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	<title>Comments on: Bravo: &quot;Health care is NOT an entitlement&quot;</title>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-83706</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 18 Feb 2008 16:22:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-83706</guid>
		<description>As far as doctors &#039;getting rich&#039;, think again.  Many specialists who built huge practices and buildings have usffered with decreased reimbursement from insurance companies.  The cost of the paperwork required is enormous. Family practitioners make very little money and need a tremendous amount of knowledge.  Not many want to accept Medicaid anymore because the reimbursment rates are so low and they are liable when they can&#039;t reach a member...they are audited by the states, so this population is very high risk and time consuming.  there is a push by CMS and state medicaid offices to mandate participation in HMOs which means more paperwork for doctors.  Teh sytme is not only broken but it&#039;s crumbling.</description>
		<content:encoded><![CDATA[<p>As far as doctors &#8216;getting rich&#8217;, think again.  Many specialists who built huge practices and buildings have usffered with decreased reimbursement from insurance companies.  The cost of the paperwork required is enormous. Family practitioners make very little money and need a tremendous amount of knowledge.  Not many want to accept Medicaid anymore because the reimbursment rates are so low and they are liable when they can&#8217;t reach a member&#8230;they are audited by the states, so this population is very high risk and time consuming.  there is a push by CMS and state medicaid offices to mandate participation in HMOs which means more paperwork for doctors.  Teh sytme is not only broken but it&#8217;s crumbling.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-83704</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 18 Feb 2008 15:59:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-83704</guid>
		<description>ER care is immediate, referrals are given out for necessary follow ups such as bone setting, so there is stilla problem.  Many people, even those with insurance, utilize the ER as a primary care site which kills the hospitals, insurance companies will not pay for this care.  Hospitals do, however, receive some relief for the amount of charity care they provide.  All in all most EDs in heavily populated areas are less than adequate.  What are needed are 24/7 clinics attended by nurse practitioners and mental health professionals for those in need or with federal/state assistance.  This would be a great training ground for NPs and MDs and provide low or no cost to those in need.  It could also be a tie in for pharmaceutical companies to test drugs and use samples.  As long as guidelines are stringent this would be an acceptable level of care.</description>
		<content:encoded><![CDATA[<p>ER care is immediate, referrals are given out for necessary follow ups such as bone setting, so there is stilla problem.  Many people, even those with insurance, utilize the ER as a primary care site which kills the hospitals, insurance companies will not pay for this care.  Hospitals do, however, receive some relief for the amount of charity care they provide.  All in all most EDs in heavily populated areas are less than adequate.  What are needed are 24/7 clinics attended by nurse practitioners and mental health professionals for those in need or with federal/state assistance.  This would be a great training ground for NPs and MDs and provide low or no cost to those in need.  It could also be a tie in for pharmaceutical companies to test drugs and use samples.  As long as guidelines are stringent this would be an acceptable level of care.</p>
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		<title>By: Alloquia</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-72521</link>
		<dc:creator>Alloquia</dc:creator>
		<pubDate>Mon, 05 Mar 2007 19:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-72521</guid>
		<description>I don&#039;t believe health care is a right but I DO believe that Americans are entitled to affordable health care.  The cost of buying health insurance is a joke.  While, I&#039;m not saying it should be free, it should definitely be inexpensive.  A trip to the ER costs a thousand bucks, how is that justifiable?  A trip to the family doctor costs a hundred bucks to see him for 15 minutes and they don&#039;t usually listen to what you have to say, get offended if you&#039;ve done your homework and try to push the current fad drugs on you.  I don&#039;t think it&#039;s proper or right to be gouging people the way doctors do.  If it has to be made into an entitlement (affordable health care that is) then it should be if the doctors and insurance companies can&#039;t work it out, and to be honest, why would they if they&#039;re getting rich off of it.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t believe health care is a right but I DO believe that Americans are entitled to affordable health care.  The cost of buying health insurance is a joke.  While, I&#8217;m not saying it should be free, it should definitely be inexpensive.  A trip to the ER costs a thousand bucks, how is that justifiable?  A trip to the family doctor costs a hundred bucks to see him for 15 minutes and they don&#8217;t usually listen to what you have to say, get offended if you&#8217;ve done your homework and try to push the current fad drugs on you.  I don&#8217;t think it&#8217;s proper or right to be gouging people the way doctors do.  If it has to be made into an entitlement (affordable health care that is) then it should be if the doctors and insurance companies can&#8217;t work it out, and to be honest, why would they if they&#8217;re getting rich off of it.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71082</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 30 Jan 2007 12:53:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71082</guid>
