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slipslidingaway

(21,210 posts)
Sat May 11, 2013, 10:31 PM May 2013

An article from the American College of Emergency Physicians ...

http://www.pnhp.org/news/2012/august/its-time-for-single-payer

Still relevant IMHO ...

"Regardless of whether you are elated or disappointed with June’s historic Supreme Court decision upholding the constitutionality of the Affordable Care Act, it is certainly no panacea for the problems facing U.S. health care.

So it’s clear we need to do the right thing: the creation of a national, universal, publicly funded health care system, free of the corrupting power of profit-oriented health insurance, and at the same time capable of passing constitutional muster. In short, the right thing is an expanded and improved Medicare-for-All program, otherwise known as single-payer."

Don’t be so shocked. For the last 30 years, we have tried all the alternatives, and none of them have worked. We have experimented with HMOs, PPOs, high-deductible health plans, health savings accounts, pay-for-performance, capitation, and disease management. These ideas have been promoted in various iterations, often with great fanfare, by public and private payers alike, yet none of them have shown long-term success at bending the cost curve. And the promise of the latest reforms du jour, such as Accountable Care Organizations and Patient-Centered Medical Homes, is speculative at best.

American health care is unique among the world’s democracies in that it was never planned in terms of enabling legislation or explicit constitutional authority. As others have stated, our employer-based insurance system, which now covers about 160 million Americans, was an accident of history. Its lineage can be traced to FDR’s wage and price control policies during World War II, where employers were permitted to offer workers health insurance in lieu of higher wages as a job inducement..."



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An article from the American College of Emergency Physicians ... (Original Post) slipslidingaway May 2013 OP
Thanks for the recs :))) nt slipslidingaway May 2013 #1
Needs more kicks! NYC_SKP May 2013 #2
Thank you and a little history... slipslidingaway May 2013 #6
K&R. nt OnyxCollie May 2013 #3
Thanks ... slipslidingaway May 2013 #7
KnR.... good stuff. alittlelark May 2013 #4
We really need a full discussion of HC systems... slipslidingaway May 2013 #8
k and r bbgrunt May 2013 #5
Thank you ... slipslidingaway May 2013 #11
+1 Liberal_in_LA May 2013 #9
Thanks ... slipslidingaway May 2013 #12
kick! Viva_La_Revolution May 2013 #10
I remember when ... slipslidingaway May 2013 #13
that was forever ago! Viva_La_Revolution May 2013 #35
Yes! And Hell yes! Lugnut May 2013 #14
However the politicians try and sugar coat "their version" slipslidingaway May 2013 #15
Kick Scuba May 2013 #16
Highest cost, worst HC Doctor_J May 2013 #17
Yes, Uniquely American was the latest phrase :( nt slipslidingaway May 2013 #23
kickadoo!. . .n/t annabanana May 2013 #18
Thanks :) nt slipslidingaway May 2013 #24
Yes. Hell, yes. Should have been done 30 years ago. Comrade Grumpy May 2013 #19
Yes, damn Repubs block everything ... slipslidingaway May 2013 #25
Except gold-plated Senator health-care, the US has the most expensive and least effective Bernardo de La Paz May 2013 #20
Strange is it not, most expensive and least effective HC system ... slipslidingaway May 2013 #26
Public has bought in Republican meme "best healthcare in the world", not said its for the 1% only Bernardo de La Paz May 2013 #29
Yes and the Dems did what? Uniquely American Solution - What is it ? Why is it being pushed? slipslidingaway May 2013 #31
K&R WheelWalker May 2013 #21
"Don't be so shocked"....... Curmudgeoness May 2013 #22
Unfortunately there were many people that said they ... slipslidingaway May 2013 #27
Then those people did not feel as strongly as I do about it. Curmudgeoness May 2013 #34
Nice ismnotwasm May 2013 #28
Kick. Eleanors38 May 2013 #30
Thanks, this has been a strange journey for our family... slipslidingaway May 2013 #32
K&R For-profit health care is, was, and will always remain a terrible idea. n/t Egalitarian Thug May 2013 #33

slipslidingaway

(21,210 posts)
6. Thank you and a little history...
Sun May 12, 2013, 12:00 AM
May 2013

What a roller coast ride this has been ...
http://www.democraticunderground.com/1146240

even before this happened I've been passionate that the idea of a national HC system at least be advanced by the Dems, even though not fully endorsed, during the HC debate.





slipslidingaway

(21,210 posts)
7. Thanks ...
Sun May 12, 2013, 12:09 AM
May 2013

disappointed that so many people feel that having insurance is the end of the quest ... all the while blocking any discussion of a not for profit HC system.





slipslidingaway

(21,210 posts)
8. We really need a full discussion of HC systems...
Sun May 12, 2013, 12:23 AM
May 2013

unfortunately when the nation was overwhelmingly focused on the issue of HC, and two-thirds polled in favor of a national HC system financed by tax revenue, their attention was diverted to the idea of a "public option" promoted by the three top Dem candidates.

