<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: Senator Clinton Supports Universal Health Care</title> <atom:link href="http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 19:56:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: ripple</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-70095</link> <dc:creator>ripple</dc:creator> <pubDate>Thu, 04 Jan 2007 04:33:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-70095</guid> <description>Well yes, that was my point about ideological differences.  Americans I guess generally have more of a &quot;Lockian&quot; state going on whereas Canadians have more of a &quot;Mill-esque&quot; state, with rights that go beyond what is needed for survival.  Under your definition of rights, we wouldn&#039;t have human rights or the concept of equality between genders/races because we don&#039;t need those to live.&lt;br/&gt;&lt;br/&gt;If I&#039;m spewing myths about the uninsured, certainly you&#039;re spewing myths about wait times.  Picking and choosing certain cases does not prove anything about the system as a whole.</description> <content:encoded><![CDATA[<p>Well yes, that was my point about ideological differences.  Americans I guess generally have more of a &#8220;Lockian&#8221; state going on whereas Canadians have more of a &#8220;Mill-esque&#8221; state, with rights that go beyond what is needed for survival.  Under your definition of rights, we wouldn&#8217;t have human rights or the concept of equality between genders/races because we don&#8217;t need those to live.</p><p>If I&#8217;m spewing myths about the uninsured, certainly you&#8217;re spewing myths about wait times.  Picking and choosing certain cases does not prove anything about the system as a whole.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69906</link> <dc:creator>Anonymous</dc:creator> <pubDate>Wed, 27 Dec 2006 23:14:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69906</guid> <description>Ripple: 1) Not all Americans feel Health care is a universal right. I could talk forever on this point, but I will first reference Dr. Leonard Peikoff&#039;s classic piece on the issue.   Second, in a Socratic method of argument, i&#039;ll take the argument of &#039;rights&#039; to the extreme: You need food WAY more than you need medicine, so lets nationalize farms first.  You need homes more than Medicine, lets nationalize the construction industry next.  etc.  &lt;br/&gt;&lt;br/&gt;2)You imply that the weight times in Canada aren&#039;t significant when we both know that is not true. If wait times were even CLOSE to manageable, the judge in theland mark legal case in Alberta never would have ruled universal HC unconstitional.  In fact, the judge said &quot;access to healthcare is not the same as actual healthcare.  Again, this was b/c a pt had to wait 2+ years for hip surgery.&lt;br/&gt;&lt;br/&gt;3)Cost, you mentioned that Canadians spend more for less and generally thats true. But at what cost? (pun intended).  The state of washington has more MRI&#039;s than the country of Canada.  Possibly life saving care is denied to elderly citizens who &quot;may not live long enough&quot; to get the full use of their hip replacement (10 yrs) etc.  Good luck arguing comparative quality.&lt;br/&gt;&lt;br/&gt;4)Americas Uninsured.  Classic case of a lie told often enough, it eventually becomes accepted as fact.  &lt;br/&gt;The Pacific Research Institute has a great paper on this:&lt;br/&gt;&quot;Census data show that the number of uninsured has grown for the third straight year. Look a little deeper and they also tell us the number of insured has grown to 243.3 million, just as the total population has grown. The fact is, everything has grown. But the percentage of uninsured Americans remains at 15.6%, the same as in 1996, and lower than in 1997 and 1998, when Bill Clinton was president.&lt;br/&gt;&lt;br/&gt;One of every three uninsured live in households with incomes of more than $50,000 a year. One in seven live in households with annual incomes that top $75,000. And the Census Bureau counts as &quot;uninsured&quot; individuals who are eligible for Medicaid and the State Children&#039;s Health Insurance Program but are not enrolled. Deven Herrick of the National Center for Policy Analysis estimates that as many as 14 million children and adults fall into this category.&quot;&lt;br/&gt;&lt;br/&gt;&lt;br/&gt;5)Numbers aside, this argument isn&#039;t about cost saving, efficiency, etc, its about the fundamental opinion of HC as a right or not.  If you few it as a right, than you&#039;d be willing to pay for it at any cost.  If you don&#039;t view it as a universal right, you don&#039;t care what the &quot;potential&quot; savings are.&lt;br/&gt;&lt;br/&gt;Again, the constitution says &quot;Life, Liberty, and the PURSUIT of Happiness&quot; . . .</description> <content:encoded><![CDATA[<p>Ripple: 1) Not all Americans feel Health care is a universal right. I could talk forever on this point, but I will first reference Dr. Leonard Peikoff&#8217;s classic piece on the issue.   Second, in a Socratic method of argument, i&#8217;ll take the argument of &#8216;rights&#8217; to the extreme: You need food WAY more than you need medicine, so lets nationalize farms first.  