Steve H wrote:Nimbus Couzin wrote:We have different moral values obviously.
Will, this is progress. I've gone from brainwashed, to immoral, to differently moralled.
Nimbus Couzin wrote:Yes, it sucks to lose a job. But it sucks more to lose your life. We're losing a lot of lives (and a lot of money) in our current system. I'd support extensive job retraining programs. Let the people who want to pretend they're in the health care system start doing things that make people healthier.
I just don't see how you think the government will be more efficient. What proof do you have of these. Is there a model effiecient government program that we can look at? Medical insurance companies operate on slim margins. Mike McCalister, CEO of Humana, has said something like: "We think our 4% is fair." Are your margins in your coffee shop less than that? Do you think the costs of a government run program will be limited to 4%?
Nimbus Couzin wrote:A bean-counter in a distant state doesn't help me get healthy. A local nurse or a technician might. Lets get these "healthcare workers" some skills other than calculating odds and filing paperwork. We could pay for their retraining and then end up with some people actually helping us!
A single payer government system would have to duplicate all these bean counters and paper pushers. Why do you think the government wouldn't need administrators (in a distant state) to take care of the paper work and red tape?[/quote]
Steve,
You simply aren't thinking about this the right way. You wonder why the gov't wouldn't need administrators for all of the paper work and red tape? Because with single payer, you wouldn't have insurance claims! You wouldn't need to sell people insurance! You wouldn't need to advertise your insurance company A versus insurance company B. When I show up to the doc office, I wouldn't be greeted by insurance forms and then asked for my cards and then shuttled off to another "business" office with extra bureaucrats if something wasn't in order.
In short, when you go to the doc office, there would be perhaps a receptionist, some nurses, and some doctors. But not the bureaucrats.
And you wouldn't have to argue about whether procedure X, Y, or Z is covered. Leave it up to the doctor, not an accountant!
There would be less administration because we'd all be covered. I wouldn't need to email my insurance agent so she can have me fax over application forms. (my most recent agent, for my baby, was negligent by not informing us that vaccines (routine shots) would apply against our deductable). Her job would be gone, yes, because it would be unnecessary. Yeah, we wouldn't need the collection departments either (boohoo)
We wouldn't need the vast number of underwriters, analyzing the profitability of procedures, and then deciding to deny coverage to as many people as possible.
We have massive rationing right now. By the insurance companies.
Further, we presently have THOUSANDS of different insurance companies, all basically doing the same thing. If you had just one, you'd have a LOT more potential efficiency. Why have multiple people doing the same job? I mean, if you look at corporate situations, mergers almost always lower costs due to increased efficiency and less workers needed. Come on, look at the business example there.
Blah blah....etc, etc....
i mean doesn't it make sense that one "company" would have less paperwork than a thousand companies trying to do the exact same job? I'd call it streamlining. Especially when you eliminate billing from the system, which is what most of the paperwork is all about!
Dr. Nimbus Couzin