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	<title>Comments on: How to do health care right:</title>
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	<link>http://blog.jim.com/economics/how-to-do-health-care-right.html</link>
	<description>liberty in an unfree world</description>
	<pubDate>Fri, 21 Nov 2008 21:08:59 +0000</pubDate>
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		<title>By: Ben Kalafut</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4863</link>
		<dc:creator>Ben Kalafut</dc:creator>
		<pubDate>Thu, 29 May 2008 22:27:50 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4863</guid>
		<description>Who invited the European pinkos?  And why should we take anyone seriously who takes Michael Moore's film seriously?

Some of us here in the USA have studied the numbers and found that we're not worse off, especially when it comes to outcomes and patient satisfaction.  We don't have waiting lists, we don't have shortages of specialists, and we don't have ministers deciding who lives and who dies.

We could do things better, but going to a socialized system isn't the way to do it.  As for Europeans who think the USA is not a superpower if it doesn't go pink, they're entitled to their opinion and it's no skin off my nose.  I'll "cry all the way to the bank".  That's like throwing a 1 barrel lawnmower carburetor on a BMW engine when the mechanic says an injector needs replacing.  In this case the "mechanic" is economists.

Singapore and Mexico are doing things that work.  After their recent pro-market reforms, so is the Netherlands.</description>
		<content:encoded><![CDATA[<p>Who invited the European pinkos?  And why should we take anyone seriously who takes Michael Moore&#8217;s film seriously?</p>
<p>Some of us here in the USA have studied the numbers and found that we&#8217;re not worse off, especially when it comes to outcomes and patient satisfaction.  We don&#8217;t have waiting lists, we don&#8217;t have shortages of specialists, and we don&#8217;t have ministers deciding who lives and who dies.</p>
<p>We could do things better, but going to a socialized system isn&#8217;t the way to do it.  As for Europeans who think the USA is not a superpower if it doesn&#8217;t go pink, they&#8217;re entitled to their opinion and it&#8217;s no skin off my nose.  I&#8217;ll &#8220;cry all the way to the bank&#8221;.  That&#8217;s like throwing a 1 barrel lawnmower carburetor on a BMW engine when the mechanic says an injector needs replacing.  In this case the &#8220;mechanic&#8221; is economists.</p>
<p>Singapore and Mexico are doing things that work.  After their recent pro-market reforms, so is the Netherlands.</p>
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		<title>By: Dan</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4787</link>
		<dc:creator>Dan</dc:creator>
		<pubDate>Thu, 29 May 2008 10:39:42 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4787</guid>
		<description>The problem with the US is that you guys don't have a health care system. You have a health insurance system that works very well... for the insurers. That's not the same as having great health care.

I didn't want to move to the US because the health care system is simply unaffordable. Now I don't want to live there because not only is the health care system unaffordable, there's this whole exasperating global war on terror going on that allows the government to treat anyone it wants as a criminal. I can do without that.

Somebody needs to have the courage to clean up the obscene excesses of the US insurance system. The US life expectancy is declining [in an industrialized country!] and doctors/hospitals charge whatever they feel like. I'm not saying a doctor shouldn't make a decent living, but there is a difference between a fee and extortion. Rest assured that the US health care system is -not- the envy of the [industrialized] world.
And if US citizens can hardly afford health care, how would someone from the third world be able to afford it?

