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Topic ClosedDo you support universal healthcare?

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Poll Question: Do you support universal healthcare?
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Negoba View Drop Down
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Direct Link To This Post Posted: September 02 2009 at 10:03
Equality, what does in mean to live in a society then?
 
Your entire existence depends on things that can only be supported by a civilization. Civilization is built on combining the assets of many individuals to create greater goods. You do not exist in a vacuum, and should not pretend you do.
 
Buying the same supper at Applebee's costs the same whether you make $10,000 or $1,000,000. It's a concept called marginal cost which I'm sure you understand. Because of this fact, 10% of those salaries has a vastly different impact. There is a minimal expense to rent a room, buy food, and clothe yourself and your family. The manner in which you do so is discretionary, but the fact that it has to happen is not.
 
You are quite a fine person, and I am very fond of you. But you are only quite a little fellow, in a wide world, after all.
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Direct Link To This Post Posted: September 02 2009 at 09:56
Originally posted by Mr ProgFreak Mr ProgFreak wrote:

 
As far as I know that section speaks of "general welfare of the United States" ... I don't see why that should not include the health of the people. Using taxes to pay for antibiotics and vaccines would be a good start.

Simply, because if that statement were to be interpreted in such a broad way, without attention payed to the careful enumeration of duties, Article I Section VIII could be used to justify anything rendering itself useless.

In Jefferson's own words we should interpret the Constitution in the following way:

Originally posted by Thomas Jefferson Thomas Jefferson wrote:

On every question of construction, carry ourselves back to the time when the Constitution was adopted, recollect the spirit manifested in the debates, and instead of trying what meaning may be squeezed out of the text, or invented against it, conform to the probable one in which it was passed.

As Madison said with regards to the clause:
Originally posted by James Madison James Madison wrote:

If Congress can do whatever in their discretion can be done by money, and will promote the General Welfare, the Government is no longer a limited one, possessing enumerated powers, but an indefinite one, subject to particular exceptions

Originally posted by James Madison James Madison wrote:

 
With respect to the words general welfare, I have always regarded them as qualified by the details of powers connected with them. To take them in literal and unlimited sense would be a metamorphosis of the Constitution into a character which there is  a host of proofs was not contemplated by its creators."

During the Virginia debates Patrick Henry raised the concern that the phrase general welfare was dangerously open ended and only supported the adoption of the Constitution after receiving a definitive answer that the phrase carried no such meaning. 
"One had to be a Newton to notice that the moon is falling, when everyone sees that it doesn't fall. "
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Direct Link To This Post Posted: September 02 2009 at 09:47
Originally posted by The Antique The Antique wrote:



Because 10% of $10,000 and 10% of $1,000,000 are definitely equivalent burdens for people to bear (pick any percentage, whatever you think the flat tax should be, my point still stands).

Equivalent in relative terms which is the only way we could compare the two.

Originally posted by The Antique The Antique wrote:

I speak of fair because those people, while paying more money, are not facing any greater of a burden because of this extra cost. They have more money, so they can afford to pay more. Moreover, need I remind you, we are part of a community. Helping out those who have less than you is something that needs to happen in a community. If people are too greedy to do that enough in order to get what needs to be done done, then the only alternative is for the government to coerce them. Not getting it done is defeatist and is not acceptable.

I find this highly disturbing. They can afford to pay more, yes, so they do as 10% of x is more than 10% of y when x>y but it's still get equal. Helping out those that have less than you I believe is a moral responsibility and not within the realm of government control. Also the structure of other binding under the federal government is so ridiculously far from a community you can't use that word. Further "what needs to be done" is highly subjective and determining such decision by what the majority deems so just opens up our government to become a hired plunderer for the masses.


Originally posted by The Antique The Antique wrote:

Yes, fluctuation is possible in terms of what people can do with their natural assets, and yes, people who put in hard work are going to do better (as they should). But a lot of people work very hard, but do so in thankless jobs (due in part to their natural abilities/the situation into which they were born, and due to the fact that someone has to do those jobs), and are hardly able to make a living wage.


Pure free market capitalism is not a meritocracy based solely on how hard you work, and thus the division of wealth it creates is plagued by arbitrary, unfair inequalities.


