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	<title>Comments on: What&#8217;s Really at Stake in the Health Care Debate</title>
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	<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/</link>
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		<title>By: goy</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-246495</link>
		<dc:creator>goy</dc:creator>
		<pubDate>Wed, 22 Apr 2009 02:46:26 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-246495</guid>
		<description>As this thread fades, let me reiterate.

Our health care problem is not a problem with health care.

Our health care problem is a result of the way we &lt;i&gt;PAY&lt;/i&gt; for health care.

The economic relationship between the provider and the consumer has been destroyed. That&#039;s why costs have skyrocketed and &#039;standards of care&#039; now define excellence, rather than what the health consumer market demands. That&#039;s why the cost of most other goods has decreased as quality has increased, while just the opposite has happened with health care products and services.

Turning this completely broken system over to an utterly corrupt government will lead to nothing but ruin. And pretending it&#039;s &quot;necessary&quot;, pretending health care is a &quot;right&quot; - just so the guilt-ridden, moral adolescents in our society can pretend they&#039;ve created some nebulous &quot;safety net&quot; for some nebulous fragment of the population - won&#039;t change that.</description>
		<content:encoded><![CDATA[<p>As this thread fades, let me reiterate.</p>
<p>Our health care problem is not a problem with health care.</p>
<p>Our health care problem is a result of the way we <i>PAY</i> for health care.</p>
<p>The economic relationship between the provider and the consumer has been destroyed. That&#8217;s why costs have skyrocketed and &#8216;standards of care&#8217; now define excellence, rather than what the health consumer market demands. That&#8217;s why the cost of most other goods has decreased as quality has increased, while just the opposite has happened with health care products and services.</p>
<p>Turning this completely broken system over to an utterly corrupt government will lead to nothing but ruin. And pretending it&#8217;s &#8220;necessary&#8221;, pretending health care is a &#8220;right&#8221; &#8211; just so the guilt-ridden, moral adolescents in our society can pretend they&#8217;ve created some nebulous &#8220;safety net&#8221; for some nebulous fragment of the population &#8211; won&#8217;t change that.</p>
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		<title>By: venividivici</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245669</link>
		<dc:creator>venividivici</dc:creator>
		<pubDate>Mon, 20 Apr 2009 23:56:54 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245669</guid>
		<description>Hurley,

Remember, though, I&#039;m a YOUNG lefty and my brain hasn&#039;t been eaten alive by years and years of propaganda, so just repeating mantras like &quot;The US spends the same amount of money for worse outcomes&quot; is more likely to make me ask follow up questions like &quot;How are you measuring spending?&quot; and &quot;How are you measuring outcomes?&quot; and &quot;What factors are you controlling for in those measurements?&quot; than it is to be convincing.</description>
		<content:encoded><![CDATA[<p>Hurley,</p>
<p>Remember, though, I&#8217;m a YOUNG lefty and my brain hasn&#8217;t been eaten alive by years and years of propaganda, so just repeating mantras like &#8220;The US spends the same amount of money for worse outcomes&#8221; is more likely to make me ask follow up questions like &#8220;How are you measuring spending?&#8221; and &#8220;How are you measuring outcomes?&#8221; and &#8220;What factors are you controlling for in those measurements?&#8221; than it is to be convincing.</p>
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		<title>By: venividivici</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245668</link>
		<dc:creator>venividivici</dc:creator>
		<pubDate>Mon, 20 Apr 2009 23:52:03 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245668</guid>
		<description>&lt;i&gt;27. Robert Hurley:

Our Paul:

Don’t confuse the wingnuts by using facts, analysis and logic. It is like casting pearls before swine. They prefer to wallow in the mud of their own ignorance.&lt;/i&gt;

At least you followed your own rules and didn&#039;t use facts, analysis(I&#039;m surprised you know the word. Kudos, you&#039;re more advanced than 99% of your lefty colleagues) or logic in your post.

Pretend I was a young lefty who didn&#039;t know why nationalized health insurance was the best way to go and explain it to me. Wow me with your facts, analysis and logic.</description>
		<content:encoded><![CDATA[<p><i>27. Robert Hurley:</p>
<p>Our Paul:</p>
<p>Don’t confuse the wingnuts by using facts, analysis and logic. It is like casting pearls before swine. They prefer to wallow in the mud of their own ignorance.</i></p>
<p>At least you followed your own rules and didn&#8217;t use facts, analysis(I&#8217;m surprised you know the word. Kudos, you&#8217;re more advanced than 99% of your lefty colleagues) or logic in your post.</p>
<p>Pretend I was a young lefty who didn&#8217;t know why nationalized health insurance was the best way to go and explain it to me. Wow me with your facts, analysis and logic.</p>
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		<title>By: Robert Hurley</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245497</link>
		<dc:creator>Robert Hurley</dc:creator>
		<pubDate>Mon, 20 Apr 2009 18:17:14 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245497</guid>
		<description>Our Paul:

