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	<title>Comments on: Let’s talk Government Health Care with Squeaky</title>
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		<title>By: kosmo</title>
		<link>http://www.thesoapboxers.com/health-care/comment-page-1/#comment-2126</link>
		<dc:creator>kosmo</dc:creator>
		<pubDate>Thu, 04 Feb 2010 20:06:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.thesoapboxers.com/?p=2195#comment-2126</guid>
		<description>&quot;So we are using up all the efficiency and medical advancements over the last 50 years to fund the insurance industry.&quot;

And the malpractice attorneys :)

There are a couple of other things that come into play:

1)  There is some insanely expensive equipment that is used for a lot of treatments today

2)  People in the 50s simply died from things that are treatable today.  Treating a disease is more costly than saying &quot;I&#039;m afraid there&#039;s nothing we can do for you.&quot;</description>
		<content:encoded><![CDATA[<p>&#8220;So we are using up all the efficiency and medical advancements over the last 50 years to fund the insurance industry.&#8221;</p>
<p>And the malpractice attorneys <img src='http://www.thesoapboxers.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>There are a couple of other things that come into play:</p>
<p>1)  There is some insanely expensive equipment that is used for a lot of treatments today</p>
<p>2)  People in the 50s simply died from things that are treatable today.  Treating a disease is more costly than saying &#8220;I&#8217;m afraid there&#8217;s nothing we can do for you.&#8221;<br />
<small>Total Comments by <i>kosmo</i>: 291</small></p>
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		<title>By: Martin Kelly</title>
		<link>http://www.thesoapboxers.com/health-care/comment-page-1/#comment-2124</link>
		<dc:creator>Martin Kelly</dc:creator>
		<pubDate>Thu, 04 Feb 2010 19:06:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.thesoapboxers.com/?p=2195#comment-2124</guid>
		<description>What is intersting is that the percentage of cost is just slightly more to pay for insurance and it was to just pay the doctor back in the 50s.  So we are using up all the efficiency and medical advancements over the last 50 years to fund the insurance industry.</description>
		<content:encoded><![CDATA[<p>What is intersting is that the percentage of cost is just slightly more to pay for insurance and it was to just pay the doctor back in the 50s.  So we are using up all the efficiency and medical advancements over the last 50 years to fund the insurance industry.<br />
<small>Total Comments by <i>Martin Kelly</i>: 79</small></p>
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		<title>By: Evan</title>
		<link>http://www.thesoapboxers.com/health-care/comment-page-1/#comment-1160</link>
		<dc:creator>Evan</dc:creator>
		<pubDate>Fri, 06 Nov 2009 19:02:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.thesoapboxers.com/?p=2195#comment-1160</guid>
		<description>One thing I have to disagree strongly on is the part about lawsuits.  Whenever we hear talk about so-called lawsuit abuse, the talk oddly never turns to weeding about the bogus cases, but instead to putting caps on the recoveries of those most grievously injured, such as amputees and those who are paralyzed.  I&#039;m not sure if anything more recent was done, but the last time I saw a comprehensive study that directly looked at what happened in states where caps were implemented revealed that in 19 states that implemented caps between 1991 and 2002, docs suffered a 48.2 percent jump in median premiums. In states without caps, premiums rose by 35.9 percent.  GE Medical Protective is the largest med mal insurer in the country, and despite pushing for caps on non-economic damages, has admitted under oath that capping non-economic damages will show loss savings of about 1%.  The one possible exception to all this is Texas, but there were so many other changes there that it is hard to determine cause and effect.

The same thing happens elsewhere, with the insurance industry playing both ends.  Voters are told that outrageous lawsuits are the cause of all problems, while insurance companies justify rate hikes by telling state regulators that caps aren’t a justification for lowering premiums.

I feel for the doctors, as they’re victims in all of this.  We have an insurance problem, not a lawsuit problem.  Unfortunately, the opposite has been drilled into our heads for years (by guess who?).  Insurance companies historically operate at a loss with respect to premiums vs. payouts.  This is intentional, though, as they use that premium money in investments.  Unfortunately, when those investments tank, then the premiums are jacked up and screams of cost containment arise.