You keep dropping that line, but it still means nothing to me.


Originally posted by The Antique The Antique wrote:

But people don't all gravitate to high-paying jobs and the pay for jobs like janitors is not skyrocketing. I'm sorry, but you're not going to convince me that all people with poorly-paying jobs are lazy bottom feeders, or that people who spend all day working two jobs just to feed their family, but who can't afford health insurance, deserve their situation. These people are not exceptions, they are common and it is not morally acceptable.

True that situation is not happening, but you posed a hypothetical situation where it would and thus my response.



Originally posted by The Antique The Antique wrote:

It absolutely gives the government a moral right to correct it.
Absolutely not.

  
Originally posted by The Antique The Antique wrote:

Unlike blue eyes (which is indeed arbitrary), unequal wealth distribution has a profound negative effect on people's lives.
The same could be imagined of blue eyes. They were certainly profitable in Nazi Germany.

  
Originally posted by The Antique The Antique wrote:

It is this negative impact (coupled with the arbitrariness of the distribution) that gives the government it's moral right to correct the situation, not the arbitrariness alone. Moreover, stop treating this like an absolute principle. You can take ANY absolute moral principle and justify horrible things with it. I am not proposing hard and fast principles, just guidelines.
Well the direct results of the guidelines you are proposing justify horrible things.

Originally posted by The Antique The Antique wrote:

While high taxes may be prima facie wrong (aka to be avoided if possible), letting people die because they cannot afford health care is also prima facie wrong, and strikes me as far worse than those taxes.
Letting someone die is hardly a crime and is a blurry moral issue too. It's not the government's job to force people to adhere to such issues of morality especially ones so far from universal agreement. I know you agree with that. I believe the wealthy owe a debt to society, but I don't believe in any forced collection of that debt.
"One had to be a Newton to notice that the moon is falling, when everyone sees that it doesn't fall. "
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Direct Link To This Post Posted: September 02 2009 at 06:52
Originally posted by Syzygy Syzygy wrote:

A definite yes. However it's funded, any citizen of a civilised country should be able to get health care that is free at the point of delivery.  

Well put, there can be no such thing as free health care.  But having them check your wallet before they take care of you is ridiculous.  I've been to the emergency room a few times myself.  They check you out a little, check your wallet, and then treat you.  I have company provided health insurance by the way.  I work at a small firm and the premiums keep going up and up and up, just like health insurance company profits.  Coincidence?  I think not.  By and large I have no problems with the health care I've received.  Not to say that I haven't had problems.  We've tried health care for profit and, hello?, it's not working.


Edited by Slartibartfast - September 02 2009 at 06:56
Released date are often when it it impacted you but recorded dates are when it really happened...

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Direct Link To This Post Posted: September 02 2009 at 06:42
A definite yes. However it's funded, any citizen of a civilised country should be able to get health care that is free at the point of delivery.  
'Like so many of you
I've got my doubts about how much to contribute
to the already rich among us...'

Robert Wyatt, Gloria Gloom


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Direct Link To This Post Posted: September 02 2009 at 05:17
Originally posted by rpe9p rpe9p wrote:

Originally posted by Dean Dean wrote:

Originally posted by The Antique The Antique wrote:

Originally posted by Equality 7-2521 Equality 7-2521 wrote:

The right stems very concretely from Article I Section VIII of the Constitution which details the very limited uses for which Congress may tax. Welfare systems certainly don't fit into this. Also the use of a graduated tax systems totally b*****dizes the whole ordeal. I'm for tax collection for basic manners much along the lines detailed in the Constitution, but only assuming it is done so as a flat tax.


Because 10% of $10,000 and 10% of $1,000,000 are definitely equivalent burdens for people to bear (pick any percentage, whatever you think the flat tax should be, my point still stands).
That only works if the disposable income is equivalent, which it can never be, regardless of the expenditure required to maintain a $1,000,000 lifestyle.
 
Also, a $1,000,000 paycheck is structured to account for a higher tax-rate - if the base-rate was always 10% then that salary would never have risen above $700K in the first place.


