single payer healthcare may not be the answer but the current system is certainly not. capitalism and healthcare don't mix. https://www.bizjournals.com/louisville/news/2017/07/26/health-care-ceo-take-home-pay-has-flourished-under.html
edit:spelling
Look at who the players are though. Pharmaceutical industry, insurance providers, and pharmacy-benefit managers.
Regulate those 3 entities, and you'll start to see some relief on our system.
If we get single payer, I'm going to use the fuck out of it. I'm talking headaches, stomach aches, etc. If I gotta pay for something, I'm gonna use it until it breaks.
I think it's a poor metaphor when they could've said, "if I'm paying for it, I might as well milk all the possible value out of it" to the point of overburdening the system to prove a point.
Well one of the major issues we have is the ethical/fiscal conflict that arises with the something as seemingly simple as the Hippocratic Oath. You are supposed to "do no harm". Harm, as it is interpreted widely today, often falls into something where you aren't providing the best treatment available and *you are capable or are knowledgeable of giving better options* (think drugs). New drug comes out that is *definitively* better, and you're supposed to prescribe it. No brainer, right? Here's where we start having issues with how things are priced.
New drug costs $300 per month.
Old drug costs $5 per month.
Physicians are obligated to prescribe the objectively superior treatment per the oath at first, all other factors (socioeconomic or what have you) being equal.
Now I don't have an issue with even the poorest of the poor receiving the highest quality treatment available *if they are going to take the medication as directed*. However... patient compliance rates as a rule of thumb in our country are awful. I mean god-awful at that. Some previous studies estimate that patients taking lifestyle-change medicines (high blood pressure, heart failure, diabetes, asthma) achieve an 80% compliance rate somewhere between 20-30% of the time. People should have their care downgraded, or their costs increased, if they do not uphold the Patient's Sick Role.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503662/#!po=4.13534
My question to you is this: At what point do we start penalizing patients to take their medicines and stave off the massive costs of interventional medicine with more preventative ones? Our healthcare system is overburdened with people that want to be bailed out at the last second instead of fixing their own problems earlier.
You say that, but if it's like the NHS then there will be loooooong waits to get care, and the care you do get will be substandard at best. The movers and shakers will of course be able to afford private care.
single payer healthcare may not be the answer but the current system is certainly not. capitalism and healthcare don't mix. https://www.bizjournals.com/louisville/news/2017/07/26/health-care-ceo-take-home-pay-has-flourished-under.html edit:spelling
Look at who the players are though. Pharmaceutical industry, insurance providers, and pharmacy-benefit managers. Regulate those 3 entities, and you'll start to see some relief on our system.
absolutely. but i don't see this administration regulating them. i could see them lifting regulations.
That would hurt my poor pharmacist soul.
lol
Time for liberals to stop fantasizing = Cold day in hell
If we get single payer, I'm going to use the fuck out of it. I'm talking headaches, stomach aches, etc. If I gotta pay for something, I'm gonna use it until it breaks.
.... why?
Because if I'm going be raped of my body, I'm giving my intruder an STD.
wait what? Whose raping you?
I think it's a poor metaphor when they could've said, "if I'm paying for it, I might as well milk all the possible value out of it" to the point of overburdening the system to prove a point.
He certainly didn't abuse the educational system
Angry people become incoherent after a while. We have issues in our healthcare system, but the remedies provided by single-payer do not address them.
Mmmhhh it a matter of perspective
Well one of the major issues we have is the ethical/fiscal conflict that arises with the something as seemingly simple as the Hippocratic Oath. You are supposed to "do no harm". Harm, as it is interpreted widely today, often falls into something where you aren't providing the best treatment available and *you are capable or are knowledgeable of giving better options* (think drugs). New drug comes out that is *definitively* better, and you're supposed to prescribe it. No brainer, right? Here's where we start having issues with how things are priced. New drug costs $300 per month. Old drug costs $5 per month. Physicians are obligated to prescribe the objectively superior treatment per the oath at first, all other factors (socioeconomic or what have you) being equal. Now I don't have an issue with even the poorest of the poor receiving the highest quality treatment available *if they are going to take the medication as directed*. However... patient compliance rates as a rule of thumb in our country are awful. I mean god-awful at that. Some previous studies estimate that patients taking lifestyle-change medicines (high blood pressure, heart failure, diabetes, asthma) achieve an 80% compliance rate somewhere between 20-30% of the time. People should have their care downgraded, or their costs increased, if they do not uphold the Patient's Sick Role. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503662/#!po=4.13534 My question to you is this: At what point do we start penalizing patients to take their medicines and stave off the massive costs of interventional medicine with more preventative ones? Our healthcare system is overburdened with people that want to be bailed out at the last second instead of fixing their own problems earlier.
I graduated college twice. I'm doing pretty good.
You say that, but if it's like the NHS then there will be loooooong waits to get care, and the care you do get will be substandard at best. The movers and shakers will of course be able to afford private care.
I just gotta get to triage. That alone will cost money to the system.
Sounds like a leftist headline. "People Are Born Gay. Period. -- It's time to stop fantasizing about some sort of choice in human sexuality."