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PostPosted: Wed Aug 04, 2010 10:51 am 
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yes. By all means. Lets praise people for fits of childish namecalling?


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PostPosted: Wed Aug 04, 2010 10:53 am 
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Hopwin wrote:
Elmarnieh wrote:
Hey you pathetic pile of genetic slop,

I'll have done to me as I do to others every day of the week. You know absolutely **** about me you donkeyball sucking pea-brained bag of smashed ****.

**** off and die. You have no motivation to make the world a better place because you're a lazy, self-absorbed, ignorant git who can't think rationally because you don't even bother to try to understand what it means. Not that your feeble grasp of any concept or term could even begin the ascent to understand of anything of importance.

Holy crap, I wonder if I could get away with using that as my signature...


No.

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PostPosted: Wed Aug 04, 2010 10:55 am 
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TheRiov wrote:
not at all. I'm well aware they're not allowed to refuse care.

You just made my point for me. That care must be paid for somewhere. Better to have it 'within the system' Rather than bill customers who cannot pay and passing those costs (plus the overhead for it) on to everyone else better to have it within a system set up for this purpose.

I think you and Aizle are both missing the much larger issue here.


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PostPosted: Wed Aug 04, 2010 10:59 am 
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Ladas wrote:
TheRiov wrote:
not at all. I'm well aware they're not allowed to refuse care.

You just made my point for me. That care must be paid for somewhere. Better to have it 'within the system' Rather than bill customers who cannot pay and passing those costs (plus the overhead for it) on to everyone else better to have it within a system set up for this purpose.

I think you and Aizle are both missing the much larger issue here.


And you think that is what?


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PostPosted: Wed Aug 04, 2010 11:16 am 
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TheRiov wrote:
I'm seeing the effects of this right now. The biggest hospital in the area just laid off 700 employees because they had over 100 million in unpaid bills last year.


I'm wondering how this hospital somehow failed to anticipate that some percentage of its patients would be indigent. Was there a huge increase in nonpayments in the past year?


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PostPosted: Wed Aug 04, 2010 11:19 am 
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TheRiov wrote:
yes. By all means. Lets praise people for fits of childish namecalling?

No offense to the target, but that was an epic rant.

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PostPosted: Wed Aug 04, 2010 11:51 am 
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Xequecal wrote:
TheRiov wrote:
I'm seeing the effects of this right now. The biggest hospital in the area just laid off 700 employees because they had over 100 million in unpaid bills last year.


I'm wondering how this hospital somehow failed to anticipate that some percentage of its patients would be indigent. Was there a huge increase in nonpayments in the past year?


It happens, especially here in Philadelphia, the hispanic population generally does not carry insurance, so it has been a cascade effect of closed hospitals as they carry their burden place to place, MCP, Graduate, North Eastern and we are tying to figure out where the grape vine sends them next because that hospital will go under in 5-10 years.

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PostPosted: Wed Aug 04, 2010 11:52 am 
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Elmarnieh wrote:
There are many many ways to handle it that you haven't even bothered to consider.


Clearly, Riov's never read the evidence.


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PostPosted: Wed Aug 04, 2010 12:46 pm 
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It's not just the no insurance ER people. While I agree something should be done about those that use the ER as their primary care physician(while still taking the traumas and strokes), there is more to it than that. Sometimes insurance companies (and Medicare is a big offender) deny reembursement for procedures already done due to "paperwork snafus" or they just take their sweet time to pay. So insuraning the whole nation won't get rid of outstanding bills. Law of averages holding true more clients will equal more outstanding bills

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PostPosted: Wed Aug 04, 2010 12:50 pm 
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Squirrel Girl has mentioned this several times in the past: Medicare/Medicaid Compliance is the single largest operating cost for any healthcare provider in this country. Why on earth would think that expanding THAT bureaucracy would make the system more efficient?

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PostPosted: Wed Aug 04, 2010 12:58 pm 
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Arathain Kelvar wrote:
Elmarnieh wrote:
There are many many ways to handle it that you haven't even bothered to consider.


Clearly, Riov's never read the evidence.


I see what you did there. :)


Ok, I have a question....obviously, people who have no means of payment or insurance cost hospitals a huge sum of money every year. I get that part. I also get that the hospital has to recoup their costs somehow and wind up charging more for other things when insurance and people can pay for stuff. That makes sense too.
What doesn't make sense to me, is how is forcing EVERYONE to have health insurance going to fix anything? I mean, those who already have health coverage would already be obeying the law, so that doesn't change. But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?
And if its made to where those who can't afford insurance get it provided for free by the government....well, then wouldn't the cost go directly to the taxpayers, AKA the citizens who already had health insurance to begin with?
So really, the end result would be that we all pay for everyone elses care instead of the burden falling on the hospital.

So....can't we just cut the BS and the health care plan and just call it like it is? A government bail-out of the hospitals just like the car industry and the banking industry?

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PostPosted: Wed Aug 04, 2010 1:11 pm 
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LadyKate wrote:
But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?


Aye, that's why there are subsidies built into the ACA to help people who can't afford the insurance on their own.


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PostPosted: Wed Aug 04, 2010 1:13 pm 
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LadyKate wrote:
Arathain Kelvar wrote:
Elmarnieh wrote:
There are many many ways to handle it that you haven't even bothered to consider.


Clearly, Riov's never read the evidence.


