[ ]   [ ]   [ ]                        [ ]      [ ]   [ ]

HomeKit HomePod AppleTV - gtufano - Jun 18, 2019 - 12:57am
 
American Oil Strikes Again - ScottFromWyoming - Jun 17, 2019 - 9:30pm
 
Trump - R_P - Jun 17, 2019 - 4:11pm
 
Name My Band - Red_Dragon - Jun 17, 2019 - 3:55pm
 
Bug Reports & Feature Requests - BillG - Jun 17, 2019 - 3:39pm
 
Music News - R_P - Jun 17, 2019 - 3:07pm
 
Live Music - R_P - Jun 17, 2019 - 2:47pm
 
Tesla (motors, batteries, etc) - miamizsun - Jun 17, 2019 - 12:41pm
 
Iran - R_P - Jun 17, 2019 - 11:50am
 
Getting RP in For iPad Mini 2 - Ian_and_Annie - Jun 17, 2019 - 10:12am
 
Recommended documentaries - sirdroseph - Jun 17, 2019 - 10:02am
 
Radio Paradise Comments - miamizsun - Jun 17, 2019 - 7:49am
 
Great guitar faces - Proclivities - Jun 17, 2019 - 7:02am
 
How's the weather? - miamizsun - Jun 17, 2019 - 4:43am
 
Other Medical Stuff - Antigone - Jun 17, 2019 - 2:56am
 
Counting with Pictures - yuel - Jun 17, 2019 - 12:33am
 
Things You Thought Today - buddy - Jun 16, 2019 - 9:07pm
 
Mixtape Culture Club - rmgman - Jun 16, 2019 - 5:22pm
 
Climate Change - R_P - Jun 16, 2019 - 2:46pm
 
260,000 Posts in one thread? - oldviolin - Jun 16, 2019 - 2:12pm
 
Those Lovable Policemen - R_P - Jun 16, 2019 - 1:02pm
 
Trump Lies - westslope - Jun 16, 2019 - 11:59am
 
Race in America - kurtster - Jun 15, 2019 - 6:50pm
 
New Music - R_P - Jun 15, 2019 - 10:49am
 
President Elizabeth Warren - hayduke2 - Jun 15, 2019 - 10:23am
 
Vinyl Only Spin List - kurtster - Jun 14, 2019 - 7:55pm
 
Poetry Forum - Antigone - Jun 14, 2019 - 6:51pm
 
Photoshop Help please - echols - Jun 14, 2019 - 5:06pm
 
Rock mix miss you - Arc_Light - Jun 14, 2019 - 4:31pm
 
Fake News*  ?  ! - miamizsun - Jun 14, 2019 - 3:52pm
 
Anti-War - R_P - Jun 14, 2019 - 3:27pm
 
First World Problems - miamizsun - Jun 14, 2019 - 2:59pm
 
Pernicious Pious Proclivities Particularized Prodigiously - R_P - Jun 14, 2019 - 2:47pm
 
