From: T Wake on

"Don Bowey" <dbowey(a)comcast.net> wrote in message
news:C17F7B62.4CA17%dbowey(a)comcast.net...
> On 11/14/06 12:21 PM, in article ZrGdnQlHbdSiuMfYRVnygQ(a)pipex.net, "T
> Wake"
> <usenet.es7at(a)gishpuppy.com> wrote:
>
>>
>> <jmfbahciv(a)aol.com> wrote in message
>> news:ejch86$8ss_023(a)s858.apx1.sbo.ma.dialup.rcn.com...
>>> In article <guadndllr-dd1srYRVnytg(a)pipex.net>,
>>> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>>>>
>>>> <jmfbahciv(a)aol.com> wrote in message
>>>> news:ej796a$8qk_012(a)s851.apx1.sbo.ma.dialup.rcn.com...
>>>>> In article <c5b06$45565eec$4fe73d4$10122(a)DIALUPUSA.NET>,
>>>>> unsettled <unsettled(a)nonsense.com> wrote:
>>>>>> T Wake wrote:
>>>>>>
>>>>>>> <lucasea(a)sbcglobal.net> wrote in message
>>>>>>> news:eNp5h.7027$yl4.5770(a)newssvr12.news.prodigy.com...
>>>>>>>
>>>>>>>> "Ben Newsam" <ben.newsam(a)ukonline.co.uk> wrote in message
>>>>>>>> news:e96cl2tviek822ftetj8rtphkkoold1oqe(a)4ax.com...
>>>>>>>>
>>>>>>>>> (or if
>>>>>>>>> immobile, I ask to be visited at home),
>>>>>>>>
>>>>>>>> Is this a standard form of care in the UK? We haven't had doctors
>>>>>>>> in
>>>>>>>> general make house-calls here in the US for at least 40 years.
>>>>>>>
>>>>>>>
>>>>>>> Where I live it is very common place, but there is a high percentage
>>>>>>> of
>>>>>>> older people in this village. Generally speaking though doctors will
>>>>>>> make
>>>>>>> house calls as required - it has been a couple of years since I last
>>>>>>> needed
>>>>>>> one, but there was no difficulty. My wife phoned the Health Centre
>>>>>>> and
>>>>>>> told
>>>>>>> the receptionist I was unable to get out of bed, three hours later
>>>>>>> the
>>>>>>> doctor was round to treat me.
>>>>>>>
>>>>>>> The health centres also have nurse practitioners (extra trained
>>>>>>> nurses)
>>>>>>> who
>>>>>>> spend a lot of time doing home visits.
>>>>>>
>>>>>> We have a local physician who makes scheduled house
>>>>>> calls every Thursday. His office is used by a
>>>>>> visiting podiatrist that day.
>>>>>>
>>>>>
>>>>> Now note all the times you all wrote "local". That's important.
>>>>> The US is big. There isn't much "local" anymore. You go
>>>>> into the city or urban centers and get into their medical
>>>>> production line.
>>>>
>>>> Local doesn't have to mean small. When I lived in the centre of London
>>>> I
>>>> had
>>>> a local GP and a local health centre.
>>>
>>> Yes it does to mean small.
>>
>> Nope. Local does not imply size. My local GP was at a major teaching
>> hospital. It certainly was _not_ small.
>>
>>> A local health center has a small
>>> capacity. Even if you assume that all medical appointments will
>>> take 5 minutes, the capacity of any center is severely limited.
>>> Say it is in a population of 10,000 and all come down with a
>>> flu in the same 24 hours. The center won't be able to handle
>>> 100, let along 10,000.
>>
>> You still conflate small with local. In your example, you make the
>> assumption there is only one doctor and that the practice nurse is
>> incapable
>> of treating patients with flu. If the local health centre has six doctors
>> (like my current one) and four practice nurses (like mine), they could
>> handle 600 patients an hour in your example. Ok, it may take 12 hours to
>> treat _everyone_ but unless there were 10,000 doctors it is going to take
>> longer than five minutes.
>
> If I recall correctly, insurance companies allow 15 minutes for the
> doctor.
> Sometimes the Dr. can do the job in that time, or less, but your example
> errs. You cannot assume the patient has (only) the flu, and it takes time
> to get more info.
>
> Don

It wasn't my example.