I see what you did there. :)


Ok, I have a question....obviously, people who have no means of payment or insurance cost hospitals a huge sum of money every year. I get that part. I also get that the hospital has to recoup their costs somehow and wind up charging more for other things when insurance and people can pay for stuff. That makes sense too.
What doesn't make sense to me, is how is forcing EVERYONE to have health insurance going to fix anything? I mean, those who already have health coverage would already be obeying the law, so that doesn't change. But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?
And if its made to where those who can't afford insurance get it provided for free by the government....well, then wouldn't the cost go directly to the taxpayers, AKA the citizens who already had health insurance to begin with?
So really, the end result would be that we all pay for everyone elses care instead of the burden falling on the hospital.

So....can't we just cut the BS and the health care plan and just call it like it is? A government bail-out of the hospitals just like the car industry and the banking industry?


You're thinking too much. So here's a picture of a kitten farting a rainbow.
Image

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PostPosted: Wed Aug 04, 2010 1:13 pm 
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Elmarnieh wrote:
If they are bleeding in front of a doctor its the doctor's decision, if they bleed in front of a hospital its the hospitals decision. Otherwise have a consent form for indentured servitude to try to recoup costs.


It's such a lovely world you wish to construct there, Elm.


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PostPosted: Wed Aug 04, 2010 1:21 pm 
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RangerDave wrote:
LadyKate wrote:
But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?


Aye, that's why there are subsidies built into the ACA to help people who can't afford the insurance on their own.


which is still piling the cost back onto those people already paying their medical bills. After all that money has to come from somewhere.

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PostPosted: Wed Aug 04, 2010 1:30 pm 
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RangerDave wrote:
Elmarnieh wrote:
If they are bleeding in front of a doctor its the doctor's decision, if they bleed in front of a hospital its the hospitals decision. Otherwise have a consent form for indentured servitude to try to recoup costs.


It's such a lovely world you wish to construct there, Elm.



RD, go build a world out of love and tell me how it turns out for ya.

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PostPosted: Wed Aug 04, 2010 1:32 pm 
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Müs wrote:
You're thinking too much. So here's a picture of a kitten farting a rainbow.
Image

Heh - I saw LK's new avatar before this. So I asked Lenas: Is her avatar farting a rainbow? 1 minute later I see this post.

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PostPosted: Wed Aug 04, 2010 1:35 pm 
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I think its very fitting....its so me. Hee hee. Thanks Arafys! :D

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PostPosted: Wed Aug 04, 2010 1:39 pm 
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LadyKate wrote:
I think its very fitting....its so me. Hee hee. Thanks Arafys! :D

You're a colorful stinky pussy?

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PostPosted: Wed Aug 04, 2010 1:40 pm 
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Um. No. :shock:

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PostPosted: Wed Aug 04, 2010 1:44 pm 
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RangerDave wrote:
LadyKate wrote:
But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?


Aye, that's why there are subsidies built into the ACA to help people who can't afford the insurance on their own.


So, why not address the whole post rather than the obvious - that she already addressed?

LadyKate wrote:

And if its made to where those who can't afford insurance get it provided for free by the government....well, then wouldn't the cost go directly to the taxpayers, AKA the citizens who already had health insurance to begin with?
So really, the end result would be that we all pay for everyone elses care instead of the burden falling on the hospital.

So....can't we just cut the BS and the health care plan and just call it like it is? A government bail-out of the hospitals just like the car industry and the banking industry?

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PostPosted: Wed Aug 04, 2010 1:45 pm 
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Rorinthas wrote:
RangerDave wrote:
LadyKate wrote:
But the people who could not afford it before are still not going to be able to afford it and then they will be in debt to the hospitals for the services AND the government for non-compliance?


Aye, that's why there are subsidies built into the ACA to help people who can't afford the insurance on their own.


which is still piling the cost back onto those people already paying their medical bills. After all that money has to come from somewhere.

This this this.

This is actually just pushing money around. Instead of the insurance companies footing the bill (and passing on the costs to the people who are paying for insurance because they're not broke), now we've just got government footing the bill (and passing on the costs to the people who are paying for taxes because they're not broke).

Net change? 0 to negative, as the government doesn't have competition to encourage its bureaucracy to remain lean.

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PostPosted: Wed Aug 04, 2010 1:51 pm 
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except that people without insurance pay taxes so instead of the costs being borne soley by those with insurance, the cost is borne by the somewhat larger pool of people who pay taxes.


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PostPosted: Wed Aug 04, 2010 1:54 pm 
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TheRiov wrote:
except that people without insurance pay taxes so instead of the costs being borne soley by those with insurance, the cost is borne by the somewhat larger pool of people who pay taxes.


Until those people without insurance begin to cover illegal immigrants who work under the table and pay inadequate amounts of taxes in comparison to others, or until you begin to cover those who are unemployed and homeless and get free assistance because they have no income and cannot pay taxes.

Do you even think before you type this **** man?

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PostPosted: Wed Aug 04, 2010 1:58 pm 
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TheRiov wrote:
except that people without insurance pay taxes so instead of the costs being borne soley by those with insurance, the cost is borne by the somewhat larger pool of people who pay taxes.



You sure about that? Almost half the nation didn't pay taxes this past year. It would be pretty safe to assume that if people can't afford insurance, they aren't paying much if any in taxes yearly.

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