You need homes more than Medicine, lets nationalize the construction industry next.  etc.</p><p>2)You imply that the weight times in Canada aren&#8217;t significant when we both know that is not true. If wait times were even CLOSE to manageable, the judge in theland mark legal case in Alberta never would have ruled universal HC unconstitional.  In fact, the judge said &#8220;access to healthcare is not the same as actual healthcare.  Again, this was b/c a pt had to wait 2+ years for hip surgery.</p><p>3)Cost, you mentioned that Canadians spend more for less and generally thats true. But at what cost? (pun intended).  The state of washington has more MRI&#8217;s than the country of Canada.  Possibly life saving care is denied to elderly citizens who &#8220;may not live long enough&#8221; to get the full use of their hip replacement (10 yrs) etc.  Good luck arguing comparative quality.</p><p>4)Americas Uninsured.  Classic case of a lie told often enough, it eventually becomes accepted as fact. <br />The Pacific Research Institute has a great paper on this:<br />&#8220;Census data show that the number of uninsured has grown for the third straight year. Look a little deeper and they also tell us the number of insured has grown to 243.3 million, just as the total population has grown. The fact is, everything has grown. But the percentage of uninsured Americans remains at 15.6%, the same as in 1996, and lower than in 1997 and 1998, when Bill Clinton was president.</p><p>One of every three uninsured live in households with incomes of more than $50,000 a year. One in seven live in households with annual incomes that top $75,000. And the Census Bureau counts as &#8220;uninsured&#8221; individuals who are eligible for Medicaid and the State Children&#8217;s Health Insurance Program but are not enrolled. Deven Herrick of the National Center for Policy Analysis estimates that as many as 14 million children and adults fall into this category.&#8221;</p><p>5)Numbers aside, this argument isn&#8217;t about cost saving, efficiency, etc, its about the fundamental opinion of HC as a right or not.  If you few it as a right, than you&#8217;d be willing to pay for it at any cost.  If you don&#8217;t view it as a universal right, you don&#8217;t care what the &#8220;potential&#8221; savings are.</p><p>Again, the constitution says &#8220;Life, Liberty, and the PURSUIT of Happiness&#8221; . . .</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69899</link> <dc:creator>Anonymous</dc:creator> <pubDate>Wed, 27 Dec 2006 17:37:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69899</guid> <description>I was a military physician, and I beg to differ with the other military docs that have posted.  I thought the military medical system worked very well, but one problem with assessment of that system as a model is that if you were too sick, you simply were removed (discharged from active duty).  &lt;br/&gt;I&#039;m currently in private practice in a city that is under the thumb of one large payor who pretty much dictates rates of reimbursement--a ruthless corporation called Sierra Health.  Medical Economics magazine lists our region of the country as being lowest in terms of reimbursements to health care providers.  Practice in this region is very difficult, and we are near the lowest rank of States in terms of physicians per population.&lt;br/&gt;That being said, I for one, am ready to consider a type of &quot;universal&quot; health care.  I guess I would rather answer to government bureaucrats than to insurance industry fat cats.&lt;br/&gt;I would hope that such a universal system provides malpractice relief for providers.  But alas, I fear that providers would simply become independent contractors to one government payor, rather than employees of the government.  That means lower reimbursement, yet no relief of liability.  In that case, such a system would be an unmitigated disaster.</description> <content:encoded><![CDATA[<p>I was a military physician, and I beg to differ with the other military docs that have posted.  I thought the military medical system worked very well, but one problem with assessment of that system as a model is that if you were too sick, you simply were removed (discharged from active duty). <br />I&#8217;m currently in private practice in a city that is under the thumb of one large payor who pretty much dictates rates of reimbursement&#8211;a ruthless corporation called Sierra Health.  Medical Economics magazine lists our region of the country as being lowest in terms of reimbursements to health care providers.  Practice in this region is very difficult, and we are near the lowest rank of States in terms of physicians per population.<br />That being said, I for one, am ready to consider a type of &#8220;universal&#8221; health care.  I guess I would rather answer to government bureaucrats than to insurance industry fat cats.<br />I would hope that such a universal system provides malpractice relief for providers.  But alas, I fear that providers would simply become independent contractors to one government payor, rather than employees of the government.  That means lower reimbursement, yet no relief of liability.  In that case, such a system would be an unmitigated disaster.