are the people who are currently in charge of health
| > care,
| > | > and
| > | > | apparently the people many would like to see remain in charge of
| > health
| > | > | care.
| > | > |
| > | > | Curious, that.
| > | >
| > | > I don't like it either. You want to just change the controller.
| > | >
| > |
| > | And you apparenty don't.
| >
| > Not to federal government control. They cannot run the VA Hospital
system
| > much less all of healthcare.
| >
|
| Then, who? What you have now is effectively the same thing, and it just
| might be easier (stress might) to effect pressure on lawmakers with some
| semblance of federal control. Number one, the insurance companies are
still
| gonna be mostly in control, but as we've all seen they're now totally in
| control and effecting every single bugaboo the opponents of any kind of
| national insurance plan, system or whatever you want to call it, virtually
| without oversight from anybody.
There is a tremendous amount of federal oversight now. The federal
government controls when and where you can open a hospital and how many beds
it can contain.
|
| Ya really think the free market has any impact there? Not with the
insurance
| giants holding their fingers in both ears and crying, "We can't hear
| youuuuuu!"
|
| They've effectively convinced even the providers that the whole problem is
| all those sick people just overusing the resource.
|
| Take your pick... it's gonna either be increased federal regulation or
still
| more control by an industry that has shown clearly that it cares
absolutely
| nothing about its policy holders.
There is no easy answer but having the federal government in total control
is not the answer.
|
| Hell, the pharmaceuticals (hardly known for their altruism) and Wal-Mart
| (along with a few other pharmacies) are doing far more to help control
| medical costs than the insurance carriers, hospitals and doctors, and
| they're NOT doing it by just yelling, "Deny! Deny! Deny!"
|
| What you have is a system that is broken, and it's not likely to ever be
| fixed by allowing it to police itself.
|
| What level of public (as in government if you prefer) is required, I have
no
| idea, but continuing to allow the fox to guard the henhouse is nothing
more
| than and admission that Richard Nixon was right when he said how much he
| loved managed care plans which increased profit by giving less care.
Managed healthcare has saved the consumer a lot of money. Would you like an
example?
|
| And the folks who continue to oppose national health care because they
fear
| not being able to choose the doctor they want really need to read their
| policies. It's entirely possible right now that this will happen to you,
| even with a doctor you've spent years doing business with.
|
| Frankly, I'd be satisfied with legislation that simply requires insurance
| carriers to live by the words in their policies. I'd even allow them to
| continue to write those policies in the impossibly convoluted legalese
they
| have employed for years. There are lawyers who can read that crap and will
| gladly oppose them in court that already know how to beat them at their
own
| game.
|
| Of course, much of our governmental effort these past several years has
been
| to pass legislation limiting your ability to fight your carrier, even when
| it can be proven beyond even a shadow of doubt, never mind the legal
terms,
| "preponderance of the evidence" or "reasonable doubt," that either the
| carrier, the doctor, the hospital or some combination screwed the pooch.
|
| And even the "get something for nothing" argument has now carried over to
| patients expecting their policies to cover what they say they'll cover, so
| I'm guessing the current plan is to pay your premiums and never mind
getting
| anything paid for, as stipulated in the policy, at all.
|
| Why would one NOT want to change that controller?
I'll make it simple: Under the current system if the hospital or doctor
makes a mistake can you sue them? Yes. Your insurance company will even
supply a lawyer. Under the current system if the VA hospital or doctor makes
a mistake can you sue them? No. Do you really want to lower healthcare
costs? Push for tort reforms. (the lawyer lobby will not hear of it)
|
| >
| > |
| > | > |
| > | > | > |
| > | > | > | > I care a whole lot less about that than I do the simple
| > | > | > | > | fact that our governmental policies, laws, insurance
| > carriers
| > | > and
| > | > | > | > medical
| > | > | > | > | providers are, and have been, turning citizens away in
| > droves
| > | > for
| > | > | > far
| > | > | > | > more
| > | > | > | > | years than this "crisis," wholly manufactured by Karl Rove
| > and
| > | > | > legions
| > | > | > | > of
| > | > | > | > | people who seem to live for nothing other than denigrating
| > whole
| > | > | > classes
| > | > | > | > of
| > | > | > | > | other people.
