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by Ann Weaver Hart
Member since:
April 10, 2007

America, Home of Third-World Health Care

July 27, 2009 06:52 PM EDT
views: 362 | rating: 9.1/10 (29 votes) | comments: 192

Twenty-seven hundred people went to the Wise County Fairground in Wise, Virginia this weekend. They did not go to a fair, but rather to seek health care that they otherwise would not have gotten. The fairgrounds were the site of a Remote Area Medical (RAM) expedition. Some people came three days early to be sure they would see a doctor, a dentist or an optometrist. The statistics on the care the RAM volunteers gave are staggering.

Even more staggering is the fact that they have been doing this work for ten years in the United States. RAM makes expeditions to third world countries, and for RAM founder Stan Brock, "There is a Third World right here in the United States." (NPR)

Meanwhile in the conservative communities of Bryan and College Station, Texas, the local Chamber of Commerce urged both city councils to adopt a resolution stating “its strong opposition to the proposed changes in our country’s health system through government interference and control that negatively impacts businesses.”

The strange thing is that no one remembers that there are also businesses in countries with universal health care. Giving people access to health care has not destroyed businesses in those countries. Yet, some people are convinced that it will in the United States.

Others claim that if everyone can have care, no one will be safe, because care will be rationed. Care is rationed now, and the motive is profit. Why doesn’t this scare people? Then there is an argument that runs that “free” care will become exceedingly costly, because people will become frequent fliers. There are such people everywhere, even in countries where access to medical care is not a privilege.

The proposed existence of such people seems to come from the imagination of conservatives. They sit and think about what they would do if something were free. Naturally, they would exploit it the way they have exploited government lands. They assume everyone else would do the same. They fail to take into account that medical procedures can often be painful and time-consuming.

Someone traveled to Canada and a few other countries and found a few people who were dissatisfied with the system. Now Americans hear their complaints as though they were shared by everyone everywhere. Forget the millions who live their lives happily without the specter of health care-induced bankruptcy. Their stories don’t count, only the people who think they got a raw deal. The point is that there will always be complainers. They should not be allowed to speak for the entire system.

Health Care reform is stalled in Congress. If it fails, more American productivity will go to waste, feeding rich insurance company executives while some seriously ill people must choose to die, rather than bankrupt their families. The insurance companies will spare no expense to make sure they get your piece of the pie. People who believe that it is time to put the brakes on insurance company greed should write their representatives now.

Sources

Remote Area Medical: http://www.ramusa.org/index.html

NPR: Rural Medical Camp Tackles Health Care Gaps. July 27, 2009 http://www.npr.org/templates/story/story.php?storyId=11106657

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Comments: 192

George Shaw Jul 27, 2009, 7:10pm EDT
Ann, I really hate to be so pessimistic, but as I always told my students, "A pessimist is and optimist with experience." Starting 8 years ago I have been predicting the economic meltdown that we see today, and I am predicting that it will get worse.
Right after Obama was elected, I predicted that the health care reforms would get lost within the first year, and while I wish that I am mistaken, I can't see anything to make me think that I am wrong. There will be meaningless reform which, in the long run, will make matters worse.
Lisa Frost Jul 27, 2009, 8:09pm EDT
While I am praying you are wrong George, I am also concerned you are right. I have listened to the line of total BS coming just here on Gather from Conservatives who are supposedly Christian on top of it that say they shouldn't have to pay for my mistakes. My health issues are from a birth defect. I have insurance, but my children don't. I can't financially afford the care I need, how is making my children do without healthcare better for this country?
George Shaw Jul 27, 2009, 8:22pm EDT
To the conservative, who claim to be Christian, but have no Christian values, those that don't have it are expendable.
Julie (there will always be a rainbow) G. Jul 28, 2009, 9:17am EDT
Oh, I so wish you were wrong, George!
George Shaw Jul 28, 2009, 10:01am EDT
Me too, but every time that I begin to think that I might be wrong, the Congress and the Republicans generally come along and prove me right.
Elizabeth (This place IS my Soap Opera) O. Jul 28, 2009, 8:39pm EDT
Lisa-I feel ya. I know that if it came down to it, I could NEVER get "private" insurance because I have to many "pre-existing conditions" and NONE of them were "self induced" or my own "mistakes".
Robert A. Jul 29, 2009, 8:36am EDT
Sadly, I think George is right. I think a lot of us think of the many individuals who would be helped immensely by this in the overall quality and even length of life, and we would be willing to make personal sacrifices to make that happen, but... From what I'm seeing that humanitarian wish isn't balanced by a understanding of the economic situation we're in and the economic abyss that we could fall into that would make far more Americans miserable regardless of their health condition.
George Shaw Jul 29, 2009, 9:37am EDT
Still, the abyss will be steeper and deeper if something meaningful isn't done. Just the numbers of people that are going into bankruptcy each day due to medical expenses they thought were covered by their insurance will keep any recovery from taking place.
Robert A. Jul 29, 2009, 11:04am EDT
I agree with you George, something needs to be done, and soon. Just not sure this is it, and am not comfortable with everyone who's so rah-rah about this not understanding the content or ramifications.
Carolion Grailbear Jul 29, 2009, 11:06am EDT
It's up to us. We-the-people. Either we clean our mental fields of doubts about justice/freedom including universal wellness assistance, or we continue to mess things up for ourselves with unclear thinking.
The THOUGHT always comes before the MANIFESTATION, and if you want things to come out well then you have to send your thoughts from a great clear clean free mental space.
George Shaw Jul 29, 2009, 11:26am EDT
Here is why my students always accused me of being a pessimist; I am reminded of H. L. Mencken's quote, "No one has ever gone broke underestimating the intelligence of the American public." The public isn't going to even try to understand something that is really a very complex issue. The public is only prepared to deal with 10 second sound bites.
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Chas Andrews Jul 27, 2009, 7:18pm EDT
I'm hoping health care reform happens...
Don (are we Marxist yet?) H. Jul 28, 2009, 11:06am EDT
Did you read the bill? I mean, to ask for change is one thing, but being specific about what that change is takes a little more effort. I'm not seeing any intellectual curiosity from the left --- they just go with the Obama flow...like sheep.
Robert A. Jul 29, 2009, 8:42am EDT
Can't believe I agree with someone who has (Thank you, President Bush!) next to his name. I'd bet most of the people who are for the bill that's being considered haven't read it. I have a lot of objections to specific items and the way this is structured to give government far too much bureaucratic power. Sure the system we have now is horrendous, but too many items in this bill are oppressive for individuals and businesses. READ THE BILL
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Deb S. Jul 27, 2009, 7:24pm EDT
Ann thank you for highlighting RAM. My husband and I have tried to get the Florida legislature to pass a law here that would allow doctors like us to volunteer for a RAM mission in Florida and be indemnified by the state as Tennessee does (where Stan started RAM). Unfortunately, despite the great need in my state for healthcare for the uninsured and underinsured, the lawyers lobby will not allow retired doctors to volunteer without buying a very expensive malpractice policy. I can go to a third would country and volunteer, but not in Florida or many other states. Very sad situation. We are donating the royalties from our novel to RAM.
Ann Weaver Hart Jul 27, 2009, 7:28pm EDT
Wow, Deb, I just heard about RAM today. I was absolutely appalled that Americans have to camp out for 3 days to get health care they cannot afford. I had no idea that there were places that wouldn't allow them to help people. That is an outrage and a crime against the poorest people in the country. Thanks for your contribution.
Nyota *Star* Jul 27, 2009, 7:41pm EDT
I hadn't heard of RAM either. Thanks for the information.
Bob Cronley Jul 27, 2009, 7:45pm EDT
The insurance companies are just as bad as the oil companies.
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The original comment in this thread has been deleted by its author.
Spartan * Jul 27, 2009, 7:32pm EDT
You have NO IDEA what Obama's plan will cost! I seriously doubt you have any idea exactly what his "plan" entails!
Spartan * Jul 27, 2009, 7:30pm EDT
Excellent article, Ann! Unfortunately, the people who need to read it, won't! Their minds are made up and they do NOT wish to be confused with FACTS.
Col. George W. Jul 27, 2009, 7:45pm EDT
Spartan, Evidently from his statements Obama has no idea either.
Sandy (Site Psychic™) Knauer Jul 27, 2009, 10:36pm EDT
George, just so you'll understand - President Obama has set broad principles and is allowing congress to define the details.
Jan S. Jul 28, 2009, 1:11am EDT
The president does not give orders to our elected legislators. He is neither a king nor a dictator...I hope.
We instruct our representatives on how we want them to vote. Whether they follow our directives is another issue.
Spartan * Jul 28, 2009, 10:07pm EDT
You are quite correct, Jan! It was the LAST president that tried to be "king"!
Kim J. Jul 29, 2009, 12:15am EDT
I don't want him to try to act like a king, but I'd really be much happier if he'd act a bit like LBJ!
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Col. George W. Jul 27, 2009, 7:33pm EDT

