"Healthcare" in the US

Discussion in 'world politics, current affairs and news' started by Yuwipi Woman, Mar 15, 2017.

  1. CRI

    CRI Registered Chooser

    Sorry - lost the link to the dental care story, and can't find it now! It was cases of two people who couldn't afford dental care. One went to the ER (and Republicans keep saying because you can get emergency care there, that goes far enough in terms of "access to health care,") and was prescribed antibiotics he couldn't afford. Both ended up with dental abcesses that turned to septacaemia and they died. :(
  2. CRI

    CRI Registered Chooser

    House Democrats are up in arms over the Trump administration’s move to slash teen pregnancy programs, pressing officials to justify the decision.

  3. TomUS

    TomUS non-resident

    It's all about a health insurance industry making tons of money off an antiquated inadequate system for patients and putting out propaganda to keep the gravy train going.
    coley likes this.
  4. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    McCain wasn't the only one to leave a sick bed to vote:

    The heroic Senator with severe cancer who interrupted treatment to vote... NO
    Almor, CRI, spring-peeper and 2 others like this.
  5. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

  6. spring-peeper

    spring-peeper Well-Known Member

    Lawsuits could force feds to pay Obamacare insurers
    CRI likes this.
  7. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Here it comes:

    Trump Directs Threats Toward Poor People's Healthcare So He Can 'Win'

    This is pretty much what I expected. They're going to make sure Obamacare fails by withholding its funding.
    Last edited: Jul 31, 2017
  8. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Senate Democrats Introduce Bill Allowing Medicare Buy-In At 55 | HuffPost

    I'd love to see this. I'm 54 and would race to get out of the workforce, as would many people my age. One of the ongoing issues with the economy is that there's no jobs for younger people. How good would it be for the economy for people my age to be able to go out and start businesses? Or, feel comfortable taking other risks? That would open up a huge (Yuge!) numbers of jobs for younger people to move into "real" jobs, instead of the "mc"jobs, a lot of them are working just to survive.

    The other benefit of this, is that once it was demonstrated to work, other age groups could be included as well. Start with 0-10, then 40-30, etc., until everyone is covered.

    But, the reason this won't happen is very simple. Our politicians want people to be chained to their jobs. They want people to feel insecure, because its easier to control scared people and beholden people.

    I also understand that Bernie Sanders is introducing a single payer bill soon. While I'd be happy to see that too, I don't think it would pass with the current Congress. It does, however, get the idea out there as a viable option for the future. Wasn't it Churchill who said that "you can count on the Americans to do the right thing, after they've tried everything else"?
    Last edited: Aug 4, 2017
    CRI likes this.
  9. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    No one should be surprised by this.

    Diabetic man, 62, arrested for threatening Nevada senator over Obamacare with note reading 'If I'm going to die... I will take you with me'

    Police: 'Threatening note' found near senator's office | Daily Mail Online

    I've been to several town hall meeting with representatives and people are really angry, while their politicians have proven over and over that they aren't listening.
  10. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Just got next year's premium costs for health insurance this next year. It's not good. They've started to base our employer's plan premiums on the age of the enrollee. Since I'm now 54, that puts me in nearly the highest premium bracket. It looks like my portion of the premium will rise by $48.15 per pay period. If I were 55, it would rise by $56.94. If I were 64, the cost would rise by $128.20. We're told the rates go up again substantially on Oct. 1. So I get something else to look forward to next year.

    The silly thing is that I still feel lucky. I still have health insurance, unlike millions of other people.

    Sorry about the rant. I post this, in part, because I can't imagine I'm going to be the only one. All of the turmoil in American healthcare is going to bankrupt a lot of people. I used to say you can't afford to get sick. Now, you can't afford to be well either.
  11. StoneRoad

    StoneRoad heckling from the back!

