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American Healthcare debate... (Read 16298 times)
Lobster
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Re: American Healthcare debate...
Reply #125 - Sep 22nd, 2009 at 1:03pm
 
Hello Buzz... a question if that is OK with you.

Could you please describe the climate around malpractice over there relative to that in the USA?

Medical care here is often driven more by fear of a malpractice suit than by medical necessity.

Examples from various net articles...

It can cost an ob-gyn in South Florida $209,000 a year to insure for delivery of babies.

Last summer, Crowder received his malpractice insurance renewal notice -- and a payment coupon for $150,000.

* In 2000, a Philadelphia jury socked four physicians and two hospital defendants for $100 million for bad outcomes suffered by a baby born at 26 weeks of gestation.

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Re: American Healthcare debate...
Reply #126 - Sep 22nd, 2009 at 1:45pm
 
Lobster wrote on Sep 22nd, 2009 at 1:03pm:
Hello Buzz... a question if that is OK with you.

Could you please describe the climate around malpractice over there relative to that in the USA?

Medical care here is often driven more by fear of a malpractice suit than by medical necessity.

Examples from various net articles...

It can cost an ob-gyn in South Florida $209,000 a year to insure for delivery of babies.

Last summer, Crowder received his malpractice insurance renewal notice -- and a payment coupon for $150,000.

* In 2000, a Philadelphia jury socked four physicians and two hospital defendants for $100 million for bad outcomes suffered by a baby born at 26 weeks of gestation.


Lobster,

I have had a very brief look around for precise information relating to professional indemnity insurance for the medical profession, but have found nothing specific that would give you a definitive comparison between the US and the UK.

That said, there is a growing "lawsuit culture" in the UK that is becoming similar to that in the US. Already certain types of insurance are becoming very expensive thanks to the recent upsurge in legal companies offering to sue on behalf of victims, on a "no-win-no-fee" basis.  I am sure that there will be an inevitable rise in lawsuits against medical practitioners as "victims" try to extract cash.

A culture of lawsuits is iniquitous as it benefits no one in the long run, unless the lawsuit provides to the victim genuine compensation for a genuine loss.  In my opinion, any malpractice should be dealt with at General Medical Council or Court level and the practitioner sanctioned in accordance with what is prescribed in law. Lawsuits should reserved only for exceptional circumstances.

With the above in mind, unless the UK gets a grip on this obscene and ruinous practice of exchanging justice for cash, our medical profession will be rendered too expensive thanks to their crippling insurance bills.

Below is one website I found that wasn't trying to sell me indemnity insurance. Its not that useful, but its a start...

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Charlie
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Re: American Healthcare debate...
Reply #127 - Sep 22nd, 2009 at 7:02pm
 
Barb is right. Nobody at her advance age like me.... Roll Eyes has to worry much about health care with Medicare. Medicare works well and part of it is that it bears a lot of features of the Canadian system.

As my ultra conservative neighbor says: "Expand Medicare. It's the only way people will understand it." I like that too because it will add millions of voters who will scream bloody murder at anyone who tries to fool with it. Never has there been a better third rail in American politics. Of course, it's too simple and easy to denouce. No money for big drug and evil insurers.

Charlie

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loopy
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Re: American Healthcare debate...
Reply #128 - Sep 22nd, 2009 at 7:50pm
 
At the risk of repeating myself, let me repeat myself...

Without profit motive, how does the quality of healthcare not decline?

If there is no incentive to get into the business, why would anybody get into the business?  Why even *try* to find a medicine that works for some malady if there is no possibility that it is profitable?

Why spend $1,000,000 on an education if there's no opportunity to make it back in that line of work?

The 'free market' is not perfect.  Far from it.  Man is not perfect and perfection cannot be expected.  So we have given government the power to enforce the social contract that exists not because we wrote it, but because it exists.