Few argue that something has to be done.

Obama's health care plan is not the answer and never will be.

Not all foreign countries have a Government Run healthcare plan. Many have a Single Payer plan, some in conjunction with Insurance Companies. Israel is one of the latter and have a better plan, runs cheaper, and no one is excluded. Sure there is a 17% tax on income but that is not near what Obama's total government control plan will cost us.


Spencer T. Jul 27, 2009, 8:02pm EDT
Then where is the alternative to Obama's plan? what I hear from the other side is it should remain the same.
Col. George W. Jul 27, 2009, 10:40pm EDT
The only reasonable alternative out there that I know of is HB 646 (i think) but Obama will not consider it and would veto it if it passed because it does not give government total control.
Kathy W. Jul 28, 2009, 12:29am EDT
17% tax on income? We should be so lucky.
Dismantle the Military, and we'd have enough for both health care AND education.
Wilka
Jerry Yes we can, Yes we DID, YES WE WILL! P. Jul 28, 2009, 5:10am EDT
Yes Kathy! This is SOOOOOOO true!

Seems like the only time Republicans care about spending is when it will help the citizens of the U.S.

I would not say "Dismantle", but we could easily reduce military spending by 50%, and pay for those things, AND balance the budget.

But war is big business designed to line the pockets of the wealthy, so...
Col. George W. Jul 28, 2009, 11:11am EDT
Wilka, Dismantle our military and the US would be owned by some other country right fast. However Stop illegal wars and bring our troops home from most to 700 bases in 130 countries. Stop foreign aid in all but catastrophy cases. Get the US out of the biggest money drain in history the UN.f Then we could provide for the national defence, take care of everyone's health needs and their education. We would probably have money left over an could lower taxes.
Kim J. Jul 29, 2009, 12:19am EDT
A little xenophobic are we Col George?
What we give as aid to other countries is only a drop in the bucket compared to Iraq and Afghanistan.
Get rid of the Bush tax cuts, put the tax rates back to where they were when king ronnie was in(when he raised taxes..remember?) and regulate the illness industry. It was non-profit for the first 150+ years of this country...until nixon and king ronnie.
I would much prefer universal/single payer. There is no way you can make me believe that we pay 3 times per capita what France pays(who are rated #1) and get anything but medicore service. That's criminal!
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Deb S. Jul 27, 2009, 7:35pm EDT
When our novel won the Florida Book Award, we were invited to go to Tallahassee to meet the governor who handed us the Gold Medal. We made a point of meeting with a few state senators hoping to interest them in sponsoring a bill that would allow RAM to come into Florida. Our meetings were wedged between lobbyists with various agendas and as plain old citizens we got a 10 minute hello and a picture but nothing more. It was very disappointing. I have had many conversations with Stan Brock and he was not surprised since he has been to Washington to speak in front of a congressional committee asking that there be a Federal law allowing doctors with US medical licenses in good standing to cross state lines to volunteer for his missions and not have to worry about malpractice insurance (in other words have the government indemnify us) and he got nowhere. Did you watch the 60 mInutes segment on Remote Area Medicine? If not, google it. It will make you cry.
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Marilyn M. Jul 27, 2009, 7:40pm EDT
Certain parts of our country have been poorer than others forever and that's not gonig to change. Getting doctors to set up in those areas is also a difficult task. I wish it were not so.