I don&#039;t believe in shifting the burden, anyway, of grievous medical negligence that cripples people to those who can least carry that burden (the injured, crippled, amputees, and paralyzed).  I do believe in weeding out bogus cases.  In PA, there is now a requirement that a medical expert certify a case as having merit before it is filed, and as a result med malpractice filings have dropped significantly.

Unfortunately, all of the rhetoric that we hear targets the truly valid cases with all of this talk of caps, and doesn&#039;t do a thing to attack the bogus ones.

Anyway, all my talk really doesn&#039;t even get at the main issue- even if caps were the “magic bullet” for malpractice premiums, it is a minuscule portion of total health care costs.</description>
		<content:encoded><![CDATA[<p>One thing I have to disagree strongly on is the part about lawsuits.  Whenever we hear talk about so-called lawsuit abuse, the talk oddly never turns to weeding about the bogus cases, but instead to putting caps on the recoveries of those most grievously injured, such as amputees and those who are paralyzed.  I&#8217;m not sure if anything more recent was done, but the last time I saw a comprehensive study that directly looked at what happened in states where caps were implemented revealed that in 19 states that implemented caps between 1991 and 2002, docs suffered a 48.2 percent jump in median premiums. In states without caps, premiums rose by 35.9 percent.  GE Medical Protective is the largest med mal insurer in the country, and despite pushing for caps on non-economic damages, has admitted under oath that capping non-economic damages will show loss savings of about 1%.  The one possible exception to all this is Texas, but there were so many other changes there that it is hard to determine cause and effect.</p>
<p>The same thing happens elsewhere, with the insurance industry playing both ends.  Voters are told that outrageous lawsuits are the cause of all problems, while insurance companies justify rate hikes by telling state regulators that caps aren’t a justification for lowering premiums.</p>
<p>I feel for the doctors, as they’re victims in all of this.  We have an insurance problem, not a lawsuit problem.  Unfortunately, the opposite has been drilled into our heads for years (by guess who?).  Insurance companies historically operate at a loss with respect to premiums vs. payouts.  This is intentional, though, as they use that premium money in investments.  Unfortunately, when those investments tank, then the premiums are jacked up and screams of cost containment arise.</p>
<p>I don&#8217;t believe in shifting the burden, anyway, of grievous medical negligence that cripples people to those who can least carry that burden (the injured, crippled, amputees, and paralyzed).  I do believe in weeding out bogus cases.  In PA, there is now a requirement that a medical expert certify a case as having merit before it is filed, and as a result med malpractice filings have dropped significantly.</p>
<p>Unfortunately, all of the rhetoric that we hear targets the truly valid cases with all of this talk of caps, and doesn&#8217;t do a thing to attack the bogus ones.</p>
<p>Anyway, all my talk really doesn&#8217;t even get at the main issue- even if caps were the “magic bullet” for malpractice premiums, it is a minuscule portion of total health care costs.<br />
<small>Total Comments by <i>Evan</i>: 104</small></p>
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		<title>By: Squeaky</title>
		<link>http://www.thesoapboxers.com/health-care/comment-page-1/#comment-1159</link>
		<dc:creator>Squeaky</dc:creator>
		<pubDate>Fri, 06 Nov 2009 03:50:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.thesoapboxers.com/?p=2195#comment-1159</guid>
		<description>Hi Evan, the amount of money quoted is my portion.  My employer pays 66% and I pay 34%, probably something similar to what your employer pays.  

I completely understand your comments and I agree with the sentiment.  However, I still can&#039;t support the public option.  I have sent communications to my representatives with my ideas to reach the same goal that you are.  Offering different levels of health care plans (cafeteria type plans), regulation of costs from the health care providers, regulation of the actuarial methods used to figure insurance costs and finally an insurance pool for those not able to qualify for health insurance.

After seeing my family members utilize the Social Security and Medicare systems, I just can&#039;t support creating any new government plans.  We have a great health care system and insurance system.  I think we need to remember that health care costs have gone up because of advances in technology and increased law suits.  My neighbor who is an Otolaryngologist, pays more for his malpractice insurance than I make in an entire year.  By simply opting for a public option and not fixing what is truly broken, we&#039;re not going to gain any ground.  We&#039;re just going to have lousy insurance at an equally high cost.

