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Old 02-09-2008, 07:18 PM   #101 (permalink)
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Originally Posted by RK77 View Post
Actually, yes---I get emails and such containing literature about products available world wide. Comes with the job.
didn't say there weren't ANY




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All american drugs are not available in canada. They have drugs from a number of countries. I am not certain what generics you are referring to -- but the mega corps in the US make much of the generics of their brand name meds---I bet they do charge more for them in Canada to keep the other companies producing the generics from getting the market.
I didn't say they were all available in Canada...just that the competiton was limited...which is why the generics cost more in Canada...no competition




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Well in the case of china I think they just piss on our patent laws.....but that is another discussion.
yeah...but mostly what I was referring to was in regards to Africa, Brazil etc.etc.

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The point is that other countries have come up with alternative medications---some of which are more successful than the tripe we push here. Our markets however are largely blocked from most of these medications!

What cracks me up is that a hell of a lot of our drugs are produced overseas in the same industrial enviornments that produce drugs that are not allowed in the US due to the lax production standards of that country!

Go figure!

I don't think that my point was that only we could produce them...just that given the competition here it is more likely....and yeah I agree about the whole producing in other countries and not being allowed here...but whose fault is that? The FDA is worthless...
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Old 02-09-2008, 07:21 PM   #102 (permalink)
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Originally Posted by jdanton View Post
You are correct. MOST of the docs my mom saw took the 80%, but some didn't


The drug thing was bad. I'd point out that Hillary voted against it.

There is no FREE healthcare. The questions faced today concern improving what we have and covering everyone. Whatever whoever proposes will have to work its way through congress, so their differences here don't mean a hell of a lot.

80% of what? Their fee or the medicare approved fee? Either could be illegal.
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Old 02-09-2008, 07:29 PM   #103 (permalink)
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$1.7 trillion is coming from your paycheck in taxes. The $2 trillion you no longer have to pay because private ins is no more.
So we don't have to find another 1.7 right? Just keep paying 1.7 of the 2 trillion they were going to rape my check for anyway? Is that right?

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With that i agree strongly... Exposing consumers to true costs and quality of healthcare is a must if we are to control costs, which is why i pimp CDHP plans so much... CDHP coupled with regulations demanding greater transparency in healthcare industry would allow people to see decide for themselves what they want and how they want it.
We are in agreement here.

Hillary likes to stress she is giving you a "choice". That to me is like a rapist giving me a choice between blowing him or taking it in the butt! AND as a little caveat if I don't get raped---Hillary wants ME punished for it!

The choices that need to be made available to patients is at the level of care itself! Do you want a PCN injection ---for $80.00 fee for a MA to shot you OR would you rather take 4 pills the first day and 2 every day after. Stuff like that.
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Old 02-09-2008, 07:35 PM   #104 (permalink)
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Originally Posted by DRS112 View Post
didn't say there weren't ANY

I didn't say they were all available in Canada...just that the competiton was limited...which is why the generics cost more in Canada...no competition

yeah...but mostly what I was referring to was in regards to Africa, Brazil etc.etc.

I don't think that my point was that only we could produce them...just that given the competition here it is more likely....and yeah I agree about the whole producing in other countries and not being allowed here...but whose fault is that? The FDA is worthless...
I think we are talking past each other a little on this ---easy to do because the topic is complex with loads of ins and outs and caveats.

suffice it to say--from my side--that if we can discover the drugs (and we do often have the best or only)---if we have the minds to do that then SURELY we can figure out some better ways to make them affordable for American citizens. My grandmother should not have to pay for a grandmother in India to have her drugs too.

There is a better way and our government by placating the public keeps "we the people" from demanding it!
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Old 02-09-2008, 07:39 PM   #105 (permalink)
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Originally Posted by jdanton View Post
I dealt with Medicare with my mom for years. She lived to 92, so was covered by it for some time.

I assure you, it was better than my Blue Cross.

I would add here that Medicare has virtually no advertising costs, no multi-million dollar CEO salaries, and no stockholders in need of dividends.

Likely if your mother lived to 92 there are a HUGE variety of medical problems she did NOT have.

You cannot continue to chose to view the world through the VERY narrow prism of your own personal experiences and then expect all of us here to travel that road with you, JD. It is beyond irritating!

PLEASE---I BEG YOU---google and read before you post! PLEASE!!
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Old 02-09-2008, 07:39 PM   #106 (permalink)
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I think we are talking past each other a little on this ---easy to do because the topic is complex with loads of ins and outs and caveats.

suffice it to say--from my side--that if we can discover the drugs (and we do often have the best or only)---if we have the minds to do that then SURELY we can figure out some better ways to make them affordable for American citizens. My grandmother should not have to pay for a grandmother in India to have her drugs too.