That 'social contract' is expressed in the Declaration and Bill of Rights.  This form of government, one that acknowledges that all of us have fundamental rights given to us all by a higher power (without requiring any of the citizens to pledge allegiance to any specific deity or person) was unprecedented.  Though it was written by those who had slaves, it had already been acknowledged by the framers that the idea of slavery was incompatible with the documents.  My point is, they knew that strict adherence to the enumerated rights of the people, and more importantly, the specific limitations of government, would give rise to the greatest nation in the history of mankind.  On that topic, sane people can have vigorous disagreement, but it cannot be denied that the USA has led the world in wealth production, advances in the standard of living, and many other areas.  Where we have faltered, it is where we have ventured in to socialist and/or Marxist policies.  Detractors point at our disaster of an economy as a perfect example of the failure of capitalism, yet the cause of the collapse can be pinned directly on government intervention in free markets.

I fear this is what is beginning to happen with healthcare, only the consequences will be far worse.
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Re: American Healthcare debate...
Reply #129 - Sep 22nd, 2009 at 8:32pm
 
Loopy wrote on Sep 22nd, 2009 at 7:50pm:
Detractors point at our disaster of an economy as a perfect example of the failure of capitalism,

Wouldn't it be "corporatism" instead? Undecided 

I usually don't agree with a LOT of what Arianna Huffington writes, but came across this quote from one of her blogs on her website as she was encouraging everyone to go see Michael Moore's new movie (yeahhhh right, like I'm going to pay for that!).  Anyway, I found it interesting...

Quote:
In capitalism as envisioned by its leading lights, including Adam Smith and Alfred Marshall, you need a moral foundation in order for free markets to work. And when a company fails, it fails. It doesn't get bailed out using trillions of dollars of taxpayer money. What we have right now is Corporatism. It's welfare for the rich. It's the government picking winners and losers. It's Wall Street having their taxpayer-funded cake and eating it too. It's socialized losses and privatized gains.


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Re: American Healthcare debate...
Reply #130 - Sep 22nd, 2009 at 10:24pm
 
Charlie wrote on Sep 22nd, 2009 at 7:02pm:
...................... No money for big drug and evil insurers.......................

Charlie


Last month the drug companies were "evil" too. Did they suddenly grow halos become "unevil" because the White House is taking their special interest money?

If the insurance companies start lining pockets in the White House, will become "unevil" too?  Wink

It's all about party politics and growing a power base instead of fixing a real problem. No change - same old same old.

Marc

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Re: American Healthcare debate...
Reply #131 - Sep 23rd, 2009 at 1:32am
 
Loopy wrote on Sep 22nd, 2009 at 7:50pm:
At the risk of repeating myself, let me repeat myself...

Without profit motive, how does the quality of healthcare not decline?

If there is no incentive to get into the business, why would anybody get into the business?  Why even *try* to find a medicine that works for some malady if there is no possibility that it is profitable?

Why spend $1,000,000 on an education if there's no opportunity to make it back in that line of work?

The 'free market' is not perfect.  Far from it.  Man is not perfect and perfection cannot be expected.  So we have given government the power to enforce the social contract that exists not because we wrote it, but because it exists.

That 'social contract' is expressed in the Declaration and Bill of Rights.  This form of government, one that acknowledges that all of us have fundamental rights given to us all by a higher power (without requiring any of the citizens to pledge allegiance to any specific deity or person) was unprecedented.  Though it was written by those who had slaves, it had already been acknowledged by the framers that the idea of slavery was incompatible with the documents.  My point is, they knew that strict adherence to the enumerated rights of the people, and more importantly, the specific limitations of government, would give rise to the greatest nation in the history of mankind.  On that topic, sane people can have vigorous disagreement, but it cannot be denied that the USA has led the world in wealth production, advances in the standard of living, and many other areas.  Where we have faltered, it is where we have ventured in to socialist and/or Marxist policies.  Detractors point at our disaster of an economy as a perfect example of the failure of capitalism, yet the cause of the collapse can be pinned directly on government intervention in free markets.

I fear this is what is beginning to happen with healthcare, only the consequences will be far worse.



Bingo!  Well said.

Jerry
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Re: American Healthcare debate...
Reply #132 - Sep 23rd, 2009 at 3:13am
 
Callico wrote on Sep 23rd, 2009 at 1:32am:
Loopy wrote on Sep 22nd, 2009 at 7:50pm:
At the risk of repeating myself, let me repeat myself...

