Even with the Bribes Chinese Health Care is Better since Privatization

Posted by PITHOCRATES - April 12th, 2014

Week in Review

China has recently privatized their health care system.  Sort of.  They have private health care providers and a state health insurance that helps pay for it with a small patient ‘co-pay’.  Quality of care did increase.  But health care providers don’t get paid a lot in China.  And turn to other means of compensation that is not without its problems (see ‘Guardian angels’ to protect Chinese doctors from patients by Malcolm Moore posted 4/9/2014 on The Telegraph).

Hospitals in Beijing will recruit 1,500 “guardian angels” to protect their doctors from violent attacks by patients.

In recent years, angry patients have killed a number of Chinese doctors, often citing frustration at how they have been handled by the healthcare system…

Doctors and nurses in hospitals are violently attacked every two weeks on average, the state media said, by patients angry at long waiting times, high medical bills and haughty or uncaring doctors…

The government has promised to root out corruption in the healthcare system, and the Health Ministry said in February it would target patients who bribe doctors for better treatment.

Yes, bribes.  Or hongbao, as it’s called in China.  If you want some decent care in a Chinese hospital you have to slide an envelope with money in it to your health care provider.  Otherwise you’ll only get what the state health insurance will buy you.  Long waiting times, high medical bills (for what the state insurance doesn’t cover—a high deductible, if you will) and haughty or uncaring doctors.  Which tells you how bad the health care system must have been before they privatized it.  For it’s a lot better now than it used to be.

So China made their health care better by privatizing it (although it is still so bad that angry patients who paid good bribes for their loved one’s care are assaulting their doctors and nurses every two weeks on average).  While the United States is going the other way.  Towards more state control.  Pity the Obama administration can’t be more like China when it comes to health care.  And try to improve the quality of health care instead of making it worse.  Which they will likely do as their cost saving measure is simply to pay health care providers less.  Which will likely discourage doctors from entering the system.  Or remaining in the system.  Leading to longer waiting times.  And, perhaps, bribes.  At least from those who want good care for their loved ones.

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Lawyers are Anxious to find Malaysian Airlines Flight 370 so they can start the Lawsuits

Posted by PITHOCRATES - March 30th, 2014

Week in Review

The disappearance of Malaysia Airlines Flight 370 has devastated families of those who were on board.  But some people are absolutely giddy about the missing airplane.  And can’t wait for the wreckage to be found.  Lawyers.  So they can start suing and making a lot of money off of the suffering of others (see Malaysia Airlines Flight MH370: Aviation lawyers flock to China by Peter Ford posted 3/27/2014 on The Christian Science Monitor).

Nineteen days after Malaysia Airlines flight 370 disappeared, search teams have still found no shred of physical evidence to clarify what happened to it or to the 239 people aboard.

But as planes and ships hunt the waters of the Indian Ocean for possible wreckage, lawyers are already scouting for clients at the Lido Hotel in Beijing, where passengers’ relatives are staying.

Holding out the prospect of multimillion dollar compensation deals, aviation disaster lawyers from US and Chinese firms are hovering in the hotel’s coffee shop and corridors in the hope that the biggest mystery in modern aviation history will end with a major payout for victims’ families, and for them…

Mr. Wang, who headed for Beijing as soon as he heard that the plane had disappeared, says he has offered his firm’s services to the relatives of more than 100 passengers on a “no win, no fee” contingency basis, and that about 10 have signed up with Ribbeck…

Equally complex is the question of where any suit against Malaysia Airlines may be heard (though a complaint against Boeing, an American company, would most likely be heard in the United States). While a Malaysian or Chinese court might seem the obvious place, lawyers for potential plaintiffs would be anxious to have any complaint judged in the United States, because “you are looking at a much larger award” there, says Ms. Feng.

This is why they make lawyer jokes.  Call them ambulance chasers.  These are the only people—apart from terrorists— who smile at the loss of life.  Because whenever there is a tragedy it means a big paycheck for a law firm.  Those on the left will call doctors greedy and that they shouldn’t profit on the suffering of others.  Many blaming them for all our health care woes.  Those greedy doctors.  Who the government should force to work for less.  As Obamacare will.  But it should be noted that doctors actually save lives while getting rich.  Lawyers don’t.  They just take the biggest cut of any legal settlement.  Helping themselves far more than they help their clients.  But those on the left have no problem with lawyers getting rich on the suffering of others.  Why?  Because lawyers support Democrats.  And donate money to their campaigns.  Which is why the Democrats will never reform tort law.  Because lawyers and Democrats make a lot of money with these lawsuits.  And they have no intentions of ever changing that.

