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Reports

Doctors and Patients Agree

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Posted on Apr 2, 2008

By Marie Cocco

    WASHINGTON—She said his plan doesn’t cover everyone; he said she backs an unwise mandate to force people to buy health insurance. She said covering everyone is the heart of the insurance issue; he said cost is what really counts.

    And at the end of the back-and-forth between Democratic presidential candidates Hillary Clinton and Barack Obama during a February debate in Cleveland, moderator Brian Williams of NBC News let out what amounted to an exasperated, if polite, sigh. “Well, a 16-minute discussion on health care is certainly a start,” Williams said. “I’d like to change up.”

    Well, Americans would like to change up, too—up to a less expensive, less irrational health insurance system in which 47 million people aren’t left out of coverage. Up to a system in which those who are lucky enough to have coverage aren’t confronted with continually rising co-payments and deductibles and convoluted schemes for limiting payment when someone gets really, really sick. 

    It turns out their doctors want to move up, too. They are way ahead of politicians in daring to go where the rest of the industrialized world has already gone: to a national health insurance system.

    New research by the Indiana University School of Medicine shows that 59 percent of doctors support legislation to establish a national health insurance system, up from 49 percent in 2002. Only 32 percent of doctors said they were opposed. A slightly lower percentage, 55 percent, agreed with a different question on what researchers considered “incremental” reform—that is, one that relies on tweaking the existing employer-based insurance system and filling in the gaps from there.

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    “National health insurance is national health insurance,” says Aaron Carroll, director of the Center for Health Policy and Professionalism Research at the medical school. “They [doctors] support a plan where there is government legislation to establish government financing for health care—a Medicare-for-all type of plan.”

    In this campaign, which has offered a bumper crop of politicians and a thicket of platitudes about the American health insurance system, no one except Rep. Dennis Kucinich, the Ohio Democrat who long ago abandoned his presidential run, has proposed a national, single-payer system of insurance. The fear factor keeps politicians well behind doctors, even though many physicians might see their incomes shrink under a national health insurance plan.

    Carroll says that what struck him most about his current data, compared with the 2002 survey, is the extent to which doctors in every specialty increased their support for a national health plan. “Every group went up that we measured,” he told me. Those who back national health insurance the strongest are psychiatrists, who see mentally ill people suffer from some insurers’ outright ban on coverage for mental health, or from low reimbursement rates for mental health treatment. Those in pediatrics and emergency medicine were also strong supporters. “Most of the people who are exposed to the uninsured are in primary care, or they’re psychiatrists—and emergency physicians who have to see people come into the ER without insurance all the time,” Carroll says.

    Carroll’s center studies how health care is delivered in the United States, assessing its cost, quality and patients’ access. By all those measures, he says, things have gotten worse in the past decade. That’s one reason opinion polls taken during the past year or more have shown an increasing proportion of the public warming to national health insurance, even when the questions include the caveat that taxes might have to be raised to pay for it.

    So, as they tend to say in those drug-company ads, doctors and patients agree.

    It’s the politicians who are lacking in courage, too cautious to confront the fear tactics that the insurance industry, the drug industry and other big players roll out every time. As for interest groups that represent doctors, Carroll says, those organizations supporting only incremental reform appear to be out of step. “We know what the representative groups are saying. We wanted to see what actual physicians believe.”

    Belief isn’t political action, and it comes up awfully short against the lobbyists’ talking points opposing national health insurance—the same arguments made against the creation of Medicare back in the 1960s. So maybe a bit of common sense is in order. “Nobody ever says, ‘Let’s get rid of Medicare,’ ” Carroll says. “Nobody says, this is horrible, we’ve got to go back the other way.”

    We should go forward instead.
   
    Marie Cocco’s e-mail address is mariecocco(at)washpost.com.
   
    © 2008, Washington Post Writers Group


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By online_doctor, January 5, 2012 at 6:56 pm Link to this comment

3 years on, and the country is still divided over the health care reform. Although the Obama administration has put in place his plan for a health care reform, the result that ensued was less than satisfactory. People are still not being covered and prices are forcing people to cancel their subscriptions to insurance.