Without profit motive, how does the quality of healthcare not decline?

If there is no incentive to get into the business, why would anybody get into the business?  Why even *try* to find a medicine that works for some malady if there is no possibility that it is profitable?

Why spend $1,000,000 on an education if there's no opportunity to make it back in that line of work?

The 'free market' is not perfect.  Far from it.  Man is not perfect and perfection cannot be expected.  So we have given government the power to enforce the social contract that exists not because we wrote it, but because it exists.

That 'social contract' is expressed in the Declaration and Bill of Rights.  This form of government, one that acknowledges that all of us have fundamental rights given to us all by a higher power (without requiring any of the citizens to pledge allegiance to any specific deity or person) was unprecedented.  Though it was written by those who had slaves, it had already been acknowledged by the framers that the idea of slavery was incompatible with the documents.  My point is, they knew that strict adherence to the enumerated rights of the people, and more importantly, the specific limitations of government, would give rise to the greatest nation in the history of mankind.  On that topic, sane people can have vigorous disagreement, but it cannot be denied that the USA has led the world in wealth production, advances in the standard of living, and many other areas.  Where we have faltered, it is where we have ventured in to socialist and/or Marxist policies.  Detractors point at our disaster of an economy as a perfect example of the failure of capitalism, yet the cause of the collapse can be pinned directly on government intervention in free markets.

I fear this is what is beginning to happen with healthcare, only the consequences will be far worse.



Bingo!  Well said.

Jerry


It would be easy to create a system where profiatbility is possible but profiteering is held in check. The UK's healthcare system is a (not perfect) living breathing example where patients generally get exceptional value for money yet healthcare providers make enough to stay in business, some more profitably than others, which can be attributed to better management of their resources/businesses.

The days of a free ride need to be brought to an end; healthcare providers must succeed on merit, not obscene profits from mediocre service.
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Re: American Healthcare debate...
Reply #133 - Sep 23rd, 2009 at 3:22am
 
Marc wrote on Sep 22nd, 2009 at 10:24pm:
Charlie wrote on Sep 22nd, 2009 at 7:02pm:
...................... No money for big drug and evil insurers.......................

Charlie


Last month the drug companies were "evil" too. Did they suddenly grow halos become "unevil" because the White House is taking their special interest money?

If the insurance companies start lining pockets in the White House, will become "unevil" too?  Wink

It's all about party politics and growing a power base instead of fixing a real problem. No change - same old same old.

Marc



To me, that's a clear illustration of how big business's ruthless, unchecked capitalism is usurping democracy, riding rough shod over the American Dream, forcing ordinary people into the sidelines. 

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Re: American Healthcare debate...
Reply #134 - Sep 23rd, 2009 at 4:16am
 
Quote:
...I have HUGE admiration and gratitude for the FREE healthcare and subsidized medication that I am entitled to...


Quote:
The days of a free ride need to be brought to an end;


So some are entitled to a free ride, but others aren't? You can't have it both ways. More evidence to me that you're just here to stir up some shit.
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Re: American Healthcare debate...
Reply #135 - Sep 23rd, 2009 at 7:10am
 
Brew wrote on Sep 23rd, 2009 at 4:16am:
Quote:
...I have HUGE admiration and gratitude for the FREE healthcare and subsidized medication that I am entitled to...


Quote:
The days of a free ride need to be brought to an end;


So some are entitled to a free ride, but others aren't? You can't have it both ways. More evidence to me that you're just here to stir up some shit.


Brew, I am not here to stir up sh1t.  You will notice that this discussion is now 6 pages and has many different viewpoints. Why should only my carefully considered and  respectfully articulated viewpoints be stirring the sh1t? If you don't like what I or anyone else has to say, present a counter argument or butt out.

With regard to the snippets of my writing you quoted, each has a very different, very easily identifiable context. To attempt to put them in the same context so as to make it look like I am making hypocritical statements leads me to just one conclusion: you are stirring the sh1t.