No one disagrees that everyone should have access to medical care. What many of us disagree with is changing a system entirely because 5-10% of our citizens are not getting medical care. It makes no sense that everyone should agree to having inferior care so that everyone gets inferior care. And it makes no sense that this will cost us so much money, money that we do not have.

The reforms that are being proposed are not what we need. While Obama claims that people will be able to keep their current insurance and care, based on what I've read, that won't really be possible. Meanwhile, I have not heard any mention of how he intends on getting more care to areas where there are few doctors or clinics now, have you?



What's Not Wrong With Health Care


Health Care Reform Costs You 5 Freedoms (says CNN)



Fannie Med? Why A Public Option Is Hazardous To Your Health



Spartan * Jul 27, 2009, 7:49pm EDT
I think you SHOULD be entitled to the very same Health Care we give our Veterans, Marilyn...and we all know you love Veterans, right?
Don (are we Marxist yet?) H. Jul 27, 2009, 9:31pm EDT
I AM entitled to whatever health care I am afforded by myself or my company. I don't want to be on a Federal plan unless it's the same plan Congress gets. Veterans should get what Congress gets as well... I don't think you can find any that doesn't support that EXCEPT for Congress. They will always play politics with that sort of thing.
Ann Weaver Hart Jul 27, 2009, 9:50pm EDT
Here's a translation of what Marilyn said:
"Certain parts of our country have been poorer than others forever and that's not gonig to change."
The bastards deserve to be poor, and no f*ing liberal is going to take a nickle from me to change that.

"What many of us disagree with is changing a system entirely because 5-10% of our citizens are not getting medical care. "
Even if it's really 18%, they still don't deserve to have health care because if they would get up off their lazy a*es and work, they'd have what I have. And anyway, the liberals lie about numbers.
"And it makes no sense that this will cost us so much money, money that we do not have."
If anyone gets anything they didn't have to pay as much as I pay, you are spending too much that we don't have.
Sandy (Site Psychic™) Knauer Jul 27, 2009, 10:38pm EDT
Ann! Are you trying to take over my position. I knew that was what she meant - and could have predicted her response if I had come in before her.

We had a huge health fair here, recently, too. Although free, and wonderful, someone (the people who have insurance) are footing the bills.
Col. George W. Jul 27, 2009, 10:43pm EDT
That is not what she meant at all. You are reading into her comment what you wanted it to say.
Marilyn M. Jul 27, 2009, 11:44pm EDT
Thanks, Col. George. They know that's not what I said or what I meant. But, since they have no arguments, they have to pretend that they do.
Kathy W. Jul 28, 2009, 12:33am EDT
How about we let let Marilyn spell it out... Marilyn, please provide your own translation in your own words?
Quoting sources is good, but we need your individual interpretation of the news. What do you think?
Wilka
Jerry Yes we can, Yes we DID, YES WE WILL! P. Jul 28, 2009, 5:15am EDT
LOL, since Marilyn will not spell it out here, just listen to Rush Limbaugh, he will spell it out for you.
Marilyn M. Jul 28, 2009, 10:14am EDT
I shouldn't have to do that. Have you ever been to Apalachia? I have and any changes and improvements made are done slowly. Acknowledging that doesn't make me a bad person, nor does is mean that I don't want them to have better lives. To jump to that conclusion is absurd.

I also acknowledged that we need to find new ways of getting doctors to want to be in depressed areas. It used to be that doctors were told that part of their college loans would be ignored if they would serve in depressed areas. But didn't seem to work real well.


The number of uninsured who cannot afford to be insured is not closer to 18%, Ann. You have to factor out the illegial immigrants, the people who have chosen not to have insurance because they don't need it, and the people making over $75,000 (even Obama thinks they make enough to buy insurance). That leaves the 5-10% who are really in need.

I have never said we should ignore these needs. What I have said is that it makes no sense to redesign an entire health program when the majority do not want such a thing so that thid small percentage can have care. I have said that it makes no sense for us to want the entire country to have inferior care so that everyone has that inferior care. And I have said that we have an existing program that we could put people who do need care today on - Medicaid.

I have also pointed out to people that the bills proposed right now would not help anyone immediately, not when they're scheduled to be implemented in 2013. So, actually, I think I have a much bigger heart than all of you. I want them to have care today via Medicaid. You want them to wait for some miracle program that's not scheduled until 2013.
Marilyn M. Jul 28, 2009, 10:21am EDT
And Jerry, I probably see as much of Rush as you do - snippets on other news shows. I think I have actually watched him maybe 4 times in my life. And one was just recently, but not on his show. He was being interviewed. When he's interviewed, and not trying to be a shock jock, he's very reasonable.
Col. George W. Jul 28, 2009, 11:17am EDT
Obamacare will be a thing of the past in 2013. He will not get reelected because of this and the cap and trade fiasco.
Marilyn M. Jul 28, 2009, 11:46am EDT
I do hope you're right, Col. George.
Spartan * Jul 28, 2009, 10:08pm EDT
Excellent and VERY accurate translation, Ann!
Ann Weaver Hart Jul 29, 2009, 10:39am EDT
Marilyn: uninsured means "without insurance". That number is 18%. It doesn't matter why. Only IF they have insurance. The fact is "health insurance" is a misnomer. It should be called "health care payments" or something of the sort. Everyone should pay from the day they reach adulthood until they stop working. Then everyone could have health care whenever they need it, because they paid for it. It would stop the use of ER's as primary care centers, lower the amount of chronic disease through the practice of preventative medicine, and make the world a better place. That last thing is what conservatives hate about the idea.
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Deb S. Jul 27, 2009, 7:56pm EDT
The problem is not JUST the cost. It's the delivery "system" that has evolved into a fragmented mess. Watch Bill Moyers' program from last Friday evening and listen to Dr. Angell's articulate evaluation of how we need to reform healthcare in America.
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Larry M. Jul 27, 2009, 7:58pm EDT
The proportion of our GNP that goes to "health" (lots of that is paper shuffling and unneeded tests) is already 1/6. When that gets to 1/5 it will mean less money for everyone (except the drug companies and insurance companies) and it will be that much harder to sell things abroad because they will be that much more expensive to produce.