| > | > | > | > |
| > | > | > | > | I lost a singing partner several years ago in Austin
because
| > she
| > | > | > made
| > | > | > | > too
| > | > | > | > | much money as a teacher to qualify for the MD Anderson
free
| > | > cancer
| > | > | > | > treatment
| > | > | > | >
| > | > | > | > May God rest her soul.
| > | > | > | >
| > | > | > |
| > | > | > | Oh, that's sweet.
| > | > | > |
| > | > | > | > | program and her goddamned insurance company would not pay
| > for
| > | > the
| > | > | > | > last-ditch
| > | > | > | > | stem cell procedure to try and halt her non-Hodgkins
| > Lymphoma.
| > | > | > | >
| > | > | > | > It is not an effective treatment especially as a last ditch
| > | > effort.
| > | > | > Too
| > | > | > | > much
| > | > | > | > damage has been done to every system in her body at that
point
| > to
| > | > | > reverse.
| > | > | > | >
| > | > | > |
| > | > | > | No argument, but that ain't the point. It WAS the last chance
to
| > | > save
| > | > | > her
| > | > | > | life. To the point, the care they did provide (though they
left
| > her
| > | > | > holding
| > | > | > | the bag on collection calls because they wouldn't pay the
bills
| > on
| > | > time)
| > | > | > was
| > | > | > | wholly inadequate because non-Hodgkins Lymphoma does not have
to
| > be
| > | > a
| > | > | > fatal
| > | > | > | disease. There are many who manage it quite nicely, long
beyond
| > five
| > | > or
| > | > | > six
| > | > | > | years and without most, if not all, the damage she incurred.
| > | > | > |
| > | > | > | > |
| > | > | > | > | Do not even TRY to tell me that the entirety of our health
| > care
| > | > | > problems
| > | > | > | > and
| > | > | > | > | issues is because Mexicans get health care at an emergency
| > room.
| > | > | > | >
| > | > | > | > I used them as an example. Plenty of native born Americans
do
| > the
| > | > same
| > | > | > | > thing. No there are many problem with our healthcare system
| > and
| > | > | > leaches
| > | > | > on
| > | > | > | > the system are just one of the problems.
| > | > | > | >
| > | > | > |
| > | > | > | Oh yeah... right. It's the sick people who abuse the system.
| > | > | > |
| > | > | > | Do you know anything at all about fraud detection in the
| > insurance
| > | > | > industry?
| > | > | > | There are several automated systems for sale and do you have
any
| > | > idea
| > | > | > what
| > | > | > | the first criteria for detecting potential insurance fraud is?
| > | > | > |
| > | > | > | Filing a claim.
| > | > | > |
| > | > | > | In the eyes of the insurance companies, and to be honest, far
| > too
| > | > many
| > | > | > | health care professionals it's all those sick people who are
| > | > scamming
| > | > | > the
| > | > | > | system, when they should just be paying their premiums and
| > keeping
| > | > their
| > | > | > | mouths shut tight.
| > | > | > |
| > | > | > | > |
| > | > | > | > | Not when BC/BS is sitting on a billion dollars in assets
| > here
| > in
| > | > | > | > Tennessee
| > | > | > | > | alone, much of that money coming from what they're allowed
| > to
| > | > hold
| > | > | > back
| > | > | > | > | against future losses, whether they pay a claim or not AND
| > the
| > | > money
| > | > | > | > they
| > | > | > | > | save by denying claims to AMERICAN citizens.
