Volnation Fixes Healthcare

#77
#77
YorkVol said:
Again, not the point. Basic standards for licensing should be the same from American Samoa to Maine.
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thats more Federal government involvement. I work in a field with similar rules, every state is different. and I don't see a great reason why it shouldn't be different. I mean from Tennessee to Georgia, yeah probably not. but from FL to WA, you are dealing with completely different demographics.
 
#78
#78
IPleadInsanity said:
Why don't we throw in your retirement account as well? SS is not an entitlement and has nothing to do with healthcare, we paid actual cash into it and now we are going to take it out. No one is going to eliminate it.
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speak for yourself old timer. I am never going to see a dime from SS. and the top down scheme is going to drag this country down, thanks Bush congress.
 
#79
#79
A question that needs to be answered is society comfortable paying for people's bad habits? like most have said the only insurance that should be issued by the .gov is catastrophic coverage. but even still the weight of bad choices will hit, heart attacks for the obese and the like.
 
#80
#80
IPleadInsanity said:
Why don't we throw in your retirement account as well? SS is not an entitlement and has nothing to do with healthcare, we paid actual cash into it and now we are going to take it out. No one is going to eliminate it.
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Works for me. How big do you think my retirement account is?

Are SS payouts equal to what was paid in or can they be massively larger than what was paid in (even adjusted for interest accumulation)? Is the pension model of retirement compatible with the shorter term nature of the current job market? The ethics of having anyone go without healthcare are troubling, too. To me it seems like having broad safety net is the best and most fair answer.
 
#81
#81
Reading through the responses thus far, a couple of notes:

Delaying diagnosis and treatment would be a huge problem if everyone had a high deductible plan. A high percentage of the population would find covering the first circa $4000+ out of pocket nearly impossible. Ex: much cheaper to diagnose an early pneumonia and Rx with oral generic abx than to be admitted to the ICU on IV due to progression.

On the utilization of the ED: huge problem for Medicaid. It's unbelievable how frequent people misuse the ED when it's free. I am in favor of some reasonable copay for Medicaid recipients, and I think it would save TONS of money.

I'm a big fan of HSAs, and I think competition between Insurors is a win for everyone (works in every other free market in the U.S.).

Another vote for massive tort reform.
 
#82
#82
Great post Doc. Thoughts on a copay for end of life care? I.E. to continue heroic measures against a Physicians advice.
 
#83
#83
kiddiedoc said:
Reading through the responses thus far, a couple of notes:

Delaying diagnosis and treatment would be a huge problem if everyone had a high deductible plan. A high percentage of the population would find covering the first circa $4000+ out of pocket nearly impossible. Ex: much cheaper to diagnose an early pneumonia and Rx with oral generic abx than to be admitted to the ICU on IV due to progression.

On the utilization of the ED: huge problem for Medicaid. It's unbelievable how frequent people misuse the ED when it's free. I am in favor of some reasonable copay for Medicaid recipients, and I think it would save TONS of money.

I'm a big fan of HSAs, and I think competition between Insurors is a win for everyone (works in every other free market in the U.S.).

Another vote for massive tort reform.
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Tort reform has almost no effect on medical costs. It just allows bad doctors to remain in a field in which they have no business.
 
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#84
#84
We could eliminate a lot of waste if we didn't require working people to be covered by twice by insurance. Find a way to make it where workman's comp covers you when you are at home or at work. Surely this would save some for companies that pay for employee's healthcare as well.
 
#86
#86
Sandman 423 said:
We could eliminate a lot of waste if we didn't require working people to be covered by twice by insurance. Find a way to make it where workman's comp covers you when you are at home or at work. Surely this would save some for companies that pay for employee's healthcare as well.
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Then workmans comp goes through the roof. Plus it's a liability coverage that bears no resemblance to health insurance.
 
#87
#87
ClearwaterVol said:
Tort reform has almost no effect on medical costs. It just allows bad doctors to remain in a field in which they have no business.
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BULLSHIET!

It is un-bee-lieve-able
the things people sue doctors or PCP groups over. And they KNOW they can often settle out of court.

If fact, in Florida medical lawsuits are so common graduating doctors are avoiding placements there. Experienced doctors are "fleeing". How do I know? My son finishes residency in 5 weeks. My wife is from Florida and she had hoped he would settle there. (He also likes sailing.) What better place to be?