None of the Dem candidates came up with this idea on their own of course, they all had their variation of the Jacob Hacker idea. But the result was the same, to silence the idea of a not for profit HC system.

Uniquely American ... or so we heard.





slipslidingaway

(21,210 posts)
11. Thank you ...
Sun May 12, 2013, 12:35 AM
May 2013

I may not have the time I did in the past to post here, but I'm still passionate that people deserve care based on need and severity and not money.

The for profit system needs to be challenged, the Dems have shied away from doing this under Clinton and again under Obama, and that needs to be recognized before we move forward.

Sometimes we need to look behind us to see the path forward.

Just blaming this on the Repubs is not the solution IMHO.




slipslidingaway

(21,210 posts)
12. Thanks ...
Sun May 12, 2013, 12:58 AM
May 2013

just looked at the NYC rent thread, we stayed for free at the ACS's Hope Lodge in NYC for 100 + days after my husband's bone marrow transplant for MDS/AML and had a larger room.

That being said I'll trade the smaller room and rent for the disease and now knowing the acronyms mds and aml.



slipslidingaway

(21,210 posts)
13. I remember when ...
Sun May 12, 2013, 01:05 AM
May 2013

you used to post the cspan book reviews and always appreciated them, a belated thank you.



slipslidingaway

(21,210 posts)
15. However the politicians try and sugar coat "their version"
Sun May 12, 2013, 01:28 AM
May 2013

of the latest HC scheme, it not working.

Yes, it is way past time to have a full discussion.

Sorry to say we got a deal with Billy Tauzin instead.





Bernardo de La Paz

(48,790 posts)
20. Except gold-plated Senator health-care, the US has the most expensive and least effective
Sun May 12, 2013, 04:04 PM
May 2013

Except for gold-plated health care such as the US taxpayer gives Senators, the US has the most expensive and least effective health care system in the world among industrialized nations, or at best something like 14th on the list.

Note: Senators have single-payer health care: the US taxpayer is collectively the single payer.

If it is good enough for a Senator, should be good enough for you and me.

slipslidingaway

(21,210 posts)
26. Strange is it not, most expensive and least effective HC system ...
Sun May 12, 2013, 10:56 PM
May 2013

yet that still did not warrant a full, open discussion during the HC debate.



Bernardo de La Paz

(48,790 posts)
29. Public has bought in Republican meme "best healthcare in the world", not said its for the 1% only
Sun May 12, 2013, 11:24 PM
May 2013

Blame the media for not discussing the truth. Not because they don't care, but because they are almost as dumb as the uninformed voters they aim at.

American Exceptionalism -- the biggest fraud perpetrated perpetually on a willing body politic.

slipslidingaway

(21,210 posts)
31. Yes and the Dems did what? Uniquely American Solution - What is it ? Why is it being pushed?
Mon May 13, 2013, 12:08 AM
May 2013

Once again the Dems blocked discussion of a national HC system



http://election.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x6289091http://election.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x6289091

Is the goal of the "uniquely American solution" to keep the private health care companies in business and protect their profits? It is not just the Democrats that are using the phrase, Karen Ignagni of AHIP wrote an article in April.


Some talking points from the Herndon Alliance and published on the Third Way site..


.

Curmudgeoness

(18,219 posts)
22. "Don't be so shocked".......
Sun May 12, 2013, 07:04 PM
May 2013

well, I am, pleasantly so. The more informed voices we have for universal health insurance, the better. I wonder where the tipping point will be.

slipslidingaway

(21,210 posts)
27. Unfortunately there were many people that said they ...
Sun May 12, 2013, 11:02 PM
May 2013

were for a universal HC system, but they were swayed into supporting something less.




slipslidingaway

(21,210 posts)
32. Thanks, this has been a strange journey for our family...
Mon May 13, 2013, 12:56 AM
May 2013

I've supported a universal HC system for a number of years. What transpired in the following years was that our daughter would enter medical school and that my husband would be diagnosed with MDS which transformed to acute myleloid leukemia and then a a bone marrow transplant, really a stem transplant.

Our daughter leaned towards the conservative side of the political spectrum, no doubt the conservative side of our county played a role in high school.

But as she is witnessing the effects of the HC system as a second year resident she is seeing the effects of a for profit system. She prefers the VA rotation where they can spend the time with patients to the inner city craziness and the private hospital where they are always under pressure to move onto the next patient.

Needless to say all these experiences have opened our eyes a little more.

Hopefully we'll all push for health care over health insurance.








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