Finally, in the series of unpleasant, judgemental and ill-tempered private messages you instigated, you told me to "have a nice life" which apparently means you are done talking with me. So be done.
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Re: American Healthcare debate...
Reply #136 - Sep 23rd, 2009 at 7:39am
 
Oh, I'll butt out alright. I just felt the need to point out to others how hypocritical your socialist philosophy is. I've accomplished my goal.

Now y'all have a nice life, y'hear?
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Re: American Healthcare debate...
Reply #137 - Sep 23rd, 2009 at 7:52am
 
Brew wrote on Sep 23rd, 2009 at 7:39am:
Oh, I'll butt out alright. I just felt the need to point out to others how hypocritical your socialist philosophy is. I've accomplished my goal.

Now y'all have a nice life, y'hear?


Well you failed to make your point. In fact, you amplified mine.
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Re: American Healthcare debate...
Reply #138 - Sep 23rd, 2009 at 7:55am
 
I guess it depends on your perspective.

Now you go ahead - the last word is yours.
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Re: American Healthcare debate...
Reply #139 - Sep 23rd, 2009 at 8:01am
 
Brew wrote on Sep 23rd, 2009 at 7:55am:
I guess it depends on your perspective.

Now you go ahead - the last word is yours.


Oh goodness me no! I couldn't possibly have the last word, sir! Its yours, I insist! Smiley
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Re: American Healthcare debate...
Reply #140 - Sep 23rd, 2009 at 8:24am
 
Melissa wrote on Sep 22nd, 2009 at 8:32pm:
loopy wrote: Detractors point at our disaster of an economy as a perfect example of the failure of capitalism,


Not as much a failure as might be reflecting a certain shortcoming in part.


Melissa wrote on Sep 22nd, 2009 at 8:32pm:
I usually don't agree with a LOT of what Arianna Huffington writes, but ... I found it interesting...


Quote:
In capitalism as envisioned by its leading lights, including Adam Smith and Alfred Marshall, you need a moral foundation in order for free markets to work.

...


This hits on something long a part to be understood, but difficult to be seen trickling down.

Reforms were required in the Progressive Era of the early 20th century to counter the some of the worst results of the Gilded Age of capitalism.  But by presupposing that capitalists had a sense of social responsibility, which would prevent the need for aggressive federal intervention in the marketplace, things didn't turn out that way leading to the Depression.  Coincidentally the time when the term "special interests" was coined.
  In today's world, the CEO of Exxon/Mobil has expressed social responsibility at their annual meeting as the duty to continue marketing oil as America's energy.  A far different tune than what might have been intended by the term.


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Re: American Healthcare debate...
Reply #141 - Sep 23rd, 2009 at 9:14am
 
Kevin_M wrote on Sep 23rd, 2009 at 8:24am:
Melissa wrote on Sep 22nd, 2009 at 8:32pm:
loopy wrote: Detractors point at our disaster of an economy as a perfect example of the failure of capitalism,


Not as much a failure as might be reflecting a certain shortcoming in part.


Melissa wrote on Sep 22nd, 2009 at 8:32pm:
I usually don't agree with a LOT of what Arianna Huffington writes, but ... I found it interesting...


Quote:
In capitalism as envisioned by its leading lights, including Adam Smith and Alfred Marshall, you need a moral foundation in order for free markets to work.

...


This hits on something long a part to be understood, but difficult to be seen trickling down.

Reforms were required in the Progressive Era of the early 20th century to counter the some of the worst results of the Gilded Age of capitalism.  But by presupposing that capitalists had a sense of social responsibility, which would prevent the need for aggressive federal intervention in the marketplace, things didn't turn out that way leading to the Depression. 
  In today's world, the CEO of Exxon/Mobil has expressed social responsibility at their annual meeting as the duty to continue marketing oil as America's energy.  A far different tune than what might have been intended by the term.




Unfortunately "social responsibility" has become an elastic term that can be stretched and manipulated to give a sheen of decency to almost anything.

