Exclusive: Senate too divided to keep up healthcare push - Senator Hatch. Poor Orange One!

[eagle1462010]

Cutting the Cost of Health Care: The Physician's Role

The ever-increasing cost of health care is reason for every American to be concerned. In 2008, for example, healthcare expenditures in the United States reached $2.4 trillion,2 accounting for 16% of gross domestic product.3 By 2013, these expenditures had risen to almost $3 trillion annually, 17.4% of gross domestic product.4 Worse still is the amount of wasteful spending in health care. A study by PricewaterhouseCoopers' Health Research Institute, published in 2010, calculated wasteful spending at up to $1.2 trillion, more than half of all spending on health.5 In 2012, Berwick and Hackbarth presented data that placed the lowest estimate of wasteful spending at 20% of all healthcare expenditures; however, they emphasized that the actual total might be far greater.6

What drives physicians to overuse these exorbitant tests and procedures? From my vantage point as a medical educator, the most prevalent reason is “fishing”—scanning the body part that is thought to be the source of the patient's symptoms or problem, hoping that a diagnosis will somehow be reeled in.14 This routine takes little of the physician's time, requires no special expertise, demands no discriminative thought, and serves as an easy and convenient way to obtain a lot of information quickly. In addition, it becomes a necessity for many of our current trainees and recent graduates who are laboratory oriented, deficient in clinical skills, and poorly informed on the natural history of diseases.15

Other typical reasons for overreliance on advanced technology include the fear of litigation (which results in the practice of “defensive medicine”16,17), the discomfort associated with diagnostic uncertainty or with possibly inadequate follow-up evaluations, a perceived need to satisfy patients' demands, and insufficient knowledge of the tradeoff between the benefits, harms, and costs of most tests and procedures.18

 

[eagle1462010]

Health Care and Medical Malpractice Reform: The Necessity of Reform in the Current Debate

A survey by the Journal of the American Medical Association found that 93 percent of physicians practice what we call defensive medicine: that is, ordering tests, procedures, and referrals that are not medically necessary for the sole purpose of protecting the doctor or the hospital against medical malpractice claims. The estimated cost of defensive medicine ranges from $191 billion to $239 billion in the last year for which we have statistics, 2008

 

[SassyIrishLass]

Better do something fast, the loons are always saying "you want people to die!!!"

Mortality Rates Suggest Obamacare Could Be Killing People

 

[Baz Ares]

Cutting the Cost of Health Care: The Physician's Role

The ever-increasing cost of health care is reason for every American to be concerned. In 2008, for example, healthcare expenditures in the United States reached $2.4 trillion,2 accounting for 16% of gross domestic product.3 By 2013, these expenditures had risen to almost $3 trillion annually, 17.4% of gross domestic product.4 Worse still is the amount of wasteful spending in health care. A study by PricewaterhouseCoopers' Health Research Institute, published in 2010, calculated wasteful spending at up to $1.2 trillion, more than half of all spending on health.5 In 2012, Berwick and Hackbarth presented data that placed the lowest estimate of wasteful spending at 20% of all healthcare expenditures; however, they emphasized that the actual total might be far greater.6

What drives physicians to overuse these exorbitant tests and procedures? From my vantage point as a medical educator, the most prevalent reason is “fishing”—scanning the body part that is thought to be the source of the patient's symptoms or problem, hoping that a diagnosis will somehow be reeled in.14 This routine takes little of the physician's time, requires no special expertise, demands no discriminative thought, and serves as an easy and convenient way to obtain a lot of information quickly. In addition, it becomes a necessity for many of our current trainees and recent graduates who are laboratory oriented, deficient in clinical skills, and poorly informed on the natural history of diseases.15

Other typical reasons for overreliance on advanced technology include the fear of litigation (which results in the practice of “defensive medicine”16,17), the discomfort associated with diagnostic uncertainty or with possibly inadequate follow-up evaluations, a perceived need to satisfy patients' demands, and insufficient knowledge of the tradeoff between the benefits, harms, and costs of most tests and procedures.18

What are you saying?

The Gobmint provides about 1.6T in funds to cover medical needs. The states provided 450B more. So say this is 2T.

The Associated Medical givers and manufacture GDP is about 3.7T. We export Yuge amounts.

Btw. The Miltary budget does not cover everyone and it's about 85B more or less. I recall. TBD again.