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By Conservative Yankee, April 10, 2008 at 1:57 pm Link to this comment
(Unregistered commenter)

Lefty, your one word insults are getting tiresome.  BUT I am encouraged. At least I no longer think your vitriol is directed solely at me.. You are disrespectful, rude, and incomprehensible to EVERYONE who fails to share your (rather cloaked)  beliefs.

three facts:

Rezko,
a fundraiser for Sen. Barack Obama is charged with scheming to split a $1 million payoff from contractor Jacob Kiferbaum to push the plan to build Mercy Hospital in McHenry County


St. Francis Hospital will close its door. I assume this is the hospital JimmyJam is speaking about, as the Southside never gets much of the gravy. A true “lefty” (IMHO) would be concerned about people formerly served by this facility… Or has the lef (like the right) lost its way?

Finally, and this is my favorite gig, hospitals are forever closing in poorer neighborhoods.  Worcester City Hospital, the only hospital serving the dirt poor (but largely white) Main South district was closed, sold to a developer for one dollar, and turned into condominiums. 

When the “left” again becomes concerned about ALL the po folk, I will reinstate my membership, and they will get no bigger ball of energy anywhere… till then (somewhere around the tenth of never) I’ll stay over here on the right… at least they’re open about the money grab thing!

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By MAR, April 10, 2008 at 1:10 pm Link to this comment

Way out over the rainbow, Dorothy, way beyond Kansas, there several countries that run on different principles than the US.  Way out beyond the rainbow they don’t waste money on useless adventures like Iraq when the terrorist problem is el Quaeda and the Taliban in Afghanistan. Nor do they waste money on manned space when machines can do the job as well. Go to Mars? The moon was exciting but it wasn’t made of green cheese. And while there are mysteries of the universe, they won’t likely be solved by manned space when the necessary part of the country is breaking down. The US government should not be the employer of choice of Haliburton and other rich-Bush enterprises. The primary riches of a country rest in human capital and it takes a good education system (unlike the US) and a good health care system (not like the US) to keep the human capital in fine tune.

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By MAR, April 10, 2008 at 12:59 pm Link to this comment

Really?  Initiative starts with individuals and the vote. Other areas of the world have had total health care for 40 to 60 years and they are not socialist, except by Reagan and Bush’s standards. Even Cuba has a better health system and education system than the US. If the US had moved as far in the same time everybody would have a degree! By definition, social   democracy can looks after everybody, not just the rich or the wannabe rich. Your country has many rich who are getting richer by plowing the lower strata into the ground. In the event, it is political power that changes things - and the power is in the vote as well as money - you would be surprised how much ordinary folks can raise in the interests of good government.  Then you have to get rid of the effectiveness of fat-cat lobbyist - the AMA, the NRA etc etc. If you can’t it’s time to find somewhere else to live that doesn’t drag your kids to Viet Nam and Iraq - money that should be spent on health and education.

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By MAR, April 9, 2008 at 8:01 pm Link to this comment

Why not? You and millions like you have a vote, haven’t you, yet you still vote in the Reagans, the Bushes et al. And you let a Congress pander to the interests of the rich, the AMA and the pharmas. Other parts of the world have had a national health care “insurance ” for more than 50 years. WAKE UP!

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By VillageElder, April 9, 2008 at 2:44 pm Link to this comment

Thank you!  For too many years we have had to listen to the lies of the repuglicans and corporatists representing the insurance/medical/pharma complex.  My friends living abroad are very hesitant about coming home to the states given the state of our health care.

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By MAR, April 9, 2008 at 2:22 pm Link to this comment

I should emphasize that the premiums mentioned are trivial compared with the $cost of care. They are used in one right-wing province to offset care. In the case of low income the patient pays no premiums.

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By jimmyjam, April 9, 2008 at 1:57 pm Link to this comment

I’m the idiot because I’m showing you how fu*ked up the system that is in place right now is. So a hospital that has to shut down in a Spanish neighborhood, because of the way the system is, in your mind is a good thing.The entire board was corrupt, they are on trial now. But I’m the idiot because it can link back to Obamas friends.