From: T Wake on

"Don Bowey" <dbowey(a)comcast.net> wrote in message
news:C17F796C.4CA15%dbowey(a)comcast.net...
> On 11/14/06 12:11 PM, in article
> IL2dnVlH_dmRvsfYnZ2dnUVZ8s-dnZ2d(a)pipex.net,
> "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
>
>>
>> <jmfbahciv(a)aol.com> wrote in message
>> news:ejcga8$8ss_018(a)s858.apx1.sbo.ma.dialup.rcn.com...
>>> In article <455759E3.AAAFF753(a)hotmail.com>,
>>> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>>>
>>>>
>>>> jmfbahciv(a)aol.com wrote:
>>>>
>>>>> Eeyore <rabbitsfriendsandrelations(a)hotmail.com> wrote:
>>>>>> jmfbahciv(a)aol.com wrote:
>>>>>
>>>>>>> Now think about why they can't afford it.
>>>>>>
>>>>>> Their wages are too low maybe ? They can't get a better paying job.
>>>>>> Other
>>>>>> expenses come first out of necessity ? These would be typical
>>>>>> reasons.
>>>>>
>>>>> No. Unfortunately, people's mindset is that they should get stuff
>>>>> for free or pay very little. When a generic doesn't work as well
>>>>> as the namebrand, people decide to stay with the generic because
>>>>> they don't have to pay as much for it.
>>>>
>>>> You're not addressing my point, ot you're arguing in favour of
>>>> inadequate
>>> health
>>>> care for ppl who aren't well off.
>>>>
>>>> In the above you seem to think that poorer ppl *really could* pay say
>>>> $300
>>> p.m.
>>>> for drugs. I say they simply don't have the kind of income to afford it
>>> without
>>>> starving.
>>>
>>> You are making too many assumptions. EAch sentence assumes different
>>> aged people.
>>>
>>>>
>>>> How about someone on that minimum wage job for example ?
>>>
>>> Here you seem to assume that all people who work at
>>> a minimum wage job will always work for that money, never
>>> get salary nor benefit increases, nor work at better-paying jobs.
>>
>> Ok, they may well get a pay rise. Hopefully they can stave off their
>> health
>> care needs until that time.
>>
>> What if they cant? What if the 20 year old person trying to live on
>> minimum
>> wage needs health care. How can s/he afford it?
>>
>>
>
> Many doctors will write off the cost of care for people who cannot afford
> to
> pay, and start them off with free "samples" of meds. It's rare to hear of
> someone who is refused the help of a doctor. On the other-hand, a Dr.
> doesn't have to accept a patient who is abusive or has a known habit of
> lieing to the Dr.

Fair one, but the system still relies on doctors treating people "out of the
goodness of their hearts."


From: Eeyore on


T Wake wrote:

> <jmfbahciv(a)aol.com> wrote
> > "T Wake" <usenet.es7at(a)gishpuppy.com> wrote:
> >><jmfbahciv(a)aol.com> wrote
> >>
> >>> After my tuition and dorm fee were paid, I lived on $2/month when
> >>> I went to college; the $2 included clothes washing and Tampax.
> >>
> >>I defy you to feed yourself on $2 a week. I defy you to feed yourself,
> >>travel to and from work and afford work clothes on $2 a week.
> >
> > I defy you to think of ways to stop spending money.
>
> I can think of lots of ways. What does that have to do with what I said? You
> claim to have lived on $2 a month as an example of how people should be so
> happy to live on $200 per week. I say not only are you living in a mystical
> past of fifty years ago, but living on a wage of $200 per week in this day
> and age is far from easy.

I wonder how she got health cover on $2 a month !

Graham


From: Eeyore on


T Wake wrote:

> "Eeyore" <rabbitsfriendsandrelations(a)hotmail.com> wrote
> > lucasea(a)sbcglobal.net wrote:
> >> "Eeyore" <rabbitsfriendsandrelations(a)hotmail.com> wrote
> >> > jmfbahciv(a)aol.com wrote:
> >> >> <lucasea(a)sbcglobal.net> wrote:
> >> >>
> >> >> >And you like to imply things that just aren't true. You weren't
> >> >> >living on "$2/day".
> >> >>
> >> >> Right. It was $2/month.
> >> >
> >> > And you can also clean a whole house in 15 mins ?
> >>
> >> The thing that she conveniently glosses over is that 1) it was in 1960s
> >> dollars, about a factor of 10 - 100 higher when adjusted for inflation,
> >> and
> >> 2) she was also paying tuition, room and board, which probably added at
> >> least $50/month in 1960 dollars, or $1000/month in 2006 dollars. That's
> >> a
> >> far cry from talking about $2/month as if it were 2006 dollars, which is
> >> what the discussion was about...living on <$100/month total salary in
> >> 2006.
> >
> > In 1973 ? my first full-time job paid ?2000 p.a. ( ? 38.46 weekly ). It
> > seemed
> > like a good rate of pay for a youngster at the time. Heck, my rent was
> > only ?28.16 p.c.m too !
>
> The Thatcher years were not pleasant :-) Fortunately I was in the Army and
> we had massive pay rises :-)

Which bit of it were you in ?

Graham


From: Eeyore on


T Wake wrote:

> "Eeyore" <rabbitsfriendsandrelations(a)hotmail.com> wrote in message
> >
> > From BAH's response to a post of mine about the same matter, I got the
> > impression that she may be a long distance from a major population centre.
> >
> > Even so, 512k DSL will work ok over a heck of a long distance.
> >
> > My first 'broadband' was actually 256k ( or was it even 128k ? ) but was
> > so convenient just from the perspective of being always on. I got the
> > 'cheapy' version to trial it and it got upgraded to 512k shortly after
> anyway.
>
> Unless her phone line is a bit of soggy string with a cup on the end, she
> can use a 56k modem. Worked well enough for me to browse the net until 2000
> :-) Why she insists on a 14400 one (cos it has lights so she can diagnose
> the problems - but her service is so good there are no problems......) is
> beyond me.

Indeed.

My 56k modem has 9 leds too btw. :-)

Graham