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Posted Saturday, November 15, 2008 1:04 AM


 

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There is already a forum on health care and it has a lot of good information from Joy on that forum.  I had expected this section to continue the discussion we have had on that forum and to get more views expressed.  Joy and I agree on a lot of things but I think she looks at health care as an optimist and I look at it as a pessimist.  I see the benefits and want them but I also see the costs and wonder just what we have to give up in order to get the benefits.  I would welcome other views on the subject.  God bless.

Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.
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Posted Saturday, November 15, 2008 12:24 PM


 

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Thanks Chris.  My concern is how do we pay for universal health care.  If it is done by the government we will be paying additional taxes instead of paying for our health care and then we lose some freedom of choice about out health care.  We do not get something for nothing.  What do we give up in order to get health care? 

Also with universal health care, what is included and how much?  Just with RA do we give biologics to everyone who wants them or is there some criterion for determining need for them?  What about a lifestyle that causes the need for medical care, how much is supported by the government and how much is individual responsibility? 

I can see a lot of cases where I think people deserve better health care and I can also see or imagine cases where people have their hands out to get something they don't really deserve.  That certainly is true with government-run welfare.  We all know people (at least some on this board) who deserve government help but are not getting it.  Most of us also know people who are getting government help who should be providing for themselves.  How do we control things so that we help those who truly need help while still requiring people to help themselves as much as they can.  I hope others will also join in on this discussion.  God bless.

Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.

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Posted Saturday, November 15, 2008 3:25 PM


 

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It's open enrollment time of the year. We either renew our plan, or the other alternative, is a HMO



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Methotrexate 15 yrs, Enbrel 3 yrs, Humira 5 yrs, Rituxan 1 yr, now diagnosed with PSA and RA, back to Enbrel 50mg.x2 a week
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Posted Sunday, November 16, 2008 12:59 AM


 

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Chris, I hope you are right that we don't get into squabbling but I do feel we need to present divergent views and try to find a way to reconcile them. 

Business bailouts.  I agree that they are bad ideas in any form.  It will be bad if most of the banks in the country fail like they did to cause the great depression and most companies will fail to make massive unemployment.  This will be bad but so are the bailouts that so far have not solved any problems that I can see other than giving golden parachutes to some of the people who caused the problems.  I'm not an economist so I don't see why bailouts are supposed to work

War in Iraq.  This is now the focal point for anti-American zealots and if we leave there I'm afraid the new focal point will be in the US.  I think that's why most countries don't support the Iraq war because they would like to see America destroyed.  I'd rather fight there than here.

Tax breaks to the wealthy.  I don't know what you mean by that because there is a graduated income tax and I do agree that the upper brackets could be a lot higher.  However, if they get to be too high many more people will change their citizenship to Switzerland or somewhere like that to keep their money.  I don't know how high we can make taxes and increase our revenues.

There are other tax breaks to encourage private money being used in certain ways.  If we don't allow these tax breaks we either do without the things we are encouraging or we change to government funding to accomplish these things.  I don't know why we do this but ethanol production, wind energy, solar energy, and things like that are given tax breaks.

I agree that we should hold the banks and insurance companies responsible, and we should also hold the people charged with overseeing them accountable.

I don't know how we keep jobs here if we have a free economy.  I need to understand how this can be done.  Investment money goes to where it can make the most money and if that is overseas, our businesses will continue to dry up.

I don't know about trade agreements with foreign countries but I hope we get reasonable benefits from these.  I simply don't understand them and I do think they should be win-win situations.  Otherwise we should not enter into them.

I don't know what you mean by the "trickle-down" philosophy so I can't comment on this one.  I think easy credit, unreasonable expectations, and living beyond a person's means have caused most of the hardship.

Chris, I am serious with my concerns stated above and I hope I am wrong in some of them at least, but I need to be shown where I am wrong.

On the other hand, farm subsidies that go mostly to large corporations should be eliminated or capped at a value suitable for family farms and not gross payments to large corporations.  I think all tobacco subsidies should be eliminated.  I think most of our foreign aid should be stopped.  It is evident that we do not have an unlimited supply of money and we need to pay more attention to keeping it at home. 

I spent my working life working for a government contractor and I found that government employees are punished for saving money and rewarded for spending money.  Well, the value of a job is measued by the number of dollars a person is responsible for so if they are efficient, they will get less money the next year to do the same job so their rating will suffer.  If they manage to waste money, they will need more money the next year and their rating will increase.  I don't know how prevalent that is but I have seen a lot of it.  We need some measurement of government efficiency rather than budget.

I hope my stirring up a hornet's nest will encourage serious discussion rather than empty name-calling.  God bless.



Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.
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Posted Sunday, November 16, 2008 1:48 PM


 

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Chris, thanks for the explanations.  I know a lot of states offer tax breaks to lure businesses to locate in their states, and it does help the local economy in some ways.  The same goes for countries.  Businesses are not for helping the local economy or their employees, but are to make the most money for their investors so they have enough money to grow forever.  If a business can make more money by locating in another community or country, they will do so.  We grow businesses by making their costs low and we drive businesses away my making their costs high.  If businesses do not locate or remain in this country we do not help the workers because there is no work.  I guess this is the trickle-down philosophy.  There are some businesses like health care that need to remain where they are used so they can pass the costs on to the consumers.  Manufacturers who created the wealth we used to have in this country have left for other countries where profits are higher.  We no longer have the wealth from manufacturing and the more we tax the manufacturers the more they will move to other countries.  I think high taxes on business causes more problems than it solves.  If businesses move, jobs move with them.  High cost of doing business is what has driven so much manufacturing out of the US.  How does this help us?

Businesses will stay here only if they cannot make more profit by moving.  High wages means lower profits and causes business to leave the country.  Increasing wages beyond a certain point results in loss of jobs and lower employment.  Cheap labor keeps businesses here.  There is a certain level at which people earn the highest wage possible without causing the jobs to go elsewhere.  I don't know where that point is but from the number of businesses going elsewhere I can tell that many industries are paying wages that are too high.  I think we can have businesses that pay low wages or drive businesses away by demanding high wages.  Which is better for America?

If taxes are decreased for the average American, I don't know how that creates jobs here.  The average American spends much of their money on goods that are made elsewhere by people working for much lower wages.  If we decrease their taxes, how do we pay for the entitlements, interest on the national debt and start to pay off the national debt?  The American people are the biggest debtors in history and just like the subprime mortgages we are headed for default unless we change our ways.  We need less spending by the government instead of more.

I think the tax stimulus package was a bad idea (although I accepted the money) because it only increases the national debt and passes the bill on to future generations and increases the risk of national bankruptcy. 

I think there is plenty of blame to go around for our current economic woes and I am more concerned about where we go from here than about how we got here.  Well, we do need to avoid the errors of the past but we do need to work toward a better future rather than blaming everyone for the past failures.

I have no problem with people looking for an opportunity for a better life.  America became great as the land of opportunity but I fear it is going down the tube as the land of entitlements.  People want the government to do things that they should be doing for themselves.  I do have a problem with people wanting a better life without earning it.  The biggest problem I see is the lack of a work ethic.    

An example is how people regard Social Security.  I grew up thinking that Social Security was intended for supplemental income in retirement.  Most of the retirement income was supposed to come from investments and perhaps a pension.  Now many people want a very comfortable retirement funded entirely by social security.  There isn't that much money in the social security system and no plans to put that much money there.  We as a country do not save.  End of soap box.

This discussion really is about health care because where the money comes from determines how we get health care.  If the money does not come in, the health care will not be there.  How do we pay for the health care?  God bless.



Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.
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Posted Tuesday, November 18, 2008 9:26 PM


 

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The question regarding health care is how to control skyrocketing costs and at the same time provide health care access to more people.  For some Americans, our health care system works fine, but for millions of Americans it falls short, leaving more and more Americans with no insurance or inadequate insurance.

We Americans are proud and think we know best, so how could other countries deliver better health care to ALL their citizens and spend less than the US that leaves 45 million without insurance?  Shouldn't we be curious, before dismissing their systems as inferior?

The following link is to a NPR website that discusses health care in the UK, Germany, France, Switzerland and the Netherlands.  It has an interactive graph that allows you to compare our health care system with these countries.

http://www.npr.org/templates/story/story.php?storyId=91972152

This link is to a PBS Frontline website about health care in the UK, Japan, Taiwan, Germany and Switzerland.  This site includes a video that can be watched online.

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/

All these democratic, capitalist countries have universal health care -- affordable health care for all their citizens and no one in these countries ever goes bankrupt because of medical expenses. 

 

__________________________________________________

Lift up your hand, oh God. Do not forget the helpless. Psalm 10:12

http://www.physiciansforpeace.org/

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Posted Wednesday, November 19, 2008 12:06 AM


 

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Insurance does not decrease the cost of health care but it merely changes who pays for it and in the process increases the total cost.  Who will pay for universal health care, and how?  God bess.

Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.
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Posted Friday, November 21, 2008 4:22 PM


 

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I'm still debating on whether I should post my opinions or not.  If I do end up posting this, promise me that you won't get mad.

I do not believe that we should have universal health care.  I don't believe that I should be forced to pay for the health care of others.  Neither do I believe that others should have to pay for my care.

Part of the problem in this country is PRIORITIES.  Many people in my generation have no idea how to set good priorities.  Growing up, my family was not very well off (although we were better off than many), but I learned good spending habits from my parents.  My husband grew up in a similar situation.