The more we spend on health care the less there is for everything else.
Col. George W. Jul 27, 2009, 10:45pm EDT
Most of that paperwork you refer to is government mandated.
Larry M. Jul 28, 2009, 7:03am EDT
The paperwork I see when I am requesting treatment is almost all "who is going to pay for this." I can't say from personal experience what proportion is required by the government.
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Ron (in complete sheeple overload) W. Jul 27, 2009, 8:10pm EDT
Not to mention that our country's businesses are at a distinct disadvantage on the international markets, because health insurance keeps going through the roof, and many other country's businesses don't even have to consider that cost of doing business. We rank fortieth in healthcare, and no.1 in cost. Insurance company administration (read that paper shuffling to deny every claim they can) is a very large part of that cost.
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Lisa Frost Jul 27, 2009, 8:12pm EDT
Why not give the one solution presented a chance, since the Republicans seem to think status quo is okay..IT ISN"T
Elizabeth (This place IS my Soap Opera) O. Jul 28, 2009, 8:55pm EDT
Because it's EASIER to "just say NO".
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F. Jeanette c. Jul 27, 2009, 8:19pm EDT
thanks for bringing this to us.
10 4 u
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Dorothy H. Jul 27, 2009, 8:40pm EDT
I'm one of those people who pans to die so I won't leave my offspring medically indebted, and bankrupt. If we don't get single-payer healthcare, I'm opting to just keep going the way I am, until I can go no further, then I'll just die.

I have worked hard to have an inheretance for my offspring. If we don't get good healthcare reform, I will not gamble any of my hard earned money on the current healcare system we have. I will not give those Insurance companis a dime.

The inheretance for my kids is all paid off, and will not go into any indebtedness ever again. The only insurance I have is a hefty life Insurance policy, with my kids as the beneficiaries.

End of story.

Don (are we Marxist yet?) H. Jul 27, 2009, 9:37pm EDT
Good for you... but with Obama spending the way they are, are they not planning to get the death tax raised to help offset the health care costs? On one hand, you are against taxes, but on the other hand, you want everyone else to collectively pay for your healthcare. Does not compute.

You also seem to think you have some control in how you die. It could very well be out of your control and wind up costing a lot of money which will be taken from estate before any money is given to your kids. Just a fact of life.
EM JAY (Gather Director of Chaos & Uprisings) W. Jul 27, 2009, 9:44pm EDT
Dorothy- that is touching and I have also thought about this. I haven't saved much, but I would rather see it go to my daughter to pay off her student loans than to prolong my own life and have it all go into a system that won't care about my health after the money is gone.
Ron (in complete sheeple overload) W. Jul 27, 2009, 9:50pm EDT
Death tax...That would be the estate tax, stripped of the deceptive think tank framing. And what is the threshold for that now? 3.5 million. This is how the rich trick folks in tar paper shacks into supporting their agenda. To some it's called framing, to others lying. Depends on your perspective, I suppose...
Dorothy H. Jul 27, 2009, 9:56pm EDT
I don't mind reasonable taxes, especially if it goes for something good, and single-payer is a good thing. If they are not allowing single payer, than a good healthcare reform is a step in the right direction.

We all have so much more control in our deaths than many may think. I have all the neccesary legal documents to keep any medical intervention of any heroic efforts to maintain me alive should I be debilitated.

If I can speak for myself, I'll refuse any intervention, and I'll refuse to go to any hospital. This was all taken care of, and notorized way back during the Teri Schevo case.

Should nothing occur in the next few years, I'm signing all my properties over to my kids
Dorothy H. Jul 27, 2009, 9:59pm EDT
No tax was due, when my Sisters died, nor my Mother, nor my Father. When my FIL died, their was only a small tax due on the sale of his property.
Col. George W. Jul 27, 2009, 10:53pm EDT
Dorothy, When you die any bills you owe can only be collected from your estate, not your children. Insurance proceeds are not part of an estate. If by chance you have a large estate you can put it in a trust naming yourself in charge of the trust. If and when you die the trust is a seperate entity and can't be touched by your creditors. You can put property and money in the trust. It costs a bit but it is worth it. There are also tax advantages. i.e. The trust don't die so there is no inheritance tax if your kids are named next in line to administer it. You get some income tax advantages while you live as well.
Kathy W. Jul 28, 2009, 12:39am EDT
I've been thinking that my first (and only) tattoo will be:

"Do NOT Resuscitate! or I WILL Come Back and Haunt Your Sorry Ass" on my chest.

Think that will work?
Wilka
Dorothy H. Jul 28, 2009, 7:25am EDT
Thanks Col. I've been research on that topic, and have found some good info. on that subject, as you've mentioned. I think more of the average person might do well to educate themselves on the topic themselves, instead of the typical, "making a will" scenerio.
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Wil B. Jul 27, 2009, 9:10pm EDT
Great article, Ann. I'd never heard of RAM expeditions in the U.S. until I watched that Bill Moyers interview with Wendell Potter last week. It's really hard to believe that things like that are necessary in a country as wealthy as the U.S.