Unchecked capitalism is as much a thing to be feared as unchecked socialism; Both are systems that in their purest sense discount the human spirit. Take either system however and combine them with humanity and simple ethics and morality and they become so alike as to be indistinguishable.

I also wish to make an observation on capitalism and free markets. Some in this discussion have blamed government interference in the free markets as the cause of the latest financial meltdown. I disagree.  There is no such thing as a free market economy in a world where there are economies that have differing levels of freedom. Economies HAVE to be nudged and prodded along a chosen path, reacting to the environment created by other economies. Fore example, America has to put in place various mechanisms to sustain its economy in light of competition from China and other emerging markets. American farmers and manufacturers seek protectionist measures to ensure their survival. Protectionism is not part of a free market economy; it could be argued that it is very socialist.

Taking this back into the realm of the healthcare debate, I think that peoples; scepticism is quite possibly based on their fear (thanks to politicians' skewed rhetoric) of words like "social healthcare". The "S" word means to them, Gulags, empty shelves, bleak, cold streets, a life stripped of colour and vibrancy... the old vision of Soviet Hell. And who wouldn't oppose something that conjures up such visions?
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Re: American Healthcare debate...
Reply #142 - Sep 23rd, 2009 at 9:40am
 
A factor being ignored in the present debate is the amount of choice presently available to every US resident.

Your insurance company is evil?  There are 200 others that will take your business instantly if you are in good health. 

Your doctor or hospital is evil?  Pick another.

Your drugs are too expensive?  Use another pharmacy, perhaps an overseas one.

If you find that they are all just a 'bad', then you are probably learning the reality of the situation... good health care is complex and expensive. 

Ironically, at the same time we are screaming for lower rates we are also asking for increased lifetime max amounts and coverage of pre-existing conditions.

Pre-existing conditions... someone with no insurance comes down with cancer... so they get a low-end job with benefits... and magically the insurance company is supposed to cough up $500,000 in treatment.  It's magic!

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Re: American Healthcare debate...
Reply #143 - Sep 23rd, 2009 at 10:18am
 
Lobster wrote on Sep 23rd, 2009 at 9:40am:
A factor being ignored in the present debate is the amount of choice presently available to every US resident.

Your insurance company is evil?  There are 200 others that will take your business instantly if you are in good health. 


A little story.  2007 my company outsources to Manilla and the Dominican Republic.  Those remaining were only in the HQ building in FL.  I opt for the COBRA payments to keep insurance, which got crappier in the last year and the payment was reasonable.
  Two months later with the changes complete, the COBRA payments more than double.  Corporate got themselves very dandy insurance coverage, not a dime for any visit, even specialists. 
  Well, I stay on this beautiful coverage to the limit of COBRA's 18 months, then had to buy my own policy.  With cluster headaches and, well, an enlarged prostate controlled ok with generic medication, I was turned down by three large insurance companies for coverage.  Willing to pay, denied.
  Ok, soonafter my new employer provided coverage, earned after a one year evaluation (got around to after 16 months).  My doctor I've worked for 15 years with clusters does not accept it.  They provided a list of 25 doctors in a milage area that will and recommended a nearby one. 
  Not so hot on the idea of starting over new with this condition so I just pay to see the same ol' doc.  Maybe I'm just stubborn with change.

There seemed a problem in this along the way.
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Re: American Healthcare debate...
Reply #144 - Sep 23rd, 2009 at 11:09am
 
Lobster,

You still have those choices with public healthcare. We still pick our own doctors and what pharmacy we want to use.

Chris
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Re: American Healthcare debate...
Reply #145 - Sep 23rd, 2009 at 11:27am
 
Lobster wrote on Sep 23rd, 2009 at 9:40am:
A factor being ignored in the present debate is the amount of choice presently available to every US resident.

Your insurance company is evil?  There are 200 others that will take your business instantly if you are in good health. 

Your doctor or hospital is evil?  Pick another.

Your drugs are too expensive?  Use another pharmacy, perhaps an overseas one.

If you find that they are all just a 'bad', then you are probably learning the reality of the situation... good health care is complex and expensive. 