Nag your congresswo/men -every- day about it. That's what they're there for. Stop spending on the military-industrial complex, which yields nothing but misery for countless people, not least US men and women in uniform [who will need health care too]. If the US can't offer awesome health care to its citizens what business does it have calling itself a super power [and I would like to point out that I have been to the US many times and found it an awesome experience in general, I -do not- hate the US - just to pre empt that response].</description>
		<content:encoded><![CDATA[<p>The problem with the US is that you guys don&#8217;t have a health care system. You have a health insurance system that works very well&#8230; for the insurers. That&#8217;s not the same as having great health care.</p>
<p>I didn&#8217;t want to move to the US because the health care system is simply unaffordable. Now I don&#8217;t want to live there because not only is the health care system unaffordable, there&#8217;s this whole exasperating global war on terror going on that allows the government to treat anyone it wants as a criminal. I can do without that.</p>
<p>Somebody needs to have the courage to clean up the obscene excesses of the US insurance system. The US life expectancy is declining [in an industrialized country!] and doctors/hospitals charge whatever they feel like. I&#8217;m not saying a doctor shouldn&#8217;t make a decent living, but there is a difference between a fee and extortion. Rest assured that the US health care system is -not- the envy of the [industrialized] world.<br />
And if US citizens can hardly afford health care, how would someone from the third world be able to afford it?</p>
<p>Nag your congresswo/men -every- day about it. That&#8217;s what they&#8217;re there for. Stop spending on the military-industrial complex, which yields nothing but misery for countless people, not least US men and women in uniform [who will need health care too]. If the US can&#8217;t offer awesome health care to its citizens what business does it have calling itself a super power [and I would like to point out that I have been to the US many times and found it an awesome experience in general, I -do not- hate the US - just to pre empt that response].</p>
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		<title>By: LoicL</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4776</link>
		<dc:creator>LoicL</dc:creator>
		<pubDate>Thu, 29 May 2008 08:06:39 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4776</guid>
		<description>Hello,

go to France. I need a colo. too. Will do it for free (in some ways). It is free if you are in France but now I am working in the UK and pays about 1500$ to get both countries full coverage (special expat french insurance) that includes every things.

there is a story about an american in Paris getting treatment in France in a private like manner. 45 euros for X-ray (this is what I paid myself before getting my money back from the health service).

Loic</description>
		<content:encoded><![CDATA[<p>Hello,</p>
<p>go to France. I need a colo. too. Will do it for free (in some ways). It is free if you are in France but now I am working in the UK and pays about 1500$ to get both countries full coverage (special expat french insurance) that includes every things.</p>
<p>there is a story about an american in Paris getting treatment in France in a private like manner. 45 euros for X-ray (this is what I paid myself before getting my money back from the health service).</p>
<p>Loic</p>
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		<title>By: Hooty</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4774</link>
		<dc:creator>Hooty</dc:creator>
		<pubDate>Thu, 29 May 2008 06:59:59 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4774</guid>
		<description>There are only 2 countries in the world that profit from health care South Africa and America. It's really quite barbaric...</description>
		<content:encoded><![CDATA[<p>There are only 2 countries in the world that profit from health care South Africa and America. It&#8217;s really quite barbaric&#8230;</p>
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		<title>By: Health Insurance Song</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4773</link>
		<dc:creator>Health Insurance Song</dc:creator>
		<pubDate>Thu, 29 May 2008 05:36:47 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4773</guid>
		<description>http://www.fandalism.com/index.cfm?songid=216157

Japan also has a health care system that keeps costs low and the quality of services high.

Something has got to happen here in America because it's getting really, really bad and the vast majority of people stuck in the middle can't keep going like this.

Even if you have insurance, you pay like you're buying something useful but you still can't avoid getting slammed with massive deductibles, mysterious bills and charges. I hate it.</description>
		<content:encoded><![CDATA[<p><a href="http://www.fandalism.com/index.cfm?songid=216157" rel="nofollow">http://www.fandalism.com/index.cfm?songid=216157</a></p>
<p>Japan also has a health care system that keeps costs low and the quality of services high.</p>
<p>Something has got to happen here in America because it&#8217;s getting really, really bad and the vast majority of people stuck in the middle can&#8217;t keep going like this.</p>
<p>Even if you have insurance, you pay like you&#8217;re buying something useful but you still can&#8217;t avoid getting slammed with massive deductibles, mysterious bills and charges. I hate it.</p>
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		<title>By: Publius</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4771</link>
		<dc:creator>Publius</dc:creator>
		<pubDate>Thu, 29 May 2008 03:47:16 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4771</guid>
		<description>Those are reimbursement rates -- not patient payment rates. Patient cost-sharing differs from hospital reimbursement for procedures.</description>
		<content:encoded><![CDATA[<p>Those are reimbursement rates &#8212; not patient payment rates. Patient cost-sharing differs from hospital reimbursement for procedures.</p>
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		<title>By: DYSPEPSIA GENERATION &#187; Blog Archive &#187; &#8220;The American health care system is socialism without a central plan, and capitalism without markets or prices.&#8221;</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4770</link>
		<dc:creator>DYSPEPSIA GENERATION &#187; Blog Archive &#187; &#8220;The American health care system is socialism without a central plan, and capitalism without markets or prices.&#8221;</dc:creator>
		<pubDate>Thu, 29 May 2008 03:10:45 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4770</guid>
		<description>[...] Read it. [...]</description>
		<content:encoded><![CDATA[<p>[...] Read it. [...]</p>
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		<title>By: Hannes</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4766</link>
		<dc:creator>Hannes</dc:creator>
		<pubDate>Thu, 29 May 2008 01:42:16 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4766</guid>
		<description>Etniks...