Weird sounds - Red_Dragon - Jun 14, 2019 - 11:17am
 
Weight Loss Discussions - westslope - Jun 14, 2019 - 9:21am
 
Today in History - Red_Dragon - Jun 14, 2019 - 8:08am
 
Basketball, anyone? Hello? Hello? - Proclivities - Jun 14, 2019 - 6:04am
 
Talk Behind Their Backs Forum - sunybuny - Jun 14, 2019 - 5:38am
 
war is a racket - islander - Jun 13, 2019 - 9:43pm
 
Strips, cartoons, illustrations - R_P - Jun 13, 2019 - 5:39pm
 
Canada - westslope - Jun 13, 2019 - 3:55pm
 
Hockey + Fantasy Hockey - SeriousLee - Jun 13, 2019 - 3:17pm
 
Outstanding Covers - SeriousLee - Jun 13, 2019 - 3:15pm
 
• • • BRING OUT YOUR DEAD • • •  - oldviolin - Jun 13, 2019 - 2:52pm
 
Favorite Quotes - oldviolin - Jun 13, 2019 - 1:42pm
 
Thought For The Day - oldviolin - Jun 13, 2019 - 1:40pm
 
Brain-Boosting (memory enhancement) - Proclivities - Jun 13, 2019 - 1:34pm
 
Overheard - SeriousLee - Jun 13, 2019 - 1:23pm
 
Gotta Get Your Drink On - SeriousLee - Jun 13, 2019 - 1:17pm
 
Cryptic Posts - Leave Them Guessing - oldviolin - Jun 13, 2019 - 12:05pm
 
Regarding dogs - oldviolin - Jun 13, 2019 - 11:08am
 
Democratic Party - Red_Dragon - Jun 13, 2019 - 10:06am
 
Export rated songs playlist - - Jun 13, 2019 - 8:27am
 
Lyrics that strike a chord today... - black321 - Jun 13, 2019 - 7:19am
 
OUR CATS!! - kurtster - Jun 13, 2019 - 4:35am
 
• • • The Once-a-Day • • •  - oldviolin - Jun 12, 2019 - 2:29pm
 
Bit Rate Resolution in BlueSound? - black321 - Jun 12, 2019 - 2:08pm
 
The russian guy in "Thanks for listening" - BillG - Jun 12, 2019 - 1:52pm
 
Music Videos - sirdroseph - Jun 12, 2019 - 12:28pm
 
Environment - westslope - Jun 12, 2019 - 11:38am
 
Best Song Comments. - sirdroseph - Jun 12, 2019 - 11:34am
 
Why Everything You Believe Is Immoral, Irresponsible, Irr... - oldviolin - Jun 12, 2019 - 10:42am
 
Your Office - Coaxial - Jun 12, 2019 - 9:17am
 
American Justice - westslope - Jun 12, 2019 - 7:16am
 
Immigration - sirdroseph - Jun 12, 2019 - 6:51am
 
kurtster's quiet vinyl - kurtster - Jun 12, 2019 - 6:19am
 
France - oldjack - Jun 12, 2019 - 12:45am
 
Radiohead - R_P - Jun 11, 2019 - 12:05pm
 
What is Humanity's best invention? - Proclivities - Jun 11, 2019 - 7:42am
 
Movement in the doom groove - Proclivities - Jun 11, 2019 - 6:58am
 
Afghanistan - black321 - Jun 11, 2019 - 6:56am
 
Little known information...maybe even facts - NoEnzLefttoSplit - Jun 11, 2019 - 1:20am
 
What Makes You Laugh? - kurtster - Jun 10, 2019 - 11:57pm
 
WikiLeaks - R_P - Jun 10, 2019 - 4:54pm
 
So... what's been happening here lately? - kcar - Jun 10, 2019 - 4:03pm
 
Index » Regional/Local » USA/Canada » Health Care Page: Previous  1, 2, 3, ... 263, 264, 265  Next
Post to this Topic
Steely_D

Steely_D Avatar

Location: Biscayne Bay
Gender: Male


Posted: Feb 1, 2019 - 9:16pm



 black321 wrote:

Kaiser and the HMO model was an initial failure in many regards, as patients were denied or delayed life saving care. 

 ————

I think it takes people a while to figure out that giving bad care and getting bad press and even getting sued is ultimately more expensive than just doing it right. Despite that bit of common sense, I've met a lot of lazy, shiftless docs and I'm sure there are similar folks in all levels of administration and patient care.

And, some people just have rotten ideas that nearly bankrupt the company, like the guy that was running the doc portion of KP in the late 80s. Showing him the door and bringing in the brilliant Dr. Robbie Pearl literally saved the company. Those next three decades were the Golden Years.

It took a while to figure out the right business model as KP blazed a new trail. For instance: referring people out for sleep studies was costing the company a lot of money. So they bought the sleep lab and brought all the costs internally. Or, KP owns a bunch of MRI machines, so lets run them 6am-10pm 365 days and prevent delays in diagnosis or unnecessary hospitals stays.

What medical groups haven't learned fully yet (but KP is moving that way, intentionally) is that hospitals have to fully work, doing everything, seven days a week - not just M-F. If someone's admitted on Saturday morning, letting them sit in a hospital bed until Monday to see the specialist or get the nuclear study done is an extremely expensive and completely unnecessary waste of time (as well as a massive inconvenience to the patient and their family).

