Political Junky
Gold Member
- May 27, 2009
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Manupulated?Emma, here you are, intelligent, and clearly well versed in healthcare, but cannot see the clear dots that have to be connected.
Totalist philosophies have, as their hallmark, been for 'the people,' but opposed to the individual.
That is the clear difference as compared to democracy.
Here we have an administration which claims to provide better healthcare at a lower cost. Logic and experience must tell you that the material quoted by Navy has as its money saving key the reduction of services, and we can see who will shoulder the reduction.
One of the posts above actually posits that old folks really want to die, and the language is just trying to codify their wishes.
Shocking and absurd.
Let me pose a hypothetical, but one based on history in the healthcare field, and you tell me the different future that you can see:
The probable, not definite, not possible, but probable, result of the instituting of the ObamaCare Healthcare Plan. The 'Public Option,' and ultimately all plans will use capitation to save money:
1. Capitation, also called bundling, is a fixed payment remitted at regular intervals to a medical provider by a managed care organization for an enrolled patient.
a. The primary care physician gets a fixed payment based on the number of patients signed up by him, or assigned to him.
b. The payment is whether or not the patients are seen. So if the payment is $10, but it costs the doctor $50 to see the patient, he will limit the number of public plan patients he sees.
c. The patient will require a referral to see a specialist, and the program will deduct payment from the doctor for each such referral.
d. Thus the primary care physician is incentivized not to see patients nor to refer to specialists.
2. While this was the procedure in the early days of HMOs, to institute it today does not recognize current demographics.
a. While younger patients can withstand longer waits for an appointment, and would probably recover from a flu, or sprain, this is not the case for our older population.
b. The nature of the complaint often involves more serious medical problems, as the elderly have more diabetes, circulatory, and malignancies.
c. While current medical environment requires more frequent visits, the plan in question inveighs against this.
Hmmmm.....I wonder who she is referring to about, "their wishes". Because I've treated probably at least 1,000 patients with DNR status.....I have absolutely no idea what I'm talking about. I'll give her one thing....she knows about the business and impersonal aspect of healthcare. But she knows nothing about the personal aspect, it seems.
I wasn't trying to hide who I was referring to.
But if you are justifying an absurd idea that the elderly really want to die, then why do they go to a physician in the first place?
Sorry, MS, you have a good heart, but absolutely no understanding of human nature. And those are exactly the criteria manupulated by the lefties in this administration.
Lenin had an apt phrase for those kind of folks, who could be convinced that the collective was more important than the individual.
"Sorry, MS, you have a good heart, but absolutely no understanding of human nature. And those are exactly the criteria manupulated[sic] by the lefties in this administration."
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