Canadians pay 2nd most in the world in age adjusted percentage of GDP terms of all OECD countries.  

If you earn over 200 000$/ year in Canada, expect to pay around 30,000$ towards your health insurance.  True, lower income families are highly subsidized by richer families... but our system is plagued by many (different) ailments.

Our hospitals are awarded budgets from which they must provide services.  This turns the patient into a burden on the hospital (less patients equals more money for other things)... and this feeling/treatment comes across. 

If current trends in BC continue, by 2020, 100% of the provincial budget would need to be allocated to health care.  This obviously not happen.  

We are in need of reform like everyone else.</description>
		<content:encoded><![CDATA[<p>Etniks&#8230;</p>
<p>Canadians pay 2nd most in the world in age adjusted percentage of GDP terms of all OECD countries.  </p>
<p>If you earn over 200 000$/ year in Canada, expect to pay around 30,000$ towards your health insurance.  True, lower income families are highly subsidized by richer families&#8230; but our system is plagued by many (different) ailments.</p>
<p>Our hospitals are awarded budgets from which they must provide services.  This turns the patient into a burden on the hospital (less patients equals more money for other things)&#8230; and this feeling/treatment comes across. </p>
<p>If current trends in BC continue, by 2020, 100% of the provincial budget would need to be allocated to health care.  This obviously not happen.  </p>
<p>We are in need of reform like everyone else.</p>
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		<title>By: todd underwood</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4765</link>
		<dc:creator>todd underwood</dc:creator>
		<pubDate>Thu, 29 May 2008 01:05:49 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4765</guid>
		<description>dude, 

you live in california.  in california they publish these rates on the state website:

http://files.medi-cal.ca.gov/pubsdoco/rates/rateshome.asp

almost no other state has those data available, but you do.  your point is valid, but you are much better off in california than most other parts of the us.</description>
		<content:encoded><![CDATA[<p>dude, </p>
<p>you live in california.  in california they publish these rates on the state website:</p>
<p><a href="http://files.medi-cal.ca.gov/pubsdoco/rates/rateshome.asp" rel="nofollow">http://files.medi-cal.ca.gov/pubsdoco/rates/rateshome.asp</a></p>
<p>almost no other state has those data available, but you do.  your point is valid, but you are much better off in california than most other parts of the us.</p>
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		<title>By: Etniks</title>
		<link>http://blog.jim.com/economics/how-to-do-health-care-right.html#comment-4764</link>
		<dc:creator>Etniks</dc:creator>
		<pubDate>Thu, 29 May 2008 01:05:40 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jim.com/?p=92#comment-4764</guid>
		<description>My girlfriend needed a colonoscopy as well and she DID HAVE US medical insurance at a cost of about $ 4,700 per year, plus all the co pays, deductibles etc.
She inquired how much she had to pay out of her own pocket for the colonoscopy in Houston TX, and she was told US$1,200 including her deductible and co pays (on top of her yearly fees).

A Mexican friend of hers recommended her to go to a Mexico city doctor who had done it for her in the past.   My lady called the doctor long distance, made an appointment and off we went (we had to go to á family gathering there)
She saw this doctor who passed her on to a surgeon.   We went to the hospital and she was under total anesthesia, and later we were explained the results by the surgeon and given a DVD of the colonoscopy exploration.

