the shambles of california health care

David Lazarus of the SAN FRANCISCO chronicle
wrote an vary interesting article in this morning
sunday paper. The very first line of the article
is “our health care system is a shambles”

Insurance premiums paid by employers and workers
have nearly doubled since 2000, this from a group called
Kaiser family foundation. The 7.7 percent increase this year
is more then twice the rate of inflation.

San Pablo’s doctors medical center
says it expects to file for bankruptcy protection this
week after losing about 1 million a month for the past
two years. A plan that would have helped saved our medical
system and keep people working and saved lives.

“We are watching the health care system collapse around us”
Said James Kahn, a professor of health policy at UCSF.

Later in the same article drew altman said “we’re seeing a slow
unraveling of the employment based health insurance system”
and he said “Health insurance is becoming increasingly unaffordable
for business and working people”

The biggest problem by hospitals is about a third of ER patients
have no insurance and can’t pay their bills. About 10% of ALL
patients at the doctors medical center in oakland CA. This
Doctors medical center is also declaring bankruptcy. A hospital
spokesperson also said this “Universal coverage would go a long way
toward keeping hospitals like doctors afloat” and she said this
“If everyone had health insurance we wouldn’t have any uninsured
people in the emergency room”

According to researchers at harvard medical school,
about a third of all health care spending nationwide is
squandered on bureaucratic overhead-the result of a vast
array of insurance forms and procedures.

Kahn also says later “all the evidence suggests that the current
system doesn’t work” People in the medical community are not
alone in thinking this.

“the health care system is out of control, it’s unstable, its
basically bankrupt, it gets worse each years and all we do is
is tinker around the edges when what we need is major fixes”
Greg Barrett, chairman of the chipmaker INTEL corp said in
a speech last week" He also said The current health care system
is economically unsustainable and negatively impacting our
nations ability to compete globally. Its time for a systemic
transformations and U.S. employers must lead.

Our governator ARNOLD, last week vetoed state legislation that
would have established universal health coverage for all Californians.
He offered no alternative plan to help the state’s roughly 7 million
uninsured. ARNOLD vetoed this much needed legislation
because he is in the pocket of HMO’S who have given him
MILLIONS for his reelection. I also don’t need to add
how ARNOLD has trashed thousands with his “lets screw the
common man tour” with his devastation of the workers comp
program of which I am one victim. and remember California
is always the leader in these matters, so coming to a state
near you, the collapse of the health care system.

Kropotkin

Check out:

ilovephilosophy.com/phpbb/vi … p?t=152927

hahahahahaha, this well not be fixed with socialism. it well be fixed with removing of all the destuctive socialist programs that already exist in the system. add in something that punishes frivolous law suits and you might get better coverage. :laughing:

GliderPendalehaven: hahahahahaha, this well not be fixed with socialism. it well be fixed with removing of all the destuctive socialist programs that already exist in the system. add in something that punishes frivolous law suits and you might get better coverage.

K: ah, you should know that there is a law in california banning
frivolous law suits and has been for a few years,
so you can’t blame law suits or lawyers as they are out of
the equation.

Kropotkin

i’ll take your word for it. here in colorado our biggest problem is that we voted into place a law making insurance companys charge everyone the same amout regardless of previous problems. 90% of the insurance companys left. the ones that stayed raised the prices through the roof, so the next time you read about some people going on strike in colorado because of health care you know why.

Mr. K.,

I have two issues with this statement, although I don’t live in your state of circumstance, so they are just perspectives.

One: Illegal immigrants are the largest part of the problem with healthcare in California, this has been continually documented. Deport them, or bag 'em, tag 'em and use them for something useful like fertilizer.

Two: What is it going to change to have socialised healthcare? The state will just raise taxes even more, and you will still end up paying the overhead for others who don’t pay a dime into the system?

We have insurance on our children, but don’t waste it on ourselves. By the time we pay out for premiums, co-pays, and deductibles, we come out even by just keeping the money in the bank, and not dealing with all the headaches of forms, paperwork, doctor “networks”.