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Canadian Hospitals suffer from Overcrowding in British Columbia

Posted by PITHOCRATES - March 22nd, 2014

Week in Review

The left likes to say we’re idiots here in the United States.  Because every other advanced economy has national health care.  Of course, every other advanced economy doesn’t have the best health care system in the world.  No.  That honor goes to the United States.  And perhaps NOT having national health care is the reason why we have the best health care system in the world.  For those national health care systems have their problems.  Even the system north of the border the American left yearns to have.  The Canadian single-payer system (see New B.C. seniors advocate to focus on needs of growing elderly population by ROB SHAW posted 3/19/2014 on The Vancouver Sun).

Isobel Mackenzie, a longtime Victoria seniors care administrator, was named Wednesday as the province’s first seniors advocate, more than 16 months after the office was first announced…

There are more than 700,000 seniors in B.C. and that’s expected to double to 1.4 million over the next 20 years…

Mackenzie said she’s not sure if her office will get involved in how hospital overcrowding is affecting seniors care, and sidestepped a reporter’s question at her press conference Wednesday about the case of an elderly man who had spent eight hours waiting in a hospital emergency room…

“Obviously, health care is a priority and home care – giving support to people so they can stay at their home and healthy,” she said.

Logan said the government tried an “experiment” of providing funding to United Way but they’ve been “overloaded with requests.”

All of the advanced economies share something in common.  They all have an aging population.  Thanks to birth control and abortion people in the advanced economies stopped having babies after the Sixties like they used to have.  Which is why the seniors are now the largest growing sector of the population.  We have fewer people entering the workforce to pay the taxes that support a greater number of people leaving the workforce.  And thanks to modern medicine, these people are living long into retirement.  Which is why Canadian hospitals in British Columbia are overcrowded.  Which lead to longer wait times and the rationing of care.  Things common with national health care.  And these things are only going to get worse as their aging populations age further.

This is the future of Obamacare.  For the Affordable Care Act is already proving unaffordable to those who have to pay.  And people are losing the health insurance and the doctors they liked and wanted to keep.  A lot of doctors are opting out of Obamacare.  Leaving fewer in the system to treat a larger number of patients.  Which will, of course, lead to longer wait times and the rationing of care.  Just like in Canada.  And in every other advanced economy with a national health care system.  Which is why the United States is the only advanced economy without a national health care system.  Because Americans don’t want longer wait times and the rationing of care.  And they don’t want the Affordable Care Act.

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Is the Road to National Health Care through Incompetence or Deviousness?

Posted by PITHOCRATES - December 19th, 2013

Politics 101

The American Left is always trying to Expand the Role of Government in our Lives

Hillary Clinton tried it.  When her husband was president.  Give us national health care.  But there was terrific blowback.  Because people didn’t want it.  For they were afraid it would take the best health care system in the world (it’s the United States the richest people in the world go to for their more serious health problems) and do, well, what Obamacare is doing to it now.

The American left is always trying to expand the role of government in our lives.  To make people more dependent on government.  Because once they are they will soon discover something very beneficial to the left.  They will learn that they need government.  And once they do they will keep voting for the party that promises to expand government ever more.

This is why the left so wants national health care.  For it makes people need government.  To stay alive.  And that pays big dividends at those annoying things that come around every 2 years that the left hates.  And thinks is beneath them.  Elections.

The Lesson the American Left learned from the Failure of Hillarycare was to Lie Better

Liberals are a bunch of elitists.  They think they are better and smarter than the rest of us.  Which is why they feel they have the right to tell us how to live our lives.  For in their eyes we’re just too stupid to know what’s best for us.  Much like the British nobles felt about their petulant North American colonists.  They’d have preferred we appreciated all that the Crown was doing for them.  Thank them.  And shut the hell up.  This is the mindset of the American left.

The British Crown did not like their American colonists questioning the established order of power.  Neither do liberals.  For they believe that they are a privileged class.  And should live under a different set of rules.  Like they continue to show us all the time as they implement Obamacare.  As they forced the majority of Americans to lose the health insurance, doctors and medicine they liked and wanted to keep waivers went out to those connected to the liberal ruling class.  And actual members of the ruling class.  Such as those Congressional staffers getting illegal subsidies for their gold-plated health care plans while ordinary Americans lost their bare-bones plans because the Affordable Care Act made them unaffordable.

Was this an unintended consequence of the Affordable Care Act?  Well, being that the promise that if you like your health insurance, doctors and medicine and wanted to keep them but now can’t as the year’s biggest lie, it makes one think.  If they lied why did they lie?  To do what was best for the American people?  Or was it because they learned a powerful lesson from the failure of Hillarycare?  That the people don’t want national health care.  So if that’s what you want you can’t tell the American people that.  No.  You lie to them.  Which is why President Obama and his fellow Democrats lied.  Because they knew the American people didn’t want the [deleted expletive] they were shoveling.