Even harder to believe are the many bizarre reasons given for why things should continue that way indefinitely. One of my favorites is the "Disgruntled Canadian" argument. Brilliant! The Canadians hate their publicly-funded health care system so badly, they named Tommy Douglas, the "Father of Medicare", as the Greatest Canadian who's ever lived. Go figure.
Dorothy H. Jul 27, 2009, 10:00pm EDT
The opponents convenietnly leave out this part.
Elizabeth (This place IS my Soap Opera) O. Jul 28, 2009, 9:02pm EDT
They seem to conveniently leave out A LOT of things. Like preventative care being cheaper then reactive, if you took away all of the premiums, copays, and deductibles, AND the middleman (AKA Insurance Companies) we'd have PLENTY of money to support public health, the fact that we ALREADY have rationed and inferior care, etc. etc...
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De (It takes a pillage to raze a village.) M. Jul 27, 2009, 9:31pm EDT
Our government must reimpose the braking mechanisms that kept greedy pharma companies from fleecing U.S. citizens so they can do research and development of drugs and devices that are then sold on the international markets at 1/3 or less of what they charge us.
Elizabeth (This place IS my Soap Opera) O. Jul 28, 2009, 9:03pm EDT
This would be good too! OR re-importing the drugs that we already sold to those countries.
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EM JAY (Gather Director of Chaos & Uprisings) W. Jul 27, 2009, 9:42pm EDT
Ann, this is a wonderful article. Great job.

I'm not asking for free health care, I'm asking for affordable health care. I don't even have to have insurance, just make it so I can afford it or pay it off without the threat of losing my home and savings.
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Elsie C. Jul 27, 2009, 9:43pm EDT
Thanks, Ann, your article makes it very clear as to what is holding up progess in passing Obama's bill. While I would rather see a single payer program, I also recognize that it would not fly at this time. Baby steps might be the best option, but even that is in danger from the lobbyists and big business (insurance, pharmaceuticals, hospitals, and everyone else making a profit from our illnesses).

I just cannot understand why ordinary people with average wages want to fatten the insurance companies and their executives at the expense of their own health and that of our children and elderly. It just makes absolutely no sense.
Elizabeth (This place IS my Soap Opera) O. Jul 28, 2009, 9:07pm EDT
They've bought the propaganda and fear-mongering BS. People vote against their own best interests ALL THE TIME.
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Janet "Jax" B. Jul 27, 2009, 9:52pm EDT
I worked in a couple of different hospitals in Michigan, and you wouldn't believe the amount of Canadians that would come over the border for healthcare and also surgery. They couldn't get the care in their country, so they came to ours.....

You know, hospitals aren't making lots of money from healthcare....we have at least 2 hospitals here that are bankrupt. One has been saved by private donations, but it looks like the other may close.
Dorothy H. Jul 27, 2009, 10:02pm EDT
The Big Insurance companies sucked a whole lot of that in their direction.
Don(time to open them FEMA camps) S. Jul 27, 2009, 10:52pm EDT
No I wouldn't believe that.
Don(time to open them FEMA camps) S. Jul 27, 2009, 10:53pm EDT
Watch the movie sicko and learn the truth if you naysayers dare.

It may be easier for you morons than actually reading something.
Don (are we Marxist yet?) H. Jul 27, 2009, 11:09pm EDT
Watch a Michael Moore film to get the truth???? LMAO. Get a brain, moonbat!
Janet "Jax" B. Jul 27, 2009, 11:21pm EDT
I don't feel calling any of us names is warrented...that is just plain rude.

Insurance companies are in the business to make money. That is their whole point. I know ours isn't making anything off of us, due to all the health issues.

Part of the issue of rising healthcare costs stem from the rising costs of educating our doctors. I know doctors that finished medical school owing over $80,000...and that is getting off fairly cheap. Some end up owing over $100,000, since the avg. price is for school is $25,000 a year.
Kathy W. Jul 28, 2009, 12:43am EDT
It's okay. We can trade. Dad & I have been talking about moving to Canada.
My dad's Pill Bill is about $8,500/month. His Leukemia pill is $8000. If he doesn't qualify for the Leukemia/Lymphoma grant (that subsidizes him) he'd be dead. THAT is a quality medicine plan is it not?
Wilka
Janet "Jax" B. Jul 28, 2009, 1:09am EDT
Sorry Kathy, but Canada won't take you....
B. PERMANENT IMMIGRATION TO CANADA:

Under this class, one can make application for PERMANENT IMMIGRATION TO CANADA under the following three categories when he/she is OUTSIDE of Canada.


Applying for immigrant visa of Canada under the Independent Class. Canada Immigration

This class has become very popular and also known as professional class or skilled worker class and the application is assessed based on a point system. An individual should make an application under this class if he/she wishes to come to Canada based on his/her qualification, work experience and knowledge of English or French language.


Applying for immigrant visa of Canada under the Entrepreneur class, investor class or self employed class. Canada Immigration

This class is also known as business immigration class. One should make an application under the entrepreneur class and self-employed class if he/she wishes to start a business in Canada. A person should make an application under the investor class if he/she DOES NOT wish to start a business in Canada.


Applying for immigrant visa of Canada under the Family class. Canada Immigration

If an individual has close relatives in Canada, he/she may apply under this class for family sponsorship.

Janet "Jax" B. Jul 28, 2009, 1:12am EDT
You have to score at least a 67 on their point system...and that also means you have to have a job on their list of skilled workers... I noticed that my profession is NOT on the list and neither is my husband's.
Col. George W. Jul 28, 2009, 1:19am EDT
Some years ago they had a law that an American living in Canada could not get a job unless there was no Canadian available to take it. Also an Electrician could not work out of the hall until all Canadian Electricians were dispatched. I wonder if that is still the case.
Janet "Jax" B. Jul 28, 2009, 1:32am EDT
They have all kinds of rules, according to the website. My husband is a chemist, and apparently we couldn't immigrate to Canada with his job skills. They are not on the list of 'accepted' professions....and that list does change every few months too.
Jerry Yes we can, Yes we DID, YES WE WILL! P. Jul 28, 2009, 5:24am EDT
Sounds to me like "Jax" is interested in moving to Canada.
Marilyn M. Jul 28, 2009, 11:12pm EDT
Insurance companies may be in the business to make money, but they don't make much profit. The Cato Institute studies show that they average 3%. That's even lousier than the 8% that oil companies get. It's not much.