So, things change. You learn from the past, shuffle things around, and see if it's getting better. It's good to know the past - but better to know how things stand right now.
black321

black321 Avatar

Location: A sunset in the desert
Gender: Male


Posted: Feb 1, 2019 - 6:20am



 Steely_D wrote:

I think the next healthcare giant begins their care with "Everyone gets their healthcare through video visits or telephone appointments by default - and now let's define those situations that are exceptions to that baseline."

So many people just have a quick question about a rash or a swelling or a medication or a lab result. In antiquated Fee-for-service medicine, the doctor made money every time the patient had to come in.

In future, the docs should be salaried like at Kaiser Permanente, and then their goal isn't to drive revenue via labs or visits, but to simply deliver high quality health care. That's done with a national health insurance system (which eliminates the separate VA, Occ Med, and the County systems - think of the savings) that covers all citizens.

That decreases unnecessary ER visits for non-emergent problems, encourages people to get help sooner rather than later - returning them to or keeping them on the job better.

Folks ask me how to fix the system. I'm not kidding when I say nuke it from orbit. So, although I don't care much for Kamala Harris yet, I appreciate her willingness to say the same. Healthcare for all? That would ruin the insurance system! Her response was basically: "so?"
 
Kaiser and the HMO model was an initial failure in many regards, as patients were denied or delayed life saving care.  They have come a long way over the past 20-30 years, and the model could be just what our system needs.  Create a single payer model, with care provided by private HMO style organizations.  We already spend 18%-19% of GDP on healthcare, so we know the costs.  Provide vouchers to all citizens for them to obtain coverage from an HMO style organization.  And you are right, having everyone in the insured pool will help lower costs, by avoiding unnecessary expensive emergency procedures, that could be handled effectively with pharmaceuticals, the cheapest and most effective form of healthcare (contrary to popular belief, drug spending is not rising exponentially, in fact only in the low single digits).  Improved drug adherence overall will lower costs, as will new tech.  


Red_Dragon

Red_Dragon Avatar



Posted: Feb 1, 2019 - 5:01am

 Steely_D wrote:

I think the next healthcare giant begins their care with "Everyone gets their healthcare through video visits or telephone appointments by default - and now let's define those situations that are exceptions to that baseline."

So many people just have a quick question about a rash or a swelling or a medication or a lab result. In antiquated Fee-for-service medicine, the doctor made money every time the patient had to come in.

In future, the docs should be salaried like at Kaiser Permanente, and then their goal isn't to drive revenue via labs or visits, but to simply deliver high quality health care. That's done with a national health insurance system (which eliminates the separate VA, Occ Med, and the County systems - think of the savings) that covers all citizens.

That decreases unnecessary ER visits for non-emergent problems, encourages people to get help sooner rather than later - returning them to or keeping them on the job better.

Folks ask me how to fix the system. I'm not kidding when I say nuke it from orbit. So, although I don't care much for Kamala Harris yet, I appreciate her willingness to say the same. Healthcare for all? That would ruin the insurance system! Her response was basically: "so?"

 
hear! hear!
Steely_D

Steely_D Avatar

Location: Biscayne Bay
Gender: Male


Posted: Jan 31, 2019 - 8:18pm



 miamizsun wrote:
here's a six part series of visualizations...

 

I think the next healthcare giant begins their care with "Everyone gets their healthcare through video visits or telephone appointments by default - and now let's define those situations that are exceptions to that baseline."

So many people just have a quick question about a rash or a swelling or a medication or a lab result. In antiquated Fee-for-service medicine, the doctor made money every time the patient had to come in.

In future, the docs should be salaried like at Kaiser Permanente, and then their goal isn't to drive revenue via labs or visits, but to simply deliver high quality health care. That's done with a national health insurance system (which eliminates the separate VA, Occ Med, and the County systems - think of the savings) that covers all citizens.

That decreases unnecessary ER visits for non-emergent problems, encourages people to get help sooner rather than later - returning them to or keeping them on the job better.

