On Aug 31, 2009, at 11:44 AM, Jared ''Danger'' Earle wrote:

> On 31 Aug 2009, at 16:40, Charles Bennett wrote:
>> I'm not arguing against reform.   I'm arguing that the timing is  
>> wrong
>> to make major government level changes without
>> trying everything else first.
>
> Let's suggest that this is your one big chance at HCR, because it
> won't happen under the Republicans. If you don't do it now, you've got
> a 16-year wait, effectively. Are you prepared to wait 16 years?

I don't think it's either or.   Even the Republicans are talking about  
reform, just not this monster.

I think if Obama told congress to toss the 1000 pages and start over  
he would look like the good guy
and there would be a chance of really getting something done.

If he kept his word for a change, and made the entire process, open  
Including no back room deals with drug companies to keep prices  
higher, his credibility on the issue would be enhanced.


>
> What's the worst that can happen if HCR is passed? And don't say
> you'll go broke, because you won't.


No, the worst that can happen is we get all of it, good and hard..

We get the food of the NHS.

"Prison food 'beats NHS hospitals'"  [1]

<http://news.bbc.co.uk/2/hi/uk_news/8229815.stm>

We get the ER response time of the French system.   (it says they  
*still* do "stay and play" instead of "scoop and run" [2] )

<http://abcnews.go.com/Health/HealthCare/story?id=8437560>

The wait times for finding a family physician in Canada

"The average wait time to get an appointment with a new primary care  
physician is 17 weeks and longer for specialties"  (Which is not bad,  
since only 24% are even accepting new patients.)

and we get all of it administrated by a bunch of congressmen that  
don't even have to participate in the system for the bargain preice of  
a few trillion dollars of additional debt.

Your argument would be that we must do *this* lest we do nothing.   I  
don't agree.  I think we can do something, but not this.

Doing nothing only affects 14 million people that don't have insurance  
now and at known cost.  (high though it may be)

Doing something that ends up being bad affects 300 million people now  
and every future generation at an unknown cost.

With those stakes, I can wait till we get it right.

=c=


[1] on this subject, at my wife's hospital, they have gone to a "Room  
Service" model.    The patient orders from a menu when *they* want and  
the kitchen prepares the meal and has it delivered.
It has actually reduced waste, and since they hired a LA Chef to come  
in and help them develop the menu, their satisfaction ratings have  
gone up too.


[2]  Unless you have a level 1 trauma center in your ambulance,  
sitting around playing doctor is not statistically a good idea..




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