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By MAR, April 9, 2008 at 10:33 am Link to this comment

While there is little that is wrong with a national health program - we have had it in Canada for 50 years for hospital care and about 40 for doctor’s services - I believe it is a DRASTIC mistake to put it into the hands of the private sector a la insurance companies or HMOs and hospitals owned and operated by doctors. Far preferable is a national system that ensures portability from state to state with national standards. The actual programs should be as in Canada,  state-run (province-run)  with significant federal financial assistance, which is the leverage to enforce national standards. State medical associations negotiate with the state plan on fee schedules. Coverage is universal. All hospitals would be non-profit. The obvious is that some actors have to accept less. The US system is a license for doctors, insurance companies and HMOs to either rip off society (the consumer) or shorten up on care. Sure we have waiting lines but all efficient systems have ques of some sort. The only people who complain in Canada are those who are rich because they can’t get their toe nails done on their schedule. Of course, the greedy doctors go to the US, bleating about the length of their training and the cost of their tuition, when the truth is that they have been heavily subsidized in their training and are provided with free workshops (hospitals).

The crap about socialized medicine is just that. Sure it is paid from taxes - and in the case of one province, premiums, but the system is far more economical and far more effective than what is in the US now, which to me is a horror story. When I was in the system we rescued a skier who had a ski accident outside of Denver - a seriously injured back. It was far cheaper to hire a chartered plane to bring him back to Canada under our system than to undergo another day in the US system, where the bills racked up by the thousands per day.

Expensive? Perhaps, but pennies compared to Viet Nam and Iraq adventures in political egotism.

MY god, even Cuba has a more effective system than the US!

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By cyrena, April 9, 2008 at 10:06 am Link to this comment

Holy SHIT CY. I know you’re not kidding, but this sounds even worse than what we see here. You’ve got money, and they STILL want you to have insurance!

Wait, I DO understand of course. That was to get you to buy insurance, because even if it supposedly didn’t have to be ‘good insurance’ you probably would have had to pay through the -you know- to get it.

A young colleague of mine was recently denied coverage by Blue Cross, when she attempted to simply move her existing policy from her mother’s coverage, to herself, since I think there is an age limit or something.

Well, same entity, same person, same everything..been insured by them all along, would NOT cover her, because of her ‘existing’ asthma condition, (yeah asthma) that she’s had since she was about 9 years old, WITH THIS SAME PROVIDER!

So, it makes me wonder if you would have even been able to receive insurance coverage anyway, for less than the 2K that you were willing and able to pay.

That is SOOOO messed up!

It also doesn’t surprise me, now that I think about. No matter how totally ridiculous it is these days, I’m not even surprised anymore.

Anyway, you may have felt like a teenager needing an abortion in 1958, but at least you had some money to pay the doc up front. Folks needing an abortion or anything else these days with money or insurance are shit out of luck.

And, we won’t even go into the ones who actually DO have it, and have been paying for it for years, and STILL can’t get the health care they need because the insurance-health industry won’t approve it…somebody sitting at a desk in a high rise building can just write a death warrant with a big fat DENIED across the request.

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By cyrena, April 9, 2008 at 9:50 am Link to this comment

Amen to the excellent reminder…folks are not being cared for via all of this privatized ‘contract’ servicing, though it has even hit the VA in respect to many of the services that the provide.

Health professionals have been run out of the state system.

Lefty, you do have a point about the socialized medical billing re: Medicare. HOWEVER, those physicians, don’t get anything close to what the services actually cost, covered by medicare, unless they are overbilling up the ying yang. (I’m not saying some of them don’t).

BUT, as a ‘for instance’, Here in California, a procedure that may have cost $600.00 8 years ago, would have had around 67% of that cost covered by medicare. NOW, they will cover…MAYBE - SOMETIMES…AT MOST, 31%. I did the books for ONE week of vacation relief at an office, and was amazed at all of the medicare payment checks that were LESS THAN TEN DOLLARS!! I even came across one for $1.45.

(I’m not kidding).