The American Left looks upon us with the same Contempt as the British Nobility looked upon the American Colonists

Originally the Affordable Care Act included a public option.  National health care for those who opted for national health care.  But this just didn’t pass the smell test.  For there were Democrats who had one of those nasty things they hated coming up.  An election.  And these Democrats knew that their constituents, though they voted Democrat, would not go for national health care in sheep’s clothing.  So they had to remove the public option from the bill.  For it was just too painfully obvious what their ultimate intentions were.  Which left them with Plan B.

People like their health insurance, doctors and medicine.  And you’re not going to usher in national health care when they have these things.  For they know that the VA and Medicaid (examples of national health care already in America) is second-class health care.  I mean, those rich people coming to the United States for their more serious health problems aren’t demanding to get into the VA or Medicaid programs.  So to get national health care you first have to destroy the private health insurance system.  And candidate Obama told the SEIU that it may take awhile (see The Fix Is In: From ObamaCare Set-Up To Single-Payer Solution by Larry Bell posted 11/26/2013 on Forbes).

“But I don’t think we’re going to be able to eliminate employer coverage immediately. There’s going to be potentially some transition process. I can envision a decade out or 15 years out or 20 years out…”

So is the disastrous rollout of the Affordable Care Act just incompetence?  Or is it part of a devious plan to get what they always wanted?  National health care?  By first destroying the private health insurance that gave people the health insurance, doctors and medicine they liked and wanted to keep?  If it’s incompetence that isn’t good for the American people.  For these same incompetent people will now be in charge of our health care.  With our lives literally hanging in the balance.  Or are they just devious?  Which also isn’t good for the American people.  For it means they look upon us with the same contempt as the British nobility looked upon the American colonists.  Who only cared about what was best for their privileged class.  And not the American people.

The problem the left has is one of timing.  Yes they hold the American people in contempt and believe they are privileged.  But because of elections they have to be careful about letting these truths out.  Because if they lose the Senate and don’t get the House back in the next election it could throw a wrench into their plans.  They need to destroy the private health insurance industry.  But doing so will make people hate them.  And vote against them.  So on the one hand they have to get people dependent on government as soon as possible.  To get them to need government.  But if they move too fast they may anger the people so much that they may lose in the upcoming thing a privileged class hates.  And thinks is beneath them.  An election.  Which may cause them to lose their power.  This is the dilemma the left faces in the rollout of Obamacare.  The degree to which they [deleted expletive] the American people.

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Obamacare: Obama lied and People will Die

Posted by PITHOCRATES - December 14th, 2013

Week in Review

There are about 414 million people in the United States.  And Obamacare is supposed to insure them all.  But that’s not all.  The Affordable Care Act was going to make health insurance less costly while covering more people.  As well as providing more extensive coverage.  Obamacare promised more for less.  And if you liked your health insurance, your doctor and your medication you could keep them.  It just sounded too good to be true.  And, as it turned out, it was too good to be true (see Does the pre-existing condition program foretell broader problems for Obamacare? by PHILIP KLEIN posted 12/13/2013 on the Washington Examiner).

The program, known as the Pre-Existing Condition Insurance Plan, or PCIP, was a temporary measure within Obamacare meant to be a bridge to provide coverage to those with pre-existing conditions between the law’s 2010 passage and Jan. 1, 2014, when all plans will be required to offer coverage to those with pre-existing conditions…

What’s interesting about PCIP is that it ended up attracting much fewer Americans than expected while also costing more than expected. The reason was that those who did enroll ended up being those with extremely high medical costs — even by the standards of a program for those with pre-existing conditions.

By March 2013, HHS suspended enrollment in the program because it couldn’t afford to cover any new applicants.

As the New York Times reported in May, “The administration had predicted that up to 400,000 people would enroll in the program, created by the 2010 health care law. In fact, about 135,000 have enrolled, but the cost of their claims has far exceeded White House estimates, exhausting most of the $5 billion provided by Congress.”

The same story explained that HHS announced it “was cutting payments to doctors and hospitals after finding that cost overruns are threatening to use up the money available…”

But given the dismal enrollment numbers to date, it’s worth asking whether the exchanges could end up encountering similar problems to PCIP — only on a much bigger scale.

The plan that had only targeted 400,000 enrollees only got 135,000.  About two-thirds short of their target.  Why?  Insurance that covers preexisting conditions is very expensive.  Because it will pay a lot of claims.  The money people pay in as premiums pays those claims.  But the cost to cover these people is so great it took another $5 billion of taxpayer money.  And even then the program ran out of money with only 135,000 signing up for this insurance.  Showing the futility of buying insurance for a group with preexisting conditions.

