There is no government subsidy of ER visits. The unfunded ones get paid for by the funded, hence the cost. When you see your doctor you get billed pretty reasonably, I think the 10x cost difference you stated is pretty close.
My problem is with the assumption that government health care will both cover more people and bring costs down, it can't unless the actual expenses of health care decrease. An actual doctor visit is pretty inexpensive, your co-pay in fact is a sizable ammount of the expense. Such as a $10 co-pay on a $50 visit. When you start seeing specialists or need treatment that's where it gets expensive. My son broke his arm and the cost of setting the bone and putting it in a cast was $2000. Now why is it so expensive. We pay for a building plus utilities, then for an hour of the Doctors time, for the other staff, then for the use of the tools and supplies used, but that's not the expense. We then pay for the malpractice insurance of the doctors, and then the cost of litigation for anyone who supplied anything for the procedure. In the end something that should cost a few hundred dollars costs a couple thousand. Now we want to start giving this same broken coverage to everyone?! Drugs are cheap to make, research is expensive, but the real cost is the threat of a class action lawsuit 20 years down the road. Drug companies don't want to go bankrupt, so the charge high prices both to limit the demand and to make up for any subsequent lawsuits. If you take this out of the equation then you have much cheaper drugs.
But nobody wants to tackle the costs. Everyone wants to be the hero that gives free health care away and anyone opposed wants kids to die. As it's been brought up before, both sides have pushed different health care reforms to this end, but nobody wants to make it so that individuals can afford to pay for treatments themselves, or so that insurance can be cheaper by making medicine cheaper. Instead they all want to magically make the money appear to pay for a system that is unsustainable.
What I'm asking for is actual health care reform that both brings down cost and also provides cost transparency. I have no problem with hospitals providing ER coverage to the uninsured, but since the federal government mandated it they should pay for it! Yes that means you and I paying for it, but it also means that it's part of the budget that we can see instead of a hidden part of the cost. Get the trial lawyers under control. If a drug company or a doctor is negligent or otherwise malicious then they should be charged with crimes not litigated so that the cost is dropped on us. And on another note, if there are two treatments, one costs $1000 and the other $10,000 I should get to chose which I have and have some cost upon me even if I'm insured, because most doctors are going to go with the better of two treatments even if it's only 5% better because they are fearful of litigation if something goes wrong.
Sorry for the rant, but the way this issue gets tossed around like a tennis ball without addressing the fundamentals really burns me.
It amazes me that so many Americans are so thoroughly confused and ignorant as to the truth about politics, and politicians. They are confused and ignorant about issues, and completely willing to drink the kool aid spewed by either side of the proverbial "aisle".
Agreed. Both sides spin issues however they can to get support. Anyone who trusts a politicians mouth while ignoring their record is a fool.
The world is full of grayness. Each issue has a multitude of variables, each with significance. The electorate at large is comprised mostly of a bunch of clueless, mindless drones unable to reason and unable to see through the bullshit.
Agreed as well, everyone has a different opinion which is why we are a republic of individual states. If you want your government to be a certain way then move to the state most like it and push for your change. The problem is when the politicians try to move the whole nation in a direction without understanding the differing opinions/needs within the nation.
"Freedom" means I can do whatever I want and you should just leave me alone. Snake oil salesmen love freedom. "Maintaining Principles" means that they know your arguments are morally right, but they do not give a damn, for accepting the change means bad things for them. "Reaching across the aisle" means get on board with me.
Freedom is subjective, but the trick is to maintain a level of freedom for everyone without bullying anyone.
"Maintaining Principles" hinges on what the principles are, and although you may believe your side is morally right I may disagree. We are both maintaining our principles by voting with our own morality.
Reaching across the isle means either slapping the crap out of the other side (across the isle) or bribing the other side into agreement. I disagree with it in both cases. If you believe in something stand by it. Disagreement and discussion is important for everyone's rights to be maintained.
You CANNOT have ANYTHING for free. You MUST pay for it. One way or another. This is NEVER in doubt. The ONLY questions are HOW and WHO.