So, there are MANY physicians and other health care providers who would be perfectly fine with a single health care insurance, that came at least somewhere close to paying them for what they actually do, and they wouldn’t mind working as government employees in fully operated state facilities at reasonable salaries either.  That is especially the case with all of these HMO docs, who aren’t making the billions raked in by private practice physicians that serve the ultra elite with their many layered coverages (that they can afford).

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By Intend to Change, April 7, 2008 at 8:24 am Link to this comment

this is from a NYT Op-Ed by Lee Hill:
“... North Carolina’s entire mental health system is in jeopardy. According to a recent investigative series by The News & Observer of Raleigh, a 2001 reform effort has failed, wasting more than $400 million and putting the 350,000 seriously ill people in the state system at risk of losing community care.

Local mental health services used to be provided by federal, state and local governments. The reform plan put the counties out of business and forced them to hire for-profit “providers” that offered sometimes specious “community support” services for exorbitant prices. Costs more than doubled, to $1.5 billion a year. Only 5 percent of the money went to intensive outpatient therapy. As a result, our mental hospitals are overwhelmed, while prisons and homeless shelters are filling up with people who have persistent mental disorders.

Peter Kramer, a local social worker, has served Hillsborough’s mental health program for 20 years. The day his program switched from state support to private contractors in July 2006, he says, “A mother called up and said her son was hearing voices, but there was no doctor there to refer her to.” His clinic is due to close entirely.”

Just to add:  privatization (“the market economy always does a better job than government”) is NOT the solution!  Those who are afraid of any form or shape of dreaded’socialized medicine’ must get over it.  In truth, Medicare, Medicaid and the Veterans Administration ARE socialized medicine - not perfect, but a good number of citizens are served bythese systems.  Face it - they’re here - and not going away soon. 
Unfettered privatization without accountability to groups with REAL POWER to regulate/control, leads to even more cost, and ultimately to abuse.  And let’s not forget the poor folk who become ‘beneficiaries’ of this alleged privatization.
Solutions?  I wish I had a microwaveable compact simple way to ‘fix’ health care….I can only posit that some type of partnership/collaboration between private and government, with a present and signficant oversight with room for immediate corrections, should be part of the picture.

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By Conservative Yankee, April 5, 2008 at 6:07 am Link to this comment
(Unregistered commenter)

It is funny, I sure do not remember disrespecting you… Maybe you can refresh my memory???

...and you don’t know me well enough to call me by my first name.  It’s “Mister Hound” to you!

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By debbie S, April 4, 2008 at 9:39 am Link to this comment
(Unregistered commenter)

This article is encouraging.It takes physicians and medical people to practice medicine.If they are wanting of a Universal healthcare system this is a positive movement that could be organized with most of the people in this country.This is something I would be glad to have taxes used for.

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By ocjim, April 3, 2008 at 7:07 pm Link to this comment

HMOs and drug companies are so economically entrenched in the failed health care system that we won’t get what we need: a one-payer, everyone-covered system. It is a right of the citizenry and necessity for our democratic development and an egalitarian state.

The sick and the stressed cannot compete in education and jobs.

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By Douglas Chalmers, April 3, 2008 at 6:42 pm Link to this comment

Better just go to Singapore, Thailand or even India…....

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By Ashley, April 3, 2008 at 6:14 pm Link to this comment
(Unregistered commenter)

Everything in this nation is slowly becoming privatized, allowing the rich to enjoy more privileges and the poor to get tossed aside. The problem is larger than healthcare alone and also concerns the gap between private and public education, but we need to draw the line in the sand before our access to medical services grows any worse.

Looking beyond the immediate problem that shows that a majority of the nation does not even have medical insurance, those who do have, and pay a great deal of money for it, are not close to being protected from facing large co-pays and even huger costs for serious treatment. It is sad to know that even those Americans who work full time and pay into a health care plan from their employer are still not guaranteed to receive the attention they need if they do face a medical emergency.

For one of the wealthiest nations, this is an absurd problem that the government can ignore, and will continue to do so. As long as an enterprise is privately owned, they do not have to share any responsibility. For whatever reason, no one has come up with a plan to comprehensively solve this problem, or even take steps to resolve it over a period of time. There is no plan in place to ensure that every citizen has access to medical services, which is unheard of in the country, which is at the forefront of the medical world.