Jax, you're right about Canadians. I met many in the St. Pete/Clearwater area when I lived there. My folks were in a mobile home park of retired people, most of whom were snowbirds from Canada. They hated the medical system in Canada and did as much as they could here rather than wait for necessary care in Canada. But people would prefer to believe Michael Moore.
Kim J. Jul 29, 2009, 12:27am EDT
Hmm.....I have Canadian friends and none of them want to go through what we do to go to the doctor--they don't wait any longer than we do, meds are cheap and one woman I knew ended up coming to US for an elective surgery(lap band) and Canada PAID FOR IT. My insurance wouldn't pay for me to have that--its considered "experimental"!.
Janet "Jax" B. Jul 29, 2009, 1:02am EDT
I just call up the doctor and get an appointment. Unfortunately, in my area, there are not many doctors, so it may take a few days to get in. I can get my kids in to the pediatrician the same day, if I have to though.

It depends on what insurance people have....we have a PPO...I don't need referrels.
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Col. George W. Jul 27, 2009, 10:57pm EDT
We have very few Hospitals that are for profit in Montana. Most are Catholic hospitals and some, like ours, are cmmunity owned. What's going to happen to them with Obamacare?
Ann Weaver Hart Jul 27, 2009, 11:21pm EDT
"Not-for-profit" is not the same as not making money. It's definitely not the same as a charity hospital. The purpose of all non-profit corporations is to continue to exist, and to supply their principals with gainful employment.

Our Catholic hospital here harasses people to pay their bills. They call and say, "You need to pay $100 a month."If you say "I can pay $50 a month, they will put your account in collection, and in doing so, ding your credit. A bad credit score makes other problems, like raising the price of your state-mandated auto insurance.

Insurance companies have their feet on the necks of all but the most affluent (or healthy) Americans.
Janet "Jax" B. Jul 27, 2009, 11:22pm EDT
They will probably end up bankrupt.
Ann Weaver Hart Jul 27, 2009, 11:49pm EDT
Who will end up bankrupt, Janet?

If you're talking about the big insurance companies, I'll dance a jig on their graves. The hospital will never go bankrupt, since they pursue their debtors with astounding vigor.
Col. George W. Jul 28, 2009, 12:02am EDT
I can vouch for the hospitals here in MT. I've been an inmate at four of them and the all charge better than a grand a day for a room. I had to have a private room because I had MRSA. I don't know what they charged in intensive care but I spent a lot of time there. I was in one of two of them for two and a half months. I don't know what they charged my insurance company but none of them ever offered to give me a thing free.

Oh, I got MRSA from one of those hospitals.
Janet "Jax" B. Jul 28, 2009, 1:04am EDT
We already have a hospital here that is bankrupt...and shutting its doors. All that does it put more of a burden on the other hospitals. We have a large illegal population and a large poor population here...neither of which can pay....
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Angela A. Jul 28, 2009, 12:03am EDT
I have insurance right now.
The prescription plan and dental plan is great.
But, the health part..
Not so good.
It barely pays for any of my personal bills.
I just got a bill from the hospital for a total of 1300 dollars.
The insurance my hubby pays for every two weeks out of his paycheck, paid not one dime.
And, people think the current system is fine how it is?
Janet "Jax" B. Jul 28, 2009, 1:15am EDT
We have insurance but it's not that great...and getting worse every year. We just found out that our hospitals and doctors (Well Star system) hasn't signed a new contract with our insurance company. We will lose all of our doctors and hospitals the end of August. Not much we can do except to start driving farther and farther, if we can find doctors that will take us and our insurance.
Jerry Yes we can, Yes we DID, YES WE WILL! P. Jul 28, 2009, 5:27am EDT
That is why we need to do something about health care.
Dorothy H. Jul 28, 2009, 7:36am EDT
Janet, that's pretty much the same reason I dropped my healthcare insurance. Paid premiums each payday, and could not see the doctor of my choosing, and had to drive 200 miles (one way) to see an in network doctor or dentist, then discovered the insurance would not cover what
I needed looking into and/or fixed.

That did it for me.
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Maurice K. Jul 28, 2009, 12:09am EDT
It's clear that reforming health care is going to shake up the current system; that's why it's reform. The question is whether the plan that the government has is going to be viable and affordable; there are serious doubts about that.

When I wrote about my experiences with the Israeli health care system, I wrote about a system that works well. However, it is also a system that has its foundation from the days of the British Mandate and became Universal Health Care in 1995. The United States lacks the foundation for such a system and would have to do some major house cleaning before it could achieve a similar system. For one thing, insurance companies never got involved in the Israeli model; that's a major difference right there. Secondly, "for profit" hospitals are very marginal in Israel; the overwhelming majority of the hospitals either are affiliated with the General Federation of Labor or are government hospitals. It's an entirely different structure; for the United States to achieve such a system would take years of restructuring and planning.

However, throwing our hands up in the air and giving up is not a solution. The current system is not a system at all and leaves far too many people without coverage. I have my own questions about the plan now before Congress and only hope that more serious work will be done on it before it goes to vote.
Col. George W. Jul 28, 2009, 1:14am EDT
With upwards of 200 amendments I guess they are doing some thinking. My opinion is that if it takes that many amendments there is something basicly wrong with the bill in the first place.

Thank you Maurice. I was hoping you would jump in here with your input.
Janet "Jax" B. Jul 28, 2009, 1:28am EDT
True..something is wrong if it has that many admendments all right. I also wonder how much JUNK is added to this bill that has nothing at all to do with healthcare.