		<description>&gt;&gt;&quot;You guys that compare healthcare to food, water, haircuts and automotive parts are completely ridiculous.&lt;br /&gt;&lt;br /&gt;You have no morals whatsoever and Im sorry you are part of American healthcare. And to think you believe you are SOME of the BEST. Kim is best at running her mouth off.&quot;&lt;br /&gt;&lt;br /&gt;You must have been cut off. I was waiting to see why you think they have no morals and just what kinds of things you would compare medical care to. But nothing. So why isn&#039;t it like food? How isn&#039;t is like water? What makes comparison of a service with materials whether for benefit or not to another service with materials immoral? And why do you think it is wrong for someone in American &quot;health care&quot; to make that comparison? Explain, if you can.&lt;br /&gt;&lt;br /&gt;I certainly hope you aren&#039;t the sort of person who thinks it is alright to take things that belong to someone else without paying them for them just because you want to.</description>
		<content:encoded><![CDATA[<p>>>&#8221;You guys that compare healthcare to food, water, haircuts and automotive parts are completely ridiculous.</p>
<p>You have no morals whatsoever and Im sorry you are part of American healthcare. And to think you believe you are SOME of the BEST. Kim is best at running her mouth off.&#8221;</p>
<p>You must have been cut off. I was waiting to see why you think they have no morals and just what kinds of things you would compare medical care to. But nothing. So why isn&#8217;t it like food? How isn&#8217;t is like water? What makes comparison of a service with materials whether for benefit or not to another service with materials immoral? And why do you think it is wrong for someone in American &#8220;health care&#8221; to make that comparison? Explain, if you can.</p>
<p>I certainly hope you aren&#8217;t the sort of person who thinks it is alright to take things that belong to someone else without paying them for them just because you want to.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71077</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 30 Jan 2007 04:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71077</guid>
		<description>You guys that compare healthcare to food, water, haircuts and automotive parts are completely ridiculous.&lt;br /&gt;&lt;br /&gt;You have no morals whatsoever and Im sorry you are part of American healthcare. And to think you believe you are SOME of the BEST. Kim is best at running her mouth off.</description>
		<content:encoded><![CDATA[<p>You guys that compare healthcare to food, water, haircuts and automotive parts are completely ridiculous.</p>
<p>You have no morals whatsoever and Im sorry you are part of American healthcare. And to think you believe you are SOME of the BEST. Kim is best at running her mouth off.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71065</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 30 Jan 2007 01:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71065</guid>
		<description>Still wondering what you do for a living Evan</description>
		<content:encoded><![CDATA[<p>Still wondering what you do for a living Evan</p>
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		<title>By: Okulus</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71039</link>
		<dc:creator>Okulus</dc:creator>
		<pubDate>Mon, 29 Jan 2007 17:34:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71039</guid>
		<description>Evan, you can sue someone without a lawyer, but that is beside the point.&lt;br /&gt;The courts are open to anyone who wants to file and their impartiality is supposed to be &quot;blind.&quot; That hasn&#039;t been read to mean there cannot be filing fees or that someone pursuing a case without a lawyer will have the same capability in making a case as someone who does. You have a right to sue (per the constitution) but you don&#039;t necessarily have the right to have someone else provide you counsel for civil actions.&lt;br /&gt;&lt;br /&gt;Evan, you still are equating cheap and available with a right. I don&#039;t see the logical connection. It is a false assumption that because something desirable is readily available, and even occassionally provided as a public service, that  having the thing is by right. It isn&#039;t, not de jure or de facto.&lt;br /&gt;&lt;br /&gt;EMTALA, as was argued elsewhere, tries the same artifice you indulge in. It pretends to make the possession of others&#039; labor and property a &quot;right&quot;. In reality, it is simply an act of confiscation and an injustice to those who are having their goods and services taken on terms that are without consent or by extortion. All the government has done is violate the real rights of those whose work has been expropriated. Any good Marxist ought to see that.</description>
		<content:encoded><![CDATA[<p>Evan, you can sue someone without a lawyer, but that is beside the point.<br />The courts are open to anyone who wants to file and their impartiality is supposed to be &#8220;blind.&#8221; That hasn&#8217;t been read to mean there cannot be filing fees or that someone pursuing a case without a lawyer will have the same capability in making a case as someone who does. You have a right to sue (per the constitution) but you don&#8217;t necessarily have the right to have someone else provide you counsel for civil actions.</p>
<p>Evan, you still are equating cheap and available with a right. I don&#8217;t see the logical connection. It is a false assumption that because something desirable is readily available, and even occassionally provided as a public service, that  having the thing is by right. It isn&#8217;t, not de jure or de facto.</p>