The general doctor cost US $35.00, and the total cost for the hospital room, the anesthesist, nurse and the surgeon was just over $250.00 (about Mex 3,000.00 pesos total) 

But this is not all.     My lady has been suffering from diverticulitis most of her life and her mother died from it at age 51.
She has been under US doctors regimes that had not resolved many of her complaints of constant pains in the abdomen, and her constant inability to go regularly to the bathroom.    They never gave her any particular diet.

The Mexican doctor solved for her all this by giving her a diet that works  and was able to explain what exactly was the matter with the pain in her abdomen.   She is regular now and as long as she keeps in that diet she has no more the pains she had to endure for decades.
This doctor said in the US, medicine is concerned with producing test after test, while in Mexico they use more the old style symptoms to come to an analysis of the patient.

Once I went to a doctor here in Houston, and by the time I arrived at my home and went into the Internet, there was a message selling me medicines to solve things I had just told the doctor, things that supposed to be a secret between the doctor and the patient.

I just have to laugh when people criticize the Canadian Medical system which I used for 18 years in British Columbia.   It's fantastic and works similar to here in that you can go to any doctor or hospital you want, except that because every doctor and hospital is under the same insurance company (the Universal Canadian Plan) you have more to choose from.   Most are private.
The costs are much lower and there are no co-pays or deductibles.    
A family of 4 today will pay about US $85.00 per month but for people whose income is low there are several scales down to zero!!

Moreover coverage is not connected to your job, it's totally independent and you can change jobs or even lose your job and you don't have to worry about losing your coverage.   As I said if your income is low, your fees come down accordingly.

See the Michael Moore's film SICKO for more info into other country systems.</description>
		<content:encoded><![CDATA[<p>My girlfriend needed a colonoscopy as well and she DID HAVE US medical insurance at a cost of about $ 4,700 per year, plus all the co pays, deductibles etc.<br />
She inquired how much she had to pay out of her own pocket for the colonoscopy in Houston TX, and she was told US$1,200 including her deductible and co pays (on top of her yearly fees).</p>
<p>A Mexican friend of hers recommended her to go to a Mexico city doctor who had done it for her in the past.   My lady called the doctor long distance, made an appointment and off we went (we had to go to á family gathering there)<br />
She saw this doctor who passed her on to a surgeon.   We went to the hospital and she was under total anesthesia, and later we were explained the results by the surgeon and given a DVD of the colonoscopy exploration.</p>
<p>The general doctor cost US $35.00, and the total cost for the hospital room, the anesthesist, nurse and the surgeon was just over $250.00 (about Mex 3,000.00 pesos total) </p>
<p>But this is not all.     My lady has been suffering from diverticulitis most of her life and her mother died from it at age 51.<br />
She has been under US doctors regimes that had not resolved many of her complaints of constant pains in the abdomen, and her constant inability to go regularly to the bathroom.    They never gave her any particular diet.</p>
<p>The Mexican doctor solved for her all this by giving her a diet that works  and was able to explain what exactly was the matter with the pain in her abdomen.   She is regular now and as long as she keeps in that diet she has no more the pains she had to endure for decades.<br />
This doctor said in the US, medicine is concerned with producing test after test, while in Mexico they use more the old style symptoms to come to an analysis of the patient.</p>
<p>Once I went to a doctor here in Houston, and by the time I arrived at my home and went into the Internet, there was a message selling me medicines to solve things I had just told the doctor, things that supposed to be a secret between the doctor and the patient.</p>
<p>I just have to laugh when people criticize the Canadian Medical system which I used for 18 years in British Columbia.   It&#8217;s fantastic and works similar to here in that you can go to any doctor or hospital you want, except that because every doctor and hospital is under the same insurance company (the Universal Canadian Plan) you have more to choose from.   Most are private.<br />
The costs are much lower and there are no co-pays or deductibles.<br />
A family of 4 today will pay about US $85.00 per month but for people whose income is low there are several scales down to zero!!</p>
<p>Moreover coverage is not connected to your job, it&#8217;s totally independent and you can change jobs or even lose your job and you don&#8217;t have to worry about losing your coverage.   As I said if your income is low, your fees come down accordingly.</p>
<p>See the Michael Moore&#8217;s film SICKO for more info into other country systems.</p>
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