The really scary part is when they (meaning the govt or your present day healthcare) decide YOU aren't worth the cost to repair. With the present day system you at least have an avenue of dispute with the new proposed system there is no avenue of dispute.

Everyone's talking about going forward, I'd really like to see them go backwards to the insurance programs we had just before this new style came into effect. I don't know what the official name was, but in that I could actually pick my doctor so I could use someone I had confidence in plus I could use them enough that they had a file on me. What happened to the family doctor?


On Sep 25, 2009, at 10:37 AM, Bret Dodson wrote:

No, not at all.  I'm a staunch fiscal conservative, thankyouverymuch.

What I'm saying is that the proposals to reform the health insurance industry could keep this sort of bad stuff from happening.

I pay good money for health insurance. I also know that the insurance companies are looking for any excuse to limit what they pay. So what I have is a situation where I am paying for the folks who pay for my treatment to make these cost/benefit decisions. Do you see the conflict of interest here? We already have "death panels". And what's worse is we're paying for profit entities to populate these death panels.

Now, if there was more oversite of just what really is "experimental" and what is a for profit insurance company looking for a way out of funding expensive treatment we'd all come out ahead.

If you bring your kid in with metastatic disease all over his body, you should have to pay for the treatment as you're likely buying him a burial plot.

However if junior has failed treatment at your local hospital and you bring him here where we want to give him approved meds in a new combination that we've been proving for years is successful, should you pay the $75k?

I expect you would because you're all about free market forces and all that (kudos to you), I sure wouldn't want to pay for it, that's what health insurance is for.

Bret

Sent from my iPhone

On Sep 25, 2009, at 8:11 AM, [email protected] wrote:

So you're saying that with the reform the govt will pick up the tab for said experimental treatments? Basically you're saying there will be no limits to the govt run health care? You need to look again because what I'm reading says there will be a lot they deem too expensive to treat. They will be weighing the cost/benefit ratio and older americans better just go ahead and buy your plot.


On Sep 25, 2009, at 10:05 AM, Bret Dodson wrote:

Wow Casey you're pretty confident of your health and coverage.

Here is something I see all the time working at one of the largest cancer research institutions in the world.

Suppose you get cancer. Your insurance will probably cover a first round of standard treatment. What if that doesn't work? Or, what if your doctors (you'll have several) think your best option is something the insurance companies consider "experimental" (they try to consider bunches of typical treatments "experimental" even though they have been standard treatment for years). This "experimental" treatment gets paid by you.

At my employer, patients need to come to their first appointment with two things: information on their past treatment and six figures of cash.

Yes, this is heartbraking. I suppose all the people against reforming healthcare without $100,000+ cash sitting within easy reach would be good citizens and let themselves die.

Not me, but I at least respect their dedication.

I'm driving the Miata today. It makes all the pediatric patients smile.
Bret

Sent from my iPhone

On Sep 25, 2009, at 5:59 AM, Casey Wheeler <[email protected]> wrote:

Jim is absolutly correct and probably makes the point better than I did. Most people have health conditions due to their own choices. Furthermore, people without ins. Don't have ins. by their own doing. The people that "need" social healthcare are the people who are most apathetic. We all have the freedom and choice to take this path or another. If people make better choices, life is better/easier. Our society has become so.... So lazy, pathetic, apathtic... Something, I can't find the right description... Take some personal responsibility and handle your business.

Casey

Sent from my iPhone

On Sep 25, 2009, at 8:18 AM, [email protected] wrote:

I decided I must weigh in on this one after all. I do work at the largest hospital in my immediate area, which just happens to be the only for profit hospital in southern Arizona. My observations are first hand, not something I've seen on TV or read about.

I don't honestly believe we have a 'healthcare' crisis. I believe that we do have a 'wellness' crisis. More accurately, a lack of wellness crisis. The vast majority of the patients I see in the healthcare system are sick due to their own lifestyle choices. We have an entire generation of citizens who think that they are owed everything: police protection, fire protection, healthcare, etc. Personal responsibility is way undervalued by our current culture.

Numerous hospitalizations could be avoided entirely by simply getting an annual physical exam where the physician has the opportunity to catch the signals of a possible or impending issue and take preemptive measures.

'You are what you eat' is a manta of any good cardiac rehab program. However, if adopted as a normal part of one's life, it could have been what keep you out of cardiac care in the first place.

I don't think I need to point out the shift to a sedentary lifestyle that the vast majority of people have adopted.

Practicing wellness is hard work. Most people would much prefer to ignore good lifestyle choices and then push the responsibility for their well being off onto someone else.

Jim in Tucson






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