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| subject: | northern healthcare |
Replying to a message of Steven Horn to JIM WELLER: JW>> I'm getting a headache. It's all too complicated. In Canada JW>> the employer remits 1.95% of his total payroll, I get a JW>> health card, I show it, I don't get a bill. Period. I pay JW>> for my own drugs and dental care until I'm 60 and then JW>> they get covered too. Nice and simple. SH> I read the American posts and I not only get a headache but SH> get nausea to boot. Why? If you assume - usually correctly - that the media and the politicians are lying out their collective *sses whatever they say shouldn't bother you at all. In point of fact, people in this country are not dying in the streets for lack of health care - drive-by shootings, hypothermia, starvation, yes, but not for lack of health care. The demand for health care is infinite and resources are limited. In the US, the limitation has historically been done by price and/or availability. In countries with socialized medicine it's done by bureaucratic fiat - which includes waiting lines, but it's done. In point of fact in the US, emergency care is not denied to anybody because they can't pay for it - the fact that so many people are not paying for it in some areas has caused several hospitals to either close their emergency departments or close completely. SH> Like you, I have a health care card SH> which has included pharmacare for some years now and my SH> group health and dental plans covered 80% of my dental and SH> drug costs before pharmacare clicked in. I had that promised to me, too. And by the US government. Free medical and dental care for life if I served at least 20 years active duty in the US military. That free dental care went away in the 1970s and that free medical care went away in the 1990s (I retired in 1983). Y'see, providing all that free medical care - and for a very limited population - is expen$ive, and congress has decided it simply isn't going to pay for it (note that active duty members now have to pay for the medical care their dependents receive, that used to be free too). The same is true for Medicare, which controls a much larger population; in December the government announced that it would reduce its reimbursement rates for Medicare patients (which is why providers have been - usually quietly - dropping out of the system, they can't recover their costs); note that hospitals *already* lose money on Medicare patients and have been for years (but they'd lose more money if those beds were empty) - and Medicare patients make up about 60% of a general hospital's inpatient population. Another of the US government's dirty little secrets is that it has quietly been closing the military hospitals at active duty bases (and during a shooting war). The AF hospital at Offutt AFB closed in 2004 and reopened as a walk-in clinic; anything more serious than a hangnail is referred to a local civilian hospital (and note that Omaha's University of Nebraska Medical Center is nearly finished building a brand new inpatient facility about one mile north of the former military hospital - specifically to handle those military patients formerly seen at the base hospital). And some people want to put these crooks in charge of the whole medical system. ---* Origin: Bob's Boneyard, Emerson, Iowa (1:300/3) SEEN-BY: 10/1 11/200 201 331 34/999 120/228 128/2 187 132/500 140/1 222/2 SEEN-BY: 226/0 236/150 250/306 261/20 38 100 1381 1404 1406 1410 1418 266/1413 SEEN-BY: 280/1027 320/119 396/45 633/260 267 712/848 800/432 801/161 189 SEEN-BY: 2222/700 2320/100 105 5030/1256 @PATH: 300/3 14/5 140/1 261/38 633/260 267 |
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