People are responsible for their own well being. If they can’t handle it, or choose not to, too bad. They make their own choices, they have to accept the consequences of those choices. That is the cost of a “free” society.

Mastriani:Our governator ARNOLD, last week vetoed state legislation that
would have established universal health coverage for all Californians.
He offered no alternative plan to help the state’s roughly 7 million
uninsured. ARNOLD vetoed this much needed legislation
because he is in the pocket of HMO’S who have given him
MILLIONS for his reelection. I also don’t need to add
how ARNOLD has trashed thousands with his “lets screw the
common man tour” with his devastation of the workers comp
program of which I am one victim. and remember California
is always the leader in these matters, so coming to a state
near you, the collapse of the health care system."

Mr. K.,

I have two issues with this statement, although I don’t live in your state of circumstance, so they are just perspectives.
One: Illegal immigrants are the largest part of the problem with healthcare in California, this has been continually documented. Deport them, or bag 'em, tag 'em and use them for something useful like fertilizer.

K: sure you can deport them, and the cost of lettuce, shopping,
restaurants (those that can actually stay open) will all rise
phenomally. California is the 5th largest economy in the world
and take out the illegals and our economy would collapse and
take out the rest of america with it.

Two: What is it going to change to have socialised healthcare? The state will just raise taxes even more, and you will still end up paying the overhead for others who don’t pay a dime into the system?

K: And do you know the cost of not insuring people?
Preventive health care would save billions of dollars every
year and thousands of lives. And making taxes the main criteria
is shameful. You just made paying taxes more important then people’s
lives. I think people are more important then money, I would
only hope you someday come to that conclusion.

M: We have insurance on our children, but don’t waste it on ourselves. By the time we pay out for premiums, co-pays, and deductibles, we come out even by just keeping the money in the bank, and not dealing with all the headaches of forms, paperwork, doctor “networks”.

K: and how do you suggest people pay their outrages medical bills.
You can’t ignore it and you can’t afford it, so what do you do?
A friend of mine mom, fell down and broke her arm (she is 70+)
and by the time all the bills were paid, it cost them over 10,000 dollars.
10 thousand for a broken arm!! I would hate to see what would happen
if a real injury occurred. Or my recent surgery, I had two disks removed
from my neck and replaced with two cadavers disk, thank god it was
a workers comp injury, because I suspect the surgery cost
close to 100,000 bucks, but without the surgery I was at real
risk to become paralysed and imagine how much that would
have cost. Image if I had to pay for the surgery out of pocket.
We would have to declare bankruptcy for a surgery I had to have.

Ma: People are responsible for their own well being. If they can’t handle it, or choose not to, too bad. They make their own choices, they have to accept the consequences of those choices. That is the cost of a “free” society."

K: and how are people responsible for getting cancer or car accidents,
or broken arms. The three leading causes of bankruptcy is
losing a job, getting a divorce and medical bills. People are clearly
not responsible for the myriad of medical issues that occur every day
in millions of lives. How does one become responsible for those medical
issues that plague our live? I would suggest you are ignoring the reality
of life here. I am sure you have a medical condition of some sort,
how are you responsible for that medical condition? What choices did
you make for that medical condition? I was BORN hard of hearing,
I wear a hearing aid (in my one good ear, the other ear is damaged
beyond help) what choices did I make that caused me to be hearing
impaired? You miss some very important reasons for medical bills.

Kropotkin

There is not any factual basis to this bunk. Summarily none. That is just propagandised bs. Those jobs would be filled with American dredges, as opposed to illegal alien dredges.

I’m a misanthrope Mr. K. If you aren’t my family, you have little to no value within the context of my life. Neither do I value money, but the world does, so there is no choice but to play the rules of the moronic majority.
The cost of insuring millions of illegals, and the rest of the willingly unemployed dredges in California is more than could be procurred through the tax base. It simply isn’t feasible, unless everyone in California who does work, is willing to give up 45% of their income to support socialised healthcare.

People have to be responsible for their own welfare, not depending on the state or federal government to give handouts, at the rest of the working taxpayer’s expense.