Ironically, at the same time we are screaming for lower rates we are also asking for increased lifetime max amounts and coverage of pre-existing conditions.

Pre-existing conditions... someone with no insurance comes down with cancer... so they get a low-end job with benefits... and magically the insurance company is supposed to cough up $500,000 in treatment.  It's magic!



Lobster, your points all make a lot of sense. 

Regarding pre-existing conditions, this makes a strong case for a social healthcare system that is put in place to look at patients needs rather than their means. 

It is possible to maintain financial stability in such a system because at any given moment there are many more healthy people than unhealthy people. There would also need to be a line drawn in the sand that separates "needs" and "wants" in terms of expectations of both patients and health delivery; A cost effective health delivery system would from the outset have to live within modest means. Efficiency would be key and wastefulness could not be tolerated. For doctors, hard work would bring worthwhile rewards. Hospitals would have to innovate to create paid-for add-ons to boost profitability. I'm not here to create a set of specifications - I ain't qualified but yet again, I cite the fact that all the above works okay in the UK and should be able to succeed in any first world country.
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Re: American Healthcare debate...
Reply #146 - Sep 23rd, 2009 at 11:31am
 
Kevin_M wrote on Sep 23rd, 2009 at 10:18am:
Lobster wrote on Sep 23rd, 2009 at 9:40am:
A factor being ignored in the present debate is the amount of choice presently available to every US resident.

Your insurance company is evil?  There are 200 others that will take your business instantly if you are in good health. 


A little story.  2007 my company outsources to Manilla and the Dominican Republic.  Those remaining were only in the HQ building in FL.  I opt for the COBRA payments to keep insurance, which got crappier in the last year and the payment was reasonable.
  Two months later with the changes complete, the COBRA payments more than double.  Corporate got themselves very dandy insurance coverage, not a dime for any visit, even specialists. 
  Well, I stay on this beautiful coverage to the limit of COBRA's 18 months, then had to buy my own policy.  With cluster headaches and, well, an enlarged prostate controlled ok with generic medication, I was turned down by three large insurance companies for coverage.  Willing to pay, denied.
  Ok, soonafter my new employer provided coverage, earned after a one year evaluation (got around to after 16 months).  My doctor I've worked for 15 years with clusters does not accept it.  They provided a list of 25 doctors in a milage area that will and recommended a nearby one. 
  Not so hot on the idea of starting over new with this condition so I just pay to see the same ol' doc.  Maybe I'm just stubborn with change.

There seemed a problem in this along the way.


Wouldn't it be reassuring to know that under a universal healthcare scheme you'd be automatically entitled to the treatment you need through no reason other than you are a United States citizen?
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Re: American Healthcare debate...
Reply #147 - Sep 23rd, 2009 at 11:32am
 
Barbara:

Thank you for your explaination on medicare and supplement.  I have been misinformed.  I at least feel a little better now.  Of course, with my luck, it will be gone in 4 years and it won't matter anyway.  That is what I am opposed to in "paying in advance" for benefits not to come for years.

As a former lobbyist (I know, ugly word), if we got rid of them, or at least put the limits on them that we have in South Carolina, and had term limits in Congress, we might get further.  Tort reform is out of control.  Even though I worked for injured people, it is way over the top for what some people gain out of injuries.  However, medical malpractice is not as easy to get as some think.  A doctor can do about whatever they want, and unless when all is said and done, you are worse off than you would have been without the "error" you are not entitled.  Ahhhh, and there is the word that maybe we should be looking at, ENTITLEMENTS.  You can ask my children and grandchildren about that.  They learned very early on that the word entitled did not exist.  Work for what you want, EARN what you get.

L
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Louise&&Mother of CH son
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Louise Barham
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Re: American Healthcare debate...
Reply #148 - Sep 23rd, 2009 at 11:44am
 
Just one last observation and I will leave this thread.  As in Congress "the bickering has to stop".  If we put this much time, effort and emotion into curing Ch, our time would be better spent.

Love to all
Louise
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Louise&&Mother of CH son
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Re: American Healthcare debate...
Reply #149 - Sep 23rd, 2009 at 12:06pm
 
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