 

[eagle1462010]

Cutting the Cost of Health Care: The Physician's Role

The ever-increasing cost of health care is reason for every American to be concerned. In 2008, for example, healthcare expenditures in the United States reached $2.4 trillion,2 accounting for 16% of gross domestic product.3 By 2013, these expenditures had risen to almost $3 trillion annually, 17.4% of gross domestic product.4 Worse still is the amount of wasteful spending in health care. A study by PricewaterhouseCoopers' Health Research Institute, published in 2010, calculated wasteful spending at up to $1.2 trillion, more than half of all spending on health.5 In 2012, Berwick and Hackbarth presented data that placed the lowest estimate of wasteful spending at 20% of all healthcare expenditures; however, they emphasized that the actual total might be far greater.6

What drives physicians to overuse these exorbitant tests and procedures? From my vantage point as a medical educator, the most prevalent reason is “fishing”—scanning the body part that is thought to be the source of the patient's symptoms or problem, hoping that a diagnosis will somehow be reeled in.14 This routine takes little of the physician's time, requires no special expertise, demands no discriminative thought, and serves as an easy and convenient way to obtain a lot of information quickly. In addition, it becomes a necessity for many of our current trainees and recent graduates who are laboratory oriented, deficient in clinical skills, and poorly informed on the natural history of diseases.15

Other typical reasons for overreliance on advanced technology include the fear of litigation (which results in the practice of “defensive medicine”16,17), the discomfort associated with diagnostic uncertainty or with possibly inadequate follow-up evaluations, a perceived need to satisfy patients' demands, and insufficient knowledge of the tradeoff between the benefits, harms, and costs of most tests and procedures.18

What are you saying?

The Gobmint provides about 1.6T in funds to cover medical needs. The states provided 450B more. So say this is 2T.

The Associated Medical givers and manufacture GDP is about 3.7T. We export Yuge amounts.

Btw. The Miltary budget does not cover everyone and it's about 85B more or less. I recall. TBD again.

And...................what's your point.

3.8 Trillion a year and growing in medical spending every year.

Tort reform can lower some of that cost. Unnecessary tests are a YUGE PORTION of that cost.

 

[eagle1462010]

Let's put this cost in perspective.

We spend more on health care than the GDP of all nations on earth except a few...............

We spend more per capita than any nation on earth................

And yet some say there isn't a problem and WONDER WHY INSURANCE AND COSTS ARE SO HIGH.........

 

[Baz Ares]

Cutting the Cost of Health Care: The Physician's Role

The ever-increasing cost of health care is reason for every American to be concerned. In 2008, for example, healthcare expenditures in the United States reached $2.4 trillion,2 accounting for 16% of gross domestic product.3 By 2013, these expenditures had risen to almost $3 trillion annually, 17.4% of gross domestic product.4 Worse still is the amount of wasteful spending in health care. A study by PricewaterhouseCoopers' Health Research Institute, published in 2010, calculated wasteful spending at up to $1.2 trillion, more than half of all spending on health.5 In 2012, Berwick and Hackbarth presented data that placed the lowest estimate of wasteful spending at 20% of all healthcare expenditures; however, they emphasized that the actual total might be far greater.6

What drives physicians to overuse these exorbitant tests and procedures? From my vantage point as a medical educator, the most prevalent reason is “fishing”—scanning the body part that is thought to be the source of the patient's symptoms or problem, hoping that a diagnosis will somehow be reeled in.14 This routine takes little of the physician's time, requires no special expertise, demands no discriminative thought, and serves as an easy and convenient way to obtain a lot of information quickly. In addition, it becomes a necessity for many of our current trainees and recent graduates who are laboratory oriented, deficient in clinical skills, and poorly informed on the natural history of diseases.15

Other typical reasons for overreliance on advanced technology include the fear of litigation (which results in the practice of “defensive medicine”16,17), the discomfort associated with diagnostic uncertainty or with possibly inadequate follow-up evaluations, a perceived need to satisfy patients' demands, and insufficient knowledge of the tradeoff between the benefits, harms, and costs of most tests and procedures.18

What are you saying?

The Gobmint provides about 1.6T in funds to cover medical needs. The states provided 450B more. So say this is 2T.

The Associated Medical givers and manufacture GDP is about 3.7T. We export Yuge amounts.

Btw. The Miltary budget does not cover everyone and it's about 85B more or less. I recall. TBD again.

And...................what's your point.

3.8 Trillion a year and growing in medical spending every year.

Tort reform can lower some of that cost. Unnecessary tests are a YUGE PORTION of that cost.

