From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejchsq$8ss_028(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <0cqgl2dqjvpgq43fn7hve70ltroijupb8t(a)4ax.com>,
> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>On Mon, 13 Nov 06 10:52:35 GMT, jmfbahciv(a)aol.com wrote:
>>
>>>In article <9offl211jg34dcjnvbklqkeetfaa686dq1(a)4ax.com>,
>>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>>>On Sun, 12 Nov 06 14:00:10 GMT, jmfbahciv(a)aol.com wrote:
>>>>>In article <455638E2.B76D8B7A(a)hotmail.com>,
>>>>> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>>>>>I'm wondering if BAH thinks we have our treatment 'rationed'.
>>>>>
>>>>>Would you know if that happened? Since you can't "shop around"
>>>>>and compare, you cannot find out if your treatment is rationed,
>>>>>especially its efficacy.
>>>>
>>>>All health systems of whatever sort are limited by cost. An
>>>>insurance-based scheme will give up long before the NHS, however.
>>>
>>>That is one of the reasons an NHS doesn't work well. It takes
>>>a long time to figure out that something isn't working and then
>>>decades to adjust policies that will fix it. Meanwhile the
>>>original problem has been replaced with new problems. None
>>>ever get fixed because the lag time is so long.
>>
>>What I meant was that an insurance-based system will refuse to treat
>>people who it considers are not insured sooner than one which does not
>>depend on insurance.
>
> Yes.
>
>>That means that, should you need a heart
>>transplant, for instance, the only reason you might not get one (other
>>than medical reasons) is because of the limits of the system, not
>>because of your lack of adequate premiums.
>
>
> Now consider the rhetoric of our politicians who keep promising
> health insurance....not medical care but insurance.

Now consider how much better off you would be with an NHS as opposed to what
you are saying here. An NHS is a good thing. It is not the same thing you
seem to think it is.


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejci0m$8ss_029(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <s5SdnSxjBZToWcXYnZ2dnUVZ8sOdnZ2d(a)pipex.net>,
> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>
>><jmfbahciv(a)aol.com> wrote in message
>>news:ej9ipj$8ss_001(a)s785.apx1.sbo.ma.dialup.rcn.com...
>>> In article <9offl211jg34dcjnvbklqkeetfaa686dq1(a)4ax.com>,
>>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>>>On Sun, 12 Nov 06 14:00:10 GMT, jmfbahciv(a)aol.com wrote:
>>>>>In article <455638E2.B76D8B7A(a)hotmail.com>,
>>>>> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>>>>>I'm wondering if BAH thinks we have our treatment 'rationed'.
>>>>>
>>>>>Would you know if that happened? Since you can't "shop around"
>>>>>and compare, you cannot find out if your treatment is rationed,
>>>>>especially its efficacy.
>>>>
>>>>All health systems of whatever sort are limited by cost. An
>>>>insurance-based scheme will give up long before the NHS, however.
>>>
>>> That is one of the reasons an NHS doesn't work well.
>>
>>Really? It works better than an insurance based one.
>
> So far. But you have a backup system in place that you call
> private practice. You really have kept the "old" ways.

It isnt a back up. It is an option people can take if they want it.

>>
>>> It takes
>>> a long time to figure out that something isn't working and then
>>> decades to adjust policies that will fix it.
>>
>>Incorrect. Try again.
>
> That's how governments work. They are supposed to work slowly.

It may well be how governments work, so what?

<snip>


From: T Wake on

<lucasea(a)sbcglobal.net> wrote in message
news:D0l6h.25060$TV3.24671(a)newssvr21.news.prodigy.com...
>
> "Eeyore" <rabbitsfriendsandrelations(a)hotmail.com> wrote in message
> news:4559D407.2773F6CD(a)hotmail.com...
>>
>>
>> jmfbahciv(a)aol.com wrote:
>>
>>> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>> ><jmfbahciv(a)aol.com> wrote in message
>>> >> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>>
>>> >>>All health systems of whatever sort are limited by cost. An
>>> >>>insurance-based scheme will give up long before the NHS, however.
>>> >>
>>> >> That is one of the reasons an NHS doesn't work well.
>>> >
>>> >Really? It works better than an insurance based one.
>>>
>>> So far. But you have a backup system in place that you call
>>> private practice. You really have kept the "old" ways.
>>
>> It exists in the same way that airlines have first class seats. It's not
>> a
>> backup.
>>
>> To say that you should get rid of economy / coach seats because some ppl
>> fly
>> first class would be silly - no ?
>
> And it would be a terribly Marxist thing to suggest.

/BAH may not be aware of it, but she really is heading down the Marxist
route. Her "class war" posts seem to be tailing off a bit now, however I am
sure she wants everyone back to self sufficiency, working the land...