There is a better way and our government by placating the public keeps "we the people" from demanding it!

yep...I suppose a good question would be how do we keep from having to pay for the grandmother in India? There is so much pressure internationally for our drug makers to sell their product at a loss in other countries...what is the option? I've actually got a case study that I haven't started yet about this from the busiesses perspective...it's tough really..
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Old 02-09-2008, 07:44 PM   #107 (permalink)
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Originally Posted by RK77 View Post
So we don't have to find another 1.7 right? Just keep paying 1.7 of the 2 trillion they were going to rape my check for anyway? Is that right?
yes, that's right We were paying that money all along, and then some

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Originally Posted by RK77 View Post
We are in agreement here.

Hillary likes to stress she is giving you a "choice". That to me is like a rapist giving me a choice between blowing him or taking it in the butt! AND as a little caveat if I don't get raped---Hillary wants ME punished for it!

The choices that need to be made available to patients is at the level of care itself! Do you want a PCN injection ---for $80.00 fee for a MA to shot you OR would you rather take 4 pills the first day and 2 every day after. Stuff like that.
yeps, you got it.
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Old 02-09-2008, 07:50 PM   #108 (permalink)
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Originally Posted by jdanton View Post
Let's not forget pre-existing conditions and such, and how both plans limit the insurance company's ability to turn you down.

My experience with medicare was through my mom. She got in hospital, doctor, visiting nurses, and at home physical therapists, all paid by medicare.


If her doctor ordered something they ultimately didn't think was necessary, the doctor couldn't bill her; he ate it. With my Blue Cross, that bill becomes MY problem.
JD---how much was with held from your mothers monthly soc sec check for her medicare B coverage? Do you know? What medigap plan was she enrolled in -- do you know?

Do you understand how dramatically the strategy of declining payment for services already rendered drives up the cost of healthcare? Do you think that you can figure that out by yourself or should I try to explain it?

Do you understand that the mere possiblity of payment being declined rapidly changes the services that are made available to the patient?



For those who have been following this discussion --- THIS is an example of what the PROBLEM is! People have no clear understanding of how costs and payment considerations effect their care! They don't have to come out of pocket---that is all they understand.

It is just this sort of ignorance that our politicians in conjunction with the healthcare industry has relied on for decades!!

While the money was moving back and forth behind the scenes JD's mom may or may not have recieved the best care available to her---but he would never know---because he is lulled by the promise of something that SEEMS to be "free".
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Old 02-09-2008, 08:04 PM   #109 (permalink)
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yep...I suppose a good question would be how do we keep from having to pay for the grandmother in India? There is so much pressure internationally for our drug makers to sell their product at a loss in other countries...what is the option? I've actually got a case study that I haven't started yet about this from the busiesses perspective...it's tough really..

It is tough as hell!! One of the most complex questions ever to face us as a nation and a member of the global society!

I believe, however that there are answers! And I am not so sure they are hard to find---if you keep your eye on the ball.

The problem here is that the "ball" in this particular industry unlike so many others MUST be the patient---not the insurance companies or the drug companies or the doctors or the nurses or the hospitals...etc!

Does it disturb you that the FIRST thing that the government chose to price control was the payment to the only group of people trained to determine your care----the physician?

Why would you limit payment to the physician WITHOUT imposing similar limitations on every other industry that the physician had to pay to provide the service? The argument was "well---we can't interfere with the free market"?

The destruction has occured from the Patient up! EVERY cost control measure has been focused entirely on providing less care to the patient!

Medicare reduced physician fees by 10% last year---after years of no increases. We joke sometimes amongst ourselves that legislators who in their law practices make what we pay for seeing a patient for every 5 minutes they spend on a phone call have decided to pay us for only 5 minutes and wonder why the quality of care is diminishing!

Again i say that the BALL the eye needs to focus on is the patient---the life expectancy---the lost days from work---the pain and suffering and death. From there build up!

I am more than confident that the brilliant business minds would find a way to make it pay--at lower costs--if the people drew a line in the sand and instead of crying out for payment systems cried out for CARE! Complete, Total, compassionate life saving CARE!

If we cannot figure the answers to that---how great a nation are we really?
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Old 02-10-2008, 12:54 AM   #110 (permalink)
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Hmm... Everybody sez 'cut out private health ins to cut administrative costs'.... Well, ok, that's fair enough. Private health ins employs about 2-3 million people and in order for those savings to realize, those people must be fired. In addition, advertising and marketing will be affected as well, presumably stunting those sectors.

Not saying this is a bad thing necessarily, but on top of subprime collapse, this may lead to severe recession if UHC is pushed through in 2008. Moreover, medical billing doesn't require much skill, you punch numbers in the computer.. Soo... all those fired people will have to be retrained somehow. in the middle of a recession and tax hikes. Anybody considered that? Is this possible? Not really? Maybe?
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