Sadly, it does all come down to money. Many are afraid to take steps in the right direction for the huge cost it would take to implement such a widespread program. However, what ever happened to humanitarian causes and doing the right thing? It should not be a hospital’s responsibility to treat patients and do pro bono work, and then not have resources to pay their staff. The government needs to step in so that insurance is not the dividing line between who receives treatment and who is turned away in the emergency room.

I feel that the primary problem lies not in our ability to devise a strong program that will work, nor find the funding to create and implement national health care services, but the lack of responsibility on behalf of the government to head in the right direction. If no one steps up and takes initiative, we will still be sitting here 4, even 8 to 12 years later, continually looking for a leader that will work for the greater good of the American public.

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By RWallace, April 3, 2008 at 5:15 pm Link to this comment
(Unregistered commenter)

I left this 2nd world country two years ago.  My insurance when I left was $600/mth for my wife and 2 boys ($5,000) deductible each.  They wouldn’t insure me at all - Oh shit! colesteral at 230!!

Before leaving, my wife broke her wrist and required outpatient surgery (2 hours).  After paying the deductible, she was presented with a bill of $47,000 from our insurance recomended doctor - of course the insurance company denied the claim.  We laughed and left, to our new home.

Having a bad year last year - she broke her ankle and required a plate in our new country.  Off to the hospital, private room, flat screen tv and of course the plate.  It didn’t cost us one dime.

By the way, to end this story, my insurance is with a “for profit company” in Europe, and it costs us 200 euros/mth total.

If every American just called their congress people and said - give us what you have or take what you consider as best for us, something might get done.

Disgusted

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By F M Elias, April 3, 2008 at 3:20 pm Link to this comment
(Unregistered commenter)

The health care ‘debate’ rages on, and people are dying, even as I key this, in the richest and (supposedly) best medically equipped/staffed country on the planet.  A famous person once said something to the effect that a nation can be judged by how it treats the least of its citizens

Everyone throws out the bogeyman of ‘socialized medicine’ and laments how badly the government handles things.  Here’s a news flash:  the current administration and some of the preceding ones, have been steadily privatizing A GREAT DEAL of what was once done by the government.  There’s been a steady trend since Ronald Reagan of ‘deregulation.’  Look around, folks.  Privatization - deregulation - while the government isn’t perfect by any stretch, these two trends have left us with:
—A FEMA that doesn’t work
—Judging by the whistleblowers, an FAA that doesn’t do its job regulating aircraft safety
—A Federal Reserve that bails out private banking concerns (and accepts their bad paper as collateral for the bail out) with what’s essentially our tax dollars.
—Trucking industry that has a pretty sorry safety record
—An FDA that can’t keep up with reviewing/inspecting poorly (or not at all) regulated products flooding in from China, from toys to toothpaste.
—A USDA that hasn’t got enough person-power to inspect the meat and poultry, such that some scenes we see remind us of Upton Sinclair’s “The Jungle”
—A military effort that spends a criminally high amount of taxpayers dollars (Halliburton, Blackwater) for services that should be better and more reasonably priced.

Don’t ‘Norquist’ the issue.  Government is not perfect but neither should it be thrown aside, especially where health care is concerned. Weakening structures and privatizing others has not been such a stellar plan.

We don’t have a HEALTH CARE SYSTEM - we have a broken, fragmented, special-interest, heartless and profit-driven situation, that doesn’t work and will eventually bankrupt business and government alike.

Like libraries - fire departments - road maintenance - other provided services - the delivery of health care should be a right we all have, without regard to employment status, income, gender, race, age, pre-existing health conditions….

Those who defend the current situation with health care, are teetering on the edge. (“I have mine - so I don’t care if you get yours” is the underlying thought pattern.) However, one of the foundations of a nation’s greatness is a healthy citizenry - that would be ALL citizens. 