Insurance by definition protects the financial assets of a policy holder from a possible loss.  This is the key that makes insurance actually insurance.  Not everyone that pays a premium for this protection will suffer a loss.  So there is a surplus of premiums to pay for the few that do.  The PCIP sells policies to a group of people who will all suffer a loss.  So people aren’t paying a premium to protect themselves from a possible loss.  They’re paying a premium to pay for a known loss.  And everyone in the pool will be paying and submitting claims.  So that the cost of insurance eventually equals the cost of health care per policy holder.  Which makes the insurance redundant.  And unnecessary.  While only serving to increase actual costs by introducing a third party into the process.

This is why the PCIP needed the $5 billion in taxpayer subsidies.  For without it people would not save any money by buying this insurance.  As many haven’t.  Even with the subsidies.  The taxpayers paid about $37,000 per person in addition to the cost of the premium pool.  Based on the number of months since the Affordable Care Act became law that’s about $842 per person per month in subsidies.  Based on the horror stories of what the young and healthy have to pay for their Obamacare health insurance the premiums for the PCIP are probably greater than the subsidies.  And it’s still not enough to cover their costs.  Which is why they’re cutting people off and cutting payments to doctors and hospitals.

Which will happen for the rest of us.  Once the enrollment numbers fall far short of their projections.  As they are.  And claims exceed premiums.  As they will.  Leaving them little choice but to cut costs.  Raise premiums.  Charge more for prescriptions.  Increase wait times.  And ration health care.  Not what President Obama promised.  Then again, he lied.  PolitiFact called it the Lie of the Year.  And because of the president’s lie people will have poorer quality health care.  Who may succumb to their health problems as they wait those longer wait times.  And can no longer afford the prescriptions that kept them healthy.  All because President Obama lied.

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Obamacare to create Great Doctor Shortages, Long Wait Times and Rationing of Health Care Services

Posted by PITHOCRATES - November 30th, 2013

Week in Review

How did African slavery arrive to the new world?  The New World was vast continents.  And there were just not enough settlers to farm on the scale required.  With a huge shortage of laborers the colonial powers tried enslaving the local population.  But it proved difficult to keep them enslaved.  As they were well familiar with the land.  And the indigenous population.  If they escaped they could disappear into the land and into the indigenous population.  Something an African slave could not do as well.  If at all.  Strangers in a strange land.  Unable to communicate with the indigenous population.  And unable to hide among them.  Who were probably just as hostile to them as they were to the white man taking their land.  Making escape from bondage much more difficult for the African slave than it was for the indigenous slave.  So the African slave proved to be a good fit for the colonial powers.  Allowing them to fill the shortage of labor by forcing the black man into bondage.  To provide their labor against their will to meet the demand of the ruling colonial powers.

Now there is a new demand that the government will struggle to meet (see Lack of Doctors May Worsen as Millions Join Medicaid Rolls by ABBY GOODNOUGH posted 11/28/2013 on The New York Times).

Dr. Ted Mazer is one of the few ear, nose and throat specialists in this region who treat low-income people on Medicaid, so many of his patients travel long distances to see him.

But now, as California’s Medicaid program is preparing for a major expansion under President Obama’s health care law, Dr. Mazer says he cannot accept additional patients under the government insurance program for a simple reason: it does not pay enough…

His view is shared by many doctors around the country. Medicaid for years has struggled with a shortage of doctors willing to accept its low reimbursement rates and red tape, forcing many patients to wait for care, particularly from specialists like Dr. Mazer.

Yet in just five weeks, millions of additional Americans will be covered by the program, many of them older people with an array of health problems. The Congressional Budget Office predicts that nine million people will gain coverage through Medicaid next year alone. In many of the 26 states expanding the program, the newly eligible have been flocking to sign up…

In California, with the nation’s largest Medicaid population, many doctors say they are already overwhelmed and unable to take on more low-income patients. Dr. Hector Flores, a primary care doctor in East Los Angeles whose practice has 26,000 patients, more than a third of whom are on Medicaid, said he could accommodate an additional 1,000 Medicaid patients at most.

“There could easily be 10,000 patients looking for us and we’re just not going to be able to serve them,” said Dr. Flores, who is also chairman of the family medicine department at White Memorial Medical Center in Los Angeles…

The health care law seeks to diminish any access problem by allowing for a two-year increase in the Medicaid payment rate for primary care doctors, set to expire at the end of 2014. The average increase is 73 percent, bringing Medicaid rates to the level of Medicare rates for these doctors.

But states have been slow to put the pay increase into effect, experts say, and because of the delay and the fact that the increase is temporary, fewer doctors than hoped have joined the ranks of those accepting Medicaid patients. “There’s been a lot of confusion and a really slow rollout,” Ms. Folberg said, “which unfortunately mitigated some of the positive effects…”

Dr. Paul Urrea, an ophthalmologist in Monterey Park, said he was skeptical of “blue-sky scenarios” suggesting that all new enrollees would have access to care. “Having been in the trenches with Medi-Cal patients who have serious eye problems,” he said, “I can tell you it’s very, very hard to get them in to see those specialists.”

