| Author | Message | ||
     Pwnzor |
From the websites you cited: Over 60% of all physicians trained in the U.S. rotate through the VHA on clinical electives That's a lot different from what you implied. Here's another interesting tidbit: Research revealed that 3 out of 4 veterans would leave the VA network if a national healthcare system were adopted. Hmmm... | ||
| Jima4media |
Leftist deceit and misdirection? Here is a list of VA facilities - none of them is anything other than a government facility. 152 Hospitals + 817 outpatient clinics http://en.wikipedia.org/wiki/List_of_Veterans_Affa irs_medical_facilities | ||
| Gregtonn |
This should be reprinted in every paper in the US. Quote from a European Newspaper: Some people have the vocabulary to sum up things in a way that you can quickly understand them. This quote came from the Czech Republic. Someone over there has it figured out. It was translated into English from an article in the Prague newspaper Prager Zeitungon: ------------------------------ "The danger to America is not Barack Obama, but a citizenry capable of entrusting a man like him with the Presidency. It will be far easier to limit and undo the follies of an Obama presidency than to restore the necessary common sense and good judgment to a depraved electorate willing to have such a man for their president. The problem is much deeper and far more serious than Mr. Obama, who is a mere symptom of what ails America. Blaming the prince of the fools should not blind anyone to the vast confederacy of fools that made him their prince. The Republic can survive a Barack Obama, who is, after all, merely a fool. It is less likely to survive a multitude of fools, such as those who made him their president." I made the mistake of thinking of them as idiots. I was wrong. That many people cannot be that dumb. They have indeed been fooled. G | ||
| Aesquire |
That many people cannot be that dumb. Ever hear of the SlapChop? Healthcare costs are increasing and more people are losing the work related insurance, just as the Right wing talk show hosts said, and the opposite of the promises made. However it is exactly what Obama's minions told groups like the SEIU and the CPUSA. Obamacare will mean the end of private insurance, and the forcing of all into a government/tax paid plan. There will, of course be private insurance for some years, mostly it will be those who have donated vast sums to this admin and the Obamacare push, like AARP, that has reputedly made over a Billion$ on this already. | ||
| Blake |
>>> Leftist deceit and misdirection? Yes. Being so married to leftist ideology you are willing to embrace and propagate any nonsense that supports it, or when refuted seek misdirection from the issue. See how now you're talking about which hospitals are VA affiliated. Out one side of their mouths leftists berate and badmouth American health care as inferior, always citing bogus dishonest metrics of comparison. Then out the other side they try to elevate one of the most inferior medical systems in the nation as exemplary. | ||
| Cityxslicker |
that and they fail to understand that the whole of all previous Soviet Socialistic republics and China are migrating to fee for service models. .... Must be that the Socialist dream of universal care is not working the way the media panders to it here. You want care - you pay cash - you are ahead of the line. period. everytime. damn capitalism. | ||
| Pwnzor |
"None of them is anything other than a government facility" Fine institutions, all. Just like the DMV and the welfare office, eh? | ||
| Oldog |
Healthcare costs are increasing and more people are losing the work related insurance, just as the Right wing talk show hosts said, and the opposite of the promises made. it will get worse until the looters and moochers finally get it. in the last century the "democratic party reforms" were at times needed and welcome, now they go too far.. Insurance is to help mitigate risk, those companies operate for a profit, so by nature they attempt to be efficient. Government on the other hand not so. the bureaucrats answer to no one, and can take as much money as they desire from our incomes. we know how well it worked in russia, so we will use that failed model here. its a sad state of affairs .......} BENGASII (sp) (Message edited by oldog on November 19, 2012) | ||
| Reepicheep |
I have a friend living in Beijing. You show up at the hospital, cash in hand, or you probably won't get seen. He speculates (based on first hand conversations with people) that the reason the per capita savings of an otherwise poor country are so high is that they know that all medical service is cash up front. | ||
| Sifo |
I don't think this is making national news at this point, but it made our local news. A federal judge has agreed with Tyndale House that they can't be forced to provide insurance that covers certain forms of birth control that they have religious objections too. Judge sides with company on contraceptive coverage I used to work for them back in high school. Good for Mark Taylor! | ||
| Cityxslicker |
Standard Channel Bank is financing and opening clinics in China that are fee based, cash only and targeted directly to the segment of population (expats and consultants) that are not party to Socialist Medicine, nor wish to be. And it is what you will see here, a caste tier of two systems, one cash - the other federally mandated As goes China - so goes the rest of the economy. (the saying used to be GM....but well GM is already deeply in China) | ||