I posit that we’re all a brush away from a medical disaster - just develop a very rare or serious acute illness - lose a job - run into a situation which leaves you unable to pay for coverage - develop a chronic condition that renders you uninsurable….as the feminist movement used to say, you won’t get it until the ‘political becomes the personal.’

The Harvard study which demonstrated that fully 50% of the family or individual bankruptcies are caused by medical expenses/catastrophes. Isn’t there something wrong with this picture.  Another news flash, dear folk - we’re ALL vulnerable.

There’s more than one way to fashion a national health care system - and if we’re so damned bright as a nation, we should be able to have the will, the brainpower, and the insistence by citizens of conscience and logic, that health care is a right, not something some get, others not.

The change to a national system will require a huge number of changes - in viewing medicine as preventative - in each person taking responsibility for his/her health as much as possible - in having the will to stand up to special interests and to have the moral conviction, that the entire ‘ticket’ has to be rewritten to have a just and sane solution for health care.

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By jimmyjam, April 3, 2008 at 2:23 pm Link to this comment

One of the leading heart care hospitals in the country ,shut the doors today,why because nobody paid for the care they received, they were in a very poor area also, what do these people do. and you want the government to run health care, according to most of the people on this site, the gov cant run a hot-dog stand, yet you want to let them run health care.  thank god for the Dems in Illinois, If Obama was here doing his job this might have been avoided right, Yet when they had a shooting at NIU there was 60 million at the ready for a new lecture hall, and when a church burnt down in a black community there was 2 million to rebuild it. But hey its only one of the top heart hospitals in a poor Spanish neighborhood.  and some of the money that should have went there ,went instead to Obama’s friend Tony Reszco to build a hospital up in the rich white area of Lake in the Hills, that will lead back to OB ......amazing

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By Conservative Yankee, April 3, 2008 at 11:55 am Link to this comment
(Unregistered commenter)

Guess what, It’s already here… I could not find a doctor who would remove my cancerous prostate in Maine.  I have money, but no insurance.

The Doctors say they will not schedule an appointment until I obtain SOME type of coverage… It doesn’t have to be good coverage, just so I present an insurance card.

Finally found a Doctor who would do the job. he wants 2 K up front, We met in a Clam bar in Rockland. I gave him the money in an envelope… I felt like a teenager needing an abortion in 1958!

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By David Richard Holmquist, April 3, 2008 at 11:33 am Link to this comment

Ms Cocco is wrong in saying that Dennis Kucinich was the only candidate to support a single-payer national health policy.  Ralph Nader supports single payer, and he’s still in the race!!

For this reason alone, he deserves your vote.  Go to votenader.org and see if he needs help to get on the ballot in your state.

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By Outraged, April 3, 2008 at 10:17 am Link to this comment

The single payer health plan is the way to go.  This will also encourage small business development and unburden large businesses also.  The biggest opponents against single payer plans are the drug and insurance companies. 

Universal plans keep the money flowing to these entities and allow them too much leeway in the distribution of services and products.  If a universal plan is adopted will we have enough enforcement of the adopted parameters and accountability programs in place to protect recipients and tax payers?  Probably not.  These same industries will then have even MORE money to lobby and undercut policy.

It is a scam they’ve cooked up and it’s win/win for them.  We all know how crooked they are and some of know it with the loss of a loved one or by suffering without needed care.  Universal plans ARE dangerous to our health.

Some doctors of course don’t “like” the plans.  That is because many doctors are deeply involved in the medical industry themselves.  And that is the ONLY reason they don’t like them, no matter what type of rhetoric they spew.  It’s still the same ol’ follow the money game.

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By Jaded Prole, April 3, 2008 at 8:25 am Link to this comment

Another aspect of that illgotten wealth,(reaped from the denial of needed medical treatment) is that the insurance industry, like big oil and the arms industry, invests big bucks in underwriting the campaigns of politicians who will protect its fiefdom by opposing national health care and to defeating candidates who advocate then needed changes.