Dr. Urrea said that when he recently tried to refer a Medicaid patient with a cornea infection to another eye specialist, he was initially informed that the specialist could not see the patient until February. “And this is a potentially blinding condition,” he added.

Travel long distances to see a doctor?  Long wait times?  A shortage of health care providers?  Low reimbursement rates?  Overwhelmed doctors?  A shortage of specialists?  You’d think your were reading about the UK’s National Health Service (NHS).  But this is just what the Affordable Care Act (aka Obamacare) is doing to Medicaid.  Which it will soon do to the rest of the American health care system.

So not only is the Affordable Care Act making health insurance unaffordable it will create doctor shortages that will lead to longer wait times.  Some waits stretching out over two months.  A wait so long that a patient may go blind from a treatable eye infection.  This is national health care.  People succumbing to their diseases as they wait for treatment that is being rationed out.  Which they have to ration as the number of patients far outnumber the number of doctors available to treat these patients.

So this is what Obamacare will do to the American health care system.  Give us longer waiting times.  Rationed care.  And people succumbing to their illnesses because of the long wait to see a doctor.  Funny as the Afford Care Act was to give affordable health insurance to all.  So everyone could live in a utopia where if they were sick they could go to a doctor and have everything covered.  Just pray you’re not one of those who can’t afford to pay the higher premiums and higher deductibles of Obamacare.  Because these people are being dumped into the overcrowded and underfunded states’ Medicaid systems.  Which will only get worse under Obamacare.  Especially with doctors leaving the Medicaid system.  Retiring early.  Or moving into concierge medicine.  Leaving ever fewer health care providers to tend to the swollen Medicaid ranks.

Not a good time to be a doctor.  For you have to be wary of a government that can’t find enough doctors to voluntarily meet the health care demand.  Especially one that has a Senate ‘rubber-stamp’ for its judicial appointments.  Thanks to Harry Reid and the nuclear option.  Changing the rules of the Senate by eliminating the filibuster for judicial appointments.  Which opens the door for a lot of illegal and unconstitutional law.  Such as new health care mandates issued by the executive branch that exceed its constitutional authority.  Which will be challenged.  But once these cases hit these Obama-packed courts you can guess the outcome.  Illegal and unconstitutional mandates will become law.  Which no doubt concern doctors in a health care system that has a doctor shortage and an explosion of new patients.

If a doctor wants to remain a doctor and get paid for his or her services he or she may find new requirements.  Such as mandatory salary caps.  Forced acceptance of Medicaid patients.  With ‘opting out’ made illegal.  Compelling doctors to work against their will.  Now forcing people to work against their will is nothing new.  When Roman taxes rose so high to pay for the bloated Roman state people quit their jobs to avoid paying taxes.  Then the Roman state made that illegal.  Bonding these people to their jobs.  And when they died their children were forced to continue in their place.  Giving Europe feudalism.  Where the masses worked the land against their will.  For the law prevented them from ever leaving the land they or any of their progeny were born on.  Could this happen to the American health care system?  If the state controls the health care industry and the courts, yes.  Which is why it is not a good time to be a doctor.

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Medicaid, Medicare and Frivolous Lawsuits make the Best Health Care System in the World more Expensive

Posted by PITHOCRATES - November 23rd, 2013

Week in Review

The American left loves Canada.  In particular their single-payer health care system.  This is what they wanted in the US.  Not Obamacare.  But they settled for Obamacare.  Until they get what Canada has one day.  Because it’s better.  At least, according to a chart.  That shows how wonderful Canadian health care is and how horrible American health care is (see The U.S. Health Care System Is Terrible, In 1 Enraging Chart by Mark Gongloff posted 11/22/2013 on the Huffington Post).

Yes, among this group of big countries, the U.S. spends far and away more on health care than any other. And yet it has among the lowest life expectancies of any developed country. People live longer in pretty much every country in Europe, including Greece, where the economy has been wracked by austerity for years…

Why is our system so terrible? Largely because it is built for profit. Unlike many other countries, the government has no role in either providing care or setting prices, and so prices skyrocket. It’s also too complex, which is one reason the Affordable Care Act, President Obama’s signature reform law, has gotten off to such a bad start.

The health care law is supposed to help with the cost problem somewhat. But it is built on the existing privatized system, which means it will probably not make a significant difference. A public option, also known as a “single payer” plan, would help. But that still seems like a pipe dream — although maybe Obamacare’s clumsy rollout will bring it closer to reality.

