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PostPosted: Tue Aug 10, 2010 11:08 am 
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Monte wrote:
Private doctor's jobs don't depend on a person's vote. The depend on profit margins, and so long as those margins are high, it's all good. If a congressman gets thrown out of office because his constituents are pissed about underfunded hospitals, he doesn't get a multimillion dollar golden parachute to bail him out.

It is *much* easier to hold politicians accountable than it is to hold private businesspersons.


Doctors don't get multimillion dollar parachutes either, and they don't make money by providing substandard care. They make money by being the best in their field; that's where money, attention, prestige, professional respect and new patients come from.

It's not hard to hold them accountable either; there are all kinds of malpractice suits and licensing boards. As it is, we probably hold them too accountable already. Private buisness does not necessarily need to be accountable in the way that government is.

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PostPosted: Tue Aug 10, 2010 11:19 am 
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Diamondeye wrote:

Doctors don't get multimillion dollar parachutes either, and they don't make money by providing substandard care.


Happens all the time. Ever heard of an HMO?

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They make money by being the best in their field; that's where money, attention, prestige, professional respect and new patients come from.


So, in your opinion, doctors are never bad at their job, never screw up, never provide poor or substandard care? Really?


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It's not hard to hold them accountable either; there are all kinds of malpractice suits and licensing boards. As it is, we probably hold them too accountable already.



Yeah. Because having your leg cut off when you were in for appendicitis is something we probably shouldn't really make sure to punish financially. Private business *definitely* needs to be held accountable and regulated, like government. And the bigger the business, the more it should be transparent and restrained.

Granted, small private practices are not really what I am talking about.

I look at it like how the car companies decide on a recall or not. That speech, in the beginning of Fight Club? It's not bullshit. Large companies look at the potential costs of a large suit, and do the math. If they think they will make more money by allowing an unsafe product on to the market, they will do it. That's not the sort of calculation I think should ever be made, but I definitely think that it's not the kind of calculation that should be made regarding health care.

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PostPosted: Tue Aug 10, 2010 11:38 am 
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Monte wrote:
Diamondeye wrote:

Doctors don't get multimillion dollar parachutes either, and they don't make money by providing substandard care.


Happens all the time. Ever heard of an HMO?


You will now show evidence that HMOs provide multimillion dollar golden parachutes to the average doctor.

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They make money by being the best in their field; that's where money, attention, prestige, professional respect and new patients come from.


So, in your opinion, doctors are never bad at their job, never screw up, never provide poor or substandard care? Really?


So in your opinion it's ok to make a total strawman, and in doing so imply that lack of perfection is a reason for anything at all?

No, in my opinion doctors have strong incentives to try their best. They are not served by doing a poor job.


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Yeah. Because having your leg cut off when you were in for appendicitis is something we probably shouldn't really make sure to punish financially. Private business *definitely* needs to be held accountable and regulated, like government. And the bigger the business, the more it should be transparent and restrained.


Sorry, but I didn't say that there should be no regulation. You cannot hold up a gross error like a flase amputation and argue that means any arbitrary amount of control or accountability is needed because of that. It is not an argument that it needs to be controlled like government; in fact it indicates that you have no argument other than that you want it to be held accountable for accountability's sake.

It does not take a great deal of accountability to deal harshly with people who are total idiots and amputate the wrong limb.

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Granted, small private practices are not really what I am talking about.


Why? Becuase when you go in the little doctor's office, he and his workers are people you actually know and trust because you see them, but bigger medical establishments that you don't have a personal warm and fuzzy with are somehow automatically less trustworthy?

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I look at it like how the car companies decide on a recall or not. That speech, in the beginning of Fight Club? It's not bullshit. Large companies look at the potential costs of a large suit, and do the math. If they think they will make more money by allowing an unsafe product on to the market, they will do it. That's not the sort of calculation I think should ever be made, but I definitely think that it's not the kind of calculation that should be made regarding health care.