| Hootowl |
Interesting. http://online.wsj.com/article/SB100014241278873247 35104578122741540428344.html?mod=WSJ_Opinion_LEADT op | ||
| Geedee |
"Healthcare costs are increasing..." Inflation due to privately owned Central Banks creating endless supplies of 'money' out of nothing. My reason for almost all the problems in all the threads  , and the people who want to 'fix' it are called kooks and fringe nutters. "Fascism's theory of economic corporatism involved management of sectors of the economy by government or privately controlled organizations (corporations)." Wikipedia | ||
| Macbuell |
Hootowl, it is already happening. A lot of states with Republican Governors have already said they will not set up the Exchanges and are refusing to expand Medicaid. | ||
| Fdl3 |
"Fascism's theory of economic corporatism involved management of sectors of the economy by government or privately controlled organizations (corporations)." -Wikipedia And according to Jonah Goldberg in his book Liberal Fascism, an Americanized version of fascism is at the heart of the Progressive movement/party, which began in America at the turn of the 1900's, and is still plaguing us today. | ||
| Aesquire |
good book. http://www.nationalreview.com/articles/333415/oh-w e-forgot-tell-you-victor-davis-hanson | ||
| Aesquire |
http://www.nationalreview.com/articles/333894/let- obama-be-obama-victor-davis-hanson In short, Give Barry what he says he wants, but not what his own history says he really does. It might work. I know it's been a fun ride for the "Media" getting Barack elected without ever asking any questions about him, and a major triumph getting him re-elected by becoming his minions in deceiving the American People about not just his enemies, but concealing his own actions and results until after the election. Remember, the idjit who did the 14 minute trailer that Obama blamed all the woes in the western hemisphere on, is in prison. As Promised. No one says a thing. Now, as a lame duck? If we can just prevent the UN treaties from eliminating the Constitution, we have a ghost of a chance that some up and coming Woodward will actually break a story about the massive corruption Barry is recipient of. The loans and favors granted to those who gave large enough bribes. The violations of multiple laws in the GM bankruptcy. The record setting food stamps. The record setting unemployment. ( and the lies that conceal it ) the record setting laundered money collected from foreign nations for his eternal campaign. You can hope. | ||
| Aesquire |
Oh, I've noticed no mention of the ongoing war... I'll sum up the last few days. Hamas has been using rocket artillery to attack Israel with un-aimed fire at civilians. As usual. Israel has delicately targeted Hamas leaders and anyone unlucky enough to be close to the explosions. Israel sent a bunch of ground troops to near the Border of Gaza, the former Israel territory given to the PLA to try and buy peace. It was pretty obvious the Israeli Army was getting ready to kick the crap out of Hamas ( the terrorist group that "was elected" to run the gov in the Gaza chunk of the Palestine occupied Israel ) so the allies of Hamas freaked out and demanded a cease fire. Hillary was sent to get a cease fire so Hama can get more rockets to shoot at Israel, and Israel quits killing Hamas. Israel stopped shooting. Hamas did not. As Usual. Hamas is now claiming Victory, and thanking their Brother, the Prez of Egypt, and the Iran that supplies them rockets to shoot at the Jews. I give it 3 days. Either the rocket attacks increase, again, or a "relief ship" full of weapons is stopped, again, resupplying Hamas. Or, and this is long overdue, Israel sinks a ship full of Iranian weapons. Oh, yeah, did I skip the UN condemnation of Israel for existing? Or was that fighting back? same thing. | ||
| Geedee |
"If we can just prevent the UN treaties from eliminating the Constitution..." Not a chance while you keep electing the 'two' major parties. "Two" parties, one agenda. | ||
| 46champ |
What is this I can't believe I would ever agree with anything PRAVDA would say. http://english.pravda.ru/opinion/columnists/19-11- 2012/122849-obama_soviet_mistake-0/ Am I missing something here or is Putin just a nationalist and not a Bolshevik. | ||
| Geedee |
You are not missing anything 46champ. You are waking up. "The Rothschilds along with Jacob Schiff created the major events of the 20th century by providing the key funding for the Bolsheviks, Lenin and Trotsky. This was largely accomplished through Jacob Schiff who, while a force in his own right, was part of the Rothschild Empire. The Russian Revolution of 1917 eventually led to the domination of Eastern Europe by Communist Russia after World War II, the Korean War, the Vietnam War and all conflicts associated with the Cold War. All these wars served to undermine nationalism and led to the formation of the United Nations, the IMF, the World Bank, etc.—international governments which moved the Rothschilds toward their goal of One World Government (i.e. The New World Order)." Putin is an insider, part of the global agenda. Vladimir Putin has a long history as a Royal Arch Freemason. Putin’s mother was Jewish but converted to Russian Orthodoxy. Two-headed eagle emblem of the Byzantine Empire (Roman Empire) on a Red Shield – Today this is the Russian coat of arms. Rothschild means RED SHIELD. Pravda is owned by Northcliffe International, part of British media group, the Daily Mail and General Trust. They are playing with your head :-). | ||
