Fauci forecast: 100,000 - 200,000 American deaths.
All my medicine is paid for,no copay.My mental health care is paid for.All my MD visits paid for.Preventive care mammogram and colonoscopy paid for.Free gynecology.
And no hours waiting at ER.When I need to see doctor I get an appointment right away.
Our health care could be better for people who make too much for Medicaid.
But other nations need improvement also.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826705/
I'm glad to hear things are well with your healthcare, Ms. Liz. That was my experience in being on the payment side of MA; the coverage was bar none and the cost (free) couldn't be beat!
Rather than our healthcare needing to be better for people who make too much for MA, I would say that the COST of healthcare for the following group needs improvement and was made DRASTICALLY worse by Obamacare:
People in the U.S. who pay 100% of the cost of individual medical insurance out of their own pocket. It was expensive for them before Obamacare and absolutely horrendous for them after Obamacare.
That specific group is comprised mainly from people who are self employed such as business owners and independent contractors and does NOT include the following groups:
Medicaid recipients (free coverage).
Government employees at the federal, state and local levels (affordable monthly premiums).
Group health members (anyone who works for an employer who offers a group health plan. Affordable monthly premiums).
It's definitely true though that the individual health insurance crowd is getting KILLED on the cost of their health insurance. However the general sentiment among those who "got theirs" (government workers, group health recipients) is that those small business owners shouldn't be a high priority to come to the aid of.
goldfish21
Veteran
Joined: 17 Feb 2013
Age: 42
Gender: Male
Posts: 22,612
Location: Vancouver, BC, Canada
Are there waitlists for non emergency surgeries? Yes. A friend has to wait something like 2 years for a knee surgery he Needs. There’s a backlog of almost all surgeries that aren’t critical or emergency and it disrupts lives and the economy as some people are bad enough off that they have to sit at home crippled on disability payments because they’re not well enough to work until a necessary knee or back surgery is completed. But they eventually get it done. It’s not rationed, per say, just backlogged.
But immediate needs are tended to in a timely nature. My sister exploded her foot a couple weeks or so ago. REALLY BADLY. As soon as the swelling was down enough, and because she wasn’t bumped by any emergency surgeries, she had it operated on a couple days ago - put in a couple balls, a few plates, and lots of screws and pins. With a little luck she won’t have to have any of the metal removed or additional surgeries in the future, but she does have a solid year or so of recovery time ahead of her now.
If I go to an emergency room the wait time depends on patient load and priority, like most anywhere in the world. Some hospitals are known for long waits because the local demographic clogs up emergency rooms just because they can and don’t want to wait to go to a clinic or their gp. So if I ever have to go to an Er there are a couple hospitals a farther drive away that are known for short wait times, so I’ll drive the extra 20 mins and then have next to no wait vs potentially all night. In either case, whatever is needed is given. There’s no putting bandaids on compound fractures and pretending that’s good enough or anything like that. People get the medical attention they need and then go on their way without ever seeing a bill.
I don’t know, but I’d wager that the quality of service and timing of procedures is similar to decent healthcare plans in the USA. Perhaps those with top level insurance plans Or the cash to pay out of pocket may receive faster surgery times. But overall peoples’ ailments are treated and no one is doling out bandaids and Tylenol in place of surgery and Physiotherapy. We get a full meal deal, we just sometimes have to wait for it depending on what the ailment or procedure is.
Surgeries and other non-emergency care is not scheduled on a "who has better insurance" gets in first basis. It isn't.
I think that's absolutely terrible that your friend would have to wait TWO YEARS for a knee surgery he needs. That's awful. I would even say cruel. No way do elective surgeries take that long in the U.S. I've never in my life heard anyone waiting even half that amount of time to schedule any procedure.
I had hernia surgery last year. I think the scheduling put me out five weeks from the consult appointment.
It's not that the self-employed can't get health insurance in the U.S. They can. The issue is that the cost of health insurance for them is insanely high. It was made that way directly because of Obamacare. That's not some sort of partisan opinion on my part, it's a fact. Someone paying for 100% of their own health insurance can pay upwards of $500/month. For a family of five it can be $20,000 per year.
Someone working for a company that provides group health coverage pays in a range of roughly $100-$150 per month in insurance premiums for a plan that would have a deductible of perhaps $1,500-$2,000 per year.
Aye, that’s terrible: but it isn’t a rationing system, it’s the government reducing funding overall when the national insurance fund is in surplus (multi billion pound surplus)...
They’ve also let the roads fall to bits, bankrupted swathes of the education system and reformed the welfare system in a way that has increased homelessness by 40%, and left military veterans starving to death in cold bedsits: file under “currently run by idiots who don’t realise they’re asking for a revolution”.
Goldfish: Which group or groups in the U.S. would favor the Canadian healthcare system?
>Medicaid recipients already receive outstanding and unlimited healthcare for free with wait times nothing like those in Canada. This group wouldn't want to change because they're already getting free coverage and better coverage because they don't have to wait for care.
>Government workers and employees of companies that provide Group Health pay relatively small monthly insurance premiums and generally have low deductibles and wait times nothing like those in Canada. It would be a hard sell for this group (the largest of the three?) because they'd be saving a fairly small amount of money in exchange for far longer wait times for care.
>Self employed pay very high insurance costs but with wait times nothing like those in Canada.
Maybe group three would be receptive?
I work for The City of New York. I don’t get anything taken out of my check for my health insurance. I’m pretty lucky.