I don't see any reason why not. Health care is a limited commodity; like anything else. We could spend every single dollar on healthcare and always be in need of more. As long as there are restrictions on the scope of that authority to make those decisions, it's not a problem, and the biggest restriction is that people will stop paying for healthcare if it doesn't work.

As for fight club, I never saw it, and I don't give a **** what some Hollywood nitwit thought.

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PostPosted: Tue Aug 10, 2010 11:40 am 
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Monte wrote:
Diamondeye wrote:

Doctors don't get multimillion dollar parachutes either, and they don't make money by providing substandard care.


Happens all the time. Ever heard of an HMO?

Do you not see the humor factor in using a managed health care system system as the perpetrators of substandard care? Seriously...


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PostPosted: Tue Aug 10, 2010 11:45 am 
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Ladas wrote:
Monte wrote:
Diamondeye wrote:

Doctors don't get multimillion dollar parachutes either, and they don't make money by providing substandard care.


Happens all the time. Ever heard of an HMO?

Do you not see the humor factor in using a managed health care system system as the perpetrators of substandard care? Seriously...



He gets it from his king who once compared the idea of government health care vs private health care to the postal service vs UPS/FedEx.

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PostPosted: Tue Aug 10, 2010 11:45 am 
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HMOs was the terrible result of leaving health care improvements to the private market. It was basically born when Clinton's HCR efforts failed. Capitation patients wind up getting shat on by health care providers because - you guessed it - they just don't make a lot of money on those people.

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PostPosted: Tue Aug 10, 2010 1:36 pm 
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http://en.wikipedia.org/wiki/Health_mai ... ganization
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A health maintenance organization (HMO) is a type of managed care organization (MCO) that provides a form of health care coverage in the United States that is fulfilled through hospitals, doctors, and other providers with which the HMO has a contract. The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options.[1] Unlike traditional indemnity insurance, an HMO covers only care rendered by those doctors and other professionals who have agreed to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers.
Because Bill Clinton was President in 1973 ...

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PostPosted: Tue Aug 10, 2010 1:41 pm 
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Khross wrote:
Because Bill Clinton was President in 1973 ...

"I'm not a democrat" in 3...2...1...

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PostPosted: Tue Aug 10, 2010 2:17 pm 
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Wow, I was totally wrong about the origin of HMOs.

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PostPosted: Tue Aug 10, 2010 2:20 pm 
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Monte wrote:
Wow, I was totally wrong about the origin of HMOs.
Well, that's a start. HMOs have been around a very long time. The biggest irony is that the recent HCRA basically turns all service and provider payment systems into HMOs.

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PostPosted: Tue Aug 10, 2010 2:20 pm 
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Monte wrote:
Wow, I was totally wrong about the origin of HMOs.



Someone frame this. I think we have a first.

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PostPosted: Tue Aug 10, 2010 2:24 pm 
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Khross wrote:
Monte wrote:
Wow, I was totally wrong about the origin of HMOs.
Well, that's a start. HMOs have been around a very long time. The biggest irony is that the recent HCRA basically turns all service and provider payment systems into HMOs.



Erm, no. HMOs use a capitation system to pay doctors. We give you X amount of patients, for whom we pay you Z amount of money per person per month/year/quarter/whatever, and you agree to treat them according to Y plan. That's distinctly different than a PPO plan, or a straight up indemnity plan.

I have personally witnessed, in the Dental health care profession, just how willing care providers are to give capitation patients very poor care compared to non capitation patients. Doctors and office managers look down their nose at such patients.