| Cityxslicker |
BOHICA http://tinyurl.com/bxe8jur | ||
| Aesquire |
A representative of the liberal Pension Rights Center, Rebecca Davis, testified that the government needs to get involved because 401k plans and IRAs are unfair to poor people. She demanded the Obama administration set up a "government-sponsored program administered by the PBGC (the governments’ Pension Benefit Guarantee Corporation)." She proclaimed that even "private annuities are problematic." Such "reforms" would effectively end private retirement accounts in America, Crone warns. "These people want the government to require that ultimately all Americans buy these government annuities instead of saving or investing on their own. The Government could then take these trillions of dollars and redistribute it through this new national retirement system." Deputy Treasury Secretary J. Mark Iwry, who presided over the hearing, is a long-time critic of 401k plans because he believes they benefit the rich. He also appears to be one of the Administration’s point man on this issue. The only way to pay for this I see is to steal everyones 401k, etc. fund. Brilliant! The biggest wealth redistribution scheme since..... Obamacare! Why am I reminded of the Cultural Revolution? | ||
| Hootowl |
So everyone pays into the retirement plan, and the money is doled out when you retire? How is that not social security? You know, the already existing scheme exactly like the new one being proposed that is already out of money? In this case, history doesn't rhyme, it actually repeats itself. | ||
| Cityxslicker |
Social Security doesn't work either, pure LI/FO funding, take the name off it and it would be ILLEGAL as 'insurance' 'annuity' or an 'investment' | ||
| Aesquire |
https://www.pjtv.com/?cmd=mpg&mpid=105&load=7764 opinion. | ||
| Jima4media |
In the VA system, the future of primary health care By Yogesh Khanal, Published: November 30 Yogesh Khanal is a resident in internal medicine at Yale-New Haven Hospital and the VA hospital in West Haven, Conn. At the height of the debate over the Affordable Care Act three years ago, I was in my last year of medical school, juggling rotations at private hospitals, a large university hospital and charity county clinics. But it was my rotation at the local Veterans Affairs health system that showed me the future of primary medical care and taught me the virtues of attacking illness on many fronts. It’s a lesson that will be acutely needed nationwide once the Affordable Care Act goes into effect and sends legions of newly insured patients into clinics and hospitals. My first patient in medical school was a 25-year-old Iraq war vet from a small farming town in Idaho. A star high school football player, he had enlisted in the Army on his 18th birthday so he could see the world and afford college. Within his first month in Iraq, a satellite pole fell on him during a brutal sandstorm. Multiple leg surgeries later, he was sent back to America battling chronic pain and dependent on narcotics. Using a cane to walk, my patient grew depressed, gained 30 pounds and became a diabetic. I had 30 minutes with him, and my attending physician had just 15. We were already running late. But my attending calmly introduced our team’s social worker and psychologist. They booked visits for the patient with the VA pain-management clinic, the mental health clinic for post-traumatic stress disorder and a physical rehabilitation specialist. And we saw the patient the very next day to begin treating his diabetes. This multifaceted and coordinated approach to treatment — all of it at minimal or no cost for veterans at the VA — is rarely practiced in other American hospitals and clinics. If this patient had hobbled in and found me at a private clinic outside the VA system, his lack of insurance and a job would have put him in the Medicaid ranks. Specialists might have refused to accept Medicaid, and he might have had to pay out of his own pocket — or not see them at all. Moreover, like nearly all private patients, he would have needed to coordinate these visits on his own, carry his medical chart with him and later ensure that I received the specialists’ recommendations. To see me again, he might have needed to wait weeks for an opening. The VA system could be a model of how to change all that. Indeed, it’s a model of changing itself. After battling years of bad press in the 1980s and ’90s, VA hospitals have made great strides and now deliver top-notch care, according to trusted rankings. In the past few years, VA hospitals have taken the lead in implementing what is known as the patient-centered medical home (PCMH). This awkwardly named concept is now common vernacular among physicians and health-care providers, and since April 2010, it has been rolled out at VA clinics nationwide. The PCMH is a home only in the figurative sense; patients are meant to feel at home within a health-care team — a physician, nurse practitioner or physician’s assistant; a registered nurse; a pharmacist; a social worker; and a psychologist. The result is improvements in access, chronic-disease management and coordination between primary physicians and specialists. One VA clinic in Memphis has reported reducing appointment wait times from 90 days to same-day access, decreasing emergency room visits from 52 percent to 12 percent and improving the condition of a third of its poorly controlled diabetics in just three months. Just two years after adopting