Well, I checked out Georgia's qualifications for medicaid and medical....for a family of 4 (which is our family)....the income limit for Peachcare (Georgia's med. care for children) is 235% of the FPL (Federal Poverty level), which is $51,818. To qualify for medicaid as a pregnant woman..it's $44,100. For children under 1, it's $40,800.
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Cheri Cabot Jul 28, 2009, 12:11am EDT
Excellent article, as always, Ann. I had not heard of RAM, before, what an outstanding organization, but how sad it has to be used here in the United States. That speaks volumes.
Spartan * Jul 28, 2009, 12:49am EDT
HBO did an entire documentary on RAM! Shame on you, Cheri!
Elsie C. Jul 29, 2009, 12:01am EDT
HBO is an extra charge many of us can't afford. I, for one, wouldn't spend more money than the exhorbitant price I pay for the basic channels.
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Kathy W. Jul 28, 2009, 12:45am EDT
Ann. Another stellar article, and I thank you for it.
Wilka
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Jan S. Jul 28, 2009, 1:15am EDT
Whether we favor health care reform or not, the plan needs to be right before it is implemented. Once it is a reality, there will be no getting rid of it.

Keep in mind that our senators, representatives and the president have opted not to be covered by the "public health care plan", choosing instead to enjoy the benefit of lifetime first class care at taxpayer expense.

If the plan is not good enough for them, is it good enough for us? I suggest we all opt for the same benefits that our elected officials enjoy.
Spartan * Jul 28, 2009, 10:12pm EDT
"Whether we favor health care reform or not, the plan needs to be right before it is implemented"

Which is exactly WHY every American should be demanding a Single Payer, Universal Health Care Plan!
Jan S. Jul 28, 2009, 10:32pm EDT
I'm not sure Single Payer, Universal Health Care Plan is the best solution, but whatever public tax-supported plan our legislators craft should be the plan from which they receive all of their health care benefits.

For our elected officials to be receiving such obscene benefits, immunity from prosecution for speeding, tax-evasion, lifetime health care and salary, etc., is the same as the feudal system.
Janet "Jax" B. Jul 29, 2009, 1:04am EDT
I don't believe a single payer, universal health care plan is the right solution either.
Don (are we Marxist yet?) H. Jul 31, 2009, 9:51am EDT
Yeah -- me either. That's three against your one, Sparky.
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Jan S. Jul 28, 2009, 2:05am EDT
Thanks for posting to Fugitives from Ignorance, Conformity, and Peer Pressure
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James T. Jul 28, 2009, 2:44am EDT
Walking away shaking my head at the people who continue to hide their heads in the sand and listen to the neigh sayers...

:O(
Jerry Yes we can, Yes we DID, YES WE WILL! P. Jul 28, 2009, 5:29am EDT
Ditto, James.
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Kathryn E. Jul 28, 2009, 6:31am EDT
some good articles in the NYT this morning on the health care bill. We need to have it passed. But we need to make sure it is actually workable - that people will be able to get real health care and that they can afford the health care.

The profit motive in this country interferes with way too many aspects of life for most people. This is a prime example.

Canadians have no idea how good they have it, nor do they understand that we do not have even a fraction of what they have.

And conservative average joes do not understand they are acting against their own best interests.


Featured in the Triple Name Club.
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The original comment in this thread has been deleted by its author.
Dorothy H. Jul 28, 2009, 7:43am EDT
And these are the experts that are sticking their fingers into the current debate, and promoting the natsayers side of the debate.

KICK THEIR BUTTS OUT OF THE DEBATE, concerning healthcare reform.!
Jim G. Jul 28, 2009, 7:38am EDT
UnitedHealthCare, our nation's 2nd largest insurer, based here in MN, showed a 50% increase in profits for the 2nd quarter this year vs. last year.

This, in spite of paying 400 million in fines for defrauding hospitals & policyholders, and a drop in commercial sales to businesses who had to cut back or terminate employee health coverage due to skyrocketing costs.

Elsie C. Jul 29, 2009, 12:04am EDT
Wish you could shout that from the house-tops, Jim. Maybe it would wake up a few people and they can tell their senators and representatives to stop favoring big business and their lobbyists.
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Gary Gentry Jul 28, 2009, 7:44am EDT
I don't want a government bureaucrat dictating my health care
But you're OK with an insurance company bureaucrat doing it?
We have the best health care system in the world.

A handful of our top hospitals are among the best in the world. As for the rest, we spend far more per capita on health care and rank far below at least a dozen countries in terms of results - higher infant mortality.
Obama's proposals are "not the reforms we need".

OK, wtf ARE the reforms we need. Repubs sure haven't mentioned any.
Spartan * Jul 28, 2009, 10:15pm EDT
Excellent points, Gary! Unfortunately, what is lost on most Americans is that we DO NOT have the "best health care"! We simply have the "most expensive health care"!
Ann Weaver Hart Jul 29, 2009, 10:52am EDT
Gary & Spartan: You've taken the words right out of my mouth! Most expensive does not equal the best. If a human being were to act the way insurance corporations acted, we'd lock them up as sociopaths.
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Jim G. Jul 28, 2009, 7:53am EDT
Dorothy - Your reply to my comment got in ahead of my comment because I deleted it to correct spelling errors - Sorry.
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Julie (there will always be a rainbow) G. Jul 28, 2009, 9:20am EDT
My state legislators likely see my name and cringe. I've been pleading the case for a long time, now. Thanks, Ann. I saw a piece on 60 Minutes about RAM and wept at the end. We should not have such a deplorable situation, in a country as wealthy as this one.
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Sheryl O. Jul 28, 2009, 10:22am EDT
Excellent article, Ann. I'm with George (first comment). Our so-called democratic form of government is a sham. This country is run by big business - people who can afford to buy off our representatives, people who run the media and can dominate the airwaves with their propaganda, people who can afford to turn citizens into consumers and convince them all that the country will go to hell in a handbasket if they do anything against the profit interests of these big businesses.

I fear we are lost as a country. We no longer hold any kind of dominance in the world as far as personal indicators - education, health, etc. - and we have brought war and economic destruction across the globe through our greed for money and power.

Let's just admit it. People like Marilyn and George up above represent the apathy and total lack of caring for their fellow man. They are hoarders of money, hoarders of culture, hoarders of power over others they deem less worthy. Many people are brain-washed into thinking that we have choices - that we are 'free', or would be 'free' if only the government would stop taxing them and making laws. They are not free - they are continually beholden to the very corporate masters that they claim their government to be. Our government has turned into a pawn, a prostitute to these masters. And the people play their game by shouting their lies, repeating their propaganda, hoarding their measly possessions, collecting their guns and ammunition, believing that by they make them safe.