| > | > | > | > |
| > | > | > | > | Shed me no crocodile tears over a few thousand illegals
| > getting
| > | > | > minimal
| > | > | > | > | health care when, as a society, we are denying even that
to
| > our
| > | > own
| > | > | > | > | citizens... including our veterans. Of course, shoddy
| > veteran
| > | > care
| > | > | > has
| > | > | > | > | always been a black mark on this country, and most others
to
| > be
| > | > | > | > completely
| > | > | > | > | honest.
| > | > | > | >
| > | > | > | > Ah yes the VA health a good example of single payer
healthcare
| > by
| > | > the
| > | > | > | > government. Another good example was TNCare. Both are
examples
| > of
| > | > the
| > | > | > | > government wasting money and giving poor quality care.
| > Healthcare
| > | > is
| > | > | > | > rationed in government controlled facilities.
| > | > | > | >
| > | > | > |
| > | > | > | Again... precisely the point. A promise is made, but not kept.
| > Pray
| > | > | > tell,
| > | > | > | what's the difference between the VA promise to veterans and
| > your
| > | > | > insurance
| > | > | > | carrier's promise to foot the bills as spelled out in the
policy
| > you
| > | > | > | purchase, when neither is ever gonna come to pass?
| > | > | >
| > | > | > Care is greatly delayed with the government since it is put out
to
| > | > bid.
| > | > | >
| > | > |
| > | > | And you think health care is not put out for bid in the current
| > system?
| > | >
| > | > Not in Baptist, St Thomas, Vanderbilt, Southern Hills, Skyline,
| > Summit,
| > | > North Crest or Stone Crest Hospital. It is put out for bid at the VA
| > | > Hospital.
| > | >
| > |
| > | You are dreaming. Baptist, St. Thomas, Vanderbilt, Southern Hills,
| > Summit,
| > | North Crest nor Stone Crest Hospital have little more impact on what
the
| > | insurance carriers (the ones with even more control than the
government
| > | could ever expect to exert, especially since their lobby pretty much
| > owns
| > | government) have to say.
| >
| > (personal expierence) When a patient in any of the above hospitals need
a
| > morphine pump one is brought up from the pharmacy. When a morphine pump
is
| > needed for a VA patient is is let out for bids. In the case of a
Nashville
| > VA patient he got his pain pump 5 days later from Bradleys on Charlotte
| > Pike.
| >
| > |
| > | Save for their ability to whine about what Blue Cross Blue Shield is
| > doing
| > | to them, fee wise.
| >
| > Blue Cross Blue Shield does not govern what medications the patient gets
| > while in the hospital.
| >
|
| Perhaps not, but I seriously doubt they willingly pay NINE BUCKS for a
| Tylenol either, and they surely do restrict what medications you'll
receive
| after discharge... to the point that even if there's no generic available,
| you get to pay full price because you "chose" to take the non-generic
| medication.
|
| And they'll try their best to limit the amount of time you stay in the
| hospital, which is fine and dandy if no complications develop. Few years
| back when my wife had fybroid surgery (and a few years later, a
| hysterectomy), she was only supposed to be in for 24 hours. Luckily, her
| gynecologist/surgeon knew the strings to pull to get her an extra day, but
| from what I've seen lately, most of those strings are no longer there, and
| doctors are reluctant to jeopardize their relationship with the carriers
for
| the benefit of their patients.
|
| > |
| > | Couple years back, Summit got cut out of the BC/BS networks in a fee
| > fight.
| >
| > Yes and I was working for Columbia/HCA at the time. Fees are negociated
| > all
| > of the time between insurance companies and hospitals. I'm sure you have
| > an
| > insurance policy that specifies what hospital and doctor group you can
go
| > to. Didn't you ever wonder why? OTOH Columbia/HCA won.
| >
|
| Yes. I'm aware of that. I'm also aware that the fight lasted close to a
| year, and cost a bunch of people their physicians
|
| And no, I've never wondered why specific docs were listed. It's a signed
| contract for services, something you've claimed that only the feds do with
| the VA.
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