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Index » Regional/Local » USA/Canada » Health Care Page: Previous  1, 2, 3, 4 ... 264, 265, 266  Next
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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

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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}
Antigone

Antigone Avatar

Location: A house, in a Virginian Valley
Gender: Female


Posted: Jan 7, 2019 - 3:41pm



 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

 



miamizsun

miamizsun Avatar

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


Posted: Jan 7, 2019 - 12:29pm



 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
 


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