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69898</link> <dc:creator>Anonymous</dc:creator> <pubDate>Wed, 27 Dec 2006 14:20:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69898</guid> <description>Would you US docs prefer to be paid by the hour, like other professionals?  And at what rate on average for a PCP? I realize it would vary by locale and specialty somewhat, of course.</description> <content:encoded><![CDATA[<p>Would you US docs prefer to be paid by the hour, like other professionals?  And at what rate on average for a PCP? I realize it would vary by locale and specialty somewhat, of course.</p> ]]></content:encoded> </item> <item><title>By: ripple</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69897</link> <dc:creator>ripple</dc:creator> <pubDate>Wed, 27 Dec 2006 06:21:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69897</guid> <description>Wow, these comments really reveal some fundamental ideological differences between the U.S. and other western countries.  &lt;br/&gt;&lt;br/&gt;I think before dismissing Canada&#039;s or England&#039;s healthcare systems, you should really know how the systems work.  &lt;br/&gt;&lt;br/&gt;At least in Canada, doctors are NOT goverment employees.  They own private practices, make profit etc. but simply bill the government agencies (different provinces cover different drugs/procedures etc.) instead of the patients or patients&#039; insurance companies.  We all share the cost of this universal healthcare by paying taxes.  This way every citizen has access to health care regardless of income level (which is considered a fundamental right to most Canadians, is it not to most Americans?).  We actually pay much less per capita for health care than Americans do.  It&#039;s simply a myth that it is a big, inefficient bureaucracy.  &lt;br/&gt;&lt;br/&gt;Obviously, all systems will have their setbacks, and when wait times are held up as a horror of &quot;socialized&quot; healthcare, I think we should also be thinking about the millions of Americans who have no access to healthcare at all because they can&#039;t afford it.  I don&#039;t see how that situation is any more acceptable.&lt;br/&gt;&lt;br/&gt;In Canada we&#039;re currently studying other countries&#039; health systems and trying to mend ours after over a decade of government cuts.  France&#039;s looks good, similar to ours but they allow more corporate involvement than we do, which no doubt eases the wait times.  Personally, no one I know has ever had a problem receiving timely, quality, free care..whether it was cancer, stroke, anyeurism, epilepsy, heart attack, liver failure, diabyetes, etc. &lt;br/&gt;&lt;br/&gt;I&#039;m sure there is a happy medium in there between the two systems that would be way better than the systems we currently have.</description> <content:encoded><![CDATA[<p>Wow, these comments really reveal some fundamental ideological differences between the U.S. and other western countries.</p><p>I think before dismissing Canada&#8217;s or England&#8217;s healthcare systems, you should really know how the systems work.</p><p>At least in Canada, doctors are NOT goverment employees.  They own private practices, make profit etc. but simply bill the government agencies (different provinces cover different drugs/procedures etc.) instead of the patients or patients&#8217; insurance companies.  We all share the cost of this universal healthcare by paying taxes.  This way every citizen has access to health care regardless of income level (which is considered a fundamental right to most Canadians, is it not to most Americans?).  We actually pay much less per capita for health care than Americans do.  It&#8217;s simply a myth that it is a big, inefficient bureaucracy.</p><p>Obviously, all systems will have their setbacks, and when wait times are held up as a horror of &#8220;socialized&#8221; healthcare, I think we should also be thinking about the millions of Americans who have no access to healthcare at all because they can&#8217;t afford it.  I don&#8217;t see how that situation is any more acceptable.</p><p>In Canada we&#8217;re currently studying other countries&#8217; health systems and trying to mend ours after over a decade of government cuts.  France&#8217;s looks good, similar to ours but they allow more corporate involvement than we do, which no doubt eases the wait times.  Personally, no one I know has ever had a problem receiving timely, quality, free care..whether it was cancer, stroke, anyeurism, epilepsy, heart attack, liver failure, diabyetes, etc.</p><p>I&#8217;m sure there is a happy medium in there between the two systems that would be way better than the systems we currently have.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69884</link> <dc:creator>Anonymous</dc:creator> <pubDate>Tue, 26 Dec 2006 18:54:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69884</guid> <description>Well, obviously you&#039;re Exhibit &quot;A&quot; for the &quot;mentally bankrupt&quot; argument.</description> <content:encoded><![CDATA[<p>Well, obviously you&#8217;re Exhibit &#8220;A&#8221; for the &#8220;mentally bankrupt&#8221; argument.