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejci47$8ss_030(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <qpidnRHj6e3o0crYnZ2dnUVZ8s6dnZ2d(a)pipex.net>,
> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>
>><jmfbahciv(a)aol.com> wrote in message
>>news:ej79kg$8qk_015(a)s851.apx1.sbo.ma.dialup.rcn.com...
>>> In article <M_t5h.736$yE6.654(a)newssvr14.news.prodigy.com>,
>>> <lucasea(a)sbcglobal.net> wrote:
>>>>
>>>>"unsettled" <unsettled(a)nonsense.com> wrote in message
>>>>news:f223d$45565fb7$4fe73d4$10122(a)DIALUPUSA.NET...
>>>>> Ben Newsam wrote:
>>>>>
>>>>>> On Sat, 11 Nov 2006 20:23:39 -0000, "T Wake"
>>>>>> <usenet.es7at(a)gishpuppy.com> wrote:
>>>>>>
>>>>>>
>>>>>>>Are you implying that access to treatment should be on the basis of
>>>>>>>what
>>>>>>>the patient _thinks_ they need and can afford, rather than what the
>>>>>>>doctor thinks is the best treatment?
>>>>>>
>>>>>>
>>>>>> I would imagine that under a system where anyone can visit any
>>>>>> specialist at any time, the best specialists would be inundated with
>>>>>> rich hypochondriacs wasting their time.
>>>>>
>>>>> That doesn't seem to happen much in the US. I don't
>>>>> need a referral to see a specialist.
>>>>
>>>>Sentence #1 doesn't follow from sentence #2 above. In fact, sentence #1
>>>>is
>>>>simply wrong. Your anecdote aside, anybody who has an HMO for their
>>>>health
>>>>care (i.e., most of the people insured through their jobs by corporate
>>>>concerns) must go through their PCP (primary care physician) to get to a
>>>>specialist...at least they do if they want the HMO to pay for it.
>>>
>>> And you're stuck with that PCP if the others in the system aren't
>>> taking new patients. Thus, if the PCP is an incompetent doctor
>>> it takes years to be able to transfer to another's list. Here
>>> in the northeast no doctor is local. You have to drive or be
>>> driven or go the emergency room. That's it.
>>
>>Shame you don't have a nationalised health service really, isn't it?
>
> It is getting there. The reason there aren't local doctor
> offices is that they are all collected and put into a big
> office building. These centers get fewer and fewer as
> the companies who run them consolidate.

You see, this still isn't a "national health service," nor is it progressing
towards one.


From: T Wake on

<jmfbahciv(a)aol.com> wrote in message
news:ejchi8$8ss_025(a)s858.apx1.sbo.ma.dialup.rcn.com...
> In article <dZ6dnXZEJqkw0crYnZ2dnUVZ8qidnZ2d(a)pipex.net>,
> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>
>><jmfbahciv(a)aol.com> wrote in message
>>news:ej79a0$8qk_013(a)s851.apx1.sbo.ma.dialup.rcn.com...
>>> In article <maydndxa-ZzRrMvYnZ2dnUVZ8tednZ2d(a)pipex.net>,
>>> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>>>
>>>><jmfbahciv(a)aol.com> wrote in message
>>>>news:ej4feq$8ss_006(a)s977.apx1.sbo.ma.dialup.rcn.com...
>>>>> In article <kkcal2ll82lsuqk1pk5uanjcat876o49ei(a)4ax.com>,
>>>>> Ben Newsam <ben.newsam(a)ukonline.co.uk> wrote:
>>>>>>On Fri, 10 Nov 2006 15:51:47 GMT, <lucasea(a)sbcglobal.net> wrote:
>>>>>>
>>>>>>>
>>>>>>><jmfbahciv(a)aol.com> wrote in message
>>>>>>>news:ej22vn$8qk_014(a)s995.apx1.sbo.ma.dialup.rcn.com...
>>>>>>>>
>>>>>>>> It is decreasing towards zero as conversion to a few payers
>>>>>>>> increases. What do you think will happen when the few payers
>>>>>>>> become one?
>>>>>>>
>>>>>>>When that one payer doesn't have the profit motive that's currently
>>>>>>>driving
>>>>>>>prices? Everybody will have access. Check out the cost (and I'm
>>>>>>>talking
>>>>>>>the total cost to society) and availability of the UK system versus
>>>>>>>ours.
>>>>>>
>>>>>>AFAIAC, the biggest advantage of our (UK) system isn't the quality of
>>>>>>the service, although it is very good at day to day stuff like mending
>>>>>>broken bits and plugging leaks, but the peace of mind that comes from
>>>>>>not having to worry about whether one is covered or not. If you need
>>>>>>to see a doctor, you go and see a doctor, and if you need treatment,
>>>>>>you get it. It's as simple as that. Yes, of course the system is
>>>>>>strapped for cash, and certain treatments and drugs aren't available
>>>>>>on the National Health, but that will always be the case with whatever
>>>>>>system is in place, whether public or private.
>>>>>
>>>>> And how do you find a doctor?
>>>>
>>>>Well in my case, there is a GP practice about 4 miles away. If I was
>>>>somewhere else and it was urgent I would go to see the nearest doctor.
>>>>
>>>>> Are you assigned to a doctor
>>>>> who has to OK other specialists' services?
>>>>
>>>>Not in the manner you mean. The doctor has to OK the medical need for
>>>>the
>>>>specialist, but it really shouldn't be any other way.
>>>>
>>>>> Can you walk into
>>>>> a cardiologist's office and get treated or do you have to
>>>>> be "vetted" through a series of physicians' offices and labs
>>>>> to get to that heart doctor?
>>>>
>>>>If I need to be treated by a cardiologist I will be. The vetting process
>>>>may
>>>>well exist but not in the manner you hope to imply here. Patients are
>>>>assessed as to the clinical need for treatment they have. If the patient
>>>>needs to see a cardiologist, s/he gets to see one.
>>>>
>>>>Are you implying that access to treatment should be on the basis of what
>>>>the
>>>>patient _thinks_ they need and can afford, rather than what the doctor
>>>>thinks is the best treatment?
>>>
>>> In the US, we have to be our own experts.
>>
>>But, without six years medical school and subsequent real world experience
>>you are not experts. If you had an NHS you wouldn't have to self diagnose.
>
> When JMF was dying, I had to learn nursing procedures and doctor
> procedures without the benefit of schooling. I became an expert
> in minimizing side effects of drugs he was taking and made
> all kinds of mechanical assists to keep him as comfortable as
> possible. The ultimate question was who would die first? Him or
> me?
>
> My Dad is now going through the same bullshit only he has no
> advocate who will speak up and say no. On top of it all,
> their assigned "GP" is stupid.

See, you are an advocate of the NHS after all.