Dont you mean if the disposable income is an equivalent percentage?  This is still unlikely, but a bit more reasonable.

Also it doesnt make any sense that businesses would pay more to their employees to compensate for higher tax rates.  If all of a sudden the government increased taxes on everyone by 10%, businesses wouldnt suddenly have an extra 10% to pay out to all their employees, they would continue to pay the same amount.  What would make a business want to pay someone more just because more of the money is going to the government instead of their worker?  If anything it would discourage them from raising wages.

Maybe this will help.  If you're making $1,000,000 and get hit with a $50,000 health care charge, no big deal.  If you're making $25,000, you're screwed.  What should we do with people in this situation?  Let them go bankrupt?  Good luck, we've reformed bankruptcy laws to help out the poor creditors.  Let them rot?  Sorry you couldn't afford $400 a month to pay for health insurance, too bad.


Edited by Slartibartfast - September 02 2009 at 06:53
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Direct Link To This Post Posted: September 02 2009 at 01:28
Originally posted by Equality 7-2521 Equality 7-2521 wrote:

The right stems very concretely from Article I Section VIII of the Constitution which details the very limited uses for which Congress may tax. Welfare systems certainly don't fit into this. Also the use of a graduated tax systems totally b*****dizes the whole ordeal. I'm for tax collection for basic manners much along the lines detailed in the Constitution, but only assuming it is done so as a flat tax.


As far as I know that section speaks of "general welfare of the United States" ... I don't see why that should not include the health of the people. Using taxes to pay for antibiotics and vaccines would be a good start.
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Direct Link To This Post Posted: September 02 2009 at 00:52
Originally posted by Dean Dean wrote:

Originally posted by The Antique The Antique wrote:

Originally posted by Equality 7-2521 Equality 7-2521 wrote:

The right stems very concretely from Article I Section VIII of the Constitution which details the very limited uses for which Congress may tax. Welfare systems certainly don't fit into this. Also the use of a graduated tax systems totally b*****dizes the whole ordeal. I'm for tax collection for basic manners much along the lines detailed in the Constitution, but only assuming it is done so as a flat tax.


Because 10% of $10,000 and 10% of $1,000,000 are definitely equivalent burdens for people to bear (pick any percentage, whatever you think the flat tax should be, my point still stands).
That only works if the disposable income is equivalent, which it can never be, regardless of the expenditure required to maintain a $1,000,000 lifestyle.
 
Also, a $1,000,000 paycheck is structured to account for a higher tax-rate - if the base-rate was always 10% then that salary would never have risen above $700K in the first place.


Dont you mean if the disposable income is an equivalent percentage?  This is still unlikely, but a bit more reasonable.

Also it doesnt make any sense that businesses would pay more to their employees to compensate for higher tax rates.  If all of a sudden the government increased taxes on everyone by 10%, businesses wouldnt suddenly have an extra 10% to pay out to all their employees, they would continue to pay the same amount.  What would make a business want to pay someone more just because more of the money is going to the government instead of their worker?  If anything it would discourage them from raising wages.
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Direct Link To This Post Posted: September 01 2009 at 13:16
Originally posted by The Antique The Antique wrote:

Originally posted by Equality 7-2521 Equality 7-2521 wrote:

The right stems very concretely from Article I Section VIII of the Constitution which details the very limited uses for which Congress may tax. Welfare systems certainly don't fit into this. Also the use of a graduated tax systems totally b*****dizes the whole ordeal. I'm for tax collection for basic manners much along the lines detailed in the Constitution, but only assuming it is done so as a flat tax.


Because 10% of $10,000 and 10% of $1,000,000 are definitely equivalent burdens for people to bear (pick any percentage, whatever you think the flat tax should be, my point still stands).
That only works if the disposable income is equivalent, which it can never be, regardless of the expenditure required to maintain a $1,000,000 lifestyle.
 
Also, a $1,000,000 paycheck is structured to account for a higher tax-rate - if the base-rate was always 10% then that salary would never have risen above $700K in the first place.
What?
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Direct Link To This Post Posted: September 01 2009 at 12:57
Originally posted by Leningrad Leningrad wrote:

I am fully convinced that not a single person on this forum knows what communism is.
 