You make a great point that competition is vital.  We need to preserve that yet fix what is not working.

It was great hearing your points Evan!  Thank you!</description>
		<content:encoded><![CDATA[<p>Hi Evan, the amount of money quoted is my portion.  My employer pays 66% and I pay 34%, probably something similar to what your employer pays.  </p>
<p>I completely understand your comments and I agree with the sentiment.  However, I still can&#8217;t support the public option.  I have sent communications to my representatives with my ideas to reach the same goal that you are.  Offering different levels of health care plans (cafeteria type plans), regulation of costs from the health care providers, regulation of the actuarial methods used to figure insurance costs and finally an insurance pool for those not able to qualify for health insurance.</p>
<p>After seeing my family members utilize the Social Security and Medicare systems, I just can&#8217;t support creating any new government plans.  We have a great health care system and insurance system.  I think we need to remember that health care costs have gone up because of advances in technology and increased law suits.  My neighbor who is an Otolaryngologist, pays more for his malpractice insurance than I make in an entire year.  By simply opting for a public option and not fixing what is truly broken, we&#8217;re not going to gain any ground.  We&#8217;re just going to have lousy insurance at an equally high cost.</p>
<p>You make a great point that competition is vital.  We need to preserve that yet fix what is not working.</p>
<p>It was great hearing your points Evan!  Thank you!<br />
<small>Total Comments by <i>Squeaky</i>: 73</small></p>
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		<title>By: Evan</title>
		<link>http://www.thesoapboxers.com/health-care/comment-page-1/#comment-1157</link>
		<dc:creator>Evan</dc:creator>
		<pubDate>Thu, 05 Nov 2009 14:29:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.thesoapboxers.com/?p=2195#comment-1157</guid>
		<description>I wish we had an affordable plan like your PPO where I live.  Is that the total cost, or just your cost (i.e. is your employer paying something too)?  Fortunately, I pay something comparable for my PPO plan as well, but that&#039;s only because it is offered by my employer, who pays most of it.  The cost to my employer has reached the point of being nearly backbreaking, which has stifled growth.

That&#039;s why I&#039;ve been leaning towards a public option (if it is truly that - an OPTION), as the big insurer in our area has no real competition, resulting in a profit margin that is through the roof, and reserves that have expanded to over a billion dollars.  Unfortunately, when you&#039;re dealing with a basic necessity like health care, competition is essential as people can&#039;t just choose to do without.
.-= Evan&#180;s last blog ..&lt;a href=&quot;http://feedproxy.google.com/~r/40tech/~3/Saegsscc6sM/&quot;&gt;5 Needed Improvements in Windows 7&lt;/a&gt; =-.</description>
		<content:encoded><![CDATA[<p>I wish we had an affordable plan like your PPO where I live.  Is that the total cost, or just your cost (i.e. is your employer paying something too)?  Fortunately, I pay something comparable for my PPO plan as well, but that&#8217;s only because it is offered by my employer, who pays most of it.  The cost to my employer has reached the point of being nearly backbreaking, which has stifled growth.</p>
<p>That&#8217;s why I&#8217;ve been leaning towards a public option (if it is truly that &#8211; an OPTION), as the big insurer in our area has no real competition, resulting in a profit margin that is through the roof, and reserves that have expanded to over a billion dollars.  Unfortunately, when you&#8217;re dealing with a basic necessity like health care, competition is essential as people can&#8217;t just choose to do without.<br />
<span class="cluv"> Evan&#180;s last blog ..<a href="http://feedproxy.google.com/~r/40tech/~3/Saegsscc6sM/">5 Needed Improvements in Windows 7</a> <span class="heart_tip_box"><img class="heart_tip" alt="My ComLuv Profile" border="0" width="16" height="14" src="http://www.thesoapboxers.com/wp-content/plugins/commentluv/images/littleheart.gif"/></span></span><br />
<small>Total Comments by <i>Evan</i>: 104</small></p>
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