But OH Hell no! Not for a young doctor. They have to carry a crazy level of malpractice insurance there because of BS awards. Young doctors are tenderloins to the wolves down there. They most likely will get sued by some retired snowbird
looking for enough settlement to pay off a Cadillac. But now the doc's got a malpractice on his record. So he startd looking elsewhere in the south and finds a group started by a couple of doctors who became disillusioned by how hard and expensive it is to run an office in Florida. They left, and related to my son how Florida retirees lawsuits are driving all the good docs out.

So now, insurance premiums for Floridians also have to pay for crazy high malpractice premiums for doctors.

Insurance paying for insurance so shyster lawyers can laugh all the way to the bank.
 
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#88
#88
Orangedogsrule said:
BULLSHIET!

It is un-bee-lieve-able
the things people sue doctors or PCP groups over. And they KNOW they can often settle out of court.

If fact, in Florida medical lawsuits are so common graduating doctors are avoiding placements there. Experienced doctors are "fleeing". How do I know? My son finishes residency in 5 weeks. My wife is from Florida and she had hoped he would settle there. (He also likes sailing.) What better place to be?

But OH Hell no! Not for a young doctor. They have to carry a crazy level of malpractice insurance there because of BS awards.

Insurance premiums for Floridians have to pay for crazy high malpractice premiums for doctors.

Insurance paying for insurance so shyster lawyers can stay on VolNation all day long.
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fyp
 
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#89
#89
ClearwaterVol said:
Tort reform has almost no effect on medical costs. It just allows bad doctors to remain in a field in which they have no business.
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This is an unbelievably misinformed opinion.

If you had any idea how heavy the burdens of malpractice coverage and defensive medicine really are, you would change your tune.

Thankfully, I practice in a lower risk field. But, the cost of protecting physicians in OB, neurosurgery, etc is astronomical. It's plenty enough to dissuade graduates from entering those fields and absolutely influences the states they practice in.

Guess who ends up footing the bill?
 
#90
#90
Orangedogsrule said:
BULLSHIET!

It is un-bee-lieve-able
the things people sue doctors or PCP groups over. And they KNOW they can often settle out of court.

If fact, in Florida medical lawsuits are so common graduating doctors are avoiding placements there. Experienced doctors are "fleeing". How do I know? My son finishes residency in 5 weeks. My wife is from Florida and she had hoped he would settle there. (He also likes sailing.) What better place to be?

But OH Hell no! Not for a young doctor. They have to carry a crazy level of malpractice insurance there because of BS awards. Young doctors are tenderloins to the wolves down there. They most likely will get sued by some retired snowbird
looking for enough settlement to pay off a Cadillac. But now the doc's got a malpractice on his record. So he startd looking elsewhere in the south and finds a group started by a couple of doctors who became disillusioned by how hard and expensive it is to run an office in Florida. They left, and related to my son how Florida retirees lawsuits are driving all the good docs out.

So now, insurance premiums for Floridians also have to pay for crazy high malpractice premiums for doctors.

Insurance paying for insurance so shyster lawyers can laugh all the way to the bank.
Click to expand...

I trained in Florida. Depending on his specially, he is probably very wise to stay the hell away. Your assessment is pretty much spot on.
 
#96
#96
Orangedogsrule said:
BULLSHIET!

It is un-bee-lieve-able
the things people sue doctors or PCP groups over. And they KNOW they can often settle out of court.

If fact, in Florida medical lawsuits are so common graduating doctors are avoiding placements there. Experienced doctors are "fleeing". How do I know? My son finishes residency in 5 weeks. My wife is from Florida and she had hoped he would settle there. (He also likes sailing.) What better place to be?

But OH Hell no! Not for a young doctor. They have to carry a crazy level of malpractice insurance there because of BS awards. Young doctors are tenderloins to the wolves down there. They most likely will get sued by some retired snowbird
looking for enough settlement to pay off a Cadillac. But now the doc's got a malpractice on his record. So he startd looking elsewhere in the south and finds a group started by a couple of doctors who became disillusioned by how hard and expensive it is to run an office in Florida. They left, and related to my son how Florida retirees lawsuits are driving all the good docs out.

So now, insurance premiums for Floridians also have to pay for crazy high malpractice premiums for doctors.

Insurance paying for insurance so shyster lawyers can laugh all the way to the bank.
Click to expand...

Tort reform has almost no effect on malpractice insurance. 60% of the states have tort reform and it has not had a significant impact on insurance rates. It does allow crappy doctors to continue practicing. In order to justify the expense of a malpractice action in Florida you need damages well into 6 figures.
 
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