I agree, there are conditions which are and have been unacceptable. The first order of business is to force reform on both the medical and insurance industries, by any means necessary. I had my first knee surgery four years ago, a simple scoping for a bucket handle tear of the meniscus in the left knee. Total bill was close to six thousand for a forty five minute surgery and two weeks/4 visits of physical therapy. Is that reasonable? No. This is the first tier of the problem, and must be dealt with first.

No disrespect Mr. K, but excuses get old. First off, Amerikans are the fattest on the planet per capita. Obesity leads to other conditions. Then there are all the habits we accumulate through our lives, to the further detriment of our bodies - caffeine, sugar, alcohol, drugs, smoking, unchecked pollution, fossil fuel transportation … the list goes on and on.

The truth is that Amerikans, as well as being fatasses, are pathetic lazy asses who refuse positive change in the face of maintaining unhealthy habits. Too bad. Bad choices come with consequences, and that doesn’t make it my financial responsibility because Joe Smith likes to get his drunk on everyday, and smoke dope, and has genetic conditions which increase his risks of heart disease, liver disease and cancer.

My responsibilities rests within my realm: my family. It isn’t my responsibility to pay for everyone else. No apologies.

Your instance, is the exception that proves the rule. Because Amerika is ruled by the corporate whores, there is no choice left but to have safeguards in place, so that people like yourself are protected against their avarice.

Am I responsible for the damage to my knees? Yes, I am. I love violent sports, I love to fight. I realise the consequences are damage, and possible death. I made the choices, I make the choices, and with my own money, pay for the consequences of those choices.

In the case that you have a no fault congenital defect, you’re right, I haven’t made a decision on that one. But I will say that in the same way that it is not your fault to be born with a defect, it’s not my fault either.

The one exception that I make to the above statements is our elders. They deserve the respect of having served and survived, and clearing a path for the next generation. We have a societal responsibility to care for those who came before us, in the winter of their days. No one should have a problem with that, and f them if they do.

K: sure you can deport them, and the cost of lettuce, shopping,
restaurants (those that can actually stay open) will all rise
phenomenally. California is the 5th largest economy in the world
and take out the illegals and our economy would collapse and
take out the rest of america with it."

Mast: There is not any factual basis to this bunk. Summarily none. That is just propagandised bs. Those jobs would be filled with American dredges, as opposed to illegal alien dredges.

K: Have you ever been to California?
I have lived here over 30 years.
Our economy is totally driven by illegal aliens.
You find them working in about several million jobs out here.
American workers would not put up with the shit the illegals do.
You say americans would take those jobs. No, they won’t.
You have really low paid jobs and doing really ugly work.
Americans won’t do that anymore.

K: And do you know the cost of not insuring people?
Preventive health care would save billions of dollars every
year and thousands of lives. And making taxes the main criteria
is shameful. You just made paying taxes more important then people’s
lives. I think people are more important then money, I would
only hope you someday come to that conclusion."

M: I’m a misanthrope Mr. K. If you aren’t my family, you have little to no value within the context of my life. Neither do I value money, but the world does, so there is no choice but to play the rules of the moronic majority.
The cost of insuring millions of illegals, and the rest of the willingly unemployed dredges in California is more than could be procurred through the tax base. It simply isn’t feasible, unless everyone in California who does work, is willing to give up 45% of their income to support socialised healthcare.

K: Not at all. universal health care works in canada and in Europe.
A study I saw a few months ago, reported that france had a
better health care system then the U.S. And what of the cost of
care now? Even with medical insurance, people can’t afford health
care. Although I must ask, how do you afford health care.
Do you pay out of pocket? I suspect you are fully covered in
some sort of plan that you don’t pay for. Thus you don’t realize the
true cost of health care.

M: People have to be responsible for their own welfare, not depending on the state or federal government to give handouts, at the rest of the working taxpayer’s expense.