Scary isn't it? People come in asking me questions about this debate and they are just so far behind on the basics of what we're talking about.
 
BTW, most people are using socialist and socialism, not communism at least in this thread.
You are quite a fine person, and I am very fond of you. But you are only quite a little fellow, in a wide world, after all.
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Direct Link To This Post Posted: September 01 2009 at 12:51
I am fully convinced that not a single person on this forum knows what communism is.
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Direct Link To This Post Posted: August 31 2009 at 14:10
Originally posted by akamaisondufromage akamaisondufromage wrote:

Originally posted by Negoba Negoba wrote:

My wife (also a doctor) have been talking about ways to make this possible for people...most of my visits probably are worth about a dozen truly free range eggs....mmmmm. Not much chance of those in the middle of the city though.
 
In which case your visits must be pretty expensive!
 
Wink
 
Nice idea though! 
 
My first job was in the country and patients would bring in eggs from their farms and the taste was so good, that's why I mention that. Once our debts are paid off we'd love to set up a practice where the whole thing runs differently -- no insurance, pay what you can. Of course, that's the other end of the hook. For middle class people to become doctors, the amount of debt you come out with pretty much means you are forced to work within the system for awhile. I've found a little bit of a happy medium working in a community clinic.
You are quite a fine person, and I am very fond of you. But you are only quite a little fellow, in a wide world, after all.
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Direct Link To This Post Posted: August 31 2009 at 14:06
Originally posted by Equality 7-2521 Equality 7-2521 wrote:

The right stems very concretely from Article I Section VIII of the Constitution which details the very limited uses for which Congress may tax. Welfare systems certainly don't fit into this. Also the use of a graduated tax systems totally b*****dizes the whole ordeal. I'm for tax collection for basic manners much along the lines detailed in the Constitution, but only assuming it is done so as a flat tax.


Because 10% of $10,000 and 10% of $1,000,000 are definitely equivalent burdens for people to bear (pick any percentage, whatever you think the flat tax should be, my point still stands).

Quote I don't know how you speak of fair while identifying a group which is expected to shoulders others burdens under coercion from a government.


I speak of fair because those people, while paying more money, are not facing any greater of a burden because of this extra cost. They have more money, so they can afford to pay more. Moreover, need I remind you, we are part of a community. Helping out those who have less than you is something that needs to happen in a community. If people are too greedy to do that enough in order to get what needs to be done done, then the only alternative is for the government to coerce them. Not getting it done is defeatist and is not acceptable.

Quote So the general rule is to be defined by the most extreme cases? Swings from one end of the spectrum to another I'll admit are not going to occur. However, a wide amount of fluctuation is possible in the middle stages. Aside from a few savants you meet you'll find the smartest, most athletic, proficient people are the ones who have put the most time into their field be it economics, swimming, playing piano, whatever.


Yes, fluctuation is possible in terms of what people can do with their natural assets, and yes, people who put in hard work are going to do better (as they should). But a lot of people work very hard, but do so in thankless jobs (due in part to their natural abilities/the situation into which they were born, and due to the fact that someone has to do those jobs), and are hardly able to make a living wage.

Pure free market capitalism is not a meritocracy based solely on how hard you work, and thus the division of wealth it creates is plagued by arbitrary, unfair inequalities.

Quote If people all gravitated to "high paying jobs" the cost of these jobs would simply skyrocket and the need would inevitably be filled. Also, there will always be lazy, bottom feeders in society, as well as unfortunate cases of good people drawing a short straw which I think are fewer than people care to admit.


But people don't all gravitate to high-paying jobs and the pay for jobs like janitors is not skyrocketing. I'm sorry, but you're not going to convince me that all people with poorly-paying jobs are lazy bottom feeders, or that people who spend all day working two jobs just to feed their family, but who can't afford health insurance, deserve their situation. These people are not exceptions, they are common and it is not morally acceptable.