From what I understand government employees have always had a good deal on healthcare. Now if that could include everyone. At least those who need it. My aunt has a similar deal already. Of course both of you only have it as long as you have your job.
Aye, that’s terrible: but it isn’t a rationing system, it’s the government reducing funding overall when the national insurance fund is in surplus (multi billion pound surplus)...
They’ve also let the roads fall to bits, bankrupted swathes of the education system and reformed the welfare system in a way that has increased homelessness by 40%, and left military veterans starving to death in cold bedsits: file under “currently run by idiots who don’t realise they’re asking for a revolution”.
Why they are holding onto that surplus instead of helping people?
My county road fell off, like really fell off in a landslide and it was weeks before it was fixed.My county is poor and doesn’t have the funds to maintain our roads so I can understand the wait.
But letting roads and services fail with a surplus is awful.
_________________
I am the dust that dances in the light. - Rumi
I bolded a sentence that alarms me from the 2018 article:
"Last year, Canadian patients forewent $1.9 billion in wages while waiting for medical treatment, according to a report from the Fraser Institute, a Canadian think-tank. Canadian patients face some of the longest waits for care in the industrialized world due to their government-run system’s strict rationing."
Two things I have heard Canadians say to Americans is "if you think your healthcare is expensive now, wait until it's free" and saying how long they have to wait to see a doctor.
Mine hadn't torn through the abdominal wall, it was only bulging but would have broken through with any strenuous lifting so it limited my quality of life as it was.
I have a very small umbilical one.It only causes problems if I have a coughing fit.I know to place a finger there and hold.My GP advises to let it be unless it pops out and doesn’t go back in.Then I should go to ER.He also said I could blame it on my two kids, the c-sections weakened my abdominal wall.
_________________
I am the dust that dances in the light. - Rumi
It's not that the self-employed can't get health insurance in the U.S. They can. The issue is that the cost of health insurance for them is insanely high. It was made that way directly because of Obamacare. That's not some sort of partisan opinion on my part, it's a fact. Someone paying for 100% of their own health insurance can pay upwards of $500/month. For a family of five it can be $20,000 per year.
Someone working for a company that provides group health coverage pays in a range of roughly $100-$150 per month in insurance premiums for a plan that would have a deductible of perhaps $1,500-$2,000 per year.
The Affordable Healthcare Act took away actually affordable healthcare they had and gave then a hugely expensive high deductible low coverage plan. And if they can not afford it, the government fines them when they submit their taxes.
goldfish21
Veteran
Joined: 17 Feb 2013
Age: 42
Gender: Male
Posts: 22,612
Location: Vancouver, BC, Canada
Our provincial insurance plan used to cost ~$900/yr for individuals and ~$1800/yr for families, billed monthly. But we’re one of the last provinces to have a premium at all and just this past year it’s been eliminated so the only money I and others owe for it is for any months/years we earned enough money to have to pay but didn’t lol so they just withhold my tax returns until it pays off health insurance premium debt.
Some non emergency surgeries have wait times a lot longer than 18-24 months. Some are 3-4 years depending on the surgery or procedure and it’s priority. People with deep pockets can pay a private hospital surgeon for an operation Right Now if they have the means. Almost everyone just waits their turn. My friend’s 18-24 month wait is pretty typical for a knee surgery. Painful, but he won’t see a $$$$$ bill for it At All.
>Medicaid recipients already receive outstanding and unlimited healthcare for free with wait times nothing like those in Canada. This group wouldn't want to change because they're already getting free coverage and better coverage because they don't have to wait for care.
>Government workers and employees of companies that provide Group Health pay relatively small monthly insurance premiums and generally have low deductibles and wait times nothing like those in Canada. It would be a hard sell for this group (the largest of the three?) because they'd be saving a fairly small amount of money in exchange for far longer wait times for care.
>Self employed pay very high insurance costs but with wait times nothing like those in Canada.
Maybe group three would be receptive?
Literally any American who can do math and realizes that paying 5x as much in administrative costs is vs Canada’s system is a complete waste of money that could be put towards healthcare for all instead.
“The U.S. administrative costs came out to $812 billion in 2017, or $2,497 per person in the U.S. compared with $551 per person in Canada, according to the Annals study.Jan 6, 2020”
So, maybe very few Americans as it seems many cannot do math nor do they care about their fellow countrymen.
_________________
No for supporting trump. Because doing so is deplorable.
Aye, that’s terrible: but it isn’t a rationing system, it’s the government reducing funding overall when the national insurance fund is in surplus (multi billion pound surplus)...
They’ve also let the roads fall to bits, bankrupted swathes of the education system and reformed the welfare system in a way that has increased homelessness by 40%, and left military veterans starving to death in cold bedsits: file under “currently run by idiots who don’t realise they’re asking for a revolution”.
Why they are holding onto that surplus instead of helping people?
My county road fell off, like really fell off in a landslide and it was weeks before it was fixed.My county is poor and doesn’t have the funds to maintain our roads so I can understand the wait.
But letting roads and services fail with a surplus is awful.
Well, the surplus is in an earmarked fund that can only be used for healthcare and old-age care.
I think they’re using it to make the master balance sheet look better than it would otherwise.
When George Osborne first became Chancellor he made a mess of the banking sector recovery system that was set up after the financial crash and it blew a hole through their financial management plan.
That and their “efficiency savings” in the welfare system cost 150% more per head than previously, despite delivering 35% less to recipients. (Private sector franchising gone wrong)
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