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PostPosted: Tue Aug 10, 2010 2:32 pm 
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Monte wrote:
Khross wrote:
Monte wrote:
Wow, I was totally wrong about the origin of HMOs.
Well, that's a start. HMOs have been around a very long time. The biggest irony is that the recent HCRA basically turns all service and provider payment systems into HMOs.
Erm, no.
Erm, yes. Quite simply, the "ObamaCare" Plan just turned the U.S. Healthcare system into the largest HMO on the planet.
Monte wrote:
HMOs use a capitation system to pay doctors. We give you X amount of patients, for whom we pay you Z amount of money per person per month/year/quarter/whatever, and you agree to treat them according to Y plan.
For the most part, but that's exactly what the "ObamaCare" plan does over the long term and by design. Have you read the bill?
Monte wrote:
That's distinctly different than a PPO plan, or a straight up indemnity plan.
Have you read the bill? Do you even understand what it does? Because, honestly, that's exactly how it's going to work out. With the homogenization of "insurance" available, the incredible barriers put in place for group plans and non-government insurance, the expanded risk pools, and the very real pressures to create a single-payer system through the back door, that's exactly what the HCRA did, Montegue. Please, read the document.
Monte wrote:
I have personally witnessed, in the Dental health care profession, just how willing care providers are to give capitation patients very poor care compared to non capitation patients. Doctors and office managers look down their nose at such patients.
You really don't know what you're talking about here ...

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Last edited by Khross on Tue Aug 10, 2010 2:36 pm, edited 1 time in total.

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PostPosted: Tue Aug 10, 2010 2:33 pm 
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Khross wrote:
http://en.wikipedia.org/wiki/Health_maintenance_organization
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The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options.

He apparently either missed or ignored this portion of that link as well.


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PostPosted: Tue Aug 10, 2010 2:44 pm 
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Fun Fact:
Most HMO's have moved away from capitation because providers weren't accepting them or their patients.

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PostPosted: Tue Aug 10, 2010 2:55 pm 
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Guess which recently dead drunken murderer was the main push behind HMOs?

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PostPosted: Tue Aug 10, 2010 3:00 pm 
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Nitefox wrote:
Monte wrote:
Wow, I was totally wrong about the origin of HMOs.



Someone frame this. I think we have a first.


it's really not a first

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Elmarnieh wrote:
Guess which recently dead drunken murderer was the main push behind HMOs?


I'll take Liberal Lions for 500, Alex.

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PostPosted: Tue Aug 10, 2010 3:03 pm 
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Monte wrote:
Nitefox wrote:
Monte wrote:
Wow, I was totally wrong about the origin of HMOs.



Someone frame this. I think we have a first.


it's really not a first



First this year?

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PostPosted: Tue Aug 10, 2010 3:03 pm 
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Ted Kennedy was convicted of murder?

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PostPosted: Tue Aug 10, 2010 3:19 pm 
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Monte wrote:
Ted Kennedy was convicted of murder?

Nope, he just murdered.

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I assume you have incontrovertible evidence of the crime, then? Or are you just pretty sure he did it? Maybe because, you know, everyone thinks he did it, so he must have.

Now, where are those copies of the Ron Paul Report, where he used a whole bunch of racist and bigoted language, and then disavowed ever writing it, even though he signed his name to it...

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PostPosted: Tue Aug 10, 2010 3:23 pm 
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I expect nothing less from you Monte. You're like my rock.

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PostPosted: Tue Aug 10, 2010 3:24 pm 
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Monte wrote:
I assume you have incontrovertible evidence of the crime, then? Or are you just pretty sure he did it? Maybe because, you know, everyone thinks he did it, so he must have.

Now, where are those copies of the Ron Paul Report, where he used a whole bunch of racist and bigoted language, and then disavowed ever writing it, even though he signed his name to it...


Are you really denying Chapaquitic?

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PostPosted: Tue Aug 10, 2010 3:26 pm 
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I have personally witnessed, in the Dental health care profession, just how willing care providers are to give capitation patients very poor care compared to non capitation patients. Doctors and office managers look down their nose at such patients.


In precisely how many dental offices have you observed this, and what were the exact circumstances?

You should stop othering dentists and their office assistants. They're all Americans.

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