K: and what about those through no fault of their own, who gets
laid off or suffer a medical issue again through no fault of their own.
What if you had no job. See that is the problem. You speak of them
out there and don’t address your situation. If you lost your job,
or suffer from cancer, how would you deal with it?
You speak brave talk, but when the rubber hits the road,
I suspect that you would be begging for aid from the government.

K: and how do you suggest people pay their outrages medical bills.
You can’t ignore it and you can’t afford it, so what do you do?
A friend of mine mom, fell down and broke her arm (she is 70+)
and by the time all the bills were paid, it cost them over 10,000 dollars.
10 thousand for a broken arm!! I would hate to see what would happen
if a real injury occurred. Or my recent surgery, I had two disks removed
from my neck and replaced with two cadavers disk, thank god it was
a workers comp injury, because I suspect the surgery cost
close to 100,000 bucks, but without the surgery I was at real
risk to become paralysed and imagine how much that would
have cost. Image if I had to pay for the surgery out of pocket.
We would have to declare bankruptcy for a surgery I had to have.
[/quote]

M: I agree, there are conditions which are and have been unacceptable. The first order of business is to force reform on both the medical and insurance industries, by any means necessary. I had my first knee surgery four years ago, a simple scoping for a bucket handle tear of the meniscus in the left knee. Total bill was close to six thousand for a forty five minute surgery and two weeks/4 visits of physical therapy. Is that reasonable? No. This is the first tier of the problem, and must be dealt with first.

K: Ok, you just agreed with my points, lock stock and barrel.
Now how would you suggest you fix this problem without a
major overall of some nature. Tweaking the system is not
going to fix something so fucked up. The second point is
you say force reform on both medical and insurance industries
“BY ANY MEANS NECCESSARY” That means the government.
How else would you fix a system whereas you have certain
monopolies that make a great deal of money from this screwed up
system, HMO’S. How would you force them to give up a great
gig without some serious power?

K: and how are people responsible for getting cancer or car accidents,
or broken arms. The three leading causes of bankruptcy is
losing a job, getting a divorce and medical bills. People are clearly
not responsible for the myriad of medical issues that occur every day
in millions of lives. How does one become responsible for those medical
issues that plague our live? I would suggest you are ignoring the reality
of life here. I am sure you have a medical condition of some sort,
how are you responsible for that medical condition? What choices did
you make for that medical condition? I was BORN hard of hearing,
I wear a hearing aid (in my one good ear, the other ear is damaged
beyond help) what choices did I make that caused me to be hearing
impaired? You miss some very important reasons for medical bills."

M: No disrespect Mr. K, but excuses get old. First off, Amerikans are the fattest on the planet per capita. Obesity leads to other conditions. Then there are all the habits we accumulate through our lives, to the further detriment of our bodies - caffeine, sugar, alcohol, drugs, smoking, unchecked pollution, fossil fuel transportation … the list goes on and on.

K: yah, excuses like someone getting a brain tumors. That old excuse
certainly does get old and my being hearing impaired, that is certainly
a tired old excuse not to hear the world. Of course, why didn’t I realize
that any time people get cancer or MS or a liver disease that it
is just an tired old excuse to to be a burden on society. I should have
known. You can get cancer and still have a perfectly healthy lifestyle.
To blame people for illnesses they have no control over is
quite, umm, I not actually sure of the word. And of course in
your situation, you lead a perfectly healthy lifestyle. NO caffeine,
NO sugar, NO alcohol, drugs, smoking, none of this unchecked
pollution in your neighborhood or fossil fuel transportation anyway
near you, Right? You might want to reconsider not tossing rocks
from glass houses.

M: The truth is that Amerikans, as well as being fatasses, are pathetic lazy asses who refuse positive change in the face of maintaining unhealthy habits. Too bad. Bad choices come with consequences, and that doesn’t make it my financial responsibility because Joe Smith likes to get his drunk on everyday, and smoke dope, and has genetic conditions which increase his risks of heart disease, liver disease and cancer.