Gobmint provides say some 2T in funds each year. The whole industry generates about 4.1T of our GDP.
We get back each year in worker earnings and Corp Taxes, on that whole 4.1 GDP in spending

Some 2T GDP (of that 4.1T) is not spent on medical services or treatment. Manufacturered goods sold to other countries.

We get in some 650 Billion plus. To spend/cover next years cost.
So really we only fund still the 1.6T. The state's tax to cover in state cost the best they can.

 

[Slyhunter]

Solution: Tiny one issue bills that everyone can vote on based on their own merits. Stop with the encyclopedia size bills.

 

[Baz Ares]

Let's put this cost in perspective.

We spend more on health care than the GDP of all nations on earth except a few...............

We spend more per capita than any nation on earth................

And yet some say there isn't a problem and WONDER WHY INSURANCE AND COSTS ARE SO HIGH.........

Yes, we need Single Payer. And everyone can (they can now) buy rider insurance to climb the ladder to the better care you want. Fully no pre-existing protected. This makes a good base for care. This will allow fly over states to get small town doctors back. As Big states have all the doctors we need. Kaiser is the best care anywhere.

 

[Baz Ares]

Solution: Tiny one issue bills that everyone can vote on based on their own merits. Stop with the encyclopedia size bills.

I like that too, but that exposes them to light.
So, that's a no, no, for Wall Street. GOOD LUCK!

 

[ClosedCaption]

He said he would prefer
Congress not appropriate cost-sharing subsidies that help make Obamacare plans affordable but added, "I think we’re going to have to do that.

If it was imploding like they claimed why would they way need to take away subsidies?

Answer: Because it's not imploding

 

[Baz Ares]

Solution: Tiny one issue bills that everyone can vote on based on their own merits. Stop with the encyclopedia size bills.

Off Topic.

Btw. I'm reading the new Russain sanction bill passed.
To see what's in it. The points I've found are as followed.
Still studying. But here.

(6) On January 6, 2017, an assessment of the United States intelligence community entitled, “Assessing Russian Activities and Intentions in Recent U.S. Elections” stated, “Russian President Vladimir Putin ordered an influence campaign in 2016 aimed at the United States presidential election.” The assessment warns that “Moscow will apply lessons learned from its Putin-ordered campaign aimed at the U.S. Presidential election to future influence efforts worldwide, including against U.S. allies and their election processes”.

SEC. 212. SENSE OF CONGRESS.
It is the sense of Congress that the President—
(1) should continue to uphold and seek unity with European and other key partners on sanctions implemented against the Russian Federation, which have been effective and instrumental in countering Russian aggression in Ukraine;
(2) should engage to the fullest extent possible with partner governments with regard to closing loopholes, including the allowance of extended prepayment for the delivery of goods and commodities and other loopholes, in multilateral and unilateral restrictive measures against the Russian Federation, with the aim of maximizing alignment of those measures; and
(3) should increase efforts to vigorously enforce compliance with sanctions in place as of the date of the enactment of this Act with respect to the Russian Federation in response to the crisis in eastern Ukraine, cyber intrusions and attacks, and human rights violators in the Russian Federation.
SEC. 215. SHORT TITLE.
This part may be cited as the “Russia Sanctions Review Act of 2017”.
(c) Joint Resolutions Of Disapproval Or Approval Defined.—In this subsection:
(1) JOINT RESOLUTION OF APPROVAL.—The term “joint resolution of approval” means only a joint resolution of either House of Congress—
(A) the title of which is as follows: “A joint resolution approving the President's proposal to take an action relating to the application of certain sanctions with respect to the Russian Federation.”; and
(B) the sole matter after the resolving clause of which is the following: “Congress approves of the action relating to the application of sanctions imposed with respect to the Russian Federation proposed by the President in the report submitted to Congress under section 216(a)(1) of the Russia Sanctions Review Act of 2017 on _______ relating to ________.”, with the first blank space being filled with the appropriate date and the second blank space being filled with a short description of the proposed action.
(1) that have the potential to produce oil; and

(2) that involve any person determined to be subject to the directive or the property or interests in property of such a person who has a controlling interest or a substantial non-controlling ownership interest in such a project defined as not less than a 33 percent interest.