Quote You haven't demonstrated this, and the conclusion doesn't follow from your premise. The distribution being arbitrary gives the government no moral or certainly constitutional right to correct it. The distribution of blue eyes is arbitrary in a population, but the government hardly has a right to force eye transplants so that everyone may have one blue and one brown eye for some patchwork equality. I know it's a laughable example, but clearly you can think of many horrendous acts which could be justified with that argument. But while as a society we maintain there's something off limits about ones body, we have lost that the same applies to ones money. We have begun to see it as a mere purchasing tool than the direct fruits of ones labor deserving of the same reservations.


It absolutely gives the government a moral right to correct it. Unlike blue eyes (which is indeed arbitrary), unequal wealth distribution has a profound negative effect on people's lives. It is this negative impact (coupled with the arbitrariness of the distribution) that gives the government it's moral right to correct the situation, not the arbitrariness alone. Moreover, stop treating this like an absolute principle. You can take ANY absolute moral principle and justify horrible things with it. I am not proposing hard and fast principles, just guidelines.

While high taxes may be prima facie wrong (aka to be avoided if possible), letting people die because they cannot afford health care is also prima facie wrong, and strikes me as far worse than those taxes.
I'm a reasonable man, get off my case
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Direct Link To This Post Posted: August 31 2009 at 14:00
Originally posted by Negoba Negoba wrote:

My wife (also a doctor) have been talking about ways to make this possible for people...most of my visits probably are worth about a dozen truly free range eggs....mmmmm. Not much chance of those in the middle of the city though.
 
In which case your visits must be pretty expensive!
 
Wink
 
Nice idea though! 
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Direct Link To This Post Posted: August 31 2009 at 13:56
My wife (also a doctor) have been talking about ways to make this possible for people...most of my visits probably are worth about a dozen truly free range eggs....mmmmm. Not much chance of those in the middle of the city though.
You are quite a fine person, and I am very fond of you. But you are only quite a little fellow, in a wide world, after all.
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Direct Link To This Post Posted: August 31 2009 at 13:47
Originally posted by Negoba Negoba wrote:

Many many young women have to have their gallbladder out. An unpredictable but common surgery, usually goes well and one night in the hospital. Anywhere from 10-30 thousand dollars charges. This isn't a meteor.....or an appendix - potentially deadly but routinely cared for.

Personally, if I were you, I'd buy a policy that covered your family for anything over $5000 (which is much more affordable) and then take care of the rest yourself.
 
And I hate insurane companies, but that model actually is about insurance.
 
 
this is as a doctor to another guy I sorta know with a young family.


Can't I just get you to do it for a copy of my next album?  WinkLOL
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Direct Link To This Post Posted: August 31 2009 at 13:46
I'm not sure because when it comes to some complex political issues I try to research the subject as much as possible before forming an opinion. I tend not to believe any media sources because I look at Fox News and see so many lies that I can't be sure whether CNN or MSNBC are saying equally false things.
If I had to pick one I'd be in favor of universal health care but that is due to a lack of proper research.
Curse your sudden but inevitable betrayal.
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Direct Link To This Post Posted: August 31 2009 at 13:45
Originally posted by Epignosis Epignosis wrote:

Originally posted by akamaisondufromage akamaisondufromage wrote:

Originally posted by Epignosis Epignosis wrote:

Originally posted by Negoba Negoba wrote:

Originally posted by Epignosis Epignosis wrote:

Originally posted by Mr ProgFreak Mr ProgFreak wrote:

I voted yes. It's a complex discussion, but I think that some form of basic health care should be free for everyone. The difficult part is where to draw the line ...


Not a bad way of putting it.

Tax dollars pay for police, who will come to one's home in case of a break-in, which could cause a citizen to lose his or her life (for example).

Meningitis (for example) could be seen as an internal "intruder" that could also be combated by tax dollars.

Interesting...
 
One of the cartoons illustrates the other point, we already have "socialized" medicine. It's just a matter of who gets to be in charge of our communal pot of money.
 
I am personally for a national plan where everyone can get basic care (not necessarily best care) regardless of who they are a la the VA, AND (AND) that people can then pay for better if they have the means and desire.


I think this is reasonable and doable.

Believe it or not, I'm actually opposed (personally) to health insurance.  It's bad bet hedging, ultimately.  Why pay $600 a month for my family when we all went to the doctor a total of 8 times that year?  LOL

"But Epignosis, what if you get cancer?  What if you get injured?  What if you develop a sentient growth in your butt?"