K: and I’m sorry, are you also a pathetic, fat ass lazy american?
And of course your choices are at all times, perfect and without
consequences? That is the problem with your argument.
Because I can guess you don’t live up to your ideal.
Whereas I exist in the real world, where we are not perfect,
we are flawed, and we do eat too much and drink too much,
and certainly don’t exercise enough and so what? Your accusation
basically is you want perfect humans being and on planet earth,
we aren’t perfect. And if we could live up to your ideal, would
that mean that there would be no diseases or illness, no death?
If you lived up to your own ideal, you would certainly not have
suffered a knee injury, which by the way, how did you pay for it?

M: My responsibilities rests within my realm: my family. It isn’t my responsibility to pay for everyone else. No apologies.

K: Are we our brothers keepers?

M: Your instance, is the exception that proves the rule. Because Amerika is ruled by the corporate whores, there is no choice left but to have safeguards in place, so that people like yourself are protected against their avarice.

K: you rail against government “socialism” and yet demand
government intervention in protecting us from corporate whores
who are swindling us. The real problem is you think government
is horrible and yet you want the same government to protect
you when it convenient for you.

M: Am I responsible for the damage to my knees? Yes, I am. I love violent sports, I love to fight. I realise the consequences are damage, and possible death. I made the choices, I make the choices, and with my own money, pay for the consequences of those choices.

K: ahhh, answers to some of my questions.
But what happens when you can’t pay for it out of pocket.
what if you get cancer or have something more serious then
just a knee problem. And I am guessing you are young, wait
until you get to my age, and you have to start taking medicine.
It ain’t cheap. How would you pay for it? Are you ready to
go bankrupt to pay for your medical bills which is what you
are really advocating for, but what if it was you and it wasn’t
your choices that got you there?"

M: In the case that you have a no fault congenital defect, you’re right, I haven’t made a decision on that one. But I will say that in the same way that it is not your fault to be born with a defect, it’s not my fault either.

K: But one way or another, it must be paid for. and how?
If it is not my fault and not your fault, then no pays for it. right?
But I need a hearing aid to hear. I say its to your benefit that
I hear. If nothing else, so I can the sirens of police cars or
fire engines and not cause vehicles problems because I didn’t hear
the sirens.

M: The one exception that I make to the above statements is our elders. They deserve the respect of having served and survived, and clearing a path for the next generation. We have a societal responsibility to care for those who came before us, in the winter of their days. No one should have a problem with that, and f them if they do."

K: ah, so you favor socialise medicine for old people.
they certainly should suffer the consequences of their prior
actions and should suffer from their wrong choices, of
eating, drinking, and being a fat ass. You have a double
standard.

Kropotkin

C’mon, Pete. You live in the Peoples Republic of California. Anyone with a lick of sense would leave that socialist state for wiser lands. Of course, if you’re unable you have my sympathies.

Phaedrus:C’mon, Pete. You live in the Peoples Republic of California. Anyone with a lick of sense would leave that socialist state for wiser lands. Of course, if you’re unable you have my sympathies.

K: I am not a native Californian, I grew up in the Midwest
with a short spell in Fla. I can say without this
any fear of contradiction that this is the greatest
place in the world to live in. Mind you not southern California,
but northern California. We have the best of all worlds here.
I can’t think of another place that has all that we have along
with the great weather to match. We have the money to go
anywhere, but there is no way in hell, I would.

Kropotkin

No need of living in California again Mr. K, I doubt it has changed that much from the early nineties. I don’t accept your explanation here, California is not an alien nation, although many of the inhabitants appear as such. Economics is economics. Lose the illegals, those who own those companies will have open positions, and then will have no choice but to bring up the wage base to get Americans to do it, which is to the better of the GNP, which counts on a positive flow wage and salary condition for twenty five percent of it’s total.

Again, economics Mr. K. The socialised healthcare in Europe has to be viewed from the perspective of effects upon the entirety of the nation, not just everyone getting free coverage, while the economy of the country goes in the drink. I’ve seen just as many studies that say Europe won’t be able to sustain that healthcare. So who’s right?