(A) knowingly engages in significant activities undermining cybersecurity against any person, including a democratic institution, or government on behalf of the Government of the Russian Federation; or
(B) SEC. 225. IMPOSITION OF SANCTIONS RELATING TO SPECIAL RUSSIAN CRUDE OIL PROJECTS.
(C) Section 4(b)(1) of the Ukraine Freedom Support Act of 2014 (22 U.S.C. 8923(b)(1)) is amended by striking “on and after the date that is 45 days after the date of the enactment of this Act, the President may impose” and inserting “on and after the date that is 30 days after the date of the enactment of the Countering Russian Influence in Europe and Eurasia Act of 2017, the President shall impose, unless the President determines that it is not in the national interest of the United States to do so,”.
SEC. 234. SANCTIONS WITH RESPECT TO THE TRANSFER OF ARMS AND RELATED MATERIEL TO SYRIA.
(a) Imposition Of Sanctions.—

(1) IN GENERAL.—The President shall impose on a foreign person the sanctions described in subsection (b) if the President determines that such foreign person has, on or after the date of the enactment of this Act, knowingly exported, transferred, or otherwise provided to Syria significant financial, material, or technological support that contributes materially to the ability of the Government of Syria to—

 

[Baz Ares]

He said he would prefer
Congress not appropriate cost-sharing subsidies that help make Obamacare plans affordable but added, "I think we’re going to have to do that.

If it was imploding like they claimed why would they way need to take away subsidies?

Answer: Because it's not imploding

Yep! You must be one of these.. If so? Wait for it.

 

[ClosedCaption]

But you only need Two votes. WTF!

You see? He said they are too divided because they never had the 51 cotes they needed in the first place. They all waited for 3 others to go first in a game of chicken. Then when they got 3 no votes...the coast was clear and they knew it would fail. So voting for it was easy once they knew it was already dead.

Lol...and just think how disappointed those 17% of Americans are now!! How dare they deny the wants of less than a quarter of the American people!

 

[Slyhunter]

He said he would prefer
Congress not appropriate cost-sharing subsidies that help make Obamacare plans affordable but added, "I think we’re going to have to do that.

If it was imploding like they claimed why would they way need to take away subsidies?

Answer: Because it's not imploding

You want it to implode slower so more will feel the pain longer, or rip it off and deal with it all at once so you can get past it?

 

[Baz Ares]

But you only need Two votes. WTF!

You see? He said they are too divided because they never had the 51 cotes they needed in the first place. They all waited for 3 others to go first in a game of chicken. Then when they got 3 no votes...the coast was clear and they knew it would fail. So voting for it was easy once they knew it was already dead.

Lol...and just think how disappointed those 17% of Americans are now!! How dare they deny the wants of less than a quarter of the American people!

Gee. I did not understand ....that.. FFS!? The DOPers are getting everything they voted for.

 

[Slyhunter]

But you only need Two votes. WTF!

You see? He said they are too divided because they never had the 51 cotes they needed in the first place. They all waited for 3 others to go first in a game of chicken. Then when they got 3 no votes...the coast was clear and they knew it would fail. So voting for it was easy once they knew it was already dead.

Lol...and just think how disappointed those 17% of Americans are now!! How dare they deny the wants of less than a quarter of the American people!

Small bills is the answer.

 

[Baz Ares]

He said he would prefer
Congress not appropriate cost-sharing subsidies that help make Obamacare plans affordable but added, "I think we’re going to have to do that.

If it was imploding like they claimed why would they way need to take away subsidies?

Answer: Because it's not imploding

You want it to implode slower so more will feel the pain longer, or rip it off and deal with it all at once so you can get past it?

Here, Here, Have another spoon full.

SAD!

 

[Baz Ares]

But you only need Two votes. WTF!

You see? He said they are too divided because they never had the 51 cotes they needed in the first place. They all waited for 3 others to go first in a game of chicken. Then when they got 3 no votes...the coast was clear and they knew it would fail. So voting for it was easy once they knew it was already dead.

Lol...and just think how disappointed those 17% of Americans are now!! How dare they deny the wants of less than a quarter of the American people!

Small bills is the answer.

Sure more of that. But we are hostages to be profited off of, by the upper 5%.

 

[ClosedCaption]

He said he would prefer
Congress not appropriate cost-sharing subsidies that help make Obamacare plans affordable but added, "I think we’re going to have to do that.

If it was imploding like they claimed why would they way need to take away subsidies?

Answer: Because it's not imploding

You want it to implode slower so more will feel the pain longer, or rip it off and deal with it all at once so you can get past it?

When your car need brakes do you preemptively drive it off a cliff under the same logic?

It sounds nice...almost like your euthanizing the ACA for its own good and millions being hurt by it is only a temporary thing...As if the GOP has not been screaming for power to undothe ACA for 7 years. Expect for people to believe them AGAIN?

7 FUCKING YEARS! But now they pinky swear? Lol