First of all it should be noted that Canada has one of the finest private health care networks in the world.  Outside of their single-payer system.  Which is something they share with all nations that have some form of national health care.  A private health care network for those who want and can pay for it.  And why is Canada’s private health care network the best in the world?  Perhaps you can guess why when you hear the name of it.  The Untied States health care system.  Just south of the border.

That’s right, for those with the means don’t wait in line for less than the best of health care.  They spend their own money to go to the front of the line to get the best health care available.  In the United States.  Often administered by Canadians.  Because the US pays the best doctors and nurses more than they can get in Canada.  So Canadian doctors and nurses, too, travel south across the border.

The US is one of the only countries where their poor suffer from obesity.  Because of generous food assistance programs.  Also, because we are a for-profit nation our food industry has figured out to give us more food for less.  Our beverage sizes have gotten so big giving us so much value for the money that Mayor Bloomberg tried to limit the size of beverages in New York.  And all American restaurants give us free refills.  Because they can.  While some European countries will charge extra for a package of ketchup.  All of this more food for less has led to our obesity problem.  Giving Americans heart disease and diabetes.  Shortening life expectancies.

US doctors are dropping out of Medicaid.  And Medicare.  More so now that the Affordable Care Act (Obamacare) is rolling out.  Why?  Because the government pays for these nonprofit programs.  And they are constantly trying to reduce their reimbursements.  Because the aging population is straining the Medicaid and Medicare programs.  And the government has addressed this problem by ‘discounting’ Medicaid and Medicare billings.  For years doctors and hospitals have tried to recover these shortfalls by charging more.  Especially insurance companies.  Greatly increasing the cost of health care and health insurance.  But the discounting grew so great that many health care providers just dropped these programs.  Because they couldn’t pay their people, their lab costs, their overhead, etc.  Especially since Obamacare has taken money from Medicare.  And ‘forced’ states to expand their Medicaid rolls.  But these discounted reimbursements aren’t the only thing raising health care costs.

While most of Europe has loser-pay laws to curtail frivolous lawsuits the United States doesn’t.  Because of the trial lawyers.  Who get quite wealthy suing doctors, hospitals and pharmaceuticals.  Exploding the cost of malpractice and liability insurance.  Which increase the cost of doctors, hospitals and pharmaceuticals.  Forcing them to raise their prices to recover these costs.  Making American health care more costly.

These are the reasons why the US spends more per capita on health care than all other nations.  Because they have the best health care system in the world.  And the best costs more.  While the government forcing health care providers to work below costs (Medicare and Medicaid) and the cost of frivolous lawsuits raise these costs even more.

The American health-care system is not terrible.  Single-payer systems are.  Because they all have a private health care network.  Which they wouldn’t have if single-payer systems were the best systems.  Just ask the Canadians who use their private network.  The US health care system.  Who will probably be the second greatest losers under the Affordable Care Act.  After the Americans.

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Unlike the July Effect the High Inpatient Mortality of the Obamacare Effect will be Year Round

Posted by PITHOCRATES - November 9th, 2013

Week in Review

The Affordable Care Act is making health insurance unaffordable for many.  Especially for those young and healthy who are being whacked open like a cash piñata to pay for the poor, old and sick.  Which is why they are losing their health insurance.  So they must enter the exchanges.  And pay for a lot of insurance coverage they will never use.  Well, to be fare, chances are they will never use any of their insurance with those sky-high deductibles.  Making any doctor visit an out-of-pocket visit.

But that isn’t the only place the Affordable Care Act is shaking down people.  Obamacare is also shaking down doctors.  By cutting their Medicare and Medicaid reimbursements.  Making them take pennies on the dollars.  Making it hard for those in a private practice to pay their staff.  And their bills.  Which isn’t why they went into medicine.  So these doctors are leaving Medicare and Medicaid.  Some are even retiring.  Leaving the profession instead of being beaten up by Obamacare.  So just as Obamacare is giving more free health care to people there will be fewer health care providers.  Which puts a story like this into a new light (see Sicker heart attack patients fare worse in July by C. E. Huggins posted 11/7/2013 on Reuters UK).

Rumor has it the worst time and place to be sick is in a teaching hospital in July, when new doctors-in-training enter the wards and others are promoted. A new study of heart attack patients shows this pattern of worse outcomes known as the “July effect” may indeed be true – but only for the sickest people.

“Patients who are already at high risk of inpatient mortality – because of their age and other (co-existing) diseases – are likely the most to be affected by physician inexperience in July,” Dr. Anupam Jena told Reuters Health in an email. He led the research at Harvard Medical School in Boston…

“Our study is different because it recognizes that the July effect should not be present for all patients, but primarily those patients for whom small clinical errors or relative physician inexperience can substantively impact patient outcomes,” Jena said.

There will be a new name to explain another rise in inpatient mortality.  The Obamacare effect.  Where fewer health care providers will have to do more with less.  Increasing wait times.  Overworked doctors will spend less time with each patient.  And they will make mistakes.  Or miss things they might have caught if they had more time.

