Date: 2012-03-31 09:34 pm (UTC)
From: [identity profile] lafinjack.livejournal.com
You would not support that bill. So you support hospitals having to shoulder the cost of medical procedures for uninsured people, and then charging their paying customers more to compensate?

The "plan that we have currently" is to triage healthcare (i.e. pain meds instead of surgery) in favor of the insured over the uninsured. Why do you think that is the best solution?

Date: 2012-04-01 12:15 am (UTC)
From: [identity profile] aviv-b.livejournal.com
Remember the definition of troll - never answers the question and repeats over and over

....."if you do not understand the image, I sure as hell can't explain it...then I cannot help you.....if you do not understand the image.....

Date: 2012-04-01 02:47 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
I've answered the question. Several questions actually. If others choose to be obtuse and snide and make childish comments like yourself I cannot help them.

Date: 2012-04-01 01:12 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
I never said that.

Why do I think people should get a service that they pay for and those that do not pay for it do not get it?
I believe it is the best system.

Date: 2012-04-01 02:49 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
Actually the EMTALA was passed in 1986.

http://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act

Date: 2012-04-01 03:01 am (UTC)
From: [identity profile] dwer.livejournal.com
and it's working SO WELL.

Date: 2012-04-01 01:58 am (UTC)
From: [identity profile] lafinjack.livejournal.com
I never said that.

That's why I'm asking. People without insurance do not pay for service at emergency rooms, and the cost is shouldered by the hospital, which passes the cost onto its paying (i.e. insured) customers, increasing their insurance premiums. The "current system" you say you prefer.


Why do I think people should get a service that they pay for and those that do not pay for it do not get it?

You said you would not support a bill that would stop free riders. Why should I pay more for my insurance because of uninsured people? What is your solution to people without insurance being given free services at emergency rooms?

Here's what seem to be your positions from what you've said in this thread:

1. You do not have to pay for insurance if you don't want it.

2. You want to receive emergency room care if you have not purchased insurance and have not demonstrated that you are able to pay for it in other ways.

Are these correct? If not, what are your positions? If so, you can't have it both ways and remain ideologically consistent.

What is your suggestion for people who choose to not buy insurance to continue to get gratis care at emergency rooms, while also not increasing the costs of people who do choose to buy insurance?

Date: 2012-04-01 02:42 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
1. Yes.

2. Yes, I'm no medical professional but I do believe that a hospital is obliged to give emergency room care as per the EMTALA. http://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act

They are correct.

Paying higher premiums for insurance because of others not paying insurance is the cost of doing business. It is the same for car insurance. I may not like it but it is the way that it is.

Date: 2012-04-01 02:54 am (UTC)
From: [identity profile] lafinjack.livejournal.com
...a hospital is obliged to give emergency room care as per the EMTALA.

Hospitals are businesses. Why are they obligated to spend money on something they may not wish to do?


Paying higher premiums for insurance because of others not paying insurance is the cost of doing business. It is the same for car insurance. I may not like it but it is the way that it is.

Except that it is the law that you purchase car insurance when you own a car, thus it is much less likely that you will need to rely on your uninsured motorist coverage. Are you also against car insurance being mandatory like health insurance?

Date: 2012-04-01 04:32 am (UTC)
From: [identity profile] lafinjack.livejournal.com
Hippocratic oath.

1. That's an oath, not a law.

2. Doctors take the oath, not businesses.

3. Any random doctor cannot walk into a hospital and start grabbing medical supplies to treat any patient they like.

You are saying that due to the EMTALA businesses are forced by law to provide charity to the public. You're not willing to pay the charity yourself, you just want me to pay it for you. Sounds like socialism to me.

Date: 2012-04-01 04:42 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
1 Never said it was a law
2 ok
3 I didn't say that they could

I do pay for it as I pay for Medicare

Date: 2012-04-01 04:43 am (UTC)
From: [identity profile] lafinjack.livejournal.com
Medicare deductions pay for Medicare payouts for Medicare beneficiaries, not the uninsured.

Date: 2012-04-01 04:49 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
I pay for it in the higher premiums for my health insurance. One way or another the cost will be put back on to the consumer.

Date: 2012-04-01 04:55 am (UTC)
From: [identity profile] lafinjack.livejournal.com
So you're OK with the government saying:

1. a business must treat the uninsured if they cannot pay;

2. the insured must pay for the uninsured;


But the government cannot say:

3. the uninsured must pay for insurance.

Is this correct?

Date: 2012-04-01 05:02 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
Without putting words in my mouth the first two statements are true.

The third statement is false and while cleverly worded should say. The government cannot force anyone to purchase insurance.

Edited Date: 2012-04-01 05:06 am (UTC)

Date: 2012-04-01 05:10 am (UTC)
From: [identity profile] lafinjack.livejournal.com
OK, third is "The government cannot force anyone to purchase insurance."

How would you reword the first two?

Date: 2012-04-01 05:15 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
1 A hospital must provide care to anyone needing emergency healthcare treatment regardless of citizenship, legal status or ability to pay.

2. Health premiums will rise because the cost of treating the uninsured will be passed on to the insured.

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From: [identity profile] mylaptopisevil.livejournal.com - Date: 2012-04-01 06:01 am (UTC) - Expand

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Date: 2012-04-01 04:56 am (UTC)
From: [identity profile] lafinjack.livejournal.com
How about this: would you agree to a bill that would use Medicare funds to pay hospitals for the uninsured? Medicare deductions would increase, but the insurance premiums would decrease.

Date: 2012-04-01 05:10 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
I am no numbers cruncher but this sounds reasonable. I would have to see the cost of such an undertaking to make a better decision.

Date: 2012-04-01 05:28 am (UTC)
From: [identity profile] lafinjack.livejournal.com
The cost of uninsured people seems to be $49 billion in 2011 (http://www.newsmax.com/US/Obamacare-healthcarereform-uninsured-pay/2011/05/10/id/395835), so let's say $50 billion. I'm pretty sure this only covers the ER visits we've been talking about, not plain old preventative medicine or regular checkups.

Medicare spent $560 billion in 2010 (https://en.wikipedia.org/wiki/Medicare_%28United_States%29#Financing_of_Medicare).

610 / 560 = 1.089

So Medicare deductions overall would increase 9%. The Medicare paycheck withholding is 1.45%, so the new paycheck withholding would be 1.58%. The employer withholding would also increase from 1.45% to 1.58%.

US median income (http://en.wikipedia.org/wiki/Household_income_in_the_United_States) is $57,500. 1.45% of this is $833, 1.58% is $909, so if you're making median income you'd pay $76 more per year.

This older article (http://www.usatoday.com/money/industries/insurance/2009-05-28-hiddentax_N.htm) says the average insurance premium is $1k more per year because of the uninsured. Insurance premiums and healthcare costs have gone up a lot in the past couple years, but let's just use that.

This is all back of the napkin of course.

Is everyone who pays into Medicare paying $76 more per year worth people who pay insurance paying $1k less per year?

(no subject)

From: [identity profile] drblasphlemy.livejournal.com - Date: 2012-04-01 05:41 am (UTC) - Expand

Date: 2012-04-01 03:03 am (UTC)
From: [identity profile] dwer.livejournal.com
Paying higher premiums for insurance because of others not paying insurance is the cost of doing business. It is the same for car insurance. I may not like it but it is the way that it is.


that makes absolufreakinloutely NO SENSE.

Date: 2012-04-01 04:33 am (UTC)
From: [identity profile] drblasphlemy.livejournal.com
What about it makes no sense?

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