The enemy is not 'out there'. It does not hide in a cave in the mountains of Pakistan, nor is it grown in the fields of Afghanistan. The enemy is here - it is us. It is every representative that accepts a law fully written for them by lobbyists. It is every citizen who insists on killing themselves with the Western Diet. It is every CEO who continues to rape and pillage their company, slashing benefits and jobs, all the while insisting that he/she is doing this for the betterment of our country and someday new jobs will some of it. It is every big bank that takes billions of dollars from the taxpayers and pays out billions in bonuses not even a year later.

I look forward to the day when my husband and I can retire and move away from this land that I no longer recognize.
Marilyn M. Jul 28, 2009, 11:20pm EDT
Sheryl, I'm not uncaring. As I have explained before, it just makes no sense that we would redesign an entire medical system when only 5-10% of our citizens are unable to get medical care. It also makes no sense to redesign it when the majority of our citizens like what they have now. Yes, costs are higher than we would like. But many of those costs are higher because we have helped them get that way.

I wrote about this the other day. Hospitals stopped putting wards in not only because of the possiblity of spreading illnesses, but because people didn't want to share space. Labs popped up on every street corner because people didn't want to drive too far. MRIs were put in every hospital instead of one major hospital like it used to be because people didn't want to drive too far. We have caused much of the increases. And now we're suffering for it.

Yes, we have to find a way to get costs down. But having the government control anything has never proven to be a way to do that. They don't know how to save money, only how to spend it. And right now that means money we don't have.

The 5-10% of people without medical care can be put on Medicaid for a fraction of the cost of making everyone have inferior care. And meanwhile, we can get a good group of individuals - not politicians! - together to design a good public option if some people want that. But those who don't want that should be free to continue with free market insurance and health care. And right now, the proposals on the table will end up crippling free market health care in a short time and we'll all be on a public plan that the majority does not want.

Keep in mind, too, that the proposals being decided upon today would not start until 2013, according to anyone who has taken the time and effor to read them. That means that the people without care would still be without care until the programs begin. Putting them on Medicaid makes much more sense.
Sheryl O. Jul 29, 2009, 9:12am EDT
I cannot debate with people who are so steeped in fantasy, Marilyn. It is absurd to believe that 89% of people are happy with their healthcare. Absolutely absurd. Small business owners are being devastated by healthcare premium increases - I can attest to that personally. I speak to people everyday who are furious about how little they get for how much they pay. We are 37th in the world as far as healthcare outcomes, but pay twice as much as any major industrialized country for that inadequate care.

And if in fact 89% of the population is happy with that, then that gives me all the more reason for giving up on this country because that means that 89% of us are totals idiots and fools.
Marilyn M. Jul 29, 2009, 1:26pm EDT
Alll kinds of groups have been doing surveys, Sheryl. Every one of them showed a majority of Americans are happy with their health care. That doesn't mean they wouldn't like to have the prices reduced. But it does mean that they don't want government controlled health care. The lowest number I saw in the polls of persons who were happy was 70%. Another showed 86% and another 89%. The numbers are real. The majority of Americans don't want Obamacare.
Don (are we Marxist yet?) H. Jul 31, 2009, 9:59am EDT
Sheryl, you are a pessimist on so many levels. We all agree that things are not perfect. But your ranting about how bad things are does NOTHING to support the agenda the democrats are trying to rush us into. Instead of complaining, why don't you tell some of the great things in the bill being passed around congress? Really dig deep and give us the good, bad and ugly... and I bet the ugly will surface more often than not.
Sheryl O. Jul 31, 2009, 10:13am EDT
Don - a pessimist is an optomist with experience.

I have high standards for myself and expect the people who have an impact on my life to function at the very least with a modicum of intelligence and competence. The 'nothing's perfect' line is total bullshit IMO. We have a chance here to actually do something to move this country into a more positive track. To right many past wrongs.

What I am totally sick of is the people like Marilyn who every day wake up with the 'I'm okay, so you must be okay' attitude, then deny the truth when it is shown to them that not everyone is okay. In fact, we're not doing well at all. I'm not looking for perfect, I'm looking to turn things around so that we can start climbing back up from our incredibly bad standings in healthcare (37th in the world), infant mortality, education, etc. And the people like yourself and Marilyn who are okay with that poor performance and our nation's continual decline are part of the problem, not part of the solution.

I personally don't give a crap about Democrat, Republican, INdependent, whatevery labels people put on themselves. It's foolishness and reminds me of the worst in Junior High school immaturity. But, the more I see it get worse, the more one just has to face up to the reality - many Americans are ignorant, many Americans are incredibly selfish and greedy, many Americans are self-destructive, many Americans are apathetic - not just to the quality of their own time on earth, but of their fellow occupants on this planet.

Do your own digging. I've lived long enough to see my country slide further into self-destruction. And I'll call a spade a spade when I see it.
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Don (are we Marxist yet?) H. Jul 28, 2009, 11:15am EDT
What I am reading over and over is that the current system does not work for everybody, so let's do 'something different'. Read the plan they have... it's WORSE than what we have now. You 'change mongers' are going to destroy this country.
Sheryl O. Jul 28, 2009, 12:53pm EDT
That's exactly what the health insurance and pharma companies are telling us. Change is bad. Any change to the status quo.
Don (are we Marxist yet?) H. Jul 28, 2009, 7:03pm EDT
89% of American's are happy with their current coverage. Why would you change that? Tweak a little, maybe, but to just throw it away in favor of a bill that NO ONE HAS READ, and what I've found so far is horrible. Let's get real.
Marilyn M. Jul 28, 2009, 11:22pm EDT
Exactly, Don. A huge majority are happy with what they have right now. And that number keeps going up as they discover what's really being proposed.