I just read a news article today that 1/8 of Americans do not have enough FOOD!  I believe that this is a direct result of poor planning.  People buy expensive shoes, TVs, games, etc., and meanwhile they don't have enough money to pay for groceries.  I know that this is a generalization, but I fear that for many families this is a reality.

Should I really have to pay for someone else's medication because they chose to spend their money on cable TV?   Should someone else have to pay for me to give birth in a hospital?   Should my friends have to pay extra money to the government so that I can take Enbrel?  In my opinion, no.

My husband works hard and has good insurance through his employer.  I know that not everyone has this opportunity; however, I don't believe that I should be penalized because of it.

I believe that the system that we have now -- "shopping" for insurance is the most fair.  I believe that people should have the choice of picking which insurance is best for their family.  Universal health care would treat everyone the same.

For instance, the insurance that we have covers 100 percent of pregnancy and childbirth costs.  This is good for my family, in that we have had five children in the last 9 years.  However, eye and dental coverage on this insurance plan is poor.  I have a friend whose 6 year old daughter has already had several eye surgeries and will probably go blind.  Three of their four children have worn glasses since before they could crawl.  Would this be good insurance for them?  Probably not.

While univeral health care would help some, it would penalize many more.

I do, however, believe that health care should be more affordable.  I think that this is where the focus should be.

Take care,

Shu-Shu

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Posted Friday, November 21, 2008 7:02 PM


 

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Shu-Shu, I'm glad to find someone who shares at least some of my opinions.  People aspire to a higher standard of living than they can reasonably expect and then want to be bailed out when things catch up with them.  I feel sorry for people who lose their house or car because they committed to one they can no longer afford.  However, I do not feel responsible for keeping them with the higher standard of living to which they have become accustomed.  People who come from very poor countries manage to get by with near minimum wage and still have some left over to send back to relatives in their former country.  I would hate to try to get by on minimum wage but if I lost other sources of income I think I would find a way.  I think of health care in the same way.  People have to give up something to have health care.  If they have chosen not to have health insurance then I don't see why I should help them out when they need it.  They can sell their house, car, TV, cable, etc. and get down to where they qualify for assistance by having insufficient income and assets.  Until they get in this situation I don't think I should pay for their bad decisions in the past.

On the other hand, there are those who are doing what they can to support themselves and for whatever reason are having trouble doing it.  If it is truly beyond their control and has in the past been beyond their control they deserve help.  I can think of some on this board that I feel need more assistance than they are given.  There are some I know in person who are receiving assistance that I do not think they deserve., but I'm not aware of any on this board who are like that.

We also have people in this country who would like more to eat or to eat better things.  I think that is a similar situation.  We need in some way to provide basic food, clothing, and shelter.  In my opinion this is now provided pretty well by charitable giving with some support from the government.  I do not favor guaranteeing everyone the kinds of meals they choose to have in the quantities they want.  I see health care in the same way.  People need access to some basic level of health care but they may have to give up some lifestyle choices to get it.  They need to find out how to accept what is achievable rather than expect the best care without making personal sacrifices.  God bless.

Age 82, diagnosed RA 12/2001, married since 1952, 4 sons no daughters, 4 grandsons 1 granddaughter.  Doing well on Methotrexate and Remicade.

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Posted Friday, November 21, 2008 9:46 PM


 

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[quotePeople aspire to a higher standard of living than they can reasonably expect and then want to be bailed out when things catch up with them.  I feel sorry for people who lose their house or car because they committed to one they can no longer afford.  However, I do not feel responsible for keeping them with the higher standard of living to which they have become accustomed. 

If they have chosen not to have health insurance then I don't see why I should help them out when they need it.  They can sell their house, car, TV, cable, etc. and get down to where they qualify for assistance by having insufficient income and assets.  Until they get in this situation I don't think I should pay for their bad decisions in the past.

On the other hand, there are those who are doing what they can to support themselves and for whatever reason are having trouble doing it.  If it is truly beyond their control and has in the past been beyond their control they deserve help.  I can think of some on this board that I feel need more assistance than they are given.  There are some I know in person who are receiving assistance that I do not think they deserve., but I'm not aware of any on this board who are like that.

I do not favor guaranteeing everyone the kinds of meals they choose to have in the quantities they want.  I see health care in the same way.  People need access to some basic level of health care but they may have to give up some lifestyle choices to get it.  They need to find out how to accept what is achievable rather than expect the best care without making personal sacrifices.[/quote]

Grandpavan,

Very well said!!

I know that there are some people that should be getting more assistance.  It is too bad that the people who are "milking" the system are ruining it for those who truly deserve help.

Take care,

Shu-Shu

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