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My Federal Healthcare Plan

MtnCreek

Moderater
Full Member
Minuteman
Jan 6, 2012
11,486
24,477
The ACA stays as-is for 1.5 yrs, then there is no federal healthcare laws. States, have at it. We're sorry for getting involved in things that the fed gov has no authority to be involved in. What would be wrong with that?
 
Sounds good to me except I don't think ACA can last 1.5 years as it was designed to collapse and bring about full on government controlled health care in 2017.

Just a little land mine the Emperor laid for his successor or for Hillary to bring about her lifetime goal of HillaryCare.
 
I'm trying to hold back from jumping into the discussion since I come here to get a break from medical stuff...but it's so hard to not say anything!

There's clearly a lot that needs to be addressed but the politicians just want to be politicians and ignore the real issues. Instead, they want to pass feel-good "acts" that make people believe they're doing something.

We still have the best healthcare in the world (for now anyway) but instead of making it better our government continues to put more burdens and regulations on healthcare providers, hospitals, and insurance companies. The end result is not better quality at a lower price - it's more frustration for everyone (provider and patient) and the same quality at a higher price. When my patients complain I remind them that elections have consequences. Unfortunately, the ones that need to change their voting habits don't understand that statement
 
I remember a time when there were more hospitals and they serviced the local community.

We always thought the one in my town (gone now) to be a butcher shop but they did a good job stitching kids up, setting fractures and handling most of the stuff that happens in life.

What changed?

My uneducated guess.

A. The absolute mandate that everyone gets care even if they cant or have no intention of paying

B. Hospital mergers under big care providers squeezing out competition and resulting in closing facilities that hurt the financial reporting

C. The idea that insurance is nameless, faceless and provides free money. "Fuck it charge aspirin at $35 a pill, he has insurance and we can use the other $34.50 to help defray the cost of the guy we had to give free care to".

D. Lawyers. Covering your ass costs money. If there is real negligence - fine sue - but if you don't realize that going into a building full of sick people may lead to an infection and complications well sorry unless you can show me someone was sterilizing instruments in the shitter maybe you don't get the $150 million pay out. Drs and hospitals probably pay a shit ton for liability coverage.

E. What happened to the General Practioner? The guy that lived in the old Victorian with his residence on the top floor and his practice on the first floor. The guy with tongue depressors and made you say "Ahh!". The guy that would give your yearly physical, could stitch a cut, set a sprain or simple fracture and showed up at your house to take your temperature. He knew his patients and if he knew the Jones's couldn't pay cash Mr Jones was a plumber and he could fix the leaking kitchen faucet in the Victorian. My GP when I was a kid was a Korea veteran that worked a MASH he was likely a lot more capable but liked working with his families. Im guessing A, B, C, and D above killed his existence and helped flood the hospital emergency rooms.

If any of this is right, how do you fix it?
 
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1: nail on the head

2: drain the swamp and first drown all the lawyers in it

I dont have the answers and neither to they. Healthcare is no longer ran as taking care of people, but just a business venture with known losses (ER and trauma among others) and lots of gains. The bigger the system the more likely they are to cover the losses and keep in the black.