I stated that the inherent flaws in the current system are apparent, and require redress and reform. I never stated anywhere that I was the intellectual virtuouso with all the solutions. I deplore government involvement, there is nothing more inept and corrupt than that scenario. Sorry Mr. K, I cannot give you the answers you seek, I just don’t like what I see happening, and can’t see an equitable solution.

We have a different perspective here Mr. K, don’t know what else to say. The greatest majority of health issues come from the manner with which people treat their bodies, and diets comprised of materials that are either immediately, or over time, inherently toxic to the system.

As far as my own habits, yes, I am considered ecclectically austere with my diet. Minimum of meat, mostly seafood, generous amounts of fruits, vegetables and herbs … along with constant exercise and martial arts. As I said, we have mutually incompatible perspectives on this issue.

No, I am not a fatass, nor am I lazy … my day starts without exception at five a.m. for exercise. It isn’t my ideal world Mr. K, it is what the body requires … the machine must be constantly honed against the stones of exhaustion, austerity and pain.

As for my knee injury, after my chosen course of action, it was highly likely to occur. As I said, I don’t shy away from combative situations. I paid for the surgery out of my own money … what is difficult to understand about that concept? I have a wife, and four children, money put away is mandatory.

If I can’t pay for a surgery, too bad, my problem. No whining, no excuses, it is my responsibility. Currently, my right knee is blown, I have to wear a thigh to calf brace all day, every day. After speaking with the orthopedic surgeon, it was reasonable to expect ten to twelve thousand dollars for the surgery and eight months of physical therapy to relearn to walk. I have the money for it, but not any padding for unforseen instances that might occur in the interim, so the surgery won’t happen until I can comfortably have both.

For my own person, if when reaching advanced age, my life becomes dependent upon medications, I will do without, because that isn’t my way. Far better it is to expire than to have prolonged life at the end of a needle. My perspective, no apologies. Do us both a favor, and quit assuming my positions, you don’t realise the type of person you are discoursing with at this time.

As far as who “will” or “should” pay for conditions such as yours, it is as I said before, I don’t have the answer. But neither do I delude myself within the issue by assuming a foundation of “fairness”, which is completely antithetical to the manner with which humans conduct themselves.

Absolutely correct. I won’t budge on this double standard either, ever. Everything I have and am to this point in my life is from the benefit of elder family members whose character was beyond reproach, undeniably. If my perspective is skewed because of it, I care little. They were and are the epitome of advanced humanity, and my character is merely a small reflection of their greater character.

Last note for this post, I am not all that young at thirty eight and having travelled quite extensively. Although I do understand why you might thusly view me as “young” by chronology alone.

Weird. You claim to love it but you complain about it constantly. Maybe you’re just one of those crusty old farts that like to complain. :slight_smile:

This is exactly the difference between political right wing and political left. The right wing ideology attracts a person who says “I did A”, the other person “did not do A”, therefore I am morally superior, deserve more, and the other person deserves punishment. So the right wing hero can say I worked more than the lazy immigrants, I didn’t smoke or get drunk like that lazy Amerykan, I did more exercise, I am willing to fight the muslims in Iran, etc.

Now the truth is somewhere in between these 2 positions. In the real world it is true that we have a degree of control and responsability, so in a sense the right wing is correct on this. But there are also many things upon which we do not have control, like layoffs, random sicknesses etc. So then the correct position is a middle of the road position that doesn’t invent too many “excuses”, but also doesn’t get so harsh.

The middle of the road is the hardest position to assume and figure out because it is non ideological, it is just trying to get the best out of both individualism and mutual support in a society.

It is very easy to get emotional, biased on issues, to “get back at those commies” way of thinking. Then again we are human, humans always fight, they love to fight on everything and anything, any group of people will always fight over things not for the things in themselves, but for the fun and excitement of the fight. The right wing type person is especially attracted to fights, to strength, to fight the weak and sinful. The left is more lenient, more understanding, more like Christ.

I am neither right nor left. I am neither republican nor democrat. I am neither conservative nor liberal.

Partisanship, and affliated positions, are the moron publics game. My stand is on the side of those who seek the destruction of the current system, and the extermination of all those involved.