<p>EMTALA, as was argued elsewhere, tries the same artifice you indulge in. It pretends to make the possession of others&#8217; labor and property a &#8220;right&#8221;. In reality, it is simply an act of confiscation and an injustice to those who are having their goods and services taken on terms that are without consent or by extortion. All the government has done is violate the real rights of those whose work has been expropriated. Any good Marxist ought to see that.</p>
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		<title>By: Evan</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71034</link>
		<dc:creator>Evan</dc:creator>
		<pubDate>Mon, 29 Jan 2007 15:45:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71034</guid>
		<description>http://www.fns.usda.gov/fsp/&lt;br /&gt;&lt;br /&gt;Okulus, check the link out. I&#039;m not saying it&#039;s a &lt;i&gt;de jure&lt;/i&gt; right, but it sure is a &lt;i&gt;de facto&lt;/i&gt; one, just like I (and now another commenter) are arguing EMTALA has done for health care. Just because something is not free doesn&#039;t mean it&#039;s not a right. You have a right to sue someone in court, but you still have to find a lawyer or bring your case yourself at your own expense. Thus your argument about all &quot;rights&quot; being free is not very accurate.</description>
		<content:encoded><![CDATA[<p><a href="http://www.fns.usda.gov/fsp/" rel="nofollow">http://www.fns.usda.gov/fsp/</a></p>
<p>Okulus, check the link out. I&#8217;m not saying it&#8217;s a <i>de jure</i> right, but it sure is a <i>de facto</i> one, just like I (and now another commenter) are arguing EMTALA has done for health care. Just because something is not free doesn&#8217;t mean it&#8217;s not a right. You have a right to sue someone in court, but you still have to find a lawyer or bring your case yourself at your own expense. Thus your argument about all &#8220;rights&#8221; being free is not very accurate.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71033</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 29 Jan 2007 15:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71033</guid>
		<description>#&lt;br /&gt;Healthcare is a need that is already provided.  At any ER in the country any person can be seen and treated.  That &quot;need&quot; has been met.  So out of the 45 million, zero has been denied their basic need of healthcare.  So yes I agree the debate is over.  It has already been accomplished by EMTALA.</description>
		<content:encoded><![CDATA[<p>#<br />Healthcare is a need that is already provided.  At any ER in the country any person can be seen and treated.  That &#8220;need&#8221; has been met.  So out of the 45 million, zero has been denied their basic need of healthcare.  So yes I agree the debate is over.  It has already been accomplished by EMTALA.</p>
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		<title>By: Okulus</title>
		<link>http://www.kevinmd.com/blog/2007/01/bravo-health-care-is-not-entitlement.html/comment-page-1#comment-71030</link>
		<dc:creator>Okulus</dc:creator>
		<pubDate>Mon, 29 Jan 2007 14:34:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/01/bravo-health-care-is-not-an-entitlement.html#comment-71030</guid>
		<description>&gt;&gt;&quot;Food, you see, in the US is pretty much a right. Food budgets are typically less than 5% of a household&#039;s income. Food is certainly considered much more of right than health care.&quot;&lt;br /&gt;&lt;br /&gt;With you, Evan, cheap and available seems to equate with a right. As in, if it is cheap enough that most people can afford it then somehow by its convenient availability and affordability the very having of it therefore becomes a &quot;right&quot;, as if somehow it should always be cheap and available, even if I chose not to pay for it.&lt;br /&gt;&lt;br /&gt;Please explain your logic. If there was suddenly a food shortage and prices for food went up significantly, would cheap food still be something you felt entitled to have (at someone else&#039;s expense?) You see, with real rights, they remain regardless of market price. I don&#039;t think that works with food or medical care.&lt;br /&gt;&lt;br /&gt;I buy all my food and pay cash for it. Somehow I never have seen getting my food as a &quot;right.&quot; I&#039;d be interested to know where you buy yours. Maybe I&#039;m not shopping at the right stores.&lt;br /&gt;&lt;br /&gt;Evan, I&#039;m getting the idea you are working out of the Marxist playbook. Correct me if I&#039;m wrong.</description>
		<content:encoded><![CDATA[<p>>>&#8221;Food, you see, in the US is pretty much a right. Food budgets are typically less than 5% of a household&#8217;s income. Food is certainly considered much more of right than health care.&#8221;</p>
<p>With you, Evan, cheap and available seems to equate with a right. As in, if it is cheap enough that most people can afford it then somehow by its convenient availability and affordability the very having of it therefore becomes a &#8220;right&#8221;, as if somehow it should always be cheap and available, even if I chose not to pay for it.</p>
<p>Please explain your logic. If there was suddenly a food shortage and prices for food went up significantly, would cheap food still be something you felt entitled to have (at someone else&#8217;s expense?) You see, with real rights, they remain regardless of market price. I don&#8217;t think that works with food or medical care.</p>
<p>I buy all my food and pay cash for it. Somehow I never have seen getting my food as a &#8220;right.&#8221; I&#8217;d be interested to know where you buy yours. Maybe I&#8217;m not shopping at the right stores.</p>
<p>Evan, I&#8217;m getting the idea you are working out of the Marxist playbook. Correct me if I&#8217;m wrong.</p>
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