Don&#039;t confuse the wingnuts by using facts, analysis  and logic.  It is like casting pearls before swine.  They prefer to wallow in the mud of their own ignorance.</description>
		<content:encoded><![CDATA[<p>Our Paul:</p>
<p>Don&#8217;t confuse the wingnuts by using facts, analysis  and logic.  It is like casting pearls before swine.  They prefer to wallow in the mud of their own ignorance.</p>
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		<title>By: mwl</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245480</link>
		<dc:creator>mwl</dc:creator>
		<pubDate>Mon, 20 Apr 2009 17:41:19 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245480</guid>
		<description>Single-payer systems, like the UK&#039;s and Canada&#039;s, are abysmal. How many horror stories have we seen of people dying in ER waiting rooms because no one treated them? Why is it that the UK has to import half of its doctors?

The Feds already control education and finance, why should we allow them to grab control of another 16% of the U.S. economy?</description>
		<content:encoded><![CDATA[<p>Single-payer systems, like the UK&#8217;s and Canada&#8217;s, are abysmal. How many horror stories have we seen of people dying in ER waiting rooms because no one treated them? Why is it that the UK has to import half of its doctors?</p>
<p>The Feds already control education and finance, why should we allow them to grab control of another 16% of the U.S. economy?</p>
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		<title>By: Eric</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245476</link>
		<dc:creator>Eric</dc:creator>
		<pubDate>Mon, 20 Apr 2009 17:39:39 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245476</guid>
		<description>@ TRSchenck:

The problem, as defined by Democrats, isn&#039;t health care but health insurance. No one goes without health care if they need it but many are uninsured. The multiple reasons behind that aside, the free-market CAN provide all with health insurance in exactly the same way it provides for ALL other insurance products.
If the government would stop distorting the market via Medicare, Medicaid, SCHIP, the VA, and burdensome regulation at the state and federal level then health insurance could be provided to all relatively cheaply. At least at the cost of a monthly cable bill. And I&#039;d wager that not many uninsured go without cable or cell phones.
The problem, as usual, is too much government interference, not too little government.</description>
		<content:encoded><![CDATA[<p>@ TRSchenck:</p>
<p>The problem, as defined by Democrats, isn&#8217;t health care but health insurance. No one goes without health care if they need it but many are uninsured. The multiple reasons behind that aside, the free-market CAN provide all with health insurance in exactly the same way it provides for ALL other insurance products.<br />
If the government would stop distorting the market via Medicare, Medicaid, SCHIP, the VA, and burdensome regulation at the state and federal level then health insurance could be provided to all relatively cheaply. At least at the cost of a monthly cable bill. And I&#8217;d wager that not many uninsured go without cable or cell phones.<br />
The problem, as usual, is too much government interference, not too little government.</p>
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		<title>By: howard long</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245475</link>
		<dc:creator>howard long</dc:creator>
		<pubDate>Mon, 20 Apr 2009 17:38:33 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245475</guid>
		<description>Most of my patients have already been to HMO, ER, Medicaid clinic - but smile happily (as do I) after careful 15 min exam and treatment for $50 cash. 

To reduce cost and have concern for patient, not third party, 
get HSA compatible ins. ~ $2,000 deductible, for 1/3 cost BC CA or Kaiser, and self-manage care. 
1,200 GR Ins Co employee catastrophic cost was 30% less the year after 95% chose HSAs, indicating better care from doctor paying attention to them rather than insurer.

&quot;Universal&quot; means dictated, regimented, one size fits all.
Dump the do-gooders who want to run your life. THEY are the cost.</description>
		<content:encoded><![CDATA[<p>Most of my patients have already been to HMO, ER, Medicaid clinic &#8211; but smile happily (as do I) after careful 15 min exam and treatment for $50 cash. </p>
<p>To reduce cost and have concern for patient, not third party,<br />
get HSA compatible ins. ~ $2,000 deductible, for 1/3 cost BC CA or Kaiser, and self-manage care.<br />
1,200 GR Ins Co employee catastrophic cost was 30% less the year after 95% chose HSAs, indicating better care from doctor paying attention to them rather than insurer.</p>
<p>&#8220;Universal&#8221; means dictated, regimented, one size fits all.<br />
Dump the do-gooders who want to run your life. THEY are the cost.</p>
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		<title>By: Eric</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-245472</link>
		<dc:creator>Eric</dc:creator>
		<pubDate>Mon, 20 Apr 2009 17:34:41 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-245472</guid>
		<description>No one may claim a right that concurrently creates an obligation for someone else. For those that claim a right to health care, what gives you the right to stake a claim to another person&#039;s earnings? 

I am not my brother&#039;s keeper. My duty is to myself and my family and when someone claims part of my income as their own as part of some &quot;right&quot; they are essentially stealing from me and my family. I and my family have to sacrifice something in order to provide a stranger their &quot;right&quot;.