So in the future as you sit around with your grandchild on your knee you can talk about the good old days.  Before the Obamacare effect.  When we rushed people to the hospital to make them well.  And most got well.  Unlike after the Obamacare effect.  Which turned the once envied U.S. health care system into the VA hospitals of the Seventies.  Places to avoid like the plague.  Which is why after the Obamacare effect people would rather take their chances with heart attacks and strokes at home.  Instead of going into an Obamacare hospital for near certain death.

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FT194: “People who bitch about losing their health insurance and doctors don’t think the health care system is broken.” —Old Pithy

Posted by PITHOCRATES - November 1st, 2013

Fundamental Truth

The United States has the Best Health Care System in the World

The left says that the United States is the only advanced economy that doesn’t have national health care.  As if that is a bad thing.  Which is a false assumption.  Because Canada, the United Kingdom and North Korea all have national health care.  But if you have a serious health problem where do you want to go?  Canada?  The United Kingdom?  North Korea?  Or the United States?

Unless you’re lying to yourself you said the United States.  Because the United States has the best health care system in the world.  If you have the means you travel to the US for the best in medical care.  Which is what a lot of Canadians do.  Thanks to that great private network just south of the border.  The US health care system.  For no one suffering from a serious health problem ever said, “Damn, I wish it wasn’t so difficult to get to North Korea so I can get some of their national health care.”

There is a progression from good to bad.  At the good end is the United States health care system.  Then Canada because it is the private sector delivering health care services paid for by a single-payer.  The government.  And, of course, their access to the US health care system.  Then the United Kingdom which is national health care provided by the government.  Unless you’re rich and can afford the private system available to those with the means.  Then North Korea.  Where there is no private sector alternative.  Only the state-run national health care system.  And the quality of their health care is as horrible as life is in North Korea.

Those who say we should have National Health Care because Everyone Else has it are either Ignorant or Devious

So the more private sector in health care the better health care is.  The less private sector in health care the worse it is.  North Korea is the worst because it has no private sector at all.  While America is the best.  Because it has the most private sector.  With the worst health care in America being the small amount of state-run health care.  The VA and Medicaid.  Medicare is a little better but it’s more like the Canadian health care system.  The government pays the private sector for its Medicare services.  And the best health care is that enjoyed by unions and government workers—pure private sector health care.

This is why NOT having national health care is NOT a bad thing.  Because NOT having national health care has allowed the United States to have the best health care system in the world.  So those who keep saying we should have national health care because everyone else has it are either ignorant or devious.  Either way we shouldn’t be listening to them.

It’s the left that wants national health care.  Liberal Democrats.  It’s not the right.  Conservatives.  And what do we know about liberals and conservatives?  They have opposing views of the government’s role in our lives.  Liberals feel the more the better.  Because they love having power over others.  While conservatives want what the Founding Fathers wanted.  Limited government.  Where the people have the power.  In a government of the people, by the people, for the people.  Just as Abraham Lincoln said in his address at Gettysburg. 

The Left wants National Health Care because it makes Government more Important in our Lives

If we return to the ‘ignorant or devious’ question the answer is now clear.  Health care is approximately one-sixth of the U.S. economy.  If the government controls that it will be the largest expansion of government into our lives.  Making all people dependent on government.  So instead of scaring only Social Security, Medicare and food stamp recipients with a government shutdown the government can frighten everyone.  Imagine the next time the government wants to raise the debt limit.  It’s not the White House tours or the World War II Memorial that they will close because of the sequester/government shutdown.  It will be our health care system. 

This is why they want national health care.  Because it makes government more important in our lives.  And people will see how much we need government.  This is want they want.  They want this so bad they will be devious and lie to us.  By first telling us that our health care system—the best health care system in the world—is broken.  And then to sell the Affordable Care Act they told us that if we liked our health insurance we could keep our health insurance.  And that if we liked our doctor we could keep our doctor.  Even though they wrote the Affordable Care Act to make sure we lost our health insurance and our doctors.

Because of Obamacare businesses stopped hiring full-time people.  And pushed full-time people to part-time.  Our health insurance premiums are rising.  As are our deductibles.  Making health insurance unaffordable for those who don’t have employer-provided health insurance.  As well as making some low-cost plans illegal under Obamacare.  Causing a lot of people to get letters from their insurers in the mail telling them they are cancelling their health insurance.  As people complain that President Obama lied to them he and his fellow Democrats say these people are actually lucky.  Because they had ‘crap’ policies.  Which was further proof that our health care system is broken.  They say this despite the strongest of evidence proving otherwise.  For people who bitch about losing their health insurance and doctors don’t think the health care system is broken.

