nickdaisy: Here's an idea: how about everyone take care of their own bills? Get the state out of it completely. If you want to pool resources with some like minded folks and spend money for insurance, go for it. Or if you want to just pay as you go, or save up and pay, or save nothing and then bleed out when something happens-- go for it. Similarily, if you want to start a charity to fix clef lips or teach retarded kids to skateboard-- go for it.That's the American way. You succeed or fail based on your own ability. Should be no different for health care than it is for education, quarterbacking, or meeting chicks. Unfortunately, under today's quasi-socialist system, everybody gets an A, everyone gets a chance to play quarterback, and if you can't find a date to the prom it's because you "suffer" from Asperger's and are a "victim" of bullying.More person responsibility, less collectivism.However, IF you insist on turning us into the USSA, at least go full throttle. The current system is NOT free market and Obamacare is NOT true socialism. Health care (including Obamacare) is driven by corporations that are so in bed with the federal government that they have corrupted any sense of altruism, yet at the same time they are not true market actors. We're getting the worst of both worlds.Who's with me?
ginandbacon: And just to wind this up, I really do think you and I are probably on the same side on this issue if we just had a chance to sit down over a drink and hash it out.
TelJanin: Welfare/low income people are coached the following: "Go only to the ER, walk up to the desk person and say 'I cannot pay, I require Pro-Bono health care' ". This is the source for tons of spurious ER visit. From a few years in the ER, I would say probably 1/2 the traffic is pro-bono/welfare/medicare/medicaid related work.
GreenAdder: Can't we just disable root access at the admin level?
sno man: Marcus Aurelius: sno man: The actual one is paying for all the people between you and your doctor. Yea free market!All civilized nations provide basic health care for free to everyone.yup, I'm in one... sticking my tongue out and giving a raspberry.
OscarTamerz: [www.screeninsults.com image 500x368]Thanks for the free healthcare estupido gringos. Send the bill to general delivery TJ and a check will be in the mail sooooon. I'm sure glad I voted for Hobama!
Shadowtag: My girlfriend's been to the ER multiple times this year because her PCP is an incompetent twit. It took six months to get a specialist to answer the freaking phone and I had to resort to lawyering up just to file a greviance.Health insurance in this country is maintained only because something must feed the Shoggoth, lest they multiply and run amok.
InternetSecurityGuard: Ice water IV's for all frequent fliers.
swingerofbirches: I wish that primary doctors were in hospitals.I don't see my primary care doctor too often because it takes a long time to get into see him, once you're there you have to wait longer than at urgent care places (not ERs), and he always has to send you to a specialist. The specialist never does anything on the first visit, or they send you somewhere else for lab work.It would be nice if you could see your primary care doctor in a hospital, get any lab work you need at the same time, and if you're referred to a specialist, have that specialist at the same hospital and not start from square one again.Even for more chronic things, I tend to go to my urgent care because they have a lab there and it's much faster to be seen (usually less than 15 minutes) compared to waiting up to 4 hours for a scheduled appointment with your primary care doctor. I then usually e-mail those lab results to my primary care doctor and communicate that way. I do have a great primary care doctor; he's just way overworked (especially compared to the specialists) and he has no equipment to do any testing in his office.
ginandbacon: Mitch Taylor's Bro: ginandbacon: "Superusers are a small but expensive group: One large study conducted from 2009-2012 at a Los Angeles hospital noted that 99 percent of ER visitors come in fewer than 10 times a year, with nearly 67 percent coming in just once. But, the remaining 1 percent of visitors accounted for thousands of visits in one year."This paragraph is completely devoid of meaning.Most "superusers" are like me, people with chronic conditions that put them in crisis at least a couple of times a year. I have excellent insurance (thank goodness) but I have 4 neurological conditions that have me dialing 911 not infrequently. Some people are certainly using ERs when they could use a PCP but that's not really that common. Ers suck. Hospitals suck. I've discharged myself against advice from both because I knew they were only keeping me because they didn't know what to do or because I would be an interesting case for the students the next morning. No one spends six hours in an ER for something minor. (Six if you're lucky. I've spent that long just waiting to be seen and then another six for tests before being admitted.) I don't understand why we keep vilifying patients and championing the assholes who profit off the ones they can and try to bankrupt the ones they can't exploit.You must've missed this key sentence:"There are patients who have serious medical conditions who see the ER as the point of access," Dorner said.It is the point of access for those of us who have major crises. That's sort of the point of them.
Marcus Aurelius: sno man: The actual one is paying for all the people between you and your doctor. Yea free market!All civilized nations provide basic health care for free to everyone.
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