the PCMH, early research shows that VA outpatient clinics have higher rates of provider and patient satisfaction — a model that may entice more medical school graduates into primary care. When I chose to go into primary care, my med school classmates wondered why I would sign up for a life of endless paperwork, lower earning potential and patients with chronic problems often rooted in social hardships. But the PCMH harnesses non-physician team members to deliver preventative health and chronic disease education. Now in my first year of internal-medicine residency, I’ve seen this firsthand. My clinic is at one of five national VA Centers of Excellence, a primary-care training program that emphasizes interdisciplinary, team-based care. When the PCMH approach works, it relieves stress for doctors and patients. I recently had to break the news of a Type 2 diabetes diagnosis to a veteran, who then tearfully described his father losing both his sight and a limb to the disease. While consoling my patient, I struggled to explain that he should start taking metformin, an initial diabetes medication. Diabetes is the prototypical bio-psycho-social disease, requiring a comprehensive and potentially bewildering array of medications and lifestyle adjustments. Ordinarily, this patient might have slipped through the cracks of the medical system until he came back in more serious condition. But after he left, our team health tech coordinated future appointments with a nutritionist, a weight-loss specialist and an optometrist. A week later, the patient came to see our team nurse, who explained how to control diabetes and how to use a finger-stick glucometer to monitor blood sugars. Without the help of my PCMH team, I’d be alone and overwhelmed in coordinating all of this vital care. VA hospitals, providing care to more than 5 million patients annually, have shown that adopting the PCMH model of care can bring needed change. Redesigning our nation’s primary-care systems is now vital because the Affordable Care Act will soon flood clinics with up to 30 million more Americans. This will require clinics outside the VA system to adopt ways to deliver efficient, less costly care. It’s a matter of survival. http://www.washingtonpost.com/opinions/in-the-va-s ystem-the-future-of-primary-health-care/2012/11/30 /c10d5cf0-3b2e-11e2-8a97-363b0f9a0ab3_print.html } | ||
| Ninefortheroad |
Jima4media: This type of co-coordinated care is already at work in my area. My wives complicated and urgent medical issues has been and continues to be handled in a very co-coorientated, efficient way by local and regional medical professionals and two different hospitals (by different owners). Not sure if this is the "VA" model. Not sure if they copied it, just good health care co-ordination because it is the right thing or economics, or...? Economics.... because we have good health insurance and they will get their money? My brother has worked as a Dr in the military for 20 years, it is not a perfect system, they have plenty of issues. I would offer that to improve our medical care system, (with the secondary goal of reducing waste and excessive cost) using a single current or historical system as a "model" is not the real way at the best solution. I prefer the concept of examining (the VA for example) and several other systems both good and bad that are in use now or historically. It helps to review what does not work as well as what does work. This all would take time. What was the hurry to pass the AHCA other than re-election? Too bad that a truly great solution will never happen because of greed, economics, politics. It should be developed by a truly balanced effort by the providers, insurers, and legislators, who we elect to represent us and not just to get re-elected. | ||
| Aesquire |
We have certain political party that now yells that we must not let tax cuts expire that they said didn't happen for years after it did. ( Bush tax cuts were only for the rich, weren't they? ) http://newsbusters.org/blogs/tom-blumer/2010/07/30 /cnbc-reporter-bush-tax-cuts-only-affected-those-m aking-250k-or-more I like this one... http://mediamatters.org/research/2012/09/24/fox-wi ns-straw-man-argument-against-taxing-mill/190105 Fox News is distorting President Obama's economic agenda by pushing the straw-man argument that taxing the entirety of millionaires' incomes would fund the government for less than three months. In fact, Obama has proposed no such thing, and this Republican talking point obscures the billions in revenue that would be generated from letting the Bush tax cuts expire for wealthy households. I notice that the fact that taking all the money only gets us through a few months, is true. It seems to me that taking only part of their money could last us only weeks. So, yeah, it's unrealistic to say that the desired Obama tax hike is %100. It's far less than that. So if %100 of the rich guys cash isn't the answer, why is %20? | ||
| Cityxslicker |
coordinated care is nothing new; the PCP gate keeper model is at least 20 years old. And carrying your record from dr to dr would actually make the system more responsible and transparent to patients. I do love me some views from newbs that havent seen the other side of the coin. There is no new care in the bill, and it is most certainly not insurance. Those that like the bill - haven't read, were paid off by it, or don't understand basic concepts of insurance; Luckily it crashes in under 10 years - unfortunately it takes the economy with it. |