Again agreed. The problem is what about the things we have paid for and never received. Social Security is a prime example, for years it was the government's piggy bank. Now they want more money for this and that, but they don't even pretend to know where it's going or how it's used. Just a little example:
Schools need more money, they currently get $2 in funding. The politicians push for a tax to fund the schools, the tax collects $3. How much money do the schools now get?
$3
How's that you ask: The $2 that was going to the schools before now gets spent on other things. They didn't lie, the tax goes to the schools, but don't you feel like you just got taxed an extra $2 for nothing? I don't trust the government with any more money because they haven't been trustworthy with what they have.
I can't believe people are STILL buying into trickle down...
People still believe trickle down, because in concept it works. In reality, if you only apply tax cuts to your buddies then they are the only ones that have growth at the expense of their enemies. Without people starting businesses and changing the status quo we have no growth, but squashing them by giving tax breaks to their bigger competitors only leads to stagnation and more corruption.
I just cannot believe that at this point in history, with so many "enlightened" and "educated" people in this country that we're willing to: - Force Grandma into the street because SS is not keeping up with inflation because these damn people raided the funds so many time throughout history!! - Or refusing to pay for her heart meds, so an company's investors can make more cash. It should NOT EVEN BE AN ISSUE! - Force lil Timmy to die, because some young healthy guy in TX doesn't want to pony up the dough to help his fellow human out.
That "Freedom" word is thrown about quite a bit. Usually by a selfish pariah seeking to capitalize on your ignorance. How about instead of "Freedom", we start talking about "Fellowship"?
Well you've obviously been drinking some kool aid too if you think one side is going to force grandma out on the street, or refuse to pay for heart meds, or force little Timmy to die. Social security is a ponzi scheme, and putting more money in it will not change that. I don't think either side is going to kill social security, but I hope somebody will someday find a way to wind it down gracefully. Refusing to pay for heart meds so that a company's investors can make more money? Do you realize that the company that makes those heart meds has investors too? It should be an issue, because medicines and treatments do cost money. The pundits can talk about death panels all day long, but the truth is that you get them with government health care or insurance companies. At the end of the day you do have to figure out how much a life is worth because the money isn't limitless, and giving one person treatment will deny another. As for a guy in Texas not willing to help his fellow man out, I'm more than willing to help out my fellow man, but I'm not willing to give more money to the government to do it. When they can start accounting for every cent and stop playing accounting games then we can talk. Until then I look at the federal government the same way I look at Enron or Pharmor.
Fellowship is a great way to look at a small community, but for a nation it sucks. Many people already believe that government money is free and taking it has no effect. Unless you can see the cost of your own actions you are not morally bound to them. I haven't taken government money even when I have had the opportunity because I know that I would be depriving someone else, and I also haven't been desperate enough to truly need it. I'd rather stand on my own two feet as long as possible than take from someone else, but sadly I think I'm the minority.
members of Congress are not _that_ stupid.
Have you looked at congress lately?
Everyone doesn't have health care. Lots of people choose not to have health care. Yeah it's expensive, yeah you have to give up other things to get it, but if you don't have it and can afford it that's not my fault! If you really want to make a difference then focus on what makes health care expensive, not covering everyone with the same expensive health care.
Also:
Or are you just trying to say you want the Health Insurers to be able to drop people when they get sick?
Really?! Is that all you can say to someone who doesn't agree? Might as well tell me that I want little kids to die and want to take away grandma's medicare or maybe I kick puppies too. Ignoring the truth may be less painful but it does make you look like a moron.
Blackwater, Haliburton, and other defense contractors did pretty well under GWBush with a Republican controlled congress. FTFY
And of course they didn't under Clinton or Obama? Please make a comparison, or at least make your case for this statement. It seems to me you are just lumping together a group of names that are unpopular in an attempt to make an emotional case instead of making an actual point which is fine for a campaign add but not for a debate.
You must realize that the computer has it in for you. The irrefutable proof of this is that the computer always does what you tell it to do.