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Hinchingbrooke Hospital breaks free from the NHS Bureaucracy and Improves Health Care

Posted by PITHOCRATES - October 13th, 2013

Week in Review

Britain has government-run national health care.  The National Health Service (NHS) provides free health care to all Britons.  And the medical tourists who travel to the country for free health care.  Straining the NHS budget.  At a time when Britain’s aging population is stretching their limited resources thin.  Leading to longer wait times.  Longer travel times as they close local hospitals to consolidate their resources in fewer locations.  And rationing.

Even with their longer wait times, travel times and rationing of services they are still running a deficit in the NHS.  To address these chronic cost overruns they are trying to find £20 billion ($30.54 billion) in efficiency savings over three years.  But there is a beacon of hope for the NHS.  At Hinchingbrooke Hospital (see Set doctors and nurses free to use their common sense – as Hinchingbrooke Hospital does by Charles Moore posted on The Telegraph).

Last month, I visited Hinchingbrooke Hospital, near Huntingdon, the only NHS Trust in the country operated by a private partner…

I spent half a day at Hinchingbrooke, talking to doctors, nurses, administrators and patients, and seeing several wards…

One can visit a large organisation without being aware of big problems. Indeed, one of the great difficulties of the NHS is that internal communications are so bad that people can work well in one area without being aware of utter disaster a few yards away. In the case of Hinchingbrooke, under previous management, maternity was very good while the colorectal unit was shameful. So what follows is not definitive; but I feel I learnt something.

Uniquely in the NHS, Hinchingbrooke’s executive board is dominated by clinical practitioners (doctors and nurses, to you and me). The chief executive is an obstetrician. Only three of the 14 board members have non-clinical backgrounds.

In the only trust that has a private partner doctors and nurses determine how best to treat patients.  Instead of the faceless bureaucracy in the rest of the NHS.  Or what the proponents of Obamacare hope to force onto the American people.

One of the key working methods, borrowed from Toyota, is “Stop the Line”. Anyone in the hospital can stop the line if he or she believes that there might be a “serious untoward incident” or danger to a patient…

A similar, lesser action is a “swarm”. If you are urgently worried about something, you can summon all the relevant people together immediately. Unlike “whistle-blowing”, which is inevitably retrospective and often involves grievance and disloyalty, these ways of acting are instant and preventative. You are encouraged to use them. Someone stops the line in Hinchingbrooke most days.

Nurses work differently from most parts of the NHS. They all wear uniform, even if in managerial roles, and they are encouraged to take part in management without abandoning clinical work…

But what struck me about Hinchingbrooke was not that it was brilliantly original – simply that it was free to act according to common sense. Involve staff in decisions. Make sure that doctors and nurses can run things. Learn from commercial examples of how to improve services. Let the right hand know what the left is doing. Encourage innovation. Don’t “benchmark to the middle”, but to the top. And little things: get A&E nurses to wear identifiable name-badges; get rid of hospital car-park fines. Most of this is simple, but, in the leviathan of the NHS, it is not easy. And at present there are about 2,300 NHS hospitals in the United Kingdom, and only one Hinchingbrooke…

This is far behind the public. As you understand better if you spend a morning in Hinchingbrooke Hospital, the public want health care free at the point of use, but have no ideological prejudice about who delivers it, or how. They rightly judge by results – are they, their spouses, parents, children, well or ill? Are the staff medically competent, efficient and kind? They are not sentimental about the most shocking producer interest ever to have gained power in this country.

The one hospital where things are greatly improving is the one hospital that is moving away from bureaucratic national health care and towards private health care.  Like it once was in the United States.  While President Obama and the Democrats want to move the American health care systems towards the bureaucratic national health care of the NHS.  Where there are longer wait times.  And service rationing.  Well, everywhere in the NHS but Hinchingbrooke Hospital.

Do President Obama and the Democrats care that they will destroy the American health care system?  No.  Because it’s not about health care.  It’s about creating the “most shocking producer interest ever to have gained power in this country.”  Yes, it’s about the power.  Social Security and Medicare made the elderly dependent on government.  Giving the government power over the elderly.  If they can’t raise taxes they just threaten to cut Social Security and Medicare benefits.  National health care, though, makes everyone dependent on government.  Giving the government power over everyone.

Until the day they can no longer maintain that power.  And that day has come in Britain.  Their aging population is breaking the system.  Which is in essence a Ponzi scheme.  The masses in the workforce pay in via taxes.  And the few sick consume health care services at the top of the pyramid.  While a bloated bureaucracy makes sure to take very good care of itself.  But the aging population is shrinking the workforce paying the taxes.  And swelling the number of sick consuming the health care services.  Inverting the pyramid of the Ponzi scheme.  As it will in America thanks to Obamacare.  Because the United States has an aging population, too.

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