Folks ask me how to fix the system. I'm not kidding when I say nuke it from orbit. So, although I don't care much for Kamala Harris yet, I appreciate her willingness to say the same. Healthcare for all? That would ruin the insurance system! Her response was basically: "so?"
miamizsun

miamizsun Avatar

Location: (3261.3 Miles SE of RP)
Gender: Male


Posted: Jan 31, 2019 - 4:19pm

here's a six part series of visualizations...

i'll tee up the first one for you

The 6 Forces Transforming the Future of Healthcare


ScottFromWyoming

ScottFromWyoming Avatar

Location: Powell
Gender: Male


Posted: Jan 28, 2019 - 8:04pm

Apropos of nothing

Editors: Story Can End Here Superbug scare in Tijuana


R_P

R_P Avatar



Posted: Jan 28, 2019 - 7:23pm

 kurtster wrote:
On a trip together to California in 2006, we went down to TJ for a meal and to buy albuterol inhalers for the wife.  Yes pharmacies were everywhere.  The price was pretty decent, too.  We bought a half a dozen.  Going back across the border, one of the agents noted all the inhalers buried in her purse but his partner said give her a break.  It is now nearly impossible to bring anything as innocuous as inhalers back let alone anything more serious.

That has little to do with Americans going down there for dental care and things like that which you can still do.  You just cannot bring anything back with you.  Americans / Californians have been going south of the border for cheap medical care since I can remember and I'm pretty damn old now.  This is hardly breaking news.

remember Laetrile ?  When that was 'discovered' as a cancer treatment is when people first started going south of the border for medical treatment when it was banned in the States.  Since then they discovered that other services were inexpensive and kept on going back for more medical care.

I was there in the late 90's when I noticed, but didn't give it much thought at the time. I actually remembered seeing that and sort of "connected the dots" when I was reading this article about healthcare. As I mentioned somewhere earlier, I know Canadians that had (usually expensive) dental work done in Cuba cheaply.
kurtster

kurtster Avatar

Location: drifting
Gender: Male


Posted: Jan 28, 2019 - 6:50pm

 R_P wrote:
One of the things that struck me in Tijuana was the number of Farmacias.
Millions of Americans Flood Into Mexico for Health Care — the Human Caravan You Haven’t Heard About

 
On a trip together to California in 2006, we went down to TJ for a meal and to buy albuterol inhalers for the wife.  Yes pharmacies were everywhere.  The price was pretty decent, too.  We bought a half a dozen.  Going back across the border, one of the agents noted all the inhalers buried in her purse but his partner said give her a break.  It is now nearly impossible to bring anything as innocuous as inhalers back let alone anything more serious.

That has little to do with Americans going down there for dental care and things like that which you can still do.  You just cannot bring anything back with you.  Americans / Californians have been going south of the border for cheap medical care since I can remember and I'm pretty damn old now.  This is hardly breaking news.

remember Laetrile ?  When that was 'discovered' as a cancer treatment is when people first started going south of the border for medical treatment when it was banned in the States.  Since then they discovered that other services were inexpensive and kept on going back for more medical care.


Isabeau

Isabeau Avatar

Location: sou' tex
Gender: Female


Posted: Jan 28, 2019 - 4:12pm



 R_P wrote:
 
Pig nose ugly in yo face  isn't inspiring affection. Pork chops, maybe you needs a hobby?

R_P

R_P Avatar



Posted: Jan 28, 2019 - 1:17pm

One of the things that struck me in Tijuana was the number of Farmacias.
Millions of Americans Flood Into Mexico for Health Care — the Human Caravan You Haven’t Heard About
miamizsun

miamizsun Avatar

Location: (3261.3 Miles SE of RP)
Gender: Male


Posted: Jan 24, 2019 - 5:29am

Human Genome Sequencing is Free from Nebula Genomics Using Blockchain

Nebula Genomics offers free human genome sequencing. Sign up for free and get matched with research institutions to get free genomic sequencing and other rewards.

Harvard Scientist George Church is one of the co-founders of Nebula Genomics.

Nebula Genomics liberates genomic big data by making privacy protected individual records scattered across many systems available on a single network where researchers can access and analyze them.