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69878</link> <dc:creator>Anonymous</dc:creator> <pubDate>Tue, 26 Dec 2006 16:38:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69878</guid> <description>&quot;In Canada Lawsuits occur but they are rare and more importantly there is no concern for unreasonable &quot;pain and suffering&quot; settlements that will bankrupt the physician.&quot;&lt;br/&gt;&lt;br/&gt;How many physicians have been bankrupted by a lawsuit?  Names would be nice.</description> <content:encoded><![CDATA[<p>&#8220;In Canada Lawsuits occur but they are rare and more importantly there is no concern for unreasonable &#8220;pain and suffering&#8221; settlements that will bankrupt the physician.&#8221;</p><p>How many physicians have been bankrupted by a lawsuit?  Names would be nice.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69870</link> <dc:creator>Anonymous</dc:creator> <pubDate>Mon, 25 Dec 2006 16:06:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69870</guid> <description>Make physicians governement employees?  That sounds like a great way to increase productivity.  Its not going to happen United healthcare gave their CEO a 100 million dollar bonus, what do you think the whole industry will spent to protect their livelyhood.  Chomp on that for a second.</description> <content:encoded><![CDATA[<p>Make physicians governement employees?  That sounds like a great way to increase productivity.  Its not going to happen United healthcare gave their CEO a 100 million dollar bonus, what do you think the whole industry will spent to protect their livelyhood.  Chomp on that for a second.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69869</link> <dc:creator>Anonymous</dc:creator> <pubDate>Mon, 25 Dec 2006 15:31:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69869</guid> <description>&quot;Kevin&#039;s covered plenty of articles of insane lawsuits across the pond in England or north of the border in Canada&quot;&lt;br/&gt;&lt;br/&gt;Josh: I have worked in both US and Canadian healthcare systems and this just isn&#039;t true. In Canada Lawsuits occur but they are rare and more importantly there is no concern for unreasonable &quot;pain and suffering&quot; settlements that will bankrupt the physician. The average specialist physician in Canada has never been sued while the average physician in any raped specialty in the US has. It&#039;s apples and oranges.</description> <content:encoded><![CDATA[<p>&#8220;Kevin&#8217;s covered plenty of articles of insane lawsuits across the pond in England or north of the border in Canada&#8221;</p><p>Josh: I have worked in both US and Canadian healthcare systems and this just isn&#8217;t true. In Canada Lawsuits occur but they are rare and more importantly there is no concern for unreasonable &#8220;pain and suffering&#8221; settlements that will bankrupt the physician. The average specialist physician in Canada has never been sued while the average physician in any raped specialty in the US has. It&#8217;s apples and oranges.</p> ]]></content:encoded> </item> <item><title>By: The Independent Urologist</title><link>http://www.kevinmd.com/blog/2006/12/senator-clinton-supports-universal.html#comment-69868</link> <dc:creator>The Independent Urologist</dc:creator> <pubDate>Mon, 25 Dec 2006 14:37:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/senator-clinton-supports-universal-health-care.html#comment-69868</guid> <description>?Socialized Medicine&quot; is an antiquated term that was created during the Cold War in an effort to derail national health insurance as communist.  We already have national health insurance.  Its called medicare and anyone who know anything about practice management &quot;in the trenches&quot; know that medicare is our best insurance with the most straightforward rules, the least restrictive policies, and the least hassle factor.  Everything that detractors say, such as inability to pick doctors, beauracracy, rationing etc, actually occurs most frequently with the commercial payors.  With regards to the previous posters who actually are federal employees, yeh I can see why that would be less than ideal.  But that is not national health insurance as most commonly envisioned.  &lt;br/&gt;People for or against national health insurance need to take an honest look at the issues and just knee jerk to the rhetoric from sides.</description> <content:encoded><![CDATA[<p>?Socialized Medicine&#8221; is an antiquated term that was created during the Cold War in an effort to derail national health insurance as communist.  We already have national health insurance.  Its called medicare and anyone who know anything about practice management &#8220;in the trenches&#8221; know that medicare is our best insurance with the most straightforward rules, the least restrictive policies, and the least hassle factor.  Everything that detractors say, such as inability to pick doctors, beauracracy, rationing etc, actually occurs most frequently with the commercial payors.  With regards to the previous posters who actually are federal employees, yeh I can see why that would be less than ideal.  But that is not national health insurance as most commonly envisioned. <br />People for or against national health insurance need to take an honest look at the issues and just knee jerk to the rhetoric from sides.</p> ]]></content:encoded> </item> </channel> </rss>
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