• (1/2) northern healthcare

    From Bob Ackley@1:300/3 to JIM WELLER on Thu Jan 7 05:54:40 2010
    Replying to a message of JIM WELLER to BOB ACKLEY:

    Looks like Medicare's dirty little secret is finally getting
    out. Providers have quietly been dropping out of the
    Medicare system for years - more rapidly and in greater
    numbers in recent months. You want to get providers back
    into the Medicare system? Simply require that Medicare pay
    the bills, as presented, in full and within 30 days of
    presentation.

    Then figure out how to get the American people to accept a
    fifty percent or more hike in their income taxes.

    How do you reconcile these two statements?

    The first has nothing to do with the second, it refers only to the current problem Medicare is having WRT providers dropping out of the system.

    The second is what's going to happen when that obomination passes
    the congress and is signed. It has nothing to do with Medicare.

    Note, BTW, that Medicare and Social Security are both actuarial train
    wrecks waiting to happen. Neither can survive much longer without
    tapping general tax revenue because neither the Social Security taxes ("contributions") nor Medicare taxes ("Contributions/premiums") come
    close to providing the funds required. Note also that the vaunted "Social Security Trust Fund," which contains 3/4 century of overpayments into
    the system, contains no cash - it is full of US government IOUs as the
    money was long ago taken out and spent by the congress. The US taxpayer
    is on the hook to replace all that money.

    BTW taxes would have to go up but certainly not 50%. We
    actually cover 100% of the population for less money per
    person/per tax payer than you do covering just 85%

    Don't bet the ranch on that. In this country the vast majority of the money spent on various "social" programs goes to administrative expenses. The
    US could *give* every single "poor" person in the country $40,000 cash (that's $160,000 for a family of four) and spend less money on them than it does now.

    U.S. health care by the numbers
    National Post
    Friday, Aug. 14, 2009

    "Despite spending more per capita, the U.S. does not deliver
    better medical care than many other countries."

    21.8 Percent of total government expenditure alotted to
    health in the United States vs 17.8 Percent of total
    government expenditure alotted to health in Canada

    Note that there's no Constitutional justification for the US government
    to spend a *dime* on health (or on any other 'social' programs, including "Social Security").

    15.2 Percent of gross domestic product spent on health care
    in the United States vs 9.8 Percent of gross domestic
    product spent on health care in Canada

    6,347 Dollars spent per capita on health in the United
    States vs 3,460 Dollars spent per capita on health in
    Canada

    44 Percent of health care expenditure in the United States
    that is public vs 70 Percent of health care expenditure in
    Canada that is public

    60 Percent of personal bankruptcies caused by health-care
    costs, according to the American Journal of Medicine vs 0
    in Canada.

    47 million Number of uninsured people or 15.8 Percentage of
    Americans without health insurance

    26 Number of physicians per 10,000 people in the United
    States vs 19 Number of physicians per 10,000 people in
    Canada

    This would be a meaningful statistic if it referred only to primary
    care physicians.

    59.7 Percentage of U.S. coverage provided through an
    employer 9.1 Percentage of coverage purchased individually
    12.9 Percentage of coverage that was government-funded
    through Medicaid 13.6 Percentage of coverage that was
    government-funded through Medicare

    Health care and other 'fringe' benefits to employees are holdovers from
    WW II. Because of wage and price controls, employers could not offer
    more money to employees to attract or keep them so they started giving
    the employees 'fringe benefits' that were not subject to government wage
    and price controls.

    37 Ranking in terms of overall health-system performance
    among WHO member states, United States vs 30 Ranking in
    terms of overall health-system performance among WHO member
    states, Canada (Yeah, we have room for improvement too.)

    Sources: Centres for Medicare and Medicaid Services, World
    Health Organization, Organization for Economic Co-Operation
    and Development, Centers for Disease Control, Canadian
    Institute for Health Information, U.S. Census Bureau

    Anybody can juggle statistics to support whatever position they hold,
    this is especially true for organizations that have agendas - such as any

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    * Origin: Bob's Boneyard, Emerson, Iowa (1:300/3)