Their blockchain technology eliminates middlemen and connects data buyers directly with data owners, who store and control their own data. They use privacy-enhancing technologies to keep that data secure when owners choose to share it. Because of this direct connection, consumers can be rewarded for participating in the community and compensated for sharing data. 




haresfur

haresfur Avatar

Location: The Golden Triangle
Gender: Male


Posted: Jan 9, 2019 - 1:35pm

From a VA nurse: What do you call a patient in a VA hospital who has 2 arms and 2 legs?
...
...
Pre-op
pigtail

pigtail Avatar

Location: Southern California
Gender: Female


Posted: Jan 9, 2019 - 10:25am



 miamizsun wrote:


what's your general diagnosis?  treatment?

interested in your perspective 


 
Let's take out some of the funding for weaponry and take care of those that put their lives on the line.  It also shouldn't matter if that Vet makes 10,00 a year of 100,000.  If you served your time in the military and were honorably discharged than you earned that benefit.  Those who supposedly make too much income to qualify for benefits is BS.  These people earned it regardless of what they did after their service to the country is complete.  I know you didn't mean my perspective but you got it anyway.......LOL

Steely_D

Steely_D Avatar

Location: Biscayne Bay
Gender: Male


Posted: Jan 8, 2019 - 1:22pm



 miamizsun wrote:


what's your general diagnosis?  treatment?

interested in your perspective 


 

Too much inertia. Too many people with self-preservation in mind who can't make hard decisions. You can't move forward if you have to convince all those people of your ideas, especially if it will change their lives.


miamizsun

miamizsun Avatar

Location: (3261.3 Miles SE of RP)
Gender: Male


Posted: Jan 8, 2019 - 1:14pm

 Steely_D wrote:


 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant
 

If we provided a national healthcare system the need for a full-featured VA system, or a Workman's Comp, or County Hospitals - they'd all go away. The Vets would still need some care specific to their experiences (a la Agent Orange), but an entire independent system of hospitals, etc? Gone, replaced with a national electronically connected system available to all vets, all poor, all injured.

We already spend more per capita than a lot of other nations, and have worse outcomes. 


 

what's your general diagnosis?  treatment?

interested in your perspective 


Steely_D

Steely_D Avatar

Location: Biscayne Bay
Gender: Male


Posted: Jan 8, 2019 - 1:05pm



 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant
 

If we provided a national healthcare system the need for a full-featured VA system, or a Workman's Comp, or County Hospitals - they'd all go away. The Vets would still need some care specific to their experiences (a la Agent Orange), but an entire independent system of hospitals, etc? Gone, replaced with a national electronically connected system available to all vets, all poor, all injured.

We already spend more per capita than a lot of other nations, and have worse outcomes. 



oldviolin

oldviolin Avatar

Location: esse quam videri
Gender: Male


Posted: Jan 8, 2019 - 10:48am



 pigtail wrote:


 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant
 

Its a pathetic system.  I deal with it everyday in my industry.  Part of the reason why I don't understand the giant vet base of Trump supporters.
 

Is that like the giant women's base of support for Hillary Clinton? Asking for a friend...
sirdroseph

sirdroseph Avatar

Location: Yes
Gender: Male


Posted: Jan 8, 2019 - 10:08am

 pigtail wrote:


 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant
 

Its a pathetic system.  I deal with it everyday in my industry.  Part of the reason why I don't understand the giant vet base of Trump supporters.

 
If the state of the VA is a litmus test for support of an administration; pretty sure vets should not have supported ANY of our Presidents.  Either that or the VA has only been messed up for 2 years, but I'm pretty sure that is not right.  Vet support of Trump has nothing to do with health care I assure you. Right or wrong it is all about attraction to machismo persona from our warrior class.   Alpha male stuff. {#War}
pigtail

pigtail Avatar

Location: Southern California
Gender: Female


Posted: Jan 8, 2019 - 9:50am



 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant
 

Its a pathetic system.  I deal with it everyday in my industry.  Part of the reason why I don't understand the giant vet base of Trump supporters.
Coaxial

Coaxial Avatar

Location: 543 miles west of Paradis,1491 miles eas
Gender: Male


Posted: Jan 7, 2019 - 5:58pm

 oldviolin wrote:
my first hand experiences with the VA healthcare system is one of frustration and wasted time. We have a brand new facility here and a revolving door of practitioners.
All those promises. All the money drops.
Hello? Gladhanders and politicians? Are you there? Save a couple of bucks and just implement a voucher system so we can skip the facade? Please. The building is beautiful. There are people in there trying to do a good job.  The system however...overburdened and woefully inefficient at the cost of quality of life. 

/rant

 
{#War}
Page: Previous  1, 2, 3, ... 263, 264, 265  Next