My response is always the same:

"What if a meteor crashes into your house and destroys your city?"

Health insurance companies cash in on fear, methinks...I don't object to their existence, but personally, I don't care for it.
 
I guess the logical extention to this is not to bother with a health service at all?  Epi, would you not bother with insurance for your family then? 
 
If you have a limited universal health care someone has to decide what is 'Basic Care' and this could be on a case by case basis? who makes that desision?
 
I am glad I live in blighty for the NHS with its faults.
 
 


I had health insurance for my family, and was being screwed (my wife had a baby one year and we broke even. Figure that).  Now I don't have it.  We pay out of pocket for the services we use.  I have saved money with the latter.

And the question of "What is basic care" could be sorted out, but I'm not smart enough to do that, and I won't pretend to be.
 
I think there will be a LOT of arguments (Even more than here) about 'basic care' but you might be right.  Insurance is always like this.  I have to pay car insurance every year and I have never had an accident (TOUCH WOOD) same for house insurance.  They are all a rip off unless you are unlucky - even then those B s t r d s will find a way out of paying up! 
 
I'm sure youre smart enough - just start working on it now! Big smile
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Direct Link To This Post Posted: August 31 2009 at 13:44

Many many young women have to have their gallbladder out. An unpredictable but common surgery, usually goes well and one night in the hospital. Anywhere from 10-30 thousand dollars charges. This isn't a meteor.....or an appendix - potentially deadly but routinely cared for.

Personally, if I were you, I'd buy a policy that covered your family for anything over $5000 (which is much more affordable) and then take care of the rest yourself.
 
And I hate insurane companies, but that model actually is about insurance.
 
 
this is as a doctor to another guy I sorta know with a young family.


Edited by Negoba - August 31 2009 at 13:45
You are quite a fine person, and I am very fond of you. But you are only quite a little fellow, in a wide world, after all.
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Direct Link To This Post Posted: August 31 2009 at 13:38
Originally posted by akamaisondufromage akamaisondufromage wrote:

Originally posted by Epignosis Epignosis wrote:

Originally posted by Negoba Negoba wrote:

Originally posted by Epignosis Epignosis wrote:

Originally posted by Mr ProgFreak Mr ProgFreak wrote:

I voted yes. It's a complex discussion, but I think that some form of basic health care should be free for everyone. The difficult part is where to draw the line ...


Not a bad way of putting it.

Tax dollars pay for police, who will come to one's home in case of a break-in, which could cause a citizen to lose his or her life (for example).

Meningitis (for example) could be seen as an internal "intruder" that could also be combated by tax dollars.

Interesting...
 
One of the cartoons illustrates the other point, we already have "socialized" medicine. It's just a matter of who gets to be in charge of our communal pot of money.
 
I am personally for a national plan where everyone can get basic care (not necessarily best care) regardless of who they are a la the VA, AND (AND) that people can then pay for better if they have the means and desire.


I think this is reasonable and doable.

Believe it or not, I'm actually opposed (personally) to health insurance.  It's bad bet hedging, ultimately.  Why pay $600 a month for my family when we all went to the doctor a total of 8 times that year?  LOL

"But Epignosis, what if you get cancer?  What if you get injured?  What if you develop a sentient growth in your butt?"

My response is always the same:

"What if a meteor crashes into your house and destroys your city?"

Health insurance companies cash in on fear, methinks...I don't object to their existence, but personally, I don't care for it.
 
I guess the logical extention to this is not to bother with a health service at all?  Epi, would you not bother with insurance for your family then? 
 
If you have a limited universal health care someone has to decide what is 'Basic Care' and this could be on a case by case basis? who makes that desision?
 
I am glad I live in blighty for the NHS with its faults.
 
 


I had health insurance for my family, and was being screwed (my wife had a baby one year and we broke even. Figure that).  Now I don't have it.  We pay out of pocket for the services we use.  I have saved money with the latter.

And the question of "What is basic care" could be sorted out, but I'm not smart enough to do that, and I won't pretend to be.
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