Coping with "Medicare for all"

That poem is pretty good! :smile:

But this analogy is pretty bad.

Not sure who to root for in this one, I’m sure there’s plenty of bad incentives and motives to go around.

https://www.politico.com/news/2024/07/10/ftc-pharmacy-insulin-drug-00167342

You’d think any fatphobia out there would have been cured by now vis massive doses of exposure therapy. But they’re still teaching this at UCLA, a place that previously produced good doctors.

UCLA medical school’s mandatory “Structural Racism and Health Equity” class. Launched in the wake of George Floyd’s death, the course is required for all first-year medical students.

The Washington Free Beacon has obtained the entire syllabus for the course, along with slide decks and lecture prep from some of its most explosive sessions. The materials offer the fullest picture to date of what students at the elite medical school are learning and have dismayed prominent physicians—including those sympathetic to the goals of the class—who say UCLA has traded medicine for Marxism.

Meanwhile, things are going no better north of the border.

Until recently, medical schools favoured science training among successful candidates. Yet my source avowed that today, students need only a couple of courses in nutrition to satisfy the prerequisite for scientific knowledge among the next cohort of Toronto doctors. “Why do you think I go to the gym every single day? I can’t afford to fall sick, not with these people practising medicine.”

there are pockets within medicine where the ‘first-do-no-harm’ doctrine has been utterly obliterated. Consider, for instance, the field of addiction medicine, where the new orthodoxy has been to expunge the very words ‘addiction,’ ‘treatment’ and ‘recovery’ from the medical lexicon when working with people who use drugs. Why? Because such words epitomise a language of white, Eurocentric dominance. But it is this self-same permissive Eurocentricity that insists drug users have rights to a clean drug supply and safe-injection spaces, unfettered from social norms—rather than charting a path to better health, independence and higher social functioning. “People are entitled to their euphoria,” I’m told, with an admirably expressionless conviction that makes me question whether they’re pulling my leg. The silence sprung from this ludicrous revelation hangs between us. The doctor sums up eloquently. What we are dealing with here is merely palliative care. In a nutshell it amounts to an ethnic cleansing of the lower socioeconomic classes

is essential we shore up our medical education system with a hard return to medical science before everyone is crushed by the impending collapse of competence.

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Inflated election year posturing? Say its not so.

What do Biden’s drug price comparisons reveal? Not much

White House price comparisons dramatically overstate what Medicare pays for prescription drugs

I guess that’s fair game for any administration on an election year but first, only 10 drugs sounded pretty limited to me. And even then, the estimated annual savings of $6B seemed like a drop in the bucket, especially when compared to a sticker price that I doubt anybody ever really pays.

For better context, show me the price of these drugs (or equivalent) in Europe. If below these, fine /golf clap. But also fit these “savings” in the projected change in annual drug costs for the entire US population next year.

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joyful progress!

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Hypocrisy is too mild a word for this willful evil.

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The government requires every citizen to prove they are insured? How? Is it the tax return asking about 1095-B or whatever? Does the government require every citizen to file a tax return?

Also this is from circa 2010 and Ben Stein never said this: Ben Stein on Health Insurance | Snopes.com

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In 2010, the ACA mandated that everyone had to be insured or face tax penalties. But that ended in 2019 so yeah pretty old fake news.

That said I don’t disagree with the sentiment of not wanting to use taxpayer money on illegals who don’t contribute to the system. Taxpayer money should be used to serve legal residents only. Illegals can fund their healthcare expenses on their own dime or return to their own countries to take advantage of welfare systems they are legally entitled to.

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That’s understandable, but the current situation is that we do have people residing here illegally, and sometimes those people need medical services and end up in an ER. Should the doctors turn them away? That’d be unethical and inhumane. Should they provide treatment for free? That doesn’t seem fair to the doctors or sustainable for the ER, although that is probably what happens, so the rest of us pick up the tab anyway through inflated healthcare costs and inflated insurance rates.

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Or in CA directly via taxes to pay for Medicaid for illegals.

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wow! Illegals on Medicaid. Only state of CA? How is CA doing this with the feds paying part?

Sounds like a missed opportunity to have Medi-Cal share their list of enrolled illegals with ICE…

How CA does it? If I had to guess, they may have expanded Medicaid coverage using state funds only. At least, I’m hopeful that they did not get around to providing matching federal funds for unqualified immigrants (and thus not use my tax dollars for illegals).

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Absolutely not. It would go against their Hippocratic / hypocritic oath.

The doctors should call ICE who will return the patients, free of charge, to their country of origin which already has universal healthcare, which we all know is a gabillion times better than the U.S. healthcare system. Just ask Sixty Minutia about their detailed, curated, un-edited, self-identified as honest, in-depth study of Algore’s Cuba’s healthcare system. I mean, how could Fidel Castro still be alive if their healthcare wasn’t free, fair, equitable, and DEI-centric?

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IIRC Medicaid has provisions valid in all states that explicitly covers the treatment of patients with emergencies even if they are unqualified immigrants. Meaning the doctors can stabilize emergencies and still get paid. But other/further treatments should not be covered by Medicaid unless the patient is eligible.

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I don’t think they get paid for emergencies by the state or the Feds, they just have to do it and hope to charge everyone else (including Medicaid patients, etc) more to make up for providing free care to the illegals or other indigents. Of course if you’ve been following some of Sen Warren’s latest grandstanding against private equity in healthcare, the problem is many hospitals serving smaller communities are just not economic and are going bust and/or shutting down.

There’s a limit to how much free care you can give out before you go bust, whether that’s welfare or free stuff to illegals (where a lot of the FEMA money went, instead of our latest domestic disaster), etc.

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I don’t think that’s right. Here’s the coverage in my state for illegals:

" Alien Emergency Medical Assistance

Who is Eligible? Non-U.S. citizens who are not eligible for Medicaid.

Description: Provides coverage for the treatment of emergency medical conditions for certain individuals who do not meet Medicaid citizenship requirements"

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Before or after they provide care? Since turning them away is against their hypnotoad oath.

All glory to the hypnotoad.

Also should it be the doctors’ responsibility to call ICE?

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Lemme think about that … hmm … After the doc provides the necessary emergency treatment, if he/she/it determines that the patient needs further, non-emergency treatment, it seems that not letting ICE provide that “free” trip to their “free” medical care in their home country would be anti-hypocratic. Additionally, I wouldn’t mind a requirement that medical systems notify ICE of patients who can’t provide a valid SSN in order for the system to be paid.

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The point is, their home country already has the free universal healthcare that we are suppose to be striving to have instead of our messed up system. So from a medical standpoint, it should be preferable for them to return home for treatment.

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