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By Jim Yell, April 3, 2008 at 6:29 am Link to this comment
(Unregistered commenter)

Largely the private sector has proven the left right about the need for government oversight, if not actual control of medical care and pricing. We were promised cheaper and less cost if health care was privatized. What we got is huge amounts of health care money flooding the coffers of Pharmacy, Medical Industry as a whole. The Republican Pharmacy Plan was not for the benifit of the ill, but for the increased profits of Pharmacy, as if they needed any increase.

National Health Care would have to set limits on expensive chronic care that doesn’t produce either health or independent living. That is something this society is unwilling to do in a rational manner, but does all the time by default. Default being the money needed to maintain a blanket health care is drained off into the pockets of rapacious business code.

To have National Health Care that isn’t just a case of grabbing every cent the poor have, would require some limits. Are we prepared to make them?

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By VillageElder, April 3, 2008 at 6:06 am Link to this comment

The obstructionist wing of the ruling class, mainly repuglicans, have kept this country from having the health benefits enjoyed by the rest of the world for some 100 years.  Slavishly they repeat their “free market” dogma, chanting the same phrases over and over in the dismal belief that repetition will change reality.  This manner of “magical thinking” has been with our species since the time of the Neanderthal, so for the “conservative mind” it is a time tested method of influencing reality.

  Using their standard techniques of fear and lies these corporatists will launch the usual round of misleading ads supporting obstruction.  And,  Ms. Cocco glosses over the ever popular repuglican sport of gutting medicare.  Every election cycle they posture about the need to cut spending and offer medicare and social security as the suitable candidates for cuts.  Apparently the irony of the party, which claims to be grounded in family values,  removing needed services and funds from the halt, sick, lame and aged escapes repugs and a great many voters.  Dickens’ England had it right:  the people who own businesses and companies are entitled to all they have.  God rewards the favorites with prosperity and good health.  A popular view among those who claim to be christians.

  Given that the health care non-system we have in these United States is, as documented by the World Health Organization and others, just barely in the top 40.  There are many third world countries who provide their citizens with health care less expensively and with better out comes than ours.  Cuba has a better rated health system than ours.

  A great deal of air time and column inches are devoted to the non-competitiveness of amerika’s businesses.  The reason we can not compete on price is our employer based health care system.  Our competitors do not have to provide health care; a national health care system provides for those needs.  This is a significant cost savings for any enterprise.

  The real fight, the reason for not extending health care to all at a reasonable costs lies not with functionally.  Support must not be taken from the medical industrial complex and the chief ally the insurance industry.  These groups make unimaginable profits and pay their CEO more money than the GDP of small nations.  They must be protected!  Tax credits and government research given freely to industry with regulated price fixing is the the free market way.

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By Jaded Prole, April 3, 2008 at 4:41 am Link to this comment

The HMO’s and insurance companys have made it all but impossible for actual medicine to be practiced in the US. Instead its superficial symptom treatment and treating the consequences. Most if not all physicians I’ve spoken to favor a national health plan that would free them up to practice medicine which involve real diagnostics and preventative care.

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By Douglas Chalmers, April 3, 2008 at 3:15 am Link to this comment

Uhh, other nations’ health systems - and their health insurance schemes - are crumbling anyway. The REAL issue is what the precious medical establishment is going to do to change their OWN shortcomings.

The main agenda for the medical fraternity is not their patients but their jobs and that includes the medical scientists and the drug corporations. They don’t want to admit that they no longer have the answers.

The secret to health care is CARE!!! You do what is good to PREVENT the onset of functional disorders and the rest takes care of itself. Failure to do so is where chronic problems start.

That is simple responsible management but, of course, that is not what drives corporate profits. Naturopaths, chiropractors and so forth come before doctors, not after.

Hospitals are for emergencies - and the last resort in a crisis. Instead, they are misused from go to whoa and the more operations they can perform the more money they get from medical insurance.

Thus the medical profession has been playing a game that really can no longer be afforded. Medical specialists (surgeons) are at the top of their precocious shit-heap of self-serving righteousness.

They are needed but NOT in the way they are used now. GP’s are needed but NOT to funnel more and more victims to hospitals and surgeons and corporate profits.

They all need to swallow their pride and step back a little. Only THEN a workable health system can be pursued which is both affordable and user-friendly.

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