    That sucks, big time. IMO.
    No idea how much this would be ... if not for the NHS.
    My OH has had a gall bladder extraction in July (after three inpatient trips over the last two years, of between one and two weeks each time) and is now waiting for a "bionic hip" - as my niece describes it.
    Yuwipi Woman likes this.
  12. spring-peeper

    spring-peeper Well-Known Member


    Read somewhere that some areas are putting a rape premium that females should get - scary stuff!!! If you don't take rape insurance and you get raped, does the insurance company deny women medical help?
  13. 8ball

    8ball Considerably more oppressed than yow

    Frightening. I'm a mixture of clockwork and cybernetics these days, got a bunch of machines at home and lots of consumables and drugs to keep me going (and in many ways I'm healthier and fitter than I've ever been because of them). More operations in the future too. I shudder to think what my premiums would be in the States.
    Yuwipi Woman and spring-peeper like this.
  14. spring-peeper

    spring-peeper Well-Known Member

    I agree - it was hard enough to be a stay-at-home mom and making ends meet.
    I see the US premiums and wonder how anyone can make ends meet.
    Hubby was well paid - but we could not make it if we had to pay the US health premiums,
    There are people down there (USA) whose minimum wage is peanuts - how do they survive?
  15. existentialist

    existentialist Nearly there now; steady as she goes...

    Given that 13% of the US population (as of April 2017, from here: The number of Americans without health insurance rose in first quarter 2017) don't have health insurance, I guess that's one way they manage.

    And I guess others will go short on other things, just to be able to meet the premiums - but as Yuwipi Woman illustrates, you're chasing a moving target all the time, and I guess some people will just keep falling further and further behind.

    I imagine that there are plenty of figures to illustrate the relationship of morbidity/mortality to income in the US, and presumably they show wider disparities than we might see in countries with socialised medicine.

    The crazy thing is that I imagine there's still a cost to society. The US does seem, by and large, rather good at marginalising those who drop below the line, but there's only so little you can do, even if it's just having to take on the care of children orphaned by prematurely-deceased parents, or picking up the bodies of homeless people who've died of preventable diseases.
    Yuwipi Woman and spring-peeper like this.
  16. Streathamite

    Streathamite ideological dogmatist

    christ, this is frightening. You have my every sympathy. I am currently 3 weeks away from a hip replacement operation and - although I've been dreadfully disappointed with the level of are I have received from my local hospital, all i can say still is 'thank fuck for the NHS!'
  17. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Good luck with the hip replacement. Be sure to do the exercises. I've heard that doing them before the surgery is beneficial too. :)
  18. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    Essentially, I just took a pay cut of around $1,200. That's all money that I would have spent in the local economy. I usually take a trip to Kansas to an environmental conference in the fall. I'm thinking that's $300 worth of hotel rooms, I won't be spending this year.

    These are the official statistics for the place I live direct from the County Health Department. As you can see there's a clear difference in life expectancy by neighborhood. I live in Census tract 5. As you would expect, its a poorer neighborhood that houses a lot of refugees, recent immigrants, a number of half-way houses for drug treatment etc., and working class folks of all races. Census tract 37 is where all the higher income people live. It's also where all of the hospitals, supermarkets, and health clubs are. There's a difference of nearly 28 years in life expectancy between them.

    The full report is here and this bit above starts on page 21: http://lincoln.ne.gov/city/health/pde/pdf/CommunityHealthProfile.pdf

    Just the economic knock-on effect has to be quite large. From the amount of screaming I hear, I'm far from alone. If the same pay cut applies to 10 million people. That's a lot of economic activity that isn't happening on Main Street. I've heard that when someone gets a paycheck, the money bounces around 6 times before it leaves a community. That bit of money I won't see in my paycheck, barely passes through my hands, before it leaves the community again.

    We should also not disregard the effect on business. I had to soak up some extra costs, but my employer did as well. He covers 70% of the cost of health insurance so his increase in costs was actually greater than mine. It has to be enough to put some businesses under.

    I'd also guess that you're going to have higher policing costs. If you speak to homeless people, a lot of the time the reason they're living on the street is because of a major illness wiping them out. Since we've decided to criminalize homelessness rather than house people, that's going to add to policing costs. And this is the amount of "solidarity" they get from their fellow citizens:

    Man's sign telling panhandlers to 'get a job' in Omaha | Daily Mail Online
    Last edited: Aug 25, 2017
  19. Streathamite

    Streathamite ideological dogmatist

    Thank you! yup, arthritis UK's exercise bits (on their website) has been v helpful.
    Pickman's model and Yuwipi Woman like this.
  20. Streathamite