What right do I gain over someone who has claimed a part of my income? Do I get to dictate that the obese eat less and get more exercise? Do I get to dictate that smokers quit? If these people lay claim to the product of my labor for their own benefit I claim a right to dictate how those claimants live their lives so they make the most of my money.

Nationalized health care will turn taxpayers into indentured servants of the unproductive class.</description>
		<content:encoded><![CDATA[<p>No one may claim a right that concurrently creates an obligation for someone else. For those that claim a right to health care, what gives you the right to stake a claim to another person&#8217;s earnings? </p>
<p>I am not my brother&#8217;s keeper. My duty is to myself and my family and when someone claims part of my income as their own as part of some &#8220;right&#8221; they are essentially stealing from me and my family. I and my family have to sacrifice something in order to provide a stranger their &#8220;right&#8221;.</p>
<p>What right do I gain over someone who has claimed a part of my income? Do I get to dictate that the obese eat less and get more exercise? Do I get to dictate that smokers quit? If these people lay claim to the product of my labor for their own benefit I claim a right to dictate how those claimants live their lives so they make the most of my money.</p>
<p>Nationalized health care will turn taxpayers into indentured servants of the unproductive class.</p>
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		<title>By: canuck</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-244668</link>
		<dc:creator>canuck</dc:creator>
		<pubDate>Sun, 19 Apr 2009 05:21:36 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-244668</guid>
		<description>Zerocare will be imposed on all of us using the failed model Medicare, but Medicare Lite...at least from the funding side.  This currently underfunded program now forces most of the cost shift in America and is directly responsible for the high cost of coverage.  With Medicare paying only 82% of cost to the hospitals, those with high Medicare population like those of us in the South have a huge burden or sick tax to place on the sick and/or their payers.

Zerocare will by necessity be a two tiered system which will &quot;cover&quot; everyone, but the government will have a vested interest in driving the &quot;rich&quot; to seek care outside the system at their own expense by limiting quality and access like the NHS in the UK.  When the gap between private medicine and government medicine becomes great enough, people will look to the private system for care and leave in droves thereby cutting the total cost of Zerocare.  This is really just a tax increase when one has to pay doubly for the same item.

Look for a national health sales tax as well just like in Canada where it was called teh GST...known widely as the Gouge and Screw Tax.  All this will be to provide &quot;free care&quot; just like in Canada or England.

If doctors are forced to participate look for substantial numbers to &quot;retire&quot;, particularly in certain key specialties where shortages now exist because of &quot;central planning&quot;.  Overall the future is gloomy for healthcare.</description>
		<content:encoded><![CDATA[<p>Zerocare will be imposed on all of us using the failed model Medicare, but Medicare Lite&#8230;at least from the funding side.  This currently underfunded program now forces most of the cost shift in America and is directly responsible for the high cost of coverage.  With Medicare paying only 82% of cost to the hospitals, those with high Medicare population like those of us in the South have a huge burden or sick tax to place on the sick and/or their payers.</p>
<p>Zerocare will by necessity be a two tiered system which will &#8220;cover&#8221; everyone, but the government will have a vested interest in driving the &#8220;rich&#8221; to seek care outside the system at their own expense by limiting quality and access like the NHS in the UK.  When the gap between private medicine and government medicine becomes great enough, people will look to the private system for care and leave in droves thereby cutting the total cost of Zerocare.  This is really just a tax increase when one has to pay doubly for the same item.</p>
<p>Look for a national health sales tax as well just like in Canada where it was called teh GST&#8230;known widely as the Gouge and Screw Tax.  All this will be to provide &#8220;free care&#8221; just like in Canada or England.</p>
<p>If doctors are forced to participate look for substantial numbers to &#8220;retire&#8221;, particularly in certain key specialties where shortages now exist because of &#8220;central planning&#8221;.  Overall the future is gloomy for healthcare.</p>
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		<title>By: hoads</title>
		<link>http://pjmedia.com/blog/whats-really-at-stake-in-the-health-care-debate/#comment-244654</link>
		<dc:creator>hoads</dc:creator>
		<pubDate>Sun, 19 Apr 2009 04:48:26 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/?p=53365#comment-244654</guid>
		<description>In fact, many of our prisons are outsourced to private industry.  Here in Georgia, several cities outsource their administration to private contractors specializing in government administration.  We have private defense contractors providing public safety in Iraq.  Most of our infrastructure projects are handled by private contractors.  Any public service can be administered by private industry and in most cases, can do so better and cheaper.</description>
		<content:encoded><![CDATA[<p>In fact, many of our prisons are outsourced to private industry.  Here in Georgia, several cities outsource their administration to private contractors specializing in government administration.  We have private defense contractors providing public safety in Iraq.  Most of our infrastructure projects are handled by private contractors.  Any public service can be administered by private industry and in most cases, can do so better and cheaper.</p>
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