    Streathamite ideological dogmatist

    What baffles me is this; Practically every single person with healthy insurance in the US is absolutely robbed blind, by both providers (both primary and secondary) and insurers. Americans spend much, much more (as %age of GDP) on healthcare than any other advanced-economy nation (i.e. nations one can reasonably compare to) - a whopping, eye-watering 17% (UK- 9%, Germany, IIRC c.12%), and get poorer, and more erratic care, on the whole, in return.
    Yet for republicans/conservatives, it seems an article of faith that this is a price worth paying, to ensure they don't contribute to anyone else's care.
    it's utterly bizarre.
  21. Pickman's model

    Pickman's model Every man and every woman is a star

    best wishes for a swift recovery, streathamite :)
    Nylock, equationgirl, Almor and 2 others like this.
  22. equationgirl

    equationgirl Respect my existence or expect my resistance

    Yuwipi Woman your situation sounds horrendous. I have chronic health problems requiring constant medication (7 separate meds each day), stopping one of them could trigger a relapse potentially requiring hospital treatment within 48 hours.

    If I was a US citizen I would live in constant fear of not getting the healthcare needed, plus the financial strain of an insurance policy. I don't know how you do it :(
    Almor and Yuwipi Woman like this.
  23. FridgeMagnet

    FridgeMagnet Administrator

    When I lived in the US I was working for big pharma (yeah yeah I know, we've all done some bad stuff when we were younger right). As you may imagine they get pretty good deals on health insurance for their employees, second only to if you actually work for an insurance company I suspect, plus free drugs if they're made by the pharma corp concerned.

    Yet even then when I needed to use this it was massively shit and also expensive. The "network" thing was incredibly awkward and everything came with an extra price tag; not only drugs but you pay for every consultation, and it's not like things are any faster or more efficient. I must have racked up thousands of dollars in fees, over and above the insurance premiums, for worse care than I've got on the NHS.

    Of course nowadays the problem with the NHS is getting seen at all due to cuts and overloading. That's the only way they can sell private health, the opportunity to jump the queue.
    Yuwipi Woman, Almor, Ming and 2 others like this.
  24. NoXion

    NoXion It's been 600 years...

    Why not just fuck off the insurance and start a savings account? That way you can pay into the account whatever you feel like you can, and when you do need the money for something, you won't have the additional hassle of having to get blood out of the stone that is health insurance.

    I'm guessing that there's good reasons why people don't do this, but what?
  25. TheHoodedClaw

    TheHoodedClaw acknowledging ur soup leg

    Pooled risk*. You're unlikely to be able to save up enough to pay for multi-year cancer treatment out-of-pocket.

    *notwithstanding the shitness of the US system of course
  26. FridgeMagnet

    FridgeMagnet Administrator

    The prices charged are insane, massively inflated—no individual is expected to cover them out of their own pocket, or could without being super rich. The principle of Breaking Bad was someone trying to cover their cancer treatment without insurance and it wasn't unrealistic.
  27. NoXion

    NoXion It's been 600 years...

    I've heard that medical prices in the US are so absurdly inflated because hospitals etc charge insurance companies who of course have deeper pockets than the average US consumer. Price controls sound like they might start to fix this mess but of course that seems unlikely to happen and in any case an American Health Service would be better anyway.
  28. equationgirl

    equationgirl Respect my existence or expect my resistance

    There's charges for every piece of medical equipment and tests. So, say for example you need blood tests, there's a charge for the butterfly kit, blood vials and the cotton ball and tape, the costs of each test run and then whatever treatment is prescribed, so for example IV fluids (charges for each bag and line and the venflon connection) and painkillers. A trip to the emergency room for even a few stitches can be a few thousand dollars.

    Saving to offset the costs just isn't feasible. The costs for minor injuries is already extortionate, anything requiring extensive investigation, treatment or operations will be prohibitive for all but the wealthiest.
  29. Streathamite

    Streathamite ideological dogmatist

    Cheers mate! :)
    Pickman's model likes this.
  30. Yuwipi Woman

    Yuwipi Woman Whack-A-Mole Queen

    That's nearly impossible for the average person. Streathmite's hip replacement could run $100,000 at last check. I know people with bills that exceed a million dollars. Most people have all they can do to pay their health insurance's deductibles. Mine is currently $4,500 for in network services, and $9,000 for out of network care. If you're in the hospital, there's no way to tell, when you doctor walks into the room, if he/she is in network or out of network. All of that has to be paid before the insurance kicks in. If you're sick a while and the illness goes over into the next fiscal year, you